Inspection on 04/05/07 for Whitwood House

This inspection was carried out on 4th May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Whitwood House 27/02/06

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 Tony Brindle Key Unannounced Inspection 4th May 2007 02:30 Whitwood House DS0000006227.V333439.R01.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 Whitwood House DS0000006227.V333439.R01.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. Whitwood House DS0000006227.V333439.R01.S.doc Version 5.2 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 Wayne Barker Care Home 16 Category(ies) of Learning disability (16) registration, with number of places Whitwood House DS0000006227.V333439.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th February 2006 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, jobs 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.V333439.R01.S.doc Version 5.2 Page 5 EASY READ SUMMARY An inspector visited Whitwood House. He spoke to Wayne Barker. He spoke to the staff. He spoke to people living at the home. He look at the paperwork Information given to people living at the home is easy to understand and written in an accessible way. People have access to advocacy services. People use advocacy services. People go out to college. People go out to work. People go out to day centres. People feel included. Whitwood House DS0000006227.V333439.R01.S.doc Version 5.2 Page 6 People get to put their views forward. People put forward their opinions. People enjoy an active life. People go out into the community. People have their healthcare dealt with. People have well written care plans. The plans are person centred. People have a say about what goes into their care plan. There are good systems in place to keep people safe. Whitwood House DS0000006227.V333439.R01.S.doc Version 5.2 Page 7 There are good management systems in place to keep people safe. The staff are well training and very caring and helpful. People living at Whitwood House feel happy and feel good about themselves. Whitwood House DS0000006227.V333439.R01.S.doc Version 5.2 Page 8 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the care home. The inspector spoke with people living at the home, the registered manager and staff members. While at the home the inspector had a look around the home, looked at some of the paper records. Before a visit to the home took place, surveys were sent out to people living at the home, their relatives and health and social care professionals who have dealings with Whitwood House. Many of the surveys were returned before the visit took place, and the feedback that people gave was positive. Some of things people said included: • “I really love living at Whitwood House”. – Person living at the home • “The staff are really good, and I like going out, and like the way that people help me.”. - Person living at the home • “My relative is supported well at Whitwood House”. – Relative of a Person living at the home • “The staff are very supportive, and appear to know what they are doing. They always come across as professional”. – Healthcare Professional The inspector would like to take this opportunity to thank everyone for their hospitality and assistance during this inspection visit. What the service does well: Prospective people to use a service and their representatives have the information needed to choose a home, which will meet their needs. They have their needs assessed and a contract which clearly tells them about the service the will receive. Individuals are involved in decisions about their lives, and play an active role in planning the care and support they receive. Whitwood House DS0000006227.V333439.R01.S.doc Version 5.2 Page 9 People who use the service are able to make choices about their life style, and supported to develop their life skills. Social, educational, cultural and recreational activities meet people’s expectations. 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. People who use the service are able to express their concerns, and have access to a robust, effective complaints procedure, and are protected from abuse, and have their rights protected. The physical design and layout of the home enables people to live in a safe, well-maintained and comfortable environment, which encourages independence. Staff in the home are trained, skilled and are provided in sufficient numbers to support the people who use the service. The management and administration of the home is based upon openness and respect. The manager operates effective quality assurance system. What has improved since the last inspection? The manager explained that a new job mentoring system has been introduced into the service. One staff member said that this had been helpful as it had enabled them to learn new skills and develop their practice alongside side an established staff member which was seen to be very useful as in the long run, it would be the people who receive an improved service who would benefit from the scheme. The manager spoke about how that staff have developed a new review booklet, which is used to inform people during a review of a person’s progress. Staff see this as helpful in ensuring that all people are keep informed of how a person is doing while living at Whitwood House. Whitwood House DS0000006227.V333439.R01.S.doc Version 5.2 Page 10 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. The summary of this inspection report can be made available in other formats on request. Whitwood House DS0000006227.V333439.R01.S.doc Version 5.2 Page 11 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.V333439.R01.S.doc Version 5.2 Page 12 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 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Prospective people to use a service and their representatives have the information needed to choose a home, which will meet their needs. They have their needs assessed and a contract which clearly tells them about the service the will receive. EVIDENCE: A staff member spoke about how the assessment process focuses on achieving positive outcomes for people and this includes ensuring that the facilities, staffing and specialist services provided by the home meet the person’s needs. One person living in the home spoke about being given the opportunity to spend time in