Inspection on 11/04/05 for Woodstock

This inspection was carried out on 11th April 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

Woodstock 17/02/09

Woodstock 01/03/07

Woodstock 13/11/05

Woodstock 11/10/04

Woodstock 25/05/04

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Coopers Mill Ltd

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Paradise Lodge

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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 NR9 3DJ Lead Inspector Dot Binns Announced 11 April 2005 1.00pm 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. Woodstock I55 S27562 Woodstock V215223 110405 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Woodstock Address 44 Ketts Oak Hethersett Norwich Norfolk NR9 3DJ 01603 812214 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) Mr Michael Cammack Mrs Brenda Cammack Mr Michael Cammack Care Home 3 Category(ies) of Learning Disability (3) registration, with number of places Woodstock I55 S27562 Woodstock V215223 110405 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11 October 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 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. Woodstock I55 S27562 Woodstock V215223 110405 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection carried out jointly with an inspection of Churchfields, a care home for two people with learning disability owned by the same people. Both homes share policies and procedures and have the same kind of records. The paperwork was examined at Chuchfields, then a visit was made to Woodstock to see the service users in private and see the staff. A short tour of the premises was made. What the service does well: What has improved since the last inspection? What they could do better: The service is performing well and the providers need to continue what they are doing and promote the independence of the service users and ensure that they are offered opportunities in the community. Woodstock I55 S27562 Woodstock V215223 110405 Stage 4.doc Version 1.20 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Woodstock I55 S27562 Woodstock V215223 110405 Stage 4.doc Version 1.20 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 Woodstock I55 S27562 Woodstock V215223 110405 Stage 4.doc Version 1.20 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) 1,2,3,4 Service users are provided with detailed information before coming into the Home so they can make an informed choice. An assessment of need and full liaison with the social worker takes place before admission so staff understand how best to look after the service user. This is a family home and the owners take care to only admit service users they can make comfortable in the Home. Admission procedures were satisfactory. EVIDENCE: A comprehensive statement of purpose and guide was seen at the inspection and is available for all service users. The manager confirmed that all service users have a copy together with their terms of residence. Having only three service users there is little turnover in the Home but the records showed that each service user had a full assessment of their needs with detailed information on the care required. Woodstock I55 S27562 Woodstock V215223 110405 Stage 4.doc Version 1.20 Page 9 All three service users were seen in private by the inspector and said they felt very happy in the home and were well catered for. They were relaxed and talkative and the inspector could not discern any difficulties with the home meeting their needs. Both Mr and Mrs Cammack impressed the inspector with their knowledge of the service users indicating they were familiar with their needs and individual differences. The manager described the admission procedure which in normal circumstances allows the service user to visit the home, come for a meal, meet the other service user and gradually stay for a weekend before deciding whether to stay. However all admissions are carried out in liaison with a social worker and on occasion a more urgent admission has had to be made. In those circumstances, the manager gives extra support to the service user and extends the period of assessment. Both of these processes would meet the standard of practice expected Woodstock I55 S27562 Woodstock V215223 110405 Stage 4.doc Version 1.20 Page 10 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) 6,7,8 and 9 Service users needs and goals were reflected in the care plans though how open and accessible they were to the service user was not clear. Service users do make as many decisions as they can, sometimes with assistance from staff. Service users were happy in the Home and had a sense that they could speak up to staff though in reality they were not able to participate in all aspects of life in the Home. Service users are supported to take risks as part of an independent lifestyle EVIDENCE: This is a small family home and staff said that discussions about choices and what service users want to do is dealt with on a day to day basis. However care plans were very comprehensive documents with lots of information about personal care needs, mobility, bedtimes, activities and other topics. They described the assistance needed from staff and goals were identified which the service users would need help to achieve. Reviews of progress were written about every two months or more frequently if needed. Woodstock I55 S27562 Woodstock V215223 110405 Stage 4.doc Version 1.20 Page 11 Service users are able to express themselves with regard to choices and activities and felt supported by the staff. One service user used signs and gestures but made his intentions clear and staff were well able to understand him. Service users told the inspector in private what their routines were and how they had help from the staff. They were assisted to make decisions if necessary but were able to make up their own minds on as much as possible. These individual abilities were reflected in the care plans. In terms of personal care, all can manage that themselves and had a shower or bath when they liked. Each had varying degrees of help with their money, one having all his money paid directly to the bank, the others needing more help. The records of the finances were seen and found to be satisfactorily maintained. In terms of the service users participation in the running of the Home, the manager’s view was that this is a family home with discussions as they go along. Service users confirmed they can speak up to staff and say what they do and don’t like about the food and use all the facilities of the home. They have access to staff every day and have a say in activities. They do not eat with the family and often keep their own company as the home is staffed mainly by the providers’ son and his partner who have an upstairs flat. However they see the providers every day as well as the staff and often join the providers and the service users at Churchfields for barbecues and parties. The home has a risk taking policy and risk assessments were seen on the care plans. For example a risk assessment on going out alone was seen. It was clear from talking to the service users that each was being encouraged to be as independent as possible depending on their abilities. For instance one person can go into the city and shop and see his friends while another would need to be accompanied. This demonstrated that service users were being assessed and treated individually. Woodstock I55 S27562 Woodstock V215223 110405 Stage 4.doc Version 1.20 Page 12 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) 12,14,15 and 17 The service users enjoy their lifestyle and the providers are ensuring that they are part of the local community and enjoy appropriate leisure activities. EVIDENCE: One service user is receiving psychological help to help with confidence issues. This is arranged via the social worker and the providers are giving support. Two