Inspection on 04/01/07 for White Windows Cheshire Home

This inspection was carried out on 4th January 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

White Windows Cheshire Home 14/12/09

White Windows Cheshire Home 13/01/09

White Windows Cheshire Home 07/02/06

White Windows Cheshire Home 25/08/05

White Windows Cheshire Home 17/02/05

White Windows Cheshire Home 30/09/04

Similar services:

Snydale Care Home

Staveley Birk Leas Nursing Home

Fairmount Nursing Home

Currergate Nursing Home

Brookfield

Castlethorpe Care Home

Elmleigh Convent

Woodlands Respite Care Centre

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

CARE HOME ADULTS 18-65 White Windows Cheshire Home Fore Lane Sowerby Bridge West Yorkshire HX6 1BH Lead Inspector Liz Cuddington Unannounced Inspection 4th January 2007 11:00 White Windows Cheshire Home DS0000001075.V324069.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 White Windows Cheshire Home DS0000001075.V324069.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. White Windows Cheshire Home DS0000001075.V324069.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service White Windows Cheshire Home Address Fore Lane Sowerby Bridge West Yorkshire HX6 1BH 01422 831981 01422 836645 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) www.leonard-cheshire.org.uk Leonard Cheshire Mrs Carole Davies Care Home 25 Category(ies) of Physical disability (25), Physical disability over registration, with number 65 years of age (25) of places White Windows Cheshire Home DS0000001075.V324069.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th February 2006 Brief Description of the Service: White Windows is owned and managed by the Leonard Cheshire organisation, which is a registered charity. The establishment is registered to provide accommodation and both personal and nursing care for up to 25 adults with a physical disability. The home is situated on the outskirts of Sowerby Bridge, with easy access to the town centre and Halifax. There is ample car parking in the grounds. The home is fully equipped with aids and adaptations to promote the residents independence, and all areas are fully accessible. All bedrooms are for single occupancy and are highly personalised to reflect the residents’ interests and tastes. Communal areas are spacious and comfortable and are furnished and fitted to a good standard. Externally there are spacious and well-maintained gardens and grounds, which are accessible for wheel chair users. The fees for each resident are determined individually, using the local council’s pricing and costing guidelines. White Windows Cheshire Home DS0000001075.V324069.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In April 2006 the Commission for Social Care Inspection (CSCI) made some changes to the way in which care services are inspected. Care services are now judged against outcome groups. The inspection report is divided into separate sections for each outcome group, for example ‘Choice of Home’, and ‘Personal and Healthcare Support’. An overall judgement is made for each outcome group based on the findings of the inspection. The judgements reflect how well the service delivers these outcomes to the people who use the service. The judgement categories are “excellent”, “good”, “adequate” and “poor”. The judgements are recorded in the main body of this report. More detailed information about these changes is available on our website – www.csci.org.uk The methods I used to gather information included conversations with residents and staff, case tracking individual residents’ care, examining records and touring the house. I also sent out questionnaires for residents and their relatives to complete and I spent one day at the home. This purpose of the inspection was to assess a selection of the National Minimum Standards for Care Homes for Adults (18-65). I looked at thirty-three of the forty-three standards. Although there are still a few areas for development the home continues to make significant improvements. I would like to thank the ladies and gentlemen who live at White Windows, and all the staff, for their welcome and hospitality during the inspection. What the service does well: The pre-admission information and assessments are thorough. The care plans are very comprehensive and contain sufficient detail to show how each person’s care and support needs are to be met. The plans are developed and agreed with the resident. There is a range of social activities and outings arranged by the home. The people who live at White Windows also take part in activities of their choice outside the home. Some people study computer courses at college, others attend clubs, do voluntary work and follow recreational activities. The residents who completed the questionnaires and spoke to me all said they choose their own lifestyle. The residents make suggestions about the meals they prefer and the menus are varied. Everyone who commented said they enjoy their meals. White Windows Cheshire Home DS0000001075.V324069.R01.S.doc Version 5.2 Page 6 The house is set in large grounds with attractive, accessible gardens and level terraces. On one terrace there is a sensory garden planted in raised beds. There is also a large area of woodland and new pathways are being built to make the woods accessible to all the residents. The recruitment procedures are thorough and robust. There is a resident on the interview panel when new staff are being recruited. The staff have regular supervision, are well qualified and receive regular training to keep their skills and knowledge up to date. The home has a comprehensive range of quality assurance systems in place. One of the residents is on the home’s health and safety committee. 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. White Windows Cheshire Home DS0000001075.V324069.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 White Windows Cheshire Home DS0000001075.V324069.