Care Home: 45 Watson Road

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What the care home does well This service provides a secure, safe, positive and inclusive environment for the people who live there. Most of the residents have been there for a number of years and have a strong and constructive presence in the local community. Each person had a `Pathway` plan on his or her bedroom wall. This was an illustrated document, which told people about the unique things in a persons` life, including friendships, support, interests and activities, and how important goals and aspirations will be achieved. It is through good planning such as this that lives can improve and services evolve to encourage growth and development. Each of the residents had individual lifestyles, activities and interests that were actively promoted and encouraged by the manager and staff. Three of the residents had the ability to go out alone and there were risk assessments available to help ensure that they remained safe. It was clear that each of the residents were relaxed, comfortable and `at home` in this environment. This is due to the manager`s skills and ability in both running the home and communicating professionally and effectively with both the residents and staff team. The residents` rights, wishes and aspirations were valued and respected. One of the residents commented, "I really like living here, this is my home". What has improved since the last inspection? The lounge area had been completely redecorated with a new carpet and wallpaper. It is important that improvements are regularly made to ensure that people live in a positive and pleasant environment. Person centred planning has improved. This has helped the residents to have more of a voice in how the service is run. One of the residents has extra time with the care staff to help him to access community facilities. What the care home could do better: This is a good service where all of the National Minimum Standards have been achieved. CARE HOME ADULTS 18-65 45 Watson Road 45 Watson Road Blackpool Lancashire FY4 2DB Lead Inspector Christopher Bond Unannounced Inspection 8th November 2007 11:00 45 Watson Road DS0000009880.V350594.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 45 Watson Road DS0000009880.V350594.R01.S.doc Version 5.2 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. 45 Watson Road DS0000009880.V350594.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 45 Watson Road Address 45 Watson Road Blackpool Lancashire FY4 2DB 01253 347810 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) Mrs Mary Catherine Webster Mr Robert Francis Webster Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 45 Watson Road DS0000009880.V350594.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th November 2006 Brief Description of the Service: 45 Watson Road is a care home registered for five adults who have a learning disability. The home is situated in the South Shore area of Blackpool, not far from the Pleasure Beach. All of the bedrooms are large with good views. There are garden areas to the front side and rear of the house where people can sit out in good weather. The house is close to several local shops, which are within walking distance. There is a small park not far away and busses run into Blackpool and to other parts of the Fylde coast from close by. The house has a small driveway and visitors to the home are able to park in the streets close by. There is a statement of Purpose/Service user Guide, which is given to all prospective clients. This written information explains the care service that is offered, who the owners and staff are and what the client can expect if he or she decides to use the home. At the time of this visit, (08/11/07) the information given to the Commission showed that the fees for care at the home are £311.30 per week, with added expenses for chiropody. 45 Watson Road DS0000009880.V350594.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. As part of the inspection process an unannounced site visit took place over a total of 4 hours on the 8th November 2007. A tour of the home was carried out, which included bedrooms, lounge, dining areas, and bathrooms. All areas were clean and hygienic. The residents’ personal files and care plans were examined. Care staff records and recruitment records were also looked at. Safety certificates and medication records for the home were also examined. The managers, residents, care staff and visitors to the home were spoken to during the inspection. Every year the registered person is asked to provide us with written information about the quality of the service they provide and to make an assessment of the quality of their service. This information, in part, has been used to focus our inspection activity and is included in this report. What the service does well: This service provides a secure, safe, positive and inclusive environment for the people who live there. Most of the residents have been there for a number of years and have a strong and constructive presence in the local community. Each person had a ‘Pathway’ plan on his or her bedroom wall. This was an illustrated document, which told people about the unique things in a persons’ life, including friendships, support, interests and activities, and how important goals and aspirations will be achieved. It is through good planning such as this that lives can improve and services evolve to encourage growth and development. Each of the residents had individual lifestyles, activities and interests that were actively promoted and encouraged by the manager and staff. Three of the residents had the ability to go out alone and there were risk assessments available to help ensure that they remained safe. It was clear that each of the residents were relaxed, comfortable and ‘at home’ in this environment. This is due to the manager’s skills and ability in both running the home and communicating professionally and effectively with both the residents and staff team. The residents’ rights, wishes and aspirations were valued and respected. One of the residents commented, “I really like living here, this is my home”. 45 Watson Road DS0000009880.V350594.