Inspection on 12/04/05 for Woodbury

This inspection was carried out on 12th April 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

Woodbury 20/02/07

Woodbury 06/09/05

Woodbury 01/10/04

Woodbury 14/04/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Woodbury Community Care Services 8 Kingsdowne Road, Surbiton Surrey KT6 6JZ Lead Inspector Diane Thackrah Unannounced 12th April 2005 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. Woodbury Version 1.10 Page 3 SERVICE INFORMATION Name of service Woodbury Address Royal Borough Of Kingston, Community Care Services, 8 Kingsdowne Road, Surbiton, Surrey KT6 6JZ 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) 020 83909441 020 83997653 @rbk.kingston.gov.uk Royal Borough of Kingston Upon Thames Jane Elizabeth Wells Care Home 15 Category(ies) of Learning Disability (15) registration, with number of places Woodbury Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 1 October 2004 Brief Description of the Service: Woodbury is a service for adults who have a learning disability. The service forms the focal point of the Woodbury Community Housing Project and is managed by the Royal Borough of Kingston Upon Thames. The home offers both long and short stay residential care. Woodbury is a large detached property in a residential area of Surbiton. Accomodation is provided over three floors. There is a very large rear garden. Many parts of the home benefit from views of the local area and country side. The building is decorated tastefully and in keeping with the wishes and tastes of service users. Woodbury Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place over four hours in the afternoon. A partial tour of the premises took place. Care records were inspected. The Registered Manager, four service users and three staff members were spoken to. Seven service users were present during the inspection. What the service does well: What has improved since the last inspection? One staff member has redeveloped the Service User Guide since the last inspection of the home. This document now provides service users with more information about the home and is in a clearer format. Woodbury Version 1.10 Page 6 Staff members have improved their skills and knowledge by attending a variety of training courses. A number of staff members are currently undertaking NVQ Level 3 in Care. Staff members have contributed to the development of new ‘Support Plans’ These have been designed to help service users be more involved in choosing the support that they receive from staff members. These new plans help service users to receive support that is more consistent as they are very detailed. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Woodbury Version 1.10 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 Woodbury Version 1.10 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 and 2. Good progress has been made to improve the admissions procedure to ensure that service users and their relatives have the information they need to make a choice about were to live. The practice in the home ensures that prospective service user’s have they’re needs assessed. EVIDENCE: The Service User Guide has been revised. It provides clear and accessible information in a written and pictorial format. Minutes of a recent service users meeting detail that service users have been consulted about the new Service User Guide. One staff member spoken to demonstrated a good understanding of the needs and abilities of service users who live in, or may wish to live in the home. Individual records are kept for each service user. Full assessment information was available for the most recent service user to move into the home. This had been obtained from the Community Learning Disability Team. One staff member said that the home liaises with the Care Manager of each new service user, prior to them moving into the home. This is to ensure that the home is able to fully meet service user’s needs. Woodbury Version 1.10 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) 7 and 8. Progress has been made in supporting service users to make decisions about their own lives. Staff members are skilled in helping service users to express their views and preferences. EVIDENCE: Each service user has a written ‘Support Plan’ that lays out in detail the arrangements for daily living. Since the last inspection of the home, staff members have spent time with individual service users discussing support needs and abilities. Very detailed assessment documentation, and Support Plans have been produced following consultation with service users. Plans examined detailed what service users could do independently and when they required assistance from staff members. Discussion with two staff members identified that they were clear about their roles in regards to assisting service users to make the right decisions. Minutes of a recent service user’s meeting were available. These detailed that service users had been consulted about a number of aspects of life in the home, including food and activities. Support Plans and details about how to make a complaint have been developed since the last inspection of the home. These are now provided in a more accessible format. One staff member said Woodbury Version 1.10 Page 10 that there are plans to develop service user groups, with the aim of further involving service users in decision making in the home. Woodbury Version 1.10 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) 13,14,15 and 17 Service users are enabled to maintain fulfilling lifestyles outside of the home and to engage in leisure activities. Service users maintain family relationships. The home provides meals that are varied and enjoyable. EVIDENCE: One staff member said that all service users participate in activities outside of the home. These activities include trips to pubs, restaurants and social clubs. One service user’s Support Plan detailed that they went shopping on a weekly basis with a staff member. Three holidays are planned to take place this year. Service users have been consulted with regarding these holidays. One staff member said that weekend breaks also take place. Records examined detailed that some service users maintain regular contact with their family members. One service user is involved in the ‘Buddy’ scheme. Menus were examined and found to be balanced and interesting. There was a good selection of food available in the home and