Inspection on 15/02/07 for Westover Close, 1c

This inspection was carried out on 15th February 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

Westover Close, 1c 12/12/05

Westover Close, 1c 19/07/05

Westover Close, 1c 29/11/04

Westover Close, 1c 22/07/04

Similar services:

Ruskin Lodge

Dystlegh Grange

The Good Companions

Springfield Cottage

Cuerden Grange Rest Home

Cornmill Nursing Home

Vitalise Sandpipers Centre

Sue Ryder Care Birchley Hall

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

CARE HOME ADULTS 18-65 Westover Close, 1c 1c Westover Close Maghull Liverpool Merseyside L31 7BU Lead Inspector Mrs Trish Thomas Key Unannounced Inspection 15 -16th February 2007 11.15 th Westover Close, 1c DS0000005436.V295337.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 Westover Close, 1c DS0000005436.V295337.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. Westover Close, 1c DS0000005436.V295337.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Westover Close, 1c Address 1c Westover Close Maghull Liverpool Merseyside L31 7BU 0151 526 4133 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) Parkhaven Trust Mrs Suzanne Bridgewater Care Home 4 Category(ies) of Physical disability (4) registration, with number of places Westover Close, 1c DS0000005436.V295337.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 4 PD. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 12th December 2005. Date of last inspection Brief Description of the Service: 1c Westover Close is a purpose built bungalow for four young adults assessed with profound physical disabilities. The home is owned by Parkhaven Trust and Mrs. M. Bridgewater is the registered manager. The home is well integrated with other domestic dwellings in the street and has a car park at the front of the building and gardens at the side and rear. This is a permanent home, providing twenty-four hour care and support, home cooked meals and laundry services. All those in residence are registered with a local G.P. and therapeutic treatment is provided on the premises by visiting therapists. The home provides a range of moving equipment and installation of ceiling tracking assists in moving residents in comfort and safety. The four residents occupy single bedrooms with adjacent access to a bathroom. Communal space consists of a lounge/dining area and a conservatory. Westover Close, 1c DS0000005436.V295337.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over two days and the methods used were, spending time with residents, discussion with the manager, Mrs. Bridgewater and staff, reading records compiled in the home and touring the premises. A resident’s relative was contacted by telephone and she said she is very pleased with the overall care and support provided. What the service does well: Westover Close is a permanent home to the four young people who live there. The care files of two residents were read and contained pre-admission assessments carried out by social workers. Assessments of physical, social and health care needs were in place and there were support plans in place to meet the outcomes. Residents’ preferred activities inside and outside the home are recorded. A range of in house and community based activities are available to residents, including horse riding, theatre, holidays, visits to family and swimming. Residents’ needs are central to the home’s routines and staffing levels are flexible to support leisure activities. Residents’ diversity is respected in methods of care planning, assessment and review, followed in the home. There was much evidence of consultation with residents’ families/representatives, through review meetings, participation in the processes and ongoing contact. A relative confirmed that staff phone her and keep her informed of her son’s condition. Residents are registered with local a local G.P. and there was evidence in care plans of health referrals for general health and specialist health needs. The home has a pleasant atmosphere. Staff contact with residents (as seen during the visit), was positive, and they have developed good communication skills, which respond well to each individual’s ways of communicating. The home is purpose built and decorated in a style, which is suitable for the young people who live there. Refurbishment is ongoing and the home is well maintained. There are secluded gardens for residents at the rear and side of the building and a car park at the front. Residents’ bedrooms are highly personalised and comfortable with the equipment they need to aid their mobility and adjacent bathroom access. The home is on one level and fitted with a range of moving aids in addition to residents’ individual moving equipment. Westover Close, 1c DS0000005436.V295337.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Westover Close, 1c DS0000005436.V295337.R01.S.doc Version 5.2 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 Westover Close, 1c DS0000005436.V295337.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2. Quality in this outcome area is good. Residents’ individual needs and aspirations were assessed before they moved in to Westover Close. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Westover Close is a permanent home to the four young people who live there. The care files of two young people were read and contained pre-admission assessments carried out by social workers. Assessments of physical, social and health care needs were in place and there were support plans in place to meet the outcomes. Westover Close, 1c DS0000005436.V295337.