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Inspection on 10/10/06 for Viewmount

Also see our care home review for Viewmount for more information

This inspection was carried out on 10th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

This is a home that generally provides a good level of care but is particularly good at providing a range of activities for the service users to take part in. These activities have been carefully identified, arranged and monitored for each of the service users by the home with the help, where possible, of their friends and families. Because the staff team are experienced, professional and well trained they are able to follow this process more thoroughly as well as being able to identify and meet the broader needs and wishes of those in their care.

What has improved since the last inspection?

There were no requirements made at the last inspection.

What the care home could do better:

There were no requirements made as a result of this inspection. However, as a team, the manager and her staff are clearly always looking for ways to improve the service that they give to their residents.

CARE HOME ADULTS 18-65 Viewmount Alkington Road Whitchurch Shropshire SY13 1TD Lead Inspector Mike Moloney Key Unannounced Inspection 10th October 2006 09:30 Viewmount DS0000020667.V294734.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 Viewmount DS0000020667.V294734.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. Viewmount DS0000020667.V294734.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Viewmount Address Alkington Road Whitchurch Shropshire SY13 1TD 01948 665262 01948 662698 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) Bethphage Great Britain Susan Ann Benson Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Viewmount DS0000020667.V294734.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th December 2005 Brief Description of the Service: Viewmount is a large three storey detached property in a residential area situated on the outskirts of the north Shropshire town of Whitchurch. The home offers access to local amenities, transport and all the necessary support services. A number of people carrier style cars are available to transport the residents to and from activities and appointments. Visitors are able to park on a tarmac area within the front garden of the house. Viewmount is registered with the Commission of Social Care Inspection (CSCI) to provide accommodation and personal care to five people with a learning disability. The home is managed by Ms Suzie Benson. Further information is available in the home’s service user guide and on the providers web site at http:/www.bethphage.co.uk/ The current fees are £1175 per week. Viewmount DS0000020667.V294734.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was used to make judgements about this service. This includes: information from the provider, records kept in the home, medication records, discussions with the staff team, tour of the premises, previous inspection reports and talking with as well as observing the care experienced by people using the service 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 summary of this inspection report can be made available in other formats on request. Viewmount DS0000020667.V294734.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Viewmount DS0000020667.V294734.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: There have been no new service users admitted to this home since the last inspection. Viewmount DS0000020667.V294734.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is good. Individuals are involved in decisions about their lives and play an active role in planning the care and support they receive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The records of two of the residents were looked at and these contained care plans that outlined their needs and wishes and how they wished them to be met. The records also showed that these were reviewed each month so as to ensure that they were still meeting those needs. Talking with staff and one of the service users parents confirmed that the residents and their parents are included in the discussions about the care plans. Listening to conversations between staff and service users confirmed that the residents were included in as many day to day decisions as possible such as where they would go to that day and what they wanted to eat. Risk assessments of a number of activities were seen within each of the service users records with more general risk assessments being available to the staff in the office thereby improving the safety of the service users. Viewmount DS0000020667.V294734.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is excellent. People who use services are able to make choices about their life style, and are supported to develop their life skills. Social, educational, cultural and recreational activities meet individual’s expectations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Looking at various records it could be seen that the service users are able to take part in a variety of activities. These were seen to have been identified within their records as ones which they enjoy or need. A parent who was visiting the home at the time of the inspection said that she takes part in the reviews of care of her daughter and is therefore able to say that the activities are based on identified needs and preferences. These activities included holidays, days out and shopping trips. Activities were seen to have been risk assessed and behaviour management programmes were seen to be in place to guide the staff in how to tackle Viewmount DS0000020667.V294734.R01.S.doc Version 5.2 Page 10 difficult behaviours. During the visit one such incident was observed and the staff were seen to react in an appropriate manner. Looking around the home it could also be seen that each bedroom had a lock so that the occupant could have increased privacy should they wish it. Each of the service users records had a record of what they had eaten at meals times. These appeared to be varied and the food nutritious and, according to the service user spoken to, to her liking. Viewmount DS0000020667.V294734.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Visits to or by healthcare professionals are recorded in the service users files showing that the service users have regular contact with their doctor and other healthcare specialists as the need arises. The medication storage was seen to be appropriate with the facility for keeping controlled drugs. Records were seen to be accurately maintained helping to ensure that the right person gets the right drug at the right time. Talking with the staff on duty confirmed that a training programme for the safe handling of medicines is in place. Viewmount DS0000020667.V294734.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. People who use the service are able to express their concerns, and have access to a robust, effective complaints procedure, are protected from abuse, and have their rights protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager stated that no complaints had been received since the last inspection. One allegation had been made under the protection of vulnerable adults procedures and this was unsubstantiated. The home had a copy of their complaints procedure and policies which complied with the local policies and procedures for the protection of vulnerable adults, both being part of the systems that ensures that the service users are listened to and protected from abuse, neglect and self-harm. The level of the disabilities of the service users means that most are unlikely to be able to access these formal policies but observation of the staff interacting with them and communicating between themselves indicated that they would be aware of any dissatisfaction expressed. Viewmount DS0000020667.V294734.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. The physical design and layout of the home enables people who use the service to live in a safe, well-maintained and comfortable environment, which encourages independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is situated in Whitchurch and is an older property that has been converted to its present use in a sensitive and practical manner. The home has its main laundry area situated so that access is through areas that are not used for food preparation or consumption thereby reducing the risk of cross contamination. The manager was able to outline various improvements to the building, such as the adding of a conservatory, that were planned for the near future. Walking around the home it was seen that everywhere was clean and well maintained with the grounds providing a similarly pleasant but secure area for the service users to be. Viewmount DS0000020667.V294734.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 35 and 36 Quality in this outcome area is excellent. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service, in line with their terms and conditions, and to support the smooth running of the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There have been no new staff recruited by this home since July of last year. Two of the staff were spoken to and they confirmed that their training records are accurate with all of their mandatory training being up to date. A telephone conversation with the manager shortly after the visit confirmed that of the twelve staff only two had not yet achieved NVQ2 in care. Looking at the staffing rota and talking with the staff showed that adequate numbers of staff are available to meet the current needs of the service users. Talking to the staff also confirmed that they had received professional and recorded supervision every two months. Viewmount DS0000020667.V294734.R01.S.doc Version 5.2 Page 15 Observing the staff interacting with the service users they could be seen to automatically follow guidance on behavioural issues in a calm and professional manner. Viewmount DS0000020667.V294734.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager was able to confirm that she is progressing well with her Registered Managers Award and NVQ4 in care both of which she hopes to complete in the near future. The Commission for Social Care Inspection have been regularly receiving copies of the reports on visits made by the responsible individual required by Regulation 26 of the Care Homes Regulations 2001 and these show that important areas of the home’s performance are reviewed on a regular basis. A number of records were looked at that monitor safety issues within the home such as the fire prevention records, water temperature records and portable Viewmount DS0000020667.V294734.R01.S.doc Version 5.2 Page 17 appliance tests as well as the accident records. All of these records were found to be appropriately maintained and action taken where necessary. Viewmount DS0000020667.V294734.R01.S.doc Version 5.2 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 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 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 4 33 x 34 x 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 4 13 4 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 Viewmount DS0000020667.V294734.R01.S.doc Version 5.2 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. 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 Viewmount DS0000020667.V294734.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Viewmount DS0000020667.V294734.R01.S.doc Version 5.2 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. 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