Inspection on 16/03/06 for Westcliffe House

This inspection was carried out on 16th March 2006.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Westcliffe House 04/06/07

Westcliffe House 26/07/05

Westcliffe House 24/02/05

Westcliffe House 07/10/04

Westcliffe House 24/02/04

Similar services:

Littledale Hall Therapeutic Community

Bennett House

Padgate House

Mary & Joseph

Richards House

Hamer Cottage

Turning Point (Hoole Road)

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

CARE HOME ADULTS 18-65 Westcliffe House Westcliffe House 3 - 4 Braddocks Close Hurstead Rochdale Lancashire OL12 9UZ Lead Inspector Bernard Tracey Unannounced Inspection 16th March 2006 09:30 Westcliffe House DS0000025533.V268833.R01.S.doc Version 5.1 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 Westcliffe House DS0000025533.V268833.R01.S.doc Version 5.1 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. Westcliffe House DS0000025533.V268833.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Westcliffe House Address 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) Westcliffe House 3 - 4 Braddocks Close Hurstead Rochdale Lancashire OL12 9UZ 01706 377197 01706 372910 Turning Point Deborah Bithell Care Home 8 Category(ies) of Past or present alcohol dependence (8), Past or registration, with number present drug dependence (8) of places Westcliffe House DS0000025533.V268833.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 8 service users to include up to: 8 service users in the category of A (Adults with past or present alcohol dependence). 8 service users in the category of AD (Adults with past or present drug dependence). The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 26th July 2005 2. Date of last inspection Brief Description of the Service: Westclife House is a residential service for 8 individuals who need support in achieving a drug and alcohol free lifestyle and have been unable to achieve this whilst living in their own home or community. The project operated by Turning Point, a national charity, enables individuals aged 18 - 65 years to develop skills so that they may eventually live independently. Single personal accommodation is provided along with shared communal facilities of lounges, kitchen, and bathrooms. The property is situated on the outskirts of Rochdale town centre and is conveniently close to local shops and post office. Westcliffe House DS0000025533.V268833.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection commenced at 9.30 am and lasted for two and a half hours. Two service users, two ex service users from the supported living project, who had recently been in the rehabilitation project and two members of staff were spoken with during the inspection. The Project manager was on a training day away from the home. During the inspection discussion took place to determine the progress made with requirements in the last inspection report and relevant documents relating to these were examined. How the home responded to complaints and what measures were in place to make sure that service users were protected from harm were also examined. A tour of the accommodation was made but only vacant bedroom areas were inspected. A group discussion was held between two of the three residents and their views were sought on the how the project was run, how complaints were dealt with, what they thought of the accommodation and how they felt the staff supported them. The Inspector did not examine all of the Standards on this occasion. Consequently, the reader is asked to read the previous Inspection Report to get a full picture of how the home is performing, in those areas covered at the last inspection, although a summary of the previous findings is included under the relevant headings. What the service does well: The home has a well-qualified, trained and experienced stable staff team. Service users are supported and encouraged to work towards a sober life. Service users are fully involved with all aspects of their care and know what is expected of them in terms of living in the home. Residents said that they felt fully supported and were settled at the home. Comments received included, “they provide good support and advice”, ‘we’re encouraged to try new things, and “ it’s helpful to have somewhere where you can take stock and work out what needs to change in your life.” Support from other health care workers is sought where service users have other health need. Westcliffe House DS0000025533.V268833.R01.S.doc Version 5.1 Page 6 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. Westcliffe House DS0000025533.V268833.R01.S.doc Version 5.1 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 Westcliffe House DS0000025533.V268833.R01.S.doc Version 5.1 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): The key standards were examined at the last inspection The system for ensuring that all residents had a detailed assessment before their admission gave an assurance both to residents, relatives and staff that a resident was only admitted if the home could meet their needs. Each resident is supplied with a licence agreement that ensures that they are aware of the terms and conditions of their stay. EVIDENCE: The key standards were examined at the last inspection on the 26th July 2005. All of the key standards were met Westcliffe House DS0000025533.V268833.R01.S.doc Version 5.1 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): The key standards were examined at the last inspection Service users are involved in drawing up their own care plans to ensure that their needs are identified and how these will be met. Service users are consulted to ensure that they have a say in their own care and in the running of the home. EVIDENCE: The key standards were examined at the last inspection on the 28th June 2005. All of the key standards were met Westcliffe House DS0000025533.V268833.R01.S.doc Version 5.1 Page 10 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): 15 The project does not ensure that relevant information is available before a child relative stays overnight, therefore placing the individual at risk. EVIDENCE: Individual risk assessments detail the involvement of families and relatives. Service users’ families, including children, can visit the project with prior agreement of project workers and other residents. The project needs to provide a detailed assessment and pre visit checklist that ensures all relevant authorities and contact details for the period of the visits are in place, when a child is staying overnight at the at the home. The project must ensure that any social worker involved in the care of the child, as well as the service user’s social worker, is aware that the visit is being planned and their consent is obtained. The Statement of Purpose clearly sets out that visitors are welcome between the hours of 11.00 a.m. and 11.00 p.m. and that service users ensure their visitors are made aware of the house rules. Westcliffe House DS0000025533.V268833.R01.S.doc Version 5.1 Page 11 Westcliffe House DS0000025533.V268833.R01.S.doc Version 5.1 Page 12 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 The ‘on – call’ arrangements in the home are not always adequate resulting in residents and staff being unable to summon assistance when it is required. EVIDENCE: Concern continues to be expressed by service users at the arrangements made