Inspection on 20/11/07 for Westminster House

This inspection was carried out on 20th November 2007.

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

Westminster House 06/02/07

Westminster House 18/01/06

Westminster House 10/05/05

Westminster House 02/02/05

Westminster House 15/09/04

Westminster House 17/03/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Westminster House Westminster Lane Newport Isle of Wight PO30 5DP Lead Inspector Pat Trim Unannounced Inspection 20th November 2007 11:30 Westminster House DS0000032663.V349454.R01.S.doc Version 5.2 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 Westminster House DS0000032663.V349454.R01.S.doc Version 5.2 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. Westminster House DS0000032663.V349454.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Westminster House Address Westminster Lane Newport Isle of Wight PO30 5DP 01983 526310 01983 520372 jeremy.baker@iow.gov.uk 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) Isle of Wight Council Mr Jeremy Ernest Baker Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Westminster House DS0000032663.V349454.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home currently includes 4 pre-existing residents in the LD/E category. 6th February 2007 Date of last inspection Brief Description of the Service: Westminster House is a local authority owned respite care facility situated on the outskirts of Newport, offering both day and residential respite care to adults with a learning disability. There are in excess of 75 people using the service over a twelve-month period and the philosophy of the service is to provide an accessible and flexible respite service that meets the individual needs of the service users, and the needs of the carers. The cost of staying for a week at the time of the inspection was £66.85, but there is a scale of charges dependent on the sort of respite required. Westminster House DS0000032663.V349454.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In order to write this report we looked at a number of things. We looked at the last inspection report to see what had been said about the home and talked to the inspector who wrote it. We also talked to the inspector who looks at any information we get about the home between inspections. We looked to see if we had received any complaints about the home and saw that we had not. We looked at any information the home had given us about what might have happened since we visited. We used some of the information the registered manager gave us about the home in a form called the Annual Quality Assurance Assessment (AQAA). This is a form the home has to fill out every year to tell us what they are doing to make sure the home gives the people who live there the care that they want. We also used information we got from survey forms sent to people who use the service and their families. We got eight survey forms from people who use the service and five from their families. We visited the home and spent five hours talking to people using the service, staff working in the home, and the registered and assistant manager. We also walked round the building, looking at the rooms people use and spent some time looking at all sorts of records. The last inspection found the home had done some things wrong. On this inspection they showed us they had done something to put these things right. What the service does well: People who use Westminster House said they liked staying there and thought the staff were very good at looking after them. They said they were able to make choices about everything, like what time they got up and went to bed and what they did during the day. Some people who used the service liked to carry on with their normal routine and go to college as usual. Others liked to have the chance to do something different and went out to the cinema or for meals. Staff are available to help them do all of these things. Some service users and their relatives felt that sometimes there were not enough staff to support them to go out or do an activity. Comments included: Westminster House DS0000032663.V349454.R01.S.doc Version 5.2 Page 6 ‘There are not always enough staff to enable the residents to be taken out especially when some residents are less able.’ ‘There is a lack of planned activities – should be more effort put in to providing them.’ The registered manager said the management team have been looking at what staff they need to take people out. They know they need more staff and are going to get some. People who use the service are able to decide when they should have their respite care and use it in lots of different ways. Some people like to stay for a short break of a week or two. Others like to stay for a few days, a night or a day. The home is able to meet all these different needs by looking at who is coming to stay and providing the right amount of staff to meet the needs of whoever is in the home on a daily basis. Many of the staff have worked in the home for a long time and know the people who use the service really well. They feel they are supported by the registered manager to get the training they need, which enables them to give good care to the people who use the service. People who use Westminster House and their families feel the home gives them a very good service. Comments included ‘The general care of the clients is very good’. ‘There’s no need for it to improve. ‘It seems fine as it is’. ‘I like it here. It is 100 ’ ‘There is always a lovely friendly atmosphere and the srvice users and their families are treated with great respect.’ All the people spoken with during the inspection said it was a good place to stay and they looked forward to their breaks. What has improved since the last inspection? The registered manager has reviewed the different sorts of respite care the home offers and has amended the provision. The home will no longer admit people for emergency care, but will only accept someone who has had their needs fully assessed. This means they will only be able to stay at the home if there are sufficient staff to meet their needs and the needs of those already staying there. People referred to the home at very short notice will now have to have had an assessment. This will be used to write a care plan and risk assessment, in the same way as it is done for people who regularly use the service. Westminster House DS0000032663.V349454.R01.S.doc Version 5.2 Page 7 The home has a new way of recording staff training that makes it easy to see when someone needs to have a refresher course. 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. The summary of this inspection report can be made available in other formats on request. Westminster House DS0000032663.V349454.R01.S.doc Version 5.2 Page 8 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 Westminster House DS0000032663.V349454.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are given information about the service to enable them to make an informed choice about whether to use it. This needs amending to ensure it presents an accurate picture of what the home can offer. Systems are in place to ensure service users are not admitted without a thorough assessment of need and evidence the service can meet their identified needs. EVIDENCE: Service users are given information about the home in a welcome pack, a copy of which is kept in every room. The format used enables service users of different abilities to have the information. Some information, such as how to contact the commission, was out of date. The registered manager said the management team were reviewing the service provided and it was planned to update the information pack as part of this process. Part of the review has been to define the types of respite care the home can provide. The registered manager said it had been agreed that only ‘short notice’ respite will be offered in future and the home will not admit anyone as an emergency. Anyone requiring a ‘short notice’ respite will be required to have a detailed assessment of need so the registered manager has the information he needs to assess whether the home can offer a placement. Westminster House DS0000032663.V349454.R01.S.doc Version 5.2 Page 10 Service users are only able to use the service if they are referred by Adult services. The home has access to the local authority care management assessment for each person, but the registered manager said the home’s referral process required the care manager to complete the home’s very detailed care needs assessment. Copies of the completed care needs assessment were seen on four service users’ files. These gave detailed information about service user’s abilities and needs in all aspects of their daily living and personal care. A member of the management team visits the service user and gathers more information about their needs from them and from their family. The service user is invited to visit the home as often as they wish for various lengths of time before starting to use the service. Feedback from service users evidenced they felt they had been involved in deciding to use the service and had the opportunity to visit before they came for a stay. Westminster House DS0000032663.V349454.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has comprehensive care plans and risk assessments that clearly state how service users needs should be met. Service users are encouraged and supported to make decisions. EVIDENCE: All four service users who were case tracked had a care plan based on the information gathered during the assessment process. The care plans covered all aspects of personal, social and health care support needs and identified where service users were independent and where they needed help and support. Files also contained a service level agreement, which recorded the amount of respite care allocated to each service user. These agreements were regularly reviewed at meetings attended by the service user, care manager, relatives and the registered manager. Westminster House DS0000032663.V349454.R01.S.doc Version 5.2 Page 12 Feedback from service users showed they felt able to make decisions about their daily lives. Several commented on the monthly service user meetings, held in the home. Service users were initially supported to run these meetings, but are now able to do so independently. The registered or assistant manager are invited to attend for part of the meeting, so service users can give them feedback about the home. The meetings generate a report that is written in an easy read format. Some service users commented they did not always receive a copy of the minutes. Service users use the home in different ways, according to their needs. Some come for a day or night throughout the year, others come for a few days or weekend and some come for a few weeks. Service users also choose how they spend their stay. Some choose to continue with their normal routine, going to college or day centre, whilst others choose to treat their stay as a holiday. Some service users and their relatives commented that they were not always able to to what they wanted due to a shortage of staff. The registered manager said staffing levels were currently being reviewed to ensure service users had more opportuntities to go out or do activities whilst they were staying in the home. Service users were seen throughout the day, spending their time in different ways. Some went out independently, whilst others used private transport to