Inspection on 17/05/06 for Westview

This inspection was carried out on 17th May 2006.

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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Westview 05/11/07

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Insight - Eastchurch

Southfields

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Dovedale Court

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

CARE HOME ADULTS 18-65 Westview 2 Marten Road Folkestone Kent CT20 2JR Lead Inspector Wendy Gabriel Unannounced Inspection 17th May 2006 08:45 Westview DS0000065103.V294609.R01.S.doc Version 5.1 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 Westview DS0000065103.V294609.R01.S.doc Version 5.1 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. Westview DS0000065103.V294609.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Westview Address 2 Marten Road Folkestone Kent CT20 2JR 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) Lothlorien Community Ltd Miss Claire Bonner Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Westview DS0000065103.V294609.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Top floor of property not to be used for services users until agreement from Fire Officer has been received by CSCI. New Home Date of last inspection Brief Description of the Service: Westview is registered to provide care for up to 6 people with a learning disability between the ages for 18-65. All bedrooms are single occupancy and plans are currently underway for alterations to meet building regulations for the top floor room to be the sixth bedroom. Until this is completed, the sixth resident remains living at the previous home all the other residents came from and visits Westview daily to be part of the residents’ life there until the room is complete. The communal rooms are large and well furnished. The house is in a quiet residential area in the seaside town of Folkestone and is near public transport, church, college and the town centre shopping facilities. There is limited parking to the front of the home and some parking on the road outside. This inspection is the first since the home was registered. The fees range from £541.00 to £934.00 per week. Westview DS0000065103.V294609.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspector visited the home on an unannounced visit and was pleased to find the residents freely accessing the home in preparation for their days’ work or college. Several residents spoke to the inspector and told her about aspects of their life at the home. The home was clean and tidy and furnished and decorated in a homely and bright style. The residents have all come from a much larger home within the same company as have most of the staff and this was evident in the friendly, knowledgeable and good-humoured rapport between them. The Inspector would like to thank the residents for talking to her about life at Westview and for showing her their individual rooms. What the service does well: What has improved since the last inspection? What they could do better: Although some information on staff and residents was held tidily and with access for staff, a recommendation was made for it to be held in a secure place as people for whom it was not intended could access it. The Registered Manager agreed to this. A requirement was made for medication to be kept in its original container as discussed in the body of the report. Westview DS0000065103.V294609.R01.S.doc Version 5.1 Page 6 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. Westview DS0000065103.V294609.R01.S.doc Version 5.1 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 Westview DS0000065103.V294609.R01.S.doc Version 5.1 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): Quality in this outcome area is good. The home is meeting the aims of the current statement of purpose and service user guide. EVIDENCE: The statement of purpose indicates that a pre-admission assessment is carried out with the support of the resident, care manager, carers, relatives and appropriate professional persons. The statement of purpose further states that this will include a life history to identify personal choices and wishes. Because all the residents have come from another of the group homes and have lived as part of the group for several years, the pre-admission forms originally used were not kept in the home. However, the Registered Manager had details of a new, detailed format, provided by the company, that would be used by the home for future assessments. The Registered Manager explained that the pre admission assessment would include visits to the prospective resident in their own environment and visits to the home including overnight stays. Referals would be made to health care professionals as required. Activities would be planned and reviewed after three months. Westview DS0000065103.V294609.R01.S.doc Version 5.1 Page 9 Westview DS0000065103.V294609.R01.S.doc Version 5.1 Page 10 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): Standards 6,7,9,10.3, Quality in this outcome area is good. Residents are enabled to maintain their health care and lifestyle choices and risks are identified to support this. Individual records are to be secured to maintain confidentiality. EVIDENCE: Two care plans were viewed and there was some evidence of the residents writing in the plans themselves and detailing their own likes and dislikes and lifestyle planning. The plans were reviewed regularly. Risk assessments were discussed and the staff are very involved in identifying potential risks and responses to maintaining each residents independence. Residents also wrote some individual risk assessments. Care plans are created in an easy to read format with large writing and descriptive illustrations. Staff write daily records and the residents keep daily diaries. At the end of the week the key worker to each resident discusses any issues