Inspection on 21/11/05 for ILP Residential

This inspection was carried out on 21st November 2005.

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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

ILP Residential 20/02/08

ILP Residential 10/10/07

ILP Residential 23/02/07

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 09/07/2008.

CARE HOME ADULTS 18-65 ILP Residential 32 Shire Way Westbury Wilts BA13 3GF Lead Inspector Thomas Webber Announced Inspection 21st November 2005 14:00 ILP Residential DS0000065467.V266534.R01.S.doc Version 5.0 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 ILP Residential DS0000065467.V266534.R01.S.doc Version 5.0 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. ILP Residential DS0000065467.V266534.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service ILP Residential Address 32 Shire Way Westbury Wilts BA13 3GF 01373 864945 01373 864945 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) Mr James Norman Lewis Mr James Norman Lewis Care Home 2 Category(ies) of Learning disability (2) registration, with number of places ILP Residential DS0000065467.V266534.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th July 2005 Brief Description of the Service: ILP Residential is a private residential care home which offers accommodation and personal care to two service users with learning disabilities. The registered proprietor is Mr Lewis. Since the last inspection, the home has moved to new premises which provide improved facilities, still in the vicinity of Westbury. The home is a three bedroom terraced property which is situated within walking distance of all the facilities of the market town of Westbury. Service users are provided with their own bedroom and these are located on the first floor and are accessed by use of a staircase. ILP Residential DS0000065467.V266534.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, undertaken during the course of one day from 14:10 to 16:10. The inspection focused on the direct care provided and the views of the two service users were sought regarding the care and services provided by the home. The vast majority of core standards were assessed which included the checking of service users’ care plans, reviews, health care, recreational activities, menus, complaints, staffing levels, recruitment and quality assurance. The two service users were present and contributed to the inspection process. What the service does well: What has improved since the last inspection? The recruitment practices of staff employed have been improved for the protection of the service users. The complaints procedures have been reILP Residential DS0000065467.V266534.R01.S.doc Version 5.0 Page 6 written to make them more user friendly with copies having been provided to both service users and their families. 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. ILP Residential DS0000065467.V266534.R01.S.doc Version 5.0 Page 7 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 ILP Residential DS0000065467.V266534.R01.S.doc Version 5.0 Page 8 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): EVIDENCE: Standard 2 was not assessed on this occasion, as it was satisfactorily met at the last announced inspection on 27th July 2005 and there have been no new admissions to the home since that inspection. ILP Residential DS0000065467.V266534.R01.S.doc Version 5.0 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 and 7 Service users’ changing needs and personal goals are reviewed and reflected within their individual plans. Service users are encouraged and supported to make decisions about their lives as well as being consulted in all aspects of life both within the home and the wider community. EVIDENCE: Individual care plans have been established in respect to both service users, which continue to be reviewed and updated on at least a six monthly basis. These documents were internally reviewed on 30th October 2005 and continually reflect any changes. Service users and their families continue to be involved in this process. Service users are encouraged, supported and enabled to achieve their greatest level of independence and control over their lives, which includes the right to make their own choices and decisions within a supportive environment. Evidence to support this is reflected within their care plans. Services users are fully involved in a local advocacy group with one of whom works for Wiltshire People First. Service users have their own building society books and their personal allowances are paid directly into them. Service users’ continue to make any withdrawals of money required. ILP Residential DS0000065467.V266534.R01.S.doc Version 5.0 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): 11, 12, 13, 14, 16 and 17 Service users are provided with clear opportunities for personal development and take part in a range of activities within the local community, according to their preferences. Service users’ rights and responsibilities are respected and recognised within their daily lives. Service users are consulted and receive a satisfactory and varied diet. EVIDENCE: Service users continue to be supported to make appropriate arrangements to meet their personal, religious and cultural needs. Opportunities and encouragement are available to service users to learn independent living skills, such as use of local transport, withdrawing money out of their building society books, going shopping, cooking and cleaning. Service users are confident in their communication and continue to be fully involved in the inspection process by expressing their opinions about the care provided and the life style the home offers them. Opportunities and support are available to service users to fulfil their spiritual needs with both attending the church group (No Limits) every other Tuesday evening with one attending church every