Inspection on 19/12/05 for West View House

This inspection was carried out on 19th December 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

West View House 29/05/07

West View House 22/08/05

West View House 17/01/05

West View House 16/09/04

West View House 02/03/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

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Park View (15)

Craigmore House

1 Lanark Close

Sixth Avenue, 53-55

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

CARE HOME ADULTS 18-65 West View House Killingworth Road Killingworth Newcastle Upon Tyne NE12 7BR Lead Inspector Jim Lamb Announced Inspection 19th December 2005 09:30 West View House DS0000000333.V258796.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 House DS0000000333.V258796.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 House DS0000000333.V258796.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service West View House Address Killingworth Road Killingworth Newcastle Upon Tyne NE12 7BR 0191 2685768 0191 2685768 susan.keeney@nhs.net 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) Northgate & Prudhoe NHS Trust Ms Susan Keeney Care Home 5 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (1) of places West View House DS0000000333.V258796.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd August 2005 Brief Description of the Service: West View House is a large two-storey house that provides personal care and accommodation for five male service users with learning disabilities. The home is located in a residential area of Forest Hall and is within walking distance of all the local amenities and transport links. The property consists of five single bedrooms; there is a lounge, dining room and a small sunroom. There are secluded landscaped gardens to the rear with seating for service users. The home has its own transport. West View House DS0000000333.V258796.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes second announced annual inspection visit. The inspection lasted two and a half hours. Time was spent with the homes registered manager, two service users care records were examined together with other records relating to the running of the home including, some of the homes policies and procedures and staff CRB checks. What the service does well: What has improved since the last inspection? All staff employed at West View has received POVA training. Information contained within the homes statement of purpose and service users guide is now available on audiotape. West View House DS0000000333.V258796.R01.S.doc Version 5.0 Page 6 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 House DS0000000333.V258796.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 House DS0000000333.V258796.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): 14 Information regarding the homes statement of purpose and the service users guide is now available on audiotape. The home has appropriate admission procedures in place. EVIDENCE: Details of the extra charges and what these are for, are in the contract given to service users and are agreed prior to their admission. The homes Statement of Purpose and the Service Users Guide both contained the full range of information required; Information is now available on audiotape, this is good practice. Admissions to the home are very rare however there are detailed admission procedures in place. Two service users’ files were checked and on each were a copy of a full needs assessment. The 2 service user plans checked by the inspector were comprehensive, and listed details of service user’s needs and actions taken by the staff to meet these needs. The feedback cards received from service users and their relatives indicated that they were happy with the care offered to them. West View House DS0000000333.V258796.R01.S.doc Version 5.0 Page 9 Two care plans were checked and these confirmed that a range of specialist services was provided to service users. Staff records examined demonstrated that had a range of relevant training and experience. West View House DS0000000333.V258796.R01.S.doc Version 5.0 Page 10 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 8 10 The service users care records clearly identify their individual holistic needs and the staff interventions necessary to meet their needs. The service users are supported to make decisions for themselves and are consulted about all aspects of the management of the home. EVIDENCE: There is evidence of a comprehensive assessment in the service users’ care plans. There is also a comprehensive risk assessment of service users. There was evidence of advocacy arrangements, as well as family input. Each service user has an allocated key worker. Care plans are drawn up with service users. There is evidence that plans are amended and reviewed on a regular basis. The plans clearly identified each individual care needs and the staff interventions in order to meet these needs. West View House DS0000000333.V258796.R01.S.doc Version 5.0 Page 11 Service users can access a range of external agencies that promote independence; any rights that are restricted are linked to risk assessments. Each service user receives support from staff to manage their finances. Service users’ are supported and encouraged to make decisions for themselves. The service users are involved in regular house meetings. The service users care records are confidential, secure and accurate. The staff team has undertaken data protection training. West View House DS0000000333.V258796.R01.S.doc Version 5.0 Page 12 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 16 The service users are involved in all aspect of community life and they are supported to maintain close contact with family and friends. EVIDENCE: Each service user has a practical life skills assessment carried out and this is reviewed and updated on a regular basis, all service users participate in this process. Validated intervention treatment programmes are accessed if a need does arise. The service users have access to a range of community-based services and there was evidence that each service user has the opportunity to participate in community-based activities, including supported work programmes, education and training. The staff team liaise closely with external agencies in order to monitor each service user progress. West View House DS0000000333.V258796.R01.S.doc Version 5.0 Page 13 All service users are supported to maintain very close links with their families. All are able to choose who they want to see