Inspection on 02/09/05 for Westcliff House

This inspection was carried out on 2nd September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Westcliff House 05/11/07

Westcliff House 21/09/06

Westcliff House 09/02/06

Westcliff House 24/11/04

Westcliff House 26/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Westcliff House 24/26 Westcliff Dawlish Devon EX7 9DN Lead Inspector Sam Sly Unannounced 02 September 2005 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. Westcliff House D54-D07 S3801 Westcliff House V235178 020905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Westcliff House Address 24/26 Westcliff, Dawlish, Devon, EX7 9DN 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) 01626 867349 01626 867349 Mrs Christine Ann Dodge Christopher Hardwidge Care Home 29 Category(ies) of Learning disability (29), Learning disability over registration, with number 65 years of age (4) of places Westcliff House D54-D07 S3801 Westcliff House V235178 020905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The home is registered for a maximum of 4 residents with a learning disability over the age of 65 years old. The home is registered for 1 out of category resident, named elsewhere. Date of last inspection 24th November 2004 Brief Description of the Service: Westcliff House cares for up to 29 residents with learning disabilities, 4 of whom can be aged over 65 years old. The home is situated on the main road into Dawlish town centre, with patio areas to the front, and a small garden across the main road. There is only a short walk to the local shops, amenities, and bus and train routes. The premises are made up of two terraced houses that were initially two separated residential homes but now function as one. The Roborough wing has six single bedrooms within an annexe to the main building having a separate entrance but also linked to the main house. Each bedroom is large and has kitchen as well as sleeping and sitting facilities. In this part of the premises there is a shower/toilet for every 2 residents. In the main part of the premises therer are a further 5 fully self-contained flats each having a living room with cooking facilities, a bedroom, and a bathroom. Two of these flats have two bedrooms and are shared at present. There is also a communal lounge, dining room and kitchen. The homes office is situated in the Roborough wing. The Sidborough wing is a more traditional style care setting with single, and one double bedrooms of which five are en-suite, communal toilets and bath/shower facilities, lounges, dining rooms and kitchen. Westcliff House D54-D07 S3801 Westcliff House V235178 020905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection was unannounced and took place during a Friday in September. It included a tour of the majority, but not all, of the premises due to some residents being out. Care records, staff files and health and safety records were also examined. Over half the Inspection time was spent with residents and many, but not all were spoken to. There was discussion as well with some of the staff on duty and the Owner Mrs Dodge. The Registered Manager was not present. What the service does well: What has improved since the last inspection? What they could do better: To ensure residents are safe from fire hazards and that incidents of abuse are dealt with swiftly, the appropriate contact details must be included in the Home’s procedures and fire doors must be kept closed, or held open with approved devices. Westcliff House D54-D07 S3801 Westcliff House V235178 020905 Stage 4.doc Version 1.40 Page 6 To ensure the quality of the services provided at Westcliff House remain high, a quality assurance system must be implemented. 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. Westcliff House D54-D07 S3801 Westcliff House V235178 020905 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Westcliff House D54-D07 S3801 Westcliff House V235178 020905 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 Prospective resident’s needs are assessed before admission, so they can be sure Westcliff House can care for them once they live there. EVIDENCE: Two of the most recently admitted residents were spoken to, and there care records examined. One had moved permanently to Westcliff House, the other was having a short stay. A placing Local Authority care plan had been obtained for both residents, and the Owner and Registered Manager were working with a Learning Disability Specialist in completing a detailed reassessment of one of the resident’s needs. The resident having a short break said he knew what support staff would give him whilst at Westcliff House, and was happy with it. Westcliff House D54-D07 S3801 Westcliff House V235178 020905 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, 7 & 9 Residents are able to make decisions about their lives, but to ensure residents lead independent lives, risks must be identified and action taken whether residents are living at Westcliff House permanently or temporarily. EVIDENCE: Four resident’s care plans and risk assessments were examined. Resident’s plans were being reviewed appropriately and were up to date. One resident, who was receiving regular respite, did not have a comprehensive risk assessment. Residents spoken to were aware of the care that staff were providing. Some residents attended a self-advocacy group locally, and those spoken to said they felt able to make decisions about their lives at Westcliff House. There were regular resident meetings with records showing residents making decisions about the food eaten, activities and holidays. Some