Inspection on 21/06/05 for The Willows

This inspection was carried out on 21st June 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

The Willows 27/02/07

The Willows 19/01/06

The Willows 21/10/04

The Willows 24/05/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 The Willows 31-33 Sutton Drive Upton Chester CH2 2HN Lead Inspector Val Flannery Unannounced 21 June 2005 14:45 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 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 Stationary 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. The Willows v233750 f51 f01 s6666 the willows macintyre v233750 210605 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Willows Address 31-33 Sutton Drive Upton Chester CH2 2HN 01244 382 701 01244 382 701 www.macintyrecharity.org Diane Williams/Macintyre Care Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Ms Carol Jinks Care Home 5 Category(ies) of Learning disability - 5 registration, with number of places The Willows v233750 f51 f01 s6666 the willows macintyre v233750 210605 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. No more that 5 Service Users may be Learning Disability - 5 Date of last inspection 21 October 2004 Brief Description of the Service: The Willows cares for five adults with a learning disability. Located on a residential estate in Chester the home is close to local shops and is on the bus route to Chester city centre. The two storey building was orginally two separate semi-detached houses. Access between the ground floor and first floor is by the stairs. All the bedrooms are single, four of which are on the first floor. The fifth room is on the ground floor and contains an en-suite shower and toilet facilities. Sufficient communal toilet,bathing and shared space, including dining area, are provided for the service users. The garden to the rear of the home provides a secure area for use by service users. Staff are on duty twenty four hours a day to deliver care to service users. The Willows v233750 f51 f01 s6666 the willows macintyre v233750 210605 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over three hours. One hour was spent reading the previous inspection report and reviewing the service history of the home. All the service users and two staff were spoken with during the visit. A partial tour of the building was carried out. Two of the bedrooms were seen during the visit. Two service user and other home records were also seen. Feedback following the inspection was given to the registered manager on 30th June 2005. What the service does well: The home has provided information which gives service users, families and other professions details on the service offered. Service users are able to visit the home before making a decision about moving in. Person centred planning/essential lifestyle planning ensures the staff are aware of the needs of service users and how these plans are to be met. Risk assessments are carried out which help ensure the safety and well-being of service users. Service user files have a lot of information on the individual service users, including personal histories and background information. Service users are supported to use local shops, pubs and other facilities. Service users are offered a choice of foods which they help prepare. Daily activity plans are available for individual service users. Their healthcare needs are monitored and action is taken to address any concerns. Staff and service users have a good relationship, service users are able to approach staff for help and advice. The location of the home allows the service users to use community facilities. A mini bus is provided by the home for use by service users. MacIntyre Care provide staff with training opportunities which will help develop their caring skills. One service user comment card was returned following the inspection. Comments included were ‘I like living here’ ‘I am very happy here’ The Willows v233750 f51 f01 s6666 the willows macintyre v233750 210605 stage 4.doc Version 1.30 Page 6 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. The Willows v233750 f51 f01 s6666 the willows macintyre v233750 210605 stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection The Willows v233750 f51 f01 s6666 the willows macintyre v233750 210605 stage 4.doc Version 1.30 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 standard(s) 1/2/3/4 Information is available which will ensure prospective service users have the information on the services offered by the home. Service users and their representatives are able to visit the home before moving in. EVIDENCE: A copy of the statement of purpose and service user guide was seen on the day of the inspection. Included were details of the service offered by the home and the organisation. Copies of the pre-admission assessment, carried out by senior staff, were seen on the files of service users most recently admitted to the home. Also available were copies of the standard assessment documentation, carried out by Cheshire County Council. Service users said they were able to visit the home prior to making a decision about moving in. This included an overnight stay and visits for meals and to meet the other service users and staff. Records seen showed service users were supported in the admission process by relatives and social services. The Willows v233750 f51 f01 s6666 the willows macintyre v233750 210605 stage 4.doc Version 1.30 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 standard(s) 6/7/8/9/ The assessed care needs of service users are monitored and action taken to address any changes. Service users are supported to take responsible risks as part of their daily living. EVIDENCE: The person centred plans and essential lifestyle showed that the assessed needs of service users have been identified and included in the plans. Service users’ care needs are monitored and action taken to address any changes. Risk assessments are also in place. Service users said staff talk to them and ask them if they like living in the home and how things could be improved. Two service users are able to use community facilities without staff supervision. Their plans of care showed that staff talk to them and advise them on how to remain safe when they are out. Care plans also showed what help service users need with dressing/undressing, using the bathroom, likes/dislikes with regard to food and also how they like to spend their leisure time. The staff on duty were seen helping and communicating with service users. Three service users are able to tell staff what they want, how they feel and if they have any concerns. The Willows v233750 f51 f01 s6666 the willows macintyre v233750 210605 stage 4.doc Version 1.30 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 standard(s) 11/12/13/14/17 Service users are enabled to take part in community-based activities. They are offered a choice of meals. EVIDENCE: The essential lifestyle plans showed that service users are enabled to take part in community based activities such as day care, using local shops and leisure facilities. Two service users are able to travel to and from day care and use local shops unsupervised. The home is located on a residential estate in Chester; the design and appearance of the home is in keeping with the local community. Service users said staff take them out in the people carrier to the shops and to doctors/dentist appointments. During the inspection service users were seen helping staff prepare the evening meal. Records of food