Inspection on 08/06/06 for 88 Walliscote Road

This inspection was carried out on 8th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

88 Walliscote Road 17/03/09

88 Walliscote Road 15/03/07

88 Walliscote Road 28/02/06

88 Walliscote Road 16/06/05

88 Walliscote Road 14/12/04

88 Walliscote Road 06/07/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 88 Walliscote Road Weston Super Mare North Somerset BS23 1EE Lead Inspector Paul Grey Unannounced Inspection 8th June 2006 09:30 88 Walliscote Road DS0000008136.V301644.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 88 Walliscote Road DS0000008136.V301644.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 88 Walliscote Road DS0000008136.V301644.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 88 Walliscote Road Address Weston Super Mare North Somerset BS23 1EE Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01934 418465 0117 9699000 www.brandontrust.org The Brandon Trust Mrs Jean Southerton Care Home 12 Category(ies) of Learning disability (12) registration, with number of places 88 Walliscote Road DS0000008136.V301644.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. May accommodate up to 12 persons aged 18 years and over with learning disabilities. May include persons aged 65 years and over The top floor flat is to be occupied by one named resident only, and the registration will revert when this named person leaves. 28th February 2006 Date of last inspection Brief Description of the Service: 88 Walliscote Road is a care home for older people with a learning disability. The residents have been resettled from long stay hospitals; some of them have communication difficulties and may exhibit challenging behaviour. The service has a flat for supported living. 88 Walliscote Road DS0000008136.V301644.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced and carried out over one day in the absence of the manager. At the time of inspection the homes service users were happy, well presented and well fed. The Inspector met with a range of service users, toured the premises including service users bedrooms, accessed service user care files and policies and procedures files, and spoke with staff members. The Inspector made no requirements and one recommendation as a result of the inspection. The Inspector commends the manager and staff team on a pleasant, caring environment. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 88 Walliscote Road DS0000008136.V301644.R01.S.doc Version 5.2 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 88 Walliscote Road DS0000008136.V301644.R01.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is adequate. Prospective service users individual aspirations and needs are assessed. EVIDENCE: The inspector sampled 2 care files. Service users had received a comprehensive assessment which had been used to create a plan of care. Documentation has been for the most part transferred to Brandon trusts person centred planning.There have been no recent admissions to the service, but the Inspector noted the all assessments have been reviewed in line with the service users changing needs. 88 Walliscote Road DS0000008136.V301644.R01.S.doc Version 5.2 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is adequate. Service users know their needs and goals are reflected in their individual plan. Service users make decisions about their lives with assistance as needed. Service users are supported to take risks as part of an independent lifestyle. EVIDENCE: Service users are supported by care plans and risk assessments that reflect their changing needs. Service users are involved in the decision making process regarding their care. Any restrictions on service user’s choice or freedom are conducted within the care planning or risk assessment framework. Where possible a service user is involved in this process and a signature was obtained to show the service user agreed with these restrictions. 88 Walliscote Road DS0000008136.V301644.R01.S.doc Version 5.2 Page 9 The Service users ability to live an independent lifestyle is supported by comprehensive risk assessments. Risk assessments were appropriate to the service users needs, based on assessment and care planning and maintained up to date. 88 Walliscote Road DS0000008136.V301644.R01.S.doc Version 5.2 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16, and 17 Quality in this outcome area is good . Service users are able to take part in appropriate activities. Service users are part of the local community. Service users have appropriate relationships. Service users rights are respected in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. EVIDENCE: No service users are an in paid employment. Service users at the home are encouraged to be involved in a range of activities, should they wish they would be supported to engage in activities such as further education at Weston College, or additional learning or numeracy training. At the time of inspection, the Inspector understands no service users were attending an educational programme. Staff spoken with told the Inspector that service users would be supported to attend educational courses if they wish. 88 Walliscote Road DS0000008136.V301644.R01.S.doc Version 5.2 Page 11 The home is located within walking distance of the town centre and a wide range of facilities. Service users are supported to access these facilities by the staff team. Service users also have access to day care activities supplied by separate team. Service users would be supported by the staff team to maintain relationships with friends and family. The Inspector noted there were no undue restrictions on this, and noted a number of examples where staff had facilitated and supported family relationships. Service users can choose who they see and where they see them. Should service users wish to develop or maintain an intimate relationship the home will be supportive of this. Staff spoken with informed the Inspector that the routines of the home were flexible to meet service users needs. The Inspector noted during the time of inspection service users were addressed by their preferred term, staff knocked on all doors before entry and interacted well with the service users, involving them where possible. During a tour of the premises the Inspector was able to see food preparation, speak with the cook and ask service users about the quality of the food. The Inspector noted evidence of a pleasant and varied menu and noted the service users were being cooked an appetising roast meal. The cook informed the Inspector that