the diaries indicate with the resident. Several residents told the inspector of the choices they were encouraged to make regarding life in the Westview DS0000065103.V294609.R01.S.doc Version 5.1 Page 11 home including meals, daily activities, jobs and college. Entries in the care plans detailed choices and how they may be obtained. A resident showed the inspector some writing about life at the home and who also stated that staff are actively helping to enable a possible lifestyle change for the future. Residents hold regular meetings. Care plans and other personal information are stored in a communal area and the Registered Manager agreed to provide lockable storage for these. Westview DS0000065103.V294609.R01.S.doc Version 5.1 Page 12 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): Quality in this outcome area is good. Residents are supported to take part in activities and jobs of their choice. Residents appropriate friendships will be supported and their rights will be respected. Meals are provided that meet dietary needs and choices. EVIDENCE: One resident was on holiday at the time of the inspectors visit, one resident had a house day and four other residents spent the day either at work or college. Two residents described their jobs and one said she was thinking of a change and that the staff were in agreement with her decision. Individual activity records identified a selection of work, training and leisure activities. Some work is paid and the inspector discussed this with the Registered Manager who said payment had to take account of benefits received. Some late afternoon /early evening courses are undertaken at college, some require a small fee and this is paid by the home. Westview DS0000065103.V294609.R01.S.doc Version 5.1 Page 13 Holidays are undertaken and are chosen by residents whom may not all wish to holiday together. The Registered Manager said the company pays for holidays. A computor is set up for the use of residents and this had encouraged one resident to ask to attend literacy classes at the local college. Some of the residents are able to travel independently and they told the inspector about their journeys. The home has a car and a mini bus. The Registered Manager said she wanted to exchange the mini bus for a more discreet vehicle but the residents wanted to keep it, residents in the room agreed that this was correct. Families are welcomed into the home and several residents have regular visits to the homes of their families. Staff and some residents said that since moving into the home the next door neighbours had been friendly to them. One resident confirmed that they have front door keys as well as bedroom door keys. The Registered Manager said that a member of staff would always be around when a resident was expected home or to go out. All residents have mobile phones. Residents said they were able to choose their menus and took turns in cooking. There was evidence of fresh vegetables and fruit in the home. A discussion took place at lunchtime between staff and a resident who wanted a different meal to that on the menu. A choice was discussed and happily resolved. Advice on maintaining a suitable diet for Prada-Willi Syndrome is available from that society. Westview DS0000065103.V294609.R01.S.doc Version 5.1 Page 14 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): Quality in this outcome area is good. Residents receive personal support appropriate to their physical, emotional and healthcare needs. Medication administration will be improved by retaining original packaging of a named medication. EVIDENCE: Care plans evidenced that health care needs are identified. Support is given by staff when required, e.g. visiting a Gp with a resident when advice needs to be understood by the home. One resident had written about his own health care needs in his care plan. Another resident indicated that times for getting up, going to bed and daily activities was by mutual agreement and usually to support getting to work or college on time. Two residents said that they attend church and one resident sang part of a hymn for the inspector. Medication is on a blister pack and secured within a locked facility in a locked room. No excess medication is stored and medication administration records had been completed. All staff undertakes medication administration training. The staff are working towards one resident becoming confident to selfadminister medication. One medication supplied on a foil strip had been removed from its original container with the name of the recipient and Westview DS0000065103.V294609.R01.S.doc Version 5.1 Page 15 instructions on. A requirement was made for all medication to be kept in the packaging supplied by the dispensing pharmacy. The Registered Manager agreed to this. Westview DS0000065103.V294609.R01.S.doc Version 5.1 Page 16 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): Quality in this outcome area is good. Residents are enabled to complain and state their views by use of a simple guide and may be protected from abuse by staff training. EVIDENCE: The home provides a guide for service users in simple language that advises how to complain. It is in a large format and provides simple descriptive diagrams. The home maintains a recording facility for the complaint procedure. There were no entries at the time of the inspectors visit. Residents have key workers and are encouraged to discuss any matters with them. Two residents told the inspector they were able to talk to the staff if they had a concern. It was evident that the communication between staff and residents was relaxed and open. Staff have undertaken training in understanding Adult Protection, including how to report incidents. Training also includes non-violent crisis intervention. The inspector and Registered Manager discussed the residents understanding of terms of abuse. The inspector recommended that suitable information