Care Home: Westcliffe House

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What the care home does well As stated above not all the different areas that are normally covered at a key inspection were assessed. But from the areas that were assessed we saw that Westcliffe was doing a number of things well. From the questionnaires people told us that the service met their needs and that they were well supported. The evidence showed that people were supported in their goals to abstain from drugs and alcohol and were encouraged to attend all the groups and services to assist them in this. Staff were praised for being supportive and helpful. One person said, "The home is very helpful when you need something". Another said, "staff listen to us" and another, "since coming to Westcliffe I have gained more confidence and self respect". There were good policies and procedures that gave staff guidance on how to manage and administer medication and protect people from abuse. People felt safe living in the home. What the care home could do better: According to the areas we assessed at this inspection we found that some aspects of medication management could be improved. The storage of medication should be better organised to reduce the risk of people`s medication becoming mixed up. Also the risk assessments and care plans should have more accurate and clear information on the risks associated with self administration of medicines, what staff need to do to ensure medication is taken safely and instructions to staff on the individual procedures adopted for each service user. Random inspection report Care homes for adults (18-65 years) Name: Address: Westcliffe House 3 - 4 Braddocks Close Hurstead Rochdale Lancashire OL12 9UZ three star excellent service 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: Pat White Date: 0 4 0 5 2 0 1 0 Information about the care home Name of care home: Address: Westcliffe House 3 - 4 Braddocks Close Hurstead Rochdale Lancashire OL12 9UZ 01706377197 01706372910 deborah.bithell@turning-point.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Olivia Braine Type of registration: Number of places registered: Conditions of registration: Category(ies) : Turning Point care home 8 Number of places (if applicable): Under 65 Over 65 0 0 past or present alcohol dependence past or present drug dependence 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: Past or present drug dependence - Code D Past or present alcohol dependence - Code A The maximum number of service users who can be accommodated is: 8 Date of last inspection Brief description of the care home Westcliffe House is a residential service for eight individuals who need support in achieving a drug and alcohol free lifestyle and have been unable to achieve this whilst living in their own home or community. The project, operated by Turning Point, a Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home national charity, enables individuals aged 18 to 65 years to develop skills so that they may eventually live independently. Single person accommodation is provided, along with shared communal facilities of lounges, kitchens and bathrooms. The property is situated on the outskirts of Rochdale town centre and is conveniently close to local shops and post office. As the accommodation is on first floor level, the service would not be able to be accessed by people with a physical disability, as there is no lift provided. The home is staffed during the week between 0900 and 1200 midnight and at weekends 0900 until 1630. Referrals are accepted from all areas of the United Kingdom and residents lengths of stay vary dependent upon their agreed care package. The provider makes information about the service available in the form of a resident handbook that is given to new residents upon admission. Up to date weekly fees charged are also available from the provider. Care Homes for Adults (18-65 years) Page 3 of 9 What we found: An unannounced random inspection was undertaken at Westcliffe House on 4th May 2010. This was a short inspection to check whether or not we felt that the agency was still providing an excellent service as assessed at the last key inspection in June 2007. This was in accordance with the commissions current guidance on excellent services, which states that unless there are significant concerns from the information we hold about excellent services a short focused random inspection should be undertaken instead of a main key inspection. The current guidance also states that unless there is reason to do otherwise the focus of our random inspection should be on the key areas of Personal and Health Care Support and Concerns, Complaints and Protection. At this inspection only these two areas were assessed. For this random inspection an inspector visited the service, talked to the team leader in charge and another manager, talked with a service user and looked at some key records and policies and procedures. In addition we used the written information that the home must annually provide to the commission about the service it provides, including their own assessment of the quality of the service, as well as information about the support, care plans, staff, and management. We also had some completed survey questionnaires from 4 service users and one member of staff. The service user questionnaires gave us sufficient information to make an assessment of the views of these people about the service. PERSONAL AND HEALTH CARE SUPPORT According to the guidance referred to above we looked at the National Minimum Standards about personal support, health care and medication. There was sufficient evidence for us to conclude that the support provided to people was carried out in such a way as to uphold peoples rights to privacy dignity, promote rehabilitation and help prepare them for more independent living arrangements after leaving Westcliffe House. The key evidence supporting this is as follows. We were told that people going to live at Westcliffe are assessed as being independent with respect to personal care. Through talking to a service user and the team leader it was apparent