residents managed their own finances, or had external appointees. All residents had there own bank accounts, and appropriate records were kept for money handled by the Owner as her role as Department of Work and Pensions appointee for those who required support with managing their finances. Westcliff House D54-D07 S3801 Westcliff House V235178 020905 Stage 4.doc Version 1.40 Page 10 Residents spoken to said they were happy with the Owner managing their money for them. Westcliff House D54-D07 S3801 Westcliff House V235178 020905 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) 12, 13, 14, 15 & 16 Residents lead interesting, active lives within the home and the local community. Their rights are respected and responsibilities given to them aim to increase independence. EVIDENCE: Residents spoken to do a range of educational courses, many of which had stopped for the summer holidays but were about to re-start. Others attended day activities and work placements provided by the Local Authority. A few residents were out at work on the day of Inspection. The Owner gave an example of how she is supporting one resident to get the benefits they are entitled to. All of the residents living in the Roborough wing can access the local community and use public transport independently. More of the residents in the Sidborough wing require support when out in the community. The Owner said a vehicle is available to take residents to appointments, and public transport is also used or they walk into Dawlish town centre. One resident said they regularly get involved in the local carnival, another said they liked going Westcliff House D54-D07 S3801 Westcliff House V235178 020905 Stage 4.doc Version 1.40 Page 12 to the local pub. Two residents were in charge of keeping the Home’s gardens in order, and were proud of the results. Some residents were packing up to go to Newquay the following week, and were excited about this holiday. Others had been on holiday earlier in the year. On these holidays the Owner said she paid for transport, staff costs and food and the resident paid for the accommodation. In the home board games, snooker, quizzes, and parties were regularly organised. Residents said that their families and friends were made welcome at Westcliff House and they could visit them at home too. There was plenty of space to see visitors in private, and residents said they could see whom they liked. All bedrooms had locks fitted, and most residents used these. The flats had door bells as well, and residents were able to mix with others in the communal rooms are enjoy the privacy of their own rooms. Staff were observed to be interacting with residents, and residents said they were ‘nice’ and ‘good fun’. Some of the residents helped with household chores, and all residents were encouraged to keep their rooms clean and tidy and bring their laundry down to be washed. Residents were happy with these chores. Westcliff House D54-D07 S3801 Westcliff House V235178 020905 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) 18, 19 & 20 The residents receive personal and health care support in ways they prefer and require. The medication procedures allow for self-medication and protect residents from harm. EVIDENCE: Resident’s health and specialist learning disability needs were well supported with appropriate professional support sought when necessary. Staff attended medical appointments with residents when required. Residents required a range of personal and health care support from prompting to assistance. Residents said staff were very helpful and supported them as they liked and required. Unfortunately the Owner could not find the risk assessment pertaining to this one resident administered their own medication, although she was sure it had been done. The self-administering resident was pleased at being able to selfadminister, as it would help them live more independently in the future. Others had medication administered, and said this was their choice. The receipt, administration, recording, and disposal of medication were carried out appropriately and staff administering medication had received training. Westcliff House D54-D07 S3801 Westcliff House V235178 020905 Stage 4.doc Version 1.40 Page 14 The Owner had a good knowledge of residents health and personal care needs and the Commission is kept informed throughout the year of incidents relating to residents including admissions to hospital. Westcliff House D54-D07 S3801 Westcliff House V235178 020905 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 There are sufficient arrangements for residents to be sure their views and any concerns were listened to and acted on, and residents are protected from abuse, however the procedure required additional information. EVIDENCE: The Home had a written complaints procedure and a record of complaints investigated was kept appropriately. The Commission had not received any complaints since the last Inspection. Residents said they felt confident that they could go to staff, the registered manager or the Owner with any concerns and that action would be taken. There was a range of polices and procedures in place to protect residents and many staff had attended Protection of Vulnerable Adult training provided by the Local Authority. There was information available on identifying abuse, but the Home’s adult protection policy and procedure was not fully complete with relevant phone numbers. Staff spoken to knew the correct procedure for reporting incidents of abuse. Westcliff House D54-D07 S3801 Westcliff House V235178 020905 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 