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Inspection on 22/11/05 for Woodpeckers, St Anne`s Opportunity Centre

Also see our care home review for Woodpeckers, St Anne`s Opportunity Centre for more information

This inspection was carried out on 22nd November 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The staff offer good care and support to the young people in the home. The staff in the home work hard to support the young people to make choices about all aspects of their lives and encourage the young people to be as independent as possible. The young people are supported to lead fulfilling lives and have full and varied work and day opportunities. The young people informed the Inspector that they "able to talk to the staff" and are "very happy living here"

What has improved since the last inspection?

The young people in the home were pleased that the staircase had been replaced and the hallway decorated. Another important change to the young people was an additional fish, which assists in "cleaning" the tank because it is a "sucker" fish.

What the care home could do better:

There needs to be some minor improvements to the dating of some records. The kitchen would be enhanced if the cupboards were replaced.

CARE HOME ADULTS 18-65 Woodpeckers, St Anne`s Opportunity Centre 5 Barn Elm Cottages, Dark Lane Bradfield Berkshire RG7 6DD Lead Inspector Tracy McGuire Brown Unannounced Inspection 22nd November 2005 09.10 Woodpeckers, St Anne`s Opportunity Centre DS0000011179.V264340.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Woodpeckers, St Anne`s Opportunity Centre DS0000011179.V264340.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Woodpeckers, St Anne`s Opportunity Centre DS0000011179.V264340.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Woodpeckers, St Anne`s Opportunity Centre Address 5 Barn Elm Cottages, Dark Lane Bradfield Berkshire RG7 6DD 0118 9744093 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) St Anne`s Opportunity Centre Limited Mr Paramasiven Chengun Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Woodpeckers, St Anne`s Opportunity Centre DS0000011179.V264340.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th July 2005 Brief Description of the Service: St Annes Opportunity Centre, a registered charity, is registered to provide personal care and accommodation for three younger adults who have mild to moderate learning difficulties and complex emotional needs. Woodpeckers is a rented semi detached property situated in a rural area on the outskirts of Theale near to Bradfield college. Service users have access to local pubs, shops and leisure facilities based within Bradfield College. The town of Reading is within 7 miles. A local bus service provides transport into Reading and Newbury. There is car parking space available next to the property. Woodpeckers, St Anne`s Opportunity Centre DS0000011179.V264340.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine inspection, which was announced so the Inspector could involve the home in a consultation project. The Inspection took place over a 4-hour period in conjunction with the inspection of Sparrows. The people in the home have requested that they are referred to as young people or young persons and not residents or Service Users in this report Time was spent talking to the young people, Manager and staff and Proprietor. Samples of various records were examined. There was also a brief tour of the premises and garden. In addition the home has worked with the Inspector and took part in a service user consultation project. This involved feeding back the previous inspection report to service users recording method, interest and providing comments. The Inspector would like to thank all those involved for their assistance in this project. What the service does well: What has improved since the last inspection? The young people in the home were pleased that the staircase had been replaced and the hallway decorated. Woodpeckers, St Anne`s Opportunity Centre DS0000011179.V264340.R01.S.doc Version 5.0 Page 6 Another important change to the young people was an additional fish, which assists in “cleaning” the tank because it is a “sucker” fish. 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. Woodpeckers, St Anne`s Opportunity Centre DS0000011179.V264340.R01.S.doc Version 5.0 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 Woodpeckers, St Anne`s Opportunity Centre DS0000011179.V264340.R01.S.doc Version 5.0 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): These Standards not assessed on this occasion. EVIDENCE: Woodpeckers, St Anne`s Opportunity Centre DS0000011179.V264340.R01.S.doc Version 5.0 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): 6 The young people benefit from well-written, detailed care planning documentation. EVIDENCE: Samples of the young persons records were examined. Each young person has a range of detailed care planning documentation. It is evident that care plans are continually reviewed and updated. Daily personal programmes had been renewed and updated on 3/10/05. Reviews were up to date or due to take place. A contract specific to the needs of a particular young person had recently been amended and signed by the young person on 4/11/05.A review had taken place in September. The young peoples personal programmes were updated on 3/10/05 Woodpeckers, St Anne`s Opportunity Centre DS0000011179.V264340.R01.S.doc Version 5.0 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): 16 The young peoples rights and responsibilities are encouraged and respected. EVIDENCE: