Inspection on 18/01/06 for Woodpecker Lodge

This inspection was carried out on 18th January 2006.

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

Woodpecker Lodge 04/04/07

Woodpecker Lodge 21/07/05

Woodpecker Lodge 11/10/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Woodpecker Lodge Weir End House Glewstone Ross-on-Wye Herefordshire HR9 6AL Lead Inspector Christina Lavelle Unannounced Inspection 18th January 2006 03:15 Woodpecker Lodge DS0000059820.V278594.R01.S.doc Version 5.1 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 Woodpecker Lodge DS0000059820.V278594.R01.S.doc Version 5.1 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. Woodpecker Lodge DS0000059820.V278594.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Woodpecker Lodge Address Weir End House Glewstone Ross-on-Wye Herefordshire HR9 6AL 01989 567711 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) Parkcare Homes Limited Mrs Ann Fletcher Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Woodpecker Lodge DS0000059820.V278594.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st July 2005 Brief Description of the Service: Woodpecker Lodge is owned and managed by Parkcare Homes Limited, which is part of a much larger company called Craegmoor Healthcare Limited. The home is a bungalow that was purpose built and first opened in April 2004. It is situated in the grounds of another care home (Weir End House), which is run by the same provider and manager. The home is about two miles from the centre of the market town of Ross-on-Wye. Although the grounds of the homes are just off a very busy main road they also have a countryside setting. The home has a “people carrier” vehicle to provide transport for service users. Woodpecker Lodge offers accommodation with personal care for up to six younger adults (aged less than sixty-five) who can be men or women. Service users must require care due to learning disabilities and the homes main aim is to help them to develop their independence and life skills. Each service user has a single bedroom with an en-suite and shower facilities. There is also a lounge, a kitchen/dining room, bathroom, toilet and utility room for everyone to use. The two homes are situated within lovely large grounds including a wooded area, a walled vegetable garden and a paddock housing a donkey and goat. The bungalow also its own garden, patio and parking area. Woodpecker Lodge DS0000059820.V278594.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This routine unannounced inspection was carried out in about two hours in the late afternoon on a Wednesday in the winter. The main aims were to obtain an impression of life at the home and to make sure the service users are happy living at Woodpecker Lodge. Also to check the home still offers a high quality service and is meeting it’s stated purpose. For more detailed information about the service and facilities provided you should also read the report made following the last fuller inspection of the home, undertaken on 21st July 2005. Most service users were just returning home from their college and/or other weekday activities. They were all very welcoming and readily agreed for the inspector to discuss their experience of Woodpecker Lodge, some privately in their bedrooms. The manager and staff on duty were also very helpful and cooperative with the inspection process. Most areas of the bungalow were seen and some care and safety records were checked. All the written correspondence and any contact between the home and Commission since the last inspection were also taken into consideration. What the service does well: Woodpecker Lodge provides a real home for the service users, which they all valued. The bungalow is very homely and comfortable and is very nicely decorated, well furnished and equipped. Service users have personalised their bedrooms so they reflect their individual interests and taste. There was a very relaxed and open atmosphere in the home and service users, staff and the manager clearly get on well together. Service users feel staff are helpful and approachable and encourage them to become more independent. Service users lead very busy and interesting lives. They participate in a range of social and leisure activities and have taken up opportunities to develop their life skills. Staff had helped some of them to find work placements and others are on college courses. They are also expected to take responsibility for running the house and to make choices and decisions about their own lives. A new service user had been very well supported by staff to help them decide if they wished and could benefit from moving to Woodpecker Lodge. It was good to see they were settling in at the home and getting on with everyone. The home and service users benefit from a stable, well-motivated and suitably trained staff team. Staff know service users and their needs very well and are committed to meeting them all and making the care and service even better. The home is well run, with a clear and positive management approach. Woodpecker Lodge DS0000059820.V278594.R01.S.doc Version 5.1 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. Woodpecker Lodge DS0000059820.V278594.R01.S.doc Version 5.1 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 Woodpecker Lodge DS0000059820.V278594.R01.S.doc Version 5.1 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 the following standard(s): 1, 2, 3, 4 & 5 Suitable information is provided to help prospective service users decide if they may like to live at Woodpecker Lodge and if the home could meet their needs. Thorough assessment and admission procedures ensure that the home should appropriately meet the needs, wishes and goals of prospective service users. EVIDENCE: Appropriate information documents are provided for the home, including a statement of purpose, service users’ guide and terms & conditions of residence (contract). The relevant documents are also available in a format that is more likely