Inspection on 26/10/05 for Westgate

This inspection was carried out on 26th October 2005.

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

The inspector 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

Westgate 26/04/07

Westgate 09/03/06

Westgate 19/01/05

Westgate 09/08/04

Similar services:

Trevaylor Manor

Stallcombe House

Stroud Lodge

The Woodmill

Woodland Vale

Bolealler House

Claremont Nursing Home

Althea Park House

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

CARE HOME ADULTS 18-65 Westgate 5 Ellenborough Crescent Weston-Super-Mare North Somerset BS23 1XL Lead Inspector Paul Grey Announced 26 October 2005 th 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. Westgate D53-D02 S8101 Westgate V234537 241005 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Westgate Address 5 Ellenborough Crescent, Weston-Super-Mare, North Somerset, BS23 1XL 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) 01934 621952 Mr Iain Hall-Scott Mr Iain Hall-Scott Personal Care Home 10 Category(ies) of Mental Disorder (10) registration, with number Mental Disorder - over 65 (10) of places Westgate D53-D02 S8101 Westgate V234537 241005 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th January 2005 Brief Description of the Service: Westgate is a pleasant victorian terraced building located within easy reach of the town center and local amenities. The home offers care to service users with enduring mental health issues. Westgate D53-D02 S8101 Westgate V234537 241005 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector found a well established and successful home and community at Westgate. Service user feedback was extremely positive about all aspects of life at the home. The inspector noted the home has a well established staff team, positive ethos toward independence and a successful manager. The inspector issued no requirements and commends the team for a positive and therapeutic environment. 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. Westgate D53-D02 S8101 Westgate V234537 241005 Stage 4.doc Version 1.30 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 Westgate D53-D02 S8101 Westgate V234537 241005 Stage 4.doc Version 1.30 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) 1,2,3,4 Potential service users have sufficient information to make an informed choice regarding the service. Potential service users individual aspirations and needs are assessed by the home. Service users know that the home will be able to meet their needs and aspirations. Prospective service users have an opportunity to visit the home and have a trial visit prior to moving in. EVIDENCE: Westgate has an up-to-date statement of purpose complying with the National minimum standards. The home also provides its service users with a service user guide. The service user guide sets out in a clear format, a summary of is provided by the home. Service users spoken with or aware of the service user guide and had seen the service user guide. All service users spoken with were aware of the complaints procedure, who they could complain to and how to do this The service user group at Westgate is a long established group. There have Westgate D53-D02 S8101 Westgate V234537 241005 Stage 4.doc Version 1.30 Page 8 been no recent admissions. However, the inspector noted clear assessments of all service users. The inspector also noted the home developed strong and clear plans of care with the service user based on this assessment. Service users informed of the inspector that they had been involved in negotiating their own plan of care. The standard of paperwork at Westgate is very good. The home is clearly able to demonstrate its capacity to assess and meet service users needs. The home offers specialised care to service users with mental health issues and can demonstrate good practice based on current clinical guidance. The inspector noted evidence from both documentation and service users statement that staff communicated with service users in a manner that was acceptable to the service user group. Although the home has had no recent admissions, the manager was very clear over the procedure. Potential service users would be invited to the home to meet staff and other service users. During this period the staff team would assess whether a potential service user would be suitable to integrate well with the existing community. Service users speaking with the inspector, informed him that they had been to visit the home prior to moving him and usually had a meal or some such social activity with the other service users. The service users felt they were aware of what life applied the home, particularly as some had come from the sister home, Shallcott Hall. Westgate D53-D02 S8101 Westgate V234537 241005 Stage 4.doc Version 1.30 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 Westgate clearly demonstrated its ability to assess the service users changing needs and its support in helping them achieve their personal goals. Service users at the home are encouraged and assisted to make decisions about their own lives. The home encourages and supports service users to take reasonable risks as part of an independent lifestyle. EVIDENCE: The inspector audited four service user files. The inspector noted in all four files that clear assessments of the individuals needs were present. From these assessments were drawn up the service users plans of care. The inspector was able to track assessed needs through to care planning, implementation and evaluation of the individuals care. The inspector noted that care plans were well-written, up-to-date and personalised. The inspector noted no undue restriction on service users lives through care planning. Service users informed the inspector that they had Westgate D53-D02 S8101 Westgate V234537 241005 Stage 4.doc Version 1.30 Page 10 been involved in drawing up of their own plans of care. The inspector noted documentary evidence that the plans of care were reviewed with service users. Westgate D53-D02 S8101 Westgate V234537 241005 Stage 4.doc Version 1.30 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) 11,15,16 Westgate provides service users with opportunities for personal development. Westgate supports service users to establish appropriate relationships both in and out of the home. The home respects the service users rights, this is recognised in the daily lives. EVIDENCE: Service users informed the inspector that they were encouraged and supported to establish relationships outside of the home. The inspector noted the in service user files that service users were supported to attend courses or activities out of the home should they wish. Service users are also encouraged to attend the local church if they desire. The manager informed the inspector that service users are supported to maintain family links. Service users spoken with a time of inspection said that friends or family are made welcome by the staff team. The inspector noted that service users are encouraged to develop relationships both inside and outside of the home. Service users are supported, should they wish, to establish a normal relationship with individuals outside of mental health services. Westgate D53-D02 S8101 Westgate V234537 241005 Stage 4.doc Version 1.30 Page 12 The home is run very much along an extended family type community. Service users valued this, and felt that the home had achieve a balance between commonsense rules and individual freedom. Service users valued the home community atmosphere particularly at mealtimes. The inspector noted that the eating arrangements were designed so that everybody eight together at the same table. This helped build and reinforce a sense of community. During inspection staff knocked on