CARE HOME ADULTS 18-65
Woodford Court 6-8 Snakes Lane West Woodford Green Essex IG8 0BS Lead Inspector
Helen Fontaine Unannounced Inspection 21 September 2005 15:00 Woodford Court DS0000025937.V250868.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 Woodford Court DS0000025937.V250868.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. Woodford Court DS0000025937.V250868.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Woodford Court Address 6-8 Snakes Lane West Woodford Green Essex IG8 0BS 020 8502 9502 020 8504 5237 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) SCOPE Mr Paul Sowerby Care Home 12 Category(ies) of Physical disability (12) registration, with number of places Woodford Court DS0000025937.V250868.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Age range 18 yrs to 50 yrs on admission with the exception of one named resident over 65 yrs. 8th January 2005 Date of last inspection Brief Description of the Service: Woodford Court is registered to accommodate 12 adults who have cerebral palsy and associated disabilities. Age on admission is 18-65 years. The home is operated by SCOPE. Woodford Court comprises two adjacent bungalows with a shared garden. The bungalows are purpose built and provide a high standard of accommodation for adults with physical disabilities. Each bungalow comprises single bedrooms with en-suite bathrooms, which include tracking from bed to bath, avoiding the need for separate lifting equipment. Each bungalow has its own kitchen, dining and communal lounge area. There is wheelchair access throughout both buildings, with self-opening doors to allow independent access. Woodford Court is situated in the London Borough of Redbridge in a residential area of the borough. It is close to shops, open spaces and transport links to central London, Ilford and Essex. The home has its own transport, but Service Users also have the use of a taxi card. The staff team are experienced and committed to provide a quality service for the residents. Woodford Court DS0000025937.V250868.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The unannounced inspection was done as part of the yearly process of inspection; the last inspection was unannounced and took place in January of this year. The inspection took place over two and half hours, the inspector looked around the building and a number of records were inspected. The two Senior Carers were present as the Manager was on holiday; two members of staff and one Service User were spoken to. What the service does well: 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. Woodford Court DS0000025937.V250868.R01.S.doc Version 5.0 Page 6 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 Woodford Court DS0000025937.V250868.R01.S.doc Version 5.0 Page 7 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): 1 and 3 The home is well able to meet the needs and aspirations of the Service Users and each Resident has an individual written contract and statement of need. EVIDENCE: Service Users files showed that assessments undertaken were in-depth and covered all aspect of care, likes and dislikes. During the inspection Service Users files were looked at, which evidenced that the staff team are able to meet the needs of individuals admitted to the home. A Service User spoken to indicated that they were well cared for and were supported to go out. Woodford Court DS0000025937.V250868.R01.S.doc Version 5.0 Page 8 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): 6, 7 and 9 The Service Users know their assessed needs and personal goals are reflected in their Care Plan. Residents are making decision about their lives with support if needed. The Service Users are supported to take risks as part of an independent lifestyle. EVIDENCE: Care Plans looked at during the inspection did reflect that Service Users did know their needs and goals. One Resident spoken to did indicate that they were aware of their Care Plan and that it reflected their needs and goals. Residents are encouraged and supported to make decisions about their lives; the two staff spoken to both said how the home helps the Residents to achieve this. Service Users are supported and encouraged to take risks and take part in activities away from the home. Documentation looked at, staff and Service Users spoken to all confirmed this. Woodford Court DS0000025937.V250868.R01.S.doc Version 5.0 Page 9 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): 12,13 and 17 Service Users do take part in appropriate activities at the home and in the community. The home offers a healthy diet and Service users enjoy their meals and mealtimes. EVIDENCE: Service User talked to and the examination of records evidenced that Residents have the opportunities for personal development. Service Users attend college or the SCOPE day centre; also have the opportunities to develop social and daily living skills. Service Users are encouraged to be part of the local community; the two Senior Carers said that they help the Residents attend any local event that they are informed of. The Resident spoken to indicated that they liked the food, the two Senior Carers said that the Service Users have a choice of food. Woodford Court DS0000025937.V250868.R01.S.doc Version 5.0 Page 10 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): 19 and 20 All Service Users physical and emotional health needs are met, Residents are not able to control their own medication and are protected by the home’s policies and procedures. EVIDENCE: During the inspection the Care Plans looked at evidenced that the Service Users physical and emotional health needs are met. Senior Carers spoken to and the two members of staff all said that they work together as a team to provide the very best support that is possible. The staff records were not available for inspection to ascertain that all staff had received training with regard to medication, but the Medication Administration Records (MAR sheets) looked at were completed appropriately. Service Users are not able to self-administer their medication. Woodford Court DS0000025937.V250868.R01.S.doc Version 5.0 Page 11 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): 23 The Home does protect the Service Users from abuse, neglect and self-harm. EVIDENCE: During the inspection the incident documentation was looked and there have been no recent incidents. The Residents meeting minutes were looked at and these showed that all the Service Users concerns were discussed. The home does inform the Commission for Social Care Inspection of any incidents or complaints. The two Seniors said that they were sure that all staff would respond to any situation, especially around abuse, neglect or self-harm. Woodford Court DS0000025937.V250868.R01.S.doc Version 5.0 Page 12 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, 27, 29 and 30 The Service Users live in a homely, comfortable and safe environment, each Resident has bedrooms that suit their needs and each bedroom has toilets and bathrooms that provide sufficient privacy. The Service Users have specialist equipment that they require to maximise their independence and the home is clean and hygienic. EVIDENCE: During the tour of the building it was noted that each Service User had a bedroom that was comfortable and safe. Each bedroom was chosen and designed to suit the needs and lifestyle of the Residents. The bedrooms had an en-suite bathroom and in addition to this the home had a special adapted bath. The home also had a number of other toilets all adapted for special needs. Service Users have the support of specialist equipment throughout the home, as well as a room to charge the batteries of the individual electric chairs. During the inspection most of the areas of the home were seen and all the areas were found to be clean and hygienic. Woodford Court DS0000025937.V250868.R01.S.doc Version 5.0 Page 13 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): None of the above Standards could be tested as the Manager was off and the Administration worker had left for the day. The previous inspection had a Requirement and this will be repeated until it is evidenced that the Standard has been met. EVIDENCE: Woodford Court DS0000025937.V250868.R01.S.doc Version 5.0 Page 14 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 and 42 Generally, the Service Users benefit from a well run home, but their health, safety and welfare could be compromised by some foodstuffs not being appropriately stored/labelled. EVIDENCE: During the inspection the evidence and documentation demonstrated that the home is well run. During the tour of the building, it was noted that containers of food opened in the fridges and freezers were not labelled. Woodford Court DS0000025937.V250868.R01.S.doc Version 5.0 Page 15 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 3 X 3 X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30
STAFFING Score 3 3 X 3 X 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Woodford Court Score X 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 X X X X 2 X DS0000025937.V250868.R01.S.doc Version 5.0 Page 16 YES 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 YA42 Regulation 17 Requirement Timescale for action 2 YA42 16 Staff files must contain a copy of all of the documentation 30/10/05 specified in Schedule 4(6) of the Care Homes Regulations 2001. This is repeated from the last inspection, as these records were not available for inspection The Registered Manager must make sure that all food is stored 30/10/05 correctly and opened containers are labelled. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Woodford Court DS0000025937.V250868.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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