a pleasant communal dining Woodbury Version 1.10 Page 12 area with space for all service users. Individual preferences and cultural needs in relation to food were detailed in the Support Plans examined. Woodbury Version 1.10 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 and 19 Service users receive personal support in a way they prefer and require and their physical and emotional health needs are meet. EVIDENCE: Individual plans of care are available. These provide detailed information about service users preferences about how they are guided and supported. Support Plans, developed since the last inspection of the home, aid staff members to provide consistency and continuity of support by detailing preferred routines, likes and dislikes. Preferred times for getting up and going to bed are recorded. One staff member said that these times are flexible. Health records are maintained for each service user. One record examined detailed that the service user had access to routine health checks and specialist health care. Significant events and accidents are recorded and monitored. Case records are maintained and entries detail that staff members monitor service user’s health. Woodbury Version 1.10 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 There has been some progress in developing the complaints procedure and supporting service users to know that they will be listen to, and their views will be taken seriously. EVIDENCE: The home has a detailed complaints procedure. A pictorial format of this procedure has been developed and provided to service users. The Registered Manager said that no complaints have been made to the home since the last inspection. Minutes of a recent service user meeting held in the home detailed that staff members have explained to service users how they can make a complaint. In addition to the home’s complaints procedure, service users and their family members are provided with information about how to make a complaint directly to the Royal Borough of Kingston Upon Thames. Woodbury Version 1.10 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) 26, 27 and 30 Service user’s bedrooms provide privacy and reflect individual interests and preferences. In general, toilets and bathrooms meet service users needs. Maintenance work is required in one bathroom to ensure that service users benefit from a homely and safe environment. The home is clean. EVIDENCE: Bedrooms viewed provided sufficient and suitable furniture. There were restrictors on windows. Bedroom seven has a small crack in the window. This issue was reported for repair at the time of this inspection. One service user said that they liked their bedroom. Bathrooms and toilets provide sufficient privacy and are close to communal areas and private rooms. One bathroom viewed had a sink with exposed pipes. This does is not look homely and it places some risk to vulnerable people. All areas of the premises viewed were clean and free from offensive odours. There are appropriate laundry facilities. Systems are in place for controlling the spread of infection. This includes staff training in this area. Woodbury Version 1.10 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 and 35 Staffing numbers are sufficient to meet the needs of the current service user group. The procedures for staff training and development provide staff members with the skills necessary for meeting the needs of service users. EVIDENCE: A permanent staff team mainly staffs the home. Some agency staff members are used in the home. There is a detailed induction programme that all agency staff members must undergo. One agency staff member said that this provides information about the individual needs of each service user, and safe working practice in the home. Both agency and permanent staff members were observed to share positive relationships with service users during this inspection. A recruitment drive is currently under way, with the aim of providing a full complement of permanent staff members. The Registered Manager said that staffing levels are currently under review. One staff member said that they were currently undertaking training at NVQ Level 3 in Care. This staff member also reported that they had attended several training courses in the last year. Personal Development Plans, which detailed training needs, were available. Staff training histories examined detailed that recent training has included First Aid, Best Practice in Medication Management and Moving and Handling. Woodbury Version 1.10 Page 17 Woodbury Version 1.10 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) 42 Staff members follow safe working practices in the home, which ensure that the health, safety and welfare of service users are promoted and protected. EVIDENCE: There is a detailed risk assessment in relation to fire and records indicate that the fire alarm, fire equipment and emergency lighting are tested on a regular basis. Records also detail that the local fire officer has recently visited the home. Staff members report that regular fire drills occur and there were records to confirm this. Documentation was in place detailing that up to date safety checks have been made on the gas, electricity and water system. Certificates were available for hoist and wheelchair checks. Staff members confirmed that they carry out monthly health, maintenance and safety checks of the premises. Records of these were examined. Woodbury Version 1.10 Page 19 Records of accidents and injuries were available, as were individual risk assessments for service users. 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. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x 3 2 x x 3 Standard No 11 x Standard No 31 32 33 Score x x 3 Page 20 Woodbury Version 1.10 12 13 14 15 16 17 x 3 3 3 x 3 34 35 36 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x Woodbury Version 1.10 Page 21 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 27 Regulation 13 (4)(a) 23 (2)(b) Requirement The Registered Provider must ensure that the exposed pipeing under the sink in the first floor bathroom is covered. Timescale for action 01.06.05 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 Woodbury Version 1.10 Page 22 Commission for Social Care Inspection CSCI 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Woodbury Version 1.10 Page 23 - 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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