Inspection on 24/05/07 for Woodlands Innova House CLD

This inspection was carried out on 24th May 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

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Woodlands Innova House CLD 78 - 86 Forest Road Mansfield Nottingham NG18 4BH Lead Inspector Kim Cowley Unannounced Inspection 24th May 2007 10:00 Woodlands Innova House CLD DS0000068567.V341737.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 Innova House CLD DS0000068567.V341737.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 Innova House CLD DS0000068567.V341737.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodlands Innova House CLD Address 78 - 86 Forest Road Mansfield Nottingham NG18 4BH 01332 231406 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) Innova House Health Care Limited Tracey Marie Ryan Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Woodlands Innova House CLD DS0000068567.V341737.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Innova House Health Care Limited is registered to provide accommodation and personal care at Woodlands Innova House CLD, numbers 78, 80, 82, 84 and 86 Forest Road, Mansfield, Nottinghamshire, for people whose primary care needs falls within the following categories and numbers: 1. Learning disability (LD) 9. 2. The maximum number of people to be accommodated within each of the houses numbered 78, 80, 82, and 84 is 2. The maximum number of people to be accommodated at number 86 is 1. Not applicable – new service Date of last inspection Brief Description of the Service: Woodlands Innova House CLD consists of five houses (four two bedded, and one one-bedded) situated on a quiet residential housing estate a short bus ride from Mansfield city centre. The houses, which were built in 2006, provide accommodation in a community living setting. All have single bedrooms, bathrooms, shower rooms, toilets, lounges, kitchens, and rear gardens. Fees start from £1,294 per week plus additional one-to-one staffing costs where necessary. Additional charges are made for transport, personal items, activities, and holidays. Inspection reports are available at the home, or can be accessed via the CSCI website: www.csci.org.uk. Further information about the home can be obtained from the Registered Manager. The service user guide is available in both a written and pictorial version. Woodlands Innova House CLD DS0000068567.V341737.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection that included a visit to the home and inspection planning. Prior to the visit, the inspector spent half a day reviewing information relating to the home. During the course of the inspection, which lasted four hours, the inspector checked the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means the inspector looked at the care provided to a resident living at the home by meeting them; talking with the staff who support their care; checking records relating to their health and welfare; and viewing their accommodation. Other issues relating to the running of the home, including health and safety and management issues, were examined. The inspector also met the Registered Manager and two carers. One resident’s survey was returned to CSCI during the inspection. The respondent made positive comments about the home. Some of these are quoted throughout this report. What the service does well: Woodlands Innova House provides a unique service to younger adults with learning difficulties. Accommodation is provided in five self-contained houses on a residential estate. The organisation of the accommodation enables residents to live in small groups in a non-institutional setting. This helps them to move towards independent living. The service is flexible and is designed to meet the needs of the individual. There are no fixed routines in the home and no group activities, unless residents want them. Instead, residents determine their own lifestyles with the amount of staff support that they need. A resident commented, ‘This place is run really well’, and ‘They take me seriously as an adult here.’ The Owning Body has links with a number of organisations that provide educational and vocational opportunities. These include local colleges, the Job Centre, and supported employment schemes offering voluntary work placements. Staff help residents to explore their options with regard to further education and careers. The home has a small, experienced staff team. All staff on duty during the inspection were enthusiastic about their work and knowledgeable about the residents they care for. Staffing arrangements are flexible and depend on Woodlands Innova House CLD DS0000068567.V341737.R01.S.doc Version 5.2 Page 6 residents’ needs. Both male and female staff are available, so residents can choose the gender of the staff who work with them if they want. A resident made the following comments about the staff, ‘The staff from Innova are professional and friendly and I have no complaints about them’, ‘The staff are co-operative and helpful to my needs’, and ‘If I need a member of staff there’s always one nearby.’ 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 Innova House CLD DS0000068567.V341737.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 Innova House CLD DS0000068567.V341737.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): Quality in this outcome area is excellent. Residents’ needs are fully assessed prior to admission to ensure the home is suitable for them. This judgement has been made using available evidence including a visit to this service. (Standard 2 was inspected.) EVIDENCE: The Manager assesses individuals who are interested in coming to the home. Assessments are needs based, factual, non-judgemental, and focus on the positive. They include details of a person’s hobbies, interests, and aspirations. Assessments by other health and social care professionals are taken into account, as are the views of relatives. Records showed the assessment process is thorough and effective, and that the ethnicity and diversity needs of people who are interested in coming to the home are given full consideration. One resident commented, ‘I received adequate information about the company.’ The home also takes residents aged 16-17 years. The staff have had PoCA checks, and child protection training with a specialist team at Nottinghamshire County Council has been secured. A separate statement of purpose has been developed for younger people and although the five houses are classed as one Woodlands Innova House CLD DS0000068567.V341737.R01.S.doc Version 5.2 Page 9 establishment, people aged 16 and 17 will be accommodated separately to people over 25 years in accordance with the National Minimum Standards. Woodlands Innova House CLD DS0000068567.V341737.R01.S.doc Version 5.2 Page 10 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): Quality in this outcome area is good. Detailed care plans help staff to identify and meet residents’ needs. This judgement has been made using available evidence including a visit to this service. (Standards 6, 7 and 9 were inspected.) EVIDENCE: The Mananger writes all care plans. Those inspected were detailed and comprehensive. Residents’ needs are addressed in full with the emphasis on enabling them to increase their independence. The focus is on residents’ strengths and abilities and how staff can support them in taking more control of their lives. One of the ways this is done is by enabling residents to make decisions about all aspects of their lives. Care plans would be further improved if more emphasis were given to helping people who use the service to contribute to the development of their care plans and the ongoing review process. Records showed that residents are encouraged to take responsible risks and staff support them in this, offering them choices within acceptable parameters Woodlands Innova House CLD DS0000068567.V341737.R01.S.doc Version 5.2 Page 11 of safety. Risks are managed positively with the aim of encouraging residents to determine their own lifestyles. Woodlands Innova House CLD DS0000068567.V341737.R01.S.doc Version 5.2 Page 12 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): Quality in this outcome area is excellent. Daily living and social activities enable residents to lead full lives and grow in independence. This judgement has been made using available evidence including a visit to this service. (Standards 12, 13, 15, 16 and 17 were inspected.) EVIDENCE: The Owning Body has links with a number of organisations that provide educational and vocational opportunities. These include local colleges, the Job Centre, and supported employment schemes offering voluntary work placements. Staff help residents to explore their options with regard to further education and careers. The home is situated in a residential area with good transport links and a range of local amenities within easy walking distance. The Registered Manager said members of the local community are friendly and positive towards those who live and work in Woodlands Woodlands Innova House CLD DS0000068567.V341737.R01.S.doc Version 5.2 Page 13 Residents can take part in whatever appropriate leisure activities they want and staff support them to do this. The emphasis is on helping residents to follow their own hobbies and interests and choose who they spend their time with. Meals are provided to suit residents’ needs and wishes. Each house has a fully equipped kitchen and residents can either cook for themselves, cook with staff support, or have their meals prepared for them. Residents are encouraged to budget and shop for themselves. These flexible arrangements help residents to gain independence skill while living at the home. Woodlands Innova House CLD DS0000068567.V341737.R01.S.doc Version 5.2 Page 14 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): Quality in this outcome area is good. Residents’ personal and health care needs are met in the way they want by staff in the home. This judgement has been made using available evidence including a visit to this service. (Standards 18, 19 and 20 were inspected.) EVIDENCE: Care plans showed that careful consideration has been given to how best to meet residents’ personal health care needs. Staff help residents to live as healthy lives as possible by ensuring their health care needs are met. A range of health care professionals provides services to residents at the home including GPs, consultants, chiropodists, dentists and opticians. Residents can either register for services themselves, or register with staff support. Staff are trained to provide appropriate support to residents with a range of needs relating to learning disabilities, including those within the autistic spectrum. Basic counselling skills are taught during induction and followed up with specialist training events. Care plans provide advice to staff on how to respond to challenging behaviour. Appropriate policies and procedures for medication administration are in place and lockable storage facilities available. Arrangements for medication Woodlands Innova House CLD DS0000068567.V341737.R01.S.doc Version 5.2 Page 15 administration are flexible and dependent on residents’ needs. The home’s contract pharmacist trains staff in medication administration. Woodlands Innova House CLD DS0000068567.V341737.R01.S.doc Version 5.2 Page 16 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): Quality in this outcome area is excellent. Staff know how to safeguard residents and help them express any concerns they might have. This judgement has been made using available evidence including a visit to this service. (Standards 22 and 23 were inspected.) EVIDENCE: The home’s complaints procedure is available in a user-friendly format. The Manager said it is also made clear to residents verbally how to complain and staff will advocate for them if necessary. A resident commented, ‘If anything was wrong I’d have a word with Tracey (the Manager) or my social worker or I’d use the complaints procedure. I would know what to do.’ There have been no complaints since the home opened. All staff are trained during their induction and National Vocational Qualifications in safeguarding adults, and know what to do if abuse is suspected. In discussion staff were knowledgeable about this area and aware of the home’s ‘Whistle Blowing’ procedure. Staff are also trained to respond appropriately to physical and verbal aggression, and in the use of restraint. Woodlands Innova House CLD DS0000068567.V341737.