Inspection on 18/04/07 for Woodgate

This inspection was carried out on 18th April 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Woodgate 11/01/06

Woodgate 27/09/05

Woodgate 03/12/04

Woodgate 28/07/04

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 MIXED CATEGORY MAJORITY ADULTS 18-65 Woodgate Queens Road Maidstone Kent ME16 0JG Lead Inspector Debbie Sullivan Key Unannounced Inspection 18th April 2007 09:15 Woodgate DS0000024095.V334172.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 Woodgate DS0000024095.V334172.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 Older People and 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. Woodgate DS0000024095.V334172.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodgate Address Queens Road Maidstone Kent ME16 0JG 01622 677235 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) MCCH Society Limited Miss Caroline O’Brian Care Home 6 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (2) of places Woodgate DS0000024095.V334172.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Care for 2 service users with Learning Disability who are over the age of 65 whose dates of birth are: 4 December 1935 and 31 August 1939. Service users with a Learning Disability may also have a physical disability, age range 40 years and over. 11th January 2006 Date of last inspection Brief Description of the Service: Woodgate is one of a group of small care homes managed by MCCH Society Ltd in the South East of England. It is a care home providing a residential and personal care service for six adults with learning and physical disabilities. The home provides care for persons over 40 years of age; two service users are currently over the age of 65 years. The home is staffed by a small team of support workers as well as the manager and a senior support worker. All staff work on a 24-hour shift roster, which includes a sleep in duty; the home does not provide waking night cover. Service users have opportunities to attend a range of activities in the community to suit their interests and abilities. Woodgate is a detached bungalow set off the main Queens Road in Maidstone. The accommodation comprises of six single rooms, a lounge, kitchen with dining area and purpose built adapted bathroom and separate shower room. The home has adequate parking for approximately five cars. There is a garden to the front and patio to the rear. The home is located close to a local pub and there is a shop approximately ¼ mile away with bus services to the town centre. The weekly fee for the service is £323.01. Woodgate DS0000024095.V334172.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection site visit of Woodgate took place over five and a half hours. It was changed to 18th from 17th April as on arrival on17th all the service users and staff were found to be going out for a large part of the day, this reflects the wide range of activities that service users take part in. During the site visit time was spent with the senior support worker, service users and other staff members. Relatives, an MCCH senior manager and professionals who were visiting the home regarding a possible new service user moving in were joined for a short while. A tour of the property and general observation of daily routines took place and a range of records and documents were read. Information was also gained from the pre inspection questionnaire completed by the manager, and survey forms and comment cards. Three service users were case tracked two of whom are over 65. At the time of the visit there was one vacancy at the home. What the service does well: Woodgate provides a homely and caring environment for service users where they can feel confident that their needs are met and staff are genuinely interested in their well being. Staff maintain good relationships with health and other professionals and good health is promoted. Staff and service users have good relationships. The opportunities to pursue social, educational and leisure activities are excellent and under frequent review so that service users can take part in activities that are suitable and may change due to age, health or mobility. Staff are well trained and supported. The home is effectively managed and outside professionals are positive about the service it offers. Woodgate DS0000024095.V334172.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Woodgate DS0000024095.V334172.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Woodgate DS0000024095.V334172.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Potential service users and their representatives are able to access information about the home before making a decision to move in. Needs are fully assessed prior to admission. EVIDENCE: Woodgate DS0000024095.V334172.R01.S.doc Version 5.2 Page 9 The home has a statement of purpose and service user’s guide; both are available in pictorial formats. There was a vacancy at the time of the inspection and during the site visit relatives, MCCH staff and professionals met to discuss the possibility of a new service user being considered. It was clear that in depth information was being shared and any matters as regards the home being able to meet needs fully were raised. The senior support worker said that there had been no new admissions since the last inspection although when there had been a vacancy potential service users had visited the home and spent time there before deciding to move in. The previous report stated this was the case, as at that time there had been a relatively new admission. The care plans of service users contain a large amount of information about interests, aspirations and achievements, and care had gone into giving a thorough picture of each service user as an individual. Discussion with staff showed that they worked hard to ensure that needs and interests were accommodated and thought went into any changes needed such as a different activity. Care plans contained written tenancy agreements. Woodgate DS0000024095.V334172.