Inspection on 20/02/08 for Woodleigh House

This inspection was carried out on 20th February 2008.

CSCI found this care home to be providing an Excellent service.

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

Woodleigh House 09/05/07

Woodleigh House 07/03/06

Woodleigh House 11/07/05

Woodleigh House 09/12/04

Woodleigh House 08/11/04

Woodleigh House 03/03/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Woodleigh House Woodlea Road Waterfoot Rossendale Lancashire BB4 7BD Lead Inspector Mrs Susan Hargreaves Key Unannounced Inspection 20th February 2008 10:30 Woodleigh House DS0000009633.V358450.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 Woodleigh House DS0000009633.V358450.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. Woodleigh House DS0000009633.V358450.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodleigh House Address Woodlea Road Waterfoot Rossendale Lancashire BB4 7BD 01706 227418 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Anna Geraldine Ellis Mr John Stevenson Lord Care Home 10 Category(ies) of Learning disability (9), Mental disorder, registration, with number excluding learning disability or dementia (1) of places Woodleigh House DS0000009633.V358450.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Once this named service user leaves the property, then the registration should revert back to a maximum of 10 service users with LD The service should employ a suitably qualified and experience person who is registered with the Commission for Social Care Inspection as manager of Woodleigh House only. Up to 9 service users in the category of LD requiring personal care. One service user in the category MD requiring personal care. 3. 4. Date of last inspection 9th May 2007 Brief Description of the Service: Woodleigh House is registered with the Commission for Social Care Inspection to provide care and accommodation to nine younger adults who have a learning disability and one adult who has a mental illness. Woodleigh House is a large detached property situated in its own grounds in the village of Waterfoot in Rossendale. The home is located on a main bus route and service users can use transport provided by the home to access facilities in or out of the area. Accommodation is homely and is provided on two levels. Access to the first floor is via a passenger lift. All bedrooms are on the first floor and each are large single bedrooms with accompanying individual lounge areas. The ground floor consists of a lounge with attached conservatory, a dining area and a modern kitchen. Confidential information and medication are both stored securely in separate rooms. The home is decorated, equipped and furnished to a good standard. Furnishings are domestic and modern in character. There are enclosed garden areas surrounding the property. The current fees charged at Woodleigh House are from £1000 per week. A statement of purpose and service user guide was available to prospective residents and their relatives on request. Woodleigh House DS0000009633.V358450.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 stars. This means the people who use this service experience excellent quality outcomes. • • • • • • • • The inspector came to Woodleigh House on 20 February 2008 to do a key inspection. The inspector spoke to the people living at the home. The inspector spoke to the relative of someone living at the home. The inspector also spoke to the manager and 2 members of staff. The care records of 2 people living at the home were inspected Records about how the home is run were also looked at. One resident showed the inspector round the home. 3 residents filled in questionnaires. These stated they were happy living at Woodleigh House. What the service does well: • • • • • • Members of staff were friendly and got on well with the residents. The relative of someone living at the home said members of staff were brilliant. There were lots of things for residents to do. These included, going to the cinema, swimming, bowling and shopping. One resident said he liked going to Burnley college and had been voted ‘student of the year’. On special occasions like halloween residents and staff organised a party. Residents planned and helped to cook the meals. All the residents asked said the meals were good. Woodleigh House DS0000009633.V358450.R01.S.doc Version 5.2 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 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. Woodleigh House DS0000009633.V358450.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 Woodleigh House DS0000009633.V358450.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. A thorough admissions procedure ensured the needs of people using the service were identified and met. EVIDENCE: There have been no new admissions to the home for almost two years. The manager explained that prospective residents were assessed by a social worker and spent time at the home getting to know the residents and staff before they came to live permanently at Woodleigh. One resident commented on the survey form, ‘I stayed for a short visit before I came in.’ Woodleigh House DS0000009633.V358450.