Inspection on 17/03/07 for Westwood

This inspection was carried out on 17th March 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

Westwood 13/01/06

Westwood 14/07/05

Westwood 01/12/04

Westwood 05/05/04

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 Westwood 55 St Helen`s Park Road Hastings East Sussex TN34 2JJ Lead Inspector Graham Cummings Unannounced Inspection 14 March 2007 09:00 th Westwood DS0000021283.V315369.R02.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 Westwood DS0000021283.V315369.R02.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. Westwood DS0000021283.V315369.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Westwood Address 55 St Helen`s Park Road Hastings East Sussex TN34 2JJ 01424 428805 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) Hastings & Bexhill Mencap Society Susan Elizabeth Palmer Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Westwood DS0000021283.V315369.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of residents to be accommodated is nine (9) The people accommodated will be between the age of eighteen (18) and sixty-five (65) years on admission That the home can continue to provide care and accommodation to a service user who was admitted over the age of sixty-five years on admission. 13th January 2006 Date of last inspection Brief Description of the Service: Westwood is a large two-storey detached property situated in a residential area of Hastings. Shops and transport links are close by. The home is registered to provide care and accommodation to nine people with Learning Disabilities. All service users have single bedrooms. There are currently no vacancies. The registered providers are Hastings & Bexhill Mencap Society. The weekly fees range from £330 to £480. Westwood DS0000021283.V315369.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The site visit was carried out on the 14th March 2007 and completed the homes first Key Inspection. The Key Inspection consisted of looking at past inspections, completing the Inspection Record, visiting the home, looking at documentation and speaking to the manager, staff and Service Users. The Pre Inspection Questionnaire and comment cards were only sent out two weeks prior to the inspection and had not been received back at the time of the site visit. The Pre Inspection Questionnaire six Relatives and six Service User comment cards were received back between the 15th and 22nd of March 2007. All of the comments were complimentary with Service Users saying ‘yes we do make our own decisions all the time and every day’ ‘it’s a lovely home and I’m very happy there’ Relative comments included ‘one thing I must say is that the staff are all friendly to me and my son – they are a great bunch’ ‘it provides a happy homely atmosphere and all the residents are well looked after’. The Manager Susan Palmer had been registered in December 2006 following their Fit Person Interview and has now completed their NVQ Level 4 and Registered Managers Award. The home is currently full with nine Service Users, the last admission was in July 2006. Service Users have the information required to make an informed choice about living at the home. The Service User Guide is in need of being made user friendly, the Manager informed the Inspector that they were planning to do this using symbols and writing in plain English. The Inspector looked at two care plans and found them to be clearly written in plain English and containing good clear information that would allow staff to meet the individual needs of the Service Users. Service Users are able to access the local community with two of the Service Users having work experience jobs in Hastings at a charity shop. Service Users are able to go to the library, cinema, park disco, swimming, pubs, cafes and restaurants. Recent outings have included a trip to the Rare breeds Farm, Sea Life centre and Bowling. Service Users health care needs are met, however there is no information on the wishes of Service Users regarding illness and death. There have been no complaints since the last inspection and all staff have had Adult Protection training. Financial procedures protect Service Users who wherever possible sign all finance transactions that involve them. Westwood DS0000021283.V315369.R02.S.doc Version 5.2 Page 6 The home was welcoming and had a relaxed and friendly atmosphere, it was well furnished, clean and free from any offensive odours. There are two staff on duty from 7am to 9pm with a sleep in continuing o n duty until 10:30pm. The Manager has two days management and is on the rota for 3 days a week. Comments received from both Service Users and Relatives indicate that the home is well run and that Service Users health, safety and welfare are promoted and protected. What the service does well: What has improved since the last inspection? The five Requirements from the last inspection have all been completed or about to be completed. A new heating system is being installed in May/June 2007, whilst the work is being carried out the Service Users are going on holiday to Cornwall for a week and then a second week in a local holiday centre Coombe Haven so that access to college and work is available if Service Users wish to attend. When the heating has been installed a new kitchen floor is being laid and the house redecorated. Service Users have been fully involved in choosing the colour schemes. Westwood DS0000021283.V315369.R02.S.doc Version 5.2 Page 7 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. Westwood DS0000021283.V315369.R02.S.doc Version 5.2 Page 8 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 Westwood DS0000021283.V315369.R02.S.doc Version 5.2 Page 9 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): 1,2,4,5 Service Users have the information they require and they visit the home prior to making an informed choice about where to live. Service