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Inspection on 20/10/05 for Woodhouse Road Care Home

Also see our care home review for Woodhouse Road Care Home for more information

This inspection was carried out on 20th October 2005.

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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Staff provide positive care and support to service users and a wide range of activities is available. Staff are supported to gain qualifications and receive all basic training and specific information in order to meet individual needs. Much of the information and notices around the home are provided with pictures to help everyone. Service users are encouraged to express their views and make their own choices. All rooms seen in the house were found clean and tidy. Service users are satisfied with their own rooms and with the care and support they receive.

What has improved since the last inspection?

Some work has been done to improve the gardens and this work is ongoing. Individual care and support plans are written for all service users and further work is being done to improve how these are reviewed. A window on the top floor has been made secure so that the openings of all windows are now restricted. Also, all staff have now been checked through the Criminal Records Bureau.

What the care home could do better:

The manager needs to make sure individual written plans are kept up to date. There is a gap of one hour every evening between 10.00 and 11.00 when only one staff member is on the premises and this should change to make sure service users are safe and that their needs are met at all times.

CARE HOME ADULTS 18-65 Woodhouse Road Care Home 31 Woodhouse Road Mansfield Nottinghamshire NG18 2AY Lead Inspector Meryl Bailey Unannounced Inspection 10:00 20 October and 15 November 2005 th th Woodhouse Road Care Home DS0000008769.V255989.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 Woodhouse Road Care Home DS0000008769.V255989.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. Woodhouse Road Care Home DS0000008769.V255989.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Woodhouse Road Care Home Address 31 Woodhouse Road Mansfield Nottinghamshire NG18 2AY 01623 651398 01623 651398 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) Royal Mencap (Housing & Support Services) Audrey Baranski Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Woodhouse Road Care Home DS0000008769.V255989.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Home for 8 Service Users with Learning Disabilities Date of last inspection 27th April 2005 Brief Description of the Service: 31 Woodhouse Road provides long-term personal care and accommodation for 8 adults who have a learning disability. The home is located near Mansfield town centre and is close to shops, pubs, the post office and other amenities. The premises consist of a large end of terrace house. Bedrooms are single with no en-suite facilities and are located on the second and third floors. The premises are not accessible to full-time wheelchair users. There is a goodsized enclosed garden and greenhouse. Woodhouse Road Care Home DS0000008769.V255989.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and conducted by one inspector during two mornings. On the first morning only the manager and one member of staff were on the premises for half an hour. Therefore, the inspection was resumed at a later unannounced date and time. On this occasion four of the current seven service users were at home and one support staff and the manager were present. There was one current vacancy. Some service users and staff gave their views about the care provided, but no visitors were present on the day of this inspection. The communal areas on the ground floor of the home were inspected and the grounds were seen. 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. Woodhouse Road Care Home DS0000008769.V255989.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 Woodhouse Road Care Home DS0000008769.V255989.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): These standards were not assessed on this occasion. EVIDENCE: Woodhouse Road Care Home DS0000008769.V255989.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 Individual plans are comprehensive, reflecting needs and wishes, but some need updating. Service users are encouraged to make their own decisions. Risks are assessed and independence is encouraged with support given where needed. EVIDENCE: There was an individual plan for each service user. Each plan was detailed, providing good information for staff. Some updating was required to reflect information stated elsewhere on one file regarding day centre attendance, but overall there was evidence of appropriate reviewing of plans. Service users themselves had been involved in drawing up the plans and had signed in agreement. There was evidence in these plans and from minutes of house meetings that service users made their own decisions about their lives. Relevant risk assessments were included in individual plans Woodhouse Road Care Home DS0000008769.V255989.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): 17 Service users take part in appropriate activities. A healthy diet is provided. Service users choose their meals and take part in preparing their own food. EVIDENCE: From discussions with service users and staff and from information in the support plans, it is clear all service users attended day centres or college on a part time basis. Other activities were available within the home including use of a computer. All service users enjoyed a recent trip to Blackpool to see the lights and one service user spoke of plans for a trip to Holland in 2006. Meals were planned in house meetings and their was a rota for service users to assist with meal preparation and other kitchen tasks. Menus showed a variety of healthy balanced meals and fruit was available. Woodhouse Road Care Home DS0000008769.V255989.