Inspection on 12/01/06 for Channel View

This inspection was carried out on 12th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

Channel View 10/12/07

Channel View 22/06/06

Similar services:

Trevaylor Manor

Stallcombe House

Stroud Lodge

The Woodmill

Woodland Vale

Bolealler House

Claremont Nursing Home

Althea Park House

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

CARE HOME ADULTS 18-65 Channel View 42 Albert Road Clevedon North Somerset BS21 7RR Lead Inspector Paul Grey Unannounced Inspection 12th January 2006 1.00 Channel View DS0000008133.V278077.R01.S.doc Version 5.1 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 Channel View DS0000008133.V278077.R01.S.doc Version 5.1 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. Channel View DS0000008133.V278077.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Channel View Address 42 Albert Road Clevedon North Somerset BS21 7RR 01275 341199 0117 9709301 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) admin@aspectsandmilestones.org.uk Aspects and Milestones Trust Ms Kathleen Edwina Paramore Care Home 8 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (8), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (8) Channel View DS0000008133.V278077.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 8 persons with mental disorder aged 18 years and over 21st June 2005 Date of last inspection Brief Description of the Service: Channel view provides care for a range of service users with enduring mental health issues. The home offers pleasant homely accommodation in Clevedon, and is a short walk from a range of facilities and shopping areas. Channel View DS0000008133.V278077.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspector visited Channel view as part of an unannounced, (the team did not know the Inspector was due to visit), inspection. The Inspector was at the home 3 hours, and observed service users, checked documentation, took statement evidence from staff and the manager, and spoke with service users about life of the home. The Inspector noted positive feedback from staff and service users, the documentation was well maintained and up-to-date, the environment was clean and pleasant and the service users was satisfied with the care at the home. The Inspector commends the team on the standard of care and general environment offered at the home. 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. Channel View DS0000008133.V278077.R01.S.doc Version 5.1 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 Channel View DS0000008133.V278077.R01.S.doc Version 5.1 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): 1,2,3 Potential service users are provided with the information they need to make a choice about the home. Service users aspirations and needs are assessed by the home. Service users know that the home can meet the needs and aspirations. EVIDENCE: The home statement of purpose continues to meet national minimum standards. There has been no change in the provision of care for the service. The Inspector audited service users assessments. The Inspector look particularly at assessment for 3 service users. The Inspector noted these assessments will comprehensive and in depth. The assessments included cultural, physical and mental health needs and were followed up later by appropriate care planning. The Inspector noted no and you restrictions on any service users freedom of choice. The Inspector noted evidence from service user statement, staff statement and documentation outlining the manner in which the service meet service users needs. Service user spoken with felt their social and psychological care needs were met well. Service users went on to describe how staff would go out of their way to make service users feel important and involved in day-to-day Channel View DS0000008133.V278077.R01.S.doc Version 5.1 Page 8 events. The service users were aware they could see the service user plan but were not generally interested. Channel View DS0000008133.V278077.R01.S.doc Version 5.1 Page 9 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 The home assesses the service users needs. Service users are encouraged to make decisions about their own lives. The home support service users to take risks as part of an independent lifestyle. EVIDENCE: The Inspector audited 3 individual plan to care. The Inspector was able to track care planning from the assessment stage. Service users care plans set out their needs and any specialist requirements the service user may have. The Inspector noted no and you restrictions on a service users freedom. The care plans were drawn up with service user support. On inspection service users stated generally that they knew what was in their care plans but were not really interested. Service users have an allocated key worker. Service users inform the Inspector that staff involved them with any information or communication that was relevant to them. They felt fully involved in their care. When auditing care files the inspectors did not notice Channel View DS0000008133.V278077.R01.S.doc Version 5.1 Page 10 any limitation on the service user. The home appears to support service users taking a full part in all life decisions. The risk assessments present at the home will comprehensive and in good order. Channel View DS0000008133.V278077.R01.S.doc Version 5.1 Page 11 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): 11, 15, 16 The home support service users with opportunities for personal development. The home support service users with appropriate personal relationships. The home respect service users rights and responsibilities in their daily lives. EVIDENCE: Staff at the home support service users to learn and maintain a range of practical life skills. This may include helping with shopping, dusting cleaning and light household chores. Should service users wish, in the summer months this may also include care of the garden outside of the home. Service users are supported to attend religious ceremonies, as is their wish. Staff at the home support service users to maintain family links. Service users are encouraged to maintain contact via phone, birthday cards, letters all visits. As the service users age however, it is increasingly difficult for the service users to maintain contact with elderly relatives. The home will support service users in this process. Should a service user develop an intimate personal Channel View DS0000008133.V278077.R01.S.doc Version 5.1 Page 12 relationship, the home will support the service user maintaining that relationship. During inspection the Inspector noted a policy regarding the staff not opening service users post. The service users in form the Inspector the staff do not open a post, and that they may have a key to their own room. During inspection the Inspector noted staff addressed service