Inspection on 28/02/07 for Woodbridge House

This inspection was carried out on 28th February 2007.

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

Woodbridge House 30/01/09

Woodbridge House 06/02/08

Woodbridge House 07/09/07

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Woodbridge House 151 Sturdee Avenue Gillingham Kent ME7 2HL Lead Inspector Graham Cummings Key Unannounced Inspection 28th February 2007 09:30 Woodbridge House DS0000068213.V330576.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 Woodbridge House DS0000068213.V330576.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. Woodbridge House DS0000068213.V330576.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodbridge House Address 151 Sturdee Avenue Gillingham Kent ME7 2HL 0208 502 4466 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) www.achuk.com Aitch Care Home’s (London) Limited Keith Tancock Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Woodbridge House DS0000068213.V330576.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st inspection Brief Description of the Service: Woodbridge House is a large detached corner property situated on the outskirts of Gillingham town centre. The home can take up to 10 service users aged between 18 and 65 with a learning disability and complex needs. The home is on a main bus route and the Gillingham town centre main line railway station are approximately 1 mile away. The home has easy access to local library and shops. The fees range from £1,300 to £1,550 per week Woodbridge House DS0000068213.V330576.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out on the 28th February 2007 and was the first since the home opened in November 2006. The home can care for a maximum of ten service users and currently have seven in place. The Inspector spoke with the Deputy Manager and Area Manager (ex Manager), service users, viewed documents and toured the home. The Manager, Keith Tannock, wrote to CSCI in January to say that they had been promoted within the company, since then a new Manager, Ellen Luck has been appointed and is due to start on the 19th March 2007. The home currently has four staff on duty plus the Deputy and Manager, when started being supernumerary and available to assist and help if required. The home’s Statement of Purpose was seen and is being updated on a regular basis as the home progresses through the expected changes of a new home. The Service User Guide is also being updated and individualised to service users. The transition for new placements have been dealt with sensitively and in the best interests of meeting service users’ needs relating to change. The Inspector found that service users’ choices, lifestyles, personal and healthcare needs were met through regular group and individual meetings. The home raised an Adult Protection issue in January and they dealt with this in a professional and appropriate manner that safeguarded the service user involved. The home was light and spacious with a main lounge, dining area and small room used for family visits, staff supervision and 1-1 meetings with service users. The Inspector saw 2 occupied bedrooms with the service users permission and a vacant bedroom, these were well furnished and contained service users’ personal belongings. The Inspector looked at two staff files and found them to contain the required information. Staff training is good although the number of staff with an NVQ Level 2 or higher was only 43 with seven out of sixteen staff having the qualification. There are currently two staff vacancies, 1 Team Leader and 1 Senior support Worker. Supervision notes were seen on the staff files seen but since Christmas these have fallen behind due to the Manager’s promotion and not being on site. Woodbridge House DS0000068213.V330576.R01.S.doc Version 5.2 Page 6 The home has been overseen by the ex manager until the new Manager starts on the 19th March. The Inspector was satisfied that the service users’ health, safety and welfare were being promoted and protected. What the service does well: What has improved since the last inspection? What they could do better: The home has documentation in place but this is still being adapted and developed to fully meet the needs of the service and evidence the good work being carried out by staff. The Inspector noted that a Speech Therapist had recommended that staff should attend a signing and communication course. That staff supervision is monitored to ensure that all staff receive a minimum of six supervisions a year. Woodbridge House DS0000068213.V330576.R01.S.doc Version 5.2 Page 7 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. Woodbridge House DS0000068213.V330576.R01.S.doc Version 5.2 Page 8 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 Woodbridge House DS0000068213.V330576.R01.S.doc Version 5.2 Page 9 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): 1,2,4 Prospective service users have the information required to make an informed choice about where to live. Service users have their needs assessed and are able to visit the home prior to a permanent move. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Inspector looked at the Statement of Purpose and was informed that this is under constant review and being updated and changes take place. The two Service User files seen both contained detailed Pre Placement Assessments. One of the files contained a document entitled ‘Individual Support Requirements’, this was completed in January 2007 by the previous placement as part of the transition. This document gave an excellent detailed outline of the care required by the Service User and how they wanted the care provided including verbal and physical prompts. Service users were able to visit the home as part of their transition if it was in their interest to do so. Woodbridge House DS0000068213.V330576.R01.S.doc Version 5.2 Page 10 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): 6,7,9 Service users have individual plans of care and are supported to take risks and decisions about their lives. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Inspector looked at two care plans and found that they were well written and contained information that would allow a new staff member to meet the needs of the individual. Both files contained a funding authority assessment of need and a Pre Placement Assessment carried out by the home. In one of the files, the care plan listed the service users likes and dislikes and domestic skills. The care plan had clear guidelines on three areas of concern, these were mobility, weight and minor infections, there were also risk assessments in place. There was a good social and health history reports on Woodbridge House DS0000068213.V330576.R01.S.doc Version 5.2 Page 11 file and a fact sheet on the service users diagnosed disability. A review had been held on the 27th February with the family and care manager who were all pleased and satisfied with the placement. The second file seen was for a service user who had moved into the home two days earlier. There was a lot of paperwork in place, and all of the information required was available, however, some still needed to be transferred into the home’s paperwork. The home has a key-worker system and they are taking on more responsibility for the evaluation and record keeping of the file, this is being monitored by the Deputy and Assistant Manager. Service User meetings are held regularly with the last one held on the 11/2/07, the minutes were seen having been typed but needed to signed, the date was on the top of the form. Woodbridge House DS0000068213.V330576.R01.S.doc Version 5.2 Page 12 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): 11,12,13,14,15,16,17 Service users have opportunities to develop through age appropriate local community activities. Service user families have appropriate family contact and have their rights and responsibilities recognised in their daily lives. Service users receive a healthy and nutritious diet in pleasant surroundings. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users attend local colleges and day centre to improve and increase their independent living skills such as cooking and communication. Activities are available in the local community that include shopping, library, swimming, sports centre and walks to the local park and surrounding areas. Woodbridge House DS0000068213.V330576.R01.S.doc Version 5.2 Page 13 All of the service users have family contacts at different levels, these range from telephone calls, visits by family to the home and service users having weekends at the family home. The home has a small room that is available for service users to meet with their visitors in private and not have to use their bedrooms. The menu was on display in the kitchen but service users’ meals were recorded individually and the information placed on file weekly. The menu seen appeared to be healthy and nutritious. Woodbridge House DS0000068213.V330576.R01.S.doc Version 5.2 Page 14 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): 18,19,20 Service users received care in the way they preferred. Service users did not self medicate but had their health needs met. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Inspector when looking at Service User files saw documents that related to the care required and how the individuals wanted it to be provided. Service users spoken to said ‘I’m happy here, the staff are friendly and I like my room’ and ‘I am treated well and go out lots’. All service users are registered with a local Doctor, Dentist and Optician and there is also some input from speech therapist and psychiatrist. No service users currently living at the home self medicate. Medication sheets were seen and these were signed and up to date. The dispensing of medication policy is that two staff do this in the office where the medication is stored and everyone else must leave the office, even the Manager to eliminate distraction. Woodbridge House DS0000068213.V330576.R01.S.doc Version 5.2 Page 15 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): 22,23 The views of service users are listened to and they are protected from abuse. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users views are listened to at regular Service User meetings that are recorded and wherever possible their ideas and suggestions are implemented. The home also has a key-worker system in place that allows time for 1-1 meetings to take place and this is also recorded and on file. All of the staff, apart from the last four employed, have had Medication, Protection of Vulnerable Adults and Behaviour Management training. The home instigated the Adult Protection procedures in January 2007, this was dealt with quickly and efficiently and in a professional manner by the home who informed the commission of the action taken throughout the process. Woodbridge House DS0000068213.V330576.R01.S.doc Version 5.2 Page 16 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): 24,25,27,28,30 Service users live in a homely, clean, spacious and safe environment. Service users benefit from occupying bedrooms that are appropriate to their needs. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Inspector toured the premises and looked at three bedrooms, one was vacant and two service users were happy to show the inspector their rooms. All of the rooms were of a good size and both residents were able to personalise their rooms in any way they wished. All of the bedrooms are en-suite with either a bath or shower, on the ground floor there is a communal bath or shower available. Woodbridge House DS0000068213.V330576.R01.S.doc Version 5.2 Page 17 The home was clean and well furnished with ample space for Service users to use if they wanted a quiet space. Woodbridge House DS0000068213.V330576.R01.S.doc Version 5.2 Page 18 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): 31,32,34,35,36 Service users benefit from having a staff team that is competent and well trained and understand their roles and responsibilities. Service users are protected by the home’s recruitment policy and the well supported and supervised staff team. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Inspector looked at two staff files and found that they both contained two references, CRB, identification photograph and documentation, health declaration and Statement of Terms and Conditions of employment. The staffing structure is Manager, Deputy Manager, Assistant Manager, four Team Leaders and four Senior Support Workers and five support workers. There are four staff on duty for seven service users plus the Manager and Deputy Manager available to assist if required. Woodbridge House DS0000068213.V330576.R01.S.doc Version 5.2 Page 19 The morning shift is from 7am to 3pm, the afternoon shift is 2pm to 10pm with two wake night staff from 9.30pm to 7.30am. this allows for a good handover period for all shift changes. It is hoped that in the near future a middle shift of six hours is to be introduced between 9am and 6pm to help with 1-1 sessions and outings. The staff have attended training in Behaviour Management, Medication Administration, Protection of Vulnerable Adults, Health and Safety and First Aid. Seven out of the sixteen staff have an NVQ Level 2 or higher. The company has a six month probation period and do not send staff on NVQ training until this has been successfully completed. The home has currently been open for five months. Due to the promotion within the company of the Registered Manager, the Deputy Manager has been overseeing the day to day running of the home, the ex Manager has been supporting twice a week until the new Manager starts on the 19th March 2007. The supervision of staff was up to date until the managers promotion and the Inspector was assured that all staff will have a minimum of six supervisions by the end of September 2007. Woodbridge House DS0000068213.V330576.R01.S.doc Version 5.2 Page 20 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): 37,39,42 Service users benefit from a well run home and their views underpin the development of the home. The health, safety and welfare of service users are promoted and protected. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is well run and has a good management support structure in place until the new manager starts on the 19th March 2007. The home is still in the process of developing and are tweaking and changing documentation to improve the recording of information that reflects the standard and quality of care that is provided. Woodbridge House DS0000068213.V330576.R01.S.doc Version 5.2 Page 21 Service users spoken to indicated that they liked living at the home and that the staff were kind and helpful, ‘they ask me what I want to do’. A service user confirmed that the home has regular meetings with service users to talk about the menu, outings and activities. Regular fire checks are carried out and service users health, safety and welfare is promoted and protected. Woodbridge House DS0000068213.V330576.R01.S.doc Version 5.2 Page 22 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 3 2 3 3 X 4 4 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 3 25 3 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 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 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Woodbridge House DS0000068213.V330576.R01.S.doc Version 5.2 Page 23 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 Home’s 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 YA6 YA35 YA36 Good Practice Recommendations That the documentation of the new admission is transferred onto the care plan documentation. That the home implements the Speech and language therapists request for staff to attend a signing and communication course. That by the end of September 2007 all staff have received a minimum of 6 individual supervisions that are recorded, signed and dated by both parties. 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