offered showed that service users are offered a choice. Service users said they liked the food; also that staff offer them hot and cold drinks. The Willows v233750 f51 f01 s6666 the willows macintyre v233750 210605 stage 4.doc Version 1.30 Page 11 The Willows v233750 f51 f01 s6666 the willows macintyre v233750 210605 stage 4.doc Version 1.30 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 standard(s) 18/19/20 Service users receive support with personal care, including emotional needs, from the staff. Policies and procedures are in place to guide staff on the administration of medication. EVIDENCE: During the inspection staff were seen helping service user with personal care tasks such as using the toilet. The help was offered in a quiet and caring manner. Two service users’ essential lifestyle plans were seen, these showed that the level of support they require with daily living has been identified and is been met. Two service users are, with minimum staff support, able to manage daily living tasks such as dressing, using the bathroom and managing their medication. The record of medication administered to service users by staff was seen and was satisfactory. MacIntyre Care have provided policies and procedures on the administration of medication. Staff receive training, and are monitored by the manager, on medication procedures. The Willows v233750 f51 f01 s6666 the willows macintyre v233750 210605 stage 4.doc Version 1.30 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 standard(s) 22/23 A complaints procedure is in place which residents and staff are aware of. The adult protection procedure ensures the safety and well-being of service users. EVIDENCE: Details on how to complain and raise issues of concern were on display in the home. Copies of the complaints procedure are included in the ‘Supporting service users’ policy file. Information on how to contact the Commission for Social Care Inspection were included in the procedure. The record of complaints showed that the home had received one complaint since the last inspection. This was investigated by the home. CSCI have not received any complaints since the last inspection. A copy of the organisation’s procedure on protecting vulnerable adults was available. Staff were aware of the procedure; they also said complaints are taken seriously by the manager and acted upon. The Willows v233750 f51 f01 s6666 the willows macintyre v233750 210605 stage 4.doc Version 1.30 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 standard(s) 24/25/26/27/28/30 The home provides a safe and comfortable environment for service users. Service users bedrooms are individually decorated and furnished and are suitable for their needs. EVIDENCE: Two of the bedrooms were seen during the inspection. These were individually furnished and decorated. One service user said he had chosen the décor and furniture for his bedroom. All the bedrooms are single. Four of the rooms are on the first-floor and contain hand-washing facilities, the remaining room is on the ground floor and contains an en-suite toilet and shower facilities. The home provides a dining room, large lounge with conservatory and one small lounge all of which are located on the ground floor. These areas are easily accessible to service users. A secure garden to the rear of the home is provided for service users. Two bathrooms and toilets are located on the first floor and one toilet on the ground floor. These areas have door locks that can be overridden by staff in The Willows v233750 f51 f01 s6666 the willows macintyre v233750 210605 stage 4.doc Version 1.30 Page 15 the event of an emergency and ensures the privacy of service users is respected. On the day of the inspection the home was clean and free from unpleasant smells. A tour of the building showed that it is well-maintained and that a safe environment is provided for service users. The Willows v233750 f51 f01 s6666 the willows macintyre v233750 210605 stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31/32/33/35/36/ Staff are aware of their roles and responsibilities in caring for service users. Training on meeting service users’ needs and ensuring their safety is given to staff. EVIDENCE: The staffing rota showed that for the day of the inspection the following staff were on duty: • • • • • One One One One One support support support support support worker: 7am-2pm worker: 8am-12noon worker: 2pm-10pm worker: 3pm-10pm worker sleeps in to cover the night-time. The staffing rota for the weekend showed the following: • • • • One One One One support support support support worker: 7am-2pm worker: 10am-5pm worker: 2pm-10pm worker sleeps in to cover the night-time. v233750 f51 f01 s6666 the willows macintyre v233750 210605 stage 4.doc Version 1.30 Page 17 The Willows The registered manager is included as part of the rota. Staff said they are made aware of their responsibilities both to caring for service users and to the organisation. This is done through individual supervision with the manager and the policies and procedures provided by the organisation. Staff said that they have access to NVQ training and other courses which will improve their skills in caring for service users. A list was seen during the inspection of the courses available to staff, this included manual handling, food hygiene, fire training and health and safety. The Willows v233750 f51 f01 s6666 the willows macintyre v233750 210605 stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37/38/39/40/41/42 The arrangements for managing the home are satisfactory. The views, wellbeing and safety of service users is of importance in the overall management of the home. EVIDENCE: The registered manager has worked for the organisation in a senior capacity for a number of years. She is in the process of completing NVQ Level 4 in care. Two of the service users spoken with said the managers talks to them and asks them questions. Staff said the manager will listen to concerns and complaints and act upon them. MacIntyre Care have provided policies and procedures to assist staff in the day to day running of the home. These included administration of medication, risk assessments and the care planning process. Staff spoken with during the inspection were able to discuss how the policies and procedures are designed to ensure the safety and well-being of services users. The Willows v233750 f51 f01 s6666 the willows macintyre v233750 210605 stage 4.doc Version 1.30 Page 19 During the inspection a tour of the building showed that potential hazards are addressed. Records seen showed the organisation have procedures in place to deal with health and safety issues. The Willows v233750 f51 f01 s6666 the willows macintyre v233750 210605 stage 4.doc Version 1.30 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 3 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 x x 3 Standard No 31 32 33 34 35 36 Score 3 3 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Willows Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 x v233750 f51 f01 s6666 the willows macintyre v233750 210605 stage 4.doc Version 1.30 Page 21 Yes 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 Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations The Willows v233750 f51 f01 s6666 the willows macintyre v233750 210605 stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection Unit D, Off Rudheath Way Gadbrook Park Northwich CH2 2HN 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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