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): 1,2 & 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The pre-admission information and assessments are thorough. EVIDENCE: The Statement of Purpose and Service Users Guide have been updated recently to reflect the scope of the service. Prospective service users are invited to visit the home and stay for short periods before making a decision. During this period the manager and staff have time to make sure the home is able to meet the individual’s needs. Calderdale Social Services also carry out their own assessment of the person’s care and support needs. White Windows Cheshire Home DS0000001075.V324069.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): 6, 7, 8 & 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Each resident’s individual needs are supported in the way prefer. EVIDENCE: I looked at a number of individual care plans. The plans are very comprehensive and cover all areas of each person’s care and support needs. They contain sufficient detail to show staff how the person prefers their needs to be met and the plans are regularly reviewed. Each plan showed that the resident, or their representative, had agreed to them. The residents who spoke to me confirmed this. The residents also said that their care and support is provided in the way that they prefer and in accordance with the agreed plan. The residents I spoke with confirmed that they are supported to make their own decisions about their lifestyle. Residents who wish to return to living in their own homes are given all the support they need to achieve their goal. White Windows Cheshire Home DS0000001075.V324069.R01.S.doc Version 5.2 Page 10 Residents are encouraged, and supported where needed, to take part in the daily life of the home. There is a range of social activities and outings arranged by the home, if people wish to take part in them. Risk assessments are completed, where needed. Acceptable levels of risk, and ways to minimise any risks, are agreed with the resident. White Windows Cheshire Home DS0000001075.V324069.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): 12, 13, 14, 15, 16 & 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents choose their preferred lifestyle and the staff provide any support that is needed. EVIDENCE: The people who live at White Windows take part in a wide range of activities, which they choose. Some people are studying computer courses at college, others attend clubs, do voluntary work and follow recreational activities such as flower arranging and horse riding. One lady told me about the club she goes to regularly, and how much she enjoys it. There are outings planned at least once a week. These include shopping trips, visits to the cinema and pubs and other places where people like to socialise. In the autumn the home ran three trips to see Blackpool illuminations. On the White Windows Cheshire Home DS0000001075.V324069.R01.S.doc Version 5.2 Page 12 day I was at White Windows a third group of people went to the pantomime in Halifax. The people who had already been said they had enjoyed it. From talking to residents and staff it was clear that keeping good links with their families and friends is important and encouraged. Visitors are always welcomed to the home, with the residents’ agreement. The ladies and gentlemen who live at White Windows make their own decisions about their daily routine. There are several spacious lounges, as well as the dining room, where people can sit and socialise if they wish. The residents make suggestions about the meals they prefer and the menus I saw were varied. Residents always see the next day’s menu and if someone wants something different the cook arranges this. The main meal is at lunchtime and another cook comes in during the afternoon to prepare the tea and supper. Every month the residents choose a themed meal, such as a pizza night or a ‘takeaway’ night. In the dining room is a fridge and microwave oven for residents’ own use. There are also cold and hot drinks machines in the dining room for everyone to use. If someone needs assistance during mealtimes it is offered discreetly. Everyone who commented said they enjoy their meals. White Windows Cheshire Home DS0000001075.V324069.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): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ healthcare needs are met in the way each person prefers. EVIDENCE: The information in the questionnaires I sent to residents before I visited White Windows confirmed that they are supported and assisted by the staff in the way they wish. The information in the care plans, and the people I spoke with confirmed this. If someone needs any adaptations or special equipment to help with independence then this is made available. I saw a variety of adaptations around the home. I saw information about advocacy services from residents and their relatives. The home has a ‘key worker’ system, where each resident has a member of staff who takes particular responsibility for their support. The care plans contain details about the healthcare needs of each resident. One resident told me that her healthcare needs are properly supported and met by the staff. White Windows Cheshire Home DS0000001075.V324069.R01.S.doc Version 5.2 Page 14 Residents who wish to manage all or some of their own medication, are given any support they need to do this. I checked the medication records, which are completed by the nurses after they administer the residents’ medicines. The records are accurate. White Windows Cheshire Home DS0000001075.V324069.