get to various activities. Some had a lie in, before getting up and using the home’s computers to find information on the Internet. Staff were seen offering company and support. The home only offers respite stays, so staff are not involved in managing service users’ finances. There is a system in place for looking after small sums that service users bring in with them, if they do not want to keep it themselves. The money is kept locked in the office safe and records and receipts are kept of any expenditure. Risk assessments are completed as part of the initial assessment. Moving and handling assessments were seen for those needed help with their mobility. The registered manager said only ground floor rooms were suitable for people with mobility problems and their availability had to be considered when planning respite care. Risk assessments were also seen for service users with epilepsy. In some instances the risk was minimised by using a method that could compromise the service user’s privacy and dignity. This had been balanced against the risk of serious harm and its use agreed with the service user, their relatives and care manager. Westminster House DS0000032663.V349454.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are able to make choices about how they spend their day and have a range of social and leisure activities to choose from. The home offers meals that are well balanced and varied and that service users like. EVIDENCE: As stated in the previous section, service users use the home in many different ways, according to their needs. Some choose to continue with their education programme, attending college whilst they stay at Westminster House. The home arranges transport for them so they are able to attend. Similar arrangements are made for those who wish to still go to their day centres. The home has good links with other services in the community and the assistant manager explained that donations have recently been used to improve access to the garden for all service users. The AQAA recorded that Westminster House DS0000032663.V349454.R01.S.doc Version 5.2 Page 14 there are plans to use part of the garden to grow vegetables to offer another activity to service users. Feedback from service users showed they like staying at Westminster House. They said they choose which room they stay in and what activities they do. There are plenty of communal areas for them to spend time in. One room has been designed as a sensory room. Access to this is limited by having to store equipment in it. The assistant manager said there were plans to provide more storage space so that service users can use this room without having to ask staff to clear it out first. Service users are also supported to go out to the cinema, local pub and other activities. The AQAA recorded that the home tries to make sure friends are able to have their respite breaks together. As previously stated in this report, some service users and their families feel they do not have enough organised outings and activities within the home, due to the number of staff available. This is being addressed by the registered manager. The registered manager said he felt supporting service users’ families was part of the role of Westminster House. Feedback from relatives evidenced they thought the home provided a good service and communicated well with them. Relatives were invited to the service level agreement meeting to review what respite was needed. Staff were observed talking to relatives and carers, giving them information about the service user’s stay. Service users said they thought staff listened to them and did what they wanted. Files recorded how the service user wanted to be addressed and staff were heard using these names during the inspection. Service users are able to have a key to their bedroom. Some service users are not able to use the locks on the bathroom doors or do not like to. A visual aid that is easy to use has been devised that shows whether the room is free. Rooms have pictures to identify their use to make it easy for service users to find their way round the home. During the day, service users were seen moving freely around the home, going into the office to ask questions, or spending time in their rooms and the communal areas. Staff helped them when they wanted them to, for example, helping one service user find the website he wanted to look at and another to play the game he had chosen. Staff were seen spending time with service users talking with them and answering their questions. Feedback from service users showed they were satisfied with the meals provided. They could have breakfast when they wanted it and chose what they had for lunch. The main meal of the day was served in the evening during the week as many people are out during the day. There was a choice Westminster House DS0000032663.V349454.R01.S.doc Version 5.2 Page 15 of two main meals, but the cook said an alternative could be found if neither option was liked. Service users are provided with pack lunches if they are out during the day. Some meals out are also paid for and service users are not expected to pay for care staff meals on trips out. Westminster House DS0000032663.V349454.