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6,7 and 9. Quality in this outcome area is good. Residents changing needs are reviewed and their support plans are updated. Residents receive the support they need to express their feelings, within their decision-making capacity and abilities. Risk taking is in accordance the assessed abilities of the residents, when at home and in the community. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All residents have been assessed with physical and communication difficulties and the records were on file. Two care files were read. Care plans had been regularly reviewed by staff and updated and residents’ needs/preferences recorded. Reference was made to a speech and language profile for one resident, obtained through referral to a speech therapist. This provided a detailed summary for staff, of the resident’s means of communication, and the actions staff should take in responding and gaining this resident’s attention. Residents’ families had provided details of their preferences before they moved Westover Close, 1c DS0000005436.V295337.R01.S.doc Version 5.2 Page 10 in, and these have been regularly reviewed while they have been living in the home, in line with their lifestyle. Staff interaction with residents (as seen during the visit), was positive, and they have developed good communication skills, which respond well to each individual’s ways of communicating. Residents’ care plans contain risk assessments regarding their care and support and their preferred activities inside and outside the home. Staffing levels are flexible to ensure that residents have the support they need to address identified risks. Two residents were going to the theatre on the day of this visit and sufficient staff were on duty escort the residents and cover the home. Westover Close, 1c DS0000005436.V295337.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,15,16 and 17. Quality in this outcome area is good. Residents take part in the activities, which they prefer in the home and in the community. Residents have contact with their families and are offered a healthy diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: In the files which were read, there were records of residents’ preferred activities inside and outside the home, examples being music, horse riding, theatre and swimming. Residents watch the videos and listen to the music they enjoy, and their needs are central to the home’s routines. Residents’ reactions to situations are observed and monitored and their support plans adjusted accordingly. Westover Close, 1c DS0000005436.V295337.R01.S.doc Version 5.2 Page 12 Residents’ families do not live locally. One resident was visiting family at the time of visit and it is usual for them to return to their family home and have visits from relatives. Residents’ diversity is respected in methods of care planning, assessment and review of their needs, which are followed in the home. There is evidence that parents/family are part of the care planning process, a parent having helped in the formulation of a communication profile of a resident. Holidays are arranged each year, in addition to local shopping trips and visits to local attractions. The kitchen has recently been re-fitted and is well equipped, with adjacent dining area. The home does not carry large food stocks and shopping is carried out as needed. Residents have healthy eating programmes and their food preferences are recorded. Referrals are made to the dietician if necessary. For one resident who has a peg feed, progress has been made as this resident has improved ability to eat orally. According to the care plan, this has improved the resident’s quality of life. Westover Close, 1c DS0000005436.V295337.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19,20. Quality in this outcome area is good. Residents’ preferences are obtained as far as is possible, and their health needs are addressed. Arrangements are in place for managing residents’ prescribed medication. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff have developed skills to communicate well with individual residents and their needs and preferences are recorded on their care plans. Physiotherapists and occupational therapists visit the residents to provide them with therapy in accordance with assessed need. There is guidance and training in best practice for staff in the methods of moving residents safely. The home is fitted with moving equipment and residents have individual aids to mobility in accordance with professional therapy assessments. Alternative therapeutic treatments are in evidence in care plans, such as exercise in water and aromatherapy. Westover Close, 1c DS0000005436.V295337.R01.S.doc Version 5.2 Page 14 Residents are registered with local a local G.P. and there was evidence in care plans of health referrals for general health and specialist health needs. The home has policies and procedures for managing residents prescribed medication. The systems in place and storage area were satisfactory at the time of this visit. A recommendation from the pharmacy report 13/1/06 is repeated in this report regarding provision of a medication fridge and training for staff in epilepsy. Westover Close, 1c DS0000005436.V295337.R01.S.doc Version 5.2 Page 15 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): Standards 22, 23. Quality in this outcome area is good. There are systems to ensure that residents’/representatives’ complaints are listened to and acted upon. Residents are protected through the home’s training and recruitment procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaints procedure and residents’ families have been supplied with a copy. There have been no complaints to CSCI regarding this service since the last inspection. A relative said that the home responds well to any concerns she has raised. The home has a procedure for Protection of Vulnerable adults and a “whistleblowing” policy and staff have received training in Protection of Vulnerable Adults. Westover Close, 1c DS0000005436.V295337.R01.S.doc Version 5.2 Page 16 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): Standards 24 & 30. Quality in this outcome area is good. 1c Westover Close is purpose built and furnished in contemporary and comfortable style. Standards of hygiene in the home are high. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is in good order, re-decoration and refurbishment being ongoing. Furnishings are of contemporary style and the environment is suitable for young adults. There is a domestic-style newly fitted kitchen, dining area, lounge and conservatory for residents, music systems and a large screen television. There are secluded gardens for residents at the rear and side of the building and a car park at the front. Residents’ bedrooms are highly personalised and comfortable with the equipment they need to aid their mobility and adjacent bathroom access. The home was clean and hygienic throughout. The washing machine has been removed from the kitchen and an enclosed laundry area has been created off Westover Close, 1c DS0000005436.V295337.R01.S.doc Version 5.2 Page 17 the hallway since the last inspection. Staff receive training in infection control, health and safety and food hygiene and COSHH procedures are in place. There arrangements for waste storage and disposal. Westover Close, 1c DS0000005436.V295337.R01.S.doc Version 5.2 Page 18 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): Standards 32,34 and 35 Quality in this outcome area is good. Staff are well trained and the home has robust recruitment and vetting systems. Training is provided in accordance with the home’s statement of purpose and residents’ assessed needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four members of staff, including Mrs. Bridgewater, (Registered Manager,) were spoken with and staff files and training records were read. Staff on duty said they have received regular supervision (four- six weekly) and training undertaken/ planned recently includes : Protection of Vulnerable Adults, Health & Safety, First Aid updates, Food Hygiene, Moving and Handling, Safe Handling of Medication, Activities, Continence Support, Health & Safety in the Workplace, End of Life Care, Equality and Diversity. A recommendation is made that staff receive training/updates in management of epilepsy. Staff also undertake NVQ Levels 2 and 3. A sample of staff files was read and contained, job application form, interview record, two references, proof of identity. Staff are issued with job descriptions Westover Close, 1c DS0000005436.V295337.R01.S.doc Version 5.2 Page 19 and contracts of employment. Mrs. Bridgewater confirmed that staff have police clearance and POVA checks. Westover Close, 1c DS0000005436.V295337.R01.S.doc Version 5.2 Page 20 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): Standards 37, 39, 42. Quality in this outcome area is good. Mrs. Bridgewater is the registered manager and the home is well run, in accordance with the stated and aims and objectives and best interests of residents. Residents’/representatives’ views underpin monitoring and quality audits. Residents’ health, safety and welfare are promoted and protected through the home’s policies and procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Mrs. Bridgewater is a qualified manager with many years experience in residential care. She has created systems to ensure records in the home are well organised, secure and up to date. Staff said they receive regular supervision and are well supported. Westover Close, 1c DS0000005436.V295337.R01.S.doc Version 5.2 Page 21 In assessing the quality of service, outcomes to residents are obtained through the care planning and review processes. There is ongoing consultation with residents’ representatives as to their views on quality service and review meetings are arranged. Health & Safety Certificates and the fire book were read and were up to date and satisfactory. Hot water pipes in the conservatory have been boxed in to protect residents from risk of burns. Westover Close, 1c DS0000005436.V295337.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 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 3 33 X 34 X 35 2 36 3 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 2 x 3 X 3 X X 3 3 Westover Close, 1c DS0000005436.V295337.R01.S.doc Version 5.2 Page 23 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. 1. 2. Refer to Standard YA20 YA35 Good Practice Recommendations The registered person should arrange for a medication fridge to be purchased for use in the home. The registered person should arrange for staff to receive training/updates in epilepsy care. Westover Close, 1c DS0000005436.V295337.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Knowsley Local Office 2nd Floor, South Wing Burlington House Crosby Road North Liverpool L22 0LG 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. Extracts may not be used or reproduced without the express permission of CSCI Westover Close, 1c DS0000005436.V295337.R01.S.doc Version 5.2 Page 25 - 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. 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