Inspection on 05/04/05 for William Blake House

This inspection was carried out on 5th April 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

William Blake House 23/11/06

William Blake House 25/11/05

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

CARE HOME ADULTS 18-65 William Blake House Farm Cottage 8 Millthorpe Louise Weedon Towcester NN12 8PP Lead Inspector Mary Timms Unannounced 5th April 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. William Blake House Version 1.10 Page 3 SERVICE INFORMATION Name of service William Blake House Address 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) Farm Cottage 8 Millthorpe Louise Weedon Towcester Northampton NN12 8PP 01327 060412 clivewblakehouse@aol.com William Blake House Mr Clive W.J. Denby Personnel Care 3 Category(ies) of LD Learning Disability registration, with number of places William Blake House Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: The home will restrict its Services to people within the Learning Disability (LD) category The total number of Servicer Users in the Home must not exceed 3 Service Users must be between the age of 18-65 year Date of last inspection 27/9/04 Brief Description of the Service: The home is situated in the quiet village of Weedon Lois approximatly six miles from the market town of Towcester in Northamptonshire. The home itself is a large detached cottage with accommodation provided across two floors. All bedrooms are single occupancy; the home also has two sitting areas, kitchen and dining areas. The home has its own transport, which enables service users to access local facilities. Three young adults with a learning disability are cared for within a family unit living alongside family members on a day-to-day basis. This home also uses overseas volunteers to support service users one of whom also lives on the premises. William Blake House Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was an unannounced inspection visit starting at breakfast time and lasting approximately 3.5 hours. There was a homely atmosphere as residents were supported with breakfast and to prepare for the day ahead. The inspector spoke at length with the Registered Manager Mr Clive Denby and briefly with Mrs Denby also with two overseas volunteers who work within the home. Due to the levels of communication disabilities the inspector was unable to gain feedback from the young people who live at this home, consequently there is a lack of direct comments to inform this report. A tour of the premises took place and a selection of staff and care records were inspected. Observations were made of care practices throughout this visit. What the service does well: What has improved since the last inspection? What they could do better: Some advice was given during this visit to further develop documentation regarding the endorsement of the homeopathic remedies used and for the home to hold documentation relating to the experience and qualifications of the specialist doctor used for consultation in the area of homeopathic remedies. Please contact the provider for advice of actions taken in response to this William Blake House Version 1.10 Page 6 inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. William Blake House Version 1.10 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 Standards Statutory Requirements Identified During the Inspection William Blake House Version 1.10 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 standard(s) 2 There is a satisfactory system for assessing the needs of service users to ensure that planning for care is appropriate. EVIDENCE: Regular reviews of care are undertaken with care managers where any identified welfare needs are re-assessed and alterations made to care plans. It was apparent from discussions with the Registered Manager that health issues are monitored to ensure needs are appropriately assessed and planned for. William Blake House Version 1.10 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 standard(s) 6, 7 and 9 Welfare needs are planned for appropriately with evidence that staff have a good understanding of individual needs. Positive community experiences have been developed thus enriching resident’s lives. EVIDENCE: Individual Placement Plans are held on files setting out details of how daily care is to be provided including personal preferences and risk management strategies. Due to communication difficulties staff make many decisions on behalf of residents; however, these would be based on the knowledge built up by the home over time of individual needs and wishes. The home has developed work placements within the local community providing a range of experiences for two of the residents and opportunities to take planned risks outside of the home. William Blake House Version 1.10 Page 10 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) 11,12, 13,14,15 and 17 Residents are provided with developmental opportunities living within a family unit, sharing experiences and gaining from the support of a nuturing environment. Encouraged to reach their full potential residents are supported to take up new interests and develop new skills. EVIDENCE: Observations were made of a resident being supported by a volunteer to attend a work placement. Records demonstrate that there are a variety of work placements available to meet the needs of different residents. Residents have developed some community responsibilities including tending several gardens and collecting and disposing of recyclable waste from local residents. A member