Inspection on 11/08/05 for Viewmount

This inspection was carried out on 11th August 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

Viewmount 07/10/08

Viewmount 10/10/06

Viewmount 13/12/05

Viewmount 19/01/05

Viewmount 24/08/04

Viewmount 08/06/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Viewmount Alkington Road Whitchurch Shropshire SY13 1TD Lead Inspector Mike Moloney Unannounced 11 August 2005 08:00 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. Viewmount E56 S20667 Viewmount V242960 UI 110805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Viewmount Address Alkington Road Whitchurch Shropshire WY13 1TD 01948 665262 01948 662698 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) Bethphage Great Britain Care Home (PC) 5 Category(ies) of 5 x Learning Disabilities (LD) registration, with number of places Viewmount E56 S20667 Viewmount V242960 UI 110805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th January 2005 Brief Description of the Service: Viewmount is a large three storey detached property on a residential estate situated on the outskirts of Whitchurch. The home offers access to local amenities, transport and relevant support services. 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 manager, Ms Suzie Benson was appointed on 15.11.04. Ms Benson has formally applied to CSCI to become the Registered Manager of the home. Mr Rob Tovey is the new Chief Executive Officer for Bethphage Great Britain and was appointed in August 2004. Viewmount E56 S20667 Viewmount V242960 UI 110805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection started at 8.00 a.m. and lasted for 2 hours. Initially the home was in the charge of a senior carer and the manager started work after the first hour. The inspection was carried out by talking with the service users, observing activity within the home, looking at records and case tracking. The nature of the needs and disabilities of some of the service users concerned made ascertaining their views by direct means difficult. Therefore the views of the staff had to be relied on to a great extent. However, observation confirmed that those service users were calm and relaxed in their company approaching them freely when the need arose. What the service does well: What has improved since the last inspection? What they could do better: An improvement to the general standard of décor and in some areas the flooring could only be of help in the creation of a homely and safe environment for the residents. Viewmount E56 S20667 Viewmount V242960 UI 110805 Stage 4.doc Version 1.40 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. Viewmount E56 S20667 Viewmount V242960 UI 110805 Stage 4.doc Version 1.40 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 Viewmount E56 S20667 Viewmount V242960 UI 110805 Stage 4.doc Version 1.40 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) 5 Each service user has an individual written statement of terms and conditions with the home. EVIDENCE: There have been no new service users admitted to the home for some time, however, the appropriate policies and procedures were seen to be available to carry out the admissions process should the need arise. Each of the service users was seen to have been given a copy of their terms and conditions of residence that contained all of the information required by the National Minimum Standards. Viewmount E56 S20667 Viewmount V242960 UI 110805 Stage 4.doc Version 1.40 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 and 9 The service user plans are comprehensive and updated at appropriate intervals ensuring that the individuals’ needs are met. Where possible service users are consulted and do make decisions about their lives. EVIDENCE: The care plans and the assessments of activities contained the information that would enable staff to work towards the service users’ goals. Given the range of needs and the dependency levels of the service users these had, of necessity, involved very little direct input from some of the individuals concerned. However, some of the service users made it clear that they could express their views and that they had been asked for them before the plans were agreed and the staff confirmed that this did, indeed, happen. These plans had been reviewed by staff on a regular basis. In talking to and watching the service users it was obvious that they were encouraged to make as many decisions for themselves as possible and their records showed when they should not for safety reasons. Various elements identified within the Individual Plans had also been risk assessed and these documents were regularly reviewed protecting the safety of the individual concerned. Viewmount E56 S20667 Viewmount V242960 UI 110805 Stage 4.doc Version 1.40 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) 12, 13, 15, 16 and 17 The home has good links with the community that enrich service users’ social and educational opportunities. The manner in which the staff team have interpreted their needs is also good enabling their views to be taken into account. EVIDENCE: Given the dependency and disability levels of the service users it is not possible for their education and occupation to be considered in other than the broadest sense as it is unlikely that they would be able to access the world of work or any of the mainstream education establishments. However, talking to the staff and the