Inspection on 18/08/05 for Whiteley House

This inspection was carried out on 18th August 2005.

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

Whiteley House 19/04/07

Whiteley House 20/02/06

Whiteley House 10/03/05

Whiteley House 21/09/04

Similar services:

Tyndale Avenue

2-10 Norfolk Road

Bennfield House Nursing Home

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

CARE HOME ADULTS 18-65 Whiteley House 5 Whiteley Street Featherstone WF7 6BH Lead Inspector Gillian Walsh Announced 18 August 2005 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 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 Stationary 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. Whiteley House J51J01_s51056_Whiteley House_v241517_180805.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Whiteley House Address 5 Whiteley Street Featherstone WF7 6BH Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01977 709282 01977 709282 Ann Mangham Ann Mangham Care Home 5 Category(ies) of Mental Disorder, age range 18 - 65, 5 places registration, with number of places Whiteley House J51J01_s51056_Whiteley House_v241517_180805.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Conditions of this registration are listed on the registration certificate displayed at the service. Date of last inspection 10 March 2005 Brief Description of the Service: Whiteley House is a small care home registered for five adults with mental health problems. The home is situated in Featherstone close to all local amenities and with good connections to Wakefield and Pontefract. The home offers a homely environment where residents can receive support from the provider and her staff. The aim is to live as normal a life as possible, going out into the community and accessing all community services as appropriate, including health care. In addition the provider encourages residents to attend colleges and local clubs for further education and social opportunities. Staff and residents at the home enjoy several holidays and day trips together throughout the year. Whiteley House J51J01_s51056_Whiteley House_v241517_180805.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection made on 18 August 2005 over a period of 4 hours. Discussion with residents was not possible as they were all out pursuing various activities. Time was spent in discussion with the manager and other staff, looking around the home and examining documentation. The inspector would like to thank the manager and other staff for their warm welcome, time and cooperation during the visit. What the service does well: 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. Whiteley House J51J01_s51056_Whiteley House_v241517_180805.doc Version 1.40 Page 6 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 Standards Statutory Requirements Identified During the Inspection Whiteley House J51J01_s51056_Whiteley House_v241517_180805.doc Version 1.40 Page 7 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 standard(s) 2 and 3 Resident’s needs and aspirations are fully assessed before moving into the home and confirmation is then given that these can be met. EVIDENCE: One person has been admitted to the home since the last inspection. The home’s manager said that prior to admission the home manager had visited the resident in hospital and the resident had visited the home for a few trial days and then for a weekend before making the decision to move in. This also gave staff opportunity to continue the pre-admission assessment. The home manager said that she then confirmed that the home could meet the needs of the potential resident in a letter to both the resident and to their social worker. Whiteley House J51J01_s51056_Whiteley House_v241517_180805.doc Version 1.40 Page 8 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 standard(s) 6 and 9 Resident’s needs and goals are reflected in their individual plans. Evidence is available that residents are supported to take risks but this is not always documented within a risk assessment. EVIDENCE: All of the residents have care plans, which they have compiled with the home’s manager. Two of these plans were looked at in detail. One of the care plans gave only very sketchy detail of the identified need and what actions should be taken to meet this need. All care plans are reviewed monthly with the resident and are signed by both the staff member and the resident. Discussion with the home’s manager and care planning demonstrated that residents are supported to maintain an independent lifestyle and any risks associated with this are usually considered and where necessary are documented as risk assessments. One of the care plans seen indicated that a risk assessment was required in relation to a particular area of need but this had not been done. Whiteley House J51J01_s51056_Whiteley House_v241517_180805.doc Version 1.40 Page 9 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 standard(s) 12, 13, 15, 16 and 17. Residents take part in a full range of leisure and educational activities both inhouse and within the local community. Appropriate relationships are maintained by residents with staff support where necessary. Resident’s rights are respected which supports and encourages their independent lifestyles. Residents choose their meals and enjoy the social occasion of the evening meal. EVIDENCE: During the visit all of the residents were out pursuing activities of their choice. Two people were on a trip to Blackpool organised by the local library, one person was at the local social club and others were visiting their families. All the residents have daily schedules of activities of their choice either within or outside of the home, which includes three residents currently undertaking a Whiteley House J51J01_s51056_Whiteley House_v241517_180805.doc Version 1.40 Page 10 local computer course. So far this year residents and staff have enjoyed three holidays together with all destinations chosen by residents. Minutes of a recent meeting showed that residents