Inspection on 03/11/05 for Goddards The

This inspection was carried out on 3rd November 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Goddards The 10/10/06

Goddards The 09/12/04

Goddards The 20/07/04

Goddards The 16/03/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Goddards The Goole Road West Cowick Goole East Yorkshire DN14 9DJ Lead Inspector Ann Day Unannounced Inspection 3rd November 2005 10:20 Goddards The DS0000019741.V262195.R01.S.doc Version 5.0 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 Goddards The DS0000019741.V262195.R01.S.doc Version 5.0 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. Goddards The DS0000019741.V262195.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Goddards The Address Goole Road West Cowick Goole East Yorkshire DN14 9DJ 01405 860247 01405 869981 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) Mr Trevor Anthony Womersley Mrs Jane Womersley Mrs Jane Womersley Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Goddards The DS0000019741.V262195.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd July 2005 Brief Description of the Service: The Goddards is a large Grade 11 listed Edwardian house built within extensive grounds, off the main road between the towns of Goole and Snaith, in the hamlet of West Cowick. The home is privately owned by Mr & Mrs Womersley , who live on the premises. There is car parking to the front of the house, which is surrounded by gardens; the premises are accessed by a secure gate entry, which provides a safe environment for the residents. The home provides residential care for 8 residents, and 2 respite male and female service users with a mild to moderate learning disability. There are six single rooms and one double room; one bedroom has an ensuite facility. Shared areas within the home are spacious and comfortably furnished. The home seeks to promote independence, meaningful activity and community participation. Service users are encouraged to become involved in this “Extended Family Home”. Goddards The DS0000019741.V262195.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one day on 3rd November 2005. The inspection took 6 hours with 2 hours preparation. Case tracking was employed as an inspection tool, which involves following the experience of a sample of service users and assessing the service they receive. An accompanied tour of the building was undertaken. Service users, the registered manager, proprietor and members of staff were interviewed, and documentation was examined. What the service does well: What has improved since the last inspection? Considerable work has been undertaken to address the shortfalls identified in the home’s last inspection. Jayne Womersley, the registered manager is now undertaking the Registered Managers Award. Considerable improvement has been made to the recording and reviewing of the administration and disposal of medication. Electrical servicing certificates were available for inspection; PAT testing equipment has been ordered for the home, and contractors have been requested to service the gas boiler and heating. Goddards The DS0000019741.V262195.R01.S.doc Version 5.0 Page 6 The home has improved the staff application form to include past employment with children and or vulnerable adults and the date and reason for leaving. The manager has sought to involve the placing authorities of service users for whom the manager is currently a financial appointee. 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. Goddards The DS0000019741.V262195.R01.S.doc Version 5.0 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 Goddards The DS0000019741.V262195.R01.S.doc Version 5.0 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 the following standard(s): 2,4,5 Service users needs are assessed and they have the opportunity to visit and “test drive” the home prior to admission. EVIDENCE: Care records examined were comprehensive; they included detailed assessment, personal history, star profile and information about the individual’s medical conditions. Care records contained evidence of good multi disciplinary working, and indicating that the service user had been consulted about the assessment of their needs. The home has a policy on “Introductory Visits” and care records evidenced the opportunity prospective service users had had to visit the home prior to admission. Care records contained individual copies of the homes contract with service users, which evidenced the agreement of service users/representatives Goddards The DS0000019741.V262195.R01.S.doc Version 5.0 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 the following standard(s): 6,7,8,9,10 People living in the home are encouraged and supported to make as many decisions and choices as possible. They also live as independently as possible, taking into account any risks that have been identified and are assured that their individual care package is treated in confidence. EVIDENCE: Care records examined included a detailed needs assessment, personal history and “Star profile”. Needs assessments and care plans are in sufficient detail to inform members of staff; how they can best meet these needs. Care plans are regularly reviewed. Discussion with service users confirmed that they were supported to make decisions about their lives. The needs of the residents, means that they need considerable support to make decisions about many aspects of their lives and to be involved in any way with the running of the home. Members of staff were seen to encourage their involvement. They are also assisted to make independent decisions wherever possible and to take responsible risks subject to risk assessment. Well-detailed risk assessments were in place for each resident. Goddards The DS0000019741.V262195.R01.S.doc Version 5.0 Page 10 Members of staff were very clear about their responsibilities to ensure the confidentiality of the residents. Goddards The DS0000019741.V262195.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 Residents have a varied and interesting lifestyle and are fully involved in their local community. Individuals enjoy a wide range of social and educational opportunities. Service users are offered a healthy diet and develop and maintain relationships with family and friends wherever possible. EVIDENCE: Service users and members of staff told the inspector of various outings and shopping trips that they had been on and evidence indicated that the home had good links with the local community. A firework party was planned for the following weekend and service users went out on a shopping trip for a pair of shoes for one service user on the day of the inspection. Discussion with service users confirmed that they were able to go out on visits to local amenities and places of interest using the homes minibus and that these regularly included trips to leisure centres, swimming, bowling, shopping, and group holidays. The service users told the inspector of how they were able to make visits to see relatives or for their families to visit them at the home. Examination of Goddards The DS0000019741.V262195.R01.S.doc Version 5.0 Page 12 care plans indicated that service users physical, and emotional needs were being well supported. The manager has attended a training course looking at relationships and sexuality, she has cascaded the training down to the home’s staff and is to formulate a policy, in response to a recommendation from the home’s last inspection. Discussion with service users confirmed that their individual rights were respected and throughout the day the service users wishes to maintain their own individual routines and exercise personal choice were respected. Members of staff were observed knocking on doors and awaiting an invitation before entering. Service users said that they were able to help choose the meals, that were served, and that the meals were “good”, one service user commented, “Wednesday was best”. The homes menus were of a balanced and healthy nature and examination of the care records indicated that a nutritional assessment of services users had been undertaken, with evidence of regular monitoring of their weight. The cook confirmed that she shopped for fresh produce almost daily and that she was able to offer an alternative to a meal on the day. All service users’ likes and dislikes were recorded and respite service users were sent questionnaires to ensure that the home was kept aware of any changes in their preferences. Goddards The DS0000019741.V262195.