Inspection on 23/08/06 for Woodlands

This inspection was carried out on 23rd August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Woodlands 02/03/09

Woodlands 04/09/07

Woodlands 06/01/06

Woodlands 29/06/05

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

Pennine Camphill

Muston Road (70)

Grayling

The Cornerstone

John Street Nursing Home

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

CARE HOME ADULTS 18-65 Woodlands 7 Nostell Lane Ryhill Wakefield West Yorks WF4 2DB Lead Inspector Gillian Walsh Key Unannounced Inspection 23rd August 2006 10:00 Woodlands DS0000060840.V299051.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 Woodlands DS0000060840.V299051.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 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. Woodlands DS0000060840.V299051.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodlands Address 7 Nostell Lane Ryhill Wakefield West Yorks WF4 2DB 01226 722652 01226 722652 woodlands.residentialhome@virgin.net 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) Woodlands Residential Homes Ltd Mrs Lisa Thorn Care Home 19 Category(ies) of Learning disability (19) registration, with number of places Woodlands DS0000060840.V299051.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Can provide accommodation and care for three named service users over 65 years who have a learning disability - category LD(E) 6th January 2006 Date of last inspection Brief Description of the Service: Woodlands Residential Home is registered to provide care for 19 adults under 65 years with a learning disability, with a variation to provide care for three adults with a learning disability who are over the age of 65 years. The homes registration consists of one main house offering 16 places including four shared rooms and the remainder of bedrooms provide single accommodation and a bungalow with three single rooms. Woodlands is situated close to the centre of Ryhill where there are shops, pubs, clubs, churches and a small library. The home is set back from the main road within a walled garden with lovely views over Wintersett Nature Reserve. Woodlands provides very comfortable and characterful accommodation, particularly in the communal areas which are furnished in keeping with the age and style of the property. The bungalow accommodation is also comfortably accommodated and offers residents a degree of independence whilst being supported from the main house. Most residents attend the home’s day workshop which is within a very short walking distance from Woodlands. Others enjoy other activities including paid work in the home, voluntary work, attend college or the local Adult Training Centre. The home’s manager said on 23rd August 2006 that the current fees for the home range from £373 to £600.50. Extra charges are made for hairdressing, newspapers, homeopathy, trips out and other incidentals. Information about the home is made available to potential and current residents through the Statement of Purpose and Service User Guide, both available on request at the home. Woodlands DS0000060840.V299051.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the home on 23rd August 2006 starting at 10am and finishing at 3pm. Time was spent speaking with the manager and owners, staff and residents, taking a look around the home and reviewing documentation. As part of the inspection process, satisfaction surveys were sent out to 8 residents with all 8 returned, 8 next of kin with 7 returned, 2 General Practitioners with 1 returned and 5 Social Workers with 4 returned. None of the residents or next of kin chose to make comments within the surveys but all gave a positive response in completing the tick boxes. One GP commented that it is a good home and a social worker commented that they were very satisfied with the home. The inspector would like to thank all of the residents and staff for their hospitality and assistance during the visit. What the service does well: What has improved since the last inspection? This was the first visit made to the home by this inspector. Only one requirement had been made in the previous report and this had been met. No recommendations had been made. Woodlands DS0000060840.V299051.R01.S.doc Version 5.2 Page 6 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. Woodlands DS0000060840.V299051.R01.S.doc Version 5.2 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 Woodlands DS0000060840.V299051.R01.S.doc Version 5.2 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 systems operated at the home make sure that people only move into the home once assurances have been given that their assessed needs can be appropriately met. Quality in this outcome area is good. This judgement has been made from evidence gathered during the visit to this service. EVIDENCE: Only two people have recently become permanent residents and both had received regular respite care at the home prior to their admissions. It was therefore not necessary for a full pre-admission assessment to be carried out for these people. The manager said that she does have a comprehensive preadmission assessment form for all people new to the service. Woodlands DS0000060840.V299051.R01.S.doc Version 5.2 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 plans are in place to ensure that staff have an understanding of residents’ needs, abilities, personal preferences and ability to take risks as part of the promotion of independent lifestyles. Quality in this outcome area is good. This judgement has been made from evidence gathered during the visit to this service. EVIDENCE: All of the residents’ files seen contained a very comprehensive description of the individual, their needs and how these needs should be met. The plan takes a holistic approach to care including such areas as