of staff confirmed to the inspector that residents help with domestic shopping tasks. William Blake House Version 1.10 Page 11 Staff and Residents are members of a local leisure facility with a view to swimming and relaxation. Games and books were freely available around the home demonstrating a range of activities for personal choice. One resident has recently attended a music concert and demonstrated his pleasure and agreement to the discussion around his music tastes. All three residents travelled with the family to Finland for a holiday last year and there is a plan for a similar trip to Iceland this year. One resident also travelled abroad quite recently with his family on holiday. Records demonstrate there is regular contact with family members, who are predominantly parents to the young people in residence, and who are kept fully updated regarding developments and care issues. Family members visit the home and young people often spend weekends at home with their parents. Deliveries of fresh vegetables and fruit were noted. Bowls of fresh fruit were freely available in the dining area. A very homely and pleasant kitchen/dining environment is provided with a farmhouse type feel to both areas in keeping with the remainder of the premises. William Blake House Version 1.10 Page 12 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) 19 Residents health needs are met within the holistic healing ethos operated within this home. EVIDENCE: Health needs are predominantly met using homeopathic remedies although they are all registered with a local G.P. One resident does have prescribed medication administered daily and visits a psychiatrist on a six monthly basis. A specialist doctor supports the use of homeopathic remedies within this home, including visiting several times each year and being available for consultation. William Blake House Version 1.10 Page 13 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) 23 The provision for the resident’s protection and welfare is good. EVIDENCE: Procedures are in place in relation to any allegation or suspicion of abuse of resident. Training is planned for all carers in relation to the protection of vulnerable people. It seemed apparent from discussions and observations made on the day of this visit that any challenging behaviour is understood and dealt with in the full understanding of individual disabilities. William Blake House Version 1.10 Page 14 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) 24,25,28 Resident’s benefit from being cared for in a pleasant homely environment, which is maintained to a high standard. EVIDENCE: The home was found to be bright, airy and cheerfully decorated on the day of this inspection visit. All areas seemed in good order and well maintained. Several communal areas are shared with family members also living within the home. Individual bedrooms are provided for residents, which were noted to be personalised and appropriately furnished. William Blake House Version 1.10 Page 15 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) 33 and 35 Residents are supported by appropriately experienced and trained carers who live alongside residents. EVIDENCE: Residents live within a family unit supported predominantly by the Registered Manager Mr Denby and his wife who have extensive experience of working within residential care provisions. Overseas volunteers support the provision of care with one worker also living on the premises. A worker confirmed that she has been attended training in necessary areas with further training arranged. The Registered Manager described how he is currently developing further training initiatives. William Blake House Version 1.10 Page 16 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) 37 and 38 There is good communication between family and support workers and effective systems are in place to ensure the welfare of residents. EVIDENCE: The Registered Manager has commenced his NVQ level 4 Registered Managers Award and states he hopes to complete during 2005. Staff spoken to confirmed they feel well supported, have been provided with adequate training and have one-to-one supervision. The Environmental Health Officer has visited the home and no requirements were made. Fire Safety systems are in place and staff confirmed they have been trained as to actions to take in the case of a fire. Premises appeared in good order throughout. William Blake House Version 1.10 Page 17 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x 3 x x Standard No 11 12 13 14 15 William Blake House 3 4 4 3 3 Standard No 31 32 33 34 35 36 Score x x 3 x 3 x Version 1.10 Page 18 16 17 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x 3 x x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x x x William Blake House Version 1.10 Page 19 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 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 19 19 Good Practice Recommendations The list of approved remedies held within the home for administration by carers, should be signed by the specialist doctor providing consultation to this home. Supporting documentation should be held confirming qualifications and experience of the specialist doctor acting as consultatnt to the home in relation to homeopathic remedies. William Blake House Version 1.10 Page 20 Commission for Social Care Inspection First Floor Newland House Campbell Square Northampton NN1 3EB 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 William Blake House Version 1.10 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!