that people had good support in other areas of their lives such as in accessing the rehabilitation services they needed, in house support with substance abstinance and encouragement and advice with healthy eating and living. Personal records seen, and discussions with people, indicated that people had the health care they needed, including health screeining. They register with a local General Practitioner if need be when they go to live at Westcliffe, and continue with, or make new, hospital appointments as necessary at the local hospital facilities. People living at Westcliffe attended numerous groups and services for support in abstaining from drugs and alcohol, and were supported by the staff at Westcliffe to do this. One service user whose records were viewed, and who was spoken with, informed us of all the relevent rehabilitation groups and services they attended, including those held in Westcliffe. This person felt that these services were helpful and necessary and praised the staff for their support and assistance. This person was also having support from the local health services, and the staff in Westcliffe, in managing their diabetes. They confirmed that staff had been very Care Homes for Adults (18-65 years) Page 4 of 9 supportive in this respect. The four people who completed the questionnaire surveys also indicated that they felt well supported by the staff at Westcliffe. Comments made included, the staff are there when needed, since coming to Westcliffe I have gained more confidence and self respect and the home is very helpful when you need something. MEDICATION We checked some of the matters that had been raised at the previous inspection and found that there had been an improvement in the recording of Controlled Drugs and the recording of all other medication coming into the home and being administered. This should help prevent the mishandling of medicines. Staff undertook appropriate training in the administration of medication and the systems and records seen, in general, appeared safe and ensured that people took their medication as needed. People could manage their own medication if this was assessed as being safe, and for others staff supported them in a number of different individual ways that enabled them to take some responsibility for their medication. However the written risk assessments and care plans about what the risks were in relation to medication support, and what support staff needed to provide, was not as accurate or informative as it should be. One person was managing their own medication but their was no written information on the risk assessment about what staff needed to do to monitor that all medicines were being taken correctly. Medication for another service user was kept locked in the medication cupboard but they came and asked for medicines when due, selected them, and was observed and checked by a member of staff who then signed the medication administration record. This procedure/arrangement was not written down so staff may not know that this was the current procedure. This could mean that the agreed procedure was not followed and could result in the wrong medication being taken. Also the stored medication could be organised better to keep individuals medication all together. This should help assist people to select their own medication and not other peoples by mistake. The team leader agreed to implement the changes as suggested, and before this report was written we had received information about how the risk assessments and care plans had been developed and improved with respect to accurate and useful instructions to staff regarding medication. CONCERNS, COMPLAINTS AND PROTECTION There were corporate (Turning Point ) policies and procedures that helped people express any concerns and complaints and also that would help protect people from abuse. These procedures were satisfactory, but the complaints procedure did not include information about social services and their role in complaints investigations. Thr team leader agreed to rectify this. Records and the information provided to us before the site visit showed that there had been one complaint made and investigated in the last 12 months. Appropriate investigations had been conducted and records submitted to the required monitoring section at Turning Point. As stated above there were corporate policies and procedures to help protect people from abuse. There was also a copy of the local authority safeguarding procedures. All staff undertook training in the protection of vulnerable people from abuse. This included in Care Homes for Adults (18-65 years) Page 5 of 9 house training through Turning Point and also through Rochdale Borough Council. This should further help to protect people and there had been no safeguarding incidents in the last 12 months. A service user told us that they felt safe living at Westcliffe. As stated above a full key inspection was not undertaken and the evidence that we reviewed and assessed did not reveal any concerns to indicate that a more in depth inspection was needed at this time. What the care home does well: 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 R No £ 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 1 20 12(1)(b) There needs to be 03/12/2007 assessment of the selfadministration of medicines to help ensure people receive any support they need to do so safely. Complete, clear and accurate 03/12/2007 records of medication handling need to be maintained to help ensure medicines are given correctly. 2 20 13(2) 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 1 20 The risk assessments and or care plans should indicate the risks associated with the different specific procedures adopted by individuals with respect of medication and should include written instructions to staff about what they need to do to support people and minimise risks. Medicines stored in the medication cupboard should be organised in such as way as to keep inviduals medication together and separate from other peoples 2 20 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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