Inspection on 27/02/06 for Whitwood House

This inspection was carried out on 27th 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Whitwood House 04/05/07

Whitwood House 24/08/05

Whitwood House 14/03/05

Whitwood House 05/05/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood Hall

Muston Road (70)

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

CARE HOME ADULTS 18-65 Whitwood House 82 Lumley Street Castleford West Yorks WF10 5LD Lead Inspector Mr Tony Brindle Unannounced Inspection 27th February 2006 12:30p Whitwood House DS0000006227.V265831.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 Whitwood House DS0000006227.V265831.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. Whitwood House DS0000006227.V265831.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Whitwood House Address 82 Lumley Street Castleford West Yorks WF10 5LD 01977 668002 01977 668080 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) Wheatley Construction Mr Kieran Leeder Care Home 16 Category(ies) of Learning disability (16) registration, with number of places Whitwood House DS0000006227.V265831.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th August 2005 Brief Description of the Service: Whitwood House is a registered home, which supports 16 younger adults with a learning disability who may also present challenges to the service.The home is situated in the heart of the community on the main road in the town of Castleford. There is a good range of local facilities nearby and there is good local transport as well as the home having its own transport arrangements. The company provides a day resource centre within the grounds of the home, as well as arranging college courses and activities of choice. The home provides single bedroom accommodation for all service users and all are welcome to bring their personal possessions. Whitwood House DS0000006227.V265831.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was a positive and enjoyable one with the inspector taking to service users and staff, looking at care plans and the daily records. An opportunity arose for the inspector to sit in on an induction event, which allowed the Commission to assess the standard and content of this element of staff training. The Commission 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. There have been no additional or complaints visit to this home since the last inspection. There have been no changes to the Registered Persons registered with CSCI. What the service does well: The work of the staff and the systems operated at the home make sure that people only move into the home once assurances have been given that their assessed needs can be appropriately met. The assessed needs of the service users are set out in a plan, ensuring that their health, physical and social needs are recorded, along with the actions needed to be taken by the staff. Staff develop these plans with people making sure that their needs and preferences are set out clearly showing how they will be met. People’s health care and medication needs are set out in the plan, along with details of how these needs are to be met. People confirmed that they are treated with respect and dignity. The systems and procedures operated by the staff at the home make sure that service users and their carers are made aware of how to raise issues and complain, giving them confidence that they will be listened to and their views acted on. There are satisfactory systems in place that, when followed, protect service users from abuse and harm. Whitwood House DS0000006227.V265831.R01.S.doc Version 5.1 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 House DS0000006227.V265831.R01.S.doc Version 5.1 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 House DS0000006227.V265831.R01.S.doc Version 5.1 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): 2 The work of the staff and the systems operated at the home make sure that people only move into the home once assurances have been given that their assessed needs can be appropriately met. EVIDENCE: There have been new admissions to the home since the last time it was inspected. The systems operated at the home ensure that the manager and his staff assess the strengths and needs of new people who move into the home. The information they receive is used to decide if a placement can be offered to the new person. The manager explained that when people first move into the home, they are welcomed by staff and are introduced to the other people living there. The information contained within a sample of the files of the people who live at the home at the moment, backed up the comments of the manager. Care plan files included details of pre-admission assessments completed both by the home and, where relevant by the placing authority and any other professionals involved. These assessments were found to very thorough and considered all areas of the potential residents needs. A person who had recently moved into the home said that he had been made very welcome, and he settled in well. Whitwood House DS0000006227.V265831.R01.S.doc Version 5.1 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): 6,7,9 The assessed needs of the service users are set out in a plan, ensuring that their health, physical and social needs are recorded, along with the actions needed to be taken by the staff. Staff develop these plans with people making sure that their needs and preferences are set out clearly showing how they will be met. People’s health care and medication needs are set out in the plan, along with details of how these needs are to be met. People confirmed that they are treated with respect and dignity EVIDENCE: Service users said that the staff talk to them about their interests and what they want to do. The added that staff support them to use community activities, go on holiday, see friends, make and attend appointments. People’s care plans contain detailed information about support and healthcare needs. The plans are of an excellent standard and have a straightforward approach, concentrating on aspects of daily living and contain information about an individual’s family history, their past, their hopes for the future, Whitwood House DS0000006227.V265831.R01.S.doc Version 5.1 Page 10 activities, daily living skills and health. The new care plans are completed by the staff in partnership with the service user, their family or representative. Restrictions are only placed on the residents following an appropriate risk assessment. Discussions with the staff showed that they have a good understanding of the support and care needs of the residents. Care staff confirmed that they are involved in supporting people with personal hygiene and care, and that wherever possible, support the people’s own capacity for self-care. A person trained to do so assesses people’s needs, and appropriate interventions to meet those needs