diet, behaviour, independence, leisure, communication and physical needs. Residents, wherever possible, take part in the development and review of their care plan. Decisions made by residents about their lives and personal choices and preferences are all clearly documented within the care plan. Some discussion took place with the manager as the care plan is currently called a “care plan review” and therefore, to avoid confusion, the manager is to rename the document as the “care plan” and insert a page to record the dates of reviews. One of the care plans seen had recently been completely reviewed Woodlands DS0000060840.V299051.R01.S.doc Version 5.2 Page 10 to account for the resident’s changes in need and abilities due to the deterioration of a physical illness. All of the files seen contained risk assessments covering any area of potential risk the resident may encounter in living as independent a lifestyle as possible. Surveys completed by relatives indicated that they are consulted, where appropriate, in the care of their relative. Woodlands DS0000060840.V299051.R01.S.doc Version 5.2 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): 12,13,15,16 and 17. Arrangements are made for residents to participate fully in activities of their choice in the home, with their families and in the local community and to enjoy special holidays. Service users are provided with, and help to prepare, meals of their choosing and are supported to follow a healthy diet. Quality in this outcome area is good. This judgement has been made from evidence gathered during the visit to this service. EVIDENCE: At the time of the visit, several residents were working at the home’s workshop which is situated a short walk away. Another group of residents were visiting the mother of a resident who had died. The reason for this visit was to deliver to the mother the first crop of apples from the tree planted in memory of the late resident. Woodlands DS0000060840.V299051.R01.S.doc Version 5.2 Page 12 Other residents have small domestic jobs within the home for which they are paid a small wage. Leisure activities are planned according to residents’ choice every evening. This is known as “Happy Hour” and involves activities such as quizzes and karaoke sessions. The proprietor showed the inspector samples of soft furnishings that residents were busy making for Christmas presents for their family and friends. It was noticed that one resident had held a “passport for leisure” and that another is a member of a local slimming club. Where appropriate, families are involved in the lives of residents and are seen as part of the home. One resident said that they were looking forward to spending the weekend with their family. Photographs within the home show residents and staff enjoying holidays in Florida and on Caribbean cruises. More are planned for later in the year. The manager explained that residents have chosen to have a very special holiday every other year rather than smaller holidays every year. Promotion of independence within the home is evident from documentation and from observing interactions between staff and residents within the home. Residents said that they enjoyed the meals and the home and several people assist in the preparation of meals. One of the resident’s files seen contained their basic food and hygiene certificate. The menu indicated that residents take it in turns to choose the evening meal and a snack meal or packed lunches for those going to the workshop are prepared for the lunchtime meal. Alternatives are available at all mealtimes for those who do not fancy the meal on the menu. Information about the dietary needs of residents is included in the care plan and, for the two people with specific needs, further information and directions are in the kitchen. Surveys completed by residents indicated that they are happy with the opportunities for leisure and activities at the home. Woodlands DS0000060840.V299051.R01.S.doc Version 5.2 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 and 20. Residents are appropriately supported to ensure that their healthcare needs are met. Quality in this outcome area is good. This judgement has been made from evidence gathered before and during the visit to this service. EVIDENCE: From speaking with staff, residents and reviewing documentation it is evident that residents are provided with sensitive and appropriate support to meet their individual needs and preferences. Healthcare needs are met using local GP, district nurses, dental and other healthcare services. This is complemented by the regular interventions of a homeopath who, with the consent of the resident and the GP, delivers complementary therapies where appropriate. Systems for dealing with medications were checked and found to be appropriate. Surveys completed by residents, care managers and a GP indicated that they are happy with the care at the home. One GP commented “This is a good home”. Woodlands DS0000060840.V299051.R01.S.doc Version 5.2 Page 14 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. Good systems are in place for dealing with complaints and for ensuring that residents are protected from abuse. Quality in this outcome area is good. This judgement has been made from evidence gathered during the visit to this service. EVIDENCE: The manager said that no complaints have been received since the last inspection. The record of the last complaint made and the subsequent outcome demonstrated that this had been dealt with appropriately. The manager said that a comments book is available for residents who may wish to express a more minor concern such as not liking a meal. Training records are available to show that staff have received training in Adult abuse and protection and others have also received the training via Wakefield Metropolitan District Council