Inspection on 22/08/05 for West View House

This inspection was carried out on 22nd August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

West View House 29/05/07

West View House 19/12/05

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

Prince Bishop Court

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 Unannounced 22 August 2005 11:00 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. West View House B53-BO3 S333 West View House V240113 220805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service West View Hosue Address Killingworth Road Killingworth Newcastle Upon Tyne NE12 7BR 0191 268 5768 0191 268 5768 susan.keeney@nhs.net Northgate & Prudhoe NHS Trust 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) Ms Susan Keeney CRH 5 Category(ies) of LD - Learning Disability (4) registration, with number LD(E) - Learning Disability - Over 65 (1) of places West View House B53-BO3 S333 West View House V240113 220805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 17 1 05 Brief Description of the Service: West View is a large two-storey house that has been adapted to accommodate five male service users with learning disabilities. The home is located in a residential area of Forest Hall and is within walking distance to all local amenities in Forest Hall and Killingworth and has good access to transport links. The property consists of five single bedrooms. There is a lounge, dining room and a small sun lounge. There is a secluded landscaped garden to the rear with seating for service users. West View House B53-BO3 S333 West View House V240113 220805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes first annual unannounced inspection visit, which took place during the morning and early afternoon. Time was spent talking to staff, examining care records and policies and procedures. Time was spent taking to the service users and touring the building. What the service does well: 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 House B53-BO3 S333 West View House V240113 220805 Stage 4.doc Version 1.40 Page 6 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 West View House B53-BO3 S333 West View House V240113 220805 Stage 4.doc Version 1.40 Page 7 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) 1 2 3 5 The homes statement of purpose and service users guide should be produced in a range of formats to ensure that all service users and potential new service users are fully aware of the service provided. The service users needs are appropriately assessed. Service users have the opportunity to visit the home prior to admission. 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. These should be made were available in a range of formats eg on audiotape or video. The inspector saw a copy of the standard contract used. It contained the range of information required by the standards. Three service users’ files were checked and on each were a copy of a full needs assessment. West View House B53-BO3 S333 West View House V240113 220805 Stage 4.doc Version 1.40 Page 8 They did contain a range of appropriate information and there was evidence that both service users and their representatives were involved in drawing up both these initial assessments and the home’s subsequent service user plans. The 3 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 service users appeared happy and content. Three care plans were checked and staff members interviewed. These confirmed that a range of specialist services was provided to service users. Staff interviewed had had a range of relevant training and experience. All service users are invited to visit the home prior to admission to meet other service users and staff. Overnight stays can also be arranged. West View House B53-BO3 S333 West View House V240113 220805 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 9 The service users care plans clearly identify each individual’s personal and health care needs. Risk assessments were evidenced and service users and their representatives are involved in this process. 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. All aspects of standard 7 have been met; self-advocacy is promoted, service users can access a range of external agencies that promote independence, any rights that are restricted are linked to risk assessments. West View House B53-BO3 S333 West View House V240113 220805 Stage 4.doc Version 1.40 Page 10 Each service user receives support from staff to manage their finances. Service users’ are supported to make decisions for themselves. West View House B53-BO3 S333 West View House V240113 220805 Stage 4.doc Version 1.40 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) 11 12 13 14 17 The links with the local community are good and support service users social opportunities. The staff had a good understanding of the service users social and personal development needs. The meals offer a choice and variety. EVIDENCE: Each service user has a practical life skills assessment carried out and this is reviewed and updated every six months, all service users participate in this process, and their relatives are invited to attend. Validated intervention treatment programmes are accessed if a need does arise. All service users have access to a range of community-based services, which promote and provide opportunities to learn and use life skills. Several service users have been on holiday and others have holidays planned. West View House B53-BO3 S333 West View House V240113 220805 Stage 4.doc Version 1.40 Page 12 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. The 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. Service users who are able are involved in housekeeping tasks. The inspector observed staff interacting in a sensitive and respectful manner with service users. 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. Pictorial menus are also used, this is good practice. Service users have access to the kitchen and are able to prepare snacks for themselves if they wish. The inspector was informed that the service users are involved with the food shopping. A range of special diets can be catered for. West View House B53-BO3 S333 West View House V240113 220805 Stage 4.doc Version 1.40 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) 19 20 The service users have access to a range of health care professionals. The homes medication systems are well organised. EVIDENCE: Moving and handling Assessments for service users have been appropriately completed. Service users mainly need supervision and minimum help with their personal care tasks, such as bathing and dressing. Privacy and dignity are respected at all times. There was evidence within the service users care records that they have access to external health care services. 