Inspection on 20/07/05 for Woodlands Cottage

This inspection was carried out on 20th July 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 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 Cottage 05/09/07

Woodlands Cottage 19/09/06

Woodlands Cottage 05/12/05

Woodlands Cottage 03/02/05

Woodlands Cottage 23/09/04

Woodlands Cottage 11/03/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Woodlands Cottage Fernlea Drive Choppington Northumberland NE62 5SR Lead Inspector Anne Brown Unannounced 20 July 2005 13:30 th 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 Cottage B53-BO3 S35040 Woodlands Cottage V240073 200705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Woodlands Cottage Address Fernlea Drive Choppington Northumberland NE62 5SR 01670 828487 01670 827525 communityhome@woodlandscottage.fsworld.co. uk Northgate & Prudhoe NHS Trust 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) Ms Julia Marley CRH 4 Category(ies) of LD - Learning Disability (4) registration, with number of places Woodlands Cottage B53-BO3 S35040 Woodlands Cottage V240073 200705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3/2/05 Brief Description of the Service: Woodlands Cottage is a purpose built bungalow for four service users who have learning and physical disabilities. The home is situated in the community of Choppington and is close to local amenities. Service users are provided with single room accommodation and access to a range of aids and adaptations in line with their personal needs. Communal areas are provided as follows:- a kitchen, dining room and lounge; toilets and specialist bathrooms. The homes furnishings and fittings are of a high standard and the building is well maintained. Attractive garden areas are available. A small car park is provided to the front of the building. The home is not registered to provide nursing care. Woodlands Cottage B53-BO3 S35040 Woodlands Cottage V240073 200705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over three and half hours. A tour of the premises took place and a sample of care records were inspected along with other records held in the home. All four residents were seen and discussions were held with the manager and one member of staff. What the service does well: What has improved since the last inspection? What they could do better: The manager should continue to ensure a resident’s care plan is updated to reflect their changing care needs. There have been good arrangements in place to help residents enjoy educational and leisure activities in the community. However, due to recent staff shortages the residents have had fewer opportunities to enjoy activities outside the home in the evenings. This situation should be resolved when three staff vacancies are filled. The manager must carry out risk assessments for the bedroom doors that are sometimes chocked open. Woodlands Cottage B53-BO3 S35040 Woodlands Cottage V240073 200705 Stage 4.doc Version 1.40 Page 6 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 Cottage B53-BO3 S35040 Woodlands Cottage V240073 200705 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 Cottage B53-BO3 S35040 Woodlands Cottage V240073 200705 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) These standards were not assessed at this inspection. EVIDENCE: Woodlands Cottage B53-BO3 S35040 Woodlands Cottage V240073 200705 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) 6, 7 and 9. The content and presentation of the care plans was good which helps to ensure that the staff team are well informed about the needs of the residents living in the home. The needs of one resident have changed and the assessments and care plans were out of date. Residents’ rights to make decisions about their day to day lives are respected by staff members which ensures that their lives are fulfilling and satisfying. They are supported to take risks and any limitations are recorded. EVIDENCE: During this inspection all the care plans were examined. The manager is currently updating one care plan to address the changing needs of the resident. The plans contained a great deal of information about the personal, social and health care needs of the residents. The members of staff on duty were well informed about the individual needs of the residents. Risk assessments are carried out and ensure that the residents are supported to participate in fulfilling activities. The staff on duty were observed to consult and communicate well with the residents throughout the inspection. Woodlands Cottage B53-BO3 S35040 Woodlands Cottage V240073 200705 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) 12, 13 and 14. Links with the community and opportunities to participate in social and personal development activities had reduced at the last inspection. The manager has now taken steps to resolve this problem. EVIDENCE: Discussions with the staff and examination of records showed that residents attended day centres and enjoyed various activities in the community. These included shopping, meals out and visits to local places of interest. One resident enjoyed a holiday in Benidorm early this year and staff are hoping to arrange holidays for the other three residents. A 40th birthday party has also been arranged at the local community centre for one resident. The manager has arranged a meeting with one resident’s care manager to secure funding to access more activities. At present one resident cannot access the home’s vehicle. However a new vehicle will be available in the next few weeks which will be accessible to all residents. Woodlands Cottage B53-BO3 S35040 Woodlands Cottage V240073 200705 Stage 4.doc Version 1.40 Page 11 Interviews are currently taking place to employ three full time home support workers to cover night duties. The staff agreed this would enable the residents to access evening activities of their choice. A nutritious menu plan is in place and the staff confirmed that alternatives are always available. Any changes to the menu are recorded. There are guidelines in place to ensure residents receive appropriate support at mealtimes. Woodlands Cottage B53-BO3 S35040 Woodlands Cottage V240073 200705 Stage 4.doc Version 1.40 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 standard(s) 18, 19 and 20. The staff give the residents the personal support they require and according to their preferences. They also seek professional medical advice, and reassessments are requested when necessary. An appropriate system is in place for dealing with medications. EVIDENCE: Staff were seen to