Inspection on 19/04/07 for Whiteley House

This inspection was carried out on 19th April 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

Whiteley House 20/02/06

Whiteley House 18/08/05

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 Key Unannounced Inspection 19th April 2007 11:00 Whi tele y Hou se DS0000051056.V329367.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 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. SERVICE INFORMATION Name of service Whiteley House Address 5 Whiteley Street Featherstone WF7 6BH 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) 01977 709282 F/P 01977 709282 Ann Mangham Ann Mangham Care Home 7 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (7), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (7) SERVICE INFORMATION Conditions of registration: Date of last inspection 20th February 2006 Brief Description of the Service: Whiteley House is a small care home registered for seven adults with mental health problems. Five en-suite bedrooms are located within the main house and two newly registered en-suite rooms have been developed in a former outhouse within the grounds. The home is situated in Featherstone close to all local amenities, with good connections to Wakefield and Pontefract. The home offers a homely environment where people can receive support from the provider/manager 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 people to attend colleges and local clubs for further education and social opportunities. Staff and people living at the home enjoy several holidays and day trips together throughout the year. Information about the home is available, on request, from the home within the Statement of Purpose and Service User Guide. The registered person informed the Commission for Social Care Inspection in April 2007 that fees for care at the home are £448 per week. SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit to the home made as part of a full inspection, which took place on 19 April 2007. The visit lasted from 10.30 am to 3.30 pm. Time was spent speaking with four of the people who live at the home, the manager/proprietor and two other members of staff, looking at documentation and checking medication systems. As part of this inspection, the views of people who live at the home and their relatives were sought by way of surveys. All of the six people who live at the home responded very positively within the surveys with one person summing up the comments by saying “This is a very good home and I am happy living here”. Three relatives responded but only two of these people have regular contact with the home. Again, the responses were very positive with one person saying how much the staff have done to improve their relative’s self confidence and “vastly improved” social skills. This person also said “the home integrates each person into a family style environment with a good spirit” and, when asked how they thought the care home could be improved, they said “I don’t think it requires any improvement”. Only one response was received from a healthcare professional who commented on how well people who live at the home are integrated into the local community and added “I have always found staff to be very helpful. Their priority is the needs of the service users and they encourage them to be as independent as they possibly can”. In writing this report, information and evidence was not only obtained by way of visiting the home but also from notifications and information sent to CSCI and from previous CSCI inspection reports. Some of the people who live at the home asked what is included in the report and how decisions are made about the home. As a result of this, discussion took place about each section of the report and the people who live at the home decided how they would score each section based on their own outcomes. Everybody involved agreed emphatically that they experienced excellent outcomes in each section. The inspector would like to thank the people who live at the home, their relatives and staff for their time, hospitality and assistance during this inspection. What the service does well: What has improved since the last inspection? What they could do better: None of the people spoken with could think of anything that the home could do better and one relative said “I don’t think it requires any improvement”. 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. 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 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): 2 People who wish to live at the home benefit from good procedures to ensure that their needs and aspirations will be met. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: One person who moved in recently said that they had visited Whiteley House once a week for several months and had taken a holiday with staff and other people living at the home, before making the decision to move in. The registered person at Whiteley House had completed the pre-admission assessment for this person during a visit to them at their previous care home. The assessment was seen to be very thorough, including the person’s needs and aspirations for the future. The registered person had said that one vacancy remains at the home but that no new admissions would be accepted without the agreement of all of the people currently living at the home. Discussion took place with four of the people who live at the home who confirmed that they are fully consulted about any person wishing to come and live with them and they have already said no to several prospective people as they felt they would not properly fit in. The four people taking part in the discussion all said that they thought the admission procedures at Whiteley House are “excellent”. 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 and 9 People who live at the home are very happy that they are fully involved in processes to ensure that their individual needs and preferences are met. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: All of the people living at Whiteley House develop their personal care plan with the registered person. Two of these care plans were examined during the visit to the home. Both care plans described, in detail, the individuals’ preferences in relation to their daily living, even to the extent of including which brand of toiletries the person prefers. The plans include detail of the person’s abilities, where they are independent and the areas where support from staff is needed. Also included within the care plan file is a personal profile, a life history and what the person’s ultimate aims are for their future. All plans are reviewed by the individual and their key worker on a monthly basis, and the plan and the reviews are signed as agreed by both parties. Where necessary, risk assessments are also developed as part of supporting people to maintain their independence and signed as agreed. Copies of reviews held as part of the care plan approach are also kept in the care plan file. All four of the people who live at the home who were involved in discussion, said that they are fully involved in all aspects of their care planning and decision making about their lifestyles and all agreed that the outcomes for them in this area are excellent. 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, 15,16 and 17 People who live at the home are supported and encouraged to maintain independence in their lifestyle choices. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: Individuals’ interests and preferences for social and leisure activities are recorded within care plans. Each person also develops a weekly programme of how they intend to spend their time each day. Two programmes were seen and included things like attendance at college, time spent at community clubs and drop in centres, arrangements for visiting family and friends and time to relax or pursue hobbies. All of the people who live at the home are members of local clubs and organisations. On the day of the visit two people had been for lunch organised by the Salvation Army. None of the people who live at the home are currently employed but some are undertaking college courses in subjects such as computer studies and independent living skills. Four people who live at the home said that they are encouraged and supported to maintain their independence and to be fully involved in all decisions made within the home. One person said “You can do what you want, when you want, just so long as you let them know”. This person also said that staff always respect their right to privacy by asking if they can go into their room and not going in if they do not wish them to. Another person who has previously lived in a residential home said that they appreciated the freedom and the privacy afforded to them at Whiteley House. Where appropriate, people are supported to maintain contact with their families and friends and visitors are welcomed to the home. One person’s relative accompanied everybody from the home on a recent holiday. Everybody at the home enjoys a number of holidays and day trips throughout the year. All decisions about where and when to go for holidays and trips, and any other matters relating to how the home is run, are made following discussions between staff and people who live at the home on a daily basis after the evening meal. People who live at the home said that they eat their evening meal together, the menu for which is decided between them, but organise their other meals, snacks and drinks themselves. One person said that they were following a weight watchers programme and were being supported to do this. Everybody at the home is involved in growing vegetables and keeping hens at a local allotment. Produce is either used at the home or sold to support the upkeep of the allotment and the hens. All of the people spoken with during the visit said that they would assess the outcomes for them in this area as excellent. 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 and 20 People who live at the home benefit from the full support of staff in ensuring that their healthcare needs are met. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: All four of the people spoken with said that they were happy with the personal and healthcare they receive. The registered person said that everybody is registered with local GPs, dentists and opticians. Care plans include details of individuals’ social workers and other involved health care professionals including community nursing services and psychiatric services. Whiteley House DS0000051056.V329367.R01.S.doc Version 5.2 Page 17 All of the people spoken with said that they felt that staff at the home had the skills and understanding to support them with any problems with their physical and emotional health. One person commented on how quick the registered person is to respond to their healthcare needs. All healthcare needs are included in the care plans and record is made of any appointments with healthcare professionals and their outcomes. A community psychiatric nurse said in a survey “I have always found the staff to be very helpful. Their priority is the needs of the service users”. Three people who live at the home choose to manage their own medications and are supported to do this through the risk assessment process. Lockable cupboards are available in each bedroom for keeping the medications safe and the individual concerned holds a key for the cupboard with a spare key kept with the staff medication keys. Systems for storage and administration of medications were checked and found to be safe and well managed. The registered person was advised to contact the community pharmacist for advice on managing medications during holidays. All four people who live at the home, who took part in discussion, felt that outcomes for them in this area are excellent. 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 and 23 People who live at the home have confidence that their views are listened to and that staff are trained to ensure their protection. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: All of the people who live at the home who took part in discussion said that they knew who to speak to if they had any concerns or complaints. One person said that they would speak immediately to the member of staff on duty but if they were not fully satisfied they knew that they could contact the registered person who would come immediately to the home, whatever the time of day or night. Nobody involved in the discussion had ever had cause to complain but were confident that they would be listened to and appropriate actions taken. One person said that they knew that they could contact the Commission if they had any concerns. A book, seen during the visit, is kept in the kitchen where record is made of any issues or suggestions raised during house discussions. Training records show that all staff have had training in safeguarding of vulnerable adults and one member of staff spoken with knew how to make a referral under local safeguarding protocols should an issue arise. All of the people who live at the home said that they had confidence in staff at the home to ensure their safety and felt that outcomes for them in this area are excellent. 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, 30 People who live at the home benefit from comfortable and very homely surroundings. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: Communal areas and one of the newly developed bedrooms were seen during the visit to the home. All parts of the home seen were clean and tidy and provide a very comfortable and homely environment. People who live at the home are encouraged to look after their own rooms and, those who wish, assist in the housework in communal areas. All of the people spoken with during the visit felt that outcomes for them in this area are excellent. 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 and 35 An appropriately recruited and well trained staff team supports people who live at the home. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: Along with the registered person, a team of five staff work at the home. All of the staff have been employed for a number of years. Records seen during the visit show that all of the staff at Whiteley House have achieved NVQ (National Vocational Qualification) level 2 in care. All of the staff are up to date with moving and handling and first aid training. Three staff, including the manager, have recently completed a study day in mental health awareness and other staff will attend this training as it becomes available. Personnel files for two members of staff were seen during the visit. Both contained all of the information required by regulation to safeguard and support people living at the home. All of the four people spoken with during the visit agreed that outcomes for them in this area are excellent. One person said that all of the staff were very well trained to support them, and everybody agreed that they could not wish for better staff. The registered person said that people who live at the home would be involved in the recruitment of any new staff. All but one of the people spoken with said that they would like to have this involvement. 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 and 42 People living at the home and staff working at the home benefit from high standards in management. People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. EVIDENCE: The registered person, Anne Mangham, owns and manages the home. She has several years’ experience of residential care for people with mental health problems and has previously worked within the hospital setting. Anne works in the home on a daily basis and all of the people who live there have a great deal of respect and affection for her. One person who lives at the home said “there could not be a better person”. All decisions about the running of the home are made following discussion between people who live at the home and the staff. Everybody gets together for the evening meal and use this time to discuss anything that affects life at the home and particularly plans for trips and holidays. In addition to general discussion with everybody involved in the home, the registered manager seeks the opinions of relatives and health care professionals who are involved in the care and support of people who live at the home. The manager confirmed to the Commission, prior to the visit, that health and safety matters relating to the home such as fire drills, checks by environmental health and maintenance issues such as gas, electrical and water safety are all in place and up to date. The people spoken with during the visit said that the outcomes for them in this section are excellent. SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 X 4 X 4 X X 4 X 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 YA20 Good Practice Recommendations • • Recording codes should always be entered on MAR sheets even when the medication has not been administered. The registered person should seek the advice of the community pharmacist regarding administration of medications during holidays. 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