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 inspector examined the records and the procedures for the administration of medication; these appeared to be appropriately detailed. West View House B53-BO3 S333 West View House V240113 220805 Stage 4.doc Version 1.40 Page 14 The medication systems were examined for ordering, receiving and administering and disposal. All were found to be well maintained and staff have undertaken accredited medication training. West View House B53-BO3 S333 West View House V240113 220805 Stage 4.doc Version 1.40 Page 15 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 23 Adult protection is well managed, service users are safeguarded from abuse and staff had good knowledge of these issues. All staff will require POVA training. EVIDENCE: The home does have a complaints procedure, which the inspector saw. It contains details of how to contact the CSCI to make a complaint, that complaints would be responded to in 28 days and that complainants would not be victimised. Since the last inspection there have been no complaints received. The home does keep a record of complaints. The home has a Whistle Blowing policy procedure as well as, the Local Authorities Vulnerable Adults procedures. 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 staff informed the inspector that POVA training is planned, confirmation of this training to be forwarded to the CSCI. West View House B53-BO3 S333 West View House V240113 220805 Stage 4.doc Version 1.40 Page 16 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 26 27 28 29 30 The home provides a very comfortable and safe environment for the service users. EVIDENCE: On the day of the inspection the home was clean, well decorated and very well maintained. The home is in a residential location. The grounds were tidy, safe, attractive and accessible. The fire service department had made visits to the home. Requirements made had been actioned. The home does have an appropriate amount of sitting, recreational and dining space. There are sufficient rooms for a variety of activities to take place. Service users can see visitors in private in their own rooms. The dining area is large enough to cater for all service users. West View House B53-BO3 S333 West View House V240113 220805 Stage 4.doc Version 1.40 Page 17 Outdoor space and all areas of the lower ground floor of the home are accessible to people in wheelchairs. Furnishings and fittings were domestic in design and in good condition. Lighting was sufficiently bright and also domestic in design. The home does have a sufficient number of baths, showers and toilets. These were close to bedrooms, lounges and dining areas. Doors had privacy locks. There were appropriate aids and adaptations – eg seat raisers, grip rails. Room sizes did meet the minimum required. Room dimensions were such there was space on either side of the bed when necessary to enable access for carers and specialist equipment. Service users’ bedrooms checked all had opening windows. The rooms were centrally heated and the heating level could be controlled within each bedroom. Radiators were low surface temperature. Lighting levels were sufficient and there was emergency lighting throughout the home. The home was clean and free from offensive odours. West View House B53-BO3 S333 West View House V240113 220805 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 32 33 36 Staff morale appears to be high; the staff team works positively together with the service users to improve their quality of life. Appropriate staffing levels are in place. All staff receives appropriate training and supervision. 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. The staff team were clear about their roles and responsibilities. Staff spoken to said that staffing levels were appropriate and that there were additional staff on duty at peak times of the day. All the staff were over 18 years of age and those left in charge were at least 21. The staff on duty appeared to be highly motivated and were very knowledgeable about all aspects of practice and the philosophy of care in the home. West View House B53-BO3 S333 West View House V240113 220805 Stage 4.doc Version 1.40 Page 19 Training needs of staff are identified via supervision and appraisal sessions. There was evidence within the staff training records that all staff receives relevant training in order to meet the collective needs of the service users. West View House B53-BO3 S333 West View House V240113 220805 Stage 4.doc Version 1.40 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 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) 38 40 41 42 Systems are in place to promote the health, safety and welfare of the service users The staff team are familiar with the homes policies and procedures and are aware of the data protection act. EVIDENCE: The registered manager has several years experience in senior management and is working towards a level 4 National Vocational Qualification in management and care. In the last year all of the staff team have attended several courses to keep themselves up to date. Staff interviewed were clear about the their responsibilities. Staff interviewed spoke positively about the manager saying she had encouraged both staff and service users to contribute to the development of the service. West View House B53-BO3 S333 West View House V240113 220805 Stage 4.doc Version 1.40 Page 21 The Trust has developed a range of new policies and procedures which have to some degree 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 information which verified that appropriate maintenance contracts for the home are in place. Finance records have previously been forwarded to the CSCI to verify that the home is viable. West View House B53-BO3 S333 West View House V240113 220805 Stage 4.doc Version 1.40 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 2 3 3 x 3 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 x 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 West View House Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x 3 x 3 3 3 x B53-BO3 S333 West View House V240113 220805 Stage 4.doc Version 1.40 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. 1. Standard ya 1 Regulation 4&5 Requirement Provide the homes statement of purpose and service users guide in a range of formats eg audiotape, video. Ensure that all staff employed in the home undertakes POVA training. Timescale for action 1.12.05 2. ya 23 13 (6) 1.12.05. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations West View House B53-BO3 S333 West View House V240113 220805 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection 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 B53-BO3 S333 West View House V240113 220805 Stage 4.doc Version 1.40 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. 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