and when. There was evidence that daily routines promote independence, choice and freedom of movement. Some service users are involved in housekeeping tasks and food shopping. The Home’s menus are based on the known likes and dislikes of the service users. At least two hot meals are provided on a daily basis. Currently no special diets are required, should this change nutritional assessments will need to be introduced. West View House DS0000000333.V258796.R01.S.doc Version 5.0 Page 14 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 21 Each service users health, personal and social care needs are set out within their individual care records. It is recommended that the staff receive; ageing, illness/palliative and death care training. EVIDENCE: No service users currently have any moving and handling needs. Service users require minimum help with her personal care tasks, such as bathing and dressing. Privacy and dignity are respected at all times. No service users currently have or require any technical aids or equipment. There was evidence within the service users care records that they have access to external health care services. West View House DS0000000333.V258796.R01.S.doc Version 5.0 Page 15 G.P.’s visit when necessary, and service users are referred for specialist health care if appropriate. All service users receive regular health care checks. The medication systems were examined for ordering, receiving and administering and disposal. All were found to be well maintained. All staff has received medication training. The dispensing pharmacist offers good support and advice. West View House DS0000000333.V258796.R01.S.doc Version 5.0 Page 16 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 23 Robust procedures are in place in order to protect the service users from abuse, neglect and self-harm. All those employed in the home has had POVA training. The home maintains detailed finance records on be-half of the service users. EVIDENCE: The home does have a complaints procedure; it contains details of how to contact the CSCI to make a complaint, and is written in a way to ensure that service users fully understand its contents. The home does keep a record of complaints. There have been no complaints received during the last twelve months. The home has a Whistle Blowing policy procedure as well as, the Local Authorities Vulnerable Adults procedures and a copy of the D.H. “NO SECRETS” for further information. The Home maintains detailed financial records on behalf of the service users; each has an individual bank account. There was evidence of personal spending and receipts are kept. The cash balance held for one service use was checked this was found to be correct. West View House DS0000000333.V258796.R01.S.doc Version 5.0 Page 17 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): These standards were not inspected during this visit to the home. EVIDENCE: These entire standard were met during the previous inspection visit carried out on 22.8.05. West View House DS0000000333.V258796.R01.S.doc Version 5.0 Page 18 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): 34 35 The staff team meets the service users needs. Appropriate recruitment procedures are in place to protect the service users. Training for staff is provided to ensure the needs of the service users are met EVIDENCE: Staff levels on the day of the inspection did meet the agreed level. Samples of 4 weeks’ rotas were checked and these stated the required numbers of staff were on duty: 2 staff between 8am and 8.30pm with one waking night staff between 8.30pm and 8am. The home also has two enablers Mon-Fri. All the staff were over 18 years of age and those left in charge were at least 21. West View House DS0000000333.V258796.R01.S.doc Version 5.0 Page 19 No staff employment files are kept in the home however; the manager informed the inspector that the Trust operates a very robust recruitment and selection process that promotes equal opportunities. The manager confirmed that very thorough checks are carried out. Training needs of staff are identified via supervision and appraisal sessions. The staff team have a range of skills, experience and qualifications. All have completed LADAF training. West View House DS0000000333.V258796.R01.S.doc Version 5.0 Page 20 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): 39 43 The home operates a quality assurance system based on seeking the views of the service users and their representatives. The health and safety of the service users is promoted and safeguarded. EVIDENCE: Service users are informed when inspections take place and have access to inspection reports. These are also summarised and discussed in service user meetings. Copies are available for relatives/others to see The Trust has developed a range of new policies and procedures which have been linked to the National Minimum Standards. The records inspected were found to be appropriately completed, these included the fire log book, accident book, personal allowance records, Health and Safey manual, and there was information which verified that appropriate maintenance contracts for the home are in place. West View House DS0000000333.V258796.R01.S.doc Version 5.0 Page 21 The trust operates a quality assurance system that seeks the views of service users and their represenatives. The home has an annual development plan. Water storage tanks, gas and electrics are checked annually. Finance records have previously been forwarded to the CSCI to verify that the home is viable. Lines of resposibility and accountability within the home and external management structures are understood by the staff in the home. Appropriate insurance is sufficient to cover the registered persons legal liabilities to service users, employees and third party persons was seen to be in place. West View House DS0000000333.V258796.R01.S.doc Version 5.0 Page 22 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 3 X X 3 X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 West View House Score 3 X X 2 Standard No 37 38 39 40 41 42 43 Score X X 3 X X X 3 DS0000000333.V258796.R01.S.doc Version 5.0 Page 23 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 YA21 Good Practice Recommendations Staff require; ageing, illness/palliative and death care training. West View House DS0000000333.V258796.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 House DS0000000333.V258796.R01.S.doc Version 5.0 Page 25 - 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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