Inspection on 04/07/05 for William Morris House

This inspection was carried out on 4th July 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 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

William Morris House 08/02/07

William Morris House 14/11/05

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 Eastington Stonehouse Glos GL10 3SH Lead Inspector Paul Chapman Announced Monday 4 July 2005 09:30 th 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. William Morris House D51_D03_S16648_WilliamMorrisHouse_V229517_300605_Stage4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service William Morris House Address Eastington Stonehouse Glos GL10 3SH 01453 824025 01453 825807 WilliamMorris@camphill.org.uk Mr Philip Curwen, William Morris Camphill Community Suzanne Pickering Care Home - Personal Care 31 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) Category(ies) of Learning Disability (31) registration, with number of places William Morris House D51_D03_S16648_WilliamMorrisHouse_V229517_300605_Stage4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 01/02/05 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 D51_D03_S16648_WilliamMorrisHouse_V229517_300605_Stage4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over seven hours on a day in July 2005. The inspector was invited to join the students for lunch, and after this met with thirteen students to discuss their thoughts about living at the home. Three members of staff were spoken to in addition to the registered manager. A tour of the premises and grounds was conducted. The care of two students was examined in depth. Other records examined included students’ files and health and safety records and policies and procedures. The inspector wishes to thank the staff and students for their time during this inspection. What the service does well: What has improved since the last inspection? The manager has ensured that the service has continued to develop over the previous three years, and this is reflected in the reports. This inspection has William Morris House D51_D03_S16648_WilliamMorrisHouse_V229517_300605_Stage4.doc Version 1.30 Page 6 shown the manager has continued this progress. In particular training and record keeping has improved. Medication administration has improved since the previous inspection, this had been an ongoing issue over the previous three announced inspection. The use of signs and symbols around the homes has increased and staff are to receive further training in Makaton. 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. William Morris House D51_D03_S16648_WilliamMorrisHouse_V229517_300605_Stage4.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 William Morris House D51_D03_S16648_WilliamMorrisHouse_V229517_300605_Stage4.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) EVIDENCE: None of these standards were inspected on this occasion. At the previous inspection all of the standards were inspected with standards 2 to 5 meeting the minimum standard and standard 1 exceeding the minimum standard. William Morris House D51_D03_S16648_WilliamMorrisHouse_V229517_300605_Stage4.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, 8, 9, 10 Assessments completed by the House parents allow the students to be supported appropriately to meet their identified needs. Individual learning plans ensure that staff can monitor, review and report on the students progress towards their goals accurately. EVIDENCE: House parents complete a skills assessment during a student’s first term. The assessment is very comprehensive and identifies the areas of personal hygiene, eating, health, preparing and cooking food/drinks, laying a table, washing up, looking after a room, public transport, local knowledge, shopping, communication, social conduct and telephone skills. Records seen of these assessments showed them to be regularly recorded and allowed the reader to see the progress of a student at a glance. Each student has Individual Learning and Care plan assessments that comprise of a student profile, care plan and an individual learning plan. This allows the staff to identify goals with the students and reports and reviews are completed twice during the first two terms. William Morris House D51_D03_S16648_WilliamMorrisHouse_V229517_300605_Stage4.doc Version 1.30 Page 10 The assessment process is comprehensive and enables the staff to agree targets for skill improvements with the students. Once these targets have been agreed the house parents are responsible for supporting the student to achieve them. Students stated that friends and family are welcome at the home. Staff at the home have completed risk assessments for all of the students. These assessments are comprehensive and empower the students to complete activities. All of the students’ documents are stored securely. William Morris House D51_D03_S16648_WilliamMorrisHouse_V229517_300605_Stage4.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) 12, 13, 14, 15, 16, 17 The home provides the students with varied and fulfilling lifestyles that meet their needs. The food served across the site is healthy and nutritious and chosen by the students. EVIDENCE: Students are not allowed televisions in their bedrooms, and they are made aware of this before they move into the home. A group of ten students were spoken with and all gave examples of the various activities they are involved in around the site and in the local community. They were asked whether there was enough to do and whether they enjoyed the activities they were involved in. All of the students were very positive stating that they really enjoyed living at the home. Some of the activities organised on site each week are a film club, craft evening and a folk dancing. William Morris House D51_D03_S16648_WilliamMorrisHouse_V229517_300605_Stage4.doc Version 1.30 Page 12 The home makes good use of facilities in nearby Stroud as well as other towns locally (shopping in Bristol, Cheltenham, Gloucester and Bath). Students are supported to attend a local church if they wish. Students are involved in bible study groups with their house parents one night each week. Staff explained that as well as these groups’ students are given the opportunity to learn about other religions. WMH is an educational college and is inspected by OFSTED regularly. It therefore has an obligation to meet the educational needs of the students. Students are supported by staff in the preparation of food. Meals are eaten together in the respective Houses. There is a central food store, from which the individual Houses replenish their provisions. Food is always fresh and predominantly organic. No meals are pre-packaged. Meals are chosen for the week by the Service Users at the Monday House meetings. This maybe someone’s individual choice or a meal may consist of several choices on one plate. Menus confirmed that the students were offered nutritious, varied and balanced meals. Menus showed that the meals were offered three times a day and that there were also a range of snacks available to people. The Inspector joined a group of students for lunch during the inspection. Students and staff sit and eat together promoting family/Community. William Morris House D51_D03_S16648_WilliamMorrisHouse_V229517_300605_Stage4.