Inspection on 20/04/05 for Watson House

This inspection was carried out on 20th April 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

Watson House 22/05/07

Watson House 16/08/04

Similar services:

Flint House

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

The Cotswold Home

Fairways

Treloar College

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

CARE HOME ADULTS 18-65 WATSON HOUSE 12 Hucklebury Close Purley on Thames Berks RG8 8EH Lead Inspector Susan Cledwyn-Davies Unannounced 20 April 2005 1.30pm 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. WATSON HOUSE H52-H01-S57606-12 Hucklebury Close Watson House-V212659-200405-Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Watson House Address 12 Huckleberry Close, Purley on Thames, Berks, RG8 8EH 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) 0118 942 7608 Purley Park Trust Ltd Emma Jane OConnor Care Home 7 Category(ies) of Learning disability (LD), Learning Disability over registration, with number 65 years of age (LD(E)) of places WATSON HOUSE H52-H01-S57606-12 Hucklebury Close Watson House-V212659-200405-Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: No Date of last inspection 16.8.2004 Brief Description of the Service: Watson House is a one storey seven-bedded unit providing residential and day care support to adults with learning disabilities. The house provides care to residents with higher dependencies, and although nursing care isn’t provided. Each resident has their own personalised bedroom with en-suite shower rooms and toilets, with sanitary and bathing equipment adapted to their individual needs. There is an assisted bath that is available to all residents. Watson House is part of Purley Park Trust. Purley Park Trust has eight registered Homes, comprising of a variety of accommodation and support facilities. All of these homes are situated in Purley Park. All residents will have access to the grounds and other services provided by the Trust including, horticultural therapy, day services, social, recreational and leisure pursuits and the on site club house. Local facilities accessed include shoopping facilities and the local village including Church. WATSON HOUSE H52-H01-S57606-12 Hucklebury Close Watson House-V212659-200405-Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place between 1.30pm and 6.50pm. During the visit there was a tour of the home, discussion with the manager, conversation with all residents and with four care staff. Records were examined and lunch taken with residents. A meeting was held prior to this visit to ask people living in this home the preferred title between service users, resident and client. The name resident was chosen and this term is therefore used throughout the report. What the service does well: What has improved since the last inspection? What they could do better: The home will continue to encourage residents to be as independent as possible. Outside entertainers are gong to be brought into the home. The manager will ensure that all staff have regular supervision and that all staff have training in how to manage challenging behaviour. The Drug storage fridge will have the temperature checked. Please contact the provider for advice of actions taken in response to this WATSON HOUSE H52-H01-S57606-12 Hucklebury Close Watson House-V212659-200405-Stage 4.doc Version 1.20 Page 6 inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. WATSON HOUSE H52-H01-S57606-12 Hucklebury Close Watson House-V212659-200405-Stage 4.doc Version 1.20 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 WATSON HOUSE H52-H01-S57606-12 Hucklebury Close Watson House-V212659-200405-Stage 4.doc Version 1.20 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) 2,3 and 4 Prospective residents needs are assessed and visits made to the home before moving in. EVIDENCE: A new resident had moved to the home in the last few days. Before moving in the Care manager had visited and assessed his needs and he had visited the home for the day with his family. The statement of purpose had been given plus talking about the home. The new resident settled in quickly and told the Inspector that he enjoyed living in the home. WATSON HOUSE H52-H01-S57606-12 Hucklebury Close Watson House-V212659-200405-Stage 4.doc Version 1.20 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 and 9 Residents needs are assessed and are supported to take risks. Residents make decisions about their lives and are encouraged to participate in the home. EVIDENCE: Care plans of 2 residents were seen. The plans included comprehensive assessment of need and risk assessments. The plans are reviewed 6 monthly within the home and annually with relatives and involved people. The residents attend both reviews if able and agreeing. The care plans showed a lot of knowledge of residents’ wishes, likes