to be easier for people with learning disabilities to understand. As there is now an extra bedroom available a new service user had moved in since the last inspection. This person’s care records were looked at and time was spent talking with them and the manager about how their admission was arranged to ensure they would “fit in” and their needs and preferences met. It was evident the assessment and admission process had been very carefully managed. Although the person had been living at Weir End House (and so already knew staff and service users) they had spent months visiting them at the bungalow. They had meals there and went out socially with them. A threemonth trial stay had now been arranged and was being closely monitored and reviewed to ensure living at Woodpecker Lodge would meet their needs best. Woodpecker Lodge DS0000059820.V278594.R01.S.doc Version 5.1 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 the following standard(s): EVIDENCE: These Standards were not fully assessed. However it was confirmed in the last inspection that staff use a very comprehensive assessment and care planning system. This includes each service user having a written care plan and risk assessments carried out so that staff know all their needs and goals and how to meet them and promote their independence, whilst also keeping them safe. The new service users’ care records were looked at briefly. They had a care plan called “My essential lifestyle Plan” which had been drawn up with the full involvement of this service user and included their goals, likes and dislikes. This approach is good because it enables service users to make choices and decisions in their lives. The manager also discussed that staff were soon to meet with the local authority co-ordinator for “person centred planning” which will ensure they are also familiar with work going on in the county in this area. The manager also said it was planned that the next care review meetings would involve each service user, their funding authorities and families and/or representatives and would be based entirely on the “person centred” approach. Woodpecker Lodge DS0000059820.V278594.R01.S.doc Version 5.1 Page 10 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): 11, 12, 14, 15, 16 & 17 Service users are enabled to lead full, active and interesting lives. This helps them develop their social and life skills and to achieve greater independence. Service users are fully involved in menu planning and food preparation. The home provides varied and wholesome meals and mealtimes are very much part of the social life of the home. Staff support service users to maintain links with their families and friends. EVIDENCE: All the service users had a full timetable of weekly activities. These included job placements as volunteers and in a cycle repair workshop. Some attended skill development courses such as IT and financial management and one person was doing a “Towards Independence” course. Each person has an individual plan to develop their independent living skills, such as spending time alone in town, going shopping and using public transport. Their day opportunities are kept under continual review and new ones sought in line with their interests and to expand their experience. Woodpecker Lodge DS0000059820.V278594.R01.S.doc Version 5.1 Page 11 Service users enjoyed hectic social lives, taking part in a range of leisure activities i.e. horse riding and going to the gym. It was also very clear from their bedrooms that they all have their individual interests and hobbies, such as music, television, using a laptop etc. whilst at home. The home’s vehicle is essential to service users’ busy schedules because of the home’s location. The need for staff support is taken fully into account in staff rotas so that service users can be taken to their weekday activities and be supported on social trips, both alone with their keyworkers and as a group for meals out etc. Outings and holidays are also arranged, usually in small groups. Service users are expected and accept they must take a role in sharing all the household tasks, cleaning their own rooms, doing their laundry, cooking and shopping. They take it in turns to choose and cook the evening and weekend meals and draw up a weekly menu. The meals planned followed a healthy eating regime, which is also based on an individual nutritional assessment of each person’s dietary needs. Tonight one service user was observed to be preparing homemade vegetable soup with bagels. Staff supported service users to maintain friendships outside the home and to meet up with friends or invite them home for tea etc. Staff and service users also talked about their regular contact and visits to their families. Some service users have mobile telephones and could call them whenever they want to. Relatives are involved and kept informed about service users’ care through regular reviews (with service users’ agreement). The manager also telephones service users’ families monthly to update them on their progress etc. and they are invited to the home for social occasions such as parties and barbecues. Woodpecker Lodge DS0000059820.V278594.R01.S.doc Version 5.1 Page 12 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): 18 & 19 Appropriate arrangements were in place to meet the personal, emotional and health care needs of service users. EVIDENCE: Service users are mostly self-caring, although staff (in particular keyworkers) offered them any support and guidance needed to develop their self-confidence and personal presentation. It was apparent that service users take a pride in their appearance and were seen to be dressed well and appropriately as befits their age, activities they had taken part in and their individual style. In view that service users are young adults who are physically able staff are very aware of the importance of monitoring and helping them with any issues relating to their emotional health and behaviour as well as physical