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Inspection on 10/10/05 for Wilkinson Park Residential Care Centre

Also see our care home review for Wilkinson Park Residential Care Centre for more information

This inspection was carried out on 10th October 2005.

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Staffing levels were appropriate to meet the needs of the service users. All of the service users said they liked living at Wilkinson Park, felt safe, liked the food and thought that staff treated them well. Some service users have recently been on various holidays based on their interests such as fishing. Relatives and visitors comments were very positive and included; - `Enjoys it today as much as ever.` - `It is an excellent home, in a beautiful location with very caring staff.` Four responses said they were satisfied with the care provided, the other was discussed with the manager. The catering in the home is excellent because it is home baking and service users help with the mealtimes which adds to the homely atmosphere. The Registered Provider and Registered Manager are committed to improving the service provided to the people who live at Wilkinson Park. The continued improvement of the premises. The plans for the shared bedroom, bathroom and corridor area downstairs.

What has improved since the last inspection?

The manager has addressed all of the requirements made at the last inspection. The development of the new care planning arrangements.

CARE HOME ADULTS 18-65 Wilkinson Park Residential Care Centre Rothbury Morpeth Northumberland NE65 7DP Lead Inspector Deborah Haugh Announced 10 October 2005: 10:00 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. Wilkinson Park Residential Care Centre B53-B03 S524 Wilkinson Park V240409 101005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Wilkinson Park Residential Care Centre Address Rothbury Morpeth Northumberland NE65 7DP 01669 650265 01669 650265 Wilkinsonpark_03@btopenworld.com Mr R Turnbull 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) Mrs Heather Dixon CRH 15 Category(ies) of LD Learning disability - 15 registration, with number of places Wilkinson Park Residential Care Centre B53-B03 S524 Wilkinson Park V240409 101005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 19/05/05 Brief Description of the Service: Wilkinson Park is a large 2-storey house located in rural area of Northumberland approximately 7 miles from the village of Rothbury. Situated in the grounds of the home is a a coffee/smoking area and a workshop, which is used as a base for activities, organised as part of the day care provided by the home. A large garden is situated at the rear of the home and at the front is a car parking area. Ramp access is available at the entrance to the home. There is a separate flat for two service users. The home is registered to care for 15 people who have learning disabilities. Wilkinson Park Residential Care Centre B53-B03 S524 Wilkinson Park V240409 101005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The announced inspection took place on 10/10/05 from 10.00 am until 2.30 pm. The Registered Manager, Heather Dixon was on duty during the visit. There were 14 service users at the home during the visit. An examination of the maintenance arrangements, servicing details, recruitment and training of staff, medication and 2 care plans were undertaken. The flat and downstairs communal areas were checked. Service users shared their views about the home. Time was also spent observing the contact between service users and staff. Prior to the inspection questionnaires were provided to service users and relatives. Fourteen questionnaires were completed by service users and five questionnaires were completed by Relatives /Visitors. At the time of the visit there were no visitors. Lunch was shared with the service users. What the service does well: Staffing levels were appropriate to meet the needs of the service users. All of the service users said they liked living at Wilkinson Park, felt safe, liked the food and thought that staff treated them well. Some service users have recently been on various holidays based on their interests such as fishing. Relatives and visitors comments were very positive and included; - ‘Enjoys it today as much as ever.’ - ‘It is an excellent home, in a beautiful location with very caring staff.’ Four responses said they were satisfied with the care provided, the other was discussed with the manager. The catering in the home is excellent because it is home baking and service users help with the mealtimes which adds to the homely atmosphere. The Registered Provider and Registered Manager are committed to improving the service provided to the people who live at Wilkinson Park. The continued improvement of the premises. The plans for the shared bedroom, bathroom and corridor area downstairs. Wilkinson Park Residential Care Centre B53-B03 S524 Wilkinson Park V240409 101005 Stage 4.doc Version 1.40 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. Wilkinson Park Residential Care Centre B53-B03 S524 Wilkinson Park V240409 101005 Stage 4.doc Version 1.40 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 Wilkinson Park Residential Care Centre B53-B03 S524 Wilkinson Park V240409 101005 Stage 4.doc Version 1.40 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) NMS 2 was assessed at the last inspection May 2005 EVIDENCE: Wilkinson Park Residential Care Centre B53-B03 S524 Wilkinson Park V240409 101005 Stage 4.doc Version 1.40 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) 6 Service users have care plans which enable them to fulfil their potential and have their needs met. NMS 7 & 9 were assessed at the last inspection in May 2005. EVIDENCE: New care plans are in place for service users which identify a range of needs and activities. Interventions are detailed and guide the practice of staff. Good progress has been made to improve the care plans. Multi-disciplinary team work is in place from psychologists, community psychiatric nurses, care managers and the Behaviour Analysis Intervention Team (BAIT) and other professionals where necessary such as Speech & Language Therapy Team (SALT). Wilkinson Park Residential Care Centre B53-B03 S524 Wilkinson Park V240409 101005 Stage 4.doc Version 1.40 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) 17 Service users enjoy a