CARE HOME ADULTS 18-65
Whitwood Hall Whitwood Lane Castleford West Yorks WF10 5QD Lead Inspector
Tony Brindle, Gillian Walsh (Co-worker) Unannounced Inspection 22nd September 2005 10:00 Whitwood Hall DS0000006213.V253213.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 Whitwood Hall DS0000006213.V253213.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. Whitwood Hall DS0000006213.V253213.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Whitwood Hall Address Whitwood Lane Castleford West Yorks WF10 5QD 01977 667200 01977 667211 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 Michael Wheatley Mr A Jeff R Barlow Care Home 16 Category(ies) of Learning disability (16) registration, with number of places Whitwood Hall DS0000006213.V253213.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Can accommodate one named service user under 18 years. Date of last inspection 7th March 2005 Brief Description of the Service: Whitwood Hall provides residential and personal care for 16 people who have a learning disability. The home is situated on a country road on the outskirts of Castleford between Whitwood and Altofts. Set back in its own grounds the home is split into three separate units each having its own entrance, lounge, dining room, kitchen and bathing facilities. All accommodation offered is single and the ethos and philosophy of the home is based on ordinary living principles. The residents are encouraged and assisted to do as much for them selves as possible. There is also an expectation that residents take full advantage of local ordinary community based leisure and healthcare services. Whitwood Hall offers care and support to those who may have behaviours, which may challenge ordinary residential provision and the staffing ratios provided reflect this. The home is on a main bus route and very close to the M62 and M1/A1 link roads. Whitwood Hall DS0000006213.V253213.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection was a positive and enjoyable one, undertaken by 2 inspectors, who spent 2.5 hours taking to service users and staff, looking at care plans, daily records, health and safety records, the complaints log, the menus and the staff recruitment and training files. The inspectors would like to take the opportunity to thank the service users, the manager and support workers for their hospitality and patient cooperation throughout the inspection. A service user’s invitation to see their bedroom was welcomed and accepted, and the building and gardens were seen. There have been no additional or complaints visit to this home since the last inspection in March 2005. . There have been no changes to the Registered Persons registered with CSCI. What the service does well:
The systems and procedures operated by the home, and the work of the staff ensure that service users assessed and changing needs and personal goals are reflected within an individual plan. Service users are assisted to make decisions about their lives and are supported to take risks as part of an independent lifestyle. The staff understand that lifestyle aspirations will naturally vary according to the person’s age, culture, experience and interest. Opportunities for personal development and independent living are created, and service users access community facilities and leisure activities. The staff at the home make sure that the healthcare needs of people are assessed and recorded, and opportunities are created to make sure these needs are met. The systems and procedures operated by the home, and the work of the staff ensure that service users feel their views are listened to and acted on. There are satisfactory systems in place for responding to suspected or alleged abuse. Service users live in a homely, comfortable and clean environment. Service users are supported and protected by the home’s recruitment policy and practices. Service users benefit from well supported and supervised staff. Whitwood Hall DS0000006213.V253213.R01.S.doc Version 5.0 Page 6 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. Whitwood Hall DS0000006213.V253213.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 Whitwood Hall DS0000006213.V253213.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): None of the standards within this section were assessed on this occasion. EVIDENCE: None of the standards within this section were assessed on this occasion. Whitwood Hall DS0000006213.V253213.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 and 10 The systems and procedures operated by the home, and the work of the staff ensure that service users assessed and changing needs and personal goals are reflected within an individual plan. Service users are assisted to make decisions about their lives and are supported to take risks as part of an independent lifestyle. EVIDENCE: Service user plans contain detailed information about support and healthcare needs. The plans have a straightforward approach, concentrating on aspects of daily living, providing an holistic overview of the service user and the support they require in order to move towards greater independence. Restrictions are only placed on the service users following an appropriate risk assessment. Service users spoken with indicate that key workers usually compile the care plans following consultation. Discussion with the staff showed that they have a good understanding of the support and care needs of the service users. Staff explained that service users are enabled to take risks based on shared information and a relevant risk
Whitwood Hall DS0000006213.V253213.R01.S.doc Version 5.0 Page 10 assessment. The home has an appropriate procedure should service users have an unplanned absence. Whitwood Hall DS0000006213.V253213.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): 12,13,15,16 and 17 The staff understand that lifestyle aspirations will naturally vary according to the person’s age, culture, experience and interest. Opportunities for personal development and independent living are created, and service users access community facilities and leisure activities. It is clear that the staff play a key role in supporting service users to live fulfilling lives outside as well as within the home, and this should continue. EVIDENCE: The service users explained that they spend time outside of the home including visits to local shops, training centres and other organised activities. The staff were seen to respect service users’ individuality, dignity and privacy both by appropriate form of address and by asking for permission before entering people’s bedrooms. The staff said that individual personal, cultural/religious and food preferences and requirements can be and will be observed. The records show that people are given the opportunity and support they need to practice their beliefs, including keeping in touch with their community by way of cultural interests and activities.