Users needs are assessed before moving to the home. Service Users have individual contracts on their files. The quality of the service provided is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The homes Statement of Purpose and Service User Guide was available to the Inspector, the Manager is looking to make the Service User Guide more user friendly by having pictorial and larger print versions available. The last admission was in July 2006. The Inspector looked at the admission process and saw a funding authority assessment and the Managers assessment of the Service User concerned. The number of visits made to the home prior to a placement is dependent on the Service User wishes wherever possible. Comment cards received confirmed that visits took place, ‘we taken here by ……. and we liked it very much so we moved in 4 years ago now’ ‘ stayed for the day and liked it very much’. Westwood DS0000021283.V315369.R02.S.doc Version 5.2 Page 10 The Inspector looked at two files and both contained individual contracts. Westwood DS0000021283.V315369.R02.S.doc Version 5.2 Page 11 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): 6,7,8,9 Service Users have individual care plans that are updated regularly. Service Users are consulted and make decisions about their daily lives. Service Users are supported to take risks as part of an independent lifestyle. The quality of the service provided is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Inspector looked at two care plans and found them to contain clear information that would enable a new person to support the Service Users to meet their individual needs in the way they required. The goals set were realistic and achievable and broken down into small stages. The care plans seen had been evaluated, dated and signed. Part of the evaluation included written records of when Service Users had participated in a specific activity relating to the goals set and the progress they had made on that day. Westwood DS0000021283.V315369.R02.S.doc Version 5.2 Page 12 The files contained comprehensive background information including a description of the individual, family contact, personality, communication, behaviour, anxieties and daily activities. Information was also available regarding the wishes of individuals regarding how they received any support with their personal care and daily lifestyle. The home has a set of generic risk assessments that relate to the environment that applied to all Service Users, both files seen contained individual risk assessments that they had been updated and evaluated on a six monthly basis and had been signed and dated. Westwood DS0000021283.V315369.R02.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 Service Users have the opportunities for personal development and take part in appropriate peer and leisure activities in the home and local community. Service Users have appropriate family contact and their rights and responsibilities are recognised in their daily lives. Service Users are offered a healthy and nutritious diet. The quality of the service provided is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service Users have the opportunity to lead as independent a life as their skills allow them. Two of the Service Users go out by themselves to local shops, church and visit family, they use public transport to go into town for shopping and a coffee. The home does not have transport available all of the time but have got access to a mini bus if it is booked in advance. Recent trips out have included days at Rare Breeds Centre in Woodchurch, Sea Life centre and Bowling in Brighton. Westwood DS0000021283.V315369.R02.S.doc Version 5.2 Page 14 Local social activities include outings to the cinema, weekly disco, monthly disco, swimming, cafes and pubs. The home has a karaoke machine, computer and private telephone for Service User to use. During the weekdays Service Users are encouraged to attend a local college, work experience or a day centre to support and learn new skills. Family can visit at any time between 9am and 9pm. Most relatives phone prior to visiting as a lot of time is spent out of the house on activities and outings. Comments received from parents are as follows ‘it creates a friendly homely atmosphere, where the residents obviously feel at ease and able to be themselves. Relatives in general, and myself in particular, are always made to feel welcome and where appropriate included in social events etc’ ‘ we are not able to visit our cousin now but the Manager very kindly brings …… to see us’ ‘the home is a great place to live, they go out and go on holidays’. Main meals are prepared and cooked by staff and Service users are encouraged to help and assist in this, breakfast and lunchtimes Service Users choose and prepare for themselves with appropriate support and encouragement from staff. Westwood DS0000021283.V315369.R02.S.doc Version 5.2 Page 15 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): 18,19,20 Service Users receive personal support in the way they require and they have their health needs met. Service Users are protected by the homes policies and procedures relating to medication. The quality of the service provided is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All Service Users are registered with a local Doctors, Dentist and Optician, a Chiropodist does visit the home but two Service Users prefer to visit a local provision of their choice. The Inspector when looking at two Service User files saw a document that outlined the Service Users personal care needs and their wishes on how and when they should be delivered. Each care need was broken down into actions of verbal prompts and what words to use, to physical assistance and how they should be supported by the member of staff. One Service User self administered some cream and another self administered a lunchtime tablet. The inspector saw the