Inspection on 05/11/07 for Westview

This inspection was carried out on 5th November 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Westview 17/05/06

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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 Key Unannounced Inspection 5th November 2007 09:10 Westview DS0000065103.V352346.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 Westview DS0000065103.V352346.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. Westview DS0000065103.V352346.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Westview Address 2 Marten Road Folkestone Kent CT20 2JR 01303 245629 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) westview@craegmoor.co.uk Lothlorien Community Ltd Miss Claire Bonner Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Westview DS0000065103.V352346.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th May 2006 Brief Description of the Service: Westview is registered to provide care for up to 6 people with a learning disability between the ages of 18-65. All bedrooms are single occupancy. 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. The fees range from £554 to £920 per week. Please speak to the provider for further information. Westview DS0000065103.V352346.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. At the time of the unannounced inspection the Registered Manager and a support worker were on duty. Two residents were still at home and were preparing to go out for their day’s activities. One resident went out on his own and the support worker accompanied the other. The home has ensured residents are fully involved in their own person centred plan and the individual residents had written those viewed. The individual residents had also written their own risk assessments. These are both very proactive exercises in enabling residents to express their views and choices. It also gives them excellent opportunities to understand reasons for their own risk assessments. A requirement made at the previous inspection had been met as had the two recommendations. Both residents spoke to the inspector and clearly were able to tell her about the variety of choices they had and outings they enjoyed. One said that he preferred life at Westview than where he lived before and that, because of staff encouragement, he could now do things he hadn’t though possible. The support worker was observed and heard to speak with the residents in a very supportive and friendly manner. The home was fully staffed and training was seen to be current and inclusive of mandatory courses, specialist courses and NVQ. Some redecoration including new flooring had been put in place since the previous inspection and the home now provides a modern environment for the age group of the residents. During the inspection some records were seen and cross-referenced and two residents spoke to the inspector. An accompanied tour of the premises was undertaken and one resident showed his room to the inspector. What the service does well: The home gives as much autonomy to the residents as is possible, for example, encouraging them to write their own person centred plans. Both residents individually said that they preferred living at the home than where they previously came from, one explaining that since living at Westview, he Westview DS0000065103.V352346.R01.S.doc Version 5.2 Page 6 had been encouraged to aim for goals he had expressed. Risk assessments were also written by residents detailing why the resident felt there might be a risk and action to take to avoid problems or what to do if an incident occurred. The Registered Manager and staff are pro active regarding residents finding jobs and the annual plan for 2008 is for all of the residents to find jobs as appropriate. 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. Westview DS0000065103.V352346.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 Westview DS0000065103.V352346.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Prospective residents have the information they need to make an informed choice about where to live including trial visits and overnight stays. Prospective residents know they will be assessed and the home they choose will meet their aspirations. EVIDENCE: The home is fully occupied and has not had any new admissions since the previous inspection. The registered manager described the procedure for admitting a new person into the home. This includes visiting the person who has been referred to the home and speaking to them, their family, care manager and any involved health care professionals. An initial assessment will be made and visits to the home arranged. The registered manager said it was important that the people already living in the home were happy with the person seeking to be admitted as the friendships that have already been formed in the house had to be maintained. Each resident has an up to date statement of purpose and service users guide. Westview DS0000065103.V352346.R01.S.doc Version 5.2 Page 9 Once admitted to the home the residents care managers are invited to attend reviews of their clients. One person said that he was happier living in Westview than he had been in his previous home. Westview DS0000065103.V352346.