Inspection on 20/09/05 for Woodlands Respite Care Centre

This inspection was carried out on 20th September 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 19/04/05

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 North Yorkshire YO10 3HU Lead Inspector Mrs Anne Elaine Prankitt Unannounced Inspection 20th September 2005 09:30 Woodlands Respite Care Centre DS0000027991.V249109.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 Woodlands Respite Care Centre DS0000027991.V249109.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. Woodlands Respite Care Centre DS0000027991.V249109.R01.S.doc Version 5.0 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 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) Multiple Sclerosis Society Paula Rawding Care Home 20 Category(ies) of Physical disability (20), Physical disability over registration, with number 65 years of age (20) of places Woodlands Respite Care Centre DS0000027991.V249109.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service Users to include up to 20 (PD) and up to 20 (PD(E)) up to a maximum of 20 Service Users 19 April 2005 Date of last inspection 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 and meals out, as well as in house entertainments. The home has a full time physiotherapist and a hydrotherapy pool. Woodlands Respite Care Centre DS0000027991.V249109.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection lasted for approximately six and a half hours. Three hours preparation took place prior to the inspection. The registered manager, Paula Rawding, was available throughout the course of the inspection, and at the feedback session at the close. A tour of all communal areas of the building took place. A number of service users were spoken with, and some discussion also took place with staff members. In addition to this, some records were looked at, including some care plans, maintenance records, complaints and accident book. What the service does well: The centre provides a good quality specialist respite service for people with Multiple Sclerosis. Staff are provided with training to help them to understand the needs of the people who are admitted to the centre. Guests comments included ‘this is the best’, ‘I can do what I want’, staff are very good’, ‘they don’t let you feel homesick here’, ‘it’s very nice – I will come back’. The premises are spotlessly clean, and there are beautiful gardens and a choice of patio area, which guests can easily access. The physiotherapy department provides guests with a range of activities. The hydrotherapy pool is particularly popular. There is also a range of complimentary therapies on offer, such as aromatherapy. Whilst care staff are sometimes very busy, this does not impact on the holistic service that guests receive, which is provided collectively by staff and a large group of volunteers, which is led by a dedicated volunteers and fundraising coordinator. Staff enjoy their work in caring for the guests, and the guests appreciate their input. The home is spotlessly clean and well maintained, so that it is kept safe and pleasant for guests. Woodlands Respite Care Centre DS0000027991.V249109.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: There are systems in place within the society to ensure that any areas requiring further improvement can be addressed without delay. Two recommendations have been made at this inspection. The first recommends that changes made to the long term assessment in the care plan should be dated, so that staff can easily determine what areas of care have changed since the guest concerned was last admitted for respite. The second recommends that the registered manager looks into an anomaly discovered within the recording of the administration of medication, whereby the stock belonging to one service user could not be reconciled with the records kept. The registered manager believed that this would be due to an administrative error. Woodlands Respite Care Centre DS0000027991.V249109.R01.S.doc Version 5.0 Page 7 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 Respite Care Centre DS0000027991.V249109.R01.S.doc Version 5.0 Page 8 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 Respite Care Centre DS0000027991.V249109.R01.S.doc Version 5.0 Page 9 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): None of the standards were assessed at this inspection EVIDENCE: Woodlands Respite Care Centre DS0000027991.V249109.R01.S.doc Version 5.0 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 the following standard(s): Standards 6,7 and 9 Service users’ needs are understood and met. EVIDENCE: Service users are normally admitted for a period of one or two weeks. In the week prior to admission, a member of staff is allocated to collect and collate information provided by the service user and their family, their General Practitioner, and also the care manager where possible, in order to assess the current needs of the service user. This information is used to provide an up to date care plan, which can be ‘fine tuned’ following admission. It is recommended that changes recorded within the current care plan be dated on the long term assessment form to assist staff with ease of cross reference. Service users sign their care plan where possible. The care plans seen provided sufficient information for staff about the current physical, social and psychological needs of service users in order that care can be delivered appropriately. Since the last inspection, service users are now asked about their expectations of their stay. This is recorded within the care plan, and will be used as an auditing tool in order to measure the success of the service in meeting individual aspirations. Care plans for service users who have returned to their home, or who await admission, are now kept locked away. Service users spoken to were clear that decisions that they make regarding their stay Woodlands Respite Care Centre DS0000027991.V249109.R01.S.doc Version 5.0 Page 11 are upheld by staff wherever possible. Information about individual risks, especially regarding the use of bed rails, has been provided in more detail, including where the service user has declined the use of protective covers. Information has also been sought from safety bulletins, and from the manufacturer of integral rails, in order to check that they are safely fitted. The Resource Centre, which is sited at Woodlands, provides service users with independent advice and literature about issues that they may have about their lives. Woodlands Respite Care Centre DS0000027991.V249109.R01.S.doc Version 5.0 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 the following standard(s): Standards 13,15 and 16 The activities available and links with the community provide service users with the opportunity of a full and varied programme of activities to assist in meeting their social needs. EVIDENCE: Woodlands actively promotes local links with the community, and there are a large number of volunteers who provide support to access not only these facilities, but also those further a field, such as the theatre, shopping centres and other social events. The notice board gives information about some of the community services set up to support people with Multiple Sclerosis. Service users have access to pastoral services, local visiting school groups, pubs and local shops. Family links are encouraged and maintained. However, some service users stated that the stay was an opportunity to mix with other people, and to enjoy a complete rest and break from home life. Some service users request to receive their respite at the same time as friends that they have met previously at the centre. There is policy in place for the occasion where intimate personal Woodlands Respite Care Centre DS0000027991.V249109.R01.S.doc