Inspection on 19/04/05 for Woodlands Respite Care Centre

This inspection was carried out on 19th April 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 Respite Care Centre 17/04/07

Woodlands Respite Care Centre 20/09/05

Woodlands Respite Care Centre 02/11/04

Woodlands Respite Care Centre 06/05/04

Similar services:

Snydale Care Home

Staveley Birk Leas Nursing Home

Fairmount Nursing Home

Currergate Nursing Home

Brookfield

Castlethorpe Care Home

Elmleigh Convent

Beanlands Nursing Home

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

CARE HOME ADULTS 18-65 Woodlands Respite Care Centre 120 Thief Lane Hull Road York YO10 3HU Lead Inspector Jan Dulieu Unannounced 19 April 2005 at 11:30 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 Respite Care Centre J53_J04_S27991_Woodlands Respite Care Centre_V220926_140305_Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Woodlands Respite Care Centre Address 120 Thief Lane, Hull Road, York, North Yorkshire YO10 3HU 01904 430600 01904 430055 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) Multiple Sclerosis Society Paula Rawding Care Home with nursing 20 Category(ies) of Physical disability (20), Physical disability over registration, with number 65 years of age (20) of places Woodlands Respite Care Centre J53_J04_S27991_Woodlands Respite Care Centre_V220926_140305_Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 2/11/04 Brief Description of the Service: Woodlands provides a respite care centre with nursing care for people with multiple sclerosis. Service users arrive on a Saturday for stays of one to two weeks.The home has been purpose built and all the accommodation is on the ground floor. All the bedrooms are single and en suite with a range of hoisting equipment. Special beds and mattresses are available depending on the individual requirements of service users.The home has a full and varied activity programme that includes shopping trips, meals out as well as in house entertainments. The home has a full time physiotherapist and a hydrotherapy pool. Woodlands Respite Care Centre J53_J04_S27991_Woodlands Respite Care Centre_V220926_140305_Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of the home was unannounced. The inspection began at 11.30 and finished at 16.45 after a brief discussion with the registered manager, Paula Rawding.Six service users discussed their views individually about their care and the activities in the home. The lunchtime meal service was observed as well as some activities taking place on the day of inspection. What the service does well: The service has staff with expertise in the care of people with multiple sclerosis which means service users can have confidence in the staff in the home. Service users said staff are ‘pleasant’, ‘cannot do enough to help’ and ‘know what they are doing’. This is supported by the training staff receive which they ‘really value’. The physiotherapy service in the home helps a lot of the people staying in the home and people said that they could use standing equipment and the hydrotherapy pool, which they really enjoyed. Service users said the food was ‘fantastic’, they ‘always put on weight’ when they visit and one service user in particular said that she was a good cook but the food in the home was better than she made at home. The atmosphere in the home is calm and relaxing. Service users are encouraged to do ‘just what they would like to do ‘ and staff support them so that they can have the sort of stay that they choose. The registered manager is approachable, kind, and sensitive to people with multiple sclerosis. The welfare liaison office is also supportive to service users and staff. Woodlands Respite Care Centre J53_J04_S27991_Woodlands Respite Care Centre_V220926_140305_Stage 4.doc Version 1.20 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Woodlands Respite Care Centre J53_J04_S27991_Woodlands Respite Care Centre_V220926_140305_Stage 4.doc Version 1.20 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 Respite Care Centre J53_J04_S27991_Woodlands Respite Care Centre_V220926_140305_Stage 4.doc Version 1.20 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) 1,2 and 3 Service users needs are assessed and met but individual aspirations about their stay should also be obtained and recorded within the plan of care. EVIDENCE: The service has a detailed statement of purpose and service user guide available that gives service users and their families’ information before coming to the home. This is supported by information on notice boards about the services in the home, entertainments and activities. Service users visit the home for planned stays of one to two weeks and up to date information about their care needs is obtained by one of the trained nurses on duty who telephones the service user or their family, the week before their stay. This information is recorded in the plan of care. Information about the expectations of individual service users about their stay is not included so a measure of whether the stay met their expectations is not available. This information would be useful as a measure of quality and would provide written evidence that service users needs and aspirations within realistic boundaries are met. It was not possible for example to work out from the plans of care who would receive