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Comprehensive care plans enable service users to consistently receive help with their personal care in the way they like it. Health care needs are monitored and met. Staff have the training and guidance they need to enable them to manage medication safely. EVIDENCE: Comprehensive assessments identify what aspects of personal care service users can do for themselves and what they need help with. Moving and handling risk assessments are completed and identify whether aids are required. The home has a variety of manual handling equipment including overhead tracking hoists, hoists in baths, walk in showers and profiling beds for those who need them. Service users with physical disability are always allocated a ground floor room. The registered manager said there were plans to improve the facilities for service users with complex physical needs. Families are asked at each visit whether there have been any changes in the service user’s personal or health care needs and there is a system in place to Westminster House DS0000032663.V349454.R01.S.doc Version 5.2 Page 17 review the care plan if the service user has not visited the home in three months. The home provides care to some service users who have complex needs. Each stay is carefully planned to make sure there are enough staff on duty to meet their needs. This is done by reducing the number of admissions during the person’s stay. Some service users require one to one staffing during their stay and this is also planned in. Comment cards completed by staff and discussion with them during the day, evidenced they thought they had sufficient training to meet the needs of service users. Feedback from service users showed they thought staff had the skills they needed. The majority of relatives who provided feedback thought the care provided by staff was good. The pre admission assessment identifies whether the service user wants to look after their medication during their stay. This is agreed with the care manager and a risk strategy put in place. Service users who were looking after their own medication said they made sure they always kept their bedroom doors locked to keep it safe. The home does not keep medication for service users as they bring their medication in with them. Each service user has a medication chart and the amount received is recorded on this by a member of staff and countersigned by a second staff member. This process was observed in practice. At the end of their stay the medication is counted again and a record made of what is returned to the service user. Staff said only those who have been trained are allowed to give out medication. This is the duty officer or one of the senior night staff. The home keeps a record of all medication given to service users. The records were seen and showed they were signed each time the service user has their medication. To help staff and to minimise errors, a system is used that highlights whether the service user has one or more than one tablet each time medication is given out. Westminster House DS0000032663.V349454.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place that enable service users o give feedback about the service they receive and to be confident any concerns they raise will be listened to and addressed. Staff training and a robust policy and procedure minimises the risk to service users of abuse. EVIDENCE: Feedback from service users and their families showed they knew how to make complaints and felt confident their concerns would be listened to. The home has a complaints procedure, a copy of which is displayed in the entrance hall. The information on how to contact the commission was out of date. The registered manager said it would be changed as part of the review of information given to service users. There is a system in place for recording any complaints received together with the action taken and the outcome. The AQAA showed no complaints had been received by the home since the last inspection and the commission had received none. The home had a policy and procedure for safeguarding adults. The previous inspection report stated staff were confident in using them and had received training. Records showed staff had attended training some time ago. The registered manager was shortly to attend a ‘train the trainer’ course on the new ‘safeguarding adults’ policy and procedure. He confirmed he would then provide updated training to staff. Westminster House DS0000032663.V349454.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are able to stay in a clean, comfortable environment that has been adapted to meet their needs. Systems are in place to minimise the risk of infection. EVIDENCE: The home provides a clean, comfortable homely environment that service users said they liked. The layout is not ideal for the people who use it, but staff have worked to make it as accessible as possible. Time is spent planning stays so that those who need ground floor rooms are allocated them. Storage space is limited, which means equipment stored in the sensory/relaxation room restricts free access to it, but there are plans to provide alternative storage space so that service users may use this room without having to ask. There are several communal rooms so service users have a choice about where they spend their time. Westminster House DS0000032663.V349454.R01.S.doc Version 5.2 Page 20 The registered manager said service users are involved in the décor of the environment and chose the colour schemes in the bedrooms. Some of them also helped staff paint them. All bedrooms are single. The home has a laundry with machines that have a disinfection programme and staff have had training in infection control procedures. The home has a contract for the disposal of clinical waste. Westminster House DS0000032663.V349454.