Inspection on 06/07/05 for Woodpeckers, St Anne`s Opportunity Centre

This inspection was carried out on 6th July 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

Woodpeckers, St Anne`s... 03/05/07

Woodpeckers, St Anne`s... 22/11/05

Woodpeckers, St Anne`s... 14/01/05

Woodpeckers, St Anne`s... 11/10/04

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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 WOODPECKERS St Annes opportunity Centre 5 Barn Elm Cottages Bradfield Berkshire RG7 6DD Lead Inspector Tracy McGuire-Brown Unannounced 06 July 2005 @ 11:15 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. WOODPECKERS H52-H01 S11179 Woodpeckers V235295 120705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Woodpeckers Address St Annes Opportunity Centre 5 Barn Elm Cottages Bradfield Berkshire RG7 6DD 0118 9744093 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) St Annes Opportunity Centre Limited Mr Paramasiven Chengun Care Home 3 Category(ies) of Learning Disability LD registration, with number of places WOODPECKERS H52-H01 S11179 Woodpeckers V235295 120705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 14/01/05 Brief Description of the Service: St Anne’s 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 H52-H01 S11179 Woodpeckers V235295 120705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. 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. This was a routine unannounced inspection, which took place over a 4-hour period. The Inspector spoke to all the young people who live in the home, time was also spent talking to the Manager and a new member of staff was met briefly. The Inspector was shown around the home by the young people and spent some time looking at records including the young peoples files. What the service does well: What has improved since the last inspection? The young people in the home feel that they have benefited from the addition of a new fish tank and fish; there have also been some new sofas in the lounge. WOODPECKERS H52-H01 S11179 Woodpeckers V235295 120705 Stage 4.doc Version 1.40 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. WOODPECKERS H52-H01 S11179 Woodpeckers V235295 120705 Stage 4.doc Version 1.40 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 WOODPECKERS H52-H01 S11179 Woodpeckers V235295 120705 Stage 4.doc Version 1.40 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) 2 The home has a detailed admissions process and detailed assessment information is gained prior to admission to the home. EVIDENCE: There have been no new young people admitted to the home since the previous inspection. The Inspector examined the young peoples files and noted that there was some historical assessment information from Care Managers and other professionals. This assessment information was used to formulate detailed care plans. The young people in the home informed the Inspector where they had lived prior to moving to Woodpeckers and the process involved in moving. Some young people had moved from another St Anne’s Opportunity centre home. WOODPECKERS H52-H01 S11179 Woodpeckers V235295 120705 Stage 4.doc Version 1.40 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 Young people benefit from well-written detailed care planning documentation. The young people are supported to make decisions about their lives. Detailed individual risk assessments are in place to support the young people. EVIDENCE: Individual young persons records were examined, there is comprehensive care plan documentation in place for each individual. Information is added or amended when required. Where possible care plans are signed by the young people. The young people are aware of the content of their care plans. The young people are supported in a variety of ways to make decisions about their lives. This was noted in the regular house meeting minutes. Daily notes made also are reflective of decisions that are presented and made by the young people. Evidence was also seen of “contracts” in place to assist the young people to work with decisions they have made. Individual risk assessments are in place on care plans and in the homes Health and Safety file. Risk assessments were seen to support care plans. Some risk assessments were under review WOODPECKERS H52-H01 S11179 Woodpeckers V235295 120705 Stage 4.doc Version 1.40 Page 10 WOODPECKERS H52-H01 S11179 Woodpeckers V235295 120705 Stage 4.doc Version 1.40 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) 12,13,14,15 and17 The young people programmes. The young people The young people The young people relationships. The young people they have to eat. EVIDENCE: Care plans, daily notes and individual activity sheets detail the varied day care opportunities that the young people undertake, these include: working at a local stables and churchyard, attendance at college and other day care groups. Tasks in the home form an important part of the day care programme also. The young people also use the computer in the house, undertake art and craft (excellent examples of this work are on display throughout the house), and music therapy. WOODPECKERS H52-H01 S11179 Woodpeckers V235295 120705 Stage 4.doc Version 1.40 Page 12 benefit from planned and varied individual day care are an important part of the local community. have appropriate and varied leisure activities. are supported to maintain and develop appropriate have a healthy diet and make choices about where and what The young people are an important part of the community. Care plans and daily notes indicate that the young people use the local shops and G.P’s, the young people informed the Inspector they use the local pubs, restaurants and visit other local towns sometimes using local transport. The young people informed the Inspector they help out at and attend the local church and look after neighbours plants, this was evident in daily reports. A neighbour visited the home during the inspection and was positive about the young people in the home; there was also an article in the local parish newspaper praising their help in the church. The young people informed the Inspector they undertake a variety of leisure activities including: going to church, bowling the cinema and having lunch out at a local pub. Leisure activities are detailed in care plans and daily notes. Care plans and daily notes detail how the young people develop and maintain contact with