Inspection on 06/01/06 for Woodlands

This inspection was carried out on 6th January 2006.

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 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 Patricia Pedley Unannounced Inspection 6th January 2006 11:50a Woodlands DS0000060840.V277289.R02.S.doc Version 5.1 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.V277289.R02.S.doc Version 5.1 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.V277289.R02.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Woodlands Address 7 Nostell Lane Ryhill Wakefield West Yorks WF4 2DB 01226 722652 01226 722652 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.V277289.R02.S.doc Version 5.1 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) 29th June 2005 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. 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 DS0000060840.V277289.R02.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the home taking place over a threehour period. The inspector spoke with the manager and several residents, visited the home’s workshop in the village, looked around the home and examined records. The inspector would like to thank everyone for their hospitality and assistance during this visit. What the service does well: What has improved since the last inspection? There was only one requirement and one recommendation arising from the last inspection and these had been met. The manager ensures that new staff are fully inducted so that they understand resident’s needs and are thus able to support residents to lead an independent lifestyle. Woodlands DS0000060840.V277289.R02.S.doc Version 5.1 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.V277289.R02.S.doc Version 5.1 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.V277289.R02.S.doc Version 5.1 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): 3&4 Admission processes to the home are satisfactory. EVIDENCE: The manager said that one of the respite residents was due to move into the home permanently at the end of the month. This resident is already familiar with life in the home therefore should make a good transition to living there permanently. Care plans and assessments were seen to be in place. The manager said that another respite resident was hoping to move in too, as family circumstances had changed. The funding authority has not yet agreed admission. The manager was busy preparing a care plan to support this individual’s admission. Woodlands DS0000060840.V277289.R02.S.doc Version 5.1 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, 8 Satisfactory arrangements are in place to ensure that staff have a holistic understanding of resident’s individual needs. EVIDENCE: One care plan for a respite resident was examined. This contained good information and comprehensive review notes, which would provide staff with a good understanding of the individual’s needs. One resident who was not too well at the time of inspection was seen to be supported appropriately and with a great deal of sensitivity to her care needs. From talking with residents it was found that they remain to be encouraged to follow an active lifestyle and that staff respect their choices and wishes. The minutes of resident’s meetings show that residents are consulted, informed and their views listened to. Woodlands DS0000060840.V277289.R02.S.doc Version 5.1 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 & 17 Satisfactory arrangements are made for residents to participate fully activities of choice both in the home and in the local community. Service users are provided with meals of their choosing and supported to follow a healthy diet. EVIDENCE: At the time of inspection, most residents were working at the home’s workshop. The inspector went there to carry out a short visit and found residents leaving for home but one showed her the work they carried out there. Residents clearly feel valued by the contractor who uses their services. Residents said that they use the income from the workshop to buy meals out or trips together. Residents said they had enjoyed a good holiday this year with some having visited America. A couple of residents help around the home, cleaning and carrying out kitchen duties for which they get paid a small wage. One said she had been cleaning bedrooms earlier. Woodlands DS0000060840.V277289.R02.S.doc Version 5.1 Page 11 The manager said that two residents had attended the Mencap Pathways to Employment Scheme recently and one had gone on to being employed locally. The other was helping voluntarily in the local church. Residents said that they had enjoyed a great Christmas and some showed the inspector their gifts. Some said they had been home to stay with family over the holiday period. The manager has a good awareness of advocacy services for this resident group. Residents said they were provided with lovely meals. As the kitchen was being replaced at the time of inspection residents said that they had enjoyed some take away meals including kebabs and fish and chips. Woodlands DS0000060840.V277289.R02.S.doc Version 5.1 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 & 19 The home’s practices and procedures support staff in meeting the identified personal and healthcare needs of residents. EVIDENCE: From discussion and observations made on the day of inspection it was found that residents are supported fully according to their strengths and abilities. Care plans showed that healthcare and emotional needs are attended to. One resident is currently receiving support from the district nursing service. The home continues to support the use of homeopathic treatments and the homeopath was seen to visit the home to discuss the wellbeing of residents under her care at the time of inspection. Medication was not audited at this inspection. Woodlands DS0000060840.V277289.R02.S.doc Version 5.1 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 There are good procedures for handling complaints. EVIDENCE: The manager said that only one complaint has been received since the last inspection. The record of the complaint and the subsequent outcome demonstrated that this had been dealt with properly. Woodlands DS0000060840.V277289.R02.