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14 and 33 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual needs and preferences are clearly recorded on care plans and are regularly reviewed. Service users are supported to make decisions about their daily lives and to participate in the running of the home. Woodgate DS0000024095.V334172.R01.S.doc Version 5.2 Page 11 EVIDENCE: The care plans of the three case-tracked service users were read, each service user has a separate health file. Two of those case tracked are over 65, their needs were being reviewed monthly. The care plans were easy to read and gave a clear all round picture of the service user, lots of background information including in one case a family tree is included, service users had contributed to the information and pictorial information was used for some sections. Needs, goals, interests, social and family contacts, aspirations and health information are recorded as well as care guidelines updated as necessary, and risk assessments. Service users are supported to make decisions as part of daily life, a survey form completed by a friend stated that “My friend is unable to choose as --has learning difficulties. The care service support does help ---– to make choices.” Examples of decisions recorded on care plans are any gender preference in respect of personal care, choice of activities and general daily routines. During the visit staff offered choices and respected preferences. All service users are able to share in the use of two service users’ motability vehicles, they contribute to petrol expenses and the home needs to formalise a system for recording on care plans that they have agreed to this expenditure, the actual transactions are well recorded Service users participate in the daily running of the home in line with their abilities, a staff member explained how a service user likes to help with food preparation by holding their arm whilst they chop food items, so they get the feeling of chopping whilst not actually being able to do so themselves. Service users are formally consulted about the running of the home via regular house meetings, pictorial prompts are used for meetings and pictorial quality assurance survey forms are also used. Each service user’s risk assessments are on their care plans and revised if necessary. Independence is promoted and skills are developed and encouraged to increase independence through day activities and support at home. The majority of service users have limited verbal communication and some have additional sensory needs, object reference material is available for them and staff are aware of individual moods and gestures. One service user seemed a little quiet and upset at one point, possibly due to the number of unknown visitors to the home on the day all at one time (7 in total), and went and sat quietly on their own, a staff member recognised this and offered reassurance. Care plans and other confidential records are kept securely and are accessible to service users. Woodgate DS0000024095.V334172.R01.S.doc Version 5.2 Page 12 Woodgate DS0000024095.V334172.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Woodgate DS0000024095.V334172.R01.S.doc Version 5.2 Page 14 11,12,13,14,15,16 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home offers service users opportunities to access a wide range of activities at home and in the community and individual interests are promoted. Meals are healthy and varied and service users are offered choice. EVIDENCE: Each service user is supported to take part in social, recreational and day activities of their choice. The overall programme is very varied and staff support is provided on a ratio of one to one for some activities. Staff commented that it was a very busy house activity wise and this was evident with a lot of comings and goings during the site visit and everyone being out on the day the inspection was originally planned. During the site visit one service user went out for the morning to a gardening activity and on return they said they had enjoyed watering the plants. Two service users attended a cook and eat session at an MCCH day activities venue and one went for their fortnightly outing with a volunteer, another volunteer accompanies them to church regularly. The two service users at home were due to attend activities later in the day. Within the house individual interests and hobbies are pursued, a service user very interested in aeroplanes has many related items in their room and likes watching films on their own TV, they had recently enjoyed a trip to an airfield with relatives and a peer. Another service user has pet fish and there is a house cat. Other examples of regular activities are trampolining, a gentle exercise session, riding swimming and one to one time with staff. It is recognised that due to the ages and physical limitations of some service users outings need to be geared accordingly and time built in for just being at home. Contact with friends and relatives is welcomed, one service user visits family weekly, writes to them and there is a weekly pub lunch for the whole house. Visits to and from other MCCH services take place and special events are attended, a notice on the wall advertised a “picnic in the park ”in May. Woodgate DS0000024095.V334172.R01.S.doc Version 5.2 Page 15 Service users go on holidays of their choice a seaside holiday was planned for June for some service users, others had yet to decide. Meals are healthy and varied, three service users were joined at lunchtime, two enjoyed a freshly prepared well-cooked hot meal with the third service user preferring a salad that they had helped to prepare. Throughout