Inspection on 18/10/06 for West View (46)

This inspection was carried out on 18th October 2006.

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

West View (46) 19/10/05

West View (46) 27/04/05

West View (46) 27/10/04

West View (46) 16/06/04

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 West View (46) 46 West View Clitheroe Lancashire BB7 1DG Lead Inspector Jane Craig Key Unannounced Inspection 18th October 2006 09:30 West View (46) DS0000009616.V305480.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 West View (46) DS0000009616.V305480.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. West View (46) DS0000009616.V305480.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service West View (46) Address 46 West View Clitheroe Lancashire BB7 1DG 01200 429376 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) Mrs Joanne Brown Care Home 3 Category(ies) of Learning disability (3) registration, with number of places West View (46) DS0000009616.V305480.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th October 2005 Brief Description of the Service: West View provides care for up to three adults with a learning disability. The home is privately owned by Mrs Joanne Brown, who takes responsibility for the day to day management. West View is a terraced property situated in a residential area close to Clitheroe town centre. A bus stop is located near to the home and there are small shops, a church and library within walking distance. There is a small front garden and a yard to the rear. Parking is on the roadside. There are four single rooms, one on the ground floor and three upstairs. None of the bedrooms have en-suite facilities; the bathroom is on the upper floor. The communal areas on the ground floor comprise a large lounge and a kitchen/dining area. Furnishings are domestic and homely. Information about the home is sent out to prospective residents when they have a trial visit. Copies of the Commission for Social Care Inspection reports are available on request. At 18th October 2006 the weekly fees were £336.50. There were no extra charges. West View (46) DS0000009616.V305480.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A key unannounced inspection, which included a visit to the home, was conducted at 46 West View on the 18th of October 2006. At the time of the visit there were 3 residents accommodated in the home. The inspector met with all the residents and talked about their experiences of living in the home. Some of their comments are included in this report. Two residents and one relative returned comment cards before the inspection. Their views about various aspects of the home were all positive. Discussions were also held with the registered provider/manager and a member of staff. A tour of the premises took place and a number of documents and records were viewed. This report also includes information submitted by the home prior to the inspection visit. West View is one of two homes in a scheme owned by the registered person. Staff are employed to work in both homes and residents spend time together on organised trips and holidays. Residents from West View may also join residents at Elms House for meetings and occasional meals. Day to day management support is provided from Elms House and the majority of records are stored there. What the service does well: The staff made sure that residents were in charge of their own care. Residents told staff what goals they wanted to achieve and what to write in their plans. The staff made sure that there were plans in place to help reduce any risks to residents’ safety when they were out and about on their own. Residents were pleased with the home and their lifestyle. One said, “I am very happy at West View, I like it.” Staff made sure the residents maintained their independence and made their own decisions. One resident said, “I can be as independent as I like but there’s help there if I need it.” The residents had very busy social lives and made use of local community services. They enjoyed their holidays with staff and residents from Elms House. One resident told the inspector that they had just had “a right good holiday in Blackpool.” Residents had health check ups every year with their nurse. Any problems were acted upon. Staff helped residents to look after their own health if they were able. Residents said they got on very well with the staff. When asked what they thought was good about the home, one resident said, “I like the company of the staff when the others are out.” West View (46) DS0000009616.V305480.R01.S.doc Version 5.2 Page 6 Although none of the residents had any complaints, they all said they would speak to the manager if anything went wrong. They were confident that she would sort things out for them. Almost all of the care staff had a nationally recognised qualification in care. They also attended courses that would help them to understand the special needs of some of the residents. Staff had up to date health and safety training. Fire safety equipment and electric and gas systems were serviced regularly. This helped to make the home safe for the people who lived and worked there. 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. West View (46) DS0000009616.V305480.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection West View (46) DS0000009616.V305480.R01.S.doc Version 5.2 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 the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents would only be admitted to the home following an assessment to ensure their needs could be met. EVIDENCE: No new residents had been admitted to the home since 2003. The manager stated that a new resident would not be admitted to the home unless their assessed needs could be met. A policy and procedure was in place to that effect and there was evidence of a pre-admission assessment on one of the resident’s files. One resident who filled in a survey said he visited the home a few times and Joanne (the registered provider) told him he could choose whether he wanted to move in or not. West View (46) DS0000009616.V305480.R01.S.doc Version 5.2 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 