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Inspection on 19/05/05 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 19th May 2005.

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

Residents described their lives at Wilkinson Park. They showed the inspector their workshop and gardening projects. The residents spoke enthusiastically about their pending holidays to the lakes, Scotland fishing, Haggerston Castle and a tour to the Durham Gala, York and Alton Towers. Residents have chosen their holidays and whom they go with. Lunch was shared with the residents and the catering in the home is excellent because it is home baking and residents help with the mealtimes which adds to a homely atmosphere. The Registered Providers want to improve the home and have agreed staffing changes to meet the needs of the residents and has an on-going re-decoration plan. Residents feel listened to by staff and have a good relationship with staff particularly with the senior support worker who works in the workshop.

What has improved since the last inspection?

The home now has a Registered Manager. Staffing changes at night time have been agreed with the Fire Safety Officer and CSCI. New arrangements start on 1/6/05. The home has a new shower room which is a benefit to the residents. A new fire panel and staff sleeping in room has also been provided as a response to the requirement for 2 sleeping in night staff.

What the care home could do better:

The Manager and a senior require medication training and concerns still exists regarding the records for medication. Two concerns regarding the premises need attention. Care plans must guide staff on the action to take to meet residents needs and they should be evaluated.

CARE HOME ADULTS 18-65 Wilkinson Park Residential Care Centre Rothbury Morpeth Northumberland NE65 7DP Lead Inspector Deborah Haugh Unannounced 19 May 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 WilkinsonPark V222932 190505 Stage 4.doc Version 1.30 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 Ms S Harper 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 13 Category(ies) of LD - Learning Disabilities (13) registration, with number of places Wilkinson Park Residential Care Centre B53-B03 S524 WilkinsonPark V222932 190505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 4/11/04 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 small cottage occupied by one of the proprietors 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. The home is registered to care for 13 people who have learning disabilities. At present there is no appointed Registered Manager. Wilkinson Park Residential Care Centre B53-B03 S524 WilkinsonPark V222932 190505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place between 10.00 am and 3.00pm. The Registered Manager was on duty throughout the visit. There were 13 residents at the home during the visit. An examination of the accident book, fire log, medication, daily records and 2 care plans was undertaken. A tour of the communal areas of the home was also completed such as bathrooms, lounges, kitchen, laundry and toilets. Residents shared their views about the home. Time was also spent observing the contact between residents and staff. What the service does well: What has improved since the last inspection? The home now has a Registered Manager. Staffing changes at night time have been agreed with the Fire Safety Officer and CSCI. New arrangements start on 1/6/05. The home has a new shower room which is a benefit to the residents. Wilkinson Park Residential Care Centre B53-B03 S524 WilkinsonPark V222932 190505 Stage 4.doc Version 1.30 Page 6 A new fire panel and staff sleeping in room has also been provided as a response to the requirement for 2 sleeping in night staff. 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 WilkinsonPark V222932 190505 Stage 4.doc Version 1.30 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 WilkinsonPark V222932 190505 Stage 4.doc Version 1.30 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) 1-5 Residents who move into the home have the opportunity to visit the home, move in gradually and all have a contract with the home. Assessments are completed by the home and care manager. EVIDENCE: A new potential resident was visiting the home and said he was getting used to the home and visiting regularly. Other residents said they were also getting to know the new resident. Two care files were examined and signed contracts were in place. The Manager explained that new contracts are planned between residents, care managers and the home. Resident’s assessments are provided by care managers and the home has their own assessments. Wilkinson Park Residential Care Centre B53-B03 S524 WilkinsonPark V222932 190505 Stage 4.doc Version 1.30 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) 6-9 Residents have the opportunity to participate in all aspects of decision- making in their lives. However where this is not possible reasons are recorded. Care plans need to develop to provide guidance to staff. EVIDENCE: Residents spoke of their involvement in decision making in the home. Planning for holidays is arranged around the wishes and friendships people have in the home. Household tasks such as laying the table, serving food and clearing away is on a rota system, so everyone takes turn. Residents help around the home with their own cleaning, laundry and occupation in the grounds such as cutting logs, making items to sell, looking after the horses, hens and washing the minibus. Two care plans were examined and residents are included in reviews and planning. Risk assessments are in place and cover a wide range of areas such as safety in the workshop, community, fire safety and lifestyle choices which incur risk. Care plans must also guide staff on the action to take to meet residents needs and they should be evaluated. Wilkinson Park Residential Care Centre B53-B03 S524 WilkinsonPark V222932 190505 Stage 4.doc Version 1.30 Page 10 Wilkinson Park Residential Care Centre B53-B03 S524 WilkinsonPark V222932 190505 Stage 4.doc Version 1.30 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 standard(s) 11-17 Residents are given the opportunity to try new experiences, social settings and maintain friendships and relationships in the home and the community. EVIDENCE: Residents spoke of the new skills which they have learnt and in particular making garden furniture and ornaments. Residents under supervisions from trained staff learn how to operate some tools and care for livestock. Two residents have a job at a garage which they said they enjoy. Residents spoke of their hobbies such as fishing, gold and gardening. Outings to pubs, BBQ and discos are also enjoyed. The home