Inspection on 19/10/05 for West View (46)

This inspection was carried out on 19th October 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

West View (46) 18/10/06

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 Announced Inspection 19th October 2005 09:00 West View (46) DS0000009616.V254238.R01.S.doc Version 5.0 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.V254238.R01.S.doc Version 5.0 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.V254238.R01.S.doc Version 5.0 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.V254238.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th April 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. West View (46) DS0000009616.V254238.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, which meant that the residents and staff were told beforehand when the inspector would be arriving. The inspection took place over half a day. At the time there were 3 residents accommodated in the home. 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. The inspector met with all of the residents. They were able to engage in discussions and talk about their experiences of living in the home. Their views and comments are included in this report. Two residents also completed comment cards before the inspection. Discussions were held with the owner (registered person) and one other member of staff. A partial tour of the premises took place and a number of documents and records were viewed. Detailed notes were taken, which have been retained as evidence of the inspection findings. What the service does well: Residents were satisfied with the care they received. One resident said “I like living here, very much so.” Another said “I love it here.” They got on very well with the staff and the registered person. They commented that the staff were very kind and helped them. The residents said that the registered person was very good and she would always try and sort out if they had any problems. Each of the residents had an individual plan so that staff knew what to do to support them. Residents were asked about things that were important to them so that they could be put in the plan. Residents were very happy with their lifestyle. They enjoyed their independence and could choose what they wanted to do and where they wanted to go. They made their own decisions about most things and said that staff helped them if they needed 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. Most of the staff had been at the home for a long time. They were very experienced and knew the residents well. They had all attended training courses to make sure that they could provide the right care. One resident West View (46) DS0000009616.V254238.R01.S.doc Version 5.0 Page 6 said, the staff are “very, very good.” Staff said they felt supported by the registered person. 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.V254238.R01.S.doc Version 5.0 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.V254238.R01.S.doc Version 5.0 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 The admission procedure included a full assessment to ensure that residents’ needs were understood and could be met before they moved into the home. EVIDENCE: Although there had been no new admissions to the home over the past year there was an admission procedure in place. The registered person discussed how any prospective residents would be assessed to make sure that their needs could be met at the home. The assessment would include information from the resident, their relatives and any professionals involved in their care. Prospective residents would also be invited to come to the home for a series of visits and short stays to ensure the home was suitable for them and they got along with the other residents. West View (46) DS0000009616.V254238.R01.S.doc Version 5.0 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 and 7 The person centred care planning process enabled residents to be involved in goal setting and care planning in accordance with their wishes. The lack of information on care plans may result in resident’s needs not being met. Residents were supported to make decisions about all aspects of their lives. EVIDENCE: Person Centred Plans had been developed for all residents. The plans were drawn up following a review meeting with the resident, their key worker and other professionals involved in their care. Relatives were also invited to attend. The plans included the resident’s perspective of their strengths, likes and dislikes, issues of importance, their needs and how these were to be met. Plans were reviewed every 6 months. Residents said they were not able to read their plans but staff talked to them and explained what they were writing. One resident said, “I tell staff what I want and they put it in.” Each resident also had a set of care plans and risk assessments which provided staff with directions on the actions to take to meet the resident’s needs. However, one resident had ongoing health issues that were not included in his plan, which may result in inconsistent care. West View (46) DS0000009616.V254238.R01.S.doc Version 5.0 Page 10 All the residents led very independent lives and were able to make their own decisions about their lifestyle and routines. One resident said, “we can go out anytime but we have to tell staff where we are going.” Residents said that staff were always there to talk to but they didn’t tell them what to do. Staff helped them to find out any information they needed to make choices and talked through any important issues. Two of the residents who needed some help to manage their finances had financial plans on file. West View (46) DS0000009616.V254238.R01.S.doc Version 5.0 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): 13, 15 and 17 Residents engaged in a wide range of appropriate activities within the local community. They maintained relationships with family and friends in accordance with their wishes. Residents received a well balanced diet. They were satisfied with the choice and quality of the meals served. EVIDENCE: The residents had busy weekly programmes. They made full use of local community facilities. One resident talked about a special achievement award he received after raising funds for a local charity. He is also involved in a local walking group and art groups and told the inspector, “I’m too busy to do anything else.” The registered person had helped the residents to become involved in the Lancashire Service User Network and two residents were giving a presentation to a large audience. One resident was