Inspection on 03/08/05 for Woodlands

This inspection was carried out on 3rd August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 31/10/08

Woodlands 08/08/06

Woodlands 19/01/06

Woodlands 29/03/05

Woodlands 03/09/04

Woodlands 10/02/04

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

CARE HOME ADULTS 18-65 Woodlands 4 Gaskells End, Tokers Green, Reading Berkshire RG4 9EW Lead Inspector Catherine Kane Unannounced 03 August 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 H57-H08 S13218 Woodlands V242952 030805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Woodlands Address 4 Gaskells End, Tokers Green, Reading, Berkshire, RG4 9EW 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) 01189 724913 01189 724913 haroon@caretech-uk.com Caretech Community Services Limited Katrina Player Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Woodlands H57-H08 S13218 Woodlands V242952 030805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 29 March 2005 Brief Description of the Service: Woodlands is a three-bedroomed detached house in a quiet cul-de-sac in a small village; it is registered for three people with a learning disability, although only two residents are currently accommodated at the home. CareTech is the provider organisation and is a national company providing accommodation with personal care to people with learning disabilities. The service provides long-term, rather than respite or emergency accommodation and Woodlands has been home to the current residents for many years. The home accesses local services for both health and social activities. Woodlands H57-H08 S13218 Woodlands V242952 030805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection by a regulation manager and a regulation inspector from CSCI took place in the afternoon of Wednesday, 3 August 2005. The purpose of the visit was to examine specific records kept in the home following concerns raised relating to the protection of vulnerable people. The visit took two hours. The regulation manager and the regulation inspector spent this time with the registered manager, a CareTech area manager and a member of staff. They also met both residents and another member of staff. They also looked at records kept in the home; these included care notes, financial and medication records. The regulation manager and the regulation inspector would like to thank the residents, the registered manager and her staff for their assistance during the inspection. What the service does well: What has improved since the last inspection? From the limited areas and standards looked at during this inspection the inspector cannot make a judgement on what has improved since the last inspection at this time. Woodlands H57-H08 S13218 Woodlands V242952 030805 Stage 4.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 H57-H08 S13218 Woodlands V242952 030805 Stage 4.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 H57-H08 S13218 Woodlands V242952 030805 Stage 4.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) None The inspector has not made a judgement on these standards on this visit. The outcomes of these standards will be looked at during the next inspection. EVIDENCE: Woodlands H57-H08 S13218 Woodlands V242952 030805 Stage 4.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) None The inspector has not made a judgement on these standards on this visit. The outcomes of these standards will be looked at during the next inspection. EVIDENCE: Woodlands H57-H08 S13218 Woodlands V242952 030805 Stage 4.doc Version 1.40 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 standard(s) None The inspector has not made a judgement on these standards on this visit. The outcomes of these standards will be looked at during the next inspection. EVIDENCE: Woodlands H57-H08 S13218 Woodlands V242952 030805 Stage 4.doc Version 1.40 Page 11 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) 20 The systems for the administration of medication are poor and potentially place residents at risk. EVIDENCE: Records of medication administered to residents viewed during this inspection were seen to have errors, the use of correction fluid and handwritten entries that were unclear by whom those entries were made. It is strongly recommended that the home follow guidance issued by the Royal Pharmaceutical Society of Great Britain. Woodlands H57-H08 S13218 Woodlands V242952 030805 Stage 4.doc Version 1.40 Page 12 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) 23 Decisions made by CareTech senior management not to follow guidance from Oxfordshire Multi-Agency Codes of Practice for the Protection of Vulnerable Adults from Abuse has potentially placed residents at risk. The system used in this home for the safekeeping and accounting for residents’ personal finances is good. EVIDENCE: The systems expected of all care services operating in Oxfordshire relating to the protection of vulnerable adults are clear; these have not been followed. The responsible individual of CareTech has been asked to provide full details of how decisions were made and how residents in this home are protected from potential risk of abuse. Records of how residents’ finances are managed in this home were examined during this inspection. It was found that the system used in this home was robust and all records seen were well kept. Woodlands H57-H08 S13218 Woodlands V242952 030805 Stage 4.doc Version 1.40 Page 13 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) None The inspector has not made a judgement on these standards on this visit. The outcomes of these standards will be looked at during the next inspection. EVIDENCE: Woodlands H57-H08 S13218 Woodlands V242952 030805 Stage 4.doc Version 1.40 Page 14 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) None The inspector has not made a judgement on these standards on this visit. The outcomes of these standards will be looked at during the next inspection. EVIDENCE: Woodlands H57-H08 S13218 Woodlands V242952 030805 Stage 4.doc Version 1.40 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 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 The systems for reporting specific incidents to CSCI as expected under Care Standards legislation are poor. EVIDENCE: From records kept in the home viewed during this inspection and from discussions with a senior CareTech manager prior to this inspection it was found that two separate incidents that must be reported to CSCI without delay under the Care Homes Regulations 2001, Regulation 37 had not been made. The registered manager must comply with the Care Standards Act and relevant regulations. Woodlands H57-H08 S13218 Woodlands V242952 030805 Stage 4.doc Version 1.40 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 x x x x x Standard No 22 23 ENVIRONMENT Score x 1 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 x x x x x x x Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Woodlands Score x x 2 x Standard No 37 38 39 40 41 42 43 Score 1 x x x x x x H57-H08 S13218 Woodlands V242952 030805 Stage 4.doc Version 1.40 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 37 Regulation 37 Timescale for action The registered manager must Immediate give notice to CSCI without delay and of any incident as listed in Care henceforth Homes Regulations 2001, Regulation 37. The responsible person must Immediate ensure that the Oxfordshire and henceforth. Multi-Agency Codes of Practice for the Protection of Vulnerable Adults from Abuse are followed in this home. Requirement 2. 23 13.6 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 20 Good Practice Recommendations It is strongly recommended that the home should follow guidance issued by the Royal Pharmaceutical Society of Great Britain. Woodlands H57-H08 S13218 Woodlands V242952 030805 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection Burgner House, 4630 Kingsgate, Cascade Way, Oxford Business Park South, Cowley, Oxford. OX4 2SU 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 H57-H08 S13218 Woodlands V242952 030805 Stage 4.doc Version 1.40 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. 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