health. This is essential for the development of their independence and life skills. Routine and specialist health care checks were also arranged for service users. It was good the home employs a Speech Therapist to take sessions at the home with some individuals to help them with their communication. Woodpecker Lodge DS0000059820.V278594.R01.S.doc Version 5.1 Page 13 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): EVIDENCE: These Standards were not fully assessed. However service users confirmed they feel staff are approachable and listen to what they want and their views. It was evident they had trust in staff, which reflects they would bring any concerns to their attention and be confident they would be dealt with properly. There had not been any complaints, or issues relating to the protection and/or safety of vulnerable adults raised with the home or the Commission since the home was opened. Woodpecker Lodge DS0000059820.V278594.R01.S.doc Version 5.1 Page 14 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): 24, 25, 26, 27 & 28 Woodpecker Lodge provides accommodation that suitably meets service users’ needs and has given them a very homely, safe and comfortable home. The home is decorated, furnished, equipped and maintained to a high standard. EVIDENCE: Woodpecker Lodge is in a lovely rural setting with large grounds, although it is only a short distance from the services and facilities of Ross town. The home provides a suitable vehicle for transport. The bungalow was seen to be clean, tidy and very well decorated, furnished and equipped. There are plans to build an extension to provide a bigger office, staff facilities and a conservatory for extra sitting space, which will make the home even nicer. The sooner this work is completed the better however as staff are now having to sleep in the lounge on call at night, which is not ideal. Service users are clearly very proud of their bedrooms. They had personalised and use them as their private space and were seen to have their own keys and lock their doors. Each person also has en-suite toilet and shower. There is also a communal bathroom, kitchen/dining area, a utility room (with laundry facilities) and patio area for everyone to use. Woodpecker Lodge DS0000059820.V278594.R01.S.doc Version 5.1 Page 15 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): 33 & 35 There were appropriate staffing arrangements to ensure that service users’ needs could be fully met and by a competent and well trained staff team. EVIDENCE: Staffing levels and deployment had not changed since the last inspection and were more than sufficient to meet the individual and group needs of service users. There is a very stable staff team and their obvious commitment to meeting the aims of the home for the benefit of service users is commendable. New staff are expected to do the LDAF induction/foundation programme, which is accredited especially for staff who care for people with learning disabilities. All the staff had completed this training before moving onto to achieve an NVQ qualification, supported by the deputy manager who is an NVQ assessor. The whole staff team had undertaken all the mandatory health and safety training topics and refreshers were being arranged at appropriate intervals. Staff had also attended training sessions relevant to care planning and to the service users’ special needs, such as autism awareness. Woodpecker Lodge DS0000059820.V278594.R01.S.doc Version 5.1 Page 16 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): EVIDENCE: These Standards were not fully assessed. However the management arrangements for the home had not changed and it was previously confirmed that the manager is suitably qualified and experienced. This inspection also provided evidence that the home is still very well run and it was observed that there is an open and positive management approach. The provider had set up and the home is now implementing a comprehensive Quality Assurance system. Part of this process includes regular audits of various aspects of the service e.g. medicines, health and safety, care planning and the premises. It had also recently involved some service users attending a Residents Forum meeting at the provider’s head office. During this meeting the homes’ complaints procedure was reviewed as part of a consultation process. Service users will also be receiving questionnaires quarterly asking for their views of the home. This is good as feedback from service users and other stakeholders must be part of a plan to continually develop and improve the service. This must be reported on and a copy sent to the Commission. Woodpecker Lodge DS0000059820.V278594.R01.S.doc Version 5.1 Page 17 There were no health and safety hazards noted today. It was apparent that staff and service users are aware of how important it is to maintain safety in the home and that their practices seek to do this. It was also confirmed from looking at records that required fire safety and electrical checks had been carried out. Also that routine in-house and external maintenance/servicing of the services and equipment were arranged.. Woodpecker Lodge DS0000059820.V278594.R01.S.doc Version 5.1 Page 18 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 4 2 4 3 4 4 4 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 4 25 4 26 4 27 4 28 3 29 N/A 30 X STAFFING Standard No Score 31 X 32 X 33 4 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 4 12 3 13 X 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X N/A X X X X X X X Woodpecker Lodge DS0000059820.V278594.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? NA 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. Refer to Standard Good Practice Recommendations Woodpecker Lodge DS0000059820.V278594.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Hereford Office 178 Widemarsh St Hereford Herefordshire HR4 9HN 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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