Inspection on 29/06/05 for Woodlands

This inspection was carried out on 29th June 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.

Other inspections for this house

Woodlands 02/03/09

Woodlands 04/09/07

Woodlands 23/08/06

Woodlands 06/01/06

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 WF4 2DB Lead Inspector Pat Pedley Unannounced 29 June 2005 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 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 Stationary 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 J51J01_s60840_Wooldands_v235964_290605.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Woodlands Address 7 Nostell Lane Ryhill Wakefield WF4 2DB 01226 722652 01226 722652 Telephone number Fax number Email 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 19 PLACES Category(ies) of YOUNGER ADULTS AGE 18-65 registration, with number of places WOODLANDS J51J01_s60840_Wooldands_v235964_290605.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 21 January 2005 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 home’s 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. The 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 service users a degree of independence whilst being supported from the main house. Most service users attend the homes day workshop, which is within a very short walking distance from Woodlands. Other service users enjoy other activities including paid work in the home, voluntary work, attend college or the local Adult Training Centre. WOODLANDS J51J01_s60840_Wooldands_v235964_290605.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During this unannounced 5 hour inspection the inspector spoke with 6 residents, examined records, spoke with the manager and staff and looked around the home. Other residents were out in Holmfirth for the day. It was pleasing to hear many positive comments from residents and staff and the general outcome from the inspection was of a happy and inclusive home. The inspector would like to take the opportunity to thank the residents, manager and support workers for their hospitality and patient cooperation during the inspection. During the inspection, the following documents were inspected, care plans, risk assessments, health and safety records, menus, staff and medication records. What the service does well: What has improved since the last inspection? There were no requirements or recommendations arising from the last inspection. The manager continues to keep abreast of current thinking in learning disability services so that staff are informed and residents are continually supported to have a fulfilling lifestyle. WOODLANDS J51J01_s60840_Wooldands_v235964_290605.doc Version 1.40 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 J51J01_s60840_Wooldands_v235964_290605.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection WOODLANDS J51J01_s60840_Wooldands_v235964_290605.doc Version 1.40 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 standard(s) 1 &2 The homes provides good information to service users and others through the provision of a satisfactory Service User Guide and Statement of Purpose EVIDENCE: The Statement of Purpose and Service User Guide were examined and found to contain the information required by regulation. It was pleasing to see the comments from residents and photos of staff, which were included in the Service User Guide. The inspector spoke with one new resident who had been admitted to the home in an emergency and a subsequent variation of registration has been agreed by the Commission since he is over 65 years of age. The manager said that a full care management assessment was not available from the funding authority but that she was aware that this should normally be received prior to admission. The manager said that a full care review was to take place the week following the inspection and that she would forward a copy to the Commission. The resident concerned said that he has been living in supported living accommodation and was enjoying his stay. WOODLANDS J51J01_s60840_Wooldands_v235964_290605.doc Version 1.40 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 standard(s) 6, 7, 8 & 9 Care plans for permanent service users are of a good standard. Risk assessments for all service users provide clear and concise information about how risks will be minimised. Care plans are subject to regular review to which appropriate individuals are invited. Care plans are needed for residents who receive a respite service so that staff are made fully aware of individual needs. Residents appear to be fully encouraged to be as independent as possible within their personal limitations and personal preferences. Residents are fully included in the decision- making processes of the home. EVIDENCE: A number of care plans were examined and found to contain some excellent information demonstrating that the manager and other staff have gathered excellent knowledge of the individual’s needs. Those seen contained detailed information of the resident’s preferences and choices and gave a good indication of how care needs should be met by staff. WOODLANDS J51J01_s60840_Wooldands_v235964_290605.doc Version 1.40 Page 10 Good and detailed risk assessments were in place in each of the files examined. Whilst examining care plans, it was noted that care plans were not available for service users who receive respite care although detailed risk assessments were in place. The manager said that she relied on that detailed risk assessment and the care plan and assessment sent by the community team to provide sufficient information about those who receive respite care. Discussion took place with the manager