the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The person centred plans ensured that issues of importance to residents were addressed. Residents were supported to maximise their independence by taking responsible risks and making decisions about their own lives. EVIDENCE: Each resident had a person centred plan that they had drawn up in a meeting with their key worker and any other staff or family they wanted to be involved. The meetings provided residents with opportunities to plan goals that were important to them and to ensure that staff understood what help they needed and how they wanted to be supported. The plans covered strategies for communication, issues of importance to the resident and their prioritised needs and goals. Action plans stated clearly who was responsible for assisting the resident to meet their needs. One resident said he kept his own file and Joanne and his key worker talked to him about it. All residents had a set of risk assessments to support their activities and ensure their personal safety. Risk management plans covered day to day West View (46) DS0000009616.V305480.R01.S.doc Version 5.2 Page 10 activities inside and outside the home as well as one off incidents. For example, one resident had a risk assessment and management plan to assist him to attend a special football match in Wales. All the residents were able to make their own decisions about all aspects of their lives. Staff helped them to find out any information they needed to make choices and talked through any important issues. Residents who completed surveys indicated they always made decisions about what they did each day. One resident wrote, “within reason, I ask and always get to go.” Staff said that they occasionally had to override residents’ choices and decisions for safety reasons. There were records to show that these occasions were discussed fully with residents, for example, a recent increase in staffing. West View (46) DS0000009616.V305480.R01.S.doc Version 5.2 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 the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. Residents were supported by staff to engage in their chosen lifestyle. EVIDENCE: Residents were very independent and staff supported them to choose their own routines and lifestyles within a risk assessment framework. Staff said they helped residents to find out about activities they wanted to do and helped them organise their time. Residents all had very busy weekly programmes that they decided upon during their reviews. All three residents were involved in groups to improve services for people with learning disabilities. Two were active in the Service User Network and also attended the advocacy strategy group. One resident was undertaking an NVQ within his voluntary work and he said he couldn’t wait to start a new computer class in the new year. Residents said they were very happy with their lives at West View. One resident said, “I can be as independent as I like but there’s help there if I need it.” Another said, “I am very happy with everything I do.” West View (46) DS0000009616.V305480.R01.S.doc Version 5.2 Page 12 The residents joined residents from Elms House for some leisure activities and one said they had just had a “right good holiday in Blackpool.” Residents chose who they wanted to visit the home. They made new friends through their individual pursuits and maintained family contacts as they wished. A relative who completed a comment card indicated that they felt welcome in the home. One resident said he met lots of friends when he went out and they sometimes came round. Staff were available to provide support and advice about personal relationships if needed. Residents were happy with the meals. One said the food was “really grand.” Staff cooked the majority of the time but one resident said he liked cooking and still did some. Another said that he sometimes helped but didn’t have to. Records showed that meals were varied and nutritionally balanced. Residents still chose the menus and helped with shopping, preparation and clearing. Staff carried out regular checks to ensure residents’ safety when using kitchen equipment and there were safety notices on display. West View (46) DS0000009616.V305480.R01.S.doc Version 5.2 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 the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents’ personal and healthcare needs were met in accordance with their wishes. Medication was handled safely. EVIDENCE: Health and personal care needs were addressed through person centred plans and care plans. Records showed that ongoing health care issues were monitored. One resident said he had regular appointments at the GP surgery and hospital. He said he went to most by himself but he asked the staff to go to any big ones. Residents had an annual health check and health action plan. Personal care plans showed that staff encouraged residents to remain independent. One resident said that staff just helped him in the bath but otherwise he could manage. A visitor to the home commented that their relative “could not receive better care and attention.” Only two residents took regular medicines. One received his from staff at Elms House and the other preferred to manage his own. He collected his own prescriptions but said he understood that staff needed to check them and make sure he took them properly. Staff completed records of medicines received and of spot checks. The resident had appropriate storage facilities. West View (46) DS0000009616.V305480.R01.S.doc Version 5.2 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 the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents were protected by the home’s complaints and abuse policies and staffs’ knowledge of adult protection issues meant that any allegations would be dealt with appropriately. EVIDENCE: There was a complaints policy and procedure. There had been no complaints either to the home or to the Commission for Social Care Inspection. Residents said they did not have any complaints about the home but they knew who to speak to if they did. One resident said, “I would sort out any complaints with Joanne, she’s always really grand.” Another said that when he