Inspection on 06/11/06 for Wood Dene

This inspection was carried out on 6th November 2006.

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

Wood Dene 03/11/05

Wood Dene 01/06/05

Wood Dene 01/12/04

Wood Dene 11/08/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

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

CARE HOME ADULTS 18-65 Wood Dene Colliery Approach Outwood Wakefield West Yorks WF3 3JH Lead Inspector Tony Railton Unannounced Inspection 6th November 2006 09:30 Wood Dene DS0000006228.V318391.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 Wood Dene DS0000006228.V318391.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. Wood Dene DS0000006228.V318391.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wood Dene Address Colliery Approach Outwood Wakefield West Yorks WF3 3JH 01924 825252 01924 871972 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) Life Links Limited Mrs Joanne Lunn Care Home 16 Category(ies) of Learning disability (16) registration, with number of places Wood Dene DS0000006228.V318391.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd November 2005 Brief Description of the Service: Wood Dene continues to provide accommodation and personal care for 16 people who have a learning disability and in particular Autistic Spectrum Disorder. Specialist training is provided for all workers and autism specific day care services are also offered on a different site close to Wood Dene. All people living in the home have their own room, which is en-suite. Wood Dene comprises of two eight bedded units each with its own kitchen, lounges and dining rooms. The care provided is based on ordinary living principles and there is an expectation that people do as much for themselves as possible within an agreed planned framework. Set back in its own grounds the home is situated in a residential part of Lofthouse on the outskirts of Wakefield. It has a small garden to the front and a larger garden to the rear. It is close to a main bus route and Outwood Rail Station and the M1/M62 link roads are close by. There are local shops, post office and public houses within walking distance from the home and Wakefield city centre and all services and amenities are only a few minutes journey away. On 6 November the registered person gave the range of fees as between £1000 and £2,500 per week. Further information about the service provided can be obtained from the home. Wood Dene DS0000006228.V318391.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit to the home commenced at 09.30 and ended at 14.00. During this visit to the home there was the opportunity to speak to residents, support workers, the registered manager and deputy manager. A sample of residents and staff records were seen and information provided before the visit was also considered. Some of the homes quality assurance surveys returned from residents and their relatives were also seen. This was a positive visit and along with some improvements it was noted that the home continues to meet all statutory requirements and nearly all the minimum standards. The residents and staff must be thanked for their warm welcome and hospitality shown throughout this unannounced visit to the home. What the service does well: What has improved since the last inspection? The home has employed a new deputy manager who is very experienced. The home has also employed a new cook who works alongside residents’ and help maintain their existing skills in the kitchen and learning new ones. The home has been decorated since the last visit and new floor coverings and furniture has been provided. The home has a new handyman who has made the garden look much better. The home is introducing some ‘Person Centred Planning’ documentation, which have been completed by residents. The manager said that the home is ‘trying’ out the new assessments and care plans to see if they are better. Wood Dene DS0000006228.V318391.R01.S.doc Version 5.2 Page 6 A new statement of purpose and service user guide using pictures, words and symbols has been produced and is currently being tested to see if people can understand it. 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. Wood Dene DS0000006228.V318391.R01.S.doc Version 5.2 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 Wood Dene DS0000006228.V318391.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 was looked at on this visit. Residents’ personal and healthcare needs are fully assessed and include their hopes and aspirations. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Six residents records were looked at and included assessments, care plans, reviews and daily records. There are good and very detailed assessments showing residents personal and healthcare needs. There are also behavioural assessments and risk assessments showing what workers need to do to support residents. Residents’ assessments and care plans are reviewed on a regular basis and meetings are held to discuss any progress. Although not assessed on this visit it was noted that there is a new statement of purpose, service user guide giving information about the home. Using words, pictures and symbols it makes it easier to understand. The manager said that this is being tested before it is given to everyone. Wood Dene DS0000006228.V318391.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards looked at 6,7 and 9. Residents are involved in developing their own care plans and are consulted on and take part in all aspects of life in the home. Residents are supported to take risks as part of living an ordinary lifestyle. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A sample of six residents records including assessments, care plans, and review’s and daily records show that residents are fully involved in what happens to them. Residents sign and agree their own care plans and are involved in reviewing the way they are cared for and supported. Residents’ meetings and residents surveys show that they have the opportunity to comment on the running of the home. The activities and daily records show that residents are supported to take risks as part of living an ordinary lifestyle. They also show that they are encouraged to be part of the local community and use ordinary leisure services. The record of complaints show that residents concerns are taken seriously and what they say is listened to and acted upon. This judgement is also supported by the regulation 37 ‘reportable incidents’ that show residents are regularly supported to visit their local community. Wood Dene DS0000006228.V318391.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): The standards looked at were 12,13,15,16 and 17. Residents have opportunities for personal development, to participate in appropriate activities, to develop appropriate relationships and are offered a wholesome and healthy diet. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans and activity records show that each resident has a plan of activities based on their individual needs. What each resident does throughout the day is different. The assessments and daily records show that residents have friendships and positive relationships with families are encouraged. Daily records show that some residents spend weekends at home with their family. The daily records show that some residents go to the local shops by themselves. They also show outings into Wakefield for meals and shopping trips to the cinema, bowling and swimming. A sample of the homes returned residents’ surveys show that they are happy with the meals provided. Residents were observed helping in the kitchens and the planned menus show a varied diet is provided. The daily records show that residents are given a choice of menu and often choose something different. One resident said that she “likes helping in the kitchen”. Another said that she “likes cooking”. Wood Dene DS0000006228.V318391.R01.S.doc Version 5.2 Page 11 Records show that one resident is in further education and others attend Willow Place, a day centre run by Life Links. The Robinia newsletter ‘Round Up’ shows pictures of some of the residents and staff of Wood Dene celebrating their tenth anniversary, which includes a special article on one resident who has done particularly well. She said that she has lost a lot of weight and now “looks good”. The manager said that a healthy eating and exercise programme has worked particularly well. Wood Dene DS0000006228.V318391.R01.S.doc Version 5.2 Page 12 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): The standards looked at were 18,19 and 20. Residents receive personal care in a way they prefer and their healthcare needs are met. Residents are protected and safeguarded by the medicine administration systems in the home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Six residents medical records show that they are encouraged and supported to use ordinary community based healthcare services. However, some show that they also have the support of hospital based consultants and community learning disability team and psychology department. Records also show that multidisciplinary reviews are held to discusss residents continuing healthcare and behavioural support needs. Discussion with the manager found that the medicines are checked on a weekly basis by senior staff. Records of three residents also show that their medicines re appropriately ordered, kept administered and recorded. The manager said that medicines also form part of the providers Regulation 26 monthly audit. The manager said that as far as she is aware an independent Pharmacist has never checked the medication systems in the home Wood Dene DS0000006228.V318391.R01.S.doc Version 5.2 Page 13 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): The standards looked at were 22 & 23. Residents feel that they are listened to and what they say is acted upon. Residents are protected from abuse, neglect and self-harm. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The pre inspection questionnaire shows that there have only been two complaints since the last visit to the home. It shows that the manager investigated both complaints and the record of complaints seen on the visit shows that an appropriate record was made. A sample of the homes service users and relative’s quality assurance questionnaires show that they know how to make a complaint. The home continues to provide an Adult Abuse and Protection Policy and Procedure and all staff attend protection of vulnerable adults training. The staff selection and recruitment policies and practices also protect and safeguard residents as it includes police and POVA list checks. Wood Dene DS0000006228.V318391.R01.S.doc Version 5.2 Page 14 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): Standards looked at 24 and 30. Residents live in a clean, safe, comfortable and well-maintained home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the home found that all areas are clean well decorated and well maintained. Since the last visit it was found that all communal areas including dining rooms, lounges and corridors have been re-decorated. It was also noted that the garden looks much better. The manager said that the home has employed a new handyman who also does the gardening. Wood Dene DS0000006228.V318391.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards looked at 32,34, 35 and 36. Residents are cared for by an effective staff team who are appropriately trained and are available in sufficient numbers to meet service users care needs. Residents may benefit from having more staff with a national vocational training qualification. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Six staff records including CRB and Protection of Vulnerable Adult list checks show that residents are safeguarded by the staff selection and recruitment policy and practices. Staff training records show that they receive training in Autism and Behavioural management. The staff rotas show that there is enough staff available to meet resident’s personal care and support needs. The pre inspection questionnaire shows that only a few staff has a National Vocational Qualification. The manager said that she would look at the induction training to see how it equates to NVQ. Discussion with five support workers found that they are happy and feel supported in the work that they do. Wood Dene DS0000006228.V318391.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): The standards looked at were 37,39 and 42. Resident’s benefit from living in a well run home. Residents are involved in every aspect of the running of them home and in deciding what happens to them. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The minutes of the residents meetings show that they have the opportunity to comment on the running of the home. The record of complaints show that what residents say is taken seriously and acted upon. A sample of the returned residents and relatives quality assurance survey’s show that they have the opportunity to comment on the quality of care provided. The manager said that there has not been the opportunity to collate all of the information on the returned quality assurance surveys or provide a report. The manager said that on this occasion quality assurance questionnaires had not been given to visiting Social Workers or Healthcare professionals. The pre inspection questionnaire and staff training records show that checks have been carried out on the fire alarm system, the environment including kitchens and the passenger lift. And staff receives First Aid, Moving and Handling, Food Hygiene and Health and Safety training. Wood Dene DS0000006228.V318391.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 3 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 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Wood Dene DS0000006228.V318391.R01.S.doc Version 5.2 Page 18 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. 1 2 3. Refer to Standard YA20 YA32 YA24 Good Practice Recommendations As a matter of good practice the medicine administration systems in the home should be checked by a Pharmacist. 50 of care staff should hold an NVQ Level 2 or 3 The manager should provide a planned maintenance and renewal programme for the fabric and decoration of the premises. The results of service users, relatives and other stakeholder’s surveys should be published. The information provided should be collated and a report provided indicating any action taken as a result of the findings. The views of other stakeholders including Social Workers and Healthcare Professionals should be sought on the quality of care provided by the home. 4. YA39 5. YA39 Wood Dene DS0000006228.V318391.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection Brighouse Area Office St Pauls House 23 Park Square (South) 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 Wood Dene DS0000006228.V318391.R01.S.doc Version 5.2 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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