Inspection on 06/02/06 for Wide Cove

This inspection was carried out on 6th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Wide Cove 01/08/07

Wide Cove 09/08/06

Wide Cove 09/09/05

Wide Cove 15/02/05

Wide Cove 13/09/04

Wide Cove 08/02/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Wide Cove 20 Brook Street Runcorn Cheshire WA7 1JJ Lead Inspector Maureen Brown Unannounced Inspection 6 February 2006 10:30 th Wide Cove DS0000005201.V277200.R01.S.doc Version 5.1 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 Wide Cove DS0000005201.V277200.R01.S.doc Version 5.1 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. Wide Cove DS0000005201.V277200.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Wide Cove Address 20 Brook Street Runcorn Cheshire WA7 1JJ 01928 572635 01928 572635 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) Mr Denis Edward Price Mrs Lynn Julia Price Mrs Doreen Elizabeth White Care Home 8 Category(ies) of Learning disability (8), Learning disability over registration, with number 65 years of age (1) of places Wide Cove DS0000005201.V277200.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. This service is registered for a maximum of 8 service users to include:* No more than 8 service users in the category LD (Learning disability) * 1 named service user in the category LD(E) (Learning disability - over 65 years of age) 9th September 2005 Date of last inspection Brief Description of the Service: Wide Cove is a care home providing personal care and accommodation for eight service users with a learning disability, one of whom is over 65 years of age. Privately owned, the home is located close to shops, pub and other local amenities. It is a detached three-storey building with access between the floors via the stairs. The service users are accommodated in six single and one shared bedroom. These are individually furnished and decorated. The area to the side of the home is used as a car park. The garden area to the rear of the home is secure, well maintained and accessible to service users. Although the postal address for Wide Cove is Brook Street, the home is accessed via Edgerton Street. Wide Cove DS0000005201.V277200.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out on 6th February 2006. The total time on site was four and a half hours. The inspector spent half an hour planning the inspection by reviewing the previous inspection report and the service history. The inspection included a tour of the communal areas, inspection of records and discussions with residents, the registered manager and the support workers on duty. Thirteen out of forty-three standards were assessed and most were met. Feedback from this inspection was given to the registered manager at the end of the inspection. What the service does well: What has improved since the last inspection? From the previous recommendations the statement of purpose and service users guide had been updated and reviewed. The person centred plan for dying and death had been completed with all residents, and the homes policies and procedures had been reviewed. Health Action Plan files had been completed since the previous inspection. These were comprehensive files that covered all aspects of health care needs and formed part of the plan of care. Wide Cove DS0000005201.V277200.R01.S.doc Version 5.1 Page 6 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. Wide Cove DS0000005201.V277200.R01.S.doc Version 5.1 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 Wide Cove DS0000005201.V277200.R01.S.doc Version 5.1 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): 1 Sufficient information is provided for residents to make a decision about moving into the home. EVIDENCE: The home’s statement of purpose and function, the service users guide and a copy of the most recent inspection report were available for the residents and prospective residents. The statement of purpose and service users guide was last reviewed in September 2005. They contained all information needed to make an informed choice on whether this home could meet the needs of the prospective resident. They included information on the home’s environment, how rights would be maintained and aims and objectives. Also included were personal and health care information, daily life and social activities, complaints procedure and staffing details. A brochure of the home included details of the home, the care provided, the staff team and the philosophy of Wide Cove. All residents were aware of the service users guide and a copy of the last inspection report was available on request. The previous recommendation regarding reviewing and updating the service users guide and statement of purpose had been completed. Wide Cove DS0000005201.V277200.R01.S.doc Version 5.1 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 The residents’ health, personal and social care needs are met by the staff team who enable them to maintain their privacy and dignity. EVIDENCE: Two residents’ care records were seen during this inspection. These were comprehensive and well presented in individual folders. Each was subdivided into sections that included care plan, risk assessments, medication and reviews. These were drawn up in consultation with the residents and were based on their assessed needs and risks. The care plans were reviewed on an annual basis and in conjunction with the residents. Health Action Plan files had been completed since the previous inspection. These files covered all aspects of health care needs and formed part of the plan of care. Person centred plans for dying and death had been fully developed and the previous recommendation regarding this was completed. Risk assessments were in place for all the relevant activities that residents undertook. These included bathing, showering and going out alone. These were seen on the care plans and were up to date. Wide Cove DS0000005201.V277200.R01.S.doc Version 5.1 Page 10 Daily record sheets showed that information was recorded in respect of each resident. These were detailed and covered all areas of daily living and were accurate, clearly written and signed by carers. The residents spoken with confirmed they had been involved in the choice of décor and furniture within their bedroom and this was seen to reflect each resident’s personality and preferred tastes. House meetings were held regularly with records kept, which the inspector saw. The residents confirmed that they were involved in these meetings. The last meeting held on 11th January 2006 included issues about home life, menus, activities, holidays and days out. Most residents wanted to go on holiday to Wales in a caravan as previously experienced. A list of days out had been made and included visits to Blackpool, Llandudno, garden centres, safari park and Halton show. The residents and staff had signed to show