holds its own BBQ and neighbours, family and friends are invited. Leisure opportunities exist as well as shopping trips. The Inspector shared lunch with the residents, which was Toad in the Hole with cabbage, carrot and mash potato, the sweet was almond slice 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. Wilkinson Park Residential Care Centre B53-B03 S524 WilkinsonPark V222932 190505 Stage 4.doc Version 1.30 Page 12 The atmosphere in the kitchen is warm and relaxed as some residents clearly like helping Alison, the cook prepare the meals. Home cooking continues to be a strength of this home. Wilkinson Park Residential Care Centre B53-B03 S524 WilkinsonPark V222932 190505 Stage 4.doc Version 1.30 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 standard(s) 18-20 Care plans identify the needs of residents but details of how to meet these are not recorded. Arrangements around the administration of medication are unsatisfactory. EVIDENCE: Two care plans were sampled and assessments from care managers are provided but action to meet the identified needs is not. Daily records are helpful but the approach to take is not documented and so there is a risk of inconsistency. Residents have access to health care professionals and this was evidenced in the care plans as well as talking to residents. An audit of Medication Administration Records (MAR) found incomplete records such as the strength, dose and directions and amount received. The manager and a senior support worker have not received medication training yet despite attempts. Another contact was provided. The manager agreed to obtain a list of controlled drugs. Creams were not dated when opened. One tub of cream was prescribed in 2004 and still being used, this is not hygienic. Wilkinson Park Residential Care Centre B53-B03 S524 WilkinsonPark V222932 190505 Stage 4.doc Version 1.30 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 standard(s) 22 The home has a complaints process and residents feel that their views are listened to and acted upon. EVIDENCE: There has been one complaint since the last inspection and this was unsubstantiated. The manager investigated and recorded the outcomes. Residents feel that they are listened to and that they can talk to staff, the manager, the owner and their families if they are unhappy. Wilkinson Park Residential Care Centre B53-B03 S524 WilkinsonPark V222932 190505 Stage 4.doc Version 1.30 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 standard(s) 24,27,28,30 EVIDENCE: A tour of the premises found the home to be clean, well maintained and decorated apart from some areas of wear and tear. A stair case carpet is worn and is a potential trip hazard. Hot water temperatures are recorded at 38Oc and 36.5oC which is cool. The safe temperature is 43oC. The owner is planning to re-decorate the ground floor bathroom, re-tile and provide new flooring. The ground floor corridor is also planned to be decorated. The communal lounges are comfortable and clean. The home has a new shower room which is a benefit to the residents. A new fire panel and staff sleeping in room has also been provided as a response to the requirement for 2 sleeping in night staff. A separate flat for two new residents is being refurbished and a new kitchen was being fitted. The flat is not yet registered. Wilkinson Park Residential Care Centre B53-B03 S524 WilkinsonPark V222932 190505 Stage 4.doc Version 1.30 Page 16 The kitchen and laundry were clean and well organised. The external grounds are extensive and residents have gardening projects and new plants and flower beds were being dug. Wilkinson Park Residential Care Centre B53-B03 S524 WilkinsonPark V222932 190505 Stage 4.doc Version 1.30 Page 17 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 Staffing numbers are appropriate to the assessed needs of the residents, size and layout and purpose of the home at all times. EVIDENCE: The home maintains the level of staffing in accordance with previous agreements with the local authority and this reflects the size and layout of the building and the needs of the residents currently living in the home. The current levels of staffing are a minimum of 2 staff on duty during the day which is increased when required for activities and 2 sleeping in night staff to commence 1/6/05. Wilkinson Park Residential Care Centre B53-B03 S524 WilkinsonPark V222932 190505 Stage 4.doc Version 1.30 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 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) 37 &42 The manager has a good understanding of the areas which the home needs to improve. EVIDENCE: The manager is now registered and is continuing to provide staff with guidance on recordings and meeting the needs of residents. The fire log, accident book were examined and all records are in place. The manager analyses accidents each month. The fire procedure needs reviewing due to changes in the staffing at night. Two concerns were raised regarding the premises (see NMS 24 and requirement). No other hazards were found on the day of the inspection. Wilkinson Park Residential Care Centre B53-B03 S524 WilkinsonPark V222932 190505 Stage 4.doc Version 1.30 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 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x 3 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 4 Standard No 31 32 33 34 35 36 Score x x 3 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Wilkinson Park Residential Care Centre Score 2 2 1 x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 2 x B53-B03 S524 WilkinsonPark V222932 190505 Stage 4.doc Version 1.30 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 6 Regulation 15 Requirement Care plans must guide staff on the action to take to meet residents needs and they should be evaluated periodically. Items raised in NMS 20 regarding medication must be dealt with. (OUTSTANDING) 1.Creams must be dated when opened· 2.Medication Administration Records must be completed correctly (amount receieved, dose, directions and adminsitration refusal or adminsitered. Training must be provided to staff (including the manager) to adminster medication. Provide CSCI with reviewed fire procedure. Timescale for action 30/9/05 2. 20 13(2) 19/5/05 & 30/9/05 3. 42 23 26/5/05 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. Wilkinson Park Residential Care Centre B53-B03 S524 WilkinsonPark V222932 190505 Stage 4.doc Version 1.30 Page 21 Refer to Standard Good Practice Recommendations Commission for Social Care Inspection Northumbria House Manor Walks Cramlington, Northumberland 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 WilkinsonPark V222932 190505 Stage 4.doc Version 1.30 Page 22 - 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!