Inspection on 23/06/05 for Woodmere

This inspection was carried out on 23rd June 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

Woodmere 06/12/07

Woodmere 25/01/07

Woodmere 17/01/06

Woodmere 09/02/05

Woodmere 11/08/04

Woodmere 23/02/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 WOODMERE Lower Wokingham Road Crowthorne Berkshire RG45 6BT Lead Inspector Katy Brown Unannounced 23 June 2005 @ 10:am 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. WOODMERE H52-H01 51693 Woodmere V227916 230605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Woodmere Address Lower Wokingham Road Crowthorne Berkshire RG45 6BT 0118 929 7900 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) New Support Options Ms Esther Callaghan Care Home 6 Category(ies) of Learning Disability (LD) registration, with number of places WOODMERE H52-H01 51693 Woodmere V227916 230605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 09/02/05 Brief Description of the Service: Woodmere cares for six adults with learning disabilities. It is set in a residential area close to local amenities and the town centre. The home consists of two single flats with lounge, toilet/bathroom and kitchen and two dual shared living quarters. The accommodation that is provided is all within the same building and all of the bedrooms are single occupancy. The home also has its own vehicle to assist the residents with transport, or they can use public transport if preferred. WOODMERE H52-H01 51693 Woodmere V227916 230605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over four hours. There have been no additional visits made since the last announced inspection. A tour of the premises took place and staff records, residents’ care records and some of the homes’ records were inspected. Five of the six residents were spoken to and three of the four members of staff on duty were spoken to. What the service does well: The home has a group of staff that work well together and have a clear understanding of residents needs. The staff also keep good records of the things that happen in the residents lives. Staff talk to the residents and listen to what they want to do and then support them to make choices and decisions that affect their lives. Residents are comfortable with staff and receive care when they need it and when they ask for it. Residents that were spoken to say that staff treat them very well and that they are happy living at the home. Some residents said that when they are unhappy about things, staff and the manager take their concerns seriously and do what they can to resolve any issues. When residents are ill, the staff always contact the doctor or nurse and make sure that they keep appointments for them and make sure that the residents wishes and their relatives wishes are met. The residents are encouraged to take part in interviews when the home is looking for new members of staff. WOODMERE H52-H01 51693 Woodmere V227916 230605 Stage 4.doc Version 1.30 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. WOODMERE H52-H01 51693 Woodmere V227916 230605 Stage 4.doc Version 1.30 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 WOODMERE H52-H01 51693 Woodmere V227916 230605 Stage 4.doc Version 1.30 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) 3 The staff employed at the home and the services and facilities that are available to residents are able to meet their assessed needs. EVIDENCE: Individual records are kept for each resident and an inspection of the records for three of the six residents’ that live at the home, confirmed that their needs were being met and that specialist support had been implemented when required. The five residents that were spoken to said that they were happy at the home and that staff do meet their needs. WOODMERE H52-H01 51693 Woodmere V227916 230605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 and 9 Residents are involved in their care planning process and are provided with a good standard of care that is consistent with their identified needs and risk management plans. EVIDENCE: Individual plans of care are available for all residents and they contain all the information about their healthcare, personal care and social care needs. Staff keep a daily record of residents’ activities and any visits that they had received or appointments that they had attended. Clear guidance is in place to ensure that the residents’ needs are met. Risk management plans have been completed for the residents and staff are aware of these risks and adhere to procedures. The residents are involved in the process for identifying risks. Reviews of the care provided and risk management strategies are completed regularly and the residents’ that were spoken to, confirm that they attend their reviews. WOODMERE H52-H01 51693 Woodmere V227916 230605 Stage 4.doc Version 1.30 Page 10 Residents’ say that they are involved in the care planning process and that they do make decisions about their lives. The residents that have restrictions in place have been consulted and a signed agreement is in place. WOODMERE H52-H01 51693 Woodmere V227916 230605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 15 and 16 Relationships with families and friends are encouraged, supported and maintained and residents make decisions about the way the home is run and are aware of their own responsibilities. EVIDENCE: Staff support residents’ to write letters to friends and family and residents’ said that they could use the telephone when they wish. Visits by friends and relatives are encouraged and staff use the homes vehicle to transport residents’ to the homes of their friends and family when required. Staff provide meetings for residents, to enable them to discuss their views and opinions about the home and how it is run. There is also a key worker system in place and residents said that their key-workers help them to sort out any problems that they might have. Residents said that they are aware of the rules and policies within the home and are encouraged to discuss any areas of disagreement with each other and with the staff. WOODMERE H52-H01 51693 Woodmere V227916 230605 Stage 4.doc Version 1.30 Page 12 WOODMERE H52-H01 51693 Woodmere V227916 230605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 21 The residents’ are provided with a good standard of care that reflects their wishes and meets their health needs. The illness and death of residents is managed with sensitivity