Version 5.0 Page 13 relationships have developed, and staff have received training to support them in supporting service users where this is the case. Service users were unanimous that the routine at the centre is entirely flexible. Comments from service users included that staff take into account where their needs may differ on a day to day basis. Staff interacted well with service users, and spoke with respect at all times. One service users stated that not only do staff knock, but that they also announced themselves before entering their bedroom. Woodlands Respite Care Centre DS0000027991.V249109.R01.S.doc Version 5.0 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 the following standard(s): Standards 19 and 20 Robust systems are in place to ensure that service users’ personal and healthcare needs are met during their stay. EVIDENCE: It was clear through discussion with staff and service users that there is a robust system in place in order that service users’ health care needs are met during the course of their stay, and that their emotional needs are understood. The General Practitioner is linked contractually to the centre, and staff stated that they provide a very good service, including a weekly surgery. The services of other community specialists, such as the Tissue Viability Nurse, are sought where needs dictate. Those service users spoken to had not used the GP service, but were happy that it was in place. One service user praised the centre, and stated that, despite having a chest infection on a previous admission, the centre was still able to accommodate their needs. This had avoided the need for an unwanted admission to hospital. The medication systems at the home were satisfactory. Following completion of a satisfactory risk assessment and the provision of lockable facilities, service users are able to self medicate, in order that their independence is protected. Details are sought for all service users from their General Practitioner prior to admission so that staff are sure about the medication that service users are currently prescribed. There was an error noted on an audit of the medication Woodlands Respite Care Centre DS0000027991.V249109.R01.S.doc Version 5.0 Page 15 whereby the number of tablets remaining did not tally with the records kept. This was reported to the registered manager who thought that this could be due to an administrative error. She has assured that she will look further into the matter. Woodlands Respite Care Centre DS0000027991.V249109.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 22 The registered manager takes complaints seriously, and service users have confidence in the complaints system. EVIDENCE: All service users spoken with were confident that, should they have any concern or complaint, this would be dealt with appropriately by the service. However, those spoken with could not imagine that they would ever have any concerns to raise. The procedure for complaining is clearly recorded in the service users’ guide, of which all service users receive a copy prior to admission. The Resource Centre is also available which could facilitate receipt of concerns should service users not wish to raise matters directly with the registered manager. There have been no complaints made to the commission during the period since the last inspection. The three complaints made direct to the home were clearly recorded, including evidence that they had been investigated, and the complainants informed of the outcome and resultant action. Woodlands Respite Care Centre DS0000027991.V249109.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: None of the standards were assessed at this inspection Woodlands Respite Care Centre DS0000027991.V249109.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): Standard 33 The staff and volunteer team collectively meet the holistic needs of service users. EVIDENCE: Further progress has been made in the number of care staff who have achieved accreditation at NVQ Level 2 in care. 47 are now in receipt of, or are working towards, this award. The registered manager anticipates that nine additional staff will have registered to study prior to December 2005. In order to facilitate this, staff are training towards becoming assessors to compliment the two staff who already hold this award. The staffing levels at the home are well maintained. Staff stated that they were very busy, particularly when the dependency levels of service users were high. Service user comments included that ‘staff are always busy’, and ‘staff want to do the job, but don’t have a lot of time’. However, it was recognised by care staff and service users that needs were met, and that the team as a whole, including the physiotherapy staff and volunteers, met the holistic needs of individual service users. Woodlands Respite Care Centre DS0000027991.V249109.R01.S.doc Version 5.0 Page 19 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): Standard 42 The home is managed in such a way that the health and safety of service users and staff is considered. EVIDENCE: The registered manager is making continued progress towards accreditation at NVQ Level 4 in management. Staff and service users made positive comments about the input that she provides to the centre. There were a number of records seen which confirmed that the premises and equipment are regularly maintained. The electrical fixed wiring inspection was carried out in January 2005. The registered manager has not yet received the certificate for this, but confirmed that there were no outstanding works required following the inspection. The fire records were up to date, and it was confirmed that training for staff is provided at least six monthly. A fire safety risk assessment has been completed, and the fire officer has recently visited the premises and found the systems in place to be satisfactory. There have been a number of incidents over the last six months where people have Woodlands Respite Care Centre DS0000027991.V249109.R01.S.doc Version 5.0 Page 20 trespassed into the grounds. They have not entered the building. The registered manager is awaiting a meeting with a representative of the police service, who advises on community security. Following this report, consideration will be given to the provision of CCTV surveillance. Regulation 26 reports submitted to the commission detail works which are currently being carried out to the tracking hoists. In the interim, portable hoists have been supplied, in order that the staff may continue with safe moving and handling of service users. The registered manager confirmed that the service has not been affected. Woodlands Respite Care Centre DS0000027991.V249109.R01.S.doc Version 5.0 Page 21 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 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X 3 X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Woodlands Respite Care Centre Score X 3 2 X Standard No 37 38 39 40 41 42 43 Score X X X X X 3 X DS0000027991.V249109.R01.S.doc Version 5.0 Page 22 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 2 3 4 Refer to Standard YA6 YA20 YA32 YA37 Good Practice Recommendations The long term assessments should be dated during update to ensure that they can be easily cross referenced against the current care plan The registered manager should investigate the anomaly whereby the number of tablets in stock belonging to one service user could not be reconciled with the records kept 50 of care staff should be trained to NVQ Level 2 by 2005 The registered manager should be qualified to NVQ Level 4 in management by 2005 Woodlands Respite Care Centre DS0000027991.V249109.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 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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