Inspection on 24/11/05 for Woodcroft (Reigate)

This inspection was carried out on 24th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Other inspections for this house

Woodcroft (Reigate) 12/06/09

Woodcroft (Reigate) 25/06/07

Woodcroft (Reigate) 25/04/05

Woodcroft (Reigate) 20/12/04

Woodcroft (Reigate) 14/07/04

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

CARE HOME ADULTS 18-65 Woodcroft (Reigate) Woodcroft 69 Lonesome Lane Reigate Surrey RH2 7QT Lead Inspector Christine Bowman Announced Inspection 24th November 2005 11:00 Woodcroft (Reigate) DS0000013838.V268582.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Woodcroft (Reigate) DS0000013838.V268582.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Woodcroft (Reigate) DS0000013838.V268582.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Woodcroft (Reigate) Address Woodcroft 69 Lonesome Lane Reigate Surrey RH2 7QT 01737 241821 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) Millsted Care Limited Mr Stuart Michael Lomath Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (1) of places Woodcroft (Reigate) DS0000013838.V268582.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Of the six residents accommodated in the home one may fall within the category of LD(E) 25th April 2005 Date of last inspection Brief Description of the Service: Woodcroft is a home for six people with learning and communication difficulties, and is situated in a rural location on the outskirts of Reigate. The aim of the service is to enable residents to develop the maximum degree of independence and to live as valued members of society. The accommodation is in a comfortable detached bungalow, which provides six single bedrooms with hand basins for residents. The communal areas, which consist of a large sitting room and dining room, which is open to the kitchen, are homely, modern and well maintained. There is a separate utility room and the two large well-equipped bathrooms are conveniently located close to resident’s bedrooms. Access to the large garden, to the rear of the home from the sitting room, is by French windows. At the front of the bungalow is a car parking area. The home has its own vehicle with eight seats and a range of shops and services can be found nearby in Woodhatch, from where there is a regular bus service to Reigate, Redhill, Merstham, Dorking, Sutton and Croydon. Woodcroft (Reigate) DS0000013838.V268582.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection and the second for the year commencing in April 2005 and ending in March 2006, and should be read in conjunction with the first report to obtain a more complete description of the service. A preinspection questionnaire was completed, comments were received from relatives and appointed representatives and three residents completed pictorial questionnaires with support from their key workers. The Registered Manager and Deputy Manager were interviewed and three care workers were spoken with and observed working with residents, when they returned from horse riding/carriage driving. Records, policies and procedures and residents’ and staff personnel files were inspected. Three residents were interviewed with support from the staff and they gave permission for their bedrooms to be viewed. The communication difficulties of the residents ranged from no verbal skills to one resident having a number of individualised references to his favourite things, which the staff had identified and collated to help those who were not familiar with his vocabulary to understand. All comments made by residents were made with support from the staff. A tour of the premises was undertaken, excluding the bedrooms of those residents not present. This was a positive inspection of a home, where the residents benefit from the care of a dedicated team of committed and enthusiastic staff. What the service does well: The service is good at empowering individual residents to gain access to the local services appropriate to their needs and ensuring access to a wide range of leisure activities and an annual holiday. Good use was made of shared spaces, the dining room, which was open to the kitchen provided an ideal meeting place and enabled those preparing meals to also be involved in conversations. The large garden was utilised for the production of vegetables and enabled residents to be involved in the process. The ethos and management of the home was open and positive, creating a warm and inclusive atmosphere where residents were happy. Woodcroft (Reigate) DS0000013838.V268582.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? 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. Woodcroft (Reigate) DS0000013838.V268582.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Woodcroft (Reigate) DS0000013838.V268582.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 5 Contracts of terms and conditions between residents and Millstead Care, the owners of the home, had been drawn up but were not in a format accessible to the residents therefore were unlikely to be significant to them. EVIDENCE: Individual contracts were viewed on resident’s files setting out the terms and conditions between the resident and Millsted Care Limited, who own the home. This document could be made more accessible to a number of the residents if it was made available in symbolic or pictorial form. The contract does not state which bedroom the resident will occupy but the manager stated that residents are not asked to change rooms and that the rooms are not numbered because it is a home. The contracts viewed were signed by the manager and on behalf of the residents who were unable to sign. Woodcroft (Reigate) DS0000013838.V268582.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 8 & 10 Residents are consulted and make choices and decisions about aspects of life in the home, according to their wishes. The confidentiality rights of the residents are protected by policies and the safe storage of personal information. EVIDENCE: Minutes of resident’s meetings showed that residents had been consulted about many aspects of life in the home including the choosing of new carpets for the hall, colours for the redecoration of the sitting room and hall and decisions about vegetables to be cultivated in the garden etc. A resident interviewed indicated that he liked to cook and the staff expanded on this, and explained how two of the residents like to be involved in menu planning. Seasonal changes were discussed in residents’ meetings with regard to the home and garden work programmes, summer and winter menu changes, seasonal celebrations and other special occasions. Residents had been involvement in the selection of new staff, the manager stated, and offers