CARE HOME ADULTS 18-65
The Woodpeckers 10 Albion Way Verwood Dorset BH31 7LR Lead Inspector
Tracey Cockburn Unannounced 07 July 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Woodpeckers D55 S26894 Woodpeckers V216291 070705 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION
Name of service The Woodpeckers Address 10 Albion Way, Verwood, Dorset, BH31 7LR Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01202 813708 01202 813708 allen.pat@virgin.net Mrs Patricia Robinson CRH 3 Category(ies) of LD - 3 registration, with number of places The Woodpeckers D55 S26894 Woodpeckers V216291 070705 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 11 March 2005 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 4-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 lived there now for 4 years. 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 Woodpeckers D55 S26894 Woodpeckers V216291 070705 Stage 4.doc Version 1.20 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection took place unannounced on the 7th July 2005 over 1.5 hours in the early afternoon. All 3 residents were at home and were spoken to in private. The registered provider was also present and spoke with the inspector. There is building work taking place at the home to provide a bedroom, sitting room and bathroom in the loft space. This will be the registered providers private space. The purpose of this inspection was to visit the home as part of the annual inspection cycle of the Commission. What the service does well: What has improved since the last inspection? What they could do better:
At the conclusion of this inspection there are no requirements and no recommendations. Woodpeckers continues to provide a service to the residents which meets their individual and collective needs in a family home. The Woodpeckers D55 S26894 Woodpeckers V216291 070705 Stage 4.doc Version 1.20 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Woodpeckers D55 S26894 Woodpeckers V216291 070705 Stage 4.doc Version 1.20 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection The Woodpeckers D55 S26894 Woodpeckers V216291 070705 Stage 4.doc Version 1.20 Page 8 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of these standards were assessed at this inspection. EVIDENCE: The Woodpeckers D55 S26894 Woodpeckers V216291 070705 Stage 4.doc Version 1.20 Page 9 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,9 Residents are supported in making decisions about their lives. This means they have control over important issues, which affect them and can ask for assistance when they need to. Risk assessments ensure that everyone understands how individual’s can be supported to take risks within their independent lifestyle. EVIDENCE: All 3 residents were spoken to and said that they are able to make decisions about their daily lives, such as activities they want to participate in. the manager said that she arranges appointments for the residents when necessary and gave an example of a recent incident which occurred in the home and she has arranged a meeting to discuss her concerns and invited a psychologist. A daily record is kept of all decisions made and the choices that individual’s make. Residents are encouraged t participate in different groups and speak up with any concerns they might have. The Woodpeckers D55 S26894 Woodpeckers V216291 070705 Stage 4.doc Version 1.20 Page 10 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,15,17 Residents are able to participate in activities, which interests them and they enjoy. They see themselves as part of the community and feel able to have relationships with the people that interest them. Residents enjoy a healthy diet; they are fully involved in planning, shopping and preparing meals and enjoy the social aspect of mealtime. EVIDENCE: One resident has recently started attending a local day centre in the village this has meant she no longer has to get up early and spend over 2 hours on a bus. She is enjoying attending the centre and is no longer tired. All residents are able to participate in activities in the community, which they are interested in and 2 residents attend a day service in another village, which provides activities such as horse riding and weaving. None of the residents have taken up volunteering jobs but they are participating in activities, which mean they are supported in continuing with numeracy and literacy skills the home has a computer which is for the residents use and they demonstrated how they use it, they have CD-ROMs which support them in developing their literacy skills.
The Woodpeckers D55 S26894 Woodpeckers V216291 070705 Stage 4.doc Version 1.20 Page 11 The residents said that they go out to the local pub, cinema and leisure centre when they like. They go shopping with care staff. Residents’ access public transport and the homes own transport which is and ordinary car. Residents said that they are supported by staff in the evenings and weekends to participate in activities, which interest them. The residents said they were away for 2 weeks on holiday and that they plan activities together with each resident taking it in turns to decide what the group does. One resident said that she regularly visits her parents at the weekends. Residents said they can choose what they see and who they invite into their rooms. One resident said she is able to have relationships with whoever she pleases. At the time of the inspection the residents where just finishing lunch it was pizza which they had chosen themselves and helped prepare. The residents said that they are involved in deciding the menu and involved in preparing it. They can choose where they eat, either in their lounge or at the dining table. The manager regularly monitors each residents weight with their permission. There is no resident at the home who needs to be assisted with eating. The Woodpeckers D55 S26894 Woodpeckers V216291 070705 Stage 4.doc Version 1.20 Page 12 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 The home support residents in the way they need and like. EVIDENCE: All 3 residents said that they are able make decisions about when they get up and when they go to bed. Residents said they are able to make decisions about what they wear each day and what they buy when they go shopping. Staff at the home are the same gender as the residents. The Woodpeckers D55 S26894 Woodpeckers V216291 070705 Stage 4.doc Version 1.20 Page 13 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of these standards were assessed at this inspection EVIDENCE: The Woodpeckers D55 S26894 Woodpeckers V216291 070705 Stage 4.doc Version 1.20 Page 14 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of these standards were assessed at this inspection. EVIDENCE: The Woodpeckers D55 S26894 Woodpeckers V216291 070705 Stage 4.doc Version 1.20 Page 15 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Care staff receive the training they need to meet the needs of all the residents. EVIDENCE: Care staff are undergoing NVQ’s in a variety of levels. The registered manager is in the process of completing her registered managers award. The Woodpeckers D55 S26894 Woodpeckers V216291 070705 Stage 4.doc Version 1.20 Page 16 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39,42 The home has an effective system of review which involves the residents and ensures that opinions are listened to. The systems in place within the home ensure that resident’s safety and welfare are promoted and protected. The Woodpeckers D55 S26894 Woodpeckers V216291 070705 Stage 4.doc Version 1.20 Page 17 EVIDENCE: Currently there are no service users living in the home that require moving and handling. All staff have received instruction in fire safety since Mrs. Robertson purchased a video. All staff have received first aid training and training in food hygiene and infection control. The inspector noted that all hazardous substances are stored in a lockable cupboard in the laundry room. All electrical systems have been serviced and risk assessments have been completed on safe working practices in the kitchen. The environment is maintained to a good standard the pathways to the home are clear and the garden equipments stored safely. There are health and safety notices in the kitchen. All accidents, injuries and incidents are recorded. There is a considerable amount of building work taking place but everyone is mindful of the needs of the residents. While the major building work was taking place the residents all went on holiday to avoid any problems. The Woodpeckers D55 S26894 Woodpeckers V216291 070705 Stage 4.doc Version 1.20 Page 18 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x x x x Standard No 22 23
ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10
LIFESTYLES Score x 3 x 3 x
Score Standard No 24 25 26 27 28 29 30
STAFFING Score x x 3 x x x x Standard No 11 12 13 14 15 16 17 x 3 3 x 3 x 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
The Woodpeckers Score 3 x x x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x D55 S26894 Woodpeckers V216291 070705 Stage 4.doc Version 1.20 Page 19 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement 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 Good Practice Recommendations The Woodpeckers D55 S26894 Woodpeckers V216291 070705 Stage 4.doc Version 1.20 Page 20 Commission for Social Care Inspection Unit 4, New Fields Business Park Stinsford Road Poole BH17 0NF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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