manager and reading the individuals records showed that maintaining the self help skills of the service users has a high priority. They also showed that the service users are also assisted to access activities that they appear to enjoy such as swimming, bowling and outings on the train. Service users also have a number of vehicles available to them so that they can get to the various venues. Viewmount E56 S20667 Viewmount V242960 UI 110805 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, 19 and 20 The healthcare needs of the service users are met. EVIDENCE: The service users care plans clearly showed how each individual should be approached and how different types of help should be given. When personal support was needed the person concerned was discreetly taken to a bathroom or their room making certain that their personal care needs are met whilst their dignity is maintained. Numerous entries in the home’s diary and the individuals records that were confirmed by either the staff or the service users showed that the help of various healthcare professionals was obtained when necessary. The storage and recording of medication was looked at and was seen to be in order. Viewmount E56 S20667 Viewmount V242960 UI 110805 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) 22 and 23 The service users are protected from abuse and the staff enable their views to be taken into account despite the nature of their disabilities. EVIDENCE: The manager reported that they had received one complaint and no allegations of abuse since the last inspection. The complaint had been dealt with appropriately through the home’s complaints procedure. The home had a copy of the local policies and procedures for the protection of vulnerable adults as well as a copy of their own complaints procedure both being part of the systems that ensures that the service users are listened to and protected from abuse, neglect and self-harm. Although the level of the disabilities of the service users means that they are unlikely to be able to access these formal policies, observation of the staff interacting with them and communicating between themselves indicated that they would be aware of any dissatisfaction expressed and it was seen that a whistle blowing policy is available to be used. Viewmount E56 S20667 Viewmount V242960 UI 110805 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 The décor and flooring of various parts of the building is unacceptable. EVIDENCE: The home is situated in the centre of Ludlow and is an older property that has been converted to its present use in a sensitive and practical manner that is consistent with others in the neighbourhood. The décor inside the home varies from room to room with all but one of the service users bedrooms being decorated to an acceptable standard. The communal areas also require attention to the décor with the ‘craft’ room needing more attention particularly to the flooring that is in a poor state. Improvements to these issues would improve the homeliness of the building. Viewmount E56 S20667 Viewmount V242960 UI 110805 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34 and 36 The home ensures that enough staff are available to carry out the service user plans. Those staff receive the necessary training and supervision. EVIDENCE: There were appropriate numbers of staff on duty at the time of the inspection and they spoke very positively of the training and support that they receive that enables them to provide the support that the service users need. The files of each of the staff were seen to contain all of the information required by law. Viewmount E56 S20667 Viewmount V242960 UI 110805 Stage 4.doc Version 1.40 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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) 39 and 42 Safe working practices are followed and monitored within the home. EVIDENCE: The home has a quality assurance process in place that ensures that they are able to give the families of the service users the opportunity to provide them with feedback about the service. There were records kept in the home that showed safety issues such safety fire procedures are monitored regularly. The home also has a full risk assessment process, the results of which could be found in individuals’ files. Viewmount E56 S20667 Viewmount V242960 UI 110805 Stage 4.doc Version 1.40 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x 3 Standard No 22 23 ENVIRONMENT Score 3 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 2 x x x x x x Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x 3 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Viewmount Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x E56 S20667 Viewmount V242960 UI 110805 Stage 4.doc Version 1.40 Page 17 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)d Requirement A programme of redocation must be initiated and the craft area flooring replaced. Timescale for action 31/12/05 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 Viewmount E56 S20667 Viewmount V242960 UI 110805 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection 1st Floor, Chapter House South Abbey Lawn Shrewsbury SY2 5DE 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 Viewmount E56 S20667 Viewmount V242960 UI 110805 Stage 4.doc Version 1.40 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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