Inspection on 31/01/06 for Woodford Court

This inspection was carried out on 31st January 2006.

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 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Woodford Court 06/11/06

Woodford Court 21/09/05

Woodford Court 08/01/05

Woodford Court 22/06/04

Similar services:

Ashlong House

Spring Lane Care Home

Avenues (The) (Neave Crescent)

Barrington Lodge Nursing Home

Beacon House Nursing Home

St Mary`s Convent & Nursing Home

1-3 Frederick Gardens

The Royal Star and Garter Home

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

CARE HOME ADULTS 18-65 Woodford Court 6-8 Snakes Lane West Woodford Green Essex IG8 0BS Lead Inspector Jackie Date Unannounced Inspection 31st January & 22 February 2006 1:00 nd Woodford Court DS0000025937.V281169.R01.S.doc Version 5.1 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.V281169.R01.S.doc Version 5.1 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.V281169.R01.S.doc Version 5.1 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.V281169.R01.S.doc Version 5.1 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. 21st September 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 residents 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.V281169.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection lasted for about four hours and took place during the morning and early afternoon. A second visit was made a few weeks later to talk to the senior carer taking responsibility for the day to day running of the home and to see some further records. It was the second of the two inspections that each home must have during the inspection year. During the two visits all of the key standards have been checked. The staff, a relative and residents were spoken to. All of the communal areas and some of the bedrooms were seen. Care and other records were checked. The progress of the requirements from the previous inspection were monitored. At the time of the inspection the registered manager was absent from the home due to extended sickness absence. One of the senior carers is now responsible for the day-to-day running of the home with support from an experienced manager at a local day service run by Scope. What the service does well: What has improved since the last inspection? What they could do better: There are eight new requirements as a result of this visit. They are in the main related to the administration and management of the home. The staff have ensured that the residents’ day-to-day needs continue to be met and the senior carer has competently managed day-to-day issues. However, the extended absence of the manager has had an impact on the running and Woodford Court DS0000025937.V281169.R01.S.doc Version 5.1 Page 6 administration of the service. More specific management arrangements need to be in place, with the person taking responsibility having allocated management time to ensure that everything is kept up-to-date and that the service is appropriately monitored. 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.V281169.R01.S.doc Version 5.1 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 Woodford Court DS0000025937.V281169.R01.S.doc Version 5.1 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): 2 The required information would be gathered on a prospective resident and they and their relatives could spend time in the home to find out what it would be like to live there and to enable the resident to make a choice about living in the home. EVIDENCE: The admission process is that the manager visits and assesses the prospective resident, obtains files and information and discusses this with the staff team. The prospective resident then visits and has a look around. Staff devise a care plan and there is a six-week trial period. The resident can then decide if they wish to remain at the home. This was the process followed for the newest resident. Staff were unable to locate referral forms or initial information. Adequate documentation has been available during previous inspections and this would appear to be an administrative oversight in the absence of the manager. However this resident did have a care plan that clearly detailed the support that she requires and the initial placement review was also on file. Woodford Court DS0000025937.V281169.R01.S.doc Version 5.1 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): 6&9 Residents’ plans focus on their individual needs and abilities and contain detailed up to date information so that staff can meet their basic needs safely and as they prefer. However these do need to be developed further to cover all aspects of their life and personal goals. EVIDENCE: Woodford Court DS0000025937.V281169.R01.S.doc Version 5.1 Page 10 Each resident has a care plan. These are detailed and give clear information about each person. They include details of what they can do, what they like and the support that they need. Residents said that their plans were discussed with them and that they and their family participate in reviews. The care plans are updated when required. Care plans seen tend to cover areas of “basic care”. That is “ handling, rising, bathing, retiring, toileting and eating”. However there is very little information about communication needs or residents’ personal goals. Although from discussions with staff and residents it is evident that these issues are all addressed. Daily reports are made but tend to relate to personal care, mood and food and drink. The care plans and daily reports do not reflect the good quality service that is provided by the staff team. Care plans must be extended to cover all aspects of personal, social and health needs as set out in Standard 2 of the National Minimum Standards for Adults (18-65). Daily records need to be linked to the care plan and to be more specific, demonstrating how care plans are being implemented on a day to day basis. Risk assessments are in place. These identify risks for the residents and indicate ways in which the risks can be reduced to enable the residents’ needs to be met as safely as possible whilst helping them to maintain their independence. Woodford Court DS0000025937.V281169.R01.S.doc Version 5.1 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, 13, 14, 15 and 16 The residents are encouraged to be as independent as possible, to take part in activities and to be part of the local community. Residents are asked their opinions about what happens in the home and are supported