Inspection on 28/10/05 for Whitewalls

This inspection was carried out on 28th October 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Whitewalls 13/12/07

Whitewalls 15/11/06

Whitewalls 07/07/05

Whitewalls 03/02/05

Whitewalls 02/08/04

Whitewalls 08/03/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Home Farm

Griffin Lodge

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

CARE HOME ADULTS 18-65 Whitewalls Bells Lane Hoghton Lancashire PR5 0JJ Lead Inspector Phil McConnell Unannounced Inspection 28th October 2005 14:30 Whitewalls DS0000005929.V261029.R01.S.doc Version 5.0 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 Whitewalls DS0000005929.V261029.R01.S.doc Version 5.0 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. Whitewalls DS0000005929.V261029.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Whitewalls Address Bells Lane Hoghton Lancashire PR5 0JJ 01254 852288 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) CARE (Cottage and Rural Enterprises Ltd) Mrs Pamela Ann Smalley Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Whitewalls DS0000005929.V261029.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th July 2005 Brief Description of the Service: Whitewalls is a large detached property situated in the village of Hoghton between Blackburn and Preston. The village provides access to local facilities and services and it has good transport links to nearby Preston and Blackburn. Whitewalls is a community home and it is registered to accommodate 6 adults with learning disabilities, the home has strong links with Stanley Grange, which is also owned by CARE, some 2 miles away. The two-storey house stands in its own grounds and contains a lounge/dining area, a small conservatory, kitchen, two bathrooms, separate toilet, five bedrooms and a staff room. There is also a self contained flat attached to the home which accommodates 1 service user. . Whitewalls DS0000005929.V261029.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on a day in October 2005 and it was an unannounced inspection, which meant that the provider was unaware that the inspection was to take place. During the inspection there was the opportunity to speak with the 5 service users who are presently living at Whitewalls. All of the service users commented positively about living there, one service said that “I am very lucky to be living here” another said, “I really like my bedroom”. There was also the opportunity to speak with the registered manager and with 3 members of the staff team. Service users and staff files, policies and documents were also inspected. The inspector was able to inspect all of the rooms within the home. What the service does well: What has improved since the last inspection? What they could do better: Whitewalls DS0000005929.V261029.R01.S.doc Version 5.0 Page 6 The service users would really benefit from some redecoration throughout the home, which in places was looking quite tired and dull. The bathrooms and toilets needed a complete overhaul. 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. Whitewalls DS0000005929.V261029.R01.S.doc Version 5.0 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 Whitewalls DS0000005929.V261029.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 5 The core assessments, the Person Centred Plans, the college information, the review notes and the evidence of positive family contact all gave a clear indication that the service users needs and aspirations were assessed and being met. EVIDENCE: The files of two service users were inspected and, as with these and the other service users, they all had pre admission assessments in place. In discussion with the service users it was apparent that they were actively involved in the assessment process. There had been no new admissions to Whitehall’s since the last inspection and service users informed the inspector that when there is a prospective new service user, they are given the opportunity to meet the person and are asked their opinion about them coming to live at the home. In the files there were individual contracts between the service user and the provider stating terms and conditions, service user’s guides and service agreements between the service user and the provider explaining about the rights and responsibilities about living at Whitewalls. Service users emergency details with up to date photographs are also available for reference in their files. Whitewalls DS0000005929.V261029.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Care plans were well organised, easy to read and also in a format that service users found straight forward. Risk assessments were detailed and thorough giving appropriate and relevant information for service users to participate in activities and different experiences, ensuring that people have the opportunity to choose and to increase their independence. EVIDENCE: There were comprehensive and detailed care plans in the home along with relevant risk assessments. In one of the service user’s plans there was a risk assessment with regard to the persons vulnerability and travelling alone. The service user is fully aware of this being in place. The Person Centred Plans (PCP’s) have been put together with the involvement of family and friends and were in picture form to aid communication. One service user had recently left the home and gone to live in other accommodation still within the organisation to better meet their needs. The inspector observed a service user with support from a staff member obtaining their own money and signing to record that they had received it. Whitewalls DS0000005929.V261029.R01.S.doc Version 5.0 Page 10 Risk assessments were in place, demonstrating that people are supported to increase their independence. The inspector also saw a risk assessment for a previous holiday that service users had been on and there was also a risk assessment in place in the event of an influenza epidemic. This demonstrates forward planning to promote independence and health and safety. A service user was observed using a washing machine and it was apparent that it was a regular activity. A staff member was close by, discreetly observing the activity, once again support was there if needed, whilst promoting the service user’s independence. There was a cleaning rota on the notice board and with staff support the service users were able to participate in the running of their home. In the bathrooms there are pictorial colour coded information charts on the walls describing which cleaning clothes to use for the different cleaning duties, thus promoting the service users to live as independently as possible. Whitewalls DS0000005929.V261029.