and dignity. EVIDENCE: Staff that were spoken to have a good awareness and understanding of the residents’ health needs and individual records are kept for all health related visits. Staff are proactive when a residents health changes or deteriorates and records indicate that all appointments with health professionals are kept. A resident that has a notable deterioration in behaviour, has been referred to the appropriate health professionals and is now receiving specialist care. Three residents’ said that they do visit the doctor, if they are unwell and one resident spoke of regular visits to the dentist, dietician and hospital nurse. He explained that a previous skin condition had now healed following a number of visits to the hospital. There have been no deaths at the home; however, appropriate policies and procedures are in place to support staff if required. WOODMERE H52-H01 51693 Woodmere V227916 230605 Stage 4.doc Version 1.30 Page 14 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) 22 Residents views are listened to and residents’ are confident that their complaints will be taken seriously and investigated properly. EVIDENCE: Residents that were spoken to said that they would be comfortable making a complaint as they believed that their complaint would be taken seriously. All residents have a copy of the complaints procedure and residents said that staff always resolved any issues or concerns that they had raised or identified. The manager and staff keep a satisfactory record of any complaints that are made. The CSCI has not received any complaints in respect of this service. WOODMERE H52-H01 51693 Woodmere V227916 230605 Stage 4.doc Version 1.30 Page 15 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 Residents are able to be as independent as possible, while living in an environment that is homely, comfortable and safe for them. EVIDENCE: A tour of the premises identified that the home is well decorated and the furniture looks nice. Currently there are no curtains in one of the lounge areas due to the deteriorating behaviour of one of the residents. The manager confirmed that the curtains would be replaced soon. The residents that were spoken to say that they are happy with their accommodation and one resident said that he really liked having his own flat, as there were times when he preferred his own company. Some of the doors have entry codes, due to the identified risks of some of the residents; however, a record is kept of these restrictions and the residents do have access to these codes. WOODMERE H52-H01 51693 Woodmere V227916 230605 Stage 4.doc Version 1.30 Page 16 WOODMERE H52-H01 51693 Woodmere V227916 230605 Stage 4.doc Version 1.30 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) 34 and 35 The procedures for the recruitment of staff are robust and provide safeguards for the residents. Staff receive an induction to the home and a variety of training that enables them to provide a good service to the residents that live there. EVIDENCE: The home has a satisfactory policy for the recruitment of staff. A resident said that he had previously sat on the interview panel when recruiting new staff, although he no longer chooses to take part. The manager confirmed that all the residents are given a choice whether they wish to take an active role in the recruitment of staff. The staff file for the member of staff most recently employed at the home, identified that all the necessary recruitment checks had been completed and that the home keeps all the correct information about staff that they are required to. Staff that were spoken to, confirmed that they receive training that helps them meet the needs of residents and said that they have recently completed specialist training to meet the needs of a resident whose behaviour had recently deteriorated. Staff confirmed that they also receive refresher training WOODMERE H52-H01 51693 Woodmere V227916 230605 Stage 4.doc Version 1.30 Page 18 on a regular basis. All staff receive an induction that is compliant with TOPSS specifications. WOODMERE H52-H01 51693 Woodmere V227916 230605 Stage 4.doc Version 1.30 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 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 and 42 The staff at the home seek the residents views and opinions and ensure that they are reflected in the way that the home is run. The safety and welfare of residents’ is met through the health and safety policies and procedures and care practices at the home. EVIDENCE: The home has a satisfactory policy for quality assurance. Questionnaires have been sent to service users, relatives and their representatives, to seek their views and opinions of the service provided. One resident said that he attends regular meetings with representatives from New Support Options, (the provider organisation), to discuss his views and opinions. WOODMERE H52-H01 51693 Woodmere V227916 230605 Stage 4.doc Version 1.30 Page 20 The home has satisfactory health and safety policies and procedures in place and an inspection of records identified that regular maintenance checks are completed for equipment used at the home. Most requirements that were made by the health and safety officer in March 2005 have now been complied with and the remainder are still within the allocated timescale. Fire fighting equipment checks are completed by the appropriate agencies and staff ensure that fire drills take place. WOODMERE H52-H01 51693 Woodmere V227916 230605 Stage 4.doc Version 1.30 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 3 x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 x x x x 3 3 x Standard No 31 32 33 34 35 36 Score x x x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 WOODMERE Score x 3 x 3 Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x H52-H01 51693 Woodmere V227916 230605 Stage 4.doc Version 1.30 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. 1. 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. Refer to Standard Good Practice Recommendations WOODMERE H52-H01 51693 Woodmere V227916 230605 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection 2nd Floor 1015 Arlington Business Park Theale RG7 4SA 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. Extracts may not be used or reproduced without the express permission of CSCI WOODMERE H52-H01 51693 Woodmere V227916 230605 Stage 4.doc Version 1.30 Page 24 - 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!