to make choices about what they do. Residents are supported to keep in contact with their relatives and visitors are made welcome at the home. EVIDENCE: Most of the residents attend college or the SCOPE day centre on different days throughout the week. Some residents are able to go out independently and others are supported by the staff. One resident said that she liked living there because she could do exactly what she wanted to do. She also says that she uses a black cab to go out shopping. Another resident now goes to the local pub for a meal independently as he has now got the confidence to do this. One of the residents is Jewish and she has strong links with the local Jewish community and goes out regularly with people that visit her. Most of the Woodford Court DS0000025937.V281169.R01.S.doc Version 5.1 Page 12 residents had holidays last year and one of the residents said that she was going to Southampton the following week. Residents have swipe cards that open the doors and therefore many are able to move around the two bungalows independently. Residents’ meetings are held regularly and are supported by an outside facilitator. One resident said that there had been a meeting the previous evening. She also said that they talk about a lot of different things including repairs, decoration, outings, holidays and general everyday things. Some of the residents went to stay with their families at Christmas and one resident visits her mother regularly. Relatives are invited to celebrations at the home and another resident keeps in touch with her sister in Australia by telephone. A relative spoken to on the day of the visit said that her sister had settled in well and has been very happy since moving to the home. Woodford Court DS0000025937.V281169.R01.S.doc Version 5.1 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 &19 Residents receive personal care that meets their individual needs and preferences. Residents receive support to ensure that they get the medical and health care that they need. EVIDENCE: Some of the residents require a lot of support with their personal care and details of the help that they need and how they prefer to be supported are in their individual plans. For example “ I am assisted to eat using a small spoon with a long handle”, “apply facial cream”. Another care plan states, “ I can get up and get dressed without assistance but may need reminding to wash and change my clothes”. One resident said, “the staff look after me well”. Residents get the care that they need and are supported to be is independent as possible. All of the residents are registered with local doctors and are supported to attend appointments. Residents’ files have details of health care issues and show that residents have regular access to health care professionals. Records are kept of medical appointments and these show that residents have checks from the optician, dentist and when needed the chiropodist. Therefore Woodford Court DS0000025937.V281169.R01.S.doc Version 5.1 Page 14 residents’ healthcare needs are being met. Feedback from relatives spoken to was that the residents are well cared for and that “the staff are good”. Woodford Court DS0000025937.V281169.R01.S.doc Version 5.1 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 Residents’ opinions are welcomed, valued and acted on. EVIDENCE: The organisation has a complaints procedure and this is displayed around the home. As previously stated residents have regular meetings with an independent facilitator and therefore have the opportunity to discuss any concerns. One of the residents said that if you are not happy about anything you can tell the staff and if they cant help you they find someone who can. Woodford Court DS0000025937.V281169.R01.S.doc Version 5.1 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): 25, 26, 27, 28, 29 in 30 The residents live in a clean and comfortable home that is suitable for their needs. EVIDENCE: Woodford Court comprises two adjacent bungalows with a shared garden. 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. Each resident had a single bedroom with an ensuite bathroom. In addition there are other adapted toilets. The bedrooms seen had been personalised according to individuals’ likes and choices. Residents confirmed that they are consulted about redecoration and new furniture. Two sofas had recently been purchased and residents had chosen the colours. During both the visits the home was clean and there were no offensive smells. The dining and communal areas are large and there is plenty of space for people to be able to move around independently. The bungalows are purpose built and provide a high standard of accommodation for adults with physical disabilities. Woodford Court DS0000025937.V281169.R01.S.doc Version 5.1 Page 17 In the smaller bungalow the oven was not working properly and this needs to be repaired or replaced. Woodford Court DS0000025937.V281169.R01.S.doc Version 5.1 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, 33, 34 & 35 Although staff are skilled and experienced, recent training has been limited and therefore staff may not have up-to-date knowledge and information about meeting residents’ needs. There are not always sufficient staff on duty to adequately cover all of the required duties and this has an impact on the service to the residents. Staff are properly recruited and the necessary checks carried out. This helps to protect residents and keep them safe. EVIDENCE: The staff team have a lot of experience of working with people with physical disabilities. Most of the staff have obtained NVQ level 2 and some are studying for NVQ level 3. Two of the senior staff already have NVQ level 3 and two are able to assess staff for NVQ. Therefore the staff team have the skills, qualifications and experience to meet the service users needs. However, training records were not up to date and did not indicate the staff have had regular training. One of the staff said that they had not received any training for some time. The senior carer said that she is in the process of organising training for staff and that this will include food hygiene, further adult protection training and first aid. Recently some of the staff have received managing continence training. All staff must have an individual training and development Woodford Court DS0000025937.V281169.R01.S.doc Version 5.1 Page 19 assessment and profile and at least five paid training and development days per year. This will ensure