Sunday and the other service user attending when he wishes to. ILP Residential DS0000065467.V266534.R01.S.doc Version 5.0 Page 11 Service users continue to show no interest in attending any day centres preferring to be involved in community-based projects. As stated in Standard 7 both services users are fully involved in a local advocacy group, Wiltshire People First, and attend various conferences and workshops organised by it. As stated in Standard 7, service users are encouraged to develop and maintain their independence as much as possible and have developed their own friendships within the community. Service users have access to a mobile phone and phone card, which they can use when out, should they need to. Service users use public transport, having learnt various bus routes and continue to learn new ones. Both service users have their own bus passes. Service users come and go and attend a range of communal based activities and are encouraged and supported to pursue their own interests and hobbies. Holidays continue to be undertaken by service users and include going to the Philippines and Eastbourne, which are enjoyed and appreciated by them. Service users do what they express an interest in. The home continues to operate a flexible environment with the minimum of rules, which provides service users with independence and choice within a safe environment. Service users can choose how and where to spend their time and come and go as they wish with a clear understanding of their responsibility regarding informing the proprietor where they are going and what time they intend to return for safety reasons. Service users are involved and undertake various tasks within the day to day routines of the home. Although service users’ bedrooms do not have locks fitted to them, their bedrooms are treated by the proprietor as their own private space. A satisfactory and varied menu is in operation and service users are consulted and provided with a choice at all mealtimes, although the main meal of the day is a set meal but chosen by all with choices provided within it. Service users are involved in the preparation of meals within their capabilities and they prepare their own lunch if they have the time. The proprietor is aware of the service users’ likes and dislikes and these preferences are taken into account in the preparation of meals provided. A record of all meals served is maintained. Service users eat their meals within the various dining areas of the home, depending on the meal. Service users commented favourably about the quality and quantity of food provided. ILP Residential DS0000065467.V266534.R01.S.doc Version 5.0 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 and 20 Service users do not require assistance with their personal care, apart from the occasional prompting. Service users’ health care needs are being suitably met. EVIDENCE: Service users do not require assistance with personal care apart from the occasional prompting as described in their care plans. Normal patterns of daily living have been established whereby service users can choose when to get up, go to bed, when to have a bath and what clothes to wear. Routines within the home are flexible in order to cater for the activities of the service users. Service users are registered with the local surgery and would attend any appointments at the practice. Service users are not on any prescribed medication, although a medication sheet has been established for the recording of any cold medicines administered. Other health care appointments are made as and when required for the opticians, chiropodist and dentist. ILP Residential DS0000065467.V266534.R01.S.doc Version 5.0 Page 13 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 are fully aware of how to complain and appropriate procedures are in place. EVIDENCE: The proprietor has re-written the complaints procedure to make it more service user friendly with a copy being displayed within each of the service users’ bedrooms. A copy has also been given to service users’ families. The home has received no complaints since the last inspection and the service users stated that they had no complaints about the care and services provided by the home. ILP Residential DS0000065467.V266534.R01.S.doc Version 5.0 Page 14 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, 25, 26, 27, 28 and 30 Service users live in a homely, comfortable, clean and safe environment which is suitably furnished and decorated and provides service users with sufficient communal space together with adequate toilet and bath facilities. Service users are provided with their own bedrooms which are of a suitable size and meet their individual needs. Service users have personalised their bedrooms to their individual wishes. Satisfactory laundry arrangements are in place. EVIDENCE: The premises are in keeping with the local community and provide easy access to local amenities. The premises are suitably furnished and in good decorative order, providing suitable heating, lighting and ventilation. Service users are provided with their own bedrooms, which are located on the first floor and are accessed by the use of a staircase. The overall accommodation within the property is suitable to meet the needs of the two service users accommodated, although the size to one of the service user’s bedrooms is marginally undersized. Service users commented favourably about their level of accommodation. Service users’ bedrooms are suitably furnished and decorated and they have been personalised to service users’ individual wishes by displaying photographs ILP Residential DS0000065467.V266534.R01.S.doc Version 5.0 Page 15 and pictures and they also have their own televisions and music centres. Service users can entertain visitors in the privacy of their bedrooms or they can use the communal area available. The home provides suitable bath