undertaking an NVQ as part of his voluntary work. The residents said they enjoyed their holidays with residents from Elms House and were looking forward to going away next month. West View (46) DS0000009616.V254238.R01.S.doc Version 5.0 Page 12 Residents chose who they wanted to visit the home. They made new friends through their individual pursuits and maintained contacts as they wished. Staff were available to provide support and advice about personal relationships if needed. Staff support had increased for the evening mealtime. Residents said they preferred to have a member of staff to cook the main meal and they liked to sit down together to eat. One said “the meals are better, more tasty.” Records showed that meals were varied and nutritionally balanced. Residents still chose the menus and helped with shopping, preparation and clearing. They continued to prepare their own breakfast and lunch. Staff carried out checks every three months to ensure residents’ safety when using kitchen equipment. West View (46) DS0000009616.V254238.R01.S.doc Version 5.0 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 Personal care was provided in a way that suited residents and promoted their independence. EVIDENCE: The type and level of assistance residents required with personal care was recorded on their plans. Personal care routines were flexible and residents got up and went to bed when they chose. One resident had been assessed by an occupational therapist and had been supplied with equipment to assist with bathing he said that staff were always available to help him. Comment cards confirmed that residents felt that their privacy was respected. West View (46) DS0000009616.V254238.R01.S.doc Version 5.0 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): Residents knew who to make a complaint to and they were confident it would be dealt with. EVIDENCE: The complaints procedure met the standard in full. There was a summarised procedure in a suitable format accessible to residents. ‘How to make a complaint’ had been discussed recently in the men’s group and it was regularly on the agenda of residents’ meetings. Residents said if they had any complaints they would go to their key worker first and then to Joanne. They were confident that any complaints would be dealt with. One resident said, “you only need to ask for something, you never get refused.” There had been no complaints made to the home or to the Commission for Social Care Inspection. West View (46) DS0000009616.V254238.R01.S.doc Version 5.0 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 Further improvements had been made to the environment, which enhanced residents’ comfort. EVIDENCE: There had been improvements to the decoration of the home since the last inspection. Most areas had been repainted. The staff sleep in room, which was used only occasionally, had been partially converted into a study for residents where they could practise their computer skills. Residents were very happy with the changes. West View (46) DS0000009616.V254238.R01.S.doc Version 5.0 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 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 EVIDENCE: There was a small staff team, who had many years experience of working with the resident group. Staff acted as key workers for individual residents but were very knowledgeable about all of the residents’ needs. The residents said they liked all the staff who worked with them. One resident described the staff as “very kind” and said he had “never known them to get cross.” Another said the staff were “very, very good and they know what they are doing.” The residents said they liked the key worker system. One said that key workers were a good idea, “if you need to talk things over they are there.” Staff contracts and some employment policies had been updated. Residents had drawn up a list of questions to be asked at staff interviews. No new staff had been employed to work specifically at West View but residents had been involved in informal interviews of new employees at Elms House. Staff said there were good opportunities for training and development. Training in safe working practice topics was up to date. Other training included; adult abuse, person centred plans and management of challenging behaviour. There was a very thorough in-house induction training programme and new staff were enrolled on the LDAF induction training course. New staff were mentored for at least 4 weeks. The registered person had introduced a staff handbook that provided or directed staff towards essential information. West View (46) DS0000009616.V254238.R01.S.doc Version 5.0 Page 17 Training records had improved and there was a training plan for all staff. 62.5 of the combined Elms House and West View staff team had achieved NVQ level 2 and a further 2 staff were awaiting their results. West View (46) DS0000009616.V254238.R01.S.doc Version 5.0 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 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): Residents and staff benefited from a well managed home. EVIDENCE: The registered person was in charge of the home on a day to day basis. She had many years experience of running the home and had attained an NVQ level 4 in care and management. In addition, she kept up to date by attending various short courses and self study. Staff described the registered person as “supportive”, “knowledgeable” and “good at her job.” Residents also said that the registered person was very good. One said “Joanne’s good, she cares about us, all three.” West View (46) DS0000009616.V254238.R01.S.doc Version 5.0 Page 19 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 3 X X X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 4 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 4 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 4 X 3 4 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 West View (46) Score 3 X X X Standard No 37 38 39 40 41 42 43 Score 3 X X X X X X DS0000009616.V254238.R01.S.doc Version 5.0 Page 20 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 YA6 Regulation 15 Requirement Care plans must include all the resident’s needs and directions for staff as to how they are to be met. Timescale for action 30/11/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations West View (46) DS0000009616.V254238.R01.S.doc Version 5.0 Page 21 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.V254238.R01.S.doc Version 5.0 Page 22 - 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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