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17. It is clear that service users were encouraged to participate in activities outside the home and were supported in any friendships or relationships. This promotes independence and choice. EVIDENCE: All of the service users were either employed or were attending college, for example one of the service users had paid employment in a supermarket, another worked at an Older Peoples home and all of the service users participated in college based courses or attended day time activities at nearby Stanley Grange. The inspector spoke to a service user who had just returned with a support worker from ballroom dancing and, in discussion with all of the service users, it was evident that they have good links with the local community, visiting the local shops, going to the local pub, attending a leisure centre, visiting the cinema and going ten-pin bowling. The daily diary entries confirmed that these activities took place on a regular basis and also demonstrated that service users had recently had enjoyed day trips to Blackpool and other local tourist attractions. Whitewalls DS0000005929.V261029.R01.S.doc Version 5.0 Page 12 Service users were on the electoral role and were given the opportunity to vote with support if they wish to, recognising people’s rights as citizens. Service users were encouraged to participate in daily routines and this was clarified within the service user’s agreements and their individual care plans. Service users do have the opportunity to form appropriate relationships and friendships in and outside of the home. Service users had their own keys and have unrestricted access to all parts of the home, although people do respect each other’s privacy and do not go into other people’s rooms without permission from that person. The inspector observed two service users helping in the kitchen preparing the evening meal and then with the two members of staff, they sat together for the meal; which was very relaxed and natural. One of the service users had decided to have the meal in their bedroom and this choice was upheld. One service user said “The food is alright, not brilliant, but alright.” It is documented that when possible low fat foods are to be purchased and in discussion with the service users and staff, healthy and varied diets are available, which helps to promote a healthy lifestyle. Whitewalls DS0000005929.V261029.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 The recording of the administration of medicines had improved since the last inspection. Correct procedures were implemented by staff and the service users independence is promoted. EVIDENCE: Some of the service user’s were able to self-administer their medication with limited staff support. Others were able to self administer their own medication and inform a staff member when medication needs to be reordered. This enabled and supported the service users to be more independent. The service users have signed consent forms indicating their responsibility in managing their own medications. Whitewalls DS0000005929.V261029.R01.S.doc Version 5.0 Page 14 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 and 23 The policies and procedures that deal with the issues of abuse were detailed and thorough. Service users and staff knew how to complain and had the confidence to do so. EVIDENCE: There was a complaints procedure in place, which was also in picture form. From discussion with the service users it is evident that there was an awareness that they can make a complaint. There was a record of complaints made by service users, which were resolved, but this confirms that people have the confidence to complain, if they feel they need to. There was documentation available to show that one service user was accessing the services of an outside and independent advocate and again speaking to service users, people know that the advocacy service is available to them if it is needed. All Protection of Vulnerable Adults and Criminal Records Checks have been undertaken for employed staff ensuring the protection of people living at the home. Whitewalls DS0000005929.V261029.R01.S.doc Version 5.0 Page 15 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): EVIDENCE: These standards were not fully inspected on this occasion. It was observed however that there is a need for some redecoration within the home, especially in the toilet and bathroom areas which had badly worn flooring, a broken bath panel, the cistern top missing and broken tiles. These issues need to be addressed. Whitewalls DS0000005929.V261029.R01.S.doc Version 5.0 Page 16 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): EVIDENCE: These standards were not inspected at this inspection. Whitewalls DS0000005929.V261029.R01.S.doc Version 5.0 Page 17 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): EVIDENCE: These standards were not inspected at this inspection. Whitewalls DS0000005929.V261029.R01.S.doc Version 5.0 Page 18 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 x x 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Whitewalls Score x x 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x DS0000005929.V261029.R01.S.doc Version 5.0 Page 19 None 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 YA27 Regulation 23 (2) b 23 (2) d Requirement Timescale for action The registered person is required to restore the toilets and 16/01/06 bathrooms to a good state of repair and all parts of the home are to be reasonably decorated. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Whitewalls DS0000005929.V261029.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Chorley Local Office Levens House Ackhurst Business Park Foxhole Road Chorley PR7 1NW 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 Whitewalls DS0000005929.V261029.R01.S.doc Version 5.0 Page 21 - 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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