the home before moving in. The manager said that this length of time is flexible and always led by the person using the service rather than being dictated by the service. One person living in the home spoke about said they were given a keyworker who gave them information about the home and helped them to feel comfortable in their surroundings. The manager confirmed that the keyworker system continues once a person moves into the home. The manager confirmed that all the people living in the home receive a contract. The records show that the person living in the home or their family member has agreed this contract. Whitwood House DS0000006227.V333439.R01.S.doc Version 5.2 Page 13 The records show that the manager and staff have an innovative approach to making admissions right for people, and are clear when they feel the home might not be able to meet the needs of a person. The manager explained that decisions are based upon a wide range of evidence and the records show that person and their relatives are kept informed and involved in the decision making process as much as possible. One person living at the home spoke about how they had been very involved in deciding to move into the home. This person had had the chance to visit the home, talk to the staff, have a look at the building, talk and spend time with people already living in the home. The records show that information is given to people in a meaningful way, and the manager said that information could be out into appropriate languages and formats, such as large print, Braille or easy read. One person living in the home spoke about how information is explained to them so that they can fully understand it. One staff member spoke about how use of advocates to support people is actively promoted, and one person living in the home spoke about how they know about advocacy services. The records show that people living in the home do access advocates. Whitwood House DS0000006227.V333439.R01.S.doc Version 5.2 Page 14 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 and 9 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Individuals are involved in decisions about their lives, and play an active role in planning the care and support they receive. EVIDENCE: The care plans are person centred and have been signed by either the person or their representative. The care plans were seen to look at all areas of the person’s life. The manager said that the care plans are a working document and there is evidence to show that the plans are reviewed regularly. One person living in the home said when their care plan is reviewed they are involved in the process. The manager spoke about how that staff have developed a new review booklet, which is used to inform people during a review of a person’s progress. Staff see this as helpful in ensuring that all people are keep informed of how a person is doing while living at Whitwood House. This person said that the staff talk to them about their care and support, and they encourage them to put forward their point of view about how to develop their skills, follow their interests and consider their future aspirations. The care plans were seen to include a comprehensive risk assessment, which again is reviewed regularly. One staff member spoke about Whitwood House DS0000006227.V333439.R01.S.doc Version 5.2 Page 15 how the management of risk is positive and that the staff address safety issues whilst aiming to improve a person’s quality of life. Where limitations are in place, the decisions have been made with the person and the records confirmed this. One person living in the home said that the staff always talks to them about activities and about how to make sure they are safe when taking part in different activities both inside and outside the home. The records show that there are procedures in place to ensure that people using the service are informed of their rights to confidentiality. One person living at the home said that they understand when staff may have to share personal information and one staff member explained that people can access advocacy services for support. Contact details for advocacy services were seen to be available within the home. Whitwood House DS0000006227.V333439.R01.S.doc Version 5.2 Page 16 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 and 17 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who use the service are able to make choices about their life style, and supported to develop their life skills. Social, educational, cultural and recreational activities meet people’s expectations. EVIDENCE: Discussions with the manager and members of staff showed that the service has a strong commitment to enabling people who use services to develop their skills, including social, emotional, communication, and independent living skills. The records show that people are supported to identify their goals, and work to achieve them. One person spoke about how they are supported to develop and maintain important personal and family relationships, and are able to access information and specialist guidance about issues such as work, relationships, education and holidays. Discussions with people living at the home showed that they are involved in meaningful activities of their own choice and according to their individual interests and capability. The records show that education and occupation Whitwood House DS0000006227.V333439.R01.S.doc Version 5.2 Page 17 opportunities are encouraged, supported and promoted. The manager said that people access local colleges, are supported in employment initiatives, and also paid employment. One person living at the home said that they have recently accessed and enjoy the opportunities available in their local community of working within a charity shop as a volunteer, and are looking to move into paid employment. Whitwood House DS0000006227.V333439.R01.S.doc Version 5.2 Page 18 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 and 20 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the 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: The records show that personal healthcare needs are clearly recorded in each person’s care plan and details how the care will be delivered in a person centred way is explained within the home’s Statement of Purpose. The records show that personal support is responsive to