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): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has suitable complaints and adult protection procedures in place. EVIDENCE: The home has a suitable complaints procedure. Any complaints that the home receives are handled as they arise and records of the concerns and outcomes are kept. The home has suitable policies and procedures for all aspects of adult protection. The training records showed that staff have access to training in adult protection and know what to do if they suspect any instances of abuse or poor practice. White Windows Cheshire Home DS0000001075.V324069.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): 24, 25, 26, 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The house and grounds are well furnished and maintained and are accessible to everyone. EVIDENCE: The home has a planned programme of refurbishment. Since the last inspection some of the bedrooms have been re-decorated. The residents choose the colour scheme, décor and carpets for their rooms. The bedrooms are all single rooms. They are spacious and well furnished and contain personal belongings reflecting the individual’s tastes and preferences. The bathrooms are spacious and suitably equipped. Track hoists are fitted in rooms where this is needed. Other adaptations are also fitted to support independence. White Windows Cheshire Home DS0000001075.V324069.R01.S.doc Version 5.2 Page 17 All parts of the house are accessible to the residents. The house is set in large grounds with attractive, accessible gardens and level terraces which people use during the better weather. There is a sensory garden planted in raised beds. There is a large area of woodland and new pathways are being built to make the woods accessible to all the residents. There are several spacious and comfortable lounges as well as a light and airy conservatory at the front of the house looking out onto the entrance drive. The laundry is clean, hygienic and suitably equipped to support the home’s infection control procedures. White Windows Cheshire Home DS0000001075.V324069.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): 32, 34, 35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The recruitment and selection procedures are robust. The staff have regular supervision, are well qualified and trained. EVIDENCE: Thirteen of the twenty-three care staff have achieved a National Vocational Qualification (NVQ) in care and three more staff are in the process of completing the course. The organisation has a comprehensive staff training programme. The staff files contained certificates showing that all the staff, including those who are well qualified and experienced, keep their skills and knowledge up to date through attending regular training courses. Recently the top floor of the house has been equipped as a training room. The recruitment procedures are thorough and robust. Residents are involved in the interview process. The letter sent to candidates when they are invited for interview tells them the interview panel will include a resident. All the necessary pre-employment checks are carried out including Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) register checks. At White Windows Cheshire Home DS0000001075.V324069.R01.S.doc Version 5.2 Page 19 present the organisation is discussing the frequency with which they renew their staff’s CRB & POVA checks. Staff have one to one supervision sessions with their line manager every two months. White Windows Cheshire Home DS0000001075.V324069.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): 37, 39, 40 & 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed and the views of the residents are central to the service that is provided. The policies and procedures have not been regularly updated, but they are now in the process of being reviewed. EVIDENCE: The home’s manager is a qualified and experienced nurse. The manager keeps up her professional development through attending training. Most recently in risk assessment and a refresher course in recruitment and selection. The home has a comprehensive range of quality assurance systems in place. These include residents’ meetings, surveys to gain the views of residents, relatives and visiting healthcare professionals. These surveys are analysed and White Windows Cheshire Home DS0000001075.V324069.R01.S.doc Version 5.2 Page 21 the information is used to support improvements to the quality of the service. There is a residents’ association and, as the home is part of the Leonard Cheshire group, the chairperson of the home’s association attends regional meetings. The group also has its own advocates who discuss the home and the service with the people who live there. One of the residents is on the home’s health and safety committee. There are policies and procedures in place to guide staff on how to act in all circumstances. The manager said they are currently being updated, as some of them have not been reviewed since 2003. I visited the kitchen and talked to the cook. Food is correctly and safely stored and refrigerator, deep freezer and cooked food temperatures are checked and recorded daily. The kitchen is clean and hygienic and the weekly and monthly cleaning rotas are being followed. The recommendations from the last Environmental Health Officer’s report have been implemented. Externally the home appears to be safe and secure. White Windows Cheshire Home DS0000001075.V324069.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 3 2 3 3 X 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 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 4 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 4 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 3 3 3 X White Windows Cheshire Home DS0000001075.V324069.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. Refer to Standard YA41 Good Practice Recommendations The home’s policies and procedures should be reviewed regularly. White Windows Cheshire Home DS0000001075.V324069.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 White Windows Cheshire Home DS0000001075.V324069.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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