attendance and reading the minutes of the meeting. Wide Cove DS0000005201.V277200.R01.S.doc Version 5.1 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): 15 & 17 Personal and family relationships were encouraged by the home and the staff team supported people with this. EVIDENCE: All the residents have access to the local community. On the day of this inspection five of the eight residents were out at local day centres and working in the community. Of the residents who were at home, one was going to their GP and the others wanted a day a home. From the service users surveys it was noted that family and friends visited and were made welcome by the staff. Residents shared with the inspector the contact they had with family members and said they could choose to see visitors within their own room or in the shared areas of the home. The documentation seen regarding daily routines showed that this was good. The residents were supported with daily living tasks as appropriate and a rota had been set up to assist with the completion of household chores, which the inspector saw. Wide Cove DS0000005201.V277200.R01.S.doc Version 5.1 Page 12 All residents had keys to their bedroom doors and residents confirmed that they could lock the door. They were aware that staff could override this in an emergency. Residents confirmed that mealtimes were flexible. During the inspection one resident had a later breakfast mid morning and lunches were between 12.00 noon and 2.00 pm depending on each residents preference. Residents said that they get together with the staff on a Sunday and each person decides the menu for a different day. Alternatives are available and personal preferences are taken into account. Copies of menus were seen and reflected a well balanced range of foods. The kitchen was seen clean and tidy and fridge, freezer and hot food temperatures were taken and recorded. Wide Cove DS0000005201.V277200.R01.S.doc Version 5.1 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): 19 Residents received support from the staff for personal care in accordance with their stated preference. EVIDENCE: The care plan records included Health Action Plans, which were very detailed and covered all areas of health needs. Visits from and to the GP, hospital, optical and chiropody appointments were recorded. Residents spoken to said that these services were accessed in the local community with the support of staff if required. One resident said that they were going to the doctors later that afternoon and that one of the staff would go with them for support. Wide Cove DS0000005201.V277200.R01.S.doc Version 5.1 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 Residents were satisfied with the support they received from the manager and staff. EVIDENCE: The home’s policy on complaints was seen and residents spoken to said that they would speak to the staff if they had a complaint. Staff confirmed that they were aware of the procedure and would pass concerns to the manager. No complaints had been made to the home or the Commission since the previous inspection. All relevant paperwork was available in the event of a complaint being received. The residents said that they “felt concerns they had would be dealt with appropriately”. This was confirmed in the service users surveys. Wide Cove DS0000005201.V277200.R01.S.doc Version 5.1 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): 24 & 30 The home provided a clean and comfortable environment for people to live in. EVIDENCE: The home was furnished in a domestic style. Residents confirmed their bedrooms were decorated to their preferred style. During this inspection the shared areas were seen. These were clean, tidy and free from any unpleasant smells. The garden areas were well kept. Residents said “they liked living at the home” and that “they were happy with the environment”. They said that staff had a free and easy rapport with them and this was seen during the inspection. The atmosphere within the home was very good and staff chatted to residents in a friendly manner. Wide Cove DS0000005201.V277200.R01.S.doc Version 5.1 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): 34 Recruitment policies have been consistently followed resulting in residents receiving care from staff who have been properly vetted. EVIDENCE: At the time of this inspection the agreed staffing levels were met. Two care staff and the home’s manager were on duty. The recruitment procedure followed ensured that all the staff employed were suitable to work with vulnerable people. Two staff files were examined and these showed that pre-employment checks were carried out. Amongst the documentation available were two references, Criminal Record Bureau checks and a medical questionnaire. Copies of certificates of courses undertaken were also available. The files were up to date and well presented. Wide Cove DS0000005201.V277200.R01.S.doc Version 5.1 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): 40 & 42 The arrangements currently in place do not fully protect and promote the residents’ safety and welfare. The homes policies and procedures safeguard residents’ rights and interests. EVIDENCE: All policies and procedures seen were up to date and accurate. During discussions with the residents they said that the manager was easy to approach and was always ready to listen to them. Residents said that they “liked living in the home” and “that the home was run well”. Safe working practices included visits from the fire safety officer and the environmental health officer, which had been completed satisfactorily. The insurance certificate was in place and up to date. Fire alarm tests were being undertaken on a weekly basis and records kept. Emergency lighting tests were also being carried out on a monthly basis with records kept. The gas safety Wide Cove DS0000005201.V277200.R01.S.doc Version 5.1 Page 18 and electrical safety certificates were not up to date and an immediate requirement was made. See requirement No. 1. Wide Cove DS0000005201.V277200.R01.S.doc Version 5.1 Page 19 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 X 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 3 23 X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 X X X X X 3 X 1 X Wide Cove DS0000005201.V277200.R01.S.doc Version 5.1 Page 20 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 YA42 Regulation 23 Requirement Timescale for action The registered person must ensure that up to date gas safety 20/02/06 and electrical safety certificates are kept at the home. Immediate requirement. 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 Wide Cove DS0000005201.V277200.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Wide Cove DS0000005201.V277200.R01.S.doc Version 5.1 Page 22 - 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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