Inspection on 31/05/05 for Westonia Court

This inspection was carried out on 31st May 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

Westonia Court 16/02/09

Westonia Court 19/12/06

Westonia Court 22/11/05

Westonia Court 07/12/04

Westonia Court 17/09/04

Westonia Court 11/12/03

Similar services:

Coopers Mill Ltd

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Upaya Ananda

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Pemdale

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

CARE HOME ADULTS 18-65 Westonia Court London Road Bedford Beds MK42 0QE Lead Inspector Ansuya Chudasama Announced 31 May 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Westonia Court I51 s14982 WESTONIA COURT v214002 310505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Westonia Court Address London Road Bedford MK42 0QE 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) 01234 350641 MacIntyre Care Stewart Simpson care home 8 Category(ies) of LD - Learning Disability registration, with number of places Westonia Court I51 s14982 WESTONIA COURT v214002 310505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th December 05 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 exiting sheltered housing scheme for older adults. It was, however, completely self-contained. It consisted of a main house with two storeys, which had been the warden’s accommodation. This was attached to what had originally been independent bed-sitting rooms on two storeys. The main house had a communal lounge/dinner, 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 I51 s14982 WESTONIA COURT v214002 310505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was undertaken at 09.30, and it took place over 7 hours. The manager, Carol Davison was present at the inspection. The inspection was comprised of a tour of the communal areas, some of the service users’ bedrooms, talking to staff and link workers of service users, and talking to service users. Two service users’ case records and other documents were inspected in detail. There were seven service users living at the home at the time of the inspection. One service user was having an assessment at a special unit. Seven out of eight service users were able to communicate verbally and one service user used makaton sign language to communicate with people. The staff had received training on makaton sign language from twinwoods resource centre. What the service does well: The manager was very experienced and ran the home to a high standard. It was stated by staff that they “received good support from management” and this “was a happy place to work at”. The organisation provided staff with very good training, which was linked to meeting the needs of the service users. All staff stated that the service users were well looked after at the home and this was compared to other places the staff had worked at previously. It was also stated that the staff gave service users choices, and made them feel valued at the home. The staff provided service users with advice and information using pictures, verbal communication, and sign language in their meetings to get them involved in the running of the home. They were observed treating them as individuals, with respect. Service users stated that they enjoyed the meals that were provided by the home. They also enjoyed going on holidays and outings. The service users spoken to, and those observed showed that they were very happy at the home. This was emphasised by staff who stated that the service users also informs them that they are very happy at the home. Westonia Court I51 s14982 WESTONIA COURT v214002 310505 Stage 4.doc Version 1.30 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. Westonia Court I51 s14982 WESTONIA COURT v214002 310505 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Westonia Court I51 s14982 WESTONIA COURT v214002 310505 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4,5. The homes statement of purpose and service user’ guide are excellent providing prospective service users and their families information of the services the home provides enabling an informed decision about admission to the home. EVIDENCE: The home had a statement of purpose and a colourful service users’ guide, which was completed by staff, service users and the manager. The home had not admitted any new service users since 1998. The last service user admitted to the home had trial visits to the home with his family before making a decision to move into the home. The home did not admit any emergency admissions or service users who’s needs they could not meet. All service users had contracts and they or their representatives signed these. Westonia Court I51 s14982 WESTONIA COURT v214002 310505 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) 6,7,8,9,10 There was clear and consistent care planning systems in place to provide the staff with the information they needed to meet the needs of the service users to a high standard. EVIDENCE: The two care plans inspected contained detailed information about the service users personal care needs, health care needs, communication skills, and compatibility with living with other service users. There was also information on how service users’ finances, activities, and day care education was being managed by the home. The service user and other people involved in the process of implementing care plans signed the document to agree to the goals set. The key workers of the service users undertook monthly reviews, and on a three monthly basis reviewed the aims and objectives of Person Centred Planning, which was also linked to care plans. The home had