Inspection on 03/05/05 for Woodview

This inspection was carried out on 3rd May 2005.

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 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

Woodview 08/08/06

Woodview 13/01/06

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 97 Wantage Road Didcot Oxfordshire OX11 8TY Lead Inspector Lilian Mackay Unannounced 03 May 2005 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. 97 Wantage Road v225182 h57-h08 s13149 97 wantage road v225182 030505 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 97 Wantage Road Address 97 Wantage Road, Didcot, Oxon, OX11 8TY 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) 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 v225182 h57-h08 s13149 97 wantage road v225182 030505 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The total number of persons that may be accommodated at any one time must not exceed 5 Date of last inspection 9 December 2004 Brief Description of the Service: 97 Wantage Road is a respite service managed and run by New Support Options (NSO) for up to five adults with learning disabilities. The home is a modern bungalow, part of a purpose built complex, situated within a community hospital site but close to local amenities in Didcot, Oxfordshire. The service also provides day care support on an as required basis. The services are accessed through the local authority Health and Social Care Directorate care management processes with a block contract arrangement. 97 Wantage Road v225182 h57-h08 s13149 97 wantage road v225182 030505 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection visit took place between 6.25pm and 10.00pm on Tuesday 3 May 2005. The purpose of the visit was to see how the home is meeting the National Minimum Standards for care homes for younger adults. The inspector spent this time with all four of the people being supported at 97 Wantage Road and the two staff on duty. The inspector listened to their views and discussed their experiences. The inspector examined the fire log, medication records, housekeeping schedules, menus and the staff rota and observed service users participating in a number of activities. The home has a caring, relaxed and friendly atmosphere and those being supported are encouraged to socialise together. The people being supported told the inspector about the things that are important to them and what they think of 97 Wantage Road. Approximately 63 adults are supported by the service. On average they are supported for 35 days each year. The four people being supported at the time of this visit were very relaxed with the two staff on duty who have worked in the home for four and five years. The inspector observed supportive and caring interactions between staff and those being supported. Those being supported told the inspector that they are very happy with the meals provided. One said “The food is very good – everything is all right here”. Another said “I like Chinese food”. One person being supported told the inspector “I love my mum and dad – they put me here and it’s a nice life for me here”. The inspector would like to thank those being supported and the staff on duty at this time for their assistance, hospitality and courtesy during this inspection. What the service does well: The care provided in this home is good. The home has a key worker system where the care of each person being supported is the responsibility of a named member of staff. Those being supported confirmed that they are enabled to continue their normal lives at times of crisis. The home provides a flexible service according to individual need. Those being supported confirmed that they are encouraged to draw up menus and that the food satisfies them. 97 Wantage Road v225182 h57-h08 s13149 97 wantage road v225182 030505 stage 4.doc Version 1.30 Page 6 Computerised records ensure that the information kept on those being supported is up to date and accurate. 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 v225182 h57-h08 s13149 97 wantage road v225182 030505 stage 4.doc Version 1.30 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 97 Wantage Road v225182 h57-h08 s13149 97 wantage road v225182 030505 stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 and 4 Those being supported are given appropriate support and encouragement, as far as possible, to continue with their normal routines and activities whilst living at the home. EVIDENCE: The home has space to support five adults. Prior to a service being provided, the parents or primary carers of those being supported are invited to come and have a look around the home. Those being supported are supported by staff who have worked with them for a long time. All people being supported have a care management assessment undertaken of them before a service is provided. Prospective clients are then invited to stay for tea and then to stay overnight. All levels of staff have responsibility for arranging introductions. Relations between three of the four people being supported appeared to be good. Those being supported frequently know the others but have no control over who is in the home whilst they are there. 97 Wantage Road v225182 h57-h08 s13149 97 wantage road v225182 030505 stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 and 8. The home assesses the needs of those being supported and enables them to make decisions in their lives. Those being supported are encouraged to give their views and opinions. EVIDENCE: Those being supported told the inspector that they are able to carry on with their usual activities whilst away from their own home. They told the inspector that they continue to enjoy going to college and going out to their clubs. Those being supported do not want to prepare their meals or do the cleaning and this is done by staff, enabling those being supported to continue with their normal activities. 97 Wantage Road v225182 h57-h08 s13149 97 wantage road v225182 030505 stage 4.doc Version 1.30 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 standard(s) 11, 14 and 17. Those being supported are encouraged to continue to take part in their chosen activities within their local communities. Those being supported help with meal planning and sometimes the shopping, but do not help prepare meals. EVIDENCE: The staff daily task sheets seen indicate that staff do the day-to-day housekeeping. Those being supported tend not to do any housekeeping as this is a respite service and permanent care is not provided. The home has a people carrier and two drivers. Those being supported told the inspector about the different activities they take part in, such as attending community college courses, discos and events and listening to music. The inspector saw that staff have built up relationships with those being supported as they joked together and talked about friends, family and future plans. There is a set menu compiled weekly on a Sunday with those being supported, and they also have regular Indian and Chinese takeaways, barbecues and pub meals. A pool table has been ordered in response to requests from those being supported. 