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient, well-trained staff are provided to support service users in a flexible way that meets their needs. A robust employment procedure ensures service users are protected. EVIDENCE: Staff said they felt encouraged and supported by the management to achieve qualifications. More than 50 of staff have completed a National Vocational Qualification (NVQ) 2 and the registered manager said this should shortly be increased to 100 . Staff said they were able to progress to other qualifications if they wished. Many of the staff have worked at the home for a long time and there are minimal staff changes. The registered manager said no new staff had been employed since the last inspection, but the previous inspection report stated the home used robust employment procedures. Feedback from staff showed they felt their recruitment had been thorough and fair. Westminster House DS0000032663.V349454.R01.S.doc Version 5.2 Page 22 Staffing for each shift is planned according to who is using the service on that day. Some service users require one to one staffing and this can be provided. The recent review of the service has identified the need to increase care hours and the registered manager said the home was currently looking to employ more staff. In addition to the permanent staff the home has its own bank staff, who are used to cover holidays and sickness. They are also used to complement the permanent staff to provide the flexibility required to meet the individual needs of service uses. Staff felt they received the training they needed to support service users. Comments included: ‘Training of staff is paramount in the service. All staff are supported to undertake all relevant training.’ ‘Sometimes we require additional training on specific issues/health needs, but this is put in place prior to s/user starting service.’ Feedback from service users and their families demonstrated they thought staff were well trained and able to meet their needs. Training needs are monitored through supervision and annual appraisal. A record of training is kept which identifies when refresher courses are required and these are arranged through the Adult Services training programme as soon as a course is available. As no new staff had been employed, the induction programme was not viewed. The previous inspection report stated the home had a good induction programme and feedback from staff evidenced they felt their induction training was good. Westminster House DS0000032663.V349454.R01.S.doc Version 5.2 Page 23 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 43. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and service users have opportunities to give feedback about the service they receive. Staff receive training in most aspects of health and safety, but should have food hygiene training to minimise risks to service users. Equipment is regularly service to ensure health and safety risks to service users are minimised EVIDENCE: The registered manager has returned to the home after a long period of sickness. He has the relevant experience and qualifications to manage the home and is well supported by an experienced management team. Feedback from service users, families and staff said they felt he managed the home well and for the benefit of service users. Westminster House DS0000032663.V349454.R01.S.doc Version 5.2 Page 24 The home has a monthly service users forum that is run by service users. The registered manager said he or the assistant manager is invited to part of it to explain issues and answer questions. A report is produced on the home’s computers using Widget 2000 and a copy is sent to all service users. Service users are also able to give feedback about the home at their service agreement reviews and through survey forms. The home has monthly visits from a representative of the responsible individual and written reports are given to the registered manager. A review of all learning disability services is being undertaken on the Isle of Wight and this includes reviewing care provision at Westminster House. The AQAA listed the dates equipment was serviced in the home. Samples of these records were seen during the inspection, which confirmed equipment was regularly maintained. Staff training is now recorded in a format that enables the management to monitor when training and refresher training is needed. Records for three staff, randomly selected, showed they had attended recent refresher courses mandatory training such as first aid and fire safety. Bank staff had access to the same training as permanent members of staff. The AQAA recorded that 23 of catering staff have had training in food hygiene and no care staff have had it. Although the home employs a cook, staff are expected to assist with preparing breakfasts, lunches and snacks. The person responsible for monitoring training said there was limited training available in the Adult Services training programme in food hygiene, but the need for Westminster House staff to go on this course had been brought to the training unit’s attention. Some staff have recently been on fire safety training and others are due to attend shortly. The assistant manager said the current fire safety arrangements had been discussed and it was felt they were not effective for the service Westminster House provides. An appointment had been made to review these with an external expert to see what would be best practice with regard to procedure, fire drills and staff training. The registered manager was advised to contact the local fire safety officer for guidance on staff training as part of this review. Westminster House DS0000032663.V349454.R01.S.doc Version 5.2 Page 25 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 3 2 3 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 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X X 3 Westminster House DS0000032663.V349454.R01.S.doc Version 5.2 Page 26 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Westminster House DS0000032663.V349454.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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. 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