Inspection on 01/08/05 for 1 Wood Close

This inspection was carried out on 1st August 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

1 Wood Close 16/06/09

1 Wood Close 20/06/07

1 Wood Close 12/05/05

1 Wood Close 30/11/04

1 Wood Close 29/06/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 1 Wood Close Salfords Surrey RH1 5EE Lead Inspector Mavis Clahar Announced 1 August 2005 @ 9:00am 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. 1 Wood Close H58 H09 S13442 Wood Close V234965 010805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 1 Wood Close Address Salfords Surrey RH1 5EE 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) 01293 430685 Ashcroft Care Services Limited Miss Helen Jane Lavers CRH - Care Home 6 Category(ies) of LD - Learning Disability (6) registration, with number of places 1 Wood Close H58 H09 S13442 Wood Close V234965 010805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 - The age/age range of the persons to be accommodated will be 18 - 65 years/ Date of last inspection 12 May 2005 Brief Description of the Service: 1 Wood Close is a home within the Ashcroft Care Services providing care and accommodation to six male and female Younger Adults with profound learning disabilities.Wood Close is situated on the outskirts of the market town Horley in the village of Salfords, in a quiet residential area, with a nature reserve duck pond within a few minutes walk. The home has a seven-seater vehicle, which is used to transport service users to various places of interest and on holidays. Service users are encouraged and helped to participate in the activities and amenities offered in the nearby town of Horley and within the Village.All six bedrooms in the home are single rooms with en-suite toilet and washing facilities to three bedrooms. The home has a large garden laid mainly to lawn with a wide range of garden furniture in place for the use and enjoyment of the service users. 1 Wood Close H58 H09 S13442 Wood Close V234965 010805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second inspection to be undertaken in the Commission for Social Care Inspection year April 2005 t0 march 2006. This announced inspection took place on the 1st August 2005. The home received an unannounced inspection on 12th May 2005. None of the current service users at the home on the day of inspection have verbal skills, so a variety of communication tools were used when communicating with the service users. On arrival at the home some service users were out, and some were in the process of being made ready to attend their personal activities. Only one service user was left at the home and he would not communicate with the inspector. The inspector was informed that this service user was exhibiting his independence and is refusing to participate in any activity except having his breakfast. It was refreshing to note that care workers respected his wish to sit quietly in the lounge where he was being observed without intrusion on his privacy. This report is written, based on observations made by the inspector, review of service users and care workers’ files, and discussions with care workers. The inspector tried various methods of communication with the one remaining service user at the home, but there was no response. Consequently, the inspector withdrew and respected the service user’s wish to be left alone. The first part of the inspection was spent talking with service users and care workers and observing the interaction between service users and care workers. The second part was spent reviewing service users files, which revealed a high level of documented information, demonstrating that care is being delivered according to the needs of service users as documented on the care plans. A tour of the home and gardens followed. It was noted that the back of the building was not painted as per requirement of last inspection. This requirement is still within its time frame. The manager informed the inspector that two quotes have been received, and the home is now waiting for an acceptance from the builders. This will be faxed to CSCI as soon as it is received. The last part of the inspection was spent giving feedback on the findings of the inspection to the manager. 1 Wood Close H58 H09 S13442 Wood Close V234965 010805 Stage 4.doc Version 1.40 Page 6 What the service does well: 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. 1 Wood Close H58 H09 S13442 Wood Close V234965 010805 Stage 4.doc Version 1.40 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 1 Wood Close H58 H09 S13442 Wood Close V234965 010805 Stage 4.doc Version 1.40 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 The home was found to be operating effectively in respect of the standard assessed. EVIDENCE: The home has one new admission since the last inspection and this service user’s file was reviewed. Full assessments of health and social needs were documented, along with suitable applicable risk assessments, based on the Star Profile Assessment Tool. 1 Wood Close H58 H09 S13442 Wood Close V234965 010805 Stage 4.doc Version 1.40 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 Because of the severity of disability of the service users it is doubtful if they understand the significance of their care plans. EVIDENCE: All care plans for service users in this home were reviewed, and found to contain identified needs as identified during the assessment. Following monthly reviews, care needs are reassessed as required and documented. The care plans and daily work sheets documented service users’ activities of daily living within the home, community and leisure pursuits. The new service user’s care plans were not available, as they were with the care manager. The inspector accepted this as the service user was away from the home for two weeks. 