Inspection on 04/09/07 for Woodlands

This inspection was carried out on 4th September 2007.

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 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 23/08/06

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 4th September 2007 10:00 Woodlands DS0000060840.V350387.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.V350387.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.V350387.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.V350387.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Can provide accommodation and care for four named service users over 65 years who have a learning disability - category LD(E) 23rd August 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 providing single accommodation plus 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 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 comfortable and offers people a degree of independence whilst being supported from the main house. Most people who live at the home 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 and voluntary work. The home’s manager said, on 4th September 2007, that the current weekly fees for the home range from £395 to £1008.04 (the higher figure being for a person assessed as requiring one to one care). Extra charges are made for hairdressing, newspapers, homeopathy, trips out and other incidentals. Information about the home is made available to people through the Statement of Purpose and Service User Guide, both available on request at the home. Woodlands DS0000060840.V350387.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 4 September 2007 starting at 10 am and finishing at 5.30 pm. Time was spent speaking with the manager, staff and people who live at the home, taking a look around the home and reviewing documentation. As part of the inspection process, satisfaction surveys were sent out to 10 people who live at the home with all 10 returned, 8 were sent to relatives with 3 returned and 1 healthcare professional out of the 6 sent surveys responded. Although few specific comments were made within the surveys from people who live at the home or their relatives, all were positive and some comments made have been included in this report. The survey returned from the healthcare professional was very positive about the care delivered to the people living at the home and the way in which they are supported to be as independent as possible. 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: Woodlands provides a very comfortable, safe and homely environment, where people are supported to maintain their independence. Care planning documentation is of a high standard and provides staff with an in depth knowledge of people’s strengths but also informs staff of the support required to meet people’s needs. One health care professional who responded to the Commission’s survey said “I have seen evidence of genuine care provided for residents over many years”. People engage in a wide range of activities, some have voluntary or paid employment and the home recognises and celebrates people’s diverse cultures. Management processes are good and staff are safely appointed and well trained. Woodlands DS0000060840.V350387.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Woodlands DS0000060840.V350387.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.V350387.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People do not move into the home without being given confirmation, following assessment, that their needs will be met. EVIDENCE: The manager said that, prior to a person moving into the home, they are given the opportunity to visit, have a meal and, wherever possible, have an overnight stay. This allows staff to make a preliminary assessment of their needs and decide whether they feel that the home will be appropriate for meeting the person’s needs. The manager also said that, before considering any new person, she obtains a copy of their most recent community care assessment and consults with the relevant social workers. Evidence of this was seen on files. She also said that, wherever appropriate, staff from the home would visit the person wishing to move into the home in their current environment. Emergency admissions are only accepted following receipt of the community care assessment. Woodlands DS0000060840.V350387.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s needs and how staff can support them are reflected in their care plans and people are supported to make decisions about their lives. EVIDENCE: During the visit, four people’s care plan files and related documentation were examined. Care plans are developed based on individuals’ strengths and needs. Each plan covers several areas of daily living including general health, personal care, behaviour, communication, leisure and independence. Very detailed accounts are included of the support people need from staff to meet their needs in these areas. Woodlands DS0000060840.V350387.R01.S.doc Version 5.2 Page 10 Documentation showed that care plans are reviewed as the individuals’ needs change. Little is included in care plans about individuals’ choices and preferences but people spoken with during the visit indicated that staff support them in their daily choices about their lives. The manager said that advocacy services are used when necessary. Risk assessments are in place to assist staff in recognising and managing individual risks without compromising the independence of the person. All of the people who live at the home, who returned surveys, said that they were able to make individual choices about what they do in their daily lives. As well as the main house, there is a small bungalow a short walk away where three people live more independent lives with the support of staff. Woodlands DS0000060840.V350387.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are supported to participate fully in employment and leisure activities of their choice in the home, with their families and in the local community EVIDENCE: The majority of people who live at the home spend time during the day at the home’s own workshop where they undertake light work and participate in life skills such as baking and sewing supported by staff from the home. Two other people have local voluntary jobs and two undertake paid work at the home, doing light domestic work. One person who does domestic work at the home said how they enjoy making sure that the home is clean and looks nice. The manager said that, although people have undertaken college courses in the past, the local college only allows people to attend for three years and most people have done this. Woodlands DS0000060840.V350387.R01.S.doc Version 5.2 Page 12 Other people were seen, during the day, enjoying various activities such as art, reading, watching DVDs and using the home’s exercise equipment. A few weeks prior to the inspection a number of people living at the home and staff had enjoyed a holiday together in America which had included a cruise. Photographs from this holiday showed what a great time people had. All of the people spoken with, who had gone on this holiday, had very much enjoyed it. At the time of the visit, a small group of people were on a caravan holiday at the coast. The manager said that people living at the home get involved with the local community in various ways. One person enjoys going to the local library whilst others go to the Derby and Joan Club. Most people living at the home