users by their preferred name. The Inspector noted the staff team interact well with the service users. At the time of inspection the service users had a restricted access to the building, with the exception to the office. Channel View DS0000008133.V278077.R01.S.doc Version 5.1 Page 13 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): 19, 20, The service needs service users physical and emotional needs. Service users are protected by the homes policies and procedures for dealing with medicines. EVIDENCE: The Inspector noted from service user notes, the service users are registered with the local GP. The manager informed the Inspector the service users would be supported to attend GP clinic, chiropodist etc as was required. The Inspector noted that there was evidence of this in the service user care plans. The home administers service users medication. Medication is risk assessed. The Inspector noted clear and concise records of the administration of medication. The Inspector noted no evidence of crossings out or omissions on the medication sheets. Channel View DS0000008133.V278077.R01.S.doc Version 5.1 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, Service users views are listened to and acted upon. EVIDENCE: The Inspector noted that the home had a clear and effective complaints procedure. Service user spoken with, explained to the Inspector who they would complain to should they have any complaints. The service users were satisfied with the service and had no complaints. Channel View DS0000008133.V278077.R01.S.doc Version 5.1 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, 26, 28, 30 The home are provides a pleasant comfortable and homely environment for service users. Service users bedrooms promote their independence. The homes shared spaces complements service users rooms. The home was clean and hygienic throughout. EVIDENCE: The home was premises are accessible to service users, safe and well maintained throughout. The décor throughout the home was cheerful airy and bright. The Inspector noted that there was sufficient light heat and ventilation throughout the premises. The building is in keeping with the local community and has a domestic appearance. Furnishings and fixtures within the building are of good quality and of a domestic type. There is evidence of a planned maintenance routine at the premises. The service users have been provided with a pleasant bedroom that meets national minimum standards. Service users can personalise their rooms should Channel View DS0000008133.V278077.R01.S.doc Version 5.1 Page 16 they wish, (subject to health and safety conditions). Service users bedrooms were lockable. The home has a range of very pleasant shared spaces for service users. To the rear of the home is an Italian garden. This is a very pleasant area service users to use in the warmer months. The home also has a large pleasant sitting room and quiet sitting-room. The home was clean and hygienic throughout. The home has a small laundry facilities, which are situated, away from areas where food is prepared, got or eaten. Washing machines and the laundry are capable of washing out in excess of 65°C. Channel View DS0000008133.V278077.R01.S.doc Version 5.1 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): 31, 34, 36 Service users benefit from a clarity of staff roles and responsibilities. Service users are protected by the homes recruitment policies and practices. Service users benefit from a well supported and supervised team. EVIDENCE: The Inspector noted present at the home was the trusts job descriptions. Job descriptions were sufficient to meet the needs of national minimum standards. Staff spoken with were aware of the aims and objectives of the home and understood how old they should implement the policies and procedures within the home. Staff have developed a positive relationship the service users and are able to meet service users needs. The Inspector audited recruitment policies and practices. The Inspector noted a thorough recruitment procedure is operated at the home. The Inspector was able to audit implore you files and ascertained that the home meets national minimum standards. The Inspector noted staff files contained to written references, satisfactory POVA check, (where appropriate), staff terms and can dish and is and sufficient ID. Channel View DS0000008133.V278077.R01.S.doc Version 5.1 Page 18 The Inspector then audited staff supervision. The Inspector noted staff supervision occurred and was clearly documented. Staff at the home receive appropriate supervision in line with national minimum standards. This was clearly documented. Staff and the manager provided statement evidence regarding the nature of supervision. Channel View DS0000008133.V278077.R01.S.doc Version 5.1 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): 38, 40, 41 Service users benefit from the leadership and management approach of the home. Service users rights and best interests are safeguarded by the homes policies and procedures. EVIDENCE: Service user statement given to the Inspector indicated that service users felt involved and supported by the home. Service users were able to explain to the Inspector about how they felt confident and supported by the leadership style of the manager. Service users felt they understood the management processes of the home that affected them. Perusing the homes policies and procedures, the Inspector feels that the homes management style is open and transparent. The Inspector audited 3 policies. These were chosen at random. The Inspector noted these were up-to-date, well maintained and as outlined in Channel View DS0000008133.V278077.R01.S.doc Version 5.1 Page 20 appendix 3 of the standards. Policies and procedures were signed by the manager. Service users inform the Inspector that should they wish they could see their care files. Service users spoken with had no interest in seeing their care files. The Inspector noted that the care files in the home was stored in accordance with the data protection act. Channel View DS0000008133.V278077.R01.S.doc Version 5.1 Page 21 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 3 2 3 3 3 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 x ENVIRONMENT Standard No Score 24 3 25 x 26 3 27 x 28 3 29 x 30 3 STAFFING Standard No Score 31 3 32 X 33 X 34 3 35 x 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 X x LIFESTYLES Standard No Score 11 3 12 X 13 X 14 X 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x 3 3 X x 3 x 3 3 x x Channel View DS0000008133.V278077.R01.S.doc Version 5.1 Page 22 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. Refer to Standard Good Practice Recommendations Channel View DS0000008133.V278077.R01.S.doc Version 5.1 Page 23 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. 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