Inspection on 23/11/06 for Little Westover

This inspection was carried out on 23rd November 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

Little Westover 12/01/06

Little Westover 22/08/05

Little Westover 21/01/05

Little Westover 21/06/04

Little Westover 15/12/03

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Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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 Beverley Rand Unannounced Inspection 23rd November 2006 10:20 Little Westover DS0000011825.V321372.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 Little Westover DS0000011825.V321372.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. Little Westover DS0000011825.V321372.R01.S.doc Version 5.2 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.V321372.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th January 2006 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. The manager provided information regarding the weekly fees on 23/11/06. There is one fee of £595.07, which excludes personal expenses such as toiletries, hairdressing, chiropody, clothes, taxis and train fares. Little Westover DS0000011825.V321372.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was a key inspection. One of the residents welcomed the inspector into the home. The inspector was able to look around the home, speak with two residents, one staff member and the manager. The inspector also looked at records such as fire safety checks and support plans. What the service does well: What has improved since the last inspection? What they could do better: This inspection report does not say that any improvements need to be made. Little Westover DS0000011825.V321372.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Little Westover DS0000011825.V321372.R01.S.doc Version 5.2 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.V321372.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has good systems to assess the needs and aspirations of prospective residents. EVIDENCE: The home has an assessment procedure which includes the manager visiting the prospective resident where they are currently living. The resident would then visit the home, stay for a meal, then overnight and for a weekend. Assessments are obtained from the local authority adult services. However, sometimes it is necessary to change this procedure because of individual need and this is done through full consultation with all professionals. Little Westover DS0000011825.V321372.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has good systems in place to ensure residents are supported in their everyday lives. EVIDENCE: The personal support plans were looked at for three residents and were found to detail specific areas of support needed. If a resident needed support to bath, the resident’s routine was clearly written out. The current residents have relatively low support needs and this is reflected in the plans. Residents are involved in monthly reviews and evidence of this was seen. The staff member spoken with knew the residents’ support needs well. Residents are supported to make every day decisions about every day life such as what they like to wear, what they will do during the day, what activities they may wish to do and where they might like to go. One resident has access to an advocacy service. All residents manage their own money, with support, to varying degrees. Within this, residents are supported to take responsible risks. Little Westover DS0000011825.V321372.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensures that residents enjoy life. EVIDENCE: Residents are busy every day of the week. One resident has paid work in a local shop, another does voluntary work. One resident spoken with said they enjoy going to a local smallholding which some other residents also go to. They told the inspector what activities were there, which included looking after animals. Some residents attend a day centre. Other general activities include going to the pictures, pubs, the disco and a local club. Residents often go shopping with staff support to buy personal items. If a resident chooses not to go on a group activity, there will be staff available to ensure they do not have to go. Family links are promoted and supported, as are friendships, both within the home and outside. Residents spoken with said they liked the staff and the inspector observed respectful yet friendly interactions. Everyone was called by their first name but the manager stressed that if they wished to be known by another name, this would be done. Each resident is encouraged to involve Little Westover DS0000011825.V321372.R01.S.doc Version 5.2 Page 11 themselves in household tasks such as cleaning, but are not made to if they don’t wish to. Residents plan the menu, with support from staff to ensure health needs are met. Two residents who spoke with the inspectors said they liked the food, and one said they had made a shepherds pie earlier in the week for everyone. They also said they went shopping for food. The manager said shopping is done twice a week to ensure they get fresh fruit and vegetables and residents go on a rota basis. All residents sit together to eat their meals but one resident said that when they recently had a health issue, they were able to sit in the adjoining lounge, which better met their needs. Little Westover DS0000011825.V321372.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensures residents personal and healthcare needs are met. EVIDENCE: One resident told the inspector they had recently had a health issue, but that staff treated them well on return to the home. Support plans included evidence regarding assisting residents who have sight loss. Staff told the inspector how they would always ask residents with sight loss what they would like to wear. Staff work with residents in an empowering way: those who need support with personal care are encouraged to do as much as they can, with staff only helping in areas they cannot manage. Residents have also been consulted about having male and female staff working with them, and this has not been an issue. The home ensures that residents have access to necessary healthcare, and staff support them to visit professionals in the community. Medication is stored and administered safely. Administration records were looked at and found to be correct. Staff followed the written procedures. Some Little Westover DS0000011825.V321372.R01.S.doc Version 5.2 Page 13 residents have self-administered medication in the past but are now unable to do so. The manager told the inspector that all staff but one (who has other relevant qualifications) have completed the course, ‘Safe Handling of Medication’. Little Westover DS0000011825.V321372.