for example physiotherapy and whether this was at the request of service users or offered to meet the service users individually assessed need. These records are apparently available in the Woodlands Respite Care Centre J53_J04_S27991_Woodlands Respite Care Centre_V220926_140305_Stage 4.doc Version 1.20 Page 9 physiotherapists office but are kept separately from the plans of care, for the duration of the service users stay. These were not seen by the inspector. A recommendation has been made about this. Woodlands Respite Care Centre J53_J04_S27991_Woodlands Respite Care Centre_V220926_140305_Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 ,9 and 10 Service users plans of care contain a good range of health and social care assessment information. The risk assessments need further development to meet the standard. EVIDENCE: Five plans of care have been inspected and they contained enough information for staff to deliver individual care to service users where possible service users sign their plan of care when it has been outlined to them. This is supported by time made available for staff to receive detailed handovers. This is important to ensure service users in a respite service receive, the care they need to make the most of their stay. Service users commented on the care they received and said ’the staff are great, they know what they are doing’. The risk assessments in the plans of care should be developed further to contain more detail. For example, the use of bed rails in the home should be assessed for the practice of service users using them to assist themselves to move in bed. This also means protective covers are not in use. Woodlands Respite Care Centre J53_J04_S27991_Woodlands Respite Care Centre_V220926_140305_Stage 4.doc Version 1.20 Page 11 Information about the safety of this practice must be obtained from the manufacturers of the beds and bed rails. Individual information about the risk to service users should include more detail. In the office used by the trained nurses service users records are left out on the desk. Lockable, easily accessible storage should be provided for the care plans of service users who are coming in to the home, to maintain their confidentiality and protect service users sensitive information from the potential of them being accessed inappropriately. Recommendations have been made about these issues. Woodlands Respite Care Centre J53_J04_S27991_Woodlands Respite Care Centre_V220926_140305_Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,14 and17 Service users enjoy an interesting and full activity programme . The meals are particularly good. EVIDENCE: The home has an activity programme available each week, it is planned with the specific needs of the group of guests staying in that particular week. This is successful in offering most service users a choice of things to do such as shopping trips, meals out, massage therapy and cinema trips. Service users said that they enjoyed the previous days shopping trip to Monks Cross and were looking forward to a film that was being screened in the home. The food in the home was described as ‘gorgeous’, ‘plenty of choice’. The lunch service observed on inspection was of a high standard with enough staff available to assist service users, most of whom required some help. The atmosphere was relaxed and lively conversations were being enjoyed as new service users got to know staff and other service users. The menus contained plenty of choice and special requirements for some service users were provided appropriately. Service users and staff commented Woodlands Respite Care Centre J53_J04_S27991_Woodlands Respite Care Centre_V220926_140305_Stage 4.doc Version 1.20 Page 13 on the high quality of the food and the willingness of the chef to assist wherever possible in meeting service users needs. Woodlands Respite Care Centre J53_J04_S27991_Woodlands Respite Care Centre_V220926_140305_Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 Service users receive support in a skilled and individual way that respects their privacy and dignity. EVIDENCE: All staff in the home receive training and support in developing their knowledge and skills in caring for people with multiple sclerosis. There is recognition of the complexity of this condition and the implications for individual service users care by both the trained nurses and care staff. This is evidenced by the care taken in planning for the groups of service users coming for respite with consideration given to creating groups of service users with similar types of multiple sclerosis or at a similar stage of progression. Staff were observed displaying sensitivity to service users needs at all levels including at meal times, during physiotherapy and in discussions during staff handover. Woodlands Respite Care Centre J53_J04_S27991_Woodlands Respite Care Centre_V220926_140305_Stage 4.doc Version 1.20 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 standard(s) 23 Service users said they feel safe in the home and they are protected by staff who know how to take appropriate action. EVIDENCE: The home has a policy and procedure in place to protect service users. Staff also receive training in the home to increase their awareness and knowledge. This was demonstrated on discussion with a group of staff some of whom had recently