CARE HOME ADULTS 18-65
Westonia Court London Road Bedford Bedfordshire MK42 0QE Lead Inspector
Ansuya Chudasama Unannounced Inspection 22nd November 2005 17:30 Westonia Court DS0000014982.V262657.R01.S.doc Version 5.0 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 Westonia Court DS0000014982.V262657.R01.S.doc Version 5.0 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. Westonia Court DS0000014982.V262657.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Westonia Court Address London Road Bedford Bedfordshire MK42 0QE 01234 350641 01234 348938 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) MacIntyre Care Carol Davison Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Westonia Court DS0000014982.V262657.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 31st May 2005 Brief Description of the Service: Westonia Court provided accommodation to eight adults with a learning disability. The home has been formed from part of an existing sheltered housing scheme for older adults. It was, however, completely self-contained and consisted of a main house with two storeys, which had been the wardens accommodation. This was attached to what had originally been independent bed-sitting rooms on two storeys. The main house had a communal lounge/diner, an activity room, quiet room, and office. There was a corridor to the service users rooms, on which was sited the laundry. The home had an enclosed garden and patio facility. The home was situated on a main road about one mile from Bedford town centre, with all the facilities provided by a large town, including a bus station and railway station. Westonia Court DS0000014982.V262657.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place in just under two hours. The inspection comprised of a tour of some of the communal areas of the home, and the majority of the time was spent talking to the service users, and staff. The home had eight service users in the home. This report should be read in conjunction with the last inspection report undertaken on the 31st May 2005. What the service does well: What has improved since the last inspection?
No Requirements were made at the last inspection. Westonia Court DS0000014982.V262657.R01.S.doc Version 5.0 Page 6 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. Westonia Court DS0000014982.V262657.R01.S.doc Version 5.0 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 Westonia Court DS0000014982.V262657.R01.S.doc Version 5.0 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): None of the standards were assessed on this occasion but these were assessed at the last inspection and all were met. EVIDENCE: Westonia Court DS0000014982.V262657.R01.S.doc Version 5.0 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): None of the standards were assessed on this occasion but these were assessed at the last inspection and all were met. EVIDENCE: Westonia Court DS0000014982.V262657.R01.S.doc Version 5.0 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): 11,12,13,14,15,16,17, Service users have opportunities for personal development to enrich their social and educational opportunities. Dietary needs of service users are well catered for with a balanced and varied selection of food available that meets service users tastes and choices. EVIDENCE: Service users spoken to stated that they enjoyed their evening meal. It was also stated that the food was “very nice”. They were observed helping with clearing up after the meal. It was stated that they choose the meals in their Friday meetings by using pictures. The menu seen promoted healthy eating and had a wide variety of different foods. All service users had a personal training day back at the home to work on their independence skills. This was carried out on a one to one basis with their key worker. One of the service users informed the inspector that on his training day he made his lunch and he had also baked a cake. Another service user was observed doing his tapestry with support from staff. One service user had singing lessons with a professional person on a one to one basis. All the service users attended day care services and those spoken to stated that they enjoyed this. The home
Westonia Court DS0000014982.V262657.R01.S.doc Version 5.0 Page 11 had very good working relationships with the day centre. Some of the service users were observed helping each other and getting on well with each other. The home had house meetings and issues on how to make a complaint, health and safety issues and things that were happening in the home were discussed with the service users. Service users spoken to stated that they knew what to do if they were not happy. They gave the names of several members of staff that they would speak to. Service users also informed the inspector that they had all been on a holiday and they also went out on outings, which they choose. The service users spoken to stated that they liked the staff and their key workers because they were helpful. Westonia Court DS0000014982.V262657.R01.S.doc Version 5.0 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): None of the standards were assessed on this occasion but these were assessed at the last inspection and all were met. EVIDENCE: Westonia Court DS0000014982.V262657.R01.S.doc Version 5.0 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): None of the standards were assessed on this occasion but these were assessed at the last inspection and all were met. EVIDENCE: Westonia Court DS0000014982.V262657.R01.S.doc Version 5.0 Page 14 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): None of the standards were assessed on this occasion but these were assessed at the last inspection and all were met. EVIDENCE: Westonia Court DS0000014982.V262657.R01.S.doc Version 5.0 Page 15 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): 31,32,33,34,35,36. The staff have good understanding of the needs of the service users to ensure that their needs are met. EVIDENCE: The staff on duty were very experienced and had knowledge of working with the service user group. It was stated that they had good induction training and one staff had NVQ level 3 in care and another staff was being signed up to undertaken this training. Both staff stated that they enjoyed working for the organisation. The inspector was informed that the home had one full time and one part vacancy for support workers. At present the organisations relief staff, the homes permanent staff, worked the hours and as a last resort the home used agency staff. One staff on duty had been working at the home since May 05. It was stated that they enjoyed working at the home and found the staff very nice and supportive. Support from management was described as being “brilliant with me”. The staff were observed being supportive to service users. The home had staff meetings every week, and supervision on a six monthly basis and this was booked in advance. Westonia Court DS0000014982.V262657.R01.S.doc Version 5.0 Page 16 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): 42 The home had policies and procedures on safe working practices so that service users health, welfare and safety are safeguarded. EVIDENCE: One of the dinning chairs was unsteady and needed repairing. The inspector was informed that the manager was in the process of replacing the table and chairs. Service users in their house meetings discussed health and safety issues. The service users were involved in fire drills and they also had pictures in their bedrooms about fire. The staff spoken to had undertaken the mandatory training in safe working practices. It was stated that the home undertook fire drills every three months. The staff on duty had verbal training on fire drills however one staff on duty had not undertaken this drill. The staff was going to speak to the manager about this. Westonia Court DS0000014982.V262657.R01.S.doc Version 5.0 Page 17 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 X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30
STAFFING Score X X X X X X x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Westonia Court Score X X X x Standard No 37 38 39 40 41 42 43 Score X X X X X 3 x DS0000014982.V262657.R01.S.doc Version 5.0 Page 18 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 Westonia Court DS0000014982.V262657.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Bedfordshire & Luton Area Office Clifton House 4a Goldington Road Bedford MK40 3NF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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