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. 45 Watson Road DS0000009880.V350594.R01.S.doc Version 5.2 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 45 Watson Road DS0000009880.V350594.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 2 and 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A detailed needs assessment helps the support workers to provide a good service, which is tailored to the residents’ specific needs. EVIDENCE: No new residents had been admitted to this home for a number of years. Each of the current residents had ample information written down about them to ensure that the care staff were aware of their specific needs and abilities. Each of the residents was assessed by the placing authority on a yearly basis to ensure that the home was appropriate and meeting the person’s needs. A Service User Guide was available in the hallway of the home, which informed the residents of the services that the home provided. 45 Watson Road DS0000009880.V350594.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7, and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are encouraged to maintain a positive and inclusive lifestyle through good ‘person centred’ planning and a thorough review process. EVIDENCE: Each of the residents had a Person Centred Plan that contained important information on how people wanted to live. The plans described each person in a positive way (for example what people liked and admired about them, and their skills and abilities). There was also information about how the person wants to stay healthy, safe and well and what support they needed to attain this. Each of the residents also had a pathway on their bedroom wall. This was an illustrated document, which told people about the unique things in a persons’ life, including friendships, support, interests and activities, and how important goals and aspirations will be achieved. 45 Watson Road DS0000009880.V350594.R01.S.doc Version 5.2 Page 10 Each resident was able to convey their wishes and make decisions about their support and how they would like support to achieve things and to maintain an ordinary life. The manager and care staff were very open and skilled at providing advice and support in a relaxed and open way. Each of the residents spoke to us regarding their pathway and how it had enabled them to improve things. . The support workers to ensure that people’s lives were positive, inclusive and fulfilling used the plans and pathways as day-to-day tools. It was clear that the service users were being encouraged to take part in all aspects of running the home. The support worker and manager confirmed that the service users were helped to shop for food etc, prepare meals, clear up after meals, clean their rooms and help clean the house. Risk assessments had been completed to help ensure that people were safe whilst undertaking these tasks. A measured amount of risk is good as it helps to ensure that people develop and fulfil an active lifestyle. It is important that the people living in the house take part in such activities because this helps build confidence and maintain important self-help skills. 45 Watson Road DS0000009880.V350594.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 11, 12, 13, 14, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users lead full and active lives due to good support and effective planning and assessment. EVIDENCE: Each of the residents had individual lifestyles, activities and interests that were actively promoted and encouraged by the manager and staff. Three of the residents had the ability to go out alone and there were risk assessments available to help ensure that they remained safe. One of the residents had recently obtained one-to-one support for twelve hours per week to enable him to enjoy community resources and activities. Two of the residents had jobs within the community. Other activities included education at the local college, church related support and activities, and various appropriate leisure interests. One of the residents went swimming on a regular basis. 45 Watson Road DS0000009880.V350594.R01.S.doc Version 5.2 Page 12 The manager of the home confirmed that family and friends often visited the home and, wherever possible, were involved in helping to make decisions about peoples lives within the home. There were no visitors to the home during the inspection. Advice was offered by the manager and support workers about the right things to eat to ensure a healthy diet. The residents were enabled to help prepare meals and assist with the tasks surrounding this. 45 Watson Road DS0000009880.V350594.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19, and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal and health care issues were dealt with properly and professionally in a way that the service users preferred. EVIDENCE: There was lots of evidence within the home to show that individual health matters were being dealt with appropriately and properly. There were sections in each person’s individual plan to record health issues and visits to healthcare professionals. Nobody who lived at the home was able to control his or her own medication. There were systems within place at the home to ensure that medication was dealt with correctly. Medication records were seen and were properly maintained and medication was stored appropriately and safely. Appropriate training had been provided for those who handled medication. 