Inspection on 01/03/07 for Woodstock

This inspection was carried out on 1st March 2007.

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

Woodstock 17/02/09

Woodstock 13/11/05

Woodstock 11/04/05

Woodstock 11/10/04

Woodstock 25/05/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Woodstock 44 Ketts Oak Hethersett Norwich Norfolk NR9 3DJ Lead Inspector Mr Pearson Clarke Unannounced Inspection 1st March 2007 02:30 Woodstock DS0000027562.V332351.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Woodstock DS0000027562.V332351.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Woodstock DS0000027562.V332351.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodstock Address 44 Ketts Oak Hethersett Norwich Norfolk NR9 3DJ 01603 812214 NO FAX # 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) Mr Michael Cammack Mrs Brenda Cammack Mr Michael Cammack Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Woodstock DS0000027562.V332351.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th November 2005 Brief Description of the Service: Woodstock is a detached house, located just outside the village of Hethersett. The home provides care and accommodation for three younger adults with a learning disability. The home is staffed by the providers’ son and his wife who see that the service users are comfortable. The providers, Mr and Mrs Cammack who live nearby oversee the care. They are also the providers for Churchfields where two service users live. The two homes are very much interlinked. The purpose of this home is to provide residential care within a domestic environment. Service users are accommodated in single rooms and share a bathroom. There is a separate toilet. There is a dining room shared with the family. There is a large garden to the rear of the property with a section for a vegetable garden. Contact with relatives and friends, and use of local community facilities is encouraged. Service users use local health care services as and when needed. Fees for the service are £348 per week. Woodstock DS0000027562.V332351.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Care services are judged against outcome groups which assess how well a provider delivers outcomes for people using the service. The key inspection of this service has been carried out by using information from previous inspections, information from the providers ,the residents and their relatives, as well as others who work in or visit the home. This has included a recent unannounced visit to the home and this report gives a brief overview of the service and current judgements for each outcome. During the site visit the inspector spent time with two of the service users, talked to family members and looked at records. What the service does well: What has improved since the last inspection? What they could do better: It would be desirable for all concerned in the care of service users to complete adult protection training. It is understood that a local Adult Placement Scheme is to be created and the provider might usefully explore the possibility of membership as in many respects the style of service would fit more comfortably into this scenario. Woodstock DS0000027562.V332351.R01.S.doc Version 5.2 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Woodstock DS0000027562.V332351.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Woodstock DS0000027562.V332351.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 Quality in this outcome area is good. That any admission to the service would follow a process of assessment of suitability. Existing and future service users are provided with clear information about the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the site visit I spent time with the providers who confirmed that they had no recent admissions to the home and it was not anticipated that there would be admissions in the near future. However the providers have a clear and documented admission process which they would follow and they demonstrated understanding of the need for good assessment prior to admission. The providers have developed a good range of information about the service for service users. Woodstock DS0000027562.V332351.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is good. That service users receive the care they wish for in a setting that they are happy in. Appropriate care plans are maintained and service users are supported to exercise independence and choice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: I spoke to two service users during my visit. Both were relaxed in their home and their interactions with their carers. They demonstrated their happiness living in the home and had no desire to move. This picture was supported by my discussions with the providers and examination of care plans and social work reviews. Care plans are proportionate to the size and style of the service in respect of the level and frequency of recording. As such I saw detailed life histories, good information relating to health care and regular summaries of progress and significant events. Contained within the plans were risk assessments where appropriate and it was clear that the service users are supported to take reasonable risks. Mr Mrs Cammack help service users manage their personal finances and good clear auditable records were seen. Woodstock DS0000027562.V332351.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is good. That service users enjoy a relaxed and fulfilling lifestyle with appropriate work and leisure activities. They are able to take responsibility for their daily lives with support and encouragement. This judgement has been made using available evidence including a visit to this service. Woodstock DS0000027562.V332351.R01.S.doc Version 5.2 Page 11 EVIDENCE: It was clear from my discussion with service users and the providers that the home operates as a family unit with close links with Mr, Mrs Cammack’s other small home which is in the same village. One service user has a work placement in a residential home and the others attend a sheltered workshop which operates as a garden centre . At weekends they join in with family activities which often include shopping trips into Norwich, going to the local pub and eating out. Two service users are able to go out to the local shops and also enjoy going for a drink at the local. Every year they join with service users from the other home and the group go abroad for a holiday. Last year was Spain and they have been to a good variety of places. Service users have a relaxed routine particularly at weekends. Service users are supported and encouraged to maintain contact with their families. Woodstock DS0000027562.V332351.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is good. Service users enjoy all necessary personal and health care support. This judgement has been made using available evidence including a visit to this service. EVIDENCE: It was apparent from inspection of care records and discussion with the providers that health care needs are properly monitored and services are accessed as needed. The providers gave examples as to how they have helped particular service users to access appropriate support when particular issues have arisen. It is clear that the providers know those they care for very well and that personal and health care needs are promptly recognised and addressed. The arrangements for the management of medication are satisfactory. Woodstock DS0000027562.V332351.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. Service users know how to raise a complaint and are confident any concerns would be responded to in a positive manner. This judgement has been made using available evidence including a visit to this service. EVIDENCE: I spent time with two of the service users during my visit and it was clear that they were happy with their care. The provider has a satisfactory complaints process and there have been no complaints. The services quality process has involved giving service users the opportunity to express views directly to a person independent of the home. Both providers confirmed that they have attended protection of vulnerable adults training, however other family members involved in care have not and I recommend that all concerned do so. Woodstock DS0000027562.V332351.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25 and 30 Quality in this outcome area is good. Service users benefit from a comfortable attractive family home which is maintained in very good order. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Woodstock is the home of Mr Mrs Cammack’s son and his wife. As such they share the home as a large family. The premises are in good order and offer spacious and comfortable space to all concerned. The home has large gardens and one service user has their own vegetable patch. Service users showed me their rooms which are personalised and of which they are proud. Woodstock DS0000027562.V332351.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 Quality in this outcome area is good. The service employ no staff, however the family ensure appropriate care is given to those who live with them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The providers confirmed that they and their family continue to provide all care to the service users. As such many of the staffing standards do not apply. During my site visit I looked at the training completed by Mr, Mrs Cammack and by other family members. This was proportionate to the small size and family style of the service. The approach adopted by the family ensures that service users enjoy good care with their individual needs met. Woodstock DS0000027562.V332351.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 Quality in this outcome area is good. Service users benefit from a well run home where their views underpin how the home operates. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The site visit confirmed that the service continues to function as a well run family home. Good quality proportionate records are kept and despite the family style, a quality system which allows the views of service users and other stakeholders to feed the way in which the home operates. Woodstock DS0000027562.V332351.R01.S.doc Version 5.2 Page 17 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 3 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Woodstock DS0000027562.V332351.R01.S.doc Version 5.2 Page 18 Are there any outstanding requirements from the last inspection? No 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 Refer to Standard YA23 Good Practice Recommendations That all involved with the care of service users attend protection of vulnerable adults training. Woodstock DS0000027562.V332351.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Woodstock DS0000027562.V332351.R01.S.doc Version 5.2 Page 20 - 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. 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