Inspection on 25/06/07 for Woodcroft (Reigate)

This inspection was carried out on 25th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Woodcroft (Reigate) 12/06/09

Woodcroft (Reigate) 24/11/05

Woodcroft (Reigate) 25/04/05

Woodcroft (Reigate) 20/12/04

Woodcroft (Reigate) 14/07/04

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 Woodcroft (Reigate) Woodcroft 69 Lonesome Lane Reigate Surrey RH2 7QT Lead Inspector Cathy Clarke Unannounced Inspection 25th June 2007 14:00p Woodcroft (Reigate) DS0000013838.V339256.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 Woodcroft (Reigate) DS0000013838.V339256.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. Woodcroft (Reigate) DS0000013838.V339256.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodcroft (Reigate) Address Woodcroft 69 Lonesome Lane Reigate Surrey RH2 7QT 01737 241821 N/A woodcroft@millsted.co.uk 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.V339256.R01.S.doc Version 5.2 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) 24th November 2005 Date of last inspection Brief Description of the Service: Woodcroft is a home for life for 6 residents with learning and communication difficulties. The home is a small and comfortable detached bungalow situated in a quite rural lane on the outskirts of Reigate. It is close to the local town centre. The bungalow is enclosed within its own grounds and has a large rear garden. Residents are able to reach the garden by patio doors leading from the main living room area. There is parking available to accommodate 4 vehicles. All 6 rooms have their own washbasins and there are two large fully equipped communal bathrooms. The care staff at Woodcroft are qualified to NVQ level 2-4 and new staff are offered training and a full induction programme that includes supervision by senior members of the staff team. Residents and staff enjoy participating in local events of their choice and have a full programme of daily activities of their choice and staff. Woodcroft have a Statement of Purpose, which is available from the home for prospective residents. Fees for the service range from £1031.98 to £1421.55. Woodcroft (Reigate) DS0000013838.V339256.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced and took place over three hours. Cathy Clarke, Regulation Inspector, carried out the inspection. The registered manager represented the establishment. A full tour of the premises took place. Discussions were held with those people who could communicate verbally, the body language of other people living in the home was observed during the site visit. The manager and two staff members were also spoken to. Returned ‘comment cards’ from residents, relatives and advocates involved with the home were also used to write this report. Three resident’s care plans and a number of other documents and files, including three staff files, were examined during the day. Fees for the service range from £1031.98 to £1421.55. The Commission for Social Care Inspection would like to thank the residents, relatives, manager and staff for their hospitality, assistance and co-operation with this inspection. What the service does well: The service provides people with an individual approach to care, meeting their needs and creating an atmosphere where people feel fully integrated into the home and can make choices in their lives, which they prefer and which promotes their independence. The cultural and diverse needs of people living in the home has been assessed and action taken to meet these needs where possible. Staff working in the home are fully aware of the needs of people living in the home, understand their likes and dislikes and can communicate on different levels taking into account their abilities. Relatives and advocates and visiting professionals have praised the work undertaken by staff and have made the following comments: • I have never notified my visits in advance, and from this I conclude I have seen Woodcroft when it had been operating normally. The premises are obviously hygienic and welcoming, there is no institutionalised feeling experienced by a lay person such as myself. My advocacy partner has, in his own way, assured me that he is well treated and cared for. I am full of praise for what I have seen at Woodcroft the staff and the ethos. DS0000013838.V339256.R01.S.doc Version 5.2 Page 6 • Woodcroft (Reigate) • I have been attending Woodcroft, every fortnight for over 6 months and found the duty of care of all the staff to be of a high standard. From the moment I arrive, I am made to feel welcome and always offered a drink. The residents seem to be content in their surroundings and staff are extremely vigilant in providing choice and service that caters for individual needs. It is quite obvious that Woodcroft is a home that cares greatly for the well being of its residents and I would have no hesitation in recommending the services they provide. They are so wonderful at taking people out and about and my relative has an occupational job. He is so happy there. They look after people so wonderfully well. They are excellent no need for improvement. • • • 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. The summary of this inspection report can be made available in other formats on request. Woodcroft (Reigate) DS0000013838.V339256.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 Woodcroft (Reigate) DS0000013838.V339256.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 assessed during this site visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Comprehensive information is available for prospective service users to ensure that they can make an informed choice on whether the service can meet their individual needs and aspirations. EVIDENCE: Each person living in the home has an assessment in place and these inform the care planning process. The registered manager stated that the assessment documentation is to be reviewed. There have been no new people admitted to the home since the last inspection and those living there are very settled and get on with each other very well. The assessment process includes visits to the home and the people who live in the home are fully involved in the assessment process, their views on the compatibility of anyone new to the service are listened to. Woodcroft (Reigate) DS0000013838.V339256.