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): Quality in this outcome area is excellent. Residents live in an environment that community-based, comfortable, and well maintained. This judgement has been made using available evidence including a visit to this service. (Standards 24 and 30.) EVIDENCE: Woodlands consists of five houses (four two bedded, and one one-bedded) situated on a quiet residential housing estate a short bus ride away from Mansfield city centre. The houses, which were built in 2006, provide a good standard of accommodation in a community living setting. All have single bedrooms, bathrooms, shower rooms, two toilets, a lounge, kitchens and rear gardens. One resident said, ‘When I first came her I thought the house looked very nice.’ The organisation of the accommodation enables residents to live in small groups in a non-institutional setting. This helps them to move towards independent living. Woodlands Innova House CLD DS0000068567.V341737.R01.S.doc Version 5.2 Page 18 The cleaning is done by the residents with the help of the staff where necessary. This arrangement appears to work effectively and all areas viewed were clean and tidy. Woodlands Innova House CLD DS0000068567.V341737.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): Quality in this outcome area is excellent. Friendly and professional staff meets residents’ needs. This judgement has been made using available evidence including a visit to this service. (Standards 32, 34 and 35.) EVIDENCE: At present a small staff team of five are employed, although the Manager said numbers will increase as more residents come to live at the home. Staff arrangements are flexible and depend on residents’ needs. The Manager said both male and female staff are available, so residents can choose the gender of the staff who work with them if they want. All staff interviewed were professional, caring and knowledgeable about the work that they do. A resident made the following comments about the staff: ‘The staff from Innova are professional and friendly and I have no complaints about them.’ ‘The staff are co-operative and helpful to my needs.’ ‘If I need a member of staff I call them on my mobile.’ ‘If I need a member of staff there’s always one nearby.’ ‘The staff sleep in at night so they’re here if I need them.’ Woodlands Innova House CLD DS0000068567.V341737.R01.S.doc Version 5.2 Page 20 Two staff files were inspected and found to be well organised and complete. Each contained a checklist to ensure all the necessary documentation has been obtained. The recruitment of appropriate staff helps to ensure residents are safeguarded. All staff have a three months induction provided by the Owning Body. Training is provided both in-house and externally. When staff have completed this, they gone on to take NVQs (National Vocational Qualifications). Staff interviewed said they were encouraged to further their careers while working at the home, and to gain new skills and qualifications. All staff have supervision with the Manager every four to six weeks to help to ensure they are working effectively. Woodlands Innova House CLD DS0000068567.V341737.R01.S.doc Version 5.2 Page 21 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): Quality in this outcome area is good. Residents live in a home that is well managed and running effectively. This judgement has been made using available evidence including a visit to this service. (Standards 37, 39 and 42.) EVIDENCE: The Manager has substantial previous experience in care and the management of care homes. She has the Registered Managers Award, NVQs 3 and 4 in Care, and a Batchelor of Philosophy in Adults with Autism. The Manager is on call to staff and residents 24/7. Care staff praised the Manager who they said was approachable, knowledgeable, and supportive. Residents’ views are central to how the home is run. Due to the flexible nature of the service they are instrumental in determining the daily routine and the type of support they receive from staff. The Manager also meets with residents regularly to get their views on the service. Woodlands Innova House CLD DS0000068567.V341737.R01.S.doc Version 5.2 Page 22 The home is registered on the National Autistic Society’s (NAS) quality assurance programme. This means that if a set of NAS national standards are met over a period of three years, the home will become an approved service for people with autistic spectrum disorders. Records showed that the health, welfare and safety of residents and staff is a priority in the home. Appropriate checks and servicing of equipment has been carried out, as has consultation with the home’s Environmental Health Officer. It was noted that the fire alarms in the houses do not ring in the office, where staff are sometimes based. This could mean that a resident might be alone in one of the houses when the alarm went off, and staff would not be aware of the situation. It is suggested that this arrangement is reviewed to ensure it is appropriate, with advice taken from the Fire Department where necessary. Woodlands Innova House CLD DS0000068567.V341737.R01.S.doc Version 5.2 Page 23 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 4 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 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 4 X X X 3 Woodlands Innova House CLD DS0000068567.V341737.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Not applicable 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 2 Refer to Standard YA6 YA42 Good Practice Recommendations Strategies should be put in place to help residents contribute to the development and review of their care plans. This will increase resident involvement in their care. The fire alarm system should be reviewed to ensure it is appropriate, with advice taken from the Fire Department where necessary. This will help to ensure that residents have staff support if the fire alarm goes off. Woodlands Innova House CLD DS0000068567.V341737.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Innova House CLD DS0000068567.V341737.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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