had chosen not to have a holiday in August or September but were enjoying a series of day trips. Residents are supported to maintain relationships with friends and families and they are often invited to join residents on day trips, for meals at the home and, on occasion, on holiday. On previous visits residents have confirmed that their rights to privacy, individual choice and freedom of movement are respected. Meals are planned, shopped for and cooked on a daily basis with the involvement of both staff and residents who all take their evening meal together. Other meals and alternatives are chosen and provided as required. Whiteley House J51J01_s51056_Whiteley House_v241517_180805.doc Version 1.40 Page 11 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 standard(s) 18 and 20. Personal support is provided as required and agreed by individual residents. The homes policies and procedures for dealing with administration of medication are appropriate. EVIDENCE: The home manager said that residents requirements regarding personal support are discussed as part of the care planning process and this was seen to be reflected within the care plans. All residents are provided with a lockable facility in which to store their medicines if they wish to self medicate. Only one person currently chooses to do this but is supported by staff who provide a weekly dosette box for them. Systems for administration of medication by staff were examined and found to be safe. Whiteley House J51J01_s51056_Whiteley House_v241517_180805.doc Version 1.40 Page 12 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 standard(s) 22 and 23. Residents have confidence that their views are listened to and acted on to their satisfaction. Procedures are in place to protect residents from abuse and neglect. EVIDENCE: Daily discussions take place each evening between staff and residents about how things are going at the home and any suggestions anybody may have to change or improve things. Regular meetings are also held which are minuted and available to all residents and staff. The home manager and other staff have one to one discussions with each resident on a daily basis to provide an opportunity for discussion of more personal issues. During previous visits residents have said that they can always discuss their problems with staff and know that they will be listened to. All residents are given information about how to report any incidence or suspicion of abuse or neglect. All staff have recently received training through Wakefield Council on the procedures for dealing with and reporting abuse. Issues surrounding the risk of self harm are managed within the care planning process. Whiteley House J51J01_s51056_Whiteley House_v241517_180805.doc Version 1.40 Page 13 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 standard(s) 24, 26 and 30. Residents enjoy the comfort and homeliness of a well maintained and hygienic home. Bedrooms provide individual, personalised space which promotes the independent lifestyle of the residents. EVIDENCE: The home presents very much as a safe and comfortable family style home with each person having their personal space to enjoy as they wish. Bedrooms are homely and furnished to the taste of the individual. Residents are encouraged to look after their own rooms but a cleaner is employed to clean their rooms if they wish. The joint efforts of residents and staff ensure that the home is maintained in a clean and tidy fashion. Whiteley House J51J01_s51056_Whiteley House_v241517_180805.doc Version 1.40 Page 14 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Staff training is appropriate to enable them to support residents. EVIDENCE: With the exception of one person currently studying for the award, all of the current staff group have achieved NVQ level 2 in care practice. All staff have recently undertaken a refresher course in first aid and attended training in adult protection. Further training is currently being organised in a range of relevant subjects. Whiteley House J51J01_s51056_Whiteley House_v241517_180805.doc Version 1.40 Page 15 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 and 42. Residents views underpin the self-monitoring and development of the home. The health, safety and welfare of residents and staff are protected by the systems maintained by the home’s staff. EVIDENCE: The home manager has been developing the self- monitoring process and has produced a document, which will be used to report the results of quality monitoring within the home. Residents complete monthly questionnaires, which cover aspects of care and general issues about the running of the home. Documentation regarding the maintenance of the home and the promotion of resident’s and staff’s health and safety were seen to be relevant and up to date. Whiteley House J51J01_s51056_Whiteley House_v241517_180805.doc Version 1.40 Page 16 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 x x x 3 Standard No 11 12 13 14 15 16 17 x 4 4 x 3 3 x Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Whiteley House Score 3 x 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x J51J01_s51056_Whiteley House_v241517_180805.doc Version 1.40 Page 17 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. 1. Standard Regulation None Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA6 YA9 Good Practice Recommendations Care plans should give good detail of residents needs and how care staff can support them to meet these needs. Clear risk assessments should be developed for all ares of risk identified within the residents care plan. Whiteley House J51J01_s51056_Whiteley House_v241517_180805.doc Version 1.40 Page 18 Commission for Social Care Inspection Park View House Woodvale Office Park Woodvale Road Brighouse, HD6 4AB 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 Whiteley House J51J01_s51056_Whiteley House_v241517_180805.doc Version 1.40 Page 19 - 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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