Care Home: 3-4 Glebe Lane

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What the care home does well The service is good at providing suitable levels of personal support. On the day people who live in the service looked well groomed, well nourished and content. We checked care plans and daily notes and saw that the staff team paid detailed attention to peoples` wishes and needs. This was confirmed by the comments received in surveys: "They do everything well. They are always out going places - day activities, meals out, discos, horse riding. They really look after my relative and I have every trust in them." "The staff care for you well. I am independent and would like to live on my own one day." "I like cleaning my own room and washing up." "When I go to visit my relative - be it morning, afternoon or evening -he looks well and at ease just as if he was in his own home. He has everything he needs and is well looked after." We saw that people were encouraged to communicate and do as much as possible for themselves. One of the people in the home was involved with making the evening mealand made tea for us. We also saw that people with complex physical needs were given plenty of support. We saw staff helping people to move using hoisting equipment and this was done correctly and with dignity. Everyone was dressed individually and staff paid good attention to their wishes as set out in their person centred plans. We saw plenty of evidence to show that people are treated with dignity and respect. The files also contained strategic planning that allows staff to have detailed information about the kind of support to give. We saw files that told staff how to help people with dietary needs and how to encourage independence. We also saw and heard about the simple techniques used to help people stay in control of their emotions and behaviour. We learnt that one person had been helped to access bereavement counselling and we judged that this was done very well to the person`s benefit. Several peoples` care files showed that their health had improved or they had become calmer or they were acquiring new skills. Everyone in the two houses has a health action plan. Staff make sure people attend appointments and have their health issues dealt with correctly. Individuals have had support from specialists in learning disability, speech therapists, dietitians and other practitioners. People can be taken out to see their own GP as well as having doctors or nurses visit the houses. Staff receive training in managing conditions like epilepsy. They are also able to help people with sexual health issues. We learnt from residents that the staff help them make nutritionally sound choices when they go out to shop or when they prepare meals. Everyone has their medication reviewed regularly by their doctor or by a specialist. Staff have received training in managing medication. One or two people manage one element of their own medicines when they go to their families or friends. We looked at the ordering, storage, administration and disposal of medicines. We had a discussion with the senior carer on duty about a couple of minor things they might do to update their arrangements. In general medicines were managed carefully and appropriately. This service does not rely on sedation and believes that people have a right to a healthy lifestyle. Staff are suitably trained and experienced to deal with this. Westhouse has a good policy on complaints that is available in an easy to read format. People are encouraged to meet with staff and to express their needs and preferences. We met some very assertive people who were obviously used to being heard and expressing themselves.We also learnt that families, friends and advocates were encouraged to act on residents` behalf if necessary. There had been no formal complaints in the service and no one had any problems on the day. We checked daily records and care plans and found no evidence to show that anyone was unhappy with the care or services provided. Everyone looked relaxed and content within the environment. There had been no matters of adult protection raised in this service. Staff who work in these houses have regular updates to their safeguarding training and were aware of the risks to vulnerable people. They had a good understanding of what was abusive and knew how to report anything that concerned them both internally and to outside agencies. There was up to date information about local safeguarding arrangements and staff confirmed that suitable background checks were in place beforenew staff had access to the residents or to any information. What the care home could do better: There was nothing seen on the day that we judged needed to be done better. Random inspection report Care homes for adults (18-65 years) Name: Address: 3-4 Glebe Lane 3-4 Glebe Lane Distington Workington Cumbria CA14 5SQ three star excellent service 25/06/2007 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Nancy Saich Date: 2 0 0 5 2 0 1 0 Information about the care home Name of care home: Address: 3-4 Glebe Lane 3-4 Glebe Lane Distington Workington Cumbria CA14 5SQ 01946831629 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Fiona Elizabeth Dixon Type of registration: Number of places registered: Conditions of registration: Category(ies) : West House care home 8 Number of places (if applicable): Under 65 Over 65 0 0 learning disability physical disability Conditions of registration: 8 8 The registered person may provide the following category of service only: Care home only - Code PC, to service users of the following gender: Either, whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD, Physical disability - Code PD. The maximum number of service users who can be accommodated is: 8. Date of last inspection Brief description of the care home West House is the Registered Provider for 3 & 4 Glebe Lane which are two adjacent properties situated in a residential area close to the centre of the village of Distington on the West Coast of Cumbria. The properties provide accommodation and care for Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home eight people who have a learning disability, some of whom may also have a physical disability. Number 3 Glebe Lane is a purpose built bungalow that has been built next door to the house, which is number 4 Glebe Lane. Each building has its own garden area and car parking is available to the front of the house and to the side and rear of the bungalow. Both properties look similar to the neighbouring houses in Glebe Lane. The home operates as two separate units. The house provides communal living space for service users together with an office / sleep - in room on the ground floor with private bedrooms and a