Inspection on 05/09/05 for The Willows

This inspection was carried out on 5th September 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 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

The Willows 20/01/09

The Willows 23/03/07

The Willows 10/03/06

The Willows 16/11/04

The Willows 10/06/04

The Willows 11/02/04

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

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

CARE HOME ADULTS 18-65 The Willows Summer Lane West Wick Worle North Somerset Lead Inspector Paul Grey BS24 7TF Announced 5 September 2005 th 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 D53-D02 S20373 The Willows V241876 050905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Willows Address Summer Lane, West Wick, Worle, North Somerset, BS24 7TF 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) 01934 510404 0117 9699000 The Brandon Trust Mrs Gladys Jill Marshall Care home with nursing 7 Category(ies) of Learning Disability (7) registration, with number Physical Disability (7) of places The Willows D53-D02 S20373 The Willows V241876 050905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 7 adult patients with learning difficulties/physical disabilities. Staffing notice dated 30/03/1998 applies. Manager must be a RN on Part 5 or 14 of the NMC register. Date of last inspection 16th November 2004 Brief Description of the Service: The Willows is a small, homely provider offering care for up to 7 service users with severe learning, physical and sensory disabilities. The Willows is a pleasant bungalow situated in a quiet cul-de-sac on the outskirts of Worle.The home has single rooms and has been extensively adapted to meet the needs of service users. The team strive to provide a broad range of life experiences both inside and outside of the home environment. The Willows D53-D02 S20373 The Willows V241876 050905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector found a pleasant, well organised service, and a comfortable homely environment. The inspector made an immediate health and safety requirement regarding a rusted through manhole cover, and a further requirement for some maintenance around the home. The inspector commends the team and manager for a well run and caring home. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Willows D53-D02 S20373 The Willows V241876 050905 Stage 4.doc Version 1.40 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection The Willows D53-D02 S20373 The Willows V241876 050905 Stage 4.doc Version 1.40 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 5 The Home has an up to date statement of purpose to provide service users with information about the home. Service users are appropriately assessed prior to moving in to The Willows. The Registered Manager develops with each service user a plan of care EVIDENCE: The homes provision of care remains the same, there have been no changes in the statement of purpose which continues to meet national minimum standards. The inspector sampled 2 care files. Assessments were thorough, linked to care planning and risk assessments, and were maintained and up to date. The inspector notes the home meets National Minimum Standards. Service users had a written and costed agreement with the trust outlining the bedroom room to be used, fees paid and services provided by the home. The Willows D53-D02 S20373 The Willows V241876 050905 Stage 4.doc Version 1.40 Page 8 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) 6,7,9, Service users have an individual plan drawn up to meet their assessed needs. The home supports service users make decisions about their lives. The home supports service users take reasonable risks in everyday activities. EVIDENCE: The inspector noted evidence of a clear plan of care for service users in two files sampled. The service users plan care was clearly linked to the assessment of needs and assessment of risk. Service users rights were not restricted unless assessed as a risk and care planned. Care files contained thorough risk assessments. The risk assessments provided a course of action for staff wear a risk had been identified. Risk assessments had been reviewed appropriately. The Willows D53-D02 S20373 The Willows V241876 050905 Stage 4.doc Version 1.40 Page 9 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) 11,13,14,15,16, The home enables service users opportunities to maintain and develop living skills. Staff support service users to participate in the local community. Staff support service users to maintain links with friends and family. The daily routine of the home promote individual choice and independence. EVIDENCE: The service users at the Willows have profound disabilities. The inspector noted that service users are encouraged where possible to learn school life skills that are rudimentary level. Start for service users in developing their social and communication skills. Staff support service users to participate in local community activities. This may be attending a local day centre or trips with staff to local leisure facilities. Where service users are able, staff encourage them to participate in leisure activities. These activities may vary from trips into Weston-super-Mare, The Willows D53-D02 S20373 The Willows V241876 050905 Stage 4.doc Version 1.40 Page 10 choosing new clothes, going to the pictures to spending time in the snoozelam. The staff team support both service users and family to maintain their relationships. This can take the form of education and support regarding the nature of learning disabilities, to supported visits and birthday cards. The Willows D53-D02 S20373 The Willows V241876 050905 Stage 4.doc Version 1.40 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 standard(s) 18,20 The staff team provide sensitive and flexible personal support to service users. Service