are recorded in the plan of care. The manager and staff can and do access professional advice about the promotion of independence, healthcare and skill development from outside agencies and professionally qualified and experience staff within the company. The manager explained that people are allowed to take responsibility for your own actions, secure in the knowledge that the home has proper systems in place to protect their interests. The systems operated at the home make sure that a sensible balance is offered to people in everyday events and activities, between the reasonable risks they want to take and the safety of the staff and other people at the home. This comes about following the home’s individual risk assessment approach. People can be fully involved in their own risk assessment, as can any other people they may want to be involved, such as a family member or representative. A staff member said that people discuss risks with staff, and the staff can offer guidance and support to make sure people can live safely in the home and to take part in all the activities it offers. If there are any particular risks associated with these activities, staff will make sure people are given additional information and support. Staff were observed to work in partnership with people, promoting independence, showing respect and maintaining people’s dignity. The health and safety of service users and staff are promoted and protected by satisfactory systems and procedures. Whitwood House DS0000006227.V265831.R01.S.doc Version 5.1 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): None of the core standards within this section were assessed at this occasion. A full assessment of the core standards will take place at the next inspection. EVIDENCE: Whitwood House DS0000006227.V265831.R01.S.doc Version 5.1 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 the following standard(s): None of the core standards within this section were assessed at this occasion. A full assessment of the core standards will take place at the next inspection. EVIDENCE: Whitwood House DS0000006227.V265831.R01.S.doc Version 5.1 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 the following standard(s): 22, 23 The systems and procedures operated by the staff at the home make sure that service users and their carers are made aware of how to raise issues and complain, giving them confidence that they will be listened to and their views acted on. There are satisfactory systems in place that, when followed, protect service users from abuse and harm. EVIDENCE: The manager explained that people can freely discuss any concerns they have with a member of staff, other residents or any member of the care home’s management. Since the last inspection, the home and the Commission has received a formal complaint relating to the use of restraint within the home. The records show those wishing to complain had been given information on how to make a complaint or comment to the home about the service. The records show that the home had dealt with the complainants concerns and complaint quickly and sympathetically, and provided full information about what was to happen as a result of the complaint. People are made aware of the procedure for making formal complaints directly to the Commission. People are encouraged and can be supported to use an independent and confidential advocacy service that can act for people. If people have an independent representative (for example, an independent advocate), the manager explained that the staff will listen to what he or she Whitwood House DS0000006227.V265831.R01.S.doc Version 5.1 Page 14 has to say on people’s behalf, as if people were expressing the views themselves. The home has an appropriate adult protection and whistle blowing policy which contain clear information and procedures for staff to follow. The home has a copy of the local authority adult abuse and protection policy and procedures, which is easily accessible by members of staff. Staff demonstrated a good understanding of the adult abuse policy and procedure, explaining the difference in types of abuse, how to recognise it and what to do if abuse was suspected or alleged. Whitwood House DS0000006227.V265831.R01.S.doc Version 5.1 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): None of the core standards within this section were assessed at this occasion. A full assessment of the core standards will take place at the next inspection. EVIDENCE: Whitwood House DS0000006227.V265831.R01.S.doc Version 5.1 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): 35 The manager ensures that there is a good staff training and development programme and ensures staff fulfill the aims of the home and meet the changing needs of service users. EVIDENCE: The home has a comprehensive staff induction training programme which has recently been revised and improved, and involves the new starter shadowing an experienced member of staff, and the person is not given separate duties until the new starter is seen to be competent by the manager. The new starter attends induction training days and has a workbook to complete which covers the principles of care, the organisation and the role of the worker, the experiences and the particular needs of the service user groups, safety at work and the effects of the service setting on providing services. Further work is completed by new starters on the foundation standards which include how to apply the value base of care, effective communication, development as a worker, recognising and responding to abuse and neglect and understanding the experiences and particular needs of the individuals using the service. Discussion with staff attending the induction event demonstrated that they found it helpful, worthwhile and valuable as it gave than a clear insight into the work they were going to be doing with service users. Whitwood House DS0000006227.V265831.R01.S.doc Version 5.1 Page 17 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 safety of service users and staff are promoted and protected by satisfactory systems and procedures. EVIDENCE: The manager makes sure that so far as is reasonably practicable the health, safety and welfare of service users and staff is protected, by way of staff training, fire safety system testing, risk assessment and safety system monitoring. Whitwood House DS0000006227.V265831.R01.S.doc Version 5.1 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. 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 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X X X X 3 X Whitwood House DS0000006227.V265831.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? Yes 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 Whitwood House DS0000006227.V265831.R01.S.doc Version 5.1 Page 20 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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