regarding their policies and procedures for dealing with abuse and protection. The home has a copy of the Local Authority’s procedures and all staff have a pamphlet containing the necessary details. Surveys completed by relatives indicated that they are aware of the home’s complaints procedure. Woodlands DS0000060840.V299051.R01.S.doc Version 5.2 Page 15 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 is safe, clean and well maintained and provides a very pleasant and comfortable environment for residents. Quality in this outcome area is good. This judgement has been made from evidence gathered before and during the visit to this service. EVIDENCE: The home was found to be well maintained, clean, comfortable and very tastefully decorated and furnished in keeping with the style of the house. The bungalow was not seen at this visit. One resident who needs bed rest has been supplied with a hospital bed and air mattress. One person showed the inspector the bedroom they shared with a fellow resident. The room was nicely furnished and decorated and contained a number of personal knick-knacks and photographs. The manager explained that the home does not employ separate domestic staff but all residents are encouraged and supported by care staff, where possible, to keep their rooms clean and tidy. Some residents are employed by the home and are paid a small wage to assist with domestic chores within the home. The Woodlands DS0000060840.V299051.R01.S.doc Version 5.2 Page 16 manager said that for heavy-duty jobs, such as carpet cleaning, contractors are engaged. There is a schedule of maintenance and health and safety checks which was seen and found to be up to date. A handy man is employed to ensure the general upkeep of the home. Surveys completed by residents and relatives indicated that they are happy with the environment. Woodlands DS0000060840.V299051.R01.S.doc Version 5.2 Page 17 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. There are good processes for the recruitment and selection of new staff which suitably safeguards residents in the home. There are effective arrangements for the induction, training and supervision of staff to equip them with the skills needed to meet residents’ individual needs. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. EVIDENCE: A selection of staff files were seen. Evidence was seen in most recently appointed staff’s files that they have been checked in accordance with regulations. New staff have been fully inducted and have received awareness training through video training for mandatory courses. The manager is planning to back this up through further training as courses become available. One of the staff files seen had two references but one was from a friend and the other was from a senior carer in their previous place of employment. It was discussed with the manager that references should be obtained, wherever possible, from the applicant’s previous manager as they may have a better knowledge of the applicant’s work record. Woodlands DS0000060840.V299051.R01.S.doc Version 5.2 Page 18 The manager said that she was currently looking into the possibility of training a member of staff to become an accredited trainer for moving and handling within the home. Fire training records for one member of staff indicated that the person was not up to date with their fire training. The manager felt that this may have been an oversight in that the training had taken place but not documented. The manager said that she held regular supervision sessions with staff but also encouraged them to discuss issues with her as they arose rather than saving them for supervision. Records show that new staff have received regular supervision. Surveys completed by residents and relatives indicated that they are happy with the staff at the home. Woodlands DS0000060840.V299051.R01.S.doc Version 5.2 Page 19 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 managed well. There are good processes to consult with residents about life in the home. Residents and staff are protected adequately by the health and safety policies and procedures used in the home. EVIDENCE: The registered manager has been at the home for many years. She is a qualified social worker and has completed the registered managers award and NVQ level 4 in care. She is also qualified as an NVQ assessor but does not use this qualification within the home. Good processes for quality monitoring are in place at the home. Residents are given pictorial comment cards to gain their views and can express their views by drawing happy/sad faces. One resident said that “It is the best home I have ever lived in”, when asked what the worst thing about living at the home was the person said, “nothing, I love it”. Woodlands DS0000060840.V299051.R01.S.doc Version 5.2 Page 20 Records and certificates relating to maintenance of the home in respect of health and safety were seen. Good processes are in place to ensure that testing of fire alarms, water temperatures etc are completed as required under health and safety requirements. Woodlands DS0000060840.V299051.R01.S.doc Version 5.2 Page 21 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 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Woodlands DS0000060840.V299051.R01.S.doc Version 5.2 Page 22 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. 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 2 Refer to Standard YA6 YA34 Good Practice Recommendations Care plans should be named as such and care plan reviews documented separately. References should be taken wherever possible from the applicants’ previous employer. Woodlands DS0000060840.V299051.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 Woodlands DS0000060840.V299051.R01.S.doc Version 5.2 Page 24 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!