of posts were not finalised before the residents had met with the prospective candidates and the staff had ascertained their feelings and views. Woodcroft (Reigate) DS0000013838.V268582.R01.S.doc Version 5.0 Page 10 To follow up on the requirements of the previous inspection, two resident’s files were viewed and evidence of reviews of care plans was seen. A resident, whose medical problem had been followed up appropriately, had risk assessments on his file and evidence of the involvement of a consultant. The confidentiality policy was very clear about the results of non-compliance and made the staff aware of the importance of knowing when confidential information must be shared. The resident’s personal information was stored safely. Woodcroft (Reigate) DS0000013838.V268582.R01.S.doc Version 5.0 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 the following standard(s): 11,12,14,15&16 Opportunities for self-development, a wide range of appropriate activities including annual holidays and encouragement for the continuation and development of relationships enable residents to live fulfilling lives. Having their rights and responsibilities recognised in daily life promotes independence and self-respect. EVIDENCE: On the day of the inspection, three residents were attending the Brentwood Day Centre in Fetcham, the manager stated, this is a part of the weekly schedule and on Thursday mornings and they are involved in ‘The Office Project’. The work includes shredding paper and recycling it by delivering to the riding stables for use as bedding. They also deliver leaflets as part of this project. Another group of residents were riding or carriage driving, when the inspection started, but returned for hot drinks and biscuits before going out to lunch. One resident was preparing to go to Crawley College, where he participates in pottery (Monday) and cookery (Thursday) classes accompanied by his key worker. They are taken to the college in the home’s bus, but return on the train because the resident enjoys this experience, a member of staff stated. Woodcroft (Reigate) DS0000013838.V268582.R01.S.doc Version 5.0 Page 12 The care taken by the staff to ensure that residents gain access to services in the community, which cater for their needs and challenge them to fulfil their potential is commendable. Residents had been matched with courses in all the available resources. One resident for drawing and painting used the new day centre at Bourne Hall and the Colebrooke Centre offered art and music. A resident, who benefits from music therapy, entertained everyone by played his mouth organ. Another resident, who does not speak, enjoys playing the drums, the manager stated. Three residents attend a social club in Reigate and ‘The Croft’, which is a home with a day centre attached is also used because the classes are small. One resident likes to sing in church, the manager stated, and attends every Sunday. The church makes the residents who attend feel very welcome and one resident had made friends with some ladies in the congregation with whom he chooses to sit, he went on to explain. One holiday destination this summer had been Dorset and three residents stayed in a cottage there with three staff members, the manager stated. One resident was able to identify animals seen at a special zoo they had visited. Other residents had been accompanied on a holiday to Spain. Trips to London had also been arranged by the home. A younger resident stays with his family every weekend and goes on family holidays to France. Efforts were made by the staff to enable residents to remain in contact with family members and visitors were welcomed, the manager stated. Friends and family members were on the list to attend a birthday celebration at the weekend. The residents had tasks around the home, which they chose to take responsibility for. One resident enjoyed laying the table and assisting with the laundry, another liked hovering and all tidied their rooms and assisted with bed linen changes, the manager stated. Woodcroft (Reigate) DS0000013838.V268582.R01.S.doc Version 5.0 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 the following standard(s): 18 Personal support is offered in an individualised way, which leads to the satisfaction of residents with the service. EVIDENCE: All residents had key workers allocated to them and three residents had completed comment cards about their experiences of the home with their assistance. Comment cards confirmed that residents felt they had choices, were well cared for and listened to. On days when residents did not have to get up in time to attend day services, there was flexibility about breakfast, the manager stated. Some residents liked to get up early and some liked to stay in bed a little longer and relax over breakfast. Staff were observed working closely with residents in a sensitive and respectful manner conducive to maximising their dignity, independence and selfconfidence. Residents had communication books, which had been developed by the staff to enable resident’s feelings and needs to be recognised. The services of therapists were available and one resident had regular sessions with the physiotherapist when he was unsteady on his feet. Woodcroft (Reigate) DS0000013838.V268582.R01.S.doc Version 5.0 Page 14 A letter was received from an advocate of one of the residents, who had been involved for the duration of his stay, stating that since the resident moved to Woodcroft he had always been kept informed promptly of any illnesses or dental treatments and that the resident’s diary was busier than his. Woodcroft (Reigate) DS0000013838.V268582.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22&23 The key worker system and resident’s meetings provide a system for resident’s views to be acknowledged, recorded and acted upon, but an individualised and accessible complaints procedure should be developed for the residents. Training in the protection of vulnerable adults informs the staff and safeguards the residents but the policy needs some additional information for clarification. EVIDENCE: There had been no recorded complaints since the last inspection but a logbook was available in which to record them. Discussions had taken place about the development of a complaints procedure in a pictorial format, which could be accessed by the residents. Key workers were exploring this issue with individual residents and the results were not yet available. Residents were not able to access the telephone independently. Minutes of resident’s meetings showed that opportunities were available for resident’s views to be heard and acted upon. The manager had attended The Surrey Multi-Agency Adult Protection Procedures training and the home held a copy of these Procedures. The local policy needs to include a timescale and the details of the local contact numbers for making referrals. A sample of resident’s money was inspected. All receipts were available and balances were correct. Woodcroft (Reigate) DS0000013838.V268582.