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Inspection on 11/10/05 for Woodland House

Also see our care home review for Woodland House for more information

This inspection was carried out on 11th 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 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

The home has a friendly and homely atmosphere. The care plans detail how the needs of the service users are going to be met. Service users healthcare needs are being met. The staff have formed good relationships with the service users and spend a great deal of time in each other`s company. Both service users and staff appear to enjoy their time together. Service users are living in a secure and relaxed home with people that they like.

What has improved since the last inspection?

Risk assessments show that they have been reviewed with staff signing them to say that they have read and agree to follow the decisions made. Staff training is on going with the staff team taking part in the training offered enabling them to meet the needs of service users. Service users are given the opportunity to experience new leisure activities.

What the care home could do better:

New members of staff must be registered to do the Learning Disability Award Framework (LDAF) training.The manager must complete NVQ Level 4 in management and care.

CARE HOME ADULTS 18-65 Woodland House 22 Woodland Road Northfield Birmingham West Midlands B31 2HS Lead Inspector Brian Reamsbottom Unannounced Inspection 11th October 2005 10:15 Woodland House DS0000017003.V257803.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 Woodland House DS0000017003.V257803.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. Woodland House DS0000017003.V257803.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Woodland House Address 22 Woodland Road Northfield Birmingham West Midlands B31 2HS 0121 243 9349 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) Mr Brendan Freeman Mr Brendan Freeman Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Woodland House DS0000017003.V257803.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents must be aged under 65 years Date of last inspection 1st March 2005 Brief Description of the Service: Woodland House is a three-storey semi detached property situated within a quiet street in Northfield, Birmingham. The home is close to transport links to the city centre, shops, pubs, cafes and places of worship. The home provides care for six younger adults of both sexes who have learning disabilities. All service users living at the home have independent living skills and this is encouraged by staff and is reflected in the flexible way the home is run. The communal areas of the home are spacious and include a large garden, which is well used for such activities as football and barbeques. The service users bedroom are located on all floors of the property, two bedrooms have en suite facilities. A large games room is situated on the second floor. The home does not provide a vehicle for service users, senior staff use their own vehicles; taxis and public transport are also utilised. There is no off road parking available. Woodland House DS0000017003.V257803.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection team included an Expert by Experience (exbyex) who assisted with the inspection and has conributed to this report. The home was inspected unannounced from 10.15 13.00 The documentation inspected included the following: Care plans, risk assessments, fire records, medication records, health and safety records, accident book, daily records, complaints and adult protection records, staff personal files and staff training records. Three service users and two members of staff were spoken with. What the service does well: What has improved since the last inspection? What they could do better: New members of staff must be registered to do the Learning Disability Award Framework (LDAF) training. Woodland House DS0000017003.V257803.R01.S.doc Version 5.0 Page 6 The manager must complete NVQ Level 4 in management and care. 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. Woodland House DS0000017003.V257803.R01.S.doc Version 5.0 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 Woodland House DS0000017003.V257803.R01.S.doc Version 5.0 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): 1 and 2 The home has information available to enable prospective service users make an informed decision about living in the home. EVIDENCE: The home has a Statement of Purpose and Service User Guide. Service users’ have helped in the formulation and content of the guide. There have been no new admissions for in the last twelve months. The personal files inspected contained full assessments that included the views of service users. Woodland House DS0000017003.V257803.R01.S.doc Version 5.0 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 7 and 9 Care planning and risk assessment practices meet the needs of the service users living in the home. EVIDENCE: The new format for care plans that have been introduced continues to be developed. The care plans of two service users’ inspected were clearly written and in sufficient detail reflecting the needs and wishes of service users’. By observation and on reading care plans service users exercise their right to make decisions in their lives. The staff were very responsive to decisions made by service users, on the day of inspection. Each service user has a risk assessment, they were relevant and up to date. Woodland House DS0000017003.V257803.R01.S.doc Version 5.0 Page 10 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): 13 14 15 16 and 17 Service users have access to a range of opportunities to afford them a meaningful lifestyle. Dietary needs of service users are catered for with a balanced and varied selection of food available that meets service users tastes and choices. EVIDENCE: Service users’ are very much part of the local community. They come and go as they wish. One service user travels independently others go out with assistance from the staff group. Shopping is done weekly and on a daily basis. Service users’ and staff shop together. On the day of inspection a service user wanted some strawberries. The manager went off to the shop to get some. One service user wanted to go to ‘MacDonalds’ for lunch and this she did with assistance. It was good to see the flexibility and