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 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were encouraged and supported to make decisions about the care they received and their lifestyle. EVIDENCE: The individual care plans of two residents were inspected. These plans identified the needs of each resident and explained how these needs were to be met. Residents were involved in developing their own care plan, which included details of their individual likes and dislikes. Pictures were used to help one resident to communicate his needs. However, not all care plans were dated and reviews did not routinely take place every six months. Several care plans for one resident had been written in September 2001 and reviewed in January 2004 and November 2006. One of these care plans had been updated in February 2005. This made it difficult to know if all the information in the care plans was up to date. Woodleigh House DS0000009633.V358450.R01.S.doc Version 5.2 Page 10 Appropriate risk assessments were in place. These had been carried out in July 2007 and the review date given was July 2008. Information about how to manage the risks was also included in these assessments. Residents were supported to make decisions about their lifestyle. The three residents who completed surveys stated that they chose what to do during the day and evening and at the weekend. Woodleigh House DS0000009633.V358450.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, and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents were supported to have an active and fulfilling lifestyle. Residents planned all meals to their own tastes and needs. EVIDENCE: Residents were encouraged and supported to continue with their education. Two residents attend Burnley College for life long learning courses. One of these residents was designated student of the year. Arrangements have been made for another resident to do an NVQ level 1 at a local Internet café. Residents were also encouraged and supported to find suitable employment if possible. One resident worked for two days a week at a furniture removal firm. Another resident said she had recently started working at a local nursery and also worked at a charity shop one morning a week. Woodleigh House DS0000009633.V358450.R01.S.doc Version 5.2 Page 12 A variety of leisure activities were available. These included, swimming, art class, shopping, walking, bowling, gym, cinema, discos, visits to the pub and meals out. Activities in the home included board games, watching television and a reminiscence group for three of the older residents. One member of staff explained that at the weekend they might have a take away meal and popcorn and watch a DVD. Trips out to various attractions were arranged including, Blackpool and the X-factor concert. Residents were also given the opportunity go on holiday to Ribey Hall or camping. Parties were organised to celebrate special occasions e.g. Halloween, Christmas etc. One resident explained how she liked living at the home and said, “I love it to bits.” A visiting relative said her son went swimming two or three times a week and was out and about a lot. One resident said that visitors were welcome anytime and were given refreshments and could stay for meals. Residents were encouraged to clean and tidy their rooms and help with household tasks if possible. Residents were also responsible for planning all meals. They helped with the shopping and cooking. Alternatives to the planned meal were available to ensure the likes and dislikes of individual residents were catered for. All the residents asked said the meals were good. Woodleigh House DS0000009633.V358450.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 and 20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents individual healthcare needs were identified and their privacy and dignity promoted. Medication was managed safely. EVIDENCE: Personal care was carried out in the privacy of the resident’s own room or the bathroom. Members of staff were observed speaking to residents in a polite and friendly manner. One visitor said, “The staff are excellent.” Each resident had a health action plan, which provided detailed information about his or her individual healthcare needs. Residents were registered with a GP and had access to other healthcare professionals. Records for the management of medication were in place. Medication was stored correctly and administered by appropriately trained members of staff. A risk assessment had been completed for a resident who was able to selfmedicate. Woodleigh House DS0000009633.V358450.R01.S.doc Version 5.2 Page 14 Written directions were in place for staff to follow to ensure medication prescribed ‘when required’ for individual residents was given at the right time. All medication was checked as part of the shift handover and the amount of medication in stock was recorded on resident’s individual medication audit sheet. The manager explained how she observed each member of staff administering medication every six months in order to check they were following correct procedure. Woodleigh House DS0000009633.V358450.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 excellent. This judgement has been made using available evidence including a visit to this service. Residents felt able to express their concerns. Staff had a good understanding of protection issues. EVIDENCE: Residents have access to an illustrated copy of the complaints procedure. One complaint has been made to the manager since the last inspection. Records of the complaint and the action taken were available. All the residents who completed the survey stated they knew how to make a complaint. A visitor said she had a good relationship with the manager and staff and would complain if necessary. Policies and procedures for safeguarding vulnerable adults were in place. These provided clear guidance for staff to follow if allegations of abuse were made. This issue was discussed with one member of staff. She knew the procedure and said she would report any concerns immediately. Members of staff received ‘in house’ training in safeguarding vulnerable adults and again during the learning disabilities training. Members of staff also had training in managing challenging behaviour. Woodleigh House DS0000009633.V358450.