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): 18 and 21 Service users are encouraged to make their needs and preferences known regarding their care. EVIDENCE: The individual plans seen were comprehensive in detailing the personal support preferred and required. Service users were satisfied with the support they received. One staff member had been made responsible for obtaining individual wishes regarding ageing illness and death. Service users and or their relatives had stated their wishes and these were recorded clearly. Woodhouse Road Care Home DS0000008769.V255989.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 Policies, procedures and staff training are in place to protect service users from abuse. EVIDENCE: There was an amended copy of the Nottinghamshire Committee for the Protection of Vulnerable Adults policy and procedures. The training programme for staff included awareness of adult protection and whistle blowing policies with “Protect me from Abuse”. Woodhouse Road Care Home DS0000008769.V255989.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, 29 and 30 The home is suited to its purpose, provided service users do not have any mobility needs. Individuals are assessed for the provision of equipment. The home is kept clean throughout. EVIDENCE: Some current service users need help to manage the external steps and internal stairs. Two service users have been assessed by an occupational therapist regarding rails. There was no lift. Shared spaces were comfortably furnished. The lounge, dining room and conservatory provided service users with a choice of shared spaces and these were found clean, comfortable, and well maintained. Since the last inspection the garden had been tidied and work had begun to develop the area around the greenhouse. Some specialist equipment was in place and a wheelchair was being provided for one service user for outside use only. Another service user was assisted to attend a hydrotherapy pool and a speech and language therapist was also involved. Training was planned for staff in the use of Makaton signs and symbols. Appropriate pictorial representations are used on notices around the premises. All areas were found very clean and the laundry was small, but functional and organised. Woodhouse Road Care Home DS0000008769.V255989.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): 32, 33 and 34 Staff are being supported to gain recognised qualifications. Staffing levels meet current needs, but a gap in the late evening could potentially put service users and staff at risk. Protection is given by a robust recruitment procedure. EVIDENCE: Staff on duty were observed interacting well with service users. Staff are encouraged to undertake National Vocational Qualification training in care. Less than 50 have attained level 2, but one is currently doing level 3 and two are doing level 2. Some staff were due to commence this training, but had some concerns that need to be addressed by the manager. All sstaff had undertaken induction training and four had commenced Foundation training with Mencap. The staffing rota showed that there were at least two staff on duty to support service users most of the time, but day staff finished at 9.30 to 10.00 pm and waking night staff commenced at 11.00pm. This left just the one sleeping staff member on duty for at least an hour in the late evening. The manager had assessed the risks involved and had a contingency plan in place for other staff to be called if there was a problem. However, risks would be further reduced if the day staff always worked to 10.00pm and waking night staff commenced at 10.00pm. This change is strongly recommended in order to demonstrate that sufficient staff are provided to meet service users’ needs at all times. During the night one there was one staff member asleep and one awake. There was evidence of continued need for someone to remain awake during the night as records showed that at least two service users had required Woodhouse Road Care Home DS0000008769.V255989.R01.S.doc Version 5.0 Page 14 support during the night within the last week. There were other short periods of time during the day when only one staff member was on the premises, but most or all service users were out at day services or being supported by staff in the community at those times. Mencap’s recruitment policy and practices were followed and Criminal Record Bureau checks had been completed for all staff and appropriate references had been received prior to employment. Woodhouse Road Care Home DS0000008769.V255989.R01.S.doc Version 5.0 Page 15 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 and 42 The home is run by a competent manager. Service users’ views are encouraged and valued. Health and safety is promoted within the environment. EVIDENCE: The manager is registered with the Commission and is currently undertaking the Registered Managers Award. All service users attended regular house meetings with staff on duty and previous minutes of meetings were available in an appropriate format. These minutes demonstrated that all service users are encouraged to give their views. Staff were trained in safe working practices and appropriate fire safety equipment and procedures were in place. Also fire exit doors were alarmed. There are various safety notices around the building with appropriate pictures. Openings of all windows have been restricted for safety and security. Woodhouse Road Care Home DS0000008769.V255989.R01.S.doc Version 5.0 Page 16 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 X X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 2 3 X X CONDUCT AND MANAGEMENT OF THE HOME 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Woodhouse Road Care Home Score 3 X X 3 Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 3 X DS0000008769.V255989.R01.S.doc Version 5.0 Page 17 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(2) Requirement Ensure a system is in place to keep all individual plans updated whenever changes occur. Timescale for action 20/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA33 Good Practice Recommendations Arrange for waking night staff to commence at 10.00pm to ensure there are always sufficient staff to meet the needs of service users. Woodhouse Road Care Home DS0000008769.V255989.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Woodhouse Road Care Home DS0000008769.V255989.R01.S.doc Version 5.0 Page 19 - 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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