Whitwood Hall DS0000006213.V253213.R01.S.doc Version 5.0 Page 12 The social events, entertainment and activities provided by the staff at Whitwood Hall are organized so that you can everyone can join in if they want to. If a personal plan says a person should have opportunities for education, training and work, staff help people find these. A sample of staff team showed that they understanding the importance of enabling people to access college courses, community education and other learning. People can keep up relationships with friends, relatives and carers and links with their own community, with staff support, and following an appropriate assessment of their circumstances. The records show that people can choose activities and holidays, with up-to-date information in a form they can understand. The individual files record any limits on people’s independence and these limits are reviewed regularly, use an appropriate risk assessment process. The menus indicate that meals are varied and nutritious, and reflect individual food preferences and any special dietary needs. Whitwood Hall DS0000006213.V253213.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): 18, 19 and 20 The systems and procedures followed by the staff at the home make sure that the healthcare needs of people are assessed and recorded, and opportunities are created to make sure these needs are met. EVIDENCE: The staff recognize that service users have the right to good quality physical and emotional health wherever they are living. The service users are supported to manage their own healthcare and to access NHS community facilities. Any specialist health, nursing and dietary requirements were seen in the service user’s wide-ranging individual plans. Staff explained that they support service users to manage their own medication following a risk assessment. The service user’s individual plans detail key aspects of how an individual seeks to be supported. Whitwood Hall DS0000006213.V253213.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 and 23 The systems and procedures operated by the home, and the work of the staff ensure that service users feel their views are listened to and acted on. There are satisfactory systems in place for responding to suspected or alleged abuse. EVIDENCE: Clear procedures enable service users to make their views known, and the records detailing the views of service users were seen and found to be in good order. Policies and procedures for dealing with suspicion or evidence of abuse are in place. Complainants are informed that they may make complaints directly to the CSCI. The manager said that adult protection issues are referred to the Local Authority, with a notification going to CSCI. Whitwood Hall DS0000006213.V253213.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 and 30 The systems and procedures operated by the home, and the work of the staff ensure that the service users live in a homely, comfortable and clean environment. EVIDENCE: Staff member’s said that respect for service users’ privacy is really important, including the freedom to come and go, and receive guests. This is informed via appropriate risk assessments. The staff were observed to respect the privacy and autonomy of the service users, which is limited as necessary for their safety or protection as specified in individual service user plans following an appropriate assessment. The facilities within the home are as home-like as possible while being fit for the purpose of the home and for the people who live there. Whitwood Hall DS0000006213.V253213.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): 34, 35 and 36 The systems and procedures, and actions of the staff ensure that service users are supported and protected by the home’s recruitment policy and practices. Service users benefit from well supported and supervised staff. EVIDENCE: The rotas show that there is a continuity of staff support, allowing service users to get to know people and develop good relationships with key-workers. One staff member explained that she is aware of the likes and dislikes of the service users and feels that this is important when working with people. Observations made on the day and details within individual records show that people experience good-quality support and care. This is provided by management and staff team whose professional training and expertise allows them to meet the assessed needs of the people living at the home. The records show that people living at the home can be confident that the staff providing their support and care have the knowledge and skills gained from the experience of working with people whose needs are similar. The manager said that if they are new staff, they are helped to get experience as part of a planned training programme. The records backed this up. Whitwood Hall DS0000006213.V253213.R01.S.doc Version 5.0 Page 17 The personnel files show that the company undertakes satisfactory and appropriate recruitment checks, identifies training and development and provides appropriate supervision and support. Whitwood Hall DS0000006213.V253213.R01.S.doc Version 5.0 Page 18 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): 42 The health and welfare of the service users and staff is protected by the safety systems operated by the home, however, the practice of propping fire doors open potentially places services users and staff at risk in the event of a fire. EVIDENCE: The unannounced monthly management visit looks at different aspects of the home’s provision e.g. service user views, environment, care plans. The health and safety and fire records were found to be in good order, with routine checks being made and appropriate interventions made when faults, problems or risks are identified. Some fire doors were found to be propped open and the manager explained that this was due to the home catering to the individual preferences of various service users for doors to be kept open. Whitwood Hall DS0000006213.V253213.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 X X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 3 3 3 3 Standard No 24 25 26 27 28 29 30
STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Whitwood Hall Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score X X X X X 1 X DS0000006213.V253213.R01.S.doc Version 5.0 Page 20 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 YA42 Regulation
23(4) Timescale for action The registered person shall, after 31/10/05 consultation with the fire authority make adequate arrangements for containing fires. Requirement 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 Whitwood Hall DS0000006213.V253213.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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