provide personal support in such a way as to promote and protect residents’ privacy, dignity and independence. There was evidence that the staff team seek advice and support from relevant professionals in respect of the residents’ health and well being. A random sample of medication records and the system for storage and handling medications was looked at and found to be appropriate. Woodlands Cottage B53-BO3 S35040 Woodlands Cottage V240073 200705 Stage 4.doc Version 1.40 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 standard(s) 22 and 23. The home has a satisfactory complaints system and staff receive training in adult protection to help protect residents from abuse. EVIDENCE: A complaints procedure was available and this is included within the service user guide. No complaints have been received since the last inspection. The complaints procedure would benefit from being made available in an alternative format to ensure all residents can understand this. All staff have received POVA training. Woodlands Cottage B53-BO3 S35040 Woodlands Cottage V240073 200705 Stage 4.doc Version 1.40 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 standard(s) 24, 26 and 30. The standards of the facilities and décor within the home is good, providing residents with an attractive and homely place to live. Bedrooms are personalised and provide the residents with the necessary facilities. All areas of the home were clean and hygienic. EVIDENCE: An inspection of the premises was carried out and the home was found to be well maintained and comfortable. Each resident has their own bedroom which was personalised and had recently been redecorated. The staff confirmed that the residents had chosen their own colour schemes. New curtains and bedding have also been provided. Since the last inspection bedroom carpets have been cleaned. However the manager agreed that the carpets are showing signs of wear and tear and should be replaced. The hot water supplied to one bath was tested and found to be safe. The staff test the water temperature before using it and it is also routinely tested on a weekly basis and recorded. Woodlands Cottage B53-BO3 S35040 Woodlands Cottage V240073 200705 Stage 4.doc Version 1.40 Page 15 The laundry facilities were good and the staff were aware of good hygiene practices. Protective clothing is provided. The manager confirmed that all staff receive infection control training as part of their induction programme. Woodlands Cottage B53-BO3 S35040 Woodlands Cottage V240073 200705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33. Minimum staffing levels are met, however, there have been some staff vacancies in the home which has led to residents having fewer opportunities to enjoy evening activities outside of the home. EVIDENCE: There are two members of staff on duty during the day and one sleep-in staff member from 9 pm to 9.30 am. Two enablers from a domiciliary care agency are employed in the home for two hours on three days a week to support one resident to access outdoor activities. There are currently three full time vacancies for home support workers to cover night duties. The manager confirmed that interviews are currently taking place in an attempt to fill these vacant posts. The home will then provide a waking member of staff overnight. The manager also confirmed that she is in the process of securing funding to provide a full time post during the day to assist residents to access further activities. The staff were seen to be kind and caring towards the residents and confirmed they enjoyed working in the home. Woodlands Cottage B53-BO3 S35040 Woodlands Cottage V240073 200705 Stage 4.doc Version 1.40 Page 17 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, 40 and 42. The manager has a clear development plan for the home. Policies and procedures are in place to ensure the residents’ rights are safeguarded. There are systems in place to promote health and safety. EVIDENCE: The manager was appointed to the home in February 2005 and has recently been registered with the CSCI. She has experience is managing homes for adults with learning disabilities and has achieved a National Vocational Qualification, Level 4 in care and management. Since taking over the home she has addressed issues concerning staffing levels and to ensure the residents all have access to fulfilling activities. The staff confirmed that the manager is also available to provide support and guidance. At the last inspection not all the required policies and procedures were in place. The manager confirmed that these are now in place and available to Woodlands Cottage B53-BO3 S35040 Woodlands Cottage V240073 200705 Stage 4.doc Version 1.40 Page 18 staff at all times. The management of Northgate and Prudhoe Trust has a programme to ensure these are reviewed and updated on a regular basis. The home was found to be generally well maintained and safe apart from the following matters: Bedroom doors were chocked open which could pose a fire hazard. The manager stated that self closing devices had been requested. In the meantime risk assessments should be carried out for each bedroom. The freezer was in need of defrosting. Woodlands Cottage B53-BO3 S35040 Woodlands Cottage V240073 200705 Stage 4.doc Version 1.40 Page 19 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 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 2 x x x 3 Standard No 11 12 13 14 15 16 17 x 2 3 3 x x x Standard No 31 32 33 34 35 36 Score x x 2 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Woodlands Cottage Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x x 3 x 2 x B53-BO3 S35040 Woodlands Cottage V240073 200705 Stage 4.doc Version 1.40 Page 20 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 33 42 Regulation 18(1)(a) 23(4)(a) Requirement Procedure to continue to ensure vacant staff posts are filled. Risk assessments to be made re chocking open bedroom doors. Timescale for action 31/8/05 27/7/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard 12 26 42 Good Practice Recommendations Provide vehicle which is accessible to all residents. New carpets to be provided in residents bedrooms. Freezer to be defrosted on a regular basis. Woodlands Cottage B53-BO3 S35040 Woodlands Cottage V240073 200705 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Northumbria House Manor Walks, Cramlington Northumberland NE23 6UR 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 Cottage B53-BO3 S35040 Woodlands Cottage V240073 200705 Stage 4.doc Version 1.40 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!