commenced working in the home and others who had a number of years experience. They demonstrated appropriate knowledge of how to recognise abuse and whom to contact in the event of any concerns. The welfare liaison officer was valued as a resource for service users and staff, to discuss sensitive issues that may have implications for service users at home. Woodlands Respite Care Centre J53_J04_S27991_Woodlands Respite Care Centre_V220926_140305_Stage 4.doc Version 1.20 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 standard(s) 24 and 30 Service users enjoy a clean, well-maintained, and attractive environment. EVIDENCE: The home is on one level, set in an attractive garden, which service users can access. There are broad level paths and ramps to assist wheelchair users. Inside the home each bedroom is well decorated and there are ceiling tracking hoists, which are ideal for assisting service users. Equipment is available to meet individual service users needs and includes height adjustable wash hand basins. The home is exceptionally clean and this is appreciated by service users who said it was ‘like a hotel’ and ‘just as it should be’. The registered manager outlined plans to extend the currently rather cramped dining room and to replace the tables that service users in wheel chairs could not easily reach their meal because their wheelchairs could not fit under the table. Woodlands Respite Care Centre J53_J04_S27991_Woodlands Respite Care Centre_V220926_140305_Stage 4.doc Version 1.20 Page 17 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) 32and 35 Service users benefit from a skilled staff team. EVIDENCE: There are two trained nurses on each shift in the home between the hours of 7.30 and 10pm and one trained nurse on duty at night to provide clinical and managerial leadership for service users and staff. The ratio of care staff available to service users ensures that individual attention to promote positive enjoyment of their stay. Service users said staff are pleasant and helpful. These levels should remain and remain under review by the registered manager to ensure the needs of service users continue to be met in this specialised service. The stay in the home is regarded by some service users as a ‘special holiday’ and this should continue to be reflected in sufficient staff always being made available to retain this atmosphere that is so valued by this service user group. A new member of staff described how she was recruited and this indicated that checks and references including a CRB disclosure is obtained prior to employment. Care staff described the regular supervision they received on a two monthly basis. Woodlands Respite Care Centre J53_J04_S27991_Woodlands Respite Care Centre_V220926_140305_Stage 4.doc Version 1.20 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 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) 39 Service users are at the forefront of how the home is run, these views should be recorded in a written format. EVIDENCE: Service users said that their views are considered including about how to improve the service. The home undertakes quality assurance reviews and feedback from the services and activities received but these should be documented. Staff should be trained and delegated to complete this important way of ensuring that the views of service users can be measured. Woodlands Respite Care Centre J53_J04_S27991_Woodlands Respite Care Centre_V220926_140305_Stage 4.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 2 x x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 2 2 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 4 Standard No 11 12 13 14 15 Woodlands Respite Care Centre x 4 x 4 x Standard No 31 32 33 34 35 36 Score x 3 x x 3 x Version 1.20 Page 20 J53_J04_S27991_Woodlands Respite Care Centre_V220926_140305_Stage 4.doc 16 17 x 4 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 x x x Standard No 37 38 39 40 41 42 43 Score x x 3 x x x x Woodlands Respite Care Centre J53_J04_S27991_Woodlands Respite Care Centre_V220926_140305_Stage 4.doc Version 1.20 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. 2. 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. 3. 4. Refer to Standard YA32 YA37 YA3 .YA9 Good Practice Recommendations 50 of care staff should be trained to NVQ level 2 by 2005.This is outstanding from previous inspections The registered manager should be qualified to NVQ level 4 in management by 2005.This is outstanding from previous inspections. The registered manager should ensure that the individual aspirations of service users about their stay in the home are recorded The registered manager should ensure that the use of bed rails is clearly documented. In particular when they are being used by service users to assist themselves to move in bed and when they are used without protectors. The registered manager should ensure that the confidentiality of service users records are safe guarded at all times, by providing accessible, lockable storage. 5. 6. 7. YA10 Woodlands Respite Care Centre J53_J04_S27991_Woodlands Respite Care Centre_V220926_140305_Stage 4.doc Version 1.20 Page 22 Commission for Social Care Inspection Unit 4 Triune Court Monks Cross York Y032 9GZ 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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