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) 20 Correct administration of the medication ensures that risks to the students are minimised. EVIDENCE: The house parents or co-workers deal with any personal care requirements. Medication administration across the site was seen to be managed correctly. This is an area in which the home have improved greatly over the past three years. William Morris House D51_D03_S16648_WilliamMorrisHouse_V229517_300605_Stage4.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, 23 Policies, procedures and staff training ensure that risks to students of abuse are minimised. EVIDENCE: No complaints have been made since the previous inspection. The home has a member of staff who is responsible for taking the lead in any issues of adult and child protection. This staff member has been trained and is due to complete further training in the near future. All staff receive training in protection and this is provided by a qualified trainer from Camphill and the trained staff member on site. William Morris House D51_D03_S16648_WilliamMorrisHouse_V229517_300605_Stage4.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, 25, 26, 27, 28, 29, 30 The homes across the site appear to meet the needs of the current students, being nicely decorated and personalised with items of students’ artwork. EVIDENCE: There are four houses within the Community campus, Kelmscott, Bridge, Hiram and Merton. Kelmscott – provides the students with a separate front room and a lounge diner. The communal area is a good size and was personalised with the student’s pottery, pictures and carvings. No issues identified. The manager stated that they have ordered some new carpets and these will be fitted during the summer break. Bridge – students have a separate lounge and dining room, and as with the previous home were decorated by students work. Again the use of signs and symbols was evident. Hiram – the home was purpose built twelve years ago. It has high ceilings and large windows that give it a light and airy feeling. The accommodation provides William Morris House D51_D03_S16648_WilliamMorrisHouse_V229517_300605_Stage4.doc Version 1.30 Page 16 a large lounge/diner personalised by the students. The inspector noted a good use of symbols to support students with communication difficulties. Merton – provides a lounge/diner on the first floor with bedrooms on the ground floor. An issue to be addressed was the stairs and landing must be decorated, as it was looking a bit grubby on the day of the inspection. Kelmscott, Bridge and Hiram houses would be suitable for wheelchair users, Merton because of its design would not be. The property is set back off a quite country lane. There is a short walk to the nearest bus stop. The home does have its own transport in the form of cars and mini buses. Each house sets out its refurbishment requirements each year and presents these to the main management group. All of the student’s bedrooms were seen to be personalised with their possessions and decorated to a good standard. On the day of this inspection all of the homes across the site were seen to be cleaned to a high standard. William Morris House D51_D03_S16648_WilliamMorrisHouse_V229517_300605_Stage4.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) 35 Staff training is comprehensive and this enables staff to meet the students’ needs and maintain a safe environment. EVIDENCE: All of the house parents are currently completing NVQ’s at level three. Training records that were seen showed that new staff had completed an induction period with the appropriate training being provided. Other training records showed that the majority of the team had completed Health and Safety, Equal Opportunities, Confidentiality, Personal Care, First Aid, Medication, Risk Assessment, Makaton, Protection and Prevention of Abuse. The manager stated they were organising for British Institute for Learning Disabilties (BILD) approved training in Control and Restraint, also a refresher course in discrimination and equal opportunities. The manager has developed an effective training matrix which identifies the teams training needs. The manager stated that one staff member has been given the responsibility of organising the LDAF (Learning Disability Award Framework) for the Coworkers. William Morris House D51_D03_S16648_WilliamMorrisHouse_V229517_300605_Stage4.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) 39, 42 By completing a health and safety audit and carrying out other regular checks the home ensures risk to students are minimised. EVIDENCE: The home has a comprehensive health and safety action plan that identifies issues across the site and sets timescales for actions required. The issues are identified through regular audits. Inspection across the site showed that other checks required by health and safety legislation have been completed. These included Portable Appliance Testing (PAT), fridge and freezer temperature monitoring, fire appliance safety checks and risk assessments. William Morris House D51_D03_S16648_WilliamMorrisHouse_V229517_300605_Stage4.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 x x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME 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 3 x x 3 x D51_D03_S16648_WilliamMorrisHouse_V229517_300605_Stage4.doc Version 1.30 Page 20 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 24 Regulation 23(2)d Requirement The manager must ensure that hall and landing in Merton house is decorated. Timescale for action 07/10/05 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 William Morris House D51_D03_S16648_WilliamMorrisHouse_V229517_300605_Stage4.doc Version 1.30 Page 21 Commission for Social Care Inspection 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 D51_D03_S16648_WilliamMorrisHouse_V229517_300605_Stage4.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. 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