positive responses to the needs and wishes of service users. Service users’ are encouraged to maintain links with family and friends. One service user told the inspection team that he visits old college friends. Woodland House DS0000017003.V257803.R01.S.doc Version 5.0 Page 11 Two of the service users’ said, “That they have lots of friends.” Service users’ visit their families. A member of staff said,” That they work closely with the parent’s of a service user as this is his wish.” On the day of inspection a friend of a service user visited. He received a warm welcome from all in the home. Service users have access to their own money and spend it as they wish. Service users’ go on holiday each year. This year they chose to go to Wales. They told the inspection team that they enjoyed it very much. The manager told the inspection team that it was the practice that service users’ had two holidays a year. However, since inspections have been done by the CSCI they have been unable to have a second holiday due to the amount of paperwork. It was very disappointing to hear this. The food on offer is the choice of service users’. One service user wanted to prepare his lunch. He was encouraged to do this. Something must be done to address the balance enabling service users’ to have a second holiday. Woodland House DS0000017003.V257803.R01.S.doc Version 5.0 Page 12 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 and 20 The medication management is good ensuring service users receive medication as prescribed. Systems are in place to ensure that service users receive the care they need. EVIDENCE: The medication management is good ensuring service users receive medication as prescribed. Systems are in place to ensure that service users receive the care they need. The care plans clearly show how service users personal care is to be given. Service users health care needs are attended to, and records of appointments and outcomes are maintained in service users files. The medication system used in the home meets the Health and Safety needs of the service users. A Monitored Dosage System (MDS) has been put in place. The provider of the MDS visits and makes checks on the medication and offers advice. The staff team have completed their accredited medication training. Woodland House DS0000017003.V257803.R01.S.doc Version 5.0 Page 13 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 and 23 The complaints and adult protection procedures available ensure that service users are protected from harm. EVIDENCE: There have been no complaints received at the home or the CSCI since the last inspection. Service users’ have the necessary information on how and to who they can complain to. Service users’ told the inspection team that they can freely talk to the staff team if they have any concerns. The home makes use of Birmingham’s Multi-Agency Guidelines for the Protection of Vulnerable Adults. All staff have received training in adult protection and the management of challenging behaviour. Woodland House DS0000017003.V257803.R01.S.doc Version 5.0 Page 14 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 and 30 The home was clean, warm and fit for its purpose and generally provides service users with a safe, homely and comfortable environment EVIDENCE: The lounge was warm comfortable and well decorated. The inspection team made a tour of the home, and were pleaseded with the three communal areas, a lounge, dining room and games room. He said,” It is good to see alternative activities available to people within their own home rather than just a TV.” Friends are made welcome to take part in snooker and darts in the games room. Service users commented that, “ They love living in the home.” The home was free from offensive odours at this inspection. Woodland House DS0000017003.V257803.R01.S.doc Version 5.0 Page 15 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 34 and 35 The homes recruitment procedure is robust and ensures service users are protected from harm. Staff have received training to enable them meet service users needs. EVIDENCE: Staffing records were inspected all the information and documentation required by Schedule 2 of the Regulations are on the individual files. Service users told the inspection team that they are asked if they wished to be involved on interviewing prospective staff. This is good practice and is commended. The manager said, “That he does not use agency staff.” The staff group have received induction training and have done statutory training. The staff team have completed NVQ Level 2 and 3, which is positive. The inspector discussed the Learning Disability Award Framework (LDAF) training for new members. The deputy manager is looking into this training. Woodland House DS0000017003.V257803.R01.S.doc Version 5.0 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 and 42 The home is well managed to promote the health and safety of service users. EVIDENCE: The manager is in the process of completing the NVQ Level 4 in both management and care. He has several years experience in managing a home for people with a learning disability. The home has a range of policies, procedures and systems in place to comply with the requirements of Health and Safety legislation. Risk assessments are in place for the premises, fire, food, hygiene and service users. Woodland House DS0000017003.V257803.R01.S.doc Version 5.0 Page 17 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 3 x x x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 LIFESTYLES Standard No Score 11 x 12 x 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x 3 x 3 2 x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Woodland House Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 x x x x 3 x DS0000017003.V257803.R01.S.doc Version 5.0 Page 18 yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA35 Regulation 18.(1)(a) Requirement Timescale for action 31/03/06 2 YA37 New members of staff must be registered to undertake Learning Disability Award Framework (LDAF) 9.(2)(b)(i) The manager must complete NVQ level 4 in management and care. 31/03/06 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 Woodland House DS0000017003.V257803.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Woodland House DS0000017003.V257803.R01.S.doc Version 5.0 Page 20 - 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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