by the home for “out of hours” contact. One resident, from the supported living facility attached to the project, described an occasion when the arrangements had not worked well at the New Year. The arrangements are clearly set out on the wipe board outside the office. The service users contact the on call by pager with a further contact number using a mobile phone. The main concern appears to be whether the pager system has operated and having waited for a response then deciding that a further call to the mobile is necessary. In the meantime, periods described as 10 minutes or more the situation at the project is ongoing and may be deteriorating putting service users at risk. There is clearly a need for the organisation to address the issues and provide an adequate on call system with written guidelines to both staff and residents. Westcliffe House DS0000025533.V268833.R01.S.doc Version 5.1 Page 13 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 Satisfactory arrangements are in place in relation to the protection of service users as well as responding to their concerns. However training is outstanding in this area ensuring residents are protected. EVIDENCE: The two service users spoken with said they were aware of the complaints procedure. A copy of this was displayed in the home and was also written in the service user guide. This included names, addresses and telephone numbers for Social Services and the Commission for Social Care Inspection. The complaints procedure outlines what action will be taken to respond to any complaints. Copies of the documents have been included within the service user guide. Copies are given out to all new residents. Any issues raised would be recorded outlining action taken. No complaints have been raised at the home or with the CSCI. The home has a copy of the Local Authorities Adult Protection procedure as well as an in-house procedure. Outstanding training for some members of the team is still needed ensuring the safety and protection of residents and this should include training in response to abuse as defined in the Rochdale’s Inter Agency Abuse procedure.. The home has a behavioural policy, which is issued to service users when arriving at the home. Service users are asked to sign the policy to evidence they have read and understood the document and a copy is held on file. Westcliffe House DS0000025533.V268833.R01.S.doc Version 5.1 Page 14 Other policies are in place for the protection of the service users, these include; incident reporting, violence and aggression, missing persons and risk management. Westcliffe House DS0000025533.V268833.R01.S.doc Version 5.1 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 27 30 The project provides a comfortable homely environment for those that live there. Outstanding maintenance and repairs do not ensure that service users have suitably equipped accommodation. EVIDENCE: The house was warm, well decorated and the furnishings were comfortable. The service users all said that they were happy with their bedroom. They feel that they have plenty of space and they have their own wardrobe, bed and bedside cabinet. Individuals are provided with keys to their rooms and a lockable space for the safe storage of personal items. Spare keys are kept in the manager’s office. In addition to their bedroom the residents have access to shared space in one of two lounges and separate kitchen cum dining room. There are two bathrooms in the house, both of which were centrally heated. The bathroom near to the office was found to have a cracked toilet and the bath was damaged: both need replacing with a new suite. The toilet seat in Westcliffe House DS0000025533.V268833.R01.S.doc Version 5.1 Page 16 the bathroom next to the lounge was broken and had been taken off and stored in the bath. Turning Point also has a supported living project in flats above and below the rehabilitation unit. Anyone who wishes, and is assessed as suitable, can move into one of the flats following their stay in rehabilitation. Two of the residents from one of these flats was spoken with during the inspection. One said that he had just received the keys for his own flat. He spoke very highly of the staff and the support he had received to enable him to reach this point and no longer be dependent on staff. With regards to domestic tasks the residents carry these out. A house meeting is held each week and agreements are made as to who is responsible for specific tasks within the communal areas. Regular safety checks are made and the service users had been informed of the fire evacuation procedure. Westcliffe House DS0000025533.V268833.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The key standards were examined at the last inspection The residents were cared for by sufficient numbers of staff that were suitably trained and therefore had the knowledge and skills to meet the residents’ needs. The recruitment procedure ensures that residents are not subject to a potential risk. EVIDENCE: The key standards were examined at the last inspection on the 28th June 2005. All of the key standards were met Westcliffe House DS0000025533.V268833.R01.S.doc Version 5.1 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): The key standards were examined at the last inspection The home is well managed resulting in a consistent and reliable service for those using it. The home has a policy that relies on the views of residents and staff being able to be heard and thereby contributing to the development of the home in line with these views. Maintenance of equipment was up to date and staff had received relevant health and safety training, which promotes and safeguards the health, safety and welfare of the people using the service. EVIDENCE: The key standards were examined at the last inspection on the 28th June 2005. All of the key standards were met Westcliffe House DS0000025533.V268833.R01.S.doc Version 5.1 Page 19 Westcliffe House DS0000025533.V268833.R01.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 2 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 2 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 X X X X X X X X X X Westcliffe House DS0000025533.V268833.R01.S.doc Version 5.1 Page 21 YES 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 YA15 Regulation 23 Requirement Detailed documentation must be in place when a child is visiting or staying at the home. (Outstanding requirement in the timescale of 30th August 2005) Arrangement for out of hours support to residents and staff must ensure that staff and service users are at all times able to contact an on call manager. (Outstanding requirement in the timescale of 15th September 2005) That all staff receive training in relation to the Protection of Vulnerable Adults. The bathroom suite in the bathroom next to the office must be replaced. The toilet seat in the bathroom next to the main lounge must be replaced. Timescale for action 30/04/06 2. YA18 12 30/04/06 3. YA23 18 30/06/06 4. YA27 23 30/04/06 5. YA27 23 06/04/06 Westcliffe House DS0000025533.V268833.R01.S.doc Version 5.1 Page 22 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 Westcliffe House DS0000025533.V268833.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 Westcliffe House DS0000025533.V268833.R01.S.doc Version 5.1 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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