Inspection on 19/07/07 for Woodlea Residential Care Home

This inspection was carried out on 19th July 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Woodlea Residential Care Home 31/05/06

Woodlea Residential Care Home 16/12/05

Woodlea Residential Care Home 13/09/05

Woodlea Residential Care Home 01/02/05

Woodlea Residential Care Home 14/12/04

Woodlea Residential Care Home 29/03/04

Woodlea Residential Care Home 17/09/03

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

CARE HOME ADULTS 18-65 Woodlea Residential Care Home Woodlea 196 Upper Chorlton Road Manchester M16 7SF Lead Inspector Rukhsana Yates Unannounced Inspection 18th July 2007 10:00 Woodlea Residential Care Home DS0000005637.V335745.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 Woodlea Residential Care Home DS0000005637.V335745.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. Woodlea Residential Care Home DS0000005637.V335745.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodlea Residential Care Home Address Woodlea 196 Upper Chorlton Road Manchester M16 7SF 0161 862 9521 0161 882 0744 woodlea@talktalk.net 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) Mr S Pascau Mrs Dorothy Heaton Care Home 15 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (13), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (2) Woodlea Residential Care Home DS0000005637.V335745.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. All the service users will fall within the category of mental disorder and may also have an associated learning disability. 31 May 2006 Date of last inspection Brief Description of the Service: Woodlea is a private care home providing support and accommodation for up to 15 adults with mental health needs. The home is a large converted Edwardian House set in a residential area of Trafford. Shops and a post office are within walking distance of the home. Public transport routes into Manchester city centre and the surrounding area are close by. The philosophy of the service is to maximise the potential of each resident and to develop and maintain independence. Accommodation is provided in 15 single bedrooms, none of which have en-suite facilities. Sufficient toilet and bathroom facilities are provided to meet the needs of the residents. Communal space comprises of a lounge with connecting dining room and a non-smoking lounge on the lower ground floor. There is a large private garden to the rear of the property and parking space at the front. The weekly fees are £699. Residents pay for trips and for taxis. Woodlea Residential Care Home DS0000005637.V335745.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. To find out about the experiences of people living at Woodlea, a visit was carried out, with a total of five hours spent at the home. No-one was told that the inspector would be visiting. The time was spent talking with people living and working at the home and watching the ways in which staff provided support to people living there. The findings of the inspection take account of comments made by five of the residents consulted during the visit, and written information received from the manager as well as what was seen at the site visit. The service was inspected against key standards that cover the support provided, daily routines and lifestyle, choices, complaints, comfort, how staff are employed and trained, and how the service is managed. The term preferred by people consulted during the visit was “residents”. This term is, therefore, used throughout the report when referring to those living at the home. What the service does well: What has improved since the last inspection? Residents like the meals and choices at mealtimes as a cook is now working at the home and makes a variety of meals that they enjoy, especially chinese food. After the last inspection, the manager asked residents about how they would like the home decorated, and made sure the work took place. One person said, “My bedroom has been decorated with new curtains, carpet and bedding. I chose the colours” and another person said , “I like the house now because it is more modern”. Woodlea Residential Care Home DS0000005637.V335745.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Woodlea Residential Care Home DS0000005637.V335745.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 Woodlea Residential Care Home DS0000005637.V335745.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): 2: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents have their needs assessed and are assured that the service is able to meet them. EVIDENCE: Admissions to Woodlea are planned and arranged at a pace to suit the individual. Records showed that residents’ decisions to move to Woodlea had been made following a multi-disciplinary assessment involving the prospective resident. The manager obtains an assessment from the referring authority in all instances, and carries out a comprehensive assessment that is used to formulate a care plan with the resident. The assessment covers personal support needs, routines, recreation, religious beliefs and relationships. Residents consulted confirmed that they had opportunities to visit the home during the day, and for overnight stays before making the decision to move in. One person said, “I stayed overnight a few times and decided it was nice”. The manager is currently working on improving the accessibility of preadmission documentation, through the use of large print and pictures for example, for those who have difficulty understanding the existing format. Woodlea Residential Care Home DS0000005637.V335745.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals are involved in decisions about their lives and in planning the care and support they receive. EVIDENCE: Residents consulted were satisfied with the support they receive, and care plan reviews reflected benefits for them in terms of improved wellbeing or confidence as a result of living at Woodlea. For example, one person had resumed family contact as a result of better physical and mental health since moving to the home. It was apparent in discussions and observations that support staff have a good awareness of the individual needs of residents, and the approach to use depending on the preferences and personalities of each person. Staff reported that their awareness has been enhanced because they have become more involved in reviewing care plans with residents since the last inspection. Woodlea Residential Care Home DS0000005637.V335745.R01.S.doc Version 5.2 Page 10 Independence and increased life skills are promoted within a risk management framework that is recorded, implemented and reviewed. There were examples of residents being supported to participate in the community, to visit relatives, and to develop friendships, with risk assessments in place to ensure their safety. The service is responsive to each person’s changing mental and physical needs and ability to self-care, which helps residents to maximise their choices and independence. As one resident said, “staff are around to help if I need it but I can go out and come in as I please.” Residents said that they are encouraged to make decisions and exercise choice in their daily routines. They are able to discuss their choices with the manager and staff, and also make their views known in regular residents’ meetings. Woodlea Residential Care Home DS0000005637.V335745.