had a disagreement with one of the staff he told Joanne because, “she cares about me a lot.” All staff had received an up date of the in-house training “abuse in the care home,” which comprised a video teaching session and an assessment. Written guidance on adult protection was available. There was a copy of “No Secrets in Lancashire” and the Elms House policy, which instructed staff on how to respond to any allegations. Staff said they would document any allegation of abuse and refer it straight away to the manager. They were aware of how to report outside the home if necessary. West View (46) DS0000009616.V305480.R01.S.doc Version 5.2 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 the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The standard of the environment was generally safe, clean and comfortable although some areas could be improved. EVIDENCE: An environmental audit, which highlighted areas needing attention, was carried out in March. There was a plan of redecoration and renewal and dates when actioned but no timescales for further planned improvements. The lounge had been redecorated and had new floor covering since the last inspection and most other areas of the home had been painted. However, during a tour of the premises it was observed that the kitchen and one of the bedrooms needed attention. The registered person was aware of some of the areas and already had plans to recover the kitchen floor. The small front garden needed tidying and the nettles removing. Residents were happy with their rooms, which reflected their personal taste and interests. One resident said his room was very comfortable and he liked to go and watch TV. West View (46) DS0000009616.V305480.R01.S.doc Version 5.2 Page 16 The home was clean and tidy at the time of the inspection. Residents who filled in surveys said it was always clean and fresh smelling. One resident said he did a bit of cleaning up and laundry but “not too much because the cleaner comes in.” Staff and residents were aware of hygiene and infection control procedures. West View (46) DS0000009616.V305480.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Recruitment practices safeguarded residents. Residents were supported by a competent and qualified staff team. EVIDENCE: Duty rosters showed flexible staffing levels to meet residents’ needs. Staff were available to escort residents whenever necessary. A relative who completed a survey indicated they thought there were always enough staff on duty. Residents said they got along very well with staff. One resident said he liked the company of staff when the others were out. One person had been employed since the last inspection. Pre-employment checks were carried out and the required documents were retained on file. The new staff member had an initial induction. It took place over two days and covered key policies, including fire and emergency procedures, infection control and control of substances hazardous to health (COSHH). The Skills For Care induction training was not appropriate in this case but the manager was aware of the common induction standards. A resident said that they discussed recruitment in the men’s group and that the manager asked them what they should look for in new staff and what questions they should ask them. West View (46) DS0000009616.V305480.R01.S.doc Version 5.2 Page 18 The manager submitted a training matrix which showed that all staff had received refresher training in the safe working practice topics. Staff said opportunities for other training were good. All staff had attended a session on person centred planning. One member of staff said she had attended a mental health awareness course and another had been on a diabetes awareness course. Seven of the eight care staff held an NVQ level 2 or above. West View (46) DS0000009616.V305480.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service There was a good level of consultation which enabled residents to contribute to service development. EVIDENCE: The registered person managed the home on a day to day basis. She held the registered managers award and it was evident that she kept up to date with any new legislation and best practice guidance and ensured that this was put into place. Residents and staff spoke highly of the registered person. Staff said the home was well managed and the manager was approachable and supportive. There were a number of systems in place to monitor the quality of the service. West View was on the preferred provider list for Lancashire County Council. The home also held the Investors in People award. In-house monitoring systems included annual resident surveys where residents were invited to comment on all areas of the home and make suggestions for changes but none had. There were regular resident meetings and staff meetings. One resident West View (46) DS0000009616.V305480.R01.S.doc Version 5.2 Page 20 said he always attended the meetings because they talked about things like going out and Christmas. Servicing and testing of the fire system, equipment and alarms was up to date. All staff and residents had received one to one fire safety training and been involved in practice drills. Certificates were available to evidence maintenance of installations and equipment in the home. There were environmental risk assessments in place and notices for residents to remind them to turn off appliances. West View (46) DS0000009616.V305480.R01.S.doc Version 5.2 Page 21 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 3 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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X West View (46) DS0000009616.V305480.R01.S.doc Version 5.2 Page 22 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. 1. Refer to Standard YA24 Good Practice Recommendations The registered person should ensure that all parts of the home are reasonably decorated. West View (46) DS0000009616.V305480.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB 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 West View (46) DS0000009616.V305480.R01.S.doc Version 5.2 Page 24 - 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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