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 6,7, and 9 were assessed during this site visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who live in the home are fully involved in the decision making process on meeting their needs and ensuring that their preferred choices are met. EVIDENCE: Each person has an individual plan of care outlining his care needs in detail. Their goals and aspirations are recorded and monthly reports on the progress towards achieving these goals are in place. Records identified longer-term goals, which in some cases were developed in the form of a learning plan between the service and the local college tutor. One of the residents had a work experience review, which was in a user-friendly format and indicated both his likes and dislikes. During the site visit the residents were observed communicating their needs in different ways and staff were able to respond appropriately. Residents like to Woodcroft (Reigate) DS0000013838.V339256.R01.S.doc Version 5.2 Page 10 sit at the table in the large kitchen and take a full and active part in the running of the home. Some of the residents had been out in the morning to a riding school locally. Each person is able to take risks, which enhance their independence. Risk assessments are in place for all residents. Woodcroft (Reigate) DS0000013838.V339256.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13, 15, 16 and 17 were assessed during this site visit. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There are many opportunities and activities planned which cater to the individual needs of people living within the home. EVIDENCE: Three residents records were sampled and these showed a vast number of activities on offer including trips to the local pub, theatre, cinema, riding school, and attending the social club of the nearby church. Residents also attend day care, college and work placements. The cultural and diverse needs of people living in the home has been assessed and action taken to meet these needs where possible. A resident living in the home is of the Greek Orthodox faith and staff met with the family to discuss his need to practice his faith, as there is not a Greek Orthodox Church nearby. It was decided that he would attend the local church near the home and he has continued visiting weekly and really enjoys attending. Woodcroft (Reigate) DS0000013838.V339256.R01.S.doc Version 5.2 Page 12 One resident has a new advocate and is building a meaningful and valued relationship with this person. He also likes to meet up with a friend and records showed that he planned and made a valentines meal at the home for them both to enjoy. Family, advocates and professional visitors who have visited the service have praised the work that is undertaken by staff and have stated that they are always made welcome and that their relatives enjoy living in the home. Records show that one of the residents has gained confidence since attending college and is more willing to help with food preparation since attending a cookery class. Another resident likes to attend a scouts group locally and enjoyed day trips to the seaside. He has a list of words, which he uses regularly and the service has circulated these to all professionals involved in his care. These are some of the comments received from relatives, an advocate and professional visitors to the home: • I have never notified my visits in advance, and from this I conclude I have seen Woodcroft when it had been operating normally. The premises are obviously hygienic and welcoming, there is no institutionalised feeling experienced by a lay person such as myself. My advocacy partner has, in his own way, assured me that he is well treated and cared for. I am full of praise for what I have seen at Woodcroft the staff and the ethos. I have been attending Woodcroft, every fortnight for over 6 months and found the duty of care of all the staff to be of a high standard. From the moment I arrive, I am made to feel welcome and always offered a drink. The residents seem to be content in their surroundings and staff are extremely vigilant in providing choice and service that caters for individual needs. It is quite obvious that Woodcroft is a home that cares greatly for the well being of its residents and I would have no hesitation in recommending the services they provide. They are so wonderful at taking people out and about and my relative has an occupational job. He is so happy there. They look after people so wonderfully well. They are excellent no need for improvement. • • • • • Woodcroft (Reigate) DS0000013838.V339256.R01.S.doc Version 5.2 Page 13 There is a varied menu and this does offer an alternative choice. One of the residents indicated that he preferred mashed potatoes rather than rice or pasta and this was prepared for him individually. He was very happy to chat about his preferences over the kitchen table joined by another resident who was having a hot drink. Woodcroft (Reigate) DS0000013838.V339256.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): Standards 18,19 and 20 were assessed during this inspection. Quality in these outcome areas is excellent. This judgement has been made using available evidence including a visit to this service. Residents receive assistance with their healthcare needs ensuring care is provided with respect and observes their privacy and dignity. EVIDENCE: During the inspection staff were seen knocking on residents doors, and personal care needs were undertaken in the privacy of the bathroom or in residents rooms. Resident’s were appropriately dressed for the activities that they were undertaking during the day. Personal care is provided taking into account the diverse needs of each individual. The local GP and Health care professionals on a regular basis see all residents. Dietary needs are monitored and weight-reducing plans have shown that there have been added mobility benefits for one resident who has lost weight. Health action plans are in place for all residents and these include information on all aspects of the individual’s healthcare needs. Woodcroft (Reigate) DS0000013838.V339256.R01.S.doc Version 5.2 Page 15 There is an administration of drugs policy and procedure in place. Also procedures are in place for the administration of rectal diazepam. The medication cabinet is situated in the kitchen. There are no controlled medicines stored within the home. Medication practices are audited for the as required medicines. There were no gaps found on the medication administration records. The pharmacy oversees and checks the procedures of the home. The monitored dosage system for the morning medicines was checked as correct. Woodcroft (Reigate) DS0000013838.V339256.R01.S.doc Version 5.2 Page 16 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): Standards 22 and 23 were assessed during this inspection. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s views are listened to and acted upon and the complaints and safeguarding adult’s procedures are in a format, which most residents living in the home can understand. EVIDENCE: The Commission for Social Care Inspection has not received any complaints regarding this service. There have been no complaints received by the service or safeguarding adult issues. There is a user-friendly complaints policy and procedure in place, a laminated copy is kept in the hallway and is accessible to all visitors, relatives and residents. Each resident has their own copy. The safeguarding adults local policy now includes a timescale for dealing with referrals to the Local Authority and reporting of potential abusive situations. Woodcroft (Reigate) DS0000013838.V339256.R01.S.doc Version 5.2 Page 17 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 24 and 30 were assessed during this inspection. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained and provides a homely and comfortable place for residents to live in. EVIDENCE: A full tour of the premises was conducted including the garden to the rear of the property. There is ample parking to the front of the house for visitors and staff. The home is very homely and well maintained. The service employs a maintenance person whose office is in the garden. New garden furniture has been purchased and is now situated on the patio. Laundry facilities are regularly serviced and were in good working order at the time of the site visit. There is a vegetable patch at the bottom of the garden and flowerbeds and seating areas. External contractors regularly maintain the garden. Fire drills are carried out every three months and health and safety checks are in place for kitchen equipment, water temperatures are controlled, and infection control policies and procedures are in place. Woodcroft (Reigate) DS0000013838.V339256.R01.S.doc Version 5.2 Page 18 Visitors to the home have made the following comments regarding the cleanliness of the home: • I have visited the home every fortnight for over 6 months on each occasion, the home not only appears clean and tidy but I have never had cause to comment on any odours. The residents seem to be content in their surroundings and staff are extremely vigilant in providing choice and a service that caters for individual needs. The premises are obviously hygienic and welcoming, there is no institutionalised feeling experienced by a lay person such as myself. • Woodcroft (Reigate) DS0000013838.V339256.R01.S.doc Version 5.2 Page 19 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 32,34 and 35 were assessed during this inspection. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A knowledgeable and competent team of staff meets resident’s individual and joint needs. EVIDENCE: Each member of staff is issued with a job description outlining the roles and responsibilities of their particular care post. The home has an equal opportunities policy and procedure in place and interviews are conducted using a set of standard questions and the answers are recorded and stored on file. There is a diverse group of staff employed by the home. Staff spoken to on the day of inspection have worked at the home for some time, enjoy working with the residents to achieve good outcomes and are loyal to the organisation. It is recommended that any new employees complete the month and year of any previous employment on their application forms in order for gaps in the Woodcroft (Reigate) DS0000013838.V339256.R01.S.doc Version 5.2 Page 20 proposed member of staff’s employment history can be explored and the reasons recorded. All staff undertake an induction programme using a workbook, which is signed off once completed. Staff have attended mandatory training programmes in subjects such as first aid, administration, storage and recording of medicines, manual handling and the protection of vulnerable adults. Epilepsy awareness training has been provided for staff. Three staff have achieved NVQ Level 2 or above and another four are working towards their awards. Woodcroft (Reigate) DS0000013838.V339256.R01.S.doc Version 5.2 Page 21 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): Standards 37,39 and 42 were assessed during this inspection. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The ethos and management of this service very much focus’s on achieving excellent outcomes for residents. EVIDENCE: The registered manager has achieved NVQ Level 4 in Care and has completed his A1 NVQ assessor’s award. He is currently working with three NVQ Candidates. The manager has also undertaken the local authority Safeguarding Adults training programme. Communication with residents is very good and there are regular meetings and discussions held over the kitchen table. Feedback from relatives, health care professionals and professional visitors to the home has confirmed that staff keep people informed and communicate well with those who live in the home. Woodcroft (Reigate) DS0000013838.V339256.R01.S.doc Version 5.2 Page 22 A quality assurance survey received from the local day centre states that residents usually arrive on time to the centre and if not the home rings, apologises and states the expected time of arrival. Residents always appear well cared for, in clean, modern and appropriate dress and in a good, happy and relaxed mental state. The home keeps the centre informed of relevant medical needs or assessments and always reports any changes or causes for concern. Whenever I have attended the home it has been clean, well presented and seems to run efficiently. Staff are courteous, cheerful and professional. Copies of compliments from relatives are kept on file. The sister of one resident has stated that she is very grateful for the care and the team at Woodcroft. She goes on to state that her brother is obviously very happy. The home has a health and safety policy and procedure in place, risk assessments are conducted and safety checks are carried out on a regular basis with the appropriate authorities. Woodcroft (Reigate) DS0000013838.V339256.R01.S.doc Version 5.2 Page 23 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 3 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X 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 4 13 3 14 X 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 4 X 4 X X 4 X Woodcroft (Reigate) DS0000013838.V339256.R01.S.doc Version 5.2 Page 24 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. 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. Refer to Standard YA34 Good Practice Recommendations It is recommended that any new employees complete the month and year of any previous employment on their application forms in order for gaps in employment history to be explored and the reasons recorded. Woodcroft (Reigate) DS0000013838.V339256.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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 Woodcroft (Reigate) DS0000013838.V339256.R01.S.doc Version 5.2 Page 26 - 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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