the varied and individual needs and preferences of the people. One staff member spoke about how that delivery of personal care is individual and flexible. Feedback for relatives indicates that they believe that the staff respect the privacy and dignity of people living in the home, and are sensitive to people’s changing needs. One person living at the home spoke about the staff listen and respond to their choices and decisions about who delivers and how they receive personal care. The manager said that people are supported and helped to be independent and can take responsibility for their personal care needs. It is clear from looking at the records and through talking to people living in the home that the staff listen to people and take account of what is important to them. Whitwood House DS0000006227.V333439.R01.S.doc Version 5.2 Page 19 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 and 23 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People who use the service are able to express their concerns, and have access to a robust, effective complaints procedure, and are protected from abuse, and have their rights protected. EVIDENCE: The records show that the service has a complaints procedure that is up to date, clearly written, and is easy to understand. Feedback from relatives indicated that suggestions for improvement are always welcomed, and that the procedure is widely available and people are aware of it. Feedback from people living in the home and people associated with the home shows that they understand how to make a complaint and are clear of what will happen if a complaint is made. The records show that the service always responds within the agreed timescale. The staff training records show that people are trained in the protection of vulnerable adults. The manager spoke about the fact that there are a low number of safeguarding referrals, and believes that staff training and the implementation of the policies and procedures links into this. The records show that the outcomes from any referral are managed well with issues being resolved to the satisfaction of all involved. Whitwood House DS0000006227.V333439.R01.S.doc Version 5.2 Page 20 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 and 30 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The physical design and layout of the home enables people to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: Discussions with people indicated that they are encouraged to see the home as their own. The building is a very well maintained, attractive property and one person living at the home said that because of the home’s location, they have “very good access to community facilities and services”. The manager and staff ensure that the physical environment of the home provides for the individual requirements of the people who use the service. Discussions with the people living at the home showed that they are happy with their house and that the living environment is appropriate for their particular lifestyle and needs. Whitwood House DS0000006227.V333439.R01.S.doc Version 5.2 Page 21 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 and 35 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Staff in the home is trained, skilled and are provided in sufficient numbers to support the people who use the service. EVIDENCE: The records show that the service is proactive rather than reactive in its staffing, recruitment and training, with planning for the needs of people taking place on a day to day basis. Observations indicate that there is a diverse staff team that has a balance of skills, knowledge and experience to meet the needs of people who use services. The rotas show that the service has enough staff available at all times to support the needs, activities and aspirations of the people using the service in an individualised and person centred way. The records show that the service has a highly developed recruitment procedure that has the needs of people who use the service at its core. The manager explained that the recruitment of good quality carers is seen as integral to the delivery of an excellent service, and continued to say that the recruitment of the right person for the job is always seen as more important than the filling of a vacancy. The manager explained that a new job mentoring system has been introduced into the service. One staff member said that this had been helpful as it had enabled them to learn new skills and develop their practice alongside side an established staff member which was seen to be very useful as in the Whitwood House DS0000006227.V333439.R01.S.doc Version 5.2 Page 22 long run, it would be the people who receive an improved service who would benefit from the scheme. Whitwood House DS0000006227.V333439.R01.S.doc Version 5.2 Page 23 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 and 42 People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The management and administration of the home is based upon openness and respect. The manager operates effective quality assurance system. EVIDENCE: The records show that spot checks and quality monitoring systems are in place which provide the management with evidence that systems are working and that the health and safety of people are promoted. Discussions with people living at the home indicated that the management systems are open and transparent. It is clear from feedback people living at the home and the staff that people are listened to, and their views are valued and acted upon. The registered manager has the required qualification and experience, and is viewed by members of the staff team as highly competent to run the home. Discussions with him shows that he has sound knowledge of both strategic and financial planning. Whitwood House DS0000006227.V333439.R01.S.doc Version 5.2 Page 24 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 4 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 4 23 4 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 X 4 X 4 X X 4 X Whitwood House DS0000006227.V333439.R01.S.doc Version 5.2 Page 25 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 Whitwood House DS0000006227.V333439.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Whitwood House DS0000006227.V333439.R01.S.doc Version 5.2 Page 27 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!