Random inspection report
Care homes for adults (18-65 years)
Name: Address: Woodhouse Wigton Crescent Southmead Bristol BS10 6DS one star adequate 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: Sarah Webb Date: 1 8 0 6 2 0 1 0 Information about the care home
Name of care home: Address: Woodhouse Wigton Crescent Southmead Bristol BS10 6DS 01179581160 Telephone number: Fax number: Email address: Provider web address: woodhousemanager@shaw.co.uk Name of registered provider(s): Name of registered manager (if applicable) Kay Marie Williams Type of registration: Number of places registered: Conditions of registration: Category(ies) : Shaw Healthcare (Specialist Services ) Ltd care home 16 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 16 May accommodate two named people with a learning disability aged over 65 years. Registration will revert to 18 to 65 years when named people leave. May accommodate up to 16 persons aged 18 years to 65 years. Date of last inspection Brief description of the care home Woodhouse is operated by Shaw Healthcare Specialist Services Ltd, whose aim is to provide the best possible care and related support services for those who are unable to care for themselves without help. The home provides accommodation and personal care for up to sixteen people with a learning disability aged 18 to 65 years. A variation has been agreed to provide care for two people aged over 65 years. Woodhouse is a
Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home purpose built facility, situated in a residential suburb of Bristol. The accommodation is arranged over two floors, and a passenger lift is installed. Individual accommodation is provided in eight apartments on one side of the building, and eight flats on the other side of the building. The accommodation is linked by communal facilities on the ground floor. Each person has high ratios of staff support. The people who currently live in the home are supported on a one-to-one or two-to-one basis. The basic fee for this service is a minimum of GBP 2400.00 per week. The exact fee level is dependant on the support needs of each individual service user. This fee excludes services such as hairdressing; chiropody, and people have to pay for things like extra food and drinks they like; toiletries; personalised bedding; items to decorate their rooms; bigger sized beds singles are supplied. Care Homes for Adults (18-65 years) Page 3 of 10 What we found:
This was a unannounced Random Inspection carried out on 18th June 2010 over a period of five hours. The manager was present and helped with the inspection process. We looked at a range of different evidence. This included information provided by the manager through the Annual Quality Assurance Assessment completed before this inspection, speaking to people living in the home and staff who work in the home, reviewing peoples individual care records, an examination of some of the homes records, and observation of staff interaction with the people living in the home. Before our visit we received eight surveys completed by the people living at the home. Some of the people had been supported by staff in completing their surveys. We also received eight surveys from staff. The feedback from the surveys was positive showing people living in the home were happy with their care and support. The purpose of the visit was to follow up the requirements from the previous Key inspection of 9th and 10th June 2009. We saw those people living in the home who were funded by the local authority, there were care assessments to help decide if the home was able to meet their individual needs. We looked at the assessments, care plans and risk assessments of two people who had been admitted to the home since the last inspection and how their service was being monitored and reviewed. Care files showed their assessments and processes in moving to the home. We saw an assessment tool had been used . A pre admission assessment had been carried out including an assessment of risk of falls and other needs identified. It was evident there were good and robust processes in place to admit people. One person had a transition period in moving to the home that took several months. This took into account their specific needs and the need for a slow process that was determinded by the individual. This demonstrated it was their choice to move to the home and was planned with their best interests. We saw a requirement had been met for people to be involved in the planning of their care and for monthly summaries to show how progress has been made. We saw support plans for people with sensory needs that showed how their independence with moving around the home was being maintained. We saw individual specialist services had been involved in supporting people, including advice from The Royal National Institute for the Blind. Care and support plans were seen to be developed from the assessment and contained full and comprehensive information that was reviewed on an ongoing basis. A requirement had been met for risk assessments to detail the options considered with the level of the risk attached and the action taken to reduce the level of risk. We saw individual written risk assessments that linked into care planning. Specific activites and support had been risk assessed and showed how staff should be supporting people in a safe way. We saw there were individual teams of staff supporting people. We saw staffs interaction with the people living in the home and it was evident they had built good working relationships that supported people well. Information in care plans gave staff