be sought and discussed with a view to giving appropriate information to individual residents if it was considered to be of benefit to their lifestyles. Westview DS0000065103.V294609.R01.S.doc Version 5.1 Page 17 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): Quality in this outcome area is good. Residents live in a homely and safe environment. The home is hygienic and clean. EVIDENCE: The premises are in keeping with other similar houses in the road and are close to a main road leading to the centre of Folkestone and nearby Cheriton. The area manager called into the home soon after the inspector. She confirmed that the planning officer and fire officer had reached a solution to enable suitable building work to be undertaken for the bedroom on the top floor of the home to be put into use. The laundry, although very small, was clean, tidy and hygienic. The large lounge/diner was attractively furnished and decorated in a modern and homely manner. The Registered Manager confirmed that the carpet was to be replaced by laminate flooring once the upstairs building work had been completed. Residents had agreed on the laminate floor covering and this had also been chosen by one resident for his bedroom. An electrical socket was full with an extension socket and the Registered Manager said that an extra socket was being provided for the t.v. and dvd. player. There is a small conservatory off the lounge and this has a computer set up on a desk for residents use. The Westview DS0000065103.V294609.R01.S.doc Version 5.1 Page 18 inspector saw plenty of evidence of the computer having been used by different residents. A resident had invited the area manager to the home to play a board game with him. The area manager had visited especially for this and eventually lost the game. All the rooms in the house are large and the bedrooms seen were individual. Westview DS0000065103.V294609.R01.S.doc Version 5.1 Page 19 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): Quality in this outcome area is good. The home employs suitable recruitment procedures to protect residents and staff receive suitable training to meet residents needs. EVIDENCE: There is a team leader and four support workers in addition to the registered manager working at the home. A company handyman is available during the week when required. A sample of two staff files were viewed and these included application forms, CRB checks, two references and contracts. Evidence of training was seen. Disciplinary procedures and job descriptions are in an individual policy. The staff had been with the company for some time before moving to Westview when the home opened a few months ago. The company has since provided a new and fulsome induction format. The Registered Manager explained that induction would take up to six weeks using this system. Supervision is undertaken every two months and is recorded. Training and development is pursued by the company training department and the Registered Manager confirmed that attendance at training sessions is made workable by having a small team of staff. All staff have undertaken mandatory training. Specialist training including Autism, Equal opportunities, Administration of medication, Epilepsy, Prada-Willi Syndrome and Aggressive behaviour is undertaken. Westview DS0000065103.V294609.R01.S.doc Version 5.1 Page 20 Two members of staff have NVQ3, two are due to start NVQ2 and the registered manager has NVQ4. Westview DS0000065103.V294609.R01.S.doc Version 5.1 Page 21 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): Quality in this outcome area is good. The Registered Manager has undertaken training to enable her to run the home appropriately. The company encourages review and development of the home thus benefiting the residents lifestyle and safety. Health and safety in the home is promoted. EVIDENCE: The Registered Manager has completed NVQ4 and the Registered Managers Award. The Registered Manager confirmed that she is well supported by the area manager and the company. Monthly managers meetings are held for all the area homes in the company. Quality assurance programmes are undertaken and evidence was seen of this for medication and health and safety. Residents families receive Westview DS0000065103.V294609.R01.S.doc Version 5.1 Page 22 questionnaires and several were viewed and were complimentary about the home. One query raised by a parent had been dealt with suitably by the Registered Manager. The team leader is currently working on a questionnaire for the residents. Up to date maintenance certificates were seen. The company insurance policy was in date. An environmental risk assessment folder is maintained. One resident has been given the responsibility of health and safety officer and encourages all other residents and staff to create a safe environment especially regarding fire drills. Westview DS0000065103.V294609.R01.S.doc Version 5.1 Page 23 Westview DS0000065103.V294609.R01.S.doc Version 5.1 Page 24 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 X 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 3 3 2 LIFESTYLES Standard No Score 11 X 12 4 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 X Westview DS0000065103.V294609.R01.S.doc Version 5.1 Page 25 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 YA20 Regulation 13 Requirement That all medication is retained in the original container. Timescale for action 18/05/06 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 YA10 YA23 Good Practice Recommendations Individual records are to be secured for confidentiality. That suitable and appropriate information is considered for informing residents of issues of abuse. Westview DS0000065103.V294609.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 Westview DS0000065103.V294609.R01.S.doc Version 5.1 Page 27 - 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. 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