the morning those at home spent time in and out of the kitchen and could access drinks. Plenty of fresh fruit and vegetables were in stock. Woodgate DS0000024095.V334172.R01.S.doc Version 5.2 Page 16 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 and 21 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Health and personal care needs are well supported and documented, and contact with health professionals is maintained and promoted. EVIDENCE: Woodgate DS0000024095.V334172.R01.S.doc Version 5.2 Page 17 The service users at Woodgate have a range of health needs, they are very well supported in maintaining contact with health professionals regarding specific needs, and regular health checks such as sight tests take place. Survey forms were received from some health care professionals and comments included, “Woodgate has always tried to ensure that clients are assessed for appropriate equipment and supported to attend sessions and carry out exercise programmes at home” “Staff have always liaised as regards to individual clients needs and acted upon advice given” “I feel that clients are cared for well and appropriately. They are treated with respect and care”. Health files read included detailed information on all medical appointments and reviewed health care needs, where any concerns had been identified they had been acted upon, an example being a service user who has mobility difficulties where the need for hip replacement is being explored. Activities to promote and maintain mobility and good health are attended by some such as hydrotherapy, an exercise session and aromatherapy. Preferences for personal and intimate care needs are respected and recorded and specialist assessments take place for any individual equipment required. During the site visit service users who needed any assistance were provided with it discreetly. Medication is stored securely and a dedicated member of staff has responsibility for monitoring the homes’ medication. All the permanent staff group have received medication training, a sample of the MAR sheets were inspected and had been correctly filled in. Evidence that wishes in the event of death are sought was seen on care plans. Woodgate DS0000024095.V334172.R01.S.doc Version 5.2 Page 18 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and others have access to a complaints procedure, whilst some service users would require assistance to raise any issues and there is no clear evidence that concerns are recorded. Service users are protected from abuse by the policies and procedures in place and staff awareness of adult protection. EVIDENCE: The home has a complaints procedure that is displayed in the home in a pictorial format. One service user said that if they were unhappy about anything they would speak to a member of staff. Woodgate DS0000024095.V334172.R01.S.doc Version 5.2 Page 19 Due to the nature of the service the use of the procedure can be limiting for most service users and they would need to rely on relatives or other advocates to raise issues for them. The pre inspection questionnaires stated that no complaints had been recorded. Adult protection policies and procedures are in place and discussion with staff identified that there is good awareness of what constitutes abuse. Staff receive adult protection training and are properly vetted prior to employment. There are no current adult protection alerts in relation to the service. Woodgate DS0000024095.V334172.R01.S.doc Version 5.2 Page 20 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a clean, well-maintained and well-decorated home that meets their needs. Individual space is personalised and equipment is provided to maintain and promote independence. Woodgate DS0000024095.V334172.R01.S.doc Version 5.2 Page 21 EVIDENCE: The home is well decorated, clean and well maintained, some furnishings had been replaced since the last inspection and one bedroom (now vacant) completely redecorated. Bedrooms are of a good size personalised and decorated in the service users choice of colour scheme, they included items related to interests, photographs and other personal belongings and one room contained sensory equipment, One bedroom had a slight odour, staff said that they had cleaned the carpet several times and were endeavouring to remove it. It was stated by staff that the odour was possibly due to the house cat. The large lounge and kitchen/dining room are much in use as communal areas and during the site visit service users freely moved between the two choosing to be with staff, spend time alone in the lounge or in their rooms. One service user likes to spend time in the hallway where they can observe all the comings and goings in the house. The garden is well maintained and accessible with a patio at the front and back, the area at the back of the house has been made safer with the addition of railing but staff said that service users prefer to sit in the secluded front garden where there is a table and chairs as it gets more sun. There is a bathroom and shower room, the shower tray does not drain well and the senior support worker believed that plans were beginning to be underway for a wet room to be installed. Equipment is in place such as a bath seat; free standing hoist, grab rails and reclining chair. Woodgate DS0000024095.V334172.R01.S.doc Version 5.2 Page 22 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by a well-trained and well-supported staff team. Staff are positive about their roles and interested in the service users as individuals. EVIDENCE: Woodgate DS0000024095.V334172.R01.S.doc Version 5.2 Page 23 An enthusiastic and well-managed staff team supports service users. Staff present during the site visit were genuinely interested in their lives and well being and were knowledgeable about their individual needs. During conversation they spoke of needing to