of the service users attend a sheltered work placement in a garden centre. One service user has a job in a residential home 4 days a week. Staff support this employment and ensure that service users continue to enjoy the experience. Service users have varying degrees of help with their finances with minimum assistance being given if the service user is able to go to the bank themselves etc. Woodstock I55 S27562 Woodstock V215223 110405 Stage 4.doc Version 1.20 Page 13 Records were checked on service user finances and found to be satisfactorily maintained. In terms of contact with the local community, service users go to the shops and pub and one attends a club on a regular basis. One enjoys going into the city to visit friends and can use public transport. Another who needs to be accompanied enjoys going with staff on trips to the shops and is taken to the cinema quite regularly. The service users join in any family activities and join up with the service users and family at the other home at Churchfields for parties and barbecues. They also have their own individual activities. One for instance said he does not like going out but has a greenhouse in the garden and enjoys growing vegetables for the home. One enjoys his music and quiet activities in his room. Service users are in touch with family members and the provider is happy to transport service users to their relatives if they are going to visit. One service users said he was taken home to his family every Sunday. Meals are prepared by Mrs Cammack who normally comes to Woodstock after the meal at Churchfields. Service users were quite positive about the food and confirmed that they could make their own breakfast and lunches. They also made their own drinks. Service users eat together and separate from the staff unless they are sharing in a barbecue or family party. Woodstock I55 S27562 Woodstock V215223 110405 Stage 4.doc Version 1.20 Page 14 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 Service users were quite happy with the support they receive and are encouraged to be as independent as possible. All aspects of health needs are met including emotional needs. Service users are encouraged to look after their own medication. EVIDENCE: All three service users can manage their own personal care and need little help from staff in that respect. They are able to organise their own routines though because of work commitments have to keep a normal routine though can be later at weekends. They can buy their own clothes but may need advice from staff. None of them require adaptations to help with mobility. The care records showed contact with medical personnel including dentists visits, contact with a psychiatrist and blood pressure checks. The manager was also able to talk fluently about any health needs including emotional health and convinced the inspector that service users health is monitored. The two service users on medication can manage this themselves and do not need help from staff. Woodstock I55 S27562 Woodstock V215223 110405 Stage 4.doc Version 1.20 Page 15 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 and 23 Service users do feel listened to and felt comfortable in the Home. The service users are protected by policies from abuse and the attitude of the manager gave the inspector confidence that service users would be well cared for EVIDENCE: The complaints procedure was in place and included the timescale in which the manager would respond to a complaint. The address of the Commission was included. A complaints record was kept but empty. This may be because service users talk to the manager and his wife every day and they say that if they want something changed or do not like something, they deal with it straightaway. The service users had no complaints at all and told the inspector they really liked living in the home. The Home has policies on bullying and dealing with aggression, and on whistle blowing. There is also a gifts policy though no staff except the family are recruited. However all the family sign to say they have read the policies and understood them. The manager said that training on abuse is also planned for this year. Woodstock I55 S27562 Woodstock V215223 110405 Stage 4.doc Version 1.20 Page 16 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) 24,25,26,27,28 and 30 This is a lovely home for the service users with good communal space and garden. Service users have their own rooms which though not large are private and individual. The Home is safe for the service users. EVIDENCE: This is a family home which the owners have made into a home for the three service users with a separate flat for the son and his partner who staff the home. The house is well furnished and attractive. The service users have their own rooms and separate bathroom. They also share the communal facilities which comprise a lovely sitting room, a dining room and a large kitchen. There is also a large garden with a shed used by one of the service users. Woodstock I55 S27562 Woodstock V215223 110405 Stage 4.doc Version 1.20 Page 17 Service users said they enjoyed their rooms and there was evidence of personal possessions making them homely. Photographs were on the walls and they had their own electrical and musical equipment. The bathroom was well decorated and tidy and the manager said that a valve was on the tank to prevent hot water from overheating. The recent fire and environmental health officers’ reports were seen to be satisfactory. Woodstock I55 S27562 Woodstock V215223 110405 Stage 4.doc Version 1.20 Page 18 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) 32 Service users are supported by competent and experienced staff. EVIDENCE: There are no outside staff employed in the Home. The staff on site are the providers’ son and his partner. The management of the home is provided by Mr and Mrs Cammack who run Churchfields and also come to Woodstock every day. However the son has completed his NVQ3 and is experienced with people with a learning disability as he works with them for his main job. Both he and his partner have completed a criminal records check. Woodstock I55 S27562 Woodstock V215223 110405 Stage 4.doc Version 1.20 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,40,41,42 Mr and Mrs Cammack run the home well. EVIDENCE: Mr and Mrs Cammack and their son have all completed their NVQ3 and take their responsibilities to care for the service users seriously. The documentation relating to caring for the service users is in place and the Home is comfortable and complies with requirements. A quality assurance survey of the views of relatives, social workers and friends had been completed in August 2004. These gave glowing reports with comments such as “much healthier than he was before”, “is looked after in every way”. There is also good contact with the daycare centres to ensure the service users are happy. Policies and procedures were in place and signed by all family members to show they had understood them. Health and safety measures were in place. Woodstock I55 S27562 Woodstock V215223 110405 Stage 4.doc Version 1.20 Page 20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 x 3 Standard No 11 12 Woodstock x 3 Standard No 31 32 33 34 Score x 3 x x Version 1.20 Page 21 I55 S27562 Woodstock V215223 110405 Stage 4.doc 13 14 15 16 17 x 3 3 x 3 35 36 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x x 3 3 3 x Woodstock I55 S27562 Woodstock V215223 110405 Stage 4.doc Version 1.20 Page 22 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation None 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 None Good Practice Recommendations Woodstock I55 S27562 Woodstock V215223 110405 Stage 4.doc Version 1.20 Page 23 Commission for Social Care Inspection 3rd Floor Cavell House St Crispins Road Norwich NR3 1YF 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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