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,28@30 Improvements had been made to the décor of the living room creating a congenial space for residents to relax in. Resident’s bedrooms were single, well maintained and supplied with suitable furnishings and equipment to meet their individual needs. The standard of cleanliness in the home was high and policies were in place to inform the staff and safeguard the residents from infection. EVIDENCE: Since the previous inspection, the living room had been redecorated, new curtains had been purchased and radiator covers had been installed to protect residents from the danger of hot radiators. The result of the work was a cheerful, bright, comfortable and airy room. The entrance hall and corridor were in the process of being painted in keeping with the maintenance programme. Resident’s bedrooms were personalised according to their wishes. There were posters, pictures and photographs displayed and ornaments and items of special interest indicated that residents had been supported to make choices. The home was clean and well maintained throughout. Woodcroft (Reigate) DS0000013838.V268582.R01.S.doc Version 5.0 Page 17 The garden was also well maintained and divided into areas of special interest, including a vegetable patch, a herb garden, terraced areas with potted plants and a large lawn. Some residents enjoyed working in the garden, the manager stated, tending the plants and gathering the produce to cook. Communal spaces within the home were spacious and homely. Woodcroft (Reigate) DS0000013838.V268582.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35&36 A stable and well-trained staff team, who know and understand the needs and wishes of the residents, deliver consistent care. Support is provided to the staff to guide and enable them to carry out their duties in respect of the residents. EVIDENCE: Recruitment records were checked to follow up on the requirement made at the previous inspection, the records were available and the manager will ensure that copies are taken of identification documents when they are produced for the application of the Criminal Records Bureau checks in the future. All the required documentation was available on the sample of staff personnel files inspected for the protection of the residents. Copies of training certificates were also seen on staff personnel files and they included National Vocational Awards at Level 2 and Level 3, Manual Handling, Certificate in the safe handling of medicines, First Aid, Food hygiene, Introduction to Autism, Epilepsy Awareness, Coping with grief, etc. Also available were records of a formal induction and foundation completed by the staff to verify that new recruits had been appropriately informed of the care needs of the residents. Observations of staff working with residents were that they were sensitive to their needs, actively listened to and interpreted their feelings and provided individualised care. Comment cards from the residents confirmed that they felt well cared for and safe, that the staff listen to them and that they would let Woodcroft (Reigate) DS0000013838.V268582.R01.S.doc Version 5.0 Page 19 the staff know if they were unhappy. All comment cards listed the staff as one of the things that was good about living in the home and responses to the question, ‘What’s not so good?’ were, ‘I like everything’, ‘All good’, and ‘I am happy’. A letter from an advocate stated, ‘since my client moved to Woodcroft, I have never had a problem with the staff. They are always friendly and helpful’. Woodcroft (Reigate) DS0000013838.V268582.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39&42 An accredited manager and an inclusive leadership and management style results in a committed staff team who fulfil the residents’ care needs. Consultation with residents ensures that they are involved in the development of their home. Regular health and safety checks keep the environment safe for the residents. EVIDENCE: Since the previous inspection the manager had received the certificates to verify the completion of the National Vocational Qualification at Level 4 in Care and The Registered Manager’s Award, which were available to be viewed. The home benefited from an open, positive and inclusive leadership style, which enabled staff and residents to be involved in the development of the home through individual support and formal meetings, which were recorded. A comment from the advocate of a resident confirmed this in writing, ‘With Stuart at the helm with a firm, but friendly hand, I am completely content with the care received by my client’. Woodcroft (Reigate) DS0000013838.V268582.R01.S.doc Version 5.0 Page 21 All the necessary health and safety checks had been carried out and records were available to confirm that the appropriate outside agencies had completed specialist maintenance checks to ensure the home was safe for the residents. Woodcroft (Reigate) DS0000013838.V268582.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X 3 Standard No 22 23 Score 2 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X 3 X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 X 4 X 3 LIFESTYLES Standard No Score 11 X 12 4 13 X 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Woodcroft (Reigate) Score 3 X X X Standard No 37 38 39 40 41 42 43 Score 3 4 3 X X 3 X DS0000013838.V268582.R01.S.doc Version 5.0 Page 23 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 YA22 Regulation 22(2) Requirement The Registered Manager must ensure that the complaints procedure is appropriate to the needs of the individual service users. The Registered Manager must ensure that the local policy, which reflects The Surrey MultiAgency Adult Protection procedures, includes a timescale for making referrals and that the local contact information is included to inform the staff. Timescale for action 24/01/06 2. YA23 37(1) 24/12/05 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 YA5 Good Practice Recommendations The contract of terms and conditions between the resident and the proprietor should be reviewed and a format which is more accessible to the resident be developed. Woodcroft (Reigate) DS0000013838.V268582.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Woodcroft (Reigate) DS0000013838.V268582.R01.S.doc Version 5.0 Page 25 - 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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