family and friends. Detailed guidelines are also in place where necessary to support “safe” relationships. Records of family visit to the home and young people visiting their family were seen. The young people plan individual, group and family meals. They shop for their meals and prepare meals. Each young person can choose where they wish to eat. The young people also go out for meals and enjoy takeaways. The young people kindly changed their plans on the day of inspection and had lunch at home instead of a pub lunch so they could assist the Inspector with the inspection. The Inspector was made very welcome and the young people offered refreshments. Menus are recorded and demonstrate a balanced diet. WOODPECKERS H52-H01 S11179 Woodpeckers V235295 120705 Stage 4.doc Version 1.40 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) 18,19 and 20 The emotional and healthcare needs of the individual young people are of prime importance and these needs are met. Medication is managed in a satisfactory manner. EVIDENCE: Each individual has a detailed care plan in place and there is also a health profile in place for each person, the profiles detail current and historical healthcare information including the involvement of any other healthcare professionals. Care plans detail how any personal care is delivered noting any specific individual preferences. All healthcare appointments are recorded. Regular healthcare reviews are undertaken and the detail recorded in annual review notes on each individuals file. The C.S.C.I. Pharmacist Inspector visited one of the organisation’s homes to review the standard medication procedures, which were found to be satisfactory. Staff are trained in administration of medication. All medication is stored securely. A medication profile is in place for each individual. WOODPECKERS H52-H01 S11179 Woodpeckers V235295 120705 Stage 4.doc Version 1.40 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 The home has satisfactory complaints procedures in place. EVIDENCE: The home has a satisfactory complaints policy and procedure in place and there is a log available for recording complaints. One complaint had been recorded recently and dealt with in a satisfactory manner. The young people in the home spoke to the Inspector and had sound knowledge of whom they could complain to if they were not happy. In each individual young persons file there is a page detailing how to complain. The young people also showed the Inspector a file that they each have containing important information about the home including a pictorial complaints process which included details of the Inspector and the C.S.C.I. WOODPECKERS H52-H01 S11179 Woodpeckers V235295 120705 Stage 4.doc Version 1.40 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) 24,25,26,27 and 30 The home is safe and comfortable. Each young person has a single bedroom and there are satisfactory bathroom facilities. The home is clean and tidy throughout and generally well maintained. EVIDENCE: The Inspector toured the home and found it to be generally well maintained and decorated throughout. The home has a bathroom with bath/shower and toilet. The young people in the home explained that they would like an additional toilet added downstairs. The young people are all proud of their rooms, which are all personalised, and informed the Inspector “I really like my room” The home has suitable communal space available which is well furnished there is also a good sized garden to the rear and side of the property. The home was clean and hygienic throughout on the day of inspection WOODPECKERS H52-H01 S11179 Woodpeckers V235295 120705 Stage 4.doc Version 1.40 Page 16 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) 35 Staff receive training to support the young people in the home. EVIDENCE: The home has an induction checklist for all new staff. In the house file there is list of all training undertaken and when this was undertaken. Training information is also held at the organisations head office and is available for inspection when requested. The home would benefit from having a detailed training profile for each individual member of staff to clearly identify when training needs to be updated. Examples of training undertaken included; Food and Hygiene, Fire Awareness and First Aid WOODPECKERS H52-H01 S11179 Woodpeckers V235295 120705 Stage 4.doc Version 1.40 Page 17 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 There is a quality assurance policy in place, which includes the young peoples views. Health and Safety is promoted in the home. EVIDENCE: The Inspector was informed the home currently seeks views of the young people, friends and families through the young persons reviews, House meetings and regular contact with families. Views of the young people are recorded in meeting minutes and daily reports and issues raised are linked into the Annual Development plan for the home. The Annual Development plan is currently being updated. Management Audit visits are undertaken and recorded. Health and Safety checks are completed on a regular basis and records are kept. Records seen included, fire drill and servicing, electrical, gas, first aid and hazard book. Records seen were up to date. WOODPECKERS H52-H01 S11179 Woodpeckers V235295 120705 Stage 4.doc Version 1.40 Page 18 WOODPECKERS H52-H01 S11179 Woodpeckers V235295 120705 Stage 4.doc Version 1.40 Page 19 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 3 x 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 3 3 3 x x 3 Standard No 11 12 13 14 15 16 17 x 3 4 3 3 x 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 WOODPECKERS Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x H52-H01 S11179 Woodpeckers V235295 120705 Stage 4.doc Version 1.40 Page 20 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 35 Good Practice Recommendations The home would benefit from having a detailed training profile for each individual member of staff to clearly identify when training needs to be updated WOODPECKERS H52-H01 S11179 Woodpeckers V235295 120705 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection 2nd Floor 1015 Arlington Business Park Theale Reading 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 H52-H01 S11179 Woodpeckers V235295 120705 Stage 4.doc Version 1.40 Page 22 - 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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