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 27, 28, 29 & 30 The registered provider ensures that the home is safe, well maintained and comfortable for the use of residents. EVIDENCE: Most communal rooms and several bedrooms and bathrooms were changes to these since the last inspection. The home was found to be well maintained, clean and comfortable as always. The bungalow was not visited at this inspection. One service user who needs more bed rest has been supplied with a hospital bed, air mattress and hoist. There is a schedule of maintenance and health and safety checks. The records of water temperatures were found to be up to date. The maintenance person was busy fitting a new kitchen with all units, tiles and flooring being replaced. The new units make the kitchen look larger and brighter. Woodlands DS0000060840.V277289.R02.S.doc Version 5.1 Page 15 The home has large, well-kept gardens. The manager said that in spring, residents and staff will be putting in new bedding plants and planting seed potatoes as residents had enjoyed doing this last year and were rewarding with a good crop of potatoes for the table. Woodlands DS0000060840.V277289.R02.S.doc Version 5.1 Page 16 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): 33, 34, 35 & 36 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 resident’s individual needs. EVIDENCE: The manager said that the home has had a difficult couple of months as some members of the staff team had left. As they had been employed for a number of years residents and other staff missed them. The manager said that although it has been difficult, other team members have covered the rota and the home’s owners were also providing cover. The manager said that she had made three appointments but two had not turned up for duty and the other rang at the last minute as they had changed their mind about taking up the post. However, the manager has since readvertised the vacancies and has successfully recruited new team members. They have not yet started as she is awaiting the return of the POVA check. She is hoping that once they start work the home will then settle down again. Evidence was seen in most recently appointed staff’s files that they have been properly checked and in accordance to regulations. New staff have been fully inducted and they have received awareness training through video training for mandatory courses and the manager is planning to back this up by external Woodlands DS0000060840.V277289.R02.S.doc Version 5.1 Page 17 courses as they become available. The manager said that she has a good amount of training material for staff including induction material. Records show that new staff have received regular supervision. Woodlands DS0000060840.V277289.R02.S.doc Version 5.1 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 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): 39, 40 & 42. The home continues to be 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 manager said that Regulation 26 reports have not been prepared since the owners of the home have been working in the home over the last couple of months. However, she will ensure these are re-instated following discussion. The minutes of residents meetings were seen. Meetings with residents take place regularly. An examination of the records for the testing of fire alarms and emergency lighting found these to be satisfactory. A fire risk assessment is in place. The certificate for the testing of portable appliances, fire alarms and emergency lighting were seen to be in date. Records showed that staff take part in regular fire drills. The Landlord Gas Safety Certificate was satisfactory. Woodlands DS0000060840.V277289.R02.S.doc Version 5.1 Page 19 Staff have received training in moving and handling as one resident now uses a hoist although the manager said that staff could manage without this aid given the weight of the resident concerned. Woodlands DS0000060840.V277289.R02.S.doc Version 5.1 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 Standard No Score 1 X 2 X 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 X 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X X 1 X 3 3 X 3 X Woodlands DS0000060840.V277289.R02.S.doc Version 5.1 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. Standard YA37 Regulation 26 Requirement Regulation 26 reports are to be prepared and copies forwarded to the Commission. Timescale for action 28/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Woodlands DS0000060840.V277289.R02.S.doc Version 5.1 Page 22 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.V277289.R02.S.doc Version 5.1 Page 23 - 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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