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20 Service users’ physical and emotional health needs are met. EVIDENCE: Every service user is registered with a General Practitioner; specialist health professionals are accessed. Service users are supported and assisted by staff, when attending dental and optician appointments. A psychologist visits the home regularly to give support to the residents and staff. All the residents in the home require assistance with the taking of medication. Improvements have been made, since the home’s last inspection to the recording of administration of medication; and a review of medication policies and procedures took place recently, notes of which were seen. The home now has a review book that highlights any changes to an individual’s medication regime. Medication was safely stored, and members of staff have attended a training course on the safe handling and administration of medication. Goddards The DS0000019741.V262195.R01.S.doc Version 5.0 Page 14 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 the following standard(s): 22,23 Service users are safeguarded from abuse and service users views are listened to and acted on. EVIDENCE: There is a comprehensive complaints procedure in operation that was available for inspection. Whilst the residents might not use the formal procedure; they can and do, make any dissatisfaction known to staff. Members of staff have developed very good relationships with the residents; service users and members of staff indicated that they were aware of the complaints procedure. The home has an adult protection policy and procedure; members of staff have attended training as part of the NVQ programme and they were clear of their role and responsibilities in this regard, they know when and to whom they should report any concern. Service users indicated they had their own individual bank accounts and were supported with these by staff. Evidence was seen that the administrator had endeavoured to implement the previous recommendation with regard to service users finances and had written to service users relatives in this respect. The manager confirmed that representatives of the local authority had been approached, since the last inspection, regarding the role of financial appointee; those approached had declined the role, and to date the matter is to continue to be raised at individual service user’s reviews. Goddards The DS0000019741.V262195.R01.S.doc Version 5.0 Page 15 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 the following standard(s): 24,25,30 Service users live in a homely, comfortable, clean and hygienic environment that suits their needs and lifestyles. EVIDENCE: The home is comfortable and homely, there is shared space set aside for activities, painting and crafts. Service users’ rooms are individually decorated and furnished; all contain personal possessions. The home is clean and free from any malodour. Goddards The DS0000019741.V262195.R01.S.doc Version 5.0 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36 Service users are supported by, competent, trained, qualified, supported and supervised staff. EVIDENCE: Copies of individual training and development training plans linked to the needs of service users. Evidence of recent staff training that included, specialist training , the safe use and handling of medication, together with on going statutory training updates. An NVQ assessor was visiting the home on the day to see the manager regarding her progress on the Registered Managers Award. Currently the home is on target to ensure that 50 of the staff will be trained to NVQ level 2 or above by the end of the year. The home has robust recruitment policies and procedures. Staff files examined contained all relevant documentation. The home has amended the home’s application form to include the date, and the reason that staff that had worked with children and vulnerable adults had left that previous employment; in response to a recommendation made at the home’s last inspection. Staff files contained supervision and appraisal records, staff members said that they valued the individual supervision and regular staff meetings. Goddards The DS0000019741.V262195.R01.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,42 The home was being well managed but evidence was needed of the servicing of equipment. EVIDENCE: The home had a welcoming and positive atmosphere. Jayne, the registered manager, is an experienced manager and is currently undertaking the Registered Managers Award. Relatives and members of staff described the manager as supportive and approachable. One member of staff described the manager, “ She’s lovely, I have no hesitation to ask her anything”. “Absolutely love working here, its such a good team”. The home achieved “The Investors in People” award in December 2004. . Service users confirmed that they were confident that their views underpinned the development of the home. A copy of the home’s most recent Quality Assurance report was available for examination; this confirmed that the views Goddards The DS0000019741.V262195.R01.S.doc Version 5.0 Page 18 of service users, carers and other professionals had been included. One relative commented, “Again, they’re all very caring always having time to listen to residents and acting on their opinion”. Some servicing and maintenance has been undertaken since the last inspection, PAT testing equipment has been sourced and contractors have been approached to undertake the Gas boiler and central heating servicing. One radiator cover, in an upstairs bathroom was broken and in need of repair, windows had been replaced since the last inspection and finishing was required. Work was on going on improving loft access and the hatch was awaiting fitting. There was a slight damp odour in the upstairs bathroom, with no obvious cause; all of which were brought to the attention of the proprietor and were noted as ongoing works. However, it is necessary for all servicing, maintenance and skilled PAT testing to be undertaken and recorded, and for such recording to be available for inspection. Goddards The DS0000019741.V262195.R01.S.doc Version 5.0 Page 19 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 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 X X X X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Goddards The Score X 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 3 3 X X 1 X DS0000019741.V262195.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? Yes 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 42 Regulation 13(4) Requirement The registered person must ensure that servicing and PAT Testing is undertaken for all equipment in the home and a record is kept and available for inspection of the servicing, maintenance and PAT testing. Some work has been undertaken since the last inspection, however This requirement is outstanding from the last inspection and the date of 26.9.05 was not met. Timescale for action 31/01/05 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 Goddards The DS0000019741.V262195.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Goddards The DS0000019741.V262195.R01.S.doc Version 5.0 Page 22 - 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. 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