enjoy going to church coffee mornings and visiting the local pub for drinks and meals. The manager also said that some people were hoping to join a local drama group. One person living at the home does not have English as their first language but the manager was heard speaking fluently to this person in their own language. The manager said that everybody joins in special celebrations in line with this person’s own culture. Several people who responded to the Commission in surveys indicated that they retain contact with their families and enjoy either them visiting the home or going to their houses, sometimes for short stays. At the time of the visit, one person was on holiday with their family. One relative said in a survey that staff from the home made them feel involved in their relative’s care and in their life despite living a long way away. Although there is evidence that people make choices and decisions about their lives, a daily routine for the people living in the bungalow was seen to be very prescriptive about what times people got up, came to the main home and then went back to the bungalow. The manager explained that this was only meant as a guide and was to make sure that people were up in time for what they had to do that day but acknowledged that it could be seen as prescriptive and said she would review it. The manager said, in information given to the Commission prior to the visit, that people are asked about their lifestyle and leisure activities through the home’s own surveys. All of the people spoken with said that they enjoyed their meals at the home. On the day of the visit, people enjoyed a pie made from blackberries they had picked together the day before. Woodlands DS0000060840.V350387.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People receive individualised personal and healthcare support appropriate to their needs. EVIDENCE: Care plans detail the personal support people need along with what they are able to do for themselves. All of the people who live at the home who responded to the Commission’s surveys said that they are supported well by staff. Information from the manager prior to the inspection said that staff treat people with dignity and sensitivity and this was observed during the visit. Records showed that people’s healthcare needs are met using local GP, district nurses, dental, speech therapy and other healthcare services. This is complemented by the regular interventions of a homeopath who, with the consent of the individual and the GP, delivers complementary therapies where appropriate. Woodlands DS0000060840.V350387.R01.S.doc Version 5.2 Page 14 A healthcare professional said, “the care providers have taken great care of the health needs of residents”. Systems for storage and administration of medication were checked and found to be safe. Woodlands DS0000060840.V350387.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are protected by the home’s policies for complaints and protection. EVIDENCE: The home has a complaints procedure which is made available to everybody involved with the home. Records showed that all complaints or concerns, even the very minor such as burned toast, are recorded and dealt with appropriately. People who live at the home said in surveys received by the Commission that they knew who to complain to if the need arose. Since the last inspection, there has been one referral made under the local council’s safeguarding procedures. This was made following allegations from a person who no longer lives at the home but the investigation found the allegations to be unfounded. The manager said, in information sent to the Commission prior to the inspection, that staff had learned from this and knew how to make referrals appropriately under local safeguarding procedures. In spite of this, an incident that had been recorded as taking place since that time had not been reported according to these policies. It had, however, been reported to the appropriate social work team manager who had dealt with the situation. Discussion took Woodlands DS0000060840.V350387.R01.S.doc Version 5.2 Page 16 place with the manager about the importance of following the correct local policies and procedures. Woodlands DS0000060840.V350387.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a clean, comfortable and safely maintained home. EVIDENCE: The home and the bungalow were well maintained, clean, comfortable and nicely decorated and furnished in keeping with the style of the house. One person who lives at the home said in a survey “It is a sparkling clean home”. Bedrooms were nicely and individually decorated and, although privacy curtains to divide shared rooms were not in place at the time of the visit, the manager said that these were being made and would be in place shortly. The manager explained that the home does not employ separate domestic staff but people who live at the home, who are able, are encouraged and supported Woodlands DS0000060840.V350387.R01.S.doc Version 5.2 Page 18 by staff to keep their rooms clean and tidy. Some people living at the home are employed by the home and are paid a small wage to assist with domestic work. 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 returned to the Commission, completed by people living at the home and relatives, indicated that they are happy with the environment. Woodlands DS0000060840.V350387.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are supported by safely appointed, well trained staff who are available in sufficient number to meet people’s needs. EVIDENCE: Recruitment and training records showed that staff are appointed, inducted and trained so that people living at the home are protected and appropriately cared for. The manager said that all new staff undertake the Skills for Care Council’s common induction standards and go on to study for National Vocational Qualifications in care. The home’s own training programme is very good with staff following a programme of mandatory training and other training relevant to the needs of people living at the home. The manager said that she is shortly to train as a moving and handling trainer. Woodlands DS0000060840.V350387.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a well managed, safe home where their views are integral to the running and development of the service. 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. Woodlands DS0000060840.V350387.R01.S.doc Version 5.2 Page 21 Good processes for quality monitoring are in place at the home. People living there are given pictorial comment cards to gain their views and can express their views by drawing happy/sad faces. A relative commented in a survey “Residents meet regularly to inform the care home manager what they feel they require”. 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, fire drills, water temperatures etc are completed in line with health and safety requirements. Woodlands DS0000060840.V350387.R01.S.doc Version 5.2 Page 22 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.V350387.R01.S.doc Version 5.2 Page 23 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 Refer to Standard YA7 Good Practice Recommendations People’s choices and preferences about their lifestyles should be recorded within their care plans. Woodlands DS0000060840.V350387.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V350387.R01.S.doc Version 5.2 Page 25 - 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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