1 Wood Close H58 H09 S13442 Wood Close V234965 010805 Stage 4.doc Version 1.40 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) 16 17. Service users are encouraged to participate in the home, and to make choices in their daily lives. EVIDENCE: Each service user has a pen portrait and passport in which useful information about the service user is documented. Service users leaving the home must take their passport with them, just in case there is an emergency. Service users lead busy and interesting life styles as documented in their care plans, daily work sheet and observed by the inspector on the day of inspection. Service users choose their meals for the week, and then go shopping for food with the support of the care workers. Although they are not normally involved in the cooking of the meals they do participate by laying the table and clearing the table. The menu contains foods that are wholesome and nutritious. 1 Wood Close H58 H09 S13442 Wood Close V234965 010805 Stage 4.doc Version 1.40 Page 11 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 The home continues to offer good individualised care to the service users, to ensure their identified needs are being met. EVIDENCE: All the service users are registered with one surgery, which they access as the need arises. The clinical psychologist does a four to eight weekly drug assessment visit to service users, where their medications are reviewed. These visits are recorded on the service users’ daily work sheets. Access to other professional health care professionals are as needed, and are also documented on the daily work sheets. 1 Wood Close H58 H09 S13442 Wood Close V234965 010805 Stage 4.doc Version 1.40 Page 12 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 home operates in a manner that supports service users to air their concerns, which are acted upon before they can become complaints. EVIDENCE: The majority of the senior staffs have completed the course run by surrey on the recognition and reporting of abuse. Ashcroft Care Services have now designed their own course, which all other staff members have attended as reported by the manager and certificates seen to support this claim. Care workers spoken to on the day were knowledgeable about recognising and reporting all incidents of suspected or actual abuse to the manager. 1 Wood Close H58 H09 S13442 Wood Close V234965 010805 Stage 4.doc Version 1.40 Page 13 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 28 The home needs refurbishing inside and outside to bring it back to the comfortable environment it used to be. EVIDENCE: All requirements of the last report pertaining to the service users bedrooms have been carried out. Some service users bedrooms are very bland whilst others are decorated with the service users personal possessions which makes these rooms appear very warm and lived in. The home is safe with a combination lock to the front door and the entire huge garden securely fenced off, thus making the home and grounds a safe place for the service users. The house is clean and tidy, but the lounge and dining rooms are very bland. The inspector was informed that due to the custom of some service users who will move and break anything that is mobile, ornaments etc. are not used. Every thing in these rooms must be locked or nailed down to maintain the health and safety of the service users. 1 Wood Close H58 H09 S13442 Wood Close V234965 010805 Stage 4.doc Version 1.40 Page 14 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) 34 35 In discussion with the care workers, they appear to be enthusiastic and committed to supporting the service users. Training and development of care workers are given high priority. EVIDENCE: Random review of staff files demonstrated a marked improvement. Two new members of staff have been appointed since the last inspection and the contents their files are in line with the homes recruitment policy, and the amended version of The Care Homes Regulations 2001 Schedule 2. Supervision of staff is carried out on a six to eight weekly basis and is documented. Care workers files contained up to date certificates, which indicated the type and date of training. 1 Wood Close H58 H09 S13442 Wood Close V234965 010805 Stage 4.doc Version 1.40 Page 15 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) 39 The inspector was unable to gain service users views on this standard. However, care managers and relatives comments received indicated that they are satisfied with the running of the home. EVIDENCE: Staff and service users meeting are held on a regular basis; and one service user who was verbally able always attended. This service user has moved to another home, so following staff meetings key workers spend time informing service users on an individual basis of the outcome of the meeting. These sessions are documented in the daily work sheet. Relatives are encouraged and enabled to be involved in the home as much as they want. 1 Wood Close H58 H09 S13442 Wood Close V234965 010805 Stage 4.doc Version 1.40 Page 16 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 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 x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x 3 x x Standard No 11 12 13 14 15 16 17 x x x x x 3 3 Standard No 31 32 33 34 35 36 Score x x x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 1 Wood Close Score x 3 x x Standard No 37 38 39 40 41 42 43 Score x x 3 x x x x H58 H09 S13442 Wood Close V234965 010805 Stage 4.doc Version 1.40 Page 17 no 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 No requirement was issued on this inspection. 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. Refer to Standard 39 Good Practice Recommendations To access Surrey advocasy group for advocate for service users without family contacts. 1 Wood Close H58 H09 S13442 Wood Close V234965 010805 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 1 Wood Close H58 H09 S13442 Wood Close V234965 010805 Stage 4.doc Version 1.40 Page 19 - 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. 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