Inspecting for better lives Key inspection report
Care homes for adults (18-65 years)
Name: Address: The Woodpeckers 10 Albion Way Verwood Dorset BH31 7LR two star good service The quality rating for this care home is: 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Tracey Cockburn Date: 1 7 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area
Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought 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 The Commission for Social Care Inspection aims to: ï· Put the people who use social care first ï· Improve services and stamp out bad practice ï· Be an expert voice on social care ï· Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (20092008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Information about the care home
Name of care home: Address: The Woodpeckers 10 Albion Way Verwood Dorset BH31 7LR 01202813708 01202813708 allen.pat@virgin.net Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Patricia Robinson care home 3 Number of places (if applicable): Under 65 Over 65 3 0 learning disability Additional conditions: Date of last inspection 1 7 0 3 2 0 0 7 A bit about the care home It is a large detached family house. Up to three people can live there. Everyone who lives there has their own room. There is a car so people can go choose to go out to different activities with the support of staff. Summary
This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home How we did our inspection: This is what the inspector did when they were at the care home We visited the home without telling them we were coming. We spoke to people who live in the home. We spoke to people who work in the home. We looked at care plans. What the care home does well People who are thinking about moving into the home have their needs written down so the home can decide if they have the skills and ability to provide the care and support needed to look after people well. People are supported to live the life they want to and participate in a variety of different activities. People tell us they are listened to if they complain and the policy is easy read with symbols and pictures. People who work in the home receive the training they need to do the job well. The home is owned and run by someone who understands the care needs of people well. What has got better from the last inspection What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Tracey Cockburn Colston 33 33 Colston Avenue Bristol BS1 4UA 0117 930 7110 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 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Choice of home
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who are considering the service 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: The annual quality assurance assessment submitted by the provider told us how they assess people who might want to live in their home. They told us that people come for several visits and come for an overnight stay before they make a decision. There has been one person who moved into the home since the last key inspection. We found a detailed assessment of their care needs and how they like to be supported. The registered provider also told us that they ensure the other people living in the home are in agreement before any final decisions are made. Individual needs and choices
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are involved in decisions about their lives and play an active role in the care they receive. Evidence: We looked at three files and all had care plans, one was only partially done, Mrs Robinson stated this was because she has not been well. We looked at one care plan, which was reviewed in February 2009. This care plan was person centred and focused on the goals of the individual and the action, which had been taken throughout the year to enable them to meet their goals. The care plan focused on the skills the person had and how to support them to achieve what they wanted to. The care plan contained clear information on areas where the person needed more support and the areas where over the past year they needed assistance rather than prompting. The care plan was sensitively written and signed by the individual. Lifestyle
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to live the life they want to and make choices about their life style. Evidence: All three people who live at Woodpeckers participate in day activities, which interest them. One person goes to a local day centre in Verwood, and another attends a day centre a few miles away. One person attends college. All three people take part in a variety of leisure interests in the local community. None of the people living in the home are engaged in employment. In discussion with the two people who live in the home, they were able to say how they decide which activities they do in the community such as going to the shops, the library and leisure centre. All three people use the homes own transport. The registered provider explained that each person has their own routines each day. One person told us about the routine and how they decide who is going to cook and shop and they take responsibility for tasks about the house. They are supported to come up with menus. We observed one person who was home from day activities and was observed preparing her own lunch and clearing away the dirty dishes after she had eaten. The person explained they had a day at home when they did household chores such as cleaning their bedroom as well as relaxing knitting. The registered provider arranges regular health checks for each person 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 Evidence: responsibility for aspects of their health and wellbeing. All three people participate in any family activities, which are organised by Mrs Robinson. The two people we spoke to said they felt fully involved in the decision making in the home. In the annual quality assurance assessment completed by Mrs Robinson, she told us that people in the home are supported to eat a healthy diet and this includes home grown vegetables. Personal and healthcare support
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. Evidence: Good evidence in all three files looked at that people living in the service are receiving the support they need from health care professionals. The registered provider has worked very closely with health care professionals and has ensured her staff are aware of conditions such as dementia. Staff have received training in this area and there is regular support from a psychologist. One persons 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 individual wanted and liked to get up in the morning. The care plan also stated what activities the person could do themselves and what they needed some support and guidance with. The registered provider said that one persons care needs have increased and the care plan has been updated to reflect this. Another person said that the staff help her go shopping to buy her own clothes. The registered provider seeks specialist support from a psychologist when necessary. The registered provider said that all three people are supported to access healthcare. When we spoke to two of the people in the service they confirmed this. People living in the home have regular eye check ups. One person told us they are supported when visiting the GP. Staff have been receiving support from the community learning disability nurse with the health care needs of one person living in the home. 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. The medication is audited by the pharmacy used by the home. Concerns, complaints and protection
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are confident that they will be listened to and concerns acted upon. Evidence: There have been no complaints and no safeguarding alerts since the last inspection. The complaints procedure is written in an easy read format for the people living in the home. We asked people who they would talk to if they were unhappy and they said they would talk to the provider. The registered provider told us that all staff complete safeguarding training. Environment
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in safe, comfortable and well maintained surroundings where they are supported to be independent. Evidence: Refurbishment of the bathroom on the first floor has been completed and the home has been redecorated. The home was clean and well maintained. 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 people 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, which have recently been refurbished. There is a utility room. The home has policies and procedures covering infection control and all staff receive training. There is a shaded pergola in the back garden. Staffing
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service. Evidence: One new member of staff has been recruited since the last inspection. The provider told us in the annual quality assurance assessment that no new member of staff starts work until a satisfactory Criminal Records Bureau check has been received. The provider also told us that they seek three written references, one of which is from the last employer. We found this information to be accurate. People living in the home said that they know the staff well. There is one 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. On the day we visited one person was at home with their key worker and she was completing tasks in the home and having some time to herself. The key worker was observed supporting the person to complete tasks in a very gentle and encouraging way enabling the person to go at their pace and successfully complete the tasks on their own. The annual quality assurance assessment also told us about the training that staff are completing including plans to attend breakaway training in the coming year. The registered provider also told us that she has arranged epilepsy training for all the staff who work in the home. Conduct and management of the home
These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is run by an experienced person who puts the needs of people living in the home first. 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 that people living in the home are supported properly. She runs the home well and people feel part of family life. People said they are asked their opinion about the home and what things are good and what things they dont like. One person said that if there is anything she doesnt 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 individuals and their families. The questionnaires are in easy read format. Mrs Robinson also has one to one discussions with the people in the home as well as regular meetings with all three together. The registered provider makes sure that all staff receives the training the need such as fire safety, first aid, food hygiene. The homes insurance was up to date as were care records and policies and procedures had been reviewed in the last year. Are there any outstanding requirements from the last inspection? Yes ï£ No ï 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, Care Homes Regulations 2001 and the National Minimum Standards.
No Standard Regulation Requirement Timescale for action 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 Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set
No Standard Regulation Description Timescale for action 1 6 15 The registered person must after consultation with the service user prepare a written plan as to how the service users needs in respect of his health and welfare are to be met. 30/04/2009 A care plan must be written with the individual to ensure that all aspects of their health and welfare are clearly recorded and people working the home know how the individual is to be supported. 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 Helpline: 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 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.
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