Care Homes for Adults (18-65 years) Page 4 of 10 information and guidance about how they should be supporting people. This was confirmed by staff spoken with. It was evident time had been spent with the people living in the home in involving them about the way they wanted to be cared for and their preferences in all aspects of their lifestyle. We saw a requirement had been met for the people living in the home to have better opportunities for independent living skills training. We saw people in a training kitchen being supported by staff. We saw weekly activity plans for two people. These showed their routines of daily living and activities that although planned were also flexible. These included support in daily living tasks such as changing bedding and keeping their room tidy. An individual record showed they had been to the local shops on a regular basis, had attended a seminar in sexual health, trips to the Mall shoping complex, aromatherapy and cinema. We saw people had individual specialist services involved such as massage. We saw photographs of when people had been on trips to the beach, meals out and the Zoo. We looked at two peoples healthcare planning file. Care planning had improved showing individual detailed information about supporting people with their personal support needs. Clear instruction was in place relating to mobility, and specific manual handling needs. Medicines had been supplied to the home using a blister pack system and all the medicines in the home were given by the senior staff. We checked the medication systems. The home used a local pharmacy. Each person had a photograph in the medication file. Printed medicine administration record sheets had been provided by the pharmacy for each person. These had been signed by staff when they administered medication. The records of the medicine adminstration had been completed fully. Since the last inspection we had been told about several medication errors. These were discussed with the manager who showed the changes made to ensure these do not occur. We saw the handover report had been amended to include checks on medication and pick up any medication issues. we saw records of senior staff who had attended recent medication training updates. At the last inspection a requirement was made for protocols for when required medications must be specific about the times and the behaviours for when medication prescribed. We saw protocols in place for giving As required medication. We saw when medication had been refused by some people living in the home and a record of action taken. We had no concerns about the medication administration, storage or recording. The organisation has a complaints policy and procedure. We have received no complaints since the last visit to the home. We saw the complaints log where there had been one recorded complaint. The record showed the it had been responded to within the appropriate timescale with the action taken and outcome. We saw records of when incidents had taken place. These recorded the staff responses and action taken. There had been no physical restrictve practice or interventions that had occurred since the last inspection. A requirement was made at the last inspection for incidents of challening behaviour, together with staff responses to be clearly recorded. This had been met. The requirement included a record to be kept of restrictive physical interventions , if these had been used, to ensure clear records were being maintained for each individual
Care Homes for Adults (18-65 years) Page 5 of 10 that promoted their welfare and safety. As previously stated although this has not been needed, we were shown there were agreed multi agency arrangements with comprehensive risk assessments and management plans in place. it was evident from reading two individuals reviews by specialist services that since they had been admitted to the home their behaviours had improved with less incidents of challenges. We saw the manager had received many compliments since the last inspections from families, carers and professionals. A requirement was made at the last inspection that members of staff must attend specific training to ensure they have the knowledge and skills to support people living in the home appropriately. We saw this had been met through training records of staff we reviewed. We saw staff had been well supported in this area and the training matrix showed that staff had completed their induction (apart from two staff) with the majority of staff having attended training in moving and handling, safeguarding, risk assessment , infection control and food hygiene. Some staff had completed healthy eating and weight management training, communication and autism, epilepsy, and Makaton. We saw there were two teams of staff left to complete their Learning Disability Qualification. Training had been booked to update positive response training that included working with challenges. Out of a very large staff team there were only ten staff who needed to attend updates. It was evident from speaking to staff there was a good teamwork approach and positive atmosphere in the home. At the last Key inspection of Woodhouse we were concerned that staff were not receiving individual supervisions as recommended by the National Minimum Standards. A requirement was made and when we spoke to staff they told us they were supervised formally on a regular basis. That the manager was always available for informal advice and support. We saw that the team leaders supervised the four teams of eight staff, while the manager supervised the team leaders. We saw a set proforma was being used in all staff supervisions relating to their role and responsibilities. We saw staff had received regular formal supervision and if needed supervision had been extended to more than the recommendation of the National Minimum Standards. What the care home does well:
The manager and staff have been supporting people well to ensure their needs, wishes and preferences were being met. The support has been individual and person centred and people said they were happy with the care and support they were offered. There are good care planning processes that show how needs are to be met with goals set that are reviewed and monitored. People living in the home told us: The care home is very supportive to all I need, especially in my daily living. Cooks well and has good amounts of food. Good and very nice staff. I have very good food. All the staff are good to me.
Care Homes for Adults (18-65 years) Page 6 of 10 The manager has an open management style and we saw people living in the home and staff approaching her in a confident way. The manager has worked hard in making improvements in many areas. Staff working in the home told us: Woodhouse provides the necessary care to meet their needs Meets the different needs of the people who live here involve you in meetings I love every minute of my job, every day is different 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 7 of 10 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 8 of 10 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 9 of 10 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. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 10 of 10 - 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!
