Inspection on 12/01/06 for Little Westover

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 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

Little Westover 23/11/06

Little Westover 22/08/05

Little Westover 21/01/05

Little Westover 21/06/04

Little Westover 15/12/03

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Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Little Westover 23 Bereweeke Avenue Winchester Hampshire SO22 6BH Lead Inspector Craig Willis Unannounced Inspection 12th January 2006 11:00 Little Westover DS0000011825.V276123.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 Little Westover DS0000011825.V276123.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. Little Westover DS0000011825.V276123.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Little Westover Address 23 Bereweeke Avenue Winchester Hampshire SO22 6BH 01962 840098 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) Stonham Housing Association Limited Mr Brian Tolliss Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Little Westover DS0000011825.V276123.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd August 2005 Brief Description of the Service: Little Westover is registered to provide care and accommodation for seven people with learning disabilities. The home is situated in a residential area of Winchester, approximately 200 metres from a local shop and bus stop serving the city centre. Each service user has their own single bedroom and share the use of lounge, dining room, conservatory, kitchen and two bathrooms. There is a large garden to the front and rear of the home and parking space for several cars. The home is owned and managed by Stonham Housing Association. Little Westover DS0000011825.V276123.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection of the year March 2005 to April 2006. Key standards not covered in this report were assessed in the inspection of 22nd August 2005. During the visit the inspector spoke with three of the service users and the manager and looked at the communal areas of the home. Comment cards were received from all of the service users. What the service does well: What has improved since the last inspection? Care plans have been transferred to a new format, with all old information being archived. This has made it clearer which are the current documents staff should work to. The damaged patio door from the lounge to the conservatory has been replaced, which means that service users are now able to open it safely. Little Westover DS0000011825.V276123.R01.S.doc Version 5.1 Page 6 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. Little Westover DS0000011825.V276123.R01.S.doc Version 5.1 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 Little Westover DS0000011825.V276123.R01.S.doc Version 5.1 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): None The key standard was assessed at the inspection of 22nd August 2005. EVIDENCE: Little Westover DS0000011825.V276123.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 The home has a clear care planning system that reflects service users changing needs and personal goals. EVIDENCE: The individual care and support plans of three service users were viewed during the visit. Since the last inspection these documents have been revised and are now in a format that is used throughout Stonham. The documents set out how the assessed needs of service users should be met and includes a section on personal goals. The plans are reviewed monthly and service users have signed them where appropriate. All six service users responded to a Commission for Social Care Inspection (CSCI) survey said they had a care plan. The manager reported that work had started with two service users to develop a person centred plan, with input from social services staff. This work should be extended to ensure all service users are supported to develop a person centred plan. Little Westover DS0000011825.V276123.R01.S.doc Version 5.1 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): 15 and 16 Service users receive good support to maintain their personal relationships and staff respect the rights and responsibilities of service users. EVIDENCE: All six service users responding to the CSCI survey said their family and friends were able to visit them at the home. Details of the support service users need to maintain their relationship with family and friends are recorded in the care plans that were seen. Service users spoken with said staff treated them well and they had access to all areas of the home. Details of the household jobs that service users are supported to take part in were recorded in the care plans. Five of the service users responding to the CSCI survey confirmed that they had a key to the building and their bedroom. The manager reported that one service user did not have a key as it had been identified as a risk. The manager agreed to ensure that this was agreed with the service user and recorded in their care plan. This will be followed up at the next inspection. Little Westover DS0000011825.V276123.R01.S.doc Version 5.1 Page 11 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): None The key standards were assessed in the inspection of 22nd August 2005. EVIDENCE: Little Westover DS0000011825.V276123.R01.S.doc Version 5.1 Page 12 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): The home has a suitable complaints procedure and service users feel their views are listened to and acted on. EVIDENCE: The home has a complaints procedure, which sets out who would deal with any complaints, the time within which a complainant would receive a response and the contact details of the CSCI. A copy of the procedure has been supplied to all of the service users. No complaints have been received since the last inspection. The inspector spoke with three service users, all of whom said they were confident that that if they made a complaint it would be taken seriously and acted on. All six service users responding to the CSCI survey said they know how to make a complaint. Little Westover DS0000011825.V276123.R01.S.doc Version 5.1 Page 13 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 The home provides a homely, comfortable and safe environment for service users. EVIDENCE: Since the last inspection, the damaged patio door from the lounge to the conservatory has been replaced, which now means service users are able to open it safely. Service users spoken with said that they had chosen new colours for the communal areas of the home and were looking forward to them being redecorated. The manager reported that work was due to start on the decoration by the end of January 2006. The home is well furnished, with good quality, domestic fixtures and fittings. All communal areas of the home were viewed and were clean and smelt fresh. Little Westover DS0000011825.V276123.R01.S.doc Version 5.1 Page 14 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): 23, 24 and 35 The home has robust recruitment procedures, which protect service users. Staff are supported to obtain suitable qualifications, although service users’ needs would be better met by improved staff training. EVIDENCE: Of the five permanent staff, two have completed NVQ level 3, two are currently completing NVQ level 2 and one is due to start the NVQ level 2 in September. All staff have completed or have started the learning disability awards framework and skills for care inductions. One new member of staff has been employed since the last inspection. This staff member’s file contained their application form, two written references, confirmation that an enhanced Criminal Records Bureau disclosure had been obtained and that the person was not on the list of people unsuitable to work with vulnerable adults. The manager reported that all staff are currently completing an assessed medication training course through Brockenhurst College. This course will be completed by March 2006. The manager said he was experiencing problems getting staff on to some courses. Three members of staff were currently preparing food without a current food hygiene certificate, one member of staff had not completed first aid training, moving and handling and fire safety and one other member of staff had not completed training in adult protection. The manager has applied for these courses on two occasions and the problem has been included in the monthly reports of visits to the home by senior managers. Action must be taken to ensure that all staff receive appropriate training. Little Westover DS0000011825.V276123.R01.S.doc Version 5.1 Page 15 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): The home is well managed, which benefits service users. EVIDENCE: The manager has been in post for nineteen years and has completed the Registered Manager’s Award. His job description includes a responsibility to ensure that the home meets its legal obligations. The current registration of the home includes a responsible individual who is no longer employed by Stonham. The organisation needs to put forward another person for this role. This matter is being dealt with separately by letter. Little Westover DS0000011825.V276123.R01.S.doc Version 5.1 Page 16 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 X 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 X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 3 X X X X X X Little Westover DS0000011825.V276123.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? No 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 YA35 Regulation 18 (1c) Requirement The registered person must ensure that staff working in the home receive suitable training. Timescale for action 31/03/06 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 Little Westover DS0000011825.V276123.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Little Westover DS0000011825.V276123.R01.S.doc Version 5.1 Page 19 - 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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