users are protected by the homes policies and procedures for the administration of medication. EVIDENCE: The inspector noted documentary evidence in service users plans of care outlining how staff respect service users privacy and dignity. Personal support is provided to service users in private and as discreetly as possible. Times for food and bathing can be varied to suit service users needs. Due to the nature of service users disabilities, service users are unable to retain and dispense their own medication. The inspector noted appropriate records were maintained of the administration of medication. There were no crossings out or omissions. The Willows D53-D02 S20373 The Willows V241876 050905 Stage 4.doc Version 1.40 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 standard(s) Service users are safeguarded from abuse by the home. EVIDENCE: The Willows has appropriate policies and procedures for the reporting of any alleged abuse. Staff undergo training funded by the Brandon trust to identify potential abuse. The home’s policies and procedures outlined the course of action to be taken in the event of suspected abuse. The inspector spent some time discussing financial issues for one particular service user. The Willows meets national minimum standards. 23 The Willows D53-D02 S20373 The Willows V241876 050905 Stage 4.doc Version 1.40 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 standard(s) 24,26,27,30 The homes premises are sued for further stated purpose, although requirements have been made regarding the environment. Service users are provided with a bedroom which has appropriate furniture and fixtures. The home provides sufficient toilet and bathroom facilities. The premises were clean and hygienic throughout EVIDENCE: The home was generally well maintained and well presented. The inspector made 1 requirement regarding the peeling wall paper in the sitting room. Service user bedrooms were personalised and well decorated with good quality furnishings clearly exceeding national minimum standards. The inspector noted bathroom and toilet facilities were well maintained and sufficient to meet the needs of service users. The inspector noted that an intermittent fault with the water heater had been investigated but was still re occurring. The Willows D53-D02 S20373 The Willows V241876 050905 Stage 4.doc Version 1.40 Page 14 The home was exceptionally clean throughout. The home was equipped with professional laundry equipment of sufficient capacity to meet the needs of service users. The Willows D53-D02 S20373 The Willows V241876 050905 Stage 4.doc Version 1.40 Page 15 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, 32,36 Brandon Trust has a range of job descriptions and training to meet national minimum standards. The staff team are competent to meet service users needs. Service users are supported by well supervised staff. EVIDENCE: Staff at the Willows have clearly defined roles as documented by the Brandon Trust Job descriptions. Brandon provides staff with support and training so that staff are aware of the Trusts expectation of individual roles. Staff on duty had established good relationships with service users. During inspection Staff demonstrated clear communication skills with service users and behaved in a manner so as to be approachable and comfortable with service users. The Willows had a pleasant domestic atmosphere. Brandon Trust provide a range of training opportunities for staff to build on their knowledge and skills Staff receive support and supervision at least once every 2 months. Informal support is available for staff to discuss more pressing matters where needed. The Willows D53-D02 S20373 The Willows V241876 050905 Stage 4.doc Version 1.40 Page 16 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) 38,40,41 The home has an open inclusive atmosphere. The homes policies comply with current legislation and professional standards. Records required for the protection of the service user are maintained and up to date. EVIDENCE: The manager communicates a clear sense of direction to staff. The team were open and inclusive to service users involving them in the conversation although they were not verbally able to respond. The inspector sampled 2 files at random, both were present and up to date meeting National Minimum Standards. All policies were dated. The Willows D53-D02 S20373 The Willows V241876 050905 Stage 4.doc Version 1.40 Page 17 Service users are unable to inspect their care records as a result of their disability. Service users would be able to read their notes and participate in the writing of care plans if they were able. The Willows D53-D02 S20373 The Willows V241876 050905 Stage 4.doc Version 1.40 Page 18 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 x x 3 Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 4 3 x x 4 Standard No 11 12 13 14 15 16 17 3 x 3 3 3 3 x Standard No 31 32 33 34 35 36 Score 3 3 x x x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Willows Score 3 x 3 x Standard No 37 38 39 40 41 42 43 Score x 3 x 3 3 x x D53-D02 S20373 The Willows V241876 050905 Stage 4.doc Version 1.40 Page 19 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. 1. Standard 24 Regulation 23 2 b Timescale for action The Inspector requires the sitting 30.11.05 room wall paper is replaced or made good. 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. 1. Refer to Standard Good Practice Recommendations The Willows D53-D02 S20373 The Willows V241876 050905 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Riverside Chambers Castle Street Taunton TA1 4AL National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Willows D53-D02 S20373 The Willows V241876 050905 Stage 4.doc Version 1.40 Page 21 - 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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