Inspection on 13/11/05 for Woodstock

This inspection was carried out on 13th 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Woodstock 17/02/09

Woodstock 01/03/07

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 Mrs Dorothy Binns Unannounced Inspection 13th November 2005 11:15 Woodstock DS0000027562.V266096.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 Woodstock DS0000027562.V266096.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. Woodstock DS0000027562.V266096.R01.S.doc Version 5.0 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.V266096.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th April 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. Woodstock DS0000027562.V266096.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a short unannounced inspection on a Sunday morning, the purpose being to see how the Home functioned at the weekend and what the service users were doing. One service user on the premises was spoken to and his room seen. Mr Cammack junior who lives on the premises was also seen and the provider who is very involved in the care arrived during the inspection. Care and financial records were examined. What the service does well: 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. Woodstock DS0000027562.V266096.R01.S.doc Version 5.0 Page 6 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.V266096.R01.S.doc Version 5.0 Page 7 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): Not inspected on this occasion EVIDENCE: None of these standards were inspected. Woodstock DS0000027562.V266096.R01.S.doc Version 5.0 Page 8 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 and 7 The needs and activities of the service users are reflected in their individual care plans showing how they are being looked after in the home. The records need to be kept on the premises. Service users are in charge of their own finances and make their own decisions though one person is given guidance. EVIDENCE: Care records were examined. An assessment document outlines the needs and abilities of the service users and states where assistance will be needed. Information about family, routines and interests are also recorded. As the service users have been there for a long time they are treated on a daily basis as part of the family. However regular reviews and summaries of their needs and activities are recorded keeping the record up to date with what has been happening to the service user. The main drawback is that the records are held at the other home where the providers live as it is they who complete them. This was discussed and agreed that they would be moved on to the premises at Woodstock. Woodstock DS0000027562.V266096.R01.S.doc Version 5.0 Page 9 In terms of the service users making their own decisions, they are assisted as much as possible to do this. One person likes to be more private than the others so wont join in some activities but this is accepted. In terms of handling their own money, their abilities vary with one service user having all his money and dealing with it independently, another has his weekly allowance and spends it as he wishes whilst the third has more help from staff to ensure he spends it responsibly. His money is transferred direct to the bank but staff help him to control withdrawals and to check his statements. Money earned in their work placements is kept by the service users and spent as they like. Woodstock DS0000027562.V266096.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): 12,14 and 15 Service users have access to and enjoy attending their work placements. Service users are engaged in appropriate leisure activities and are free to see their friends and be independent whenever possible. Family links are encouraged and service users are able to spend time with their relatives. EVIDENCE: All three service users have work placements which occupy them during the day. One works in a residential home and the others work in a sheltered garden centre. One service user told the inspector he sometimes does extra work at weekends as he enjoys it so much. Woodstock DS0000027562.V266096.R01.S.doc Version 5.0 Page 11 In terms of activities the service users join in all family outings and recently enjoyed a fireworks party with barbecue in the garden at the other home. Today the one service user in the home is going out for Sunday dinner to a local pub with the Cammacks and will enjoy a beer. As he is unable to go out by himself, he is taken out to the city to shop and to other activities by the family. He has also enjoyed two family holidays in Holland and Spain. He indicated that he liked television and has a good DVD collection. The other service users are more independent and can go into the city to meet their friends. One does not like attending parties so it is accepted he will stay at home. All recently attended a family wedding. The service users have good family connections with one service user gone for the weekend to stay with his family and another out for the day visiting his. The remaining service user seen by the inspector does have contact with a relative but less frequently. Relatives phone the phone and the service users had no access problems. Woodstock DS0000027562.V266096.R01.S.doc Version 5.0 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): 19 Health care needs are appropriately monitored to ensure the service users are well looked after. EVIDENCE: The care records showed that visits to community health professionals like the GP and nurses are recorded. One record showed an annual visit to the consultant. Visits to dentists and opticians are also recorded and are reported to be carried out on a regular basis. In general the evidence was that service users’ health is monitored and assistance to see the right people is given. The service user spoken to told of his recent visit to have his eyes tested and how he had a Big Mac afterwards. Woodstock DS0000027562.V266096.R01.S.doc Version 5.0 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): Not inspected on this occasion EVIDENCE: None of these standards were inspected Woodstock DS0000027562.V266096.R01.S.doc Version 5.0 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 and 26 The home is comfortable and homely and provides a safe and attractive environment for the service users. Service users have their own bedrooms providing independence and privacy. EVIDENCE: This is an attractive family home where the service users have their own bedrooms and sitting/dining room and bathroom. It is comfortable and homely with a large garden. All service users are mobile so no special equipment is required. It is a normal house in a residential area and provides a pleasant environment for the service users. The provider’s son and his wife are the carers alongside Mr and Mrs Cammack, and they have rooms on the first floor. Service users have access to the kitchen , are able to make their own drinks and snacks and one service user spoken to said he made his own breakfast as well. The service user’s room was visited and it was explained that it had recently been decorated in the colour chosen by the service user. It was comfortable and had plenty evidence of the service user’s own interests with his photos television and DVDs. Woodstock DS0000027562.V266096.R01.S.doc Version 5.0 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): Not inspected on this occasion EVIDENCE: None of these standards were inspected. Woodstock DS0000027562.V266096.R01.S.doc Version 5.0 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): Not inspected on this occasion EVIDENCE: None of these standards were inspected. Woodstock DS0000027562.V266096.R01.S.doc Version 5.0 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 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 2 3 x x x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 x x x x LIFESTYLES Standard No Score 11 x 12 3 13 x 14 3 15 3 16 x 17 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Woodstock Score x 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x DS0000027562.V266096.R01.S.doc Version 5.0 Page 18 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 YA6 Regulation 17 Requirement Care records and other information specified in Schedule 3 of the regulations must be held in the care home. Timescale for action 31/12/05 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 Woodstock DS0000027562.V266096.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Norfolk Area Office 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. Extracts may not be used or reproduced without the express permission of CSCI Woodstock DS0000027562.V266096.R01.S.doc Version 5.0 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!