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has systems in place to protect residents. EVIDENCE: The two residents who spoke with the inspector were aware as to how they could make a complaint, and one had some time ago. The issue had been dealt with and the resident felt the outcome of the complaint had been successful. Staff were aware what to do if a resident wanted to complain and the manager said that residents were also aware how to take a complaint higher than him. Staff knew the reporting procedures to follow if they suspected abuse within the home and there were policies in place. Staff have had training in, ‘Non Violent Crisis Intervention’ which took place over two days plus a refresher. The home looks after money for most of the residents and two records were looked at. Records matched the amount of money held, and the transactions were detailed. Little Westover DS0000011825.V321372.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a clean and homely environment which residents are happy in. EVIDENCE: Residents who spoke with the inspector were very pleased with the new carpets which have just been fitted in the lounge and dining room. Carpet samples had been brought into the home so that residents could choose. These areas had also been redecorated. Residents had previously chosen the colour of their bedrooms, from colour charts. Bedrooms had individual possessions such as ornaments and one had a piano. One bedroom has had new furniture since the last inspection. Residents move around the home as they wish, other than into other residents’ bedrooms. The home was clean throughout. Staff were aware of infection control procedures and said there were always enough disposable gloves and aprons. Little Westover DS0000011825.V321372.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has robust recruitment procedures and a training programme which protects service users. EVIDENCE: The home has a recruitment procedure which involves getting references and Criminal Record Bureau checks. The inspector looked at the file for a new staff member and found the file contained all the relevant checks. The manager told the inspector that recruitment checks were done centrally, and copies forwarded to the home. The inspector noted that the copy references did not have a date as to when they were received at the central office. The manager said references were usually stamped and the inspector reminded him that this was so that it could be evidenced that they had been received prior to the worker being employed. The manager undertakes a written induction programme for all new staff, which is signed and dated. Three of the six staff have achieved the National Vocational Qualification award, at Level 2 or higher. Little Westover DS0000011825.V321372.R01.S.doc Version 5.2 Page 17 Four staff have been booked on the Learning Disability Award Framework training, which includes First Aid and Moving and Handling. All staff are up to date with core training, or have a date booked in the near future. The manager does fire safety training in-house, twice yearly. The inspector looked at what was included in this training which appeared comprehensive. The manager is aware of new regulations regarding food hygiene and has been pro-active in getting training entitled, ‘Safer Food, Better Business’. He has an ongoing training programme for the staff, and has trained two so far. Little Westover DS0000011825.V321372.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 40. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run and safe. EVIDENCE: The manager has been in post for twenty years and has achieved the Registered Manager’s Award. His job description includes a responsibility to ensure that the home meets its legal obligations. He has recently updated training in Food Hygiene and completed the, ‘Safe Handling of Medication’ course. With regard to quality assurance, residents told the inspector that they have monthly meetings, which they all enjoyed attending and could say what they would like to do. Minutes are kept and reviewed at the next meeting. Stonham Housing Association have appreciation days whereby residents are invited to attend an event with lunch to give them an opportunity to give their views Little Westover DS0000011825.V321372.R01.S.doc Version 5.2 Page 19 about the service and the organisation. Regular visits, generally monthly, are undertaken by the registered person, who identifies any outstanding quality issues. The manager ensures staff have supervision, generally every six weeks. The views of family are not sought formally but the manager is always available to speak to people on an individual basis. Team meetings are held every three weeks. The manager ensures that health and safety maintenance is carried out, including fire safety equipment and the gas boiler. A system is in place for routine maintenance as well as any unexpected problems. The fridge contained grated cheese which was not labelled or dated and ham which was not wrapped, labelled or dated. The manager said this had been raised at the last team meeting as an issue and would speak to staff again. All hazardous cleaning fluids are locked away. Little Westover DS0000011825.V321372.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 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X 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 3 X 3 X X 3 X Little Westover DS0000011825.V321372.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. Refer to Standard Good Practice Recommendations Little Westover DS0000011825.V321372.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V321372.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. 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