offered a service user the choice to practice his cultural and religious needs but the service user declined this. Detailed risk assessments were undertaken on all service users, and management monitored these on a regular basis. The staff spoken to, and observation during the day showed that service users were given advice and information to make decisions about their lives. Westonia Court I51 s14982 WESTONIA COURT v214002 310505 Stage 4.doc Version 1.30 Page 10 Westonia Court I51 s14982 WESTONIA COURT v214002 310505 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) 11,12,13,14,15,16,17 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: All the service users had been informed of the inspection visit. Those service users seen were very enthusiastic about the visit and some of them showed the inspector the garden, and their bedrooms. They also stated that they had been to the seaside, zoo, concert and many other activities of their choice. Service users were involved in the running of the home by having house meetings and some of the issues discussed were on health and safety, menus, holidays, and what was happening in the home. The two service users care plans inspected had detailed information on activities that the service users undertook in the home and in the community. They also attended life long learning centre four days a week and had one day back at the home to work Westonia Court I51 s14982 WESTONIA COURT v214002 310505 Stage 4.doc Version 1.30 Page 12 on their personal development skills on a one to one basis with staff. This was observed on the day of the inspection. The service users maintained contact with their families by visiting them. They also wrote and spoke to their families by telephone. The service users stated that they choose the meals in their meetings and these were displayed in picture format. It was stated that the meals were very nice. Service users helped with meal preparation, and with domestic chores. The staff were observed knocking on service users rooms before entering their rooms. Service users informed the inspector that they opened their own mail and they asked staff to read the content to them. Westonia Court I51 s14982 WESTONIA COURT v214002 310505 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) 18,19,20,21 The knowledge of staff, safe systems for administering medication and detailed care planning meant that the health needs of service users are met. EVIDENCE: The care plans inspected had detailed information on how service users personal care needs were being met. This also included having information on breakfast routines and evening routines. The service users plans inspected were able to inform staff how they wanted to be cared by them. All the service users were appropriately dressed and those spoken to stated that they choose their own clothes and enjoyed going shopping. Service users money checked was correct and all transactions were well recorded. The manager stated that they tried to get service users involved with their finances by getting them to sign the record book. Services also purchased their own items with support from staff. The records showed that the health care needs of the service users were well managed by the home. There was evidence of medication being reviewed, appointments to health professionals being well recorded and monitored. The staff spoken to were able to give detailed information about the service users health care needs and how they supported service users to manage their needs. Information on service users burial arrangements was also recorded. One member of staff had not had training on death and dying. The home had a policy on this. Westonia Court I51 s14982 WESTONIA COURT v214002 310505 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 The staff have good knowledge and understanding of adult protection issues, which protect service users from abuse EVIDENCE: The home had a policy on adult protection and the homes induction covered a section on this issue. Service users, files inspected had information on what made service users vulnerable. There were procedures put in place to minimise these risks. The staff spoken to were aware of these identified risks. They also stated that they were able to know if a service user was unhappy by the way the person behaved, through their body language and by the way they would communicate with others. Discussions with staff showed that the staff understood the vulnerable needs of the service users very well. The organisations complaints policy needed reviewing as discussed at the inspection. A simple complaints procedures was displayed around the home and the staff spoken to stated that they discussed this with the service users in their meetings. It was also stated that the service users were able to inform staff or the manager if they were not happy about any thing. The complaints book inspected showed that any concerns raised by service users were recorded and dealt with satisfactory. Westonia Court I51 s14982 WESTONIA COURT v214002 310505 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) 24,25,26,27,28,29.30. The premises were well maintained so as to allow all those living at the home to enjoy a homely and comfortable environment that was safe, clean, and hygienic. EVIDENCE: The home was clean and had a homely atmosphere. The homes’ premises were suited for the service user group and met the space requirement. The service users’ rooms were a self-contained flat and had en suite and cooking facilities. The home had an activity room, quiet room, a combined dinning/lounge area and a domestic style kitchen. The lounge/dinner