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Residents know their assessed needs and goals are reflected in their person centred plan. Residents are consulted on and may participate in all aspects of life in the home. EVIDENCE: Since the previous inspection the registered manager has provided secure storage for files holding personal information. The home now uses person centred plans. Two were viewed and each had been written by the residents themselves. The plans contained information about the needs and personal choices of each individual. Risk assessments described what the individual understood about certain aspects involving his or her choices, and what to do to prevent an occurance and in the event of an incident. The plans carefully identify different aspects of life for individuals and alert staff to particular care practices, for example, special diets. Westview DS0000065103.V352346.R01.S.doc Version 5.2 Page 11 One person said that his work at college has forwarded his ambitions to drive a car and discussions between him and the registered manager indicated that the home supported his choice of activities. Daily reports are written by staff. During holidays the residents write their own reports and an example was seen that enthusiastically described everything undertaken. One resident said that he had been able to make certain choices about his lifestyle and had been encouraged by the registered manager and the staff to do so. A welcome pack is on display in the home and includes statements from all the residents about their life in the home including things they enjoy doing. Residents manage their own finances. A discussion in the home between a resident and the registered manager indicated how residents are encouraged to be active in controlling their own finances. Residents have monthly meetings and a monthly area meeting where no staff apart from the registered manager and the area manager, are allowed to be involved. The company also runs a six monthly residents forum that has proved popular since its start. Westview DS0000065103.V352346.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Residents have opportunities for personal development. Staff support residents to be part of the local community including leisure activities, finding jobs and accessing education. Residents are encouraged to maintain family links and friendships. Menus reflect different dietary needs and choices. EVIDENCE: Two residents were in the home at the time of the inspection but left during the morning to go to different activities including personal shopping. Several of the residents are enabled to travel alone and this is seen as a personal development step. Two people have jobs in the local community, one person found their job by themselves. The registered manager who undertook checks on the proposed place of work and met and spoke to the person in charge of that place supported this. Westview DS0000065103.V352346.R01.S.doc Version 5.2 Page 13 All residents either attend college or are planning to attend this year. One resident told the inspector about the different courses he enjoys. All residents participate in housework in the home and this may include cooking. Activity plans are full and include free time. Several residents may decide to go to the pub or the cinema together unaccompanied by staff. The home encourages the use of public transport and this is greatly enjoyed by the residents. A mini bus is available for residents use; previously the registered manager and the staff discussed changing the bus for smaller vehicles, to make it less institutional but the residents decided to keep it as they enjoy going out together and the mini bus was more suitable for all of them. Friendships formed in the home are sincere and important to the residents. Because the person who normally did certain housework on that day was busy elsewhere, another resident said he would do it for him and the other person would do his work on another day. The registered manager said this was an example of how they willingly help each other out without staff input. Holidays are usually taken twice a year, one person said this year they had been to Dorset and to Norfolk; both holidays had been very enjoyable. But, he and the registered manager added that due to residents choice, next year only one week would be taken as a holiday and the other week would be taken as days out, returning to the home every night. Some people stay with their families for holidays and all have short visits to their families’ homes. Staff try to provide specialist diets that are similar to the main menu. Westview DS0000065103.V352346.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents receive support in the way they require and prefer. Healthcare needs are met. Medication procedures and policies protect residents. Illness and death of residents is handled as the individual would wish. EVIDENCE: The home records any input from health care professionals. The registered manager said that the local gp. is supportive and will undertake six monthly health checks. Since the previous inspection, the registered manager has met the requirement made to ensure foil strips of medication are kept within their original packaging. Medication is stored securely within a locked office and administration was seen to be recorded accuratly. All staff receives training in medication administration that is regularly updated. One person has made the decision to control their own medication. Westview DS0000065103.V352346.R01.S.doc Version 5.2 Page 15 The home has discussed the issues with that person and has written procedures for the staff to deal with this. Suitable private and secure storage has been provided for the individual. The home maintains policies and procedures for medication administration. The registered manager stated that no personal care is needed by the people currently living in the home. Privacy and dignity is maintained. Most residents have their own front door key and all bedrooms are lockable. The registered manager has discussed death with residents in an appropriate manner and has recorded their wishes. Westview DS0000065103.V352346.