Inspection on 12/03/07 for The Woodpeckers

This inspection was carried out on 12th March 2007.

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 Woodpeckers 17/03/09

The Woodpeckers 09/03/06

The Woodpeckers 07/07/05

The Woodpeckers 11/03/05

The Woodpeckers 21/09/04

The Woodpeckers 24/02/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Woodpeckers (The) 10 Albion Way Verwood Dorset BH31 7LR Lead Inspector Tracey Cockburn Key Unannounced Inspection 12 & 13th March 2007 2:45 th Woodpeckers (The) DS0000026894.V328275.R02.S.doc Version 5.2 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 Woodpeckers (The) DS0000026894.V328275.R02.S.doc Version 5.2 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. Woodpeckers (The) DS0000026894.V328275.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodpeckers (The) Address 10 Albion Way Verwood Dorset BH31 7LR 01202 813708 01202 813708 allen.pat@virgin.net 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) Mrs Patricia Robinson Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Woodpeckers (The) DS0000026894.V328275.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th March 2006 Brief Description of the Service: Woodpeckers is registered to provide accommodation to 3 adults who have a learning disability. The residents live in the home with Mr and Mrs Robinson, as part of their family. Each resident has a single bedroom, and shares a bathroom. They have access to the whole of the house and garden. The owners provide a high level of care, and employ other staff to support the residents during the day and at weekends. The home is a large 5-bedded house in a residential area of Verwood in Dorset. It is within walking distance to the village shops, and there are regular buses to the towns of Ringwood and Bournemouth. The home has been running since 1998, and 2 of the residents have lived in the home since it opened, and one resident has recently moved in. The residents can choose whether to go to another establishment for day activities, or remain in their home with staff to support them with leisure activities. The weekly fees range from: £450 to £520. Woodpeckers (The) DS0000026894.V328275.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was a key inspection, which took place over 1 day and an evening. All 3 residents were spoken to as part of the inspection. The registered provider was also present throughout and able to answer questions. The care file for the resident who had recently moved in was examined in detail. A tour of the premises took place. There have been no complaints or concerns since the last inspection. There has been 1 Adult protection referral. The allegation was dropped following the investigation. What the service does well: What has improved since the last inspection? What they could do better: At the conclusion of the inspection in March 2007 there are no requirements or recommendations. All the key standards have been met. Woodpeckers (The) DS0000026894.V328275.R02.S.doc Version 5.2 Page 6 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 summary of this inspection report can be made available in other formats on request. Woodpeckers (The) DS0000026894.V328275.R02.S.doc Version 5.2 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 Woodpeckers (The) DS0000026894.V328275.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents are fully assessed and their needs and aspirations taken into account. This means the home understands the care and support they need to provide for the individual. EVIDENCE: At the previous inspection in March 2006 one individual was in the early stages of the pre admission assessment. Since that inspection the individual has moved into the home. This process was carefully planned and introductory visits have taken place. The new resident said they had settled in well and liked the other residents. During the inspection the interaction between the new resident, Mrs Robinson and the other residents was observed. The home has a very relaxed and happy atmosphere and the new resident joins in activities. Woodpeckers (The) DS0000026894.V328275.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have their own individual plan of their care needs. This means care staff understand how each resident needs and wishes to be supported. Residents are involved in the planning of activities and the reviewing of their care, which means they are able to make decisions about their own lives. Risk assessments are used to support an independent lifestyle. EVIDENCE: The care plan of 1 resident was viewed. This plan covers all aspects of the individual’s personal, social support and health care needs. The resident was aware of the content of the plan. Both the residents and the provider are happy with the way decisions are made in the home. The residents decided where and when they go on holiday. Woodpeckers (The) DS0000026894.V328275.R02.S.doc Version 5.2 Page 10 They feel consulted about their lives and informed about changes in the home. The registered provider also explained that 1 resident has been supported to have a hearing test and as a result of the test has had a new hearing aid. Woodpeckers (The) DS0000026894.V328275.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to participate in activities, which interest them. Residents are part of the local community Residents engage in leisure activities, which interest them. Resident’s rights and responsibilities are part of the homes philosophy. Residents participate in deciding what food they will eat with guidance when necessary. EVIDENCE: All 3 residents participate in day activities, which interest them, 1 resident goes to a local day centre in Verwood, and another attends a day centre a few miles away. 1 resident attends college. All 3 residents take part in a variety of leisure interests in the local community. None of the residents are engaged in employment. Woodpeckers (The) DS0000026894.V328275.R02.S.doc Version 5.2 Page 12 In discussion with the 3 residents they were able to say how they do activities in the community such as going to the shops, the library, the new leisure centre. The 3 residents use the homes own transport. 