all rooms before entering and used service users referred name. Westgate D53-D02 S8101 Westgate V234537 241005 Stage 4.doc Version 1.30 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 Westgate provides its service users with personal support in a manner that they prefer. Westgate meets service users physical and emotional health needs. EVIDENCE: Service users informed the inspector that staff in the home provide personal care should they so wish. Service users informed the inspector that staff supported them with choice of clothing and choice of appearance if they requested support. Service users felt staff at the home respected their thoughts and opinions. One service user has the support of the district nurse who visits to support the service user manage their diabetes in the community. The manager was able to give the inspector two examples of how the home had supported service users with healthcare needs. The inspector noted statement and documentary evidence outlining the homes integration with community care services in supporting service users with physical needs. Service user files accessed by the inspector demonstrated that service users were appropriately registered with a local GP. Westgate D53-D02 S8101 Westgate V234537 241005 Stage 4.doc Version 1.30 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23 Staff at Westgate listen and act upon service users views. Service users are protected from abuse at the home. EVIDENCE: The inspector obtained evidence from service users statement, service user files and staff statement evidence. The inspector spoke with service users regarding the complaints procedure. Service users spoken with felt able to speak with the manager of the home, or staff at the home directly. Service users understood the complaints process although were vague on how soon they would expect to reply to their complaints. At the time of inspection no service users had any complaints about the home. The inspector noted the home’s complaints procedure was clear and effective. The manager was able to outline the process of reporting suspected abuse. The inspector also noted the home had appropriate policies and procedures regarding the protection of service users. Service users spoken with, outlined to the inspector what they should do if they had been a victim of all witnessed abuse. This was good practice on the part of the home, as the service users were very aware of what constituted abuse. The home records any complaints and would record any complaints or allegations regarding abuse. Westgate D53-D02 S8101 Westgate V234537 241005 Stage 4.doc Version 1.30 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 standard(s) 24,26,28 Westgate is a homely, comfortable, and safe environment. Service users bedrooms help promote their independence. Shared spaces at the home are sufficient to meet the needs of service users. EVIDENCE: Westgate is a large Victorian terrace house and retains much of its homely qualities. The premises are bright and cheerful and free from offensive odours. Westgate is situated close to local bus routes, local amenities and offers easy access to the town centre for service users. The fixtures and fittings within the premises are in good order and of an appropriately domestic design. The inspector was shown the bedrooms by the service users residing in them. Service users were happy with the furniture and fittings they had in the bedrooms. Service users have sufficient furnishings as outlined in the national minimum standards. The manager informed the inspector that service users should be welcome to bring their own furniture if they should they wish, (subject to fire and health and safety. Westgate D53-D02 S8101 Westgate V234537 241005 Stage 4.doc Version 1.30 Page 16 The home offers a range of comfortable and accessible shared spaces. The communal space is generally situated on the ground floor and includes a large pleasant sitting-room, a large dining area and garden space to the front and rear of the property. The home has kitchen and laundry facilities on the domestic scale, but were sufficient to meet the needs of the service users. Westgate D53-D02 S8101 Westgate V234537 241005 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,34,36 Service users benefit from clarity of staff roles and responsibilities. Service users were the homes recruitment policies and procedures. The staff at Westgate have sufficient support and supervision EVIDENCE: The inspector noted that all service users had clearly defined job descriptions and clearly defined responsibilities within the home. The inspector found statement and documentary evidence to indicate that staff have sufficient time to develop relationships with service users they support and are able to meet those service users needs. Staff spoken with a clear understanding of the roles and any limits on their knowledge and skills. The inspector audited all staff files. The inspector noted all files contained 2 written references, pova checks, photographs and appropriate ID. The inspector noted documentary evidence of frequent supervision. Inspector noted regular supervision was clearly documented and in excess of the required frequency. Staff have regular appraisals with airline manager to review any performance issues. The home has procedures in place for dealing with any physical aggression towards staff. Westgate D53-D02 S8101 Westgate V234537 241005 Stage 4.doc Version 1.30 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 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 Service users at Westgate benefit from the management style and leadership of the home. The homes policies and procedures safeguard the rights and interests of service users. The home protects service users interests with accurate recordkeeping and the homes general policies and procedures. EVIDENCE: The inspector noted evidence from staff and service user statement that the home has a clear sense of direction and leadership. The inspector noted staff and service users understood the aims and purpose of the home. Both staff and service users felt able to voice concerns, should they have any to the manager. Both staff and service users felt able to have a say in how the home is run. The inspector sampled three policies at random. All were present and up-toWestgate D53-D02 S8101 Westgate V234537 241005 Stage 4.doc Version 1.30 Page 19 date During inspection, all care files and service user notes sampled were well maintained and up-to-date. The manager informed the inspector that service users could see the notes if they so wish. Service users spoken with confirmed this. The inspector noted that the homes records are stored appropriately and in accordance with the data protection act. Westgate D53-D02 S8101 Westgate V234537 241005 Stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 4 4 4 4 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 4 x 4 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 x 3 x x Standard No 11 12 13 14 15 16 17 3 x x x 3 3 x Standard No 31 32 33 34 35 36 Score 3 x x 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Westgate Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x 3 x 3 3 x x D53-D02 S8101 Westgate V234537 241005 Stage 4.doc Version 1.30 Page 21 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 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 Good Practice Recommendations Westgate D53-D02 S8101 Westgate V234537 241005 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection Riverside Chambers Castle Street Taunton TA1 4AL 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 Westgate D53-D02 S8101 Westgate V234537 241005 Stage 4.doc Version 1.30 Page 23 - 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!