was small and the manager had discussed this with her management. It was stated that the future plans discussed in turning the lounge/dinner into one dinning area and a conservatory was to be built at the corridor section of the garden was to be discussed with Pilgrims Housing Association. Staff used a spare bathroom and toilet. Service users bedrooms seen were individualised with support from staff and well furnished. Two service users rooms had also been decorated recently. The art room was at present being redecorated. A new carpet was put in the hallway. New pictures for the lounge were purchased. New furniture for the garden was also purchased. Service users Westonia Court I51 s14982 WESTONIA COURT v214002 310505 Stage 4.doc Version 1.30 Page 16 were observed accessing all parts of the communal areas. The home had a large garden and service users and staff used this in the summer months. The inspector was shown a garden plan that was designed by the service users to have the garden the way they wanted it. This was sent to the organisation for funding purposes. Westonia Court I51 s14982 WESTONIA COURT v214002 310505 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) 31,32,33,34,35,36 The home provided very good training so that the people living at the home had their needs met by competent and suitable staff. EVIDENCE: The manager stated that during the last few months the home had struggled as they were short staffed. However they were now fully staffed. One new member of staff had started on the day of the inspection and another staff was due to start after receiving their references. It was stated to the inspector that the staffing hours needed to be increased as the needs of some service users had increased and they needed more one to one input. The home had two staff on duty per shift and this was increased to three staff when required. The staff team reflected the gender composition of service users. One member of staff had completed NVQ level 3 in promoting independence and one staff had completed the course but was waiting for verification. All new staff undertook the homes induction training, and they also completed the certificate in working with people with learning disabilities induction training. The staff spoken to stated that they undertook the statutory training in safe working practices and received excellent on going training. They received monthly supervision and yearly appraisals. It was also stated that they were Westonia Court I51 s14982 WESTONIA COURT v214002 310505 Stage 4.doc Version 1.30 Page 18 supportive towards each other and worked well as a team. All the staff spoken to enjoyed working at the home. Some of the staff files’ inspected did not have a recent photo, a copy of the birth certificate and passport. There was also no information available on a new member of staff that had started on the day of the inspection. The reply from head office was that they would not send any information until the person had started work. The staff files were kept at head office at present but these were being located in the home in the near future. Westonia Court I51 s14982 WESTONIA COURT v214002 310505 Stage 4.doc Version 1.30 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39,40,41,42 The home has an experienced and committed manager who ensures strong leadership, and safe working practices so that service users health, welfare and safety are safeguarded. EVIDENCE: The manager was competent and experienced and ran the home to a high standard. She has over five years experience of working with service users with learning disabilities. She has NVQ level 3 and at present is completing the NVQ level 4 in care and management. The manager stated that the staff were very good, very caring and good with the service users. She also empowered staff to discuss new ideas to improve the quality of care provided by the home. This evidence was observed on the day of the inspection. The staff spoken to stated that they got support from the manager and she was always available when needed for advice. She was also easy to talk to and had an open door policy. The home had weekly staff meetings. A staff-training plan and a development plan for 2005 was seen. Westonia Court I51 s14982 WESTONIA COURT v214002 310505 Stage 4.doc Version 1.30 Page 20 The operations manager undertook the investors in people survey and this took two days. The report seen was very positive. A fire file was completed in pictorial format for service users to understand health and safety issues. Two service users had also attended health and safety meetings held at the home. All service users were involved in fire drill testing. Staff spoken to stated that fire drills, fire and emergency lighting testing were carried out regularly. Westonia Court I51 s14982 WESTONIA COURT v214002 310505 Stage 4.doc Version 1.30 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 4 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 4 3 4 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME 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 3 4 3 3 3 3 x I51 s14982 WESTONIA COURT v214002 310505 Stage 4.doc Version 1.30 Page 22 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 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 Westonia Court I51 s14982 WESTONIA COURT v214002 310505 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection 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 © 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 Westonia Court I51 s14982 WESTONIA COURT v214002 310505 Stage 4.doc Version 1.30 Page 24 - 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!