1 resident has an interest in photography and is encouraged to pursue this. The 3 residents are looking forward to going on holiday together later in the year. The residents said they are able to see whom they want when they want. The registered provider explained that each resident has their own routines and this can be a bit hectic in the mornings. The residents explained the routine and how they decide who is going to cook and shop and they take responsibility for tasks about the house. The residents are supported to come up with menus. During the inspection 1 resident came home from day activities and was observed preparing her own lunch and clearing away the dirty dishes after she had eaten. The registered provider does regular health checks with each resident to support them with any changes they might want to make such as losing some weight. The registered provider is, the residents say, very supportive and encourages them to take responsibility for aspects of their health and wellbeing. All 3 residents participate in any family activities, which are organised by Mrs Robinson. All 3 residents said they felt fully involved in the decision making in the home. Woodpeckers (The) DS0000026894.V328275.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal support is offered in the way residents prefer. The physical, emotional and support needs are recorded clearly. The home has a policy and procedure on the management of medicines, which protects staff and residents. EVIDENCE: 1 resident’s file was looked at, this details how the home will provide personal support, the resident said that the staff know how she likes to be supported. Care files detailed when the resident wanted and liked to get up in the morning. The care plan also stated what activities the resident could do themselves and what they needed some support and guidance with. The registered provider said that 1 resident’s care needs have increased and the care plan has been updated to reflect this. Another resident said that the staff help her go shopping to buy her own clothes. The registered provider seeks specialist support from a psychologist when necessary. Woodpeckers (The) DS0000026894.V328275.R02.S.doc Version 5.2 Page 14 The registered provider said that all 3 residents are supported to access healthcare. The residents confirmed this. The residents have regular eye check ups as they all wear glasses. Residents say they are supported when visiting the GP. The medication is kept in a locked cupboard. The medication is in blister packs and a member of staff signs a sheet. Staff have all received training in the dispensing of medication. Woodpeckers (The) DS0000026894.V328275.R02.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents feel listened to. The training in the home protects residents from abuse. EVIDENCE: All 3 residents were spoken to. The registered provider was not present. All 3 said the care staff and Mrs Robinson supported them. They said “we talk to Pat about our worries”. One resident had made an allegation about Mrs Robinson. This allegation was withdrawn following an interview by the investigating officer from a local authority. Woodpeckers (The) DS0000026894.V328275.R02.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Woodpeckers is homely, comfortable and safe for the people who live there. The home is clean and hygienic. EVIDENCE: Woodpeckers is a small family style care home. It is decorated and furnished to a high standard. The house is bright and airy, very clean and comfortable. The home has a people carrier to enable residents to access activities in the community such as attending college. The home is a detached property in an ordinary road and is the same style as the other houses around it. The residents at the time of the inspection are able to access all areas of the home. The home has domestic style laundry facilities. There is a utility room. The home has policies and procedures covering infection control. Woodpeckers (The) DS0000026894.V328275.R02.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Woodpeckers has a stable staff team who have the skills needed to support residents. Recruitment practice protects residents. EVIDENCE: The small staff team know the residents well; they have supported them for a number of years. One member of staff has a City and Guilds qualification at level 2. One member of staff started NVQ level 2 in September 2006. All staff have undertaken first aid, makaton, food hygiene, infection control and health and safety. Staff have also received an update in dementia care. The registered provider is continuing to look for Adult Protection training and fire training. Woodpeckers (The) DS0000026894.V328275.R02.S.doc Version 5.2 Page 18 The registered provider has not recruited any new staff since the last inspection. Residents said that they know the staff well. There is 1 member of staff on duty each day between 8am and 6pm and another member of staff works flexibly at core times. The registered provider is also around each day. Woodpeckers (The) DS0000026894.V328275.R02.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run by someone who understands their role and responsibilities well. Residents are confident their views are listened to and develop the service. The health, welfare and safety of residents are protected. EVIDENCE: The registered provider has completed National Vocational Qualification (NVQ) at level 4 in both care and management. Mrs Robinson takes her responsibilities seriously and has undertaken training when needed to ensure Woodpeckers (The) DS0000026894.V328275.R02.S.doc Version 5.2 Page 20 that the residents are supported properly. She runs the home well and residents feel part of family life. Residents said they are asked their opinion about the home and what things are good and what things they don’t like. 1 resident said that if there is anything she doesn’t like then Mrs Robinson would listen and make changes if she can. Mrs Robinson has a quality assurance system in place and uses questionnaires to find out other peoples views of the home as well as residents and their families. The registered provider makes sure that all staff receives the training the need such as fire safety, first aid, food hygiene. The premises are secure. All pathways and steps are well maintained. The registered provider maintains the equipment in the home. There has been no new staff since the last inspection; however the owner is aware of the induction and foundation standards and has the web address for skills for care: www.skillsforcare.org.uk Woodpeckers (The) DS0000026894.V328275.R02.S.doc Version 5.2 Page 21 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 3 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 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Woodpeckers (The) DS0000026894.V328275.R02.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No 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. Refer to Standard Good Practice Recommendations Woodpeckers (The) DS0000026894.V328275.R02.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Woodpeckers (The) DS0000026894.V328275.R02.S.doc Version 5.2 Page 24 - 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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