Inspection on 14/11/05 for William Morris House

This inspection was carried out on 14th November 2005.

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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

William Morris House 08/02/07

William Morris House 04/07/05

William Morris House 01/02/05

William Morris House 17/06/04

William Morris House 19/11/03

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 William Morris House William Morris House Eastington Stonehouse Glos GL10 3SH Lead Inspector Mr Paul Chapman Unannounced Inspection 14th November 2005 09:30 William Morris House DS0000016648.V269474.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address William Morris House DS0000016648.V269474.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. William Morris House DS0000016648.V269474.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service William Morris House Address William Morris House Eastington Stonehouse Glos GL10 3SH 01453 824025 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) William Morris Camphill Community Suzanne Pickering Care Home 35 Category(ies) of Learning disability (35) registration, with number of places William Morris House DS0000016648.V269474.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th July 2005 Brief Description of the Service: William Morris House (WMH) named after the designer, craftsman and author William Morris (1834-1896) is part of the International Camphill Movement, founded in 1940. The Home is one of thirty Camphill Communities in Britain. The movement is inspired by teachings of the late philosopher and teacher Rudolf Steiner. It is dedicated to serving the needs of young people with learning disabilities, aged between sixteen and twenty five years during their transition to adulthood. WMH is also a registered residential care home. It provides education in a residential college setting, which is subject to OFSTED Inspection. The home is situated in Eastington, which is approximately 3 miles from Stroud town centre and is within a few minutes from J13 of the M5. The campus is set in countryside and consists of four households, surrounded by gardens and other workshop buildings. The four houses function as extended families with Students and carers living and socialising together. The first three years have a strong educational element alongside social therapy, where students attend the college on site, for thirty-seven weeks of the year. From nineteen years onwards the student becomes a trainee and the emphasis is on work related skills for a period of forty-three weeks in a year. William Morris House DS0000016648.V269474.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was completed from 930 on a morning in November 2005 and lasted for a duration of 1hour and 30 minutes. Since the previous inspection the home have registered a new building and the inspector used this inspection to visit this property and examine some of its records. In addition to this they visited two of the other buildings on the site. For a more comprehensive overview of the service offered by the home it is recommended that this report in read in conjunction with the announced inspection report dated 4th July 2005. What the service does well: What has improved since the last inspection? What they could do better: The manager must ensure that sufficient staff become qualified with their NVQ level three in care as agreed by the CSCI. William Morris House DS0000016648.V269474.R01.S.doc Version 5.0 Page 6 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. William Morris House DS0000016648.V269474.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection William Morris House DS0000016648.V269474.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: The inspector spoke to a member of staff about the pre-admission assessment process. The inspector has previously assessed this process and it is thorough and completed by staff that are appropriately qualified. The discussion focused on the students admitted to the home with the start of this academic year. William Morris House DS0000016648.V269474.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 The students’ skills should be assessed to enable staff to record progress towards becoming independent. EVIDENCE: The aim of the new building (called Willow) is to allow students the opportunity of becoming independent. Staff support the students with day to day activities including cooking, cleaning and washing. The inspector discussed with the staff member the need to complete assessments of the students’ skills when they enter Willow so that they can measure the students’ progress towards achieving the skills required to be independent. As well as assessments, care plans should be in place that identify the support each student needs. William Morris House DS0000016648.V269474.R01.S.doc Version 5.0 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 the following standard(s): EVIDENCE: None of these standards were inspected fully on this occasion. In discussion with staff they explained that on the previous day some of the students from Willow had visited a gallery/museum in London. The menus for Willow house showed that the students were able to choose from a variety of healthy food and meals. William Morris House DS0000016648.V269474.R01.S.doc Version 5.0 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 the following standard(s): 20 The correct management of the medication minimises the potential risks to the students of a medication error. EVIDENCE: Medication administration in Willow was examined with the staff. No issues were highlighted and the medication was seen to be managed correctly. William Morris House DS0000016648.V269474.R01.S.doc Version 5.0 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 the following standard(s): EVIDENCE: Neither of these standards were inspected on this occasion. William Morris House DS0000016648.V269474.R01.S.doc Version 5.0 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 the following standard(s): 24, 25, 26, 27, 28, 30 Willow house enables the older students to develop their skills leading towards their independence. EVIDENCE: Willow house is a detached property within a short walking distance from the main site. It provides accommodation for four students and two staff. Each of the students has their own bedroom and there is a communal dining room and a lounge. The kitchen is well equipped. Although the home has only been open for a short period of time the students and the staff have made a good job of adding their personal touches which in turn make it homely and comfortable. At the time of this inspection the home was clean and tidy. A couple of shortfalls around the building were identified. These were brought to the attention of the staff who stated they would be addressed. The inspector visited Hiram house which had recently had an incident when a bath on the first floor overflowed causing water to come through the ceiling. This incident had occurred on Saturday 12th November, 2 days before this inspection. The maintenance man and the staff team had managed the situation well, as there was minimal evidence that the incident had ever happened. William Morris House DS0000016648.V269474.R01.S.doc Version 5.0 Page 14 The inspector visited the kitchen in Hiram house which looks a bit “tired” and is in need of refitting and re-decoration. Whilst completing a tour of the building it was noted that the carpet in one of the corridors is stained and faded. It is a recommendation of this report that the maintenance programme for Hiram house includes the carpet being replaced in the near future. The one requirement of the previous report related to the hall and landing of Merton house being re-painted. Inspection of this area during the inspection showed that this had been done. Whilst completing the tour of the site it was noted that the substantial grounds continue to be maintained to a high standard. William Morris House DS0000016648.V269474.R01.S.doc Version 5.0 Page 15 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): EVIDENCE: None of these standards were inspected on this occasion. William Morris House DS0000016648.V269474.R01.S.doc Version 5.0 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 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 Risks to the students are minimised by the regular checks completed by the staff. EVIDENCE: Records of the fire safety checks for Willow house were examined and seen to monitored/check as prescribed by the regulations. Other areas examined included the monitoring of the fridge/freezer temperatures and the use of the food probe, both were seen to be monitored and recorded appropriately. As part of the registration process for Willow house the registered manager produced comprehensive risk assessments for the environment. William Morris House DS0000016648.V269474.R01.S.doc Version 5.0 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 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 William Morris House Score X X 3 X Standard No 37 38 39 40 41 42 43 Score X X X X X 3 X DS0000016648.V269474.R01.S.doc Version 5.0 Page 18 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. 2. Standard YA24 YA6 Regulation 23(2) d 14(1) a, 15 Requirement The kitchen in Hiram house must be re-fitted. Staff must ensure that the skills of the students living in Willow house are assessed and care plans for developing their independence are produced. Timescale for action 01/06/06 01/03/06 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 YA24 Good Practice Recommendations The home’s maintenance programme should include plans to replace the carpet in the corridor of Hiram house. William Morris House DS0000016648.V269474.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 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. Extracts may not be used or reproduced without the express permission of CSCI William Morris House DS0000016648.V269474.R01.S.doc Version 5.0 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. 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. 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