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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The premises were well maintained and provided a comfortable and ‘homely’ environment for the residents. EVIDENCE: The home was clean, tidy and well maintained. Communal rooms were suitable for a variety of social and cultural activities. Residents had personalised their bedrooms to suit their own needs and interests. To ensure the home continued to provide a homely environment for the residents a maintenance plan was in place. Woodleigh House DS0000009633.V358450.R01.S.doc Version 5.2 Page 17 The grounds and gardens were well kept and accessible to all residents. Laundry facilities were suitable for the size of the home. An infection control policy was available. Woodleigh House DS0000009633.V358450.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 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Members of staff were encouraged to acquire the skills and knowledge needed to provide effective care for the residents. Recruitment procedures were thorough. EVIDENCE: Examination of the duty rota confirmed that a sufficient number of staff were on duty for all shifts in order to meet the assessed needs of the residents. Additional members of staff were on duty for trips out and some activities. Training for all members of staff was encouraged. Induction training was in place for new employees. Following induction support workers completed specialist learning disabilities training. Training for all members of staff included, moving and handling, basic food hygiene and first aid. Twelve members of staff had achieved NVQ qualifications, five at level 2, seven at level 3 and two senior support workers were working towards NVQ level 4. Woodleigh House DS0000009633.V358450.R01.S.doc Version 5.2 Page 19 The files of two members of staff appointed since the last inspection were examined. These files indicated that all the required pre-employment checks to ensure protection of the residents had been completed prior to appointment. Woodleigh House DS0000009633.V358450.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a competent manager. The views of residents are considered when decisions about the care and facilities provided at the home are made. EVIDENCE: The manager has many years experience of caring for people with learning disabilities. She has almost completed the NVQ ‘Registered manager’s Award’. One resident said, “The manager’s brilliant.” The home has achieved the nationally accredited Investors in People award. The manager explained that she had an ‘open door’ policy and residents and their relatives were encouraged to give feedback about the care provided at any time. Woodleigh House DS0000009633.V358450.R01.S.doc Version 5.2 Page 21 The three residents who completed the survey stated that carers listened and acted on what they said. All residents had been asked to complete a ‘wish list’. Where possible these had been addressed. The manager said she was hoping to repeat this and also include the wish list in each resident’s care plan. An annual development plan to help monitor the quality of the service and further improve outcomes for residents was available. Policies and procedures for safe working practices were in place. Fire alarms and emergency lighting were tested weekly. A fire risk assessment was in place. Fire drills with full evacuation of the premises took place every six months. The manager was advised to keep a staff attendance record to ensure all members of staff received this training. Records of the routine servicing of equipment were seen. These included up to date gas safety and electrical installation certificates. The testing of small electrical appliances had taken place in March 2007. General risk assessments for the premises and various tasks e.g. in the kitchen and laundry were in place. These assessments also included information about how the risks were to be managed. Records maintained in the kitchen included fridge and freezer temperatures. However, food temperatures were not recorded and the manager was advised to obtain a temperature probe to ensure this was done. Woodleigh House DS0000009633.V358450.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME 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 4 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 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 4 X 3 X 3 X X 2 X Woodleigh House DS0000009633.V358450.R01.S.doc Version 5.2 Page 23 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 YA6 Standard Regulation Requirement Timescale for action 25/04/08 15(2)(b)(c) To ensure staff have the information they need in order to provide person centred care for each resident care plans and risk assessments must be reviewed every six months and up dated when the needs of the resident change. 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 YA6 2 YA42 3 YA42 Refer to Standard Good Practice Recommendations It is important to ensure all care records are dated and signed. The temperature of cooked food should be checked and recorded. A staff attendance record at fire drills should be kept in order to ensure all members of staff receive this training. Woodleigh House DS0000009633.V358450.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Woodleigh House DS0000009633.V358450.R01.S.doc Version 5.2 Page 25 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!