regarding the need to prepare care plans for each resident who uses the service including those receiving respite care. The manager and other staff who spoke with the inspector said that residents were encouraged to be as independent as possible and this was conformed through chatting with residents. Residents said they go out on the local bus and one resident said that she helps around the home for which she gets paid. The minutes of resident’s meetings were seen and records showed that residents were fully included and informed about any change needed and were consulted about daily life experiences in the home. Evidence was seen in their review notes that they were fully included in discussions about their care, including taking part in regular reviews. These notes showed that all aspects of daily living are taken into account. WOODLANDS J51J01_s60840_Wooldands_v235964_290605.doc Version 1.40 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 standard(s) 11, 12, 13, 14, 16 & 17 Satisfactory arrangements are made for residents to participate in a variety of activities both in the home, the homes workshop and in the community based on social, educational and vocational opportunities and in accordance with the wishes and aspirations of residents. Service users are provided with meals of their choosing and supported to follow a healthy diet. EVIDENCE: At the time of inspection, most residents had gone out on public transport to visit Holmfirth for the day, as there was little work to be carried out in the homes workshop. Staff and residents said they had been earlier in the week to visit a local school to watch their sports day and said that they had enjoyed watching the children have fun. One resident said that she was working the kitchen and that the home pays her for carrying out the work. Other residents were enjoying watching television. One resident said that she was looking forward to going away on WOODLANDS J51J01_s60840_Wooldands_v235964_290605.doc Version 1.40 Page 12 holiday later in the year and said that she was going on a cruise and to stay in a villa in America with four other residents. The manager said two other residents had been away to America earlier the year. In the minutes of the residents meeting it was found that other residents had requested a day trip to London. The manager said that she had arranged this on their behalf. The manager said that she had contacted the Mencap Pathways to Employment Scheme to see if they could provide support to two service users who wished to find employment. Mencap had agreed support and the two service users were due to start with the scheme within the next few weeks. The manager said that a couple of service users have recently finished college courses and an English workshop takes place one evening a week in the care home. Residents said that the meals were very good. The kitchen was visited whilst one of the staff was cooking tea. He was preparing an evening meal of pasty, chips and beans and home made fruit pancakes and said that other choices can be provided upon request. He said that he liked working at the home. Records showed that the Environmental Health Officer had visited recently and was very pleased with the home’s continuing efforts in maintaining a good standard of cleanliness and record keeping in the kitchen. The kitchen records seen at the inspection were found to be up-to-date. WOODLANDS J51J01_s60840_Wooldands_v235964_290605.doc Version 1.40 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 standard(s) 18, 19 & 20 The home has good procedures, which support staff in meeting the identified personal and healthcare needs of residents. EVIDENCE: The manager was shopping with a service user when the inspector arrived at the home to assist her to buy new clothes for a holiday. The manager was seen speaking with this resident in her native language. Those care plans seen provided good examples of how individual needs in respect of personal care, social, healthcare and emotional needs are to be met by staff. An examination of the medication records showed these to be satisfactory. The storage cupboard was well organised and clean and evidence was seen that residents continue to use homeopathic medicines and records are kept on their administration. The manager said that she is currently undertaking a course on Medication Management for Care Homes. WOODLANDS J51J01_s60840_Wooldands_v235964_290605.doc Version 1.40 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 standard(s) 22 & 23 The systems and procedures operated by the home, and the work of the staff ensure that service users feel their views are listened to and acted on. EVIDENCE: The manager said that the home has received no complaints since the last inspection. The complaints procedure is included in the homes Statement of Purpose and Service User Guide. Residents said they could tell staff if they had a complaint and said it would get seen to by them. Policies are in place regarding adult protection. Discussion took place regarding how resident’s finances were attended to and evidence was seen that residents are supported to have a personal banking account and receipts kept of incomings and outgoings from their account. WOODLANDS J51J01_s60840_Wooldands_v235964_290605.doc Version 1.40 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 standard(s) 24, 25, 27, 28 & 30. There are appropriate procedures for ensuring that the home is safe, homely and comfortable for residents use. EVIDENCE: The manager said that no major changes had taken place since the last inspection although some areas of the home had been painted and some new headboards purchased. Most areas