Inspection on 05/12/05 for Woodlands Cottage

This inspection was carried out on 5th December 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 20/07/05

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 Karena M Reed Unannounced Inspection 5th December 2005 17:15 DS0000035040.V269654.R01.S.doc Version 5.0 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 DS0000035040.V269654.R01.S.doc Version 5.0 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. DS0000035040.V269654.R01.S.doc Version 5.0 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 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) Mrs Julia Marley Care Home 4 Category(ies) of Learning disability (4) registration, with number of places DS0000035040.V269654.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th July 2005 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. DS0000035040.V269654.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home was not given prior notice of this inspection that took place over 1 and three quarter hours. A partial tour of the premises took place and a sample of care records were inspected as well as other records. Records included: 4 care plans, the fire log record, the accident book, admission/discharge register, complaints record, staffing rotas, daily communication book and service users personal allowance records .Two support workers were spoken to during the inspection. Time was also spent with 2 service users during the inspection. What the service does well: What has improved since the last inspection? Requirements and recommendations from the previous inspection have been carried out in a timely way. DS0000035040.V269654.R01.S.doc Version 5.0 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. DS0000035040.V269654.R01.S.doc Version 5.0 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 DS0000035040.V269654.R01.S.doc Version 5.0 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): These standards were not assessed at this inspection. EVIDENCE: DS0000035040.V269654.R01.S.doc Version 5.0 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): 6,7,8,9,10 There are good arrangements in place to ensure that service users’ care needs are met. Health and social care needs are addressed and the staff team are well informed. Service users’ are supported by staff and the necessary levels of support are provided due to the care plans that show the level of care and support that staff need to provide. Service users are encouraged to be involved in decision making and they are encouraged to communicate and make their views known other than verbally . Service users know that information about them is handled appropriately, and that their confidences are kept. EVIDENCE: Care records looked at showed after referral to the service an assessment of the care needs of the service user is carried out to ensure support and care can be provided by the organization. A plan of care and support is drawn up, however a system of regular review was not in place and should be introduced more frequently than six monthly to ensure care needs are revised in case they change. Care plans should be reviewed at least three monthly or more often as service user’s needs change. Documentation emphasises the need for DS0000035040.V269654.R01.S.doc Version 5.0 Page 10 service users to be central to the delivery of care, e.g “Personal Futures Planning”. Staff spoken to stated they receive training as part of their induction regarding basic care principles and that there is on going training for all staff regarding the rights of service users. The comprehensive policies and procedures manuals also provide information for staff about care of service users. Conversation with two staff members and observation showed the emphasis is for service users to be responsible for decision making in their own lives, as far as possible. Staff provide the necessary levels of support to maintain or increase an individual’s independence. The policies and procedures manual also contains an up to date policy about confidentiality and when information about a service users may be shared with a third party. DS0000035040.V269654.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 The philosophy of the service is for service users to access and participate and use community facilities wherever possible e.g leisure, health, spiritual, social, educational needs, etc. Social activities are menus are managed creatively and provide daily variation and interest for people living in the home. Visitors are made welcome or staff support service users to maintain contact with family and friends as they wish. EVIDENCE: Observations and records confirmed that service users are asked and involved in making decisions about their lives eg choice of food, activities, rising, retiring routine. Service users records and daily recordings about care and support provided by staff provided evidence that all service users are consulted and asked their opinion and encouraged to make decisions. Records and conversation with staff and service users showed staff support service users and encourage them to become more self sufficient in aspects of every day living. Service users all pursue their own individual hobbies and interests eg ten pin bowling, shopping, karaoke, visiting the local pubs, meals out, shopping, theatre trips, horse riding, visiting local attractions on the DS0000035040.V269654.R01.S.doc Version 5.0 Page 12 coast. Service users attend day services during the week such as a local adult training centre. Service users also enjoy holidays abroad and at home eg Lapland, Blackpool, Turkey , Kielder and they visit a variety of attractions in the company transport. DS0000035040.V269654.