and dislikes. There is a weekly residents meeting held. Residents have limited communication, those that could confirmed that they are given choices in the home e.g. clothing and meals and in outside events e.g. holidays. Each resident has a service user guide written in an understandable and accessible way. Pictured formats are used. Risk assessments are completed and reviewed annually. Generic risk areas e.g. bathing, lifting are completed for all, plus specific risk assessments WATSON HOUSE H52-H01-S57606-12 Hucklebury Close Watson House-V212659-200405-Stage 4.doc Version 1.20 Page 10 completed as necessary. Action is taken to minimise risks e.g. different facilities including showers and fully assisted baths. WATSON HOUSE H52-H01-S57606-12 Hucklebury Close Watson House-V212659-200405-Stage 4.doc Version 1.20 Page 11 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) 13,14,15,16 and17 Residents are enabled to be part of the community and activities are encouraged. Personal relationships are supported and encouraged and residents independence and choice is respected. EVIDENCE: Relatives are encouraged to visit and residents are supported to visit them. Telephone calls are commonly used by some residents. Entertainment is provided on site and residents are encouraged to attend. Activities are arranged in the house, videos, dancing and singing. Quality of life is considered very important by all staff. Holidays are more often daily visits according to residents choice and abilities. Daily routines varied according to residents’ needs and likes. One frail resident was up and dressed in the morning and returned to bed after lunch to sleep. Residents from other homes were encouraged to visit this house for tea, meals etc. to give company and sense of life for the more dependent residents in this home. WATSON HOUSE H52-H01-S57606-12 Hucklebury Close Watson House-V212659-200405-Stage 4.doc Version 1.20 Page 12 The meals provided are of very high standard; all food is prepared in the home from fresh ingredients including pies and desserts. Meals are planned weekly with residents. A record is kept of the meals eaten. Food is prepared according to individual residents care needs e.g. minced. Residents enjoyed their meal and spoke well of the food. Staff were patient and unhurried during mealtimes, giving support individually. WATSON HOUSE H52-H01-S57606-12 Hucklebury Close Watson House-V212659-200405-Stage 4.doc Version 1.20 Page 13 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 Residents receive personal support according to their needs and wishes; health care needs are met. Medication procedures are considered and safe. EVIDENCE: Care plans demonstrate planned care with input from health care professionals. Each resident has a key worker and in discussion this key worker was known and important to residents. Health care is provided by a local GP surgery. The GP concerned is very supportive of residents, community nurses call in to the home weekly to provide support. Medication is administered and managed by staff. Following a recent incident when wrong medication was administered to a resident then two staff now administer all medication, one to witness. The storage and administration of medication was ordered and safe. WATSON HOUSE H52-H01-S57606-12 Hucklebury Close Watson House-V212659-200405-Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 Residents views are listened to and they are protected from abuse and neglect. EVIDENCE: There is a comprehensive complaints policy. A complaints record is now kept in the home; no complaints have been received. Residents have knowledge of the complaints procedure, one resident confirmed that she would ask the manager for assistance. There is a comprehensive policy for the protection of residents from abuse. Staff have received training and would ensure that any inappropriate practice is reported. WATSON HOUSE H52-H01-S57606-12 Hucklebury Close Watson House-V212659-200405-Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25, 29 and 30. Residents needs and lifestyles are promoted by the environment. The house contains specialist equipment to maximise independence. EVIDENCE: The house was newly built last year. The accommodation was designed to offer best opportunities for people with a physical handicap and learning disability. The home is on one level with easy access to all rooms. Each bedroom has en-suite washing facilities and there is one assisted bath. Lifting and handling equipment is available. Bedrooms are large and spacious. The decoration and furnishings are of good quality. Individual bedrooms reflect residents’ interests and lifestyle. The house is kept clean and tidy. Laundry arrangements are satisfactory. WATSON HOUSE H52-H01-S57606-12 Hucklebury Close Watson House-V212659-200405-Stage 4.doc Version 1.20 