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents feel their lifestyle choices, expectations, and preferences in daily routines are respected and met. EVIDENCE: Residents are provided with information about educational courses and supported employment opportunities available in the local community, and leisure activities are provided inside and outside the home. For example, some of the residents said that they enjoyed shopping, outings and pub lunches. One said “ sometimes go to the pub and out for my lunch and haircut with staff. I enjoy it”. It was evident that residents have, in some instances, developed friendships and relationships and that these are based on informed choice. The manager was able to describe how care planning and support takes account of the potential vulnerability of each person. Woodlea Residential Care Home DS0000005637.V335745.R01.S.doc Version 5.2 Page 12 Residents confirmed that they are supported to keep in touch with their family and friends. They also described their responsibilities in terms of keeping their rooms clean and tidy and participating in household tasks, and the satisfaction this afforded them. It was evident that people living in the home exercised choice in where to spend their time, and that routines are flexible. For example, meal times are relaxed and accommodate residents’ schedules. Since the last inspection a cook has been employed, and residents were clearly impressed with the improvements in meal provision. They described themed meals including American, Caribbean, Jamaican and, their favourite, Chinese meals. One of the residents enjoys taking responsibility for consulting with people living at the home and recording their choices each day, ensuring that their preferences are met. Woodlea Residential Care Home DS0000005637.V335745.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ receive support and have their physical and emotional health care needs met in the way they prefer and require. EVIDENCE: The care plan for each person clearly describes the ways in which residents perceive their needs and the expectations they have of the people supporting them. For example the plan details preferred routines, personal care needs and emotional support requirements. There is also a recognition that the type of support may need to change depending on the mental health and vulnerability of each person at any particular time. Care plans also include information about health care needs and referrals to health care professionals. Staff members were observed to be reassuring and respectful towards residents, and to take the time to explain their actions resulting in reduced anxiety for residents. Woodlea Residential Care Home DS0000005637.V335745.R01.S.doc Version 5.2 Page 14 Medication is managed in a safe and consistent manner, with clear systems in place for recording, auditing, administering and storing medication. Self medication is enabled for people if this is considered appropriate within risk management guidelines. Woodlea Residential Care Home DS0000005637.V335745.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are listened to, taken seriously, and feel safe. EVIDENCE: All of the residents spoken with said that they would speak to the manager if they had any concerns and were confident that action would be taken in response to their worries. There have been no complaints since registration. Residents were clearly comfortable approaching staff to ask questions or seek reassurance and the open door policy was appreciated by those consulted. Discussions and training records confirmed that staff receive a wide range of training, including adult protection, and understand their role in protecting residents. Care plans include guidelines and responsibilities agreed with individuals designed to promote choice and freedom while reducing risks to personal safety. Woodlea Residential Care Home DS0000005637.V335745.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are satisfied that they live in a clean and comfortable environment. EVIDENCE: The home was clean, hygienic and tidy, and residents consulted were happy with the environment. Each person has a single room and is offered a key to their room if they want one. Residents are encouraged to keep their rooms clean and tidy with support from staff in order to maintain their independence and sense of ownership. At the last inspection, a recommendation was made to improve the homeliness of the environment in consultation with residents. Residents reported many improvements that they have been consulted about and that have made the home a more modern, pleasant place to live. Two of the comments were, “My bedroom has been decorated with new curtains, carpet and bedding. I chose the colours” and “I like the house now because it is more modern”. Woodlea Residential Care Home DS0000005637.V335745.R01.S.doc Version 5.2 Page 17 Uncomfortable chairs had been replaced with leather sofas, and the lounges, dining room and bedrooms had been decorated and refurbished. Further improvements are planned as part of an on-going maintenance programme. Woodlea Residential Care Home DS0000005637.V335745.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are met by competent and suitably trained staff. EVIDENCE: Staff members consulted were able to demonstrate their understanding of the assessed needs of residents, appeared to have good relationships with residents, and were approachable and responsive to requests for information. All staff had either achieved, or were working towards NVQ qualifications, and a wide range of training was being accessed via membership of the Trafford Training Consortium. Staff also said that relevant background checks were carried out before they were employed, and induction training was provided in the first few weeks of employment. Staff records confirmed that suitable recruitment procedures are followed, and showed that residents are involved in the selection process through completing a questionnaire after meeting prospective staff. The questionnaire asks for residents’ views about whether the candidate was polite and friendly, made them feel at ease and if the resident would be happy to be supported by the person. Woodlea Residential Care Home DS0000005637.V335745.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Effective management ensures that residents’ rights and best interests are promoted. EVIDENCE: The manager demonstrated a good level of knowledge and competence in her role, and residents said that she had made a lot of improvements. Residents and staff described an open and friendly atmosphere in which people’s views are listened to and acted on. In terms of quality monitoring, the manager obtains the views of residents and visitors, but the results need to be collated in order to produce a written plan that shows residents how their views are used to make changes to the service. Health and safety checks promote residents’ welfare. Woodlea Residential Care Home DS0000005637.V335745.R01.S.doc Version 5.2 Page 20 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 3 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Woodlea Residential Care Home DS0000005637.V335745.R01.S.doc Version 5.2 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 Standard YA39 Regulation 24(1) Requirement A quality monitoring plan must be produced that shows residents and other interested parties how their views are used to improve the service. Timescale for action 01/11/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Woodlea Residential Care Home DS0000005637.V335745.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Manchester Local Office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Woodlea Residential Care Home DS0000005637.V335745.R01.S.doc Version 5.2 Page 23 - 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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