Inspection on 15/02/06 for The Woodmill

This inspection was carried out on 15th February 2006.

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

The Woodmill 09/07/09

The Woodmill 15/06/07

The Woodmill 11/08/05

The Woodmill 31/12/04

The Woodmill 03/06/04

The Woodmill 09/03/04

Similar services:

The Vicarage

7 Hyde Road

5 Seafield Road

Trevaylor Manor

12 Orchard Mews

Stallcombe House

Stepping Stones

Cornerstones

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 The Woodmill Exeter Road Cullompton Devon EX15 1EA Lead Inspector Louise Delacroix Unannounced Inspection 15th February 2006 10:10 The Woodmill DS0000022068.V273946.R01.S.doc Version 5.1 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 The Woodmill DS0000022068.V273946.R01.S.doc Version 5.1 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. The Woodmill DS0000022068.V273946.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Woodmill Address Exeter Road Cullompton Devon EX15 1EA 01884 836220 01884 836229 chris@chitty6.fsnet.co.uk 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) Brain Injuries Rehabilation Trust Mrs Penny Jean Blackmore Care Home 19 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (19), Physical disability (19) of places The Woodmill DS0000022068.V273946.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th August 2005 Brief Description of the Service: The Woodmill is a single storey building, which was specially adapted in 1993, for the Brain Injury Rehabilitation Trust. It operates in conjunction with other residential services and community services, to provide a continuum of services operated by the Brain Injury Rehabilitation Trust. There are currently 18 single bedrooms all with en-suite facilities. The homes application to increase their occupancy to 19 is complete. There is a conservatory lounge and an activity /TV Lounge, with another activity area with pool table and seats. There is also an art room. A physiotherapy room is available. There is a training kitchen with a high/low sink and a work skills area. Outside there is a landscaped patio area and a BBQ area. There is a gardening area complete with a Polytunnel. The Woodmill DS0000022068.V273946.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place in the morning and was unannounced. The manager, staff and service users contributed to the inspection. At the time of the inspection, eighteen people were living at the home. The ethos of the home is to maximise service users’ independence and to recognise the individuality of the people living there. The home has a skilled and experienced staff team, which show a commitment to reablement. The majority of the standards were inspected during an unannounced inspection on 11th August 2005 and therefore it is recommended that this report be read in conjunction with the earlier published report. 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. The Woodmill DS0000022068.V273946.R01.S.doc Version 5.1 Page 6 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 The Woodmill DS0000022068.V273946.R01.S.doc Version 5.1 Page 7 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): Standards 1,2,4,5 were inspected and met on 11th August 2005. EVIDENCE: The Woodmill DS0000022068.V273946.R01.S.doc Version 5.1 Page 8 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): 9 Service users are supported to take risks to enhance their independence. EVIDENCE: Care plans and discussion with staff evidence how service users are supported to take part in an independent lifestyle, which includes risk taking. For example, decisions are made around risk by a multi-disciplinary team and with the involvement of the service user, and their representative if necessary. These decisions are documented in care plans. Information is gathered from other sources to create a broader picture, and different approaches are tried until a successful one is found. There is also recognition for the need to review as service users’ needs change over time. For example, in one care plan the aim was for the service user to do as much as they could for themselves with intervention offered discreetly, which was then reviewed. The Woodmill DS0000022068.V273946.R01.S.doc Version 5.1 Page 9 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): 12,14 Links with the community are good, and support and enrich service users’ social opportunities. Progress is being made towards the provision of a holiday for service users, which they will be involved in arranging. EVIDENCE: The staff group have worked hard to ensure that even service users with complex needs have access to the same level of activities as more able people living at the home. For example, trips to the theatre and participation in art groups. Care plans evidence how service users’ well being has improved with the focus being on support to meet their individual need and personalities. During conversations with service users, they spoke about their interests and how these are supported by the service. Discussion with staff, activities notice board and detailed care plans also evidence that service users have access to local community resources. Since the last inspection, steps have been taken by centrally by the organisation for the provision of a seven-day holiday for service users. The Woodmill DS0000022068.V273946.R01.S.doc Version 5.1 Page 10 The staff support service users with their choice of holiday but holidays are not currently part of the basic contract price. The Woodmill DS0000022068.V273946.R01.S.doc Version 5.1 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 the following standard(s): 18 The staff have a good understanding of how to support service users in an individual manner. EVIDENCE: Care plans, observation during the inspection, discussion with staff and guidelines for staff practice evidenced that service users live in a flexible environment and have their needs met in an individual manner. Conversations with service users confirmed that they could create their own routines within the home i.e. time they got up and went to bed. There is also recognition that a service user needed to feel in control of personal care so guidelines reflected that support should be offered sensitively, which was confirmed by staff. The Woodmill DS0000022068.V273946.R01.S.doc Version 5.1 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 the following standard(s): Standards 22, 23 were inspected and met on 11th August 2005. EVIDENCE: The Woodmill DS0000022068.V273946.R01.S.doc Version 5.1 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 the following standard(s): 30 The standard of cleanliness in the home is high providing a hygienic environment for service users. EVIDENCE: A tour of the building and discussion about infection control confirmed that the home was clean, odour free and hygiene standards maintained. Service users confirmed that their rooms were clean and well maintained. Standard 24 was inspected and met on the last inspection. The Woodmill DS0000022068.V273946.R01.S.doc Version 5.1 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 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): Standards 31,32,33,34,35,36 were inspected and met on 11th August 2006. EVIDENCE: The Woodmill DS0000022068.V273946.R01.S.doc Version 5.1 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 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): 39 The quality assurance system at the home is good and a minor amendment to share the results has improved it further. EVIDENCE: The results of service user surveys have now been published and made available to people living at the home, their representatives in an in-house magazine. Standards 40,42 were inspected and met on 11th August 2006. The Woodmill DS0000022068.V273946.R01.S.doc Version 5.1 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 Standard No Score 1 x 2 x 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 x 23 x ENVIRONMENT Standard No Score 24 x 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 x 33 x 34 x 35 x 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x x x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 x 14 2 15 x 16 x 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 x x x x x 3 x x x x The Woodmill DS0000022068.V273946.R01.S.doc Version 5.1 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. 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. 1. Refer to Standard YA14 Good Practice Recommendations People with long-term placements should have as part of their basic contract price the option of a minimum sevenday annual holiday outside of the home, which they help choose and plan. 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