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) 32, 33, 35 and 36. Residents are supported by competent and effective staff. Staff generally receive support and supervision. EVIDENCE: At present there are 2 staff qualified with NVQ training, the remainder of the staff group are taking NVQ training. There is a strong commitment to staff training. Discussions with staff confirmed this. The staffing levels are a minimum of 3 carers morning and afternoon plus 2 waking night staff. One night staff member stays in the home and the second covers visits to other homes to support/check and then return to Watson house. The staffing levels are sufficient to provide care. A record is kept of staff training. A new computerised system is being installed with each manager having access to these records. Staff spoke positively of the amount of training offered. Mandatory training courses are kept updated. Staff spoke well of the staff team and the support given. Individual staff supervision takes place. One member of staff spoke of supervision taking place some time ago and records were not available of these meetings. It was WATSON HOUSE H52-H01-S57606-12 Hucklebury Close Watson House-V212659-200405-Stage 4.doc Version 1.20 Page 17 therefore recommended that a separate record of supervision be kept to ensure that supervision takes place a minimum of 6 times a year. WATSON HOUSE H52-H01-S57606-12 Hucklebury Close Watson House-V212659-200405-Stage 4.doc Version 1.20 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, 39 and 42. The home is well run. Residents’ views are encouraged for the development of the home. Resident health and safety is promoted. Staff training needs to include challenging behaviour training. EVIDENCE: The manager is experienced and enthusiastic. She is in the middle of NVQ 4 training. Staff spoke well of her management style, promoting new ideas and encouraging best care for residents. An annual development plan has been prepared and was on display. The plan is for use by all staff, though recently introduced it had been updated already. Questionnaires to check the quality of care had been prepared for relatives and care managers. A set of 7 questionnaires had been prepared for residents on a variety of topics, the aim being to use as many or few as appropriate. A WATSON HOUSE H52-H01-S57606-12 Hucklebury Close Watson House-V212659-200405-Stage 4.doc Version 1.20 Page 19 committee of managers and interested people had developed these questionnaires. Health and safety was partially inspected. Fire precautions including regular checks of the Fire system and Fire drills were recorded. Regular checks of the hot water outlets were also in place. Fridge and freezer temperature checks were maintained of kitchen appliances, the drug storage fridge did not have the temperature checked. The fridge did not contain medication at the time of the visit. The manager noted that the temperature was checked but not the recorded. It was required that the temperature was recorded. The cupboard containing COSHH substances was now locked. In discussion with staff and by observation there were a variety of behaviours seen in the home. Staff coped well to maintain a happy atmosphere. It is important that staff are supported by the proprietor to enable best practice, training in the management of challenging behaviour is therefore required. WATSON HOUSE H52-H01-S57606-12 Hucklebury Close Watson House-V212659-200405-Stage 4.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 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 4 3 x x x 3 3 Standard No 11 12 13 14 15 16 17 x x 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 3 x 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 WATSON HOUSE Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x 2 x H52-H01-S57606-12 Hucklebury Close Watson House-V212659-200405-Stage 4.doc Version 1.20 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. 1. 2. Standard 42 42 Regulation 23 18 Timescale for action That the temperature of the drug 1.6.05 storage fridge is checked and recorded. That all staff receive challenging 1.10.05 behaviour training. 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 36 Good Practice Recommendations That a record is kept of supervision meetings to ensure that all staff receive a minimum of 6 seesions a year. WATSON HOUSE H52-H01-S57606-12 Hucklebury Close Watson House-V212659-200405-Stage 4.doc Version 1.20 Page 22 Commission for Social Care Inspection 2nd Floor 1015 Arlington Business Park Theale Berks RG7 4SA 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 WATSON HOUSE H52-H01-S57606-12 Hucklebury Close Watson House-V212659-200405-Stage 4.doc Version 1.20 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. 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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