of the home were visited including lounges, kitchen, dining room, bedrooms and bathrooms and toilets. One support worker said that he was replacing the tiles in one shower room whilst residents were out as he takes responsibility for ensuring the maintenance of the home with a colleague. Those areas visited were homely, clean and comfortable and bedrooms had many personal belongings chosen by residents in them. One resident was moving into the homes bungalow and the support worker was seen to be removing pictures from her previous bedroom to her new home. The residents said that she was very happy to be moving into the bungalow where she can be more independent. Other residents said that they like living in a nice home. WOODLANDS J51J01_s60840_Wooldands_v235964_290605.doc Version 1.40 Page 16 The manager showed the inspector the homes new summer house and vegetable garden. She said that residents have helped to dig out the garden and plant vegetables. The garden looked beautifully kept upon arrival to the home. The manager said that staff are currently undertaking training for infection control. WOODLANDS J51J01_s60840_Wooldands_v235964_290605.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34 & 35 There was good evidence that the home has good policies and procedures for the recruiting of staff, which in turn serves to protect the interests and wellbeing of residents living in the home. Residents benefit from a trained, well supported and supervised staff. EVIDENCE: Three staff files were examined and each contained the records required by Regulation. The manager said that she had sent for the CRB check of a new applicant who was due to start working for the home. Staff training records showed that staff receive a thorough induction and most staff have either completed or are enrolled on NVQ training. Records also show that staff receive mandatory training, which is up to date. The manager said that 2 staff have completed NVQ Level 3 in Promoting Independence and I is completing this. Two staff are undertaking NVQ Level 2. Staff who spoke with the inspector were positive in outlook and said they received good opportunities for supervision, support and training. They said that they enjoyed their work with residents. WOODLANDS J51J01_s60840_Wooldands_v235964_290605.doc Version 1.40 Page 18 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39, 42, 43 The home is well managed by a competent and well trained manager. There are good processes to consult with residents about life in the home. The health and welfare of the service users and staff is protected by the health and safety policies and procedures used in the home. A copy of the gas safety certificate needs to be forwarded to the Commission. EVIDENCE: The manager said that she has completed the Registered Managers Award and that she keeps up-to-date with her own personal training. She said that she has recently attended some mandatory training courses such as moving and handling. The findings from the quality questionnaires was shown to the inspector and provided evidence of many positive comments given by residents about the quality of life in the home and the general satisfaction about the care provided. Most service users were very satisfied by the care provided. Those sent to families were also seen and comments included that they were “pleased with WOODLANDS J51J01_s60840_Wooldands_v235964_290605.doc Version 1.40 Page 19 the quality of care, there was lovely feel to the home and the social activity programme was excellent”. A questionnaire was found to be given to residents upon admission to the home and one resident had commented that they felt listened to when they were upset when they first moved into the home. The fire records were examined and found to be slightly out of date. However, the company responsible for maintaining fire equipment arrived during the inspection to ensure fire safety in the home. It was found that the Fire Officer visited in October 2004 and that all of his recommendations had been achieved. The records seen for the regular testing of fire alarms and emergency lighting were found to be satisfactory. A fire risk assessment was seen. The certificate for the testing of portable appliances was seen to be in date. The last record seen for the Landlord Gas Safety Certificate was January 2004. The manager was asked to forward a new copy of the current certificate to the Commission. The homes business plan was seen. The manager said that some residents have changing needs as they are getting older therefore staff have requested practical training for moving and handling as they have only needed this in theory in the past. She is arranging this training for them. WOODLANDS J51J01_s60840_Wooldands_v235964_290605.doc Version 1.40 Page 20 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 1 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 1 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x 3 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 x 3 3 Standard No 31 32 33 34 35 36 Score x x 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 WOODLANDS Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x 3 3 J51J01_s60840_Wooldands_v235964_290605.doc Version 1.40 Page 21 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. 2. Standard YA6 Regulation 15(1) Requirement Care plans must be prepared for residents using the home for respite care Timescale for action 30 October 2005 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 YA42 Good Practice Recommendations A copy of the current gas safety certificate should be forwarded to the Commission. 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