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents are protected from abuse by suitable policies and procedures and by staff training. residents know their views are listened to and acted upon. EVIDENCE: Each person living in the home has a copy of the complaints procedure and a procedure is displayed in the home. A recording format is used to respond to any complaint or concern raised. The registered manager said that the home had a good rapport with relatives and that she hoped they would feel confident to approach her should they have any worries or concerns. One concern has been raised by a person living in the home since the previous inspection and regarded improved input into an activity. Recording was appropriate and completed by the person who made the complaint signing to indicate their satisfaction with the outcome. Staff receive adult abuse awareness training and this is regularly reviewed. The registered manager has written a simple procedure to inform residents about adult abuse issues. This has been undertaken in an appropriate manner for the people in the home if it was considered to be a benefit to individuals. The home displays a whistle blowing policy. Westview DS0000065103.V352346.R01.S.doc Version 5.2 Page 17 Westview DS0000065103.V352346.R01.S.doc Version 5.2 Page 18 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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents live in a homely, safe and suitable environment. Bedrooms and contents meet individual lifestyles. Bathrooms meet individual needs. The home is clean and hygienic. EVIDENCE: One person showed the inspector his bedroom and a tour of the premises was undertaken accompanied by the registered manager. All bedrooms seen were individual and contained peoples personal belongings. The bedrooms are all upstairs and the home is not suitable for wheelchair users as there is no lift. Some redecoration, new cooker and hob and new flooring has been provided since the last inspection and the home is modern and bright and suitable for the age group living there. Westview DS0000065103.V352346.R01.S.doc Version 5.2 Page 19 The home was clean and hygienic. Suitable and discrete locks to various store cupboards are in place and both the kitchen and laundry were clean and tidy. Bath and shower rooms are lockable and have had some maintenance identified, including new floor and bath panel; following a leak. This has been reported and is due to be completed. The garden was tidy and accessible to residents. Some outside repainting and door frame replacement has been identified and the registered manager said that this maintenance is due to be undertaken. This will be an improvement to an otherwise attractive and well kept home. Shared living accomodation is spacious and accessible to all residents. Westview DS0000065103.V352346.R01.S.doc Version 5.2 Page 20 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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staff have the skills to meet residents needs. Residents are supported and protected by the homes recruitment policy and by staff training. EVIDENCE: The registered manager confirmed that the home was fully staffed. The rota seen was fully covered. A member of staff said that the rota is altered when there are few residents in the home, for example when they are on holiday or staying with their families and confirmed that this suited the staff. When asked about the long days indicated on the rota, the member of staff said she and the other staff preferred this. A staff file was seen and included appropriate employment procedures including PoVA and CRB checks. Induction is undertaken using the company induction folder. Training certificates were seen and included the mandatory courses and further specialist training. All staff but one have NVQ2 and the registered manager said that she hoped that NVQ3 could be taken by staff. Westview DS0000065103.V352346.R01.S.doc Version 5.2 Page 21 Supervision records were seen and the registered manager said that because she often worked with just one member of staff at a time, informal supervison was undertaken. Communication between staff and the people living in the home at the time was very good and supportive. Westview DS0000065103.V352346.R01.S.doc Version 5.2 Page 22 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): Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The registered manager is competent and qualified to meet its stated aims and objectives. People who live in the home are confident their views underpin all self monitoring review and development by the home. The health, safety and welfare of residents is promoted and protected. EVIDENCE: The registered manager has completed NVQ4 and the Registered Managers award. She is supported by monthly provider checks and visits by the area manager. Monthly meetings with the area manager and other local registered managers in the same company also take place. Westview DS0000065103.V352346.R01.S.doc Version 5.2 Page 23 The home undertakes annual questionnaires for families and were due to be sent out at the time of the inspection. Previous examples were seen and these contained positive comments. Residents and staff have individual monthly meetings. A six monthly forum for residents has been in place for about a year. These have been very sucessful in allowing people from all the local company owned homes to meet and raise questions about their life style with representatives of the company. These are taken very seriously by the company and are promoted by the registered manager and staff. The registered manager tries to involve residents with all aspects of the home. The registered manager and residents were very excited at having been nominated by the company, to win an award for the best home in the area and then in the division. A visit to Worcester for the award ceremony was eagerly anticipated. The company undertakes regular audits of the home including health and safety, medication and finance. One of the residents takes a responsibility for health and safety checks. Maintenence certificates were in date and environmental risk assessments are in place. The homes insurance policy and vehicle insurance was in date. The registered manager is planning for all residents to be able to find jobs, as appropriate, in the coming year. Maintenence issues had been identified and were awaiting completion. Westview DS0000065103.V352346.R01.S.doc Version 5.2 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 3 2 3 3 3 4 3 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 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 4 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 3 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 4 X 4 X X 4 X Westview DS0000065103.V352346.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO 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 Westview DS0000065103.V352346.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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