that staff have appropriate and up-to-date training to enable them to meet the residents needs effectively. Feedback from staff was that at times there were not sufficient staff on duty. This is because on some days staff support residents to go to college and also to medical and other appointments. This can mean that only one senior and one carer are available for up to six residents. Some of these residents require one-to-one assistance to eat and two people to assist with their personal care. A senior carer said on these occasions an additional member of staff is on shift. However an examination of the rota showed that this wasnt always the case. There must be sufficient staff on duty all times to ensure that residents’ needs are met appropriately and safely. The organisation operates an appropriate recruitment procedure. Jobs are advertised, application forms completed and interviews held. The necessary checks are undertaken prior to staff commencing employment. A selection of staff files were checked during the visit and were found to contain copies of all the necessary documents as required by previous inspections. This included an application forms, two references, criminal records bureau checks, proof of identification and photographs. Woodford Court DS0000025937.V281169.R01.S.doc Version 5.1 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, 39, 41 & 42 The arrangements for the management of the home, in the absence of the registered manager, need to be changed to ensure that the home is appropriately managed and that the safety and welfare of the residents is maintained. EVIDENCE: The quality of the service provided to the residents is monitored by SCOPE. The service manager carries out monthly monitoring visits to assess how effectively the home is operating to meet its stated aims and objectives, and reports indicate the action to be taken when deficiencies are identified. Copies of these reports are sent to the Commission as required. Previous inspections have found that all the necessary health and safety checks were carried out. However during the course of the initial visit staff were unable to find all of the necessary records and therefore it was not possible to confirm that all of the checks had been carried out. As a result of this the senior carer set up a new record for checking hot water temperatures Woodford Court DS0000025937.V281169.R01.S.doc Version 5.1 Page 21 and at the time of the second visit they had been tested for three consecutive weeks. She also arranged for a landlords gas safety check to be carried out and this was available during the second visit. The last record for portable appliance testing showed 2003 but appliances actually had stickers to say that they had been retested in 2004. A competent person must test portable appliances every year to ensure that they are safe for use. The senior carer was making arrangements for this check to be carried out. The hoists are checked as part of a contract but again the paperwork could not be found. The senior carer arranged for this worked be carried out and copies of the necessary documentation was subsequently sent to the Commission. Previous visits have also found that all of the necessary records were kept. However, during the course of this visit staff were unable to find all of these. This section of the report gives details of some of these things and also the action taken at the time to address the problem. Further work is needed to ensure that all of the necessary records are kept, are up-to-date, and are easily accessible at any time. The registered manager has been absent from the home for some time and there is not a date for his return to work. The Commission were informed that in his absence one of the senior carers would take day-to-day responsibility for the home with the support of an experienced manager of a nearby SCOPE day service. However in the course of the visit it was apparent that although this person is ensuring that the service provided to the residents is maintained she has not had any designated management time and has been running her shifts as usual. This is not sufficient and more robust management arrangements need to be in place during the registered managers absence. This is to ensure that all aspects of the management of the home are met, administration is kept up-to-date and that the service provided is appropriately monitored. This was discussed with the senior carer at the time of the inspection. Woodford Court DS0000025937.V281169.R01.S.doc Version 5.1 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 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 X ENVIRONMENT Standard No Score 24 X 25 3 26 3 27 3 28 2 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 2 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 X X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X X 2 X 3 X 2 2 X Woodford Court DS0000025937.V281169.R01.S.doc Version 5.1 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 YA6 Regulation 15 Requirement Care plans must be extended to cover all aspects of personal, social and health needs as set out in Standard 2 of the National Minimum Standards for Adults (18-65) Daily records need to be linked to the care plan and to be more specific. The oven in the 2nd bungalow must be repaired or replaced. There must be sufficient staff on duty all times to ensure that residents’ needs are met appropriately and safely. Timescale for action 30/06/06 2 3 4 YA6 YA28 YA33 15, 17 16, 23 18 30/06/06 31/03/06 31/03/06 5 YA35 18 6 7 YA37 YA41 8 17 All staff must have an individual 31/03/06 training and development assessment and profile and at least five paid training and development days per year. Suitable and robust 31/03/06 arrangements must be made for the management of the home. All of the necessary records must 31/03/06 be kept, be up-to-date and be easily accessible at any time. Portable appliances must be DS0000025937.V281169.R01.S.doc 8 YA42 13,23 31/03/06 Version 5.1 Page 24 Woodford Court tested, by competent person, to ensure that they are safe. 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.V281169.R01.S.doc Version 5.1 Page 25 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 © 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 Woodford Court DS0000025937.V281169.R01.S.doc Version 5.1 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. 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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