97 Wantage Road v225182 h57-h08 s13149 97 wantage road v225182 030505 stage 4.doc Version 1.30 Page 11 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) 19 and 20. The home was meeting the physical and emotional health needs of those being supported and medications are stored and administered safely. EVIDENCE: Not all those being supported are independent or wish to be. They are encouraged to manage their personal care with a little help from staff. All but one of those being supported have their medication kept in individual, locked medicine cabinets in their own rooms. One person being supported explained to the inspector how he is encouraged to self administer his insulin with support from the community nurse. The community nurse also does blood glucose monitoring and applies bandages. The inspector saw well-kept medication records, some of which were in pencil. For permanence, these should be in pen. 97 Wantage Road v225182 h57-h08 s13149 97 wantage road v225182 030505 stage 4.doc Version 1.30 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 The views of those being supported are listened to and acted upon. EVIDENCE: The CSCI has not received any complaints about this service since the last inspection. None of these being supported raised any issues with the inspector when she spoke to them. 97 Wantage Road v225182 h57-h08 s13149 97 wantage road v225182 030505 stage 4.doc Version 1.30 Page 13 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 and 30 Apart from the front garden the home is kept in a good state of repair and a programme of maintenance and renewal is in place. Those being supported were comfortable and relaxed. The home was bright, clean, tidy and fresh smelling at this time. EVIDENCE: Maintenance issues are reported weekly. The grass in the front garden was overgrown. The inspector was told that responsibility for this lies with the Estates Department. A recent fire report commissioned by New Support Options indicated that bedroom doors, which are fire doors, were not shutting properly due to a lack of venting in all bedrooms. Advance Housing was notified of this in March 2005. Advance Housing has included this work in its 2005-06 financial year and this work must be done as soon as possible. The inspector spent most time in the lounge and the kitchen. These and other areas visited were clean, tidy, bright and fresh smelling. 97 Wantage Road v225182 h57-h08 s13149 97 wantage road v225182 030505 stage 4.doc Version 1.30 Page 14 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) 33 and 35 The home offers continuity of care by way of an experienced staff team who are trained appropriately to meet the needs of those being supported. Hours of work for staff are excessive when covering for staff absence and sickness. EVIDENCE: This week’s staff rota indicated that one member of staff was working from 2.30-10pm, doing a “sleep-in” and then working from 7.30 am-10pm. Staff choose to work excessive hours to avoid using agency staff and ensuring continuity of care for those being supported. The inspector questions the safety of the practice of staff working a 14.5 hour day after doing a “sleep-in”. There were two experienced staff on duty, who have both worked at the home for a number of years. One said ”I get a buzz from helping people get on with their lives in an emergency”. Both have previous experience of domiciliary care. It was reported that whilst the home had vacancies for one senior support staff, and one full-time and two part-time support workers, two of these would be starting as soon as their Criminal Records Bureau checks came back. It was reported that staff turnover is low and usually due to promotion. 97 Wantage Road v225182 h57-h08 s13149 97 wantage road v225182 030505 stage 4.doc Version 1.30 Page 15 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) 41 and 42 Management is failing to evidence that they are safeguarding the safety of those being supported because they are not maintaining adequate records. Immediate action must be taken to address this and to ensure the emergency lighting can be checked. EVIDENCE: At the unannounced inspection of 31 July 2004 the manager was required to keep up-to-date fire safety checks and staff training records by 31 July 2004. The fire log was examined and revealed major shortfalls in the recording of fire drills, staff training and equipment checks. It was reported that the emergency lighting could not be checked as there was no key to do so. 97 Wantage Road v225182 h57-h08 s13149 97 wantage road v225182 030505 stage 4.doc Version 1.30 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x 3 x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 3 Standard No 11 12 13 14 15 16 17 3 x x 3 x x 3 Standard No 31 32 33 34 35 36 Score x x 2 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 97 Wantage Road Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x 1 2 x v225182 h57-h08 s13149 97 wantage road v225182 030505 stage 4.doc Version 1.30 Page 17 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. 2. 3. Standard 24 41 42 Regulation 23(4) 13(4c) 17(2) Requirement The manager must request a fire inspection of the premises and give the landlord a copy of this. The manager must ensure that the emergency lighting can be checked. The manager must ensure that the fire log is maintained properly. Timescale for action 03/05/05 03/05/05 03/06/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard 24 20 18 Good Practice Recommendations The manager should ensure that the front garden is well maintained. The manager should ensure that all medication records are in ink. The manager should employ additional staff. 97 Wantage Road v225182 h57-h08 s13149 97 wantage road v225182 030505 stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection Burgner House 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 v225182 h57-h08 s13149 97 wantage road v225182 030505 stage 4.doc Version 1.30 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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