Inspection on 13/01/06 for Woodview

This inspection was carried out on 13th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Woodview 08/08/06

Woodview 03/05/05

Woodview 09/12/04

Woodview 30/06/04

Woodview 25/03/04

Woodview 05/02/04

Similar services:

Hillview Farm

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 97 Wantage Road Didcot Oxfordshire OX11 8TY Lead Inspector Lilian Mackay Unannounced Inspection 13th January 2006 18:45 97 Wantage Road DS0000013149.V276516.R01.S.doc Version 5.1 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 97 Wantage Road DS0000013149.V276516.R01.S.doc Version 5.1 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. 97 Wantage Road DS0000013149.V276516.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 97 Wantage Road Address Didcot Oxfordshire OX11 8TY 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) 01235 814939 01235 814939 New Support Options Limited Mrs Eileen Hodgkinson Care Home 5 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (5) of places 97 Wantage Road DS0000013149.V276516.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The total number of persons that may be accommodated at any one time must not exceed 5 3rd May 2005 Date of last inspection Brief Description of the Service: 97 Wantage Road is a respite service for up to five adults with learning disabilities. The service was first registered in 1998. The home is a modern bungalow, part of a purpose built complex, situated within a community hospital site close to local amenities in Didcot, Oxfordshire. The building is owned and maintained by Advance Housing and Support Ltd. The home provides respite care to relieve families of their care responsibilities, as well as providing emergency placements. The home is run and managed by New Support Options, a not-for-profit organisation established in 1989, part of the New Dimensions Group based in Theale in Berkshire. New Support Options Ltd has a wealth of experience in providing services for those with learning disabilities and operates in West Berkshire, Hampshire, Surrey and Norfolk in addition to Oxfordshire. Places at the home are block purchased by Social and Community Services. Sometimes respite stays have to be cancelled due to emergency placements. The home is closed for five days over the Christmas period. The number of nights allocated depends on the assessed priority. An individual can have up to a maximum of 30 nights a year. This could be increased in exceptional circumstances. 97 Wantage Road DS0000013149.V276516.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection visit took place between 18.45 and 23.20 on a Friday evening. The purpose of the visit was to see how the home is meeting the National Minimum Standards for care homes for adults aged 18-65. This inspection included a sampling of the home’s policies and procedures, records and other documentation, talking to staff and those having respite care and a tour of the home. The inspector met all those having respite care at this time and spoke to the two members of staff on duty. The homes registered manager has been such since September 2001. The home provides a service to approximately 60 clients. A minimum of two members of staff are on duty throughout the day. Night staffing consists of one member of staff asleep ‘on call’ from 10.00pm until 07.30 am. When required by the needs of individual clients, another member of staff is employed by Social and Community Services to be awake on duty at night. All but one of those having respite care at this time could communicate verbally. Feedback indicated that they like coming to the home, feel staff treat them well, have suitable activities provided for them and enjoy the food. One resident has lived at the home since her emergency admission in August 2005. Staff feedback indicated that recruitment procedures are thorough, that they are regularly supervised and have regular staff meetings. Feedback could not be obtained by means of questionnaires sent to health and social care professionals and relatives or visitors associated with the home as the pre-inspection questionnaire was not completed and returned to the CSCI as requested. This is a requirement under Section 31[1] of the Care Standards Act 2000. The inspector would like to thank those having respite care and the staff members on duty at this time for their assistance, hospitality and courtesy throughout this inspection. What the service does well: The home has a keyworker system where the care of each person having respite care is the responsibility of a designated member of staff. Individual, lockable, medicine cabinets are provided in all but one of the bedrooms. 97 Wantage Road DS0000013149.V276516.R01.S.doc Version 5.1 Page 6 There is a good standard of housekeeping and hygienic practices. The home provides a flexible service, according to individual need. Those having respite care are supported to continue their normal lives at times of crisis. The home has a happy, relaxed environment. Staff enjoy their work and are well motivated. Management audits are carried out regularly. 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. 