keep under review the need for any change to programmes to make sure that service users got the most from their day. The manager was on annual leave so the senior support worker was in charge, staff were clear about their roles, tasks are assigned on a daily basis such as which member of staff will accompany a service user to an activity or appointment with some flexibility available. There is a key working system in place. Throughout the day the staff present changed with some returning or going out with service users to activities and then the later shift coming on duty, service users were seen to be comfortable with all the staff present and enjoyed spending time talking with them or just being part of the daily routines in the kitchen. MCCH staff recruitment files are not held in individual houses, the MCCH performance relationship manager for CSCI inspected the records centrally in January 2007 and found no major shortfalls. Some staffing information was read on the site visit that confirmed that supervision takes place regularly, staff receive appropriate mandatory training and training on topics specific to the service such as autism and epilepsy. The pre inspection questionnaire included a training tracking sheet where the need for updates is highlighted. Since the last inspection more staff have gained an NVQ in care. Staff spoken with individually said they felt well supported and that training was good. They enjoyed working at Woodgate, comments included “It doesn’t feel like a job”, “It has a nice atmosphere” and “The home is very user focussed”. Survey forms sent in by health and social care professionals and a friend of a service user included the following comments, “Staff are always respectful and provide my client with a good quality of life” “Very client centred in their approach” “The staff are always welcoming” Woodgate DS0000024095.V334172.R01.S.doc Version 5.2 Page 24 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Woodgate DS0000024095.V334172.R01.S.doc Version 5.2 Page 25 37,38,39,40,41 and 42 Quality in this outcome is good. This judgement has been made using available evidence including a visit to this service. The home is run to a good standard, the atmosphere is open and friendly and the safe working practices followed protect the health, safety and welfare of service users and staff. EVIDENCE: The home’s manager is experienced in working with the service user group, and although was not present for the site visit all the evidence available showed that the home was being well managed as it was at the time of the last key inspection. The manager is suitably qualified for her role. Comments from staff and on survey forms from health and social care professionals were very positive about the way the home is managed, comments from professionals included, “This home is run to a very high standard with the care/dignity/respect given to the client as a priority” “Manager and staff give good quality service for my client who has a severe learning disability” “Excellent role model provided by house manager” The general atmosphere observed during the site visit and comfortable relationships between service users showed that staff are confident in their work and service users have confidence in them. The routines of the day were somewhat disrupted by the site visit and a meeting taking place at short notice, but there was minimal change to the planned daily routines. Staff present stated that improvements were due to the environment of the home such as to the shower room and believed the manager would have more information on this. General maintenance on the house is kept up and investment made by the organisation on improvements. Woodgate DS0000024095.V334172.R01.S.doc Version 5.2 Page 26 Quality assurance is in place with the use of pictorial service user surveys and regular house meetings and Regulation 26 visits take place. A range of organisational and house policies and procedures are available that are revised as necessary. Fire procedures and checks are recorded; a fire safety advisor had visited the home and stated that monthly recorded evacuations needed to take place, this information had been given to staff and recorded in team meeting minutes. Regular health and safety monitoring takes place such as fridge and freezer temperature monitoring. Staff spoken had good awareness of health and safety procedures and safe working practices. The manager makes sure that any health and safety training is updated as the required intervals. Woodgate DS0000024095.V334172.R01.S.doc Version 5.2 Page 27 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 3 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 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 X 35 3 36 3 CONDUCT AND MANAGEMENT Standard No Score 37 4 38 3 39 3 40 3 41 3 42 3 43 X 3 2 4 3 3 LIFESTYLES Standard No Score 11 3 12 4 13 3 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Woodgate Score 3 3 3 3 DS0000024095.V334172.R01.S.doc Version 5.2 Page 28 Are there any outstanding requirements from the last inspection? NO 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. YA7 It is strongly recommended that care plans include documentation that confirms that service users have given consent to making a contributions to petrol costs when they share in the use of another’s motability care. It is strongly recommended that the shower room be made into a wet room and if this work is delayed the shower drainage tray be replaced. Refer to Standard Good Practice Recommendations 2. YA27 Woodgate DS0000024095.V334172.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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. Woodgate DS0000024095.V334172.R01.S.doc Version 5.2 Page 30 - 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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