homes policies and procedures Westwood DS0000021283.V315369.R02.S.doc Version 5.2 Page 16 relating to self medication and also the individual risk assessments relating to the Service Users lunchtime self medication. Westwood DS0000021283.V315369.R02.S.doc Version 5.2 Page 17 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): 22,23 Service Users views are listened to and they are protected from abuse. The quality of the service provided is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home have had no complaints since the last inspection. All staff have now received Protection of Vulnerable Adult training, this was completed in February 2007 and the Manager had also completed this in January 2007. All financial transactions are recorded signed and dated and receipts are in place for any purchases made on Service Users behalf. Service Users personal allowance is signed for but any transactions they make are not recorded or receipts obtained. Service Users have regular meetings and make decisions on menus, activities and outings. Comment cards received back from Service Users indicated they would speak to staff and family if they wanted to complain. Westwood DS0000021283.V315369.R02.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,30 Service Users live in a comfortable, safe, homely and clean environment. The quality of the service provided is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service Users live in a well furnished and comfortable home, the Inspector toured the building and found it to be clean and free of any offensive odours. The Inspector was given permission by a Service User to look at their bedroom, this was of a good size and personalised with ornaments, cuddly toys, pictures and photographs. The home was spacious with two lounges, 3 toilets, 1 shower room and a bathroom. One of the bedrooms was en-suite with a shower, another with a toilet and sink and seven singles with sinks. The home is having a complete new heating and water system fitted in May and June of this year 2007, this will address the requirements made at the last inspection. Service users are going to be on holiday for a two week period when the work is carried out. Westwood DS0000021283.V315369.R02.S.doc Version 5.2 Page 19 Westwood DS0000021283.V315369.R02.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36 Service Users benefit from a competent, effective, well supported and supervised staff team. who have clear roles and responsibilities. Service Users are protected by the homes recruitment policy and staff have appropriate training. The quality of the service provided is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Inspector looked at two staff files and found them to contain all of the required information set out in Schedule 2 including application forms, two references, photo identity, passport, birth certificate, CRB, job descriptions and contracts. One file did not have a health declaration, the Manager said they would get the staff member concerned to complete another one. The home has 71 of staff with an NVQ Level 2 qualification or higher, staff training since the last inspection has included; Food Hygiene, Protection of Vulnerable Adults, Manual Handling, Epilepsy, Nutrition, Menu Planning and Care of Medications. Westwood DS0000021283.V315369.R02.S.doc Version 5.2 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): 37,39,42 Service Users benefit from a well run home where their views are listened to and their health, safety and welfare are promoted and protected. The quality of the service provided is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On the evidence seen and the comments received from Service Users and relatives the home is run in the best interests of the Service Users. The Manager has completed their NVQ level 4 and Registered Managers Award. Service Users are involved in making choices on a daily basis and are encouraged to be as independent as possible. The Service Users meet six weekly to discuss the running of the home and plan future menus, holidays, outings and activities. Service User comments included ‘it is a lovely home and I am very happy here’ ‘they always treat us properly every single day they are never nasty’ ‘a very Westwood DS0000021283.V315369.R02.S.doc Version 5.2 Page 22 good place to live in a really good place a clean place a relaxed place’ ‘everything is fine at my home’ Relatives comments received said ‘I have considerable experience of care homes, all be it a different client group, and I feel that you would go a long way to find a home that has been as consistently well run as this’ ‘they look after the whole well being not just the basics’. The home had carried out a quality assurance questionnaire in June 2006, the results of this were very positive about the home, the results were displayed on a notice board for all people to access. The Manager carries out monthly Health and Safety checks and weekly fire tests, these are recorded and up to date. Westwood DS0000021283.V315369.R02.S.doc Version 5.2 Page 23 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 X 4 3 5 3 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 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Westwood DS0000021283.V315369.R02.S.doc Version 5.2 Page 24 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. 1. 2. 3. Refer to Standard YA1 YA21 YA34 Good Practice Recommendations The home continues to make the Service User Guide in a pictorial format. That the wishes regarding illness and death are recorded on individual Service Users files. That there is a copy of staffs health declaration in individual staff files. Westwood DS0000021283.V315369.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Westwood DS0000021283.V315369.R02.S.doc Version 5.2 Page 26 - 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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