and toilet facilities to meet the needs of the service users with a toilet being provided on the ground floor and a bathroom together with a toilet and wash hand basin located on the first floor. The home provides a spacious lounge/dining room, which exceeds the requirements of this Standard which is comfortable and is suitably furnished and decorated. The home also has a domestic style kitchen, which is maintained to a good and hygienic standard. The home has an enclosed and suitably maintained rear garden, which can be used by the service users weather permitting. The home is maintained to a good standard being clean, tidy and comfortable. The laundry facilities available meet the needs of the home. Satisfactory laundry arrangements are in place with service users being involved in various aspects with ironing being kept to a minimum. ILP Residential DS0000065467.V266534.R01.S.doc Version 5.0 Page 16 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, 33, 34 and 36 Service users are supported and cared for by people who are well known to them. Robust recruitment practices have now been established for the protection of service users. EVIDENCE: The emphasis of care provided continues to be that of a family environment rather than that of a home where a number of staff are employed. The deployment of staff ensures that there are nearly always two members of staff on duty throughout the waking day when the service users are in situ. Mr and Mrs Lewis carry out these duties as well as sleeping in each night. Service users continue to be at ease in their company and within their environment. Service users spoken to re-affirmed that they are very happy with the care and services provided by Mr and Mrs Lewis. The proprietor has employed two members of staff in the Philippines, for when the service users visit that country. Both staff are reported to have completed the care givers’ course. Mr Lewis reported that weekly meetings are held with those staff when the service users are on holiday within the Philippines. The three staff files, which included that of Mrs Lewis, showed that appropriate recruitment practices are now being followed and includes obtaining satisfactory references and CRB checks or their equivalent (NBI) checks in the Philippines. However, there were some gaps within the full employment ILP Residential DS0000065467.V266534.R01.S.doc Version 5.0 Page 17 history of the staff employed and Mr Lewis agreed to rectify this situation immediately. ILP Residential DS0000065467.V266534.R01.S.doc Version 5.0 Page 18 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): 37, 38, 39 and 42 Service users benefit from living in a well run, family environment. Service users are fully consulted in all aspects of their lives and systems have been developed to ensure that their families’ views are also obtained. The health, safety and welfare of service users are promoted and protected. EVIDENCE: Mr Lewis has cared for the service users for the last nine years and therefore has a number of years experience of working with people with learning disabilities. Mr Lewis has a Diploma in Education Welfare, is an NVQ Assessor and has successfully completed the Masters in Business Management. Due to the size of the home and the close interaction between Mr and Mrs Lewis and the service users, an open, positive and inclusive approach was very evident where service users are kept informed and are fully involved in all aspects of the running of the home. Although a quality assurance and quality monitoring system has not been established, Mr Lewis has developed questionnaires, which have been completed by service users, their families and visitors. This process is ILP Residential DS0000065467.V266534.R01.S.doc Version 5.0 Page 19 normally repeated on a six monthly to coincide with service users’ reviews. The results of these questionnaires are available to all who took part in the survey with a copy also being provided to the Commission for Social Care Inspection. The recent results completed in October 2005 continue to confirm overall satisfaction. Mr Lewis and Mrs Lewis continue to maintain a safe environment by applying a common sense approach. Policies and procedures regarding health and safety have also been established. Mr and Mrs Lewis will ensure that all mandatory training including updates in relation to fire, basic food hygiene, health and safety and first aid are undertaken through West Wilts District Council. The property is relatively new and complies with all the necessary fire precautions, which include the fitting of self closing fire doors, mains linked smoke detectors to the hallway and landing which has a battery backup and the installation of a fire blanket and extinguisher in the kitchen. A complete gas and electric check was carried out in October 2005. Mr Lewis intends to fit an additional rail to the staircase. ILP Residential DS0000065467.V266534.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 4 X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 3 2 X 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 ILP Residential Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 3 3 X X 3 X DS0000065467.V266534.R01.S.doc Version 5.0 Page 21 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. 1. Standard YA34 Regulation 19 Timescale for action The registered individual must 31/12/05 ensure that any employment gaps are fully investigated and recorded. Requirement 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 ILP Residential DS0000065467.V266534.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Chippenham Area Office Avonbridge House Bath Road Chippenham SN15 2BB 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 ILP Residential DS0000065467.V266534.R01.S.doc Version 5.0 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. 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