97 Wantage Road DS0000013149.V276516.R01.S.doc Version 5.1 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 97 Wantage Road DS0000013149.V276516.R01.S.doc Version 5.1 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): 2 Those having respite care have an assessment undertaken of their needs prior to receiving the service. EVIDENCE: Prospective clients are invited to come and have tea at the home and then to spend a night at the home before they start using the service regularly. The parents or primary carers of prospective clients are invited to come and have a look around the home. 97 Wantage Road DS0000013149.V276516.R01.S.doc Version 5.1 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, 9, 10 The individual needs of those having respite care are identified and recorded in their files. The independence of those having respite care is promoted by an effective system of risk assessment. On this occasion some information was not handled confidentially. EVIDENCE: Each person having respite care has a keyworker with responsibility for his/her care needs. Staff keywork about ten clients each. Either the keyworker or another member of staff attends reviews of clients’ care needs. Whilst there are no Essential Lifestyle Plans, the life styles, choices and individual preferences of those having respite care are well documented in their files. 97 Wantage Road DS0000013149.V276516.R01.S.doc Version 5.1 Page 10 Risk assessments and vulnerability analyses are undertaken to promote the independence of those having respite care whilst undertaking activities such as going out, being transported in the home’s people carrier, preparing food, having a bath, using the hoist and eating. Personal information about one resident was passed on from one member of staff to another in the office with one resident present. It is recommended that the importance of confidentiality at handover times be reinforced to staff. 97 Wantage Road DS0000013149.V276516.R01.S.doc Version 5.1 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 the following standard(s): 12, 15, 16, 17 Those having respite care undertake appropriate recreational activities, both within the home and in the local community. Those having respite care are encouraged to develop relationships with others using the service. Those having respite care are not always willing to accept responsibility for cooking and cleaning. Those having respite care enjoy the food provided. EVIDENCE: Those having respite care take part in activities such attending college, going shopping, train spotting, doing puzzles, playing the organ, drawing, going to parties and watching TV and videos. The home works closely with the Charlton Day Centre in Wantage and the Abbey Day Centre in Abingdon. 97 Wantage Road DS0000013149.V276516.R01.S.doc Version 5.1 Page 12 Those having respite care are encouraged to keep in touch with their relatives or friends whilst away from home and to socialise with the others receiving a service. The manager reported that the majority of residents enjoy assisting in the preparation of meals and in other daily activities such as cleaning, and are actively encouraged to do so. Due consideration is given to care plans when encouraging individuals who are placed as an emergency, in assigning duties and achieving long-term goals. Staff and those having respite care compile menu plans weekly on a Sunday. Meals are taken at a table in the kitchen. Liquidised meals and healthy diets are provided. Those having respite care confirmed that they enjoy the food provided. 97 Wantage Road DS0000013149.V276516.R01.S.doc Version 5.1 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 the following standard(s): 20 Staff administer medications to all those having respite care. EVIDENCE: Staff designated to administer medications have their competence to do so assessed before undertaking this task. 97 Wantage Road DS0000013149.V276516.R01.S.doc Version 5.1 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 the following standard(s): 22, 23 The home’s complaints procedure requires amending. Inadequate training is provided to staff to ensure that those having respite care are protected from abuse. EVIDENCE: The home’s complaints procedure needs amending to include the contact details of the CSCI instead of the NCSC and to indicate that complainants can refer their complaint at any time to the CSCI. The CSCI has received one complaint about this service since the last inspection. This was investigated and a response received within the timescale given. None of those having respite care raised any issues with the inspector during this visit. One member of staff employed for seven months had not yet received training in the protection of vulnerable adults from abuse, although she was booked to attend this shortly after the inspector’s visit. Evidence was seen that the second member of staff on duty, the shift leader, had received such training in the last two years. Training on the protection of vulnerable adults is mandatory and is covered in the ‘New Approach Training’. The New Support Options’ in-house induction training is normally completed within six weeks. The manager acknowledges that there is currently a backlog within the organisation. 50 of staff have now completed this training. 97 Wantage Road DS0000013149.V276516.R01.S.doc Version 5.1 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 the following standard(s): 24, 30 The home provides a comfortable, domestic environment. The home was bright, clean, fresh smelling and hygienic at this time. EVIDENCE: The appearance of the front garden has improved thanks to the efforts of staff cutting back overgrown hedges and cutting the grass. The home is kept in good repair through a programme of routine maintenance and renewal. Staff described the bath hoist as uncomfortable to use, taking too long in an emergency situation and going too close to people’s faces. Staff commented that the bath is too low and causes staff backache. It is recommended that the bath be the subject of an occupational therapy assessment. Each person has their own bedroom and there is a very sizeable lounge for pursuing chosen activities. A copy of the last environmental health inspection report was seen. All areas visited were clean, tidy, bright and fresh smelling and a good standard of housekeeping and hygienic practices were noted. 