The Inspector spent some time observing the young people, discussing rights and responsibilities with them and staff, In addition some records were sampled. The Inspector was able to conclude that young people are supported to a high degree to exercise their rights and responsibilities. The young people informed the Inspector they have their own keys to the home and were seen opening their own post. Staff offer the young people support with written communication if required. Such support needs are detailed with guidelines in the young persons records. The young people were observed chatting to each other but also spending time alone if they chose to. Staff and the young people were seen knocking on doors and respecting the privacy of each other. The young people undertake various tasks in the running of the home. There is a comprehensive “service user guide” in place. Woodpeckers, St Anne`s Opportunity Centre DS0000011179.V264340.R01.S.doc Version 5.0 Page 11 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): These Standards not assessed on this occasion. EVIDENCE: Woodpeckers, St Anne`s Opportunity Centre DS0000011179.V264340.R01.S.doc Version 5.0 Page 12 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): These Standards not assessed on this occasion. EVIDENCE: Woodpeckers, St Anne`s Opportunity Centre DS0000011179.V264340.R01.S.doc Version 5.0 Page 13 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): 28 and 29 The home has sufficient shared space and specialist equipment is provided if required. EVIDENCE: The home is warm and homely and reflects the personalities of the young people who live there. The young people have a large farmhouse style shared kitchen/ dining room and a lounge. These rooms are generally well maintained suitably equipped and decorated. The kitchen units would benefit from being replaced and this will be a recommendation of this report. In addition the home benefits from having an extensive garden which is well utilised by the young people. Currently the young people in the home do not have needs, which require any specialised equipment. The Manager informed the staff that if there were any changes to this need then relevant professional assessment would be sought and the equipment provided. Woodpeckers, St Anne`s Opportunity Centre DS0000011179.V264340.R01.S.doc Version 5.0 Page 14 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): 32, 35 and 36. The young people are supported by an effective staff team who are appropriately trained. Staff are supervised. EVIDENCE: The staff team at Sparrows also work at Woodpeckers and may work in the organisations other homes, so developing wider skills and knowledge. Staff records were available and examined. Staff in the home have varied qualifications and experience suitable for the young people living in the home. Most staff have achieved NVQ level 2 or above. The young people are complimentary about staff. Staff have sound knowledge of the young peoples needs and staff meeting minutes reflect any issues raised and discussed. Training records were examined and profiles have been developed since the previous inspection. The training records and profiles detail training undertaken and training required, there are copies of training certificates on file also. Training is varied; there is induction training, basic training and detail of specialised training. Training needs are identified on the profile; this needs to be kept up to date at all times. Supervision records were examined. Staff receive regular supervision sessions, which are recorded and signed. An agenda details the content. The Manager and Inspector spent some time discussing the supervision records and how to improve on the current satisfactory practice. Woodpeckers, St Anne`s Opportunity Centre DS0000011179.V264340.R01.S.doc Version 5.0 Page 15 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): 37 and 41 The home is well run and record keeping is good. EVIDENCE: The home Manager is a qualified RMN who has worked for the organisation since 1994.The Manager is popular and respected by staff and the young people. The young people made positive comments about the staff and Manager to the Inspector. The Inspector was informed that the Manager has achieved the NVQ level 4 in care and the Registered Manager Award. Job description detail is available. Various records were sampled. Records in the home are well organised and maintained. A small number of documents need to be dated and signed and this was discussed in the feedback session Woodpeckers, St Anne`s Opportunity Centre DS0000011179.V264340.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X 3 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 4 17 Standard No 31 32 33 34 35 36 Score X 3 X X 3 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X Standard No 37 38 39 40 41 42 43 Score 3 X X X 3 X X Woodpeckers, St Anne`s Opportunity Centre DS0000011179.V264340.R01.S.doc Version 5.0 Page 17 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2 Refer to Standard YA28 YA41 Good Practice Recommendations The kitchen cupboards would benefit from being replaced. Ensure good practice is maintained by signing and dating all relevant documents Woodpeckers, St Anne`s Opportunity Centre DS0000011179.V264340.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks 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 Woodpeckers, St Anne`s Opportunity Centre DS0000011179.V264340.R01.S.doc Version 5.0 Page 19 - 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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