there is a lcooked meal every day which varies depending on what the service users have said they want. The Inspector noted evidence of a rotating menu complete with varied and appealing meals. Two service user spoken with told the Inspector they enjoyed the food. 88 Walliscote Road DS0000008136.V301644.R01.S.doc Version 5.2 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 The quality for this outcome group is adequate. Service users receive personal support in the way they prefer. Service users physical and emotional health needs are met. Service users are protected by the homes policies and procedures for dealing with medicines. EVIDENCE: The Inspector obtained evidence from the homes documentation, from staff statement and observation Service users are supported with tact and diplomacy by the staff team. The Inspector noted evidence of this during inspection in the way service users were supported. The Inspector noted evidence in service users care files regarding how best to maintain the service users privacy and dignity during personal care. Service users who express a preference, could be supported by particular members of staffshould they wish. The Inspector found evidence that service users were supported to attend hospital or GP appointments by the staff team. Service users are encouraged 88 Walliscote Road DS0000008136.V301644.R01.S.doc Version 5.2 Page 13 to have regular health checks with the local GP. These will take place in private unless a staff member is required to support the service user. No service users at the home administer their own medication. The Inspector noted risk assessments outlining the dangers presented if service users had to self administer. The Inspector found evidence that medication was administered safely and appropriately. 88 Walliscote Road DS0000008136.V301644.R01.S.doc Version 5.2 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 The quality in this outcome group was good. Service users feel their views are listened to and acted on. Service users are protected from abuse and neglect. EVIDENCE: The home has a clear and effective complaints procedure. The Inspector found evidence on this and previous inspections that service users are supported and enabled to complain if they are unhappy with aspects of care. Service users complaints are responded to and dealt with within a 28 day period. Service users are supported to make a complaint on a one-to-one basis should they wish. A record is kept of any issues raised by service users. Staff at the home are trained to support service users and protect them from abuse by the Brandon trust. The staff team receive training to identify abuse and to learn how to report any suspected abuse. Any allegations of abuse are recorded at the home. Physical and verbal aggression by service user is understood by the staff who have been appropriately trained by the Brandon trust. 88 Walliscote Road DS0000008136.V301644.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality for this outcome area is good. Service users live in a homely, comfortable and safe environment. The home is clean and hygienic. EVIDENCE: Previously, the home was subject to a number of requirements regarding environmental issues. During a tour of the premises the Inspector noted an improvement in the overall environment and attempts by the Brandon trust to rectify identified faults. This is good practice. The home’s kitchen is due for refurbishment. Staff inform the Inspector this is due shortly. The Inspector has made one recommendation regarding the kitchen door. Due to poor ventilation in the kitchen, the kitchen temperature becomes exceptionally hot requiring that staff leave the external kitchen door open. The Inspector recommends a full door fly screen be fitted to enable this door to be left open without ingress of flies and other insects whilst food is being prepared. 88 Walliscote Road DS0000008136.V301644.R01.S.doc Version 5.2 Page 16 The home is suitable for its stated purpose. 88 Walliscote Road DS0000008136.V301644.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 35 Quality for this outcome area was good. Service users are supported by a competent and qualified staff. Service users individual and joints needs are met by appropriately trained staff. EVIDENCE: In the managers absence the Inspector was unable to assess key standard 34. Service users are supported by an accessible, approachable staff team. Observation during inspection showed a friendly and open staff team who were interested in the service users. Staff spoken with had knowledge of learning disabilities and any specific problems relevant to their service users. This was good practice. Staff receive training in skills necessary to care for service users such as dealing with aggressive behaviour or communication difficulties. Service users are supported by a well trained staff team. The Brandon trust runs regular staff training. Evidence of staff training was available during inspection and upcoming staff training events were posted on a bulletin board. Staff spoken with informed the Inspector that they have their own training and development plans linked to service users needs. 88 Walliscote Road DS0000008136.V301644.R01.S.doc Version 5.2 Page 18 88 Walliscote Road DS0000008136.V301644.R01.S.doc Version 5.2 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 42 Quality for this outcome area was adequate. The health, safety and welfare of service users are protected. EVIDENCE: In the managers absence the Inspector did not assess standard 37 or 39. The Inspector audited fire records and staff training. The Inspector found evidence of recent updated fire safety training. The Inspector noted that service users are protected by safe practices. Staff are trained in moving and handling, fire safety and first aid. Risk assessments indicate that as far as is reasonably practica,l health and safety of the service users are protected at all times. 88 Walliscote Road DS0000008136.V301644.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 x 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x x x x x x 3 x 88 Walliscote Road DS0000008136.V301644.R01.S.doc Version 5.2 Page 21 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA24 Good Practice Recommendations The Inspector recommends a full door fly screen be fitted to the external kitchen door. 88 Walliscote Road DS0000008136.V301644.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 88 Walliscote Road DS0000008136.V301644.R01.S.doc Version 5.2 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!