wholesome, well- balanced and nutritious diet. NMS 12,13,15 & 16 were assessed at the last inspection in May 2005. EVIDENCE: The Inspector shared lunch with the service users, which was cheese and potato pie, mushy peas, potatoes and cheese sauce, the sweet was Eve’s pudding and custard. The service users obviously enjoyed this meal and seconds were available. Everyone helps at lunch and turns are taken to clear and set tables. The atmosphere in the kitchen is warm and relaxed as some service users clearly like helping to prepare for the meals. Home cooking continues to be a strength of this home. Wilkinson Park Residential Care Centre B53-B03 S524 Wilkinson Park V240409 101005 Stage 4.doc Version 1.40 Page 11 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) 20 The medication at this home is being managed but some areas continue to need improvement so that service users are protected. NMS 18 & 19 were assessed at the last inspection in May 2005. EVIDENCE: An audit of Medication Administration Records (MAR) found incomplete controlled drugs records. Wilkinson Park Residential Care Centre B53-B03 S524 Wilkinson Park V240409 101005 Stage 4.doc Version 1.40 Page 12 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) 23 Service users are protected from potential abuse, neglect and harm. NMS 22 was assessed at the last inspection in May 2005. EVIDENCE: The home has a Protection of Vulnerable Adults Procedure and Whistle Blowing Policy that complies with Department of Health Guidelines. Service users know who they can talk to if they are unhappy. Staff have received training in the Protection of Vulnerable Adults and have demonstrated their knowledge of Whistle Blowing where they would report poor practice or concerns. Wilkinson Park Residential Care Centre B53-B03 S524 Wilkinson Park V240409 101005 Stage 4.doc Version 1.40 Page 13 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) 24 Service users live in a well maintained, clean and decorated home. NMS 30 was assessed at the last inspection in May 2005. EVIDENCE: The owner is planning to re-furbish the ground floor bathroom and provide a walk in shower, Jacuzzi, lower the ceiling, re-tile and provide new flooring. The ground floor corridor will be decorated after the new bathroom is completed. The new ground floor shower room is of benefit to the service users. The shared bedroom is due to be made into two bedrooms following the agreement of the two service users. The communal lounges are comfortable and clean. A separate flat for two new service users is now registered. There is a large lounge, conservatory, kitchen, bathroom and two single bedrooms. Wilkinson Park Residential Care Centre B53-B03 S524 Wilkinson Park V240409 101005 Stage 4.doc Version 1.40 Page 14 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) 33, 34 & 35 Staffing numbers are appropriate to the assessed needs of the service users, size, layout and purpose of the home, at all times. Service users are cared for by experienced and appropriately trained staff. Recruitment are not robust enough to completely protect service users. EVIDENCE: The home maintains the level of staffing which reflects the size and layout of the building and the needs of the service users currently living in the home. The current levels of staffing are a minimum of 2 staff on duty during the waking day which is increased when required for activities. The flat is staffed separately and is 1:1 for the service user currently living there. At night there are 2 sleeping in members of staff which is in agreement with the Fire Authority and CSCI. Wilkinson Park Residential Care Centre B53-B03 S524 Wilkinson Park V240409 101005 Stage 4.doc Version 1.40 Page 15 The home continues to have a training programme. Staff complete NVQ Level 2 and the Learning Disability Award Framework (LDAF), Protection of Vulnerable Adults, Health and Safety and Medication training. Recruitment systems are in place where Criminal Records Bureau and Protection of Vulnerable Adults First checks are undertaken. At least 2 references are obtained. However the Registered Manager must ensure that these are authentic. Wilkinson Park Residential Care Centre B53-B03 S524 Wilkinson Park V240409 101005 Stage 4.doc Version 1.40 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 Formal Quality Assurance systems are in place so the service is audited and this ensures good outcomes for service users. Systems are in place to protect service users from health and safety hazards. EVIDENCE: Quality Assurance systems are in place which use the NMS as outcomes. Relatives and service users are asked for their views. Maintenance checks and follow up completion are in place. Service certificates and contracts are in place. Wilkinson Park Residential Care Centre B53-B03 S524 Wilkinson Park V240409 101005 Stage 4.doc Version 1.40 Page 17 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 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 x x x x x x 4 Standard No 31 32 33 34 35 36 Score x x 3 2 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Wilkinson Park Residential Care Centre Score x x 1 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x B53-B03 S524 Wilkinson Park V240409 101005 Stage 4.doc Version 1.40 Page 18 no 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 20 Regulation 13(2) Requirement The following items regarding medication must be dealt with. 1.Controlled drugs must be entered in the Controlled Drugs Register. 2. Two signatures must witness the administration of controlled drugs . 3. Controlled drugs must be recorded on Medication Administration Records The Registered manager must not employ a person to work at the home unless she is satisfied that the references are authentic. Timescale for action 10/10/05 2. 34 19(1) 14/10/05 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 Wilkinson Park Residential Care Centre B53-B03 S524 Wilkinson Park V240409 101005 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Northumbria House Manor Walks Cramlington NE23 6UR 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. Extracts may not be used or reproduced without the express permission of CSCI Wilkinson Park Residential Care Centre B53-B03 S524 Wilkinson Park V240409 101005 Stage 4.doc Version 1.40 Page 20 - 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. 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