The premises are suitably maintained and furnished to provide a safe, comfortable home for residents. EVIDENCE: A tour of the premises was made, and most bedrooms and all the communal rooms were seen. Although generally in good order already, the Owner was in the middle of a two-month maintenance and renewal programme where worn carpeting and furniture was being replaced and re-decoration being carried out. All the issues identified by the Inspector had already been recorded by the Owner, and action was being taken. The Environmental Health Department had not visited since the last Inspection, but the kitchens were clean and hygienic and appropriate food hygiene checks were taking place. The Owner had installed a new separate phone line and pay phone for residents since the last Inspection and some residents had mobile phones, or their own line installed. Resident’s bedrooms contained personal possessions and reflected the personalities of the occupier. A list of resident’s possessions was kept and Westcliff House D54-D07 S3801 Westcliff House V235178 020905 Stage 4.doc Version 1.40 Page 17 updated by the Owner. Residents said they liked their rooms, especially those with flats as they could make their own snacks, drinks and light meals. Westcliff House D54-D07 S3801 Westcliff House V235178 020905 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) 32, 34 & 36 Residents benefit from staff that are competent, supervised and well supported, and are protected by the recruitment procedures. EVIDENCE: Staff said they found the training provided helpful in meeting the needs of residents. Staff were observed to be accessible, friendly, approachable, interested and comfortable with residents. There were regular staff meetings, supervision and appraisals and training needs were identified. Of the staff spoken to none had done any National Vocational Qualification training but said it was being considered. The Owner said she hoped to meet the target of 50 at level 2 by December 2005. Staff received some specialist learning disability training, and all the required health and safety training. Recruitment records proved that Criminal Record Bureau, identity and character checks were carried out and a robust interview took place. Staff files showed they received job descriptions and statements of terms and conditions. Westcliff House D54-D07 S3801 Westcliff House V235178 020905 Stage 4.doc Version 1.40 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 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) 39 & 42 Resident’s health and welfare are protected through safe working practices, except where fire doors are not closed. There is no quality assurance system in place to show residents, and the Commission, that Westcliff House is continually monitoring and improving the services it provides. EVIDENCE: The Owner had shown the Inspector a copy of the Home’s proposed quality assurance system at a previous Inspection. It had not yet been implemented, as it was being trialled at another home first. All the relevant health and safety training was given to staff and records showed the fire procedures were being adhered to. The tour of the premises found that the fire doors in one flat were being wedged open by the occupant causing a potential fire hazard. Westcliff House D54-D07 S3801 Westcliff House V235178 020905 Stage 4.doc Version 1.40 Page 20 A professional employed by the Owner annually carried out an environmental risk assessment. All accidents were recorded and handled appropriately. Regular maintenance and servicing took place, and the Owner said there was a valid electrical wiring certificate, however it could not be located. Westcliff House D54-D07 S3801 Westcliff House V235178 020905 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 x Standard No 31 32 33 34 35 36 Score x 3 x 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Westcliff House Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 2 x x 2 x D54-D07 S3801 Westcliff House V235178 020905 Stage 4.doc Version 1.40 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. 1. 2. 3. 23 13(6) The procedure on reporting 09/10/05 incidents of abuse must have information on how and who to contact externally. In this instance a copy of the revised procedure must be sent to the Commission. The Home must have a quality 09/03/05 assurance system that is underpinned by the views of residents and stakeholders. A report should be developed annually that is available for CSCI and other interested people that shows how the home has developed, and what still needs to be done to improve quality of care. All fire doors must be shut or 09/10/05 held open with Fire Service approved devices. Standard 9 Regulation 13 (4) Requirement Each resident, whether staying for respite or permanently, must have a detailed risk assessment. Timescale for action 09/11/05 4. 39 24 5. 42 23 (4) Westcliff House D54-D07 S3801 Westcliff House V235178 020905 Stage 4.doc Version 1.40 Page 23 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. 2. Refer to Standard 42 32 Good Practice Recommendations The Commission should be sent a copy of the Homes electrical certificate. By 31st December 2005 50 of care staff should have at least NVQ 2. Westcliff House D54-D07 S3801 Westcliff House V235178 020905 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton Devon TQ13 7UP 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 Westcliff House D54-D07 S3801 Westcliff House V235178 020905 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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!