97 Wantage Road DS0000013149.V276516.R01.S.doc Version 5.1 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 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): 34, 35 Staff recruitment procedures are adequate. Staff training needs improving. EVIDENCE: Two new staff have been employed since the last inspection. Evidence that CRB checks were undertaken on these staff is kept at the Human Resources Department of New Support Options. The manager is asked to send the CSCI evidence that CRB checks are undertaken systematically when new staff are employed. There were two staff on duty when the inspector arrived. Staff confirmed this level of staffing to be adequate. Night staffing usually consists of one member of staff asleep ‘on call’ in the home. However, at this time, due to the specific care needs of one person having respite care, an additional member of staff was employed from an agency to be awake on duty to meet these needs. The organisation is commended for their flexibility in this area. 97 Wantage Road DS0000013149.V276516.R01.S.doc Version 5.1 Page 17 No evidence was seen that the shift leader had received recent training in manual handling, challenging behaviour, or communication skills. No training records were available for the other member of staff on duty. The latter has worked at the home for the last seven months but is only now receiving induction training. This member of staff has not received training in manual handling, food hygiene, health and safety and has not been offered Learning Disability Award Framework training. Staff confirmed that they receive regular supervision and have regular staff meetings. 97 Wantage Road DS0000013149.V276516.R01.S.doc Version 5.1 Page 18 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, 41, 42 The home has an experienced, registered manager. Not all the policies and procedures requested at this time could be accessed. Improvements are still required to recording in the fire log. EVIDENCE: The home as a whistle blowing policy. Feedback could not be obtained from health and social care professionals and relatives or visitors associated with the service as the pre-inspection questionnaire was not submitted to the CSCI. This was sent to the home in September and again in November 2005 and two reminders were also sent. There may be a problem with the mail as the manager also reported in May 2005 that she had not received documentation sent by the CSCI to the home at that time. 97 Wantage Road DS0000013149.V276516.R01.S.doc Version 5.1 Page 19 The manager has been in post since September 2001. She recently completed an NVQ Level 4 in Care. Staff commended management for initiating staff gently into doing sleep-ins. Management audits are carried out regularly. The fire policy and procedure was submitted. There has been an improvement in recording in the fire log. Whilst regular fire drills are undertaken, no evidence was seen that all staff receive two periods of fire instruction in a 12month period as the employee register and training record was not properly maintained. A record is not kept of authorised officers visits in the fire log. The home’s fire risk assessment was reviewed in May 2005. 97 Wantage Road DS0000013149.V276516.R01.S.doc Version 5.1 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. 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 X 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 2 23 1 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 x 30 3 STAFFING Standard No Score 31 X 32 x 33 X 34 X 35 1 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X 3 2 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X x X 3 2 X X x 2 2 x 97 Wantage Road DS0000013149.V276516.R01.S.doc Version 5.1 Page 21 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 YA37 Regulation Section 31(1) Requirement Complete the pre-inspection questionnaire and return this to the CSCI as requested. [Section 31[1] of the Care Standards Act [2000.] Amend the complaints procedure as indicated. Ensure all staff are given inhouse training on the protection of vulnerable adults from abuse within six months of appointment and two-yearly thereafter. Provide adequate and timely training for all staff. Maintain staff training records on all staff. Improve recording in the fire log as indicated. Timescale for action 28/02/06 2 3 YA22 YA23 22 18 31/03/06 30/06/06 4 5 6 YA35 YA35 YA41 18 17 17 31/07/06 28/02/06 28/02/06 97 Wantage Road DS0000013149.V276516.R01.S.doc Version 5.1 Page 22 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 YA10 YA24 Good Practice Recommendations Highlight the importance of confidentiality to staff. Arrange an occupational therapy assessment of the bath. 97 Wantage Road DS0000013149.V276516.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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 97 Wantage Road DS0000013149.V276516.R01.S.doc Version 5.1 Page 24 - 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!