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 There are good arrangements in place to ensure that service users’ health care needs are met, care plans outline the needs to ensure that the staff team are informed and aware of the support they need to provide. EVIDENCE: Care plans and case records inspected, contained relevant individual plans of care detailing care and support required for some complex needs. The staff receive the support of a behavioural team and psychologist in order to provide the necessary levels of individualized care to some service users. Records showed when service users’ had seen health professionals e.g doctors, community nurses, etc. The medication system was not examined during this inspection. Staff receive training before they can administer medication to service users. DS0000035040.V269654.R01.S.doc Version 5.0 Page 14 DS0000035040.V269654.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 There is a complaints procedure. Staff have a knowledge and understanding of Adult Protection issues which protects service users from abuse. EVIDENCE: The service has a complaints procedure. There have been no complaints received by the service since the last inspection. An accessible complaints procedure is available for the use of service users and relatives. Staff receive training about the Protection of Vulnerable Adults which is updated when necessary. DS0000035040.V269654.R01.S.doc Version 5.0 Page 16 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): 24,25,26,27,28,30 The building is comfortable and very well maintained with good quality furnishings and décor. Bedrooms are personalized and comfortable and adapted to promote service their independence. There are sufficient bathing and lavatory facilities for the use of service users. There is sufficient space for service users to enjoy internally and externally. There is a high standard of hygiene. EVIDENCE: A tour of the premises was undertaken and a small number of bedrooms viewed. Service users have their own bedrooms that are decorated and personalized according to the wishes and tastes of the individual. Service users bedrooms’ are equipped to ensure the comfort and safety of the individuals and at the same time specialist equipment is provided to promote the independence of individuals. There was a good standard of hygiene around the home. Staff receive training about Infection Control. DS0000035040.V269654.R01.S.doc Version 5.0 Page 17 DS0000035040.V269654.R01.S.doc Version 5.0 Page 18 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): 31,32,33,34,35 Minimum staffing levels are maintained which means that there are only enough staff on duty to meet the needs of service users at certain times through the day and night. There are good training arrangements in place, which means staff are given a thorough grounding in the areas they need to know to provide good care and enhance their personal development. EVIDENCE: Examination of staff rotas and discussion with the members of the staff team provided evidence that the numbers of staff are as follows: Three staff during the day and two staff members in the evening. The manager’s hours are included in the above .No ancillary staff are employed , staff carry out food preparation, cleaning and laundry. There is one full time support worker’s vacancy . Staffing records were not available on the premises to check the organization’s vetting and recruitment procedures. Staff stated that they enjoyed working in the service and were observed to be kind, caring and respectful to service users’ at all times. DS0000035040.V269654.R01.S.doc Version 5.0 Page 19 Discussion with staff confirmed that they receive induction training. New members of staff follow LDAF, Learning Disability Award Framework in order to give people more insight into the needs of people with a learning disability. Where new inexperienced staff are employed, they work as an extra member of the shift, which is good practice. Staff are pursuing National Vocational Qualifications at different levels, 6 staff members have achieved NVQs’ at level 2, and 1 is studying for level 3. Staff confirmed that they also receive advice and /or training in other areas, such as challenging behaviour, values and rights of people with learning disabilities, person centred planning and the necessary statutory training. DS0000035040.V269654.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,40,41,42, Service users and staff benefit from a well run home. The manager’s leadership and management approach ensures that service users are fully involved and at the heart of decision making in their own lives and involved in the running of the home. Record keeping showed that service users’ interests are safeguarded. Systems and procedures are in place to ensure the well running of the home and to ensure the safety of service users and staff as far as possible. EVIDENCE: The manager, Julia Marley has recently become the registered manager for the home. She has worked with people with learning disabilities for several years. Staff are given training in moving and handling skills, fire safety, first aid, infection control and food hygiene .The fire log book indicated that fire safety checks are carried out routinely. Records inspected were appropriately completed and recorded the necessary information. Staff meetings take place regularly. DS0000035040.V269654.R01.S.doc Version 5.0 Page 21 DS0000035040.V269654.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 4 4 4 4 x 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 x x 3 3 3 x DS0000035040.V269654.R01.S.doc Version 5.0 Page 23 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. 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 YA6 Good Practice Recommendations To ensure care plans are updated at least three monthly DS0000035040.V269654.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Cramlington Area Office 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. 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