bathroom on the first floor. The bungalow has level access into the hallway that is designed to assist service users who use wheelchairs to enter the building. All the communal rooms and private bedrooms are equipped to meet the needs of the service users. A Handbook is available for prospective residents, and the latest Commission for Social Care Inspection report is made available on request. Care Homes for Adults (18-65 years) Page 3 of 9 What we found: This was the first time we had visited this service since the last key inspection on 25/06/2007. We have received annual updates about the service and have completed Annual Service Reviews since then. Some weeks before this unannounced visit we sent the manager a form called the Annual Quality Assurance Assessment (the AQAA). It is a legal requirement that registered services complete one of these annually. It asks for detailed information and statistics about how the service is operating. This was received, with plenty of good information, within the given timescales. We also sent out surveys for residents and for staff. We had a good response to these and we quote from these below. The information we received was of a high quality showing positive outcomes that we decided that we did not need to complete a full key inspection. Instead we concentrated on the core National Minimum Standards for Personal and Healthcare Support (NMS 18,19 and 20) and those for Concerns, Complaints and Protection (NMS 22 and 23). We made an unannounced visit on the above date. We spent time with the people who live in the home talking and observing the life of the home. We visited some, but not all areas of the building, spoke to all of the staff on duty. We looked at a sample of care files and other records. We checked medicines in the home. We found that this service continues to give good standards of care to vulnerable people, consults them about their wishes and protects them from harm. What the care home does well: The service is good at providing suitable levels of personal support. On the day people who live in the service looked well groomed, well nourished and content. We checked care plans and daily notes and saw that the staff team paid detailed attention to peoples wishes and needs. This was confirmed by the comments received in surveys: They do everything well. They are always out going places - day activities, meals out, discos, horse riding. They really look after my relative and I have every trust in them. The staff care for you well. I am independent and would like to live on my own one day. I like cleaning my own room and washing up. When I go to visit my relative - be it morning, afternoon or evening -he looks well and at ease just as if he was in his own home. He has everything he needs and is well looked after. We saw that people were encouraged to communicate and do as much as possible for themselves. One of the people in the home was involved with making the evening meal Care Homes for Adults (18-65 years) Page 4 of 9 and made tea for us. We also saw that people with complex physical needs were given plenty of support. We saw staff helping people to move using hoisting equipment and this was done correctly and with dignity. Everyone was dressed individually and staff paid good attention to their wishes as set out in their person centred plans. We saw plenty of evidence to show that people are treated with dignity and respect. The files also contained strategic planning that allows staff to have detailed information about the kind of support to give. We saw files that told staff how to help people with dietary needs and how to encourage independence. We also saw and heard about the simple techniques used to help people stay in control of their emotions and behaviour. We learnt that one person had been helped to access bereavement counselling and we judged that this was done very well to the persons benefit. Several peoples care files showed that their health had improved or they had become calmer or they were acquiring new skills. Everyone in the two houses has a health action plan. Staff make sure people attend appointments and have their health issues dealt with correctly. Individuals have had support from specialists in learning disability, speech therapists, dietitians and other practitioners. People can be taken out to see their own GP as well as having doctors or nurses visit the houses. Staff receive training in managing conditions like epilepsy. They are also able to help people with sexual health issues. We learnt from residents that the staff help them make nutritionally sound choices when they go out to shop or when they prepare meals. Everyone has their medication reviewed regularly by their doctor or by a specialist. Staff have received training in managing medication. One or two people manage one element of their own medicines when they go to their families or friends. We looked at the ordering, storage, administration and disposal of medicines. We had a discussion with the senior carer on duty about a couple of minor things they might do to update their arrangements. In general medicines were managed carefully and appropriately. This service does not rely on sedation and believes that people have a right to a healthy lifestyle. Staff are suitably trained and experienced to deal with this. Westhouse has a good policy on complaints that is available in an easy to read format. People are encouraged to meet with staff and to express their needs and preferences. We met some very assertive people who were obviously used to being heard and expressing themselves.We also learnt that families, friends and advocates were encouraged to act on residents behalf if necessary. There had been no formal complaints in the service and no one had any problems on the day. We checked daily records and care plans and found no evidence to show that anyone was unhappy with the care or services provided. Everyone looked relaxed and content within the environment. There had been no matters of adult protection raised in this service. Staff who work in these houses have regular updates to their safeguarding training and were aware of the risks to vulnerable people. They had a good understanding of what was abusive and knew how to report anything that concerned them both internally and to outside agencies. There was up to date information about local safeguarding arrangements and staff confirmed that suitable background checks were in place before Care Homes for Adults (18-65 years) Page 5 of 9 new staff had access to the residents or to any information. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 7 of 9 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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