45 Watson Road DS0000009880.V350594.R01.S.doc Version 5.2 Page 14 Only one person at this home required any form of personal care and this was minimal, with prompts being used. The manager and the support worker were both very respectful of the residents in the way that they spoke to them. The atmosphere throughout the home was very relaxed and the residents were open and comfortable in expressing their views about the service. One resident commented, “ This is a great place to live, I feel safe here.” The manager was skilled at ensuring that health and emotional needs were dealt with properly, compassionately and professionally. His relationship with all of the residents was very good. 45 Watson Road DS0000009880.V350594.R01.S.doc Version 5.2 Page 15 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): Standards 21 and 22 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good policies and procedures within the service helped to ensure that people were listened to and protected from harm. EVIDENCE: It was good to see that the residents of this home had lots of confidence in the manager. Their relationship was very good and possible concerns were dealt with quickly and professionally before issues escalated and developed into complaints. Each of the residents had been involved with the service for a number of years and systems had naturally developed whereas concerns were respected and taken seriously. There was a complaints procedure available within the Service User Guide and the card staff knew what to do if a resident was unhappy. There had been some training in the protection of vulnerable adults. The manager and the care staff said that they understood the procedures involved in safeguarding people and ensuring that people remained safe. 45 Watson Road DS0000009880.V350594.R01.S.doc Version 5.2 Page 16 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): Standards 24, 25, 26, 28 and 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents live in a warm, homely and safe environment. EVIDENCE: Two of the residents showed us their bedrooms. Both rooms were pleasant, well decorated and comfortable. There were lots of personal possessions such as books, CD’s, videos, and ornaments. This helped the residents ensure that this was ‘ their space’. It was clear that both residents were very proud of their rooms. The lounge area had been completely redecorated with a new carpet and wallpaper. Three of the residents were sat in the kitchen area chatting round the kitchen table and playing dominoes. The residents were very relaxed in this environment. 45 Watson Road DS0000009880.V350594.R01.S.doc Version 5.2 Page 17 The house was very well maintained and furnished. It was a cold day and the house was very warm and inviting. There were areas at the back of the house where the residents could sit out when the weather was warmer. The home was exceptionally clean throughout. This helped to ensure that the residents lived in a safe and hygienic environment. 45 Watson Road DS0000009880.V350594.R01.S.doc Version 5.2 Page 18 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): Standards 32, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A trained and competent staff team supported the residents. Robust recruitment procedures meant that people were protected from unsuitable staff. EVIDENCE: The support workers received plenty of individual support from the manager. One staff member who was spoken to said that they received regular support and records were available to confirm this. Good support means that the staff can do their jobs more effectively and that their individual needs are addressed properly. The care staff had been recruited properly within a robust procedure. Proper checks had been completed prior to employment to help ensure that the residents were suitably protected. Most of the support workers at this home had achieved a nationally recognised qualification in care (National Vocational Qualification level 2) meaning that they had been given the necessary skills to ensure that people were supported 45 Watson Road DS0000009880.V350594.R01.S.doc Version 5.2 Page 19 properly. There had also been several training events since the last inspection to update the skills of the support workers. 45 Watson Road DS0000009880.V350594.R01.S.doc Version 5.2 Page 20 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): Standards 37, 38, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A competent and professional manager protected the resident’s rights and best interests. EVIDENCE: There were certificates to show that competent people had checked the fire alarm, gas systems, electrical installations and lifting equipment. There were also yearly checks to the fire safety equipment and water supply. This helped to ensure that the residents lived in a safe environment. The manager had completed two nationally recognised qualifications in management (National Vocational Qualification level 4 and the Registered Managers Award). This helped to ensure that he had the knowledge, skills and ability to run the home appropriately and professionally. 45 Watson Road DS0000009880.V350594.R01.S.doc Version 5.2 Page 21 Small amounts of personal money were kept at the home for every day expenses. This was audited on a regular basis by the manager to help ensure that this remained secure. Each of the residents had a personal bank account and advice and support was given by the manager to help keep these in order. There were robust policies and procedures for the care staff to refer to, to guide them within their job role. The manager was available in an ‘on-call’ role when not on duty to ensure that support workers had advice and support at all times, should this be required. The manager and staff were aware of safety aspects to be aware of around the home and training had taken place to help ensure that the residents lived in a safe and secure environment. It was clear that each of the residents were relaxed, comfortable and ‘at home’ in this environment. This is due to the manager’s skills and ability in both running the home and communicating professionally and effectively with both the residents and staff team. The residents’ rights, wishes and aspirations were valued and respected. 45 Watson Road DS0000009880.V350594.R01.S.doc Version 5.2 Page 22 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 3 3 3 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 3 ENVIRONMENT Standard No Score 24 4 25 4 26 4 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 4 3 X X 3 X 45 Watson Road DS0000009880.V350594.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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. Refer to Standard Good Practice Recommendations 45 Watson Road DS0000009880.V350594.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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. 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