Inspection on 28/02/06 for Woodville

This inspection was carried out on 28th February 2006.

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

Woodville 24/02/09

Woodville 01/03/07

Woodville 16/08/05

Woodville 14/12/04

Woodville 19/05/04

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

CARE HOME ADULTS 18-65 Woodville 91 West Street Ryde Isle Of Wight PO33 2NN Lead Inspector Neil Kingman Unannounced Inspection 28th February 2006 14:00 Woodville DS0000012558.V249101.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 Woodville DS0000012558.V249101.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. Woodville DS0000012558.V249101.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Woodville Address 91 West Street Ryde Isle Of Wight PO33 2NN 01983 612521 01983 564008 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 John Raymond Clewley Mrs Miranda Cruz Clewley Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Woodville DS0000012558.V249101.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16 August 2005 Brief Description of the Service: Woodville is a residential home providing care and accommodation for up to seven younger adults with learning disabilities. It is managed by Suzanne Thornton on behalf of the proprietors Mr and Mrs Clewley. Ms Thornton is currently undergoing the process for registration as the manager. The home is a large detached property centrally located in Ryde, within walking distance of the main shopping area, and the bus and train stations. The home offers single room accommodation on two levels, one room having an en-suite facility. There is no passenger lift and residents with a mobility difficulty would need to occupy rooms on the ground floor close to a specially adapted bathroom. Woodville DS0000012558.V249101.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second of two inspections for the year at Woodville and took place unannounced over 2¾ hrs. Core standards not assessed on this occasion had been assessed at the last inspection. During the late afternoon residents returned from day services. There was an opportunity to speak with them and staff while the evening meal was being prepared. Additionally, the inspector viewed a selection of records and toured the building with the manager. With all residents in the home the atmosphere was warm and friendly. While verbal communication with some was difficult they all seemed relaxed in surroundings, which they clearly regarded as home. 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. Woodville DS0000012558.V249101.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 Woodville DS0000012558.V249101.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): 3 The home ensures that residents’ needs are met with the skills and experience of the staff, effective communication and access to specialist services. EVIDENCE: Woodville provides long-term care/support and accommodation for those who live there and not dedicated intermediate care. Residents have lived in the home for many years, the newest admission being three years ago. A mix of male and female staff have the skills to meet the needs of all residents with 88 of care/support workers having achieved the NVQ at level 2 or above. The Ryde House group provides a wide range of statutory and care related training for staff, which is ongoing. The home offers a place only to people whose needs can be met. Currently the home is preparing to meet the needs of one resident awaiting discharge from hospital. Authorisation has been given for a stair lift to be installed. This will facilitate safe access to the first floor bedrooms. Specialist services and clinical guidance are sought as and when required. Some residents have difficulties with verbal communication. However, the inspector noted that staff communicated well with them. Staff spoken with said that experience of regularly working with residents enabled them to understand their needs and wants. Woodville DS0000012558.V249101.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): 7 Residents are enabled to take control of their own lives within the limits of their cognitive ability. Management and staff support those with intellectual impairment and/or limited communication skills to make decisions. EVIDENCE: From discussions with the manager and staff it was clear that residents are encouraged to make decisions for themselves. The skills assessment process in their personal plans aims to identify and develop their social and life skills. Additionally, the Ryde House Resource Centre provides opportunities for such development. One resident described her day at the centre, which included preparation and cooking a meal. Another had taken part in a group hiking excursion from the centre. Residents are encouraged to keep their rooms clean and tidy, and to undertake some household chores and make themselves drinks etc. Staff are on hand to support as required. All residents are subject to risk assessments. The manager confirmed that relationships with residents’ families are generally very good and all are involved in care reviews. Woodville DS0000012558.V249101.R01.S.doc Version 5.0 Page 9 The home provides a system for administration and safekeeping of their monies and valuables. The integrity of the system provided was checked and found to be satisfactory. Woodville DS0000012558.V249101.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 and 13 It is generally regarded that residents at Woodville lack the capacity to take up employment opportunities. However, support is provided for those who benefit from life-skills learning. Generally they lead active lives and maintain regular links with family and the community. EVIDENCE: In discussions with the manager it was understood that in general terms residents lack the capacity to take up employment, education or training opportunities. However, they regularly take part in fulfilling activities. Due to his particular care needs one resident spends the majority of his time in the home. The inspector spoke to the manager about two residents who presented as being more able than the others. The manager said that since taking up the post she had been keen to explore ways to extend opportunities for residents, in particular, for one who had in the past been in part-time employment. Personal plans provide information on a range of activities for residents. Several attend day services, including the Ryde House Resource Centre where a variety of activities are provided for residents and other people with learning Woodville DS0000012558.V249101.R01.S.doc Version 5.0 Page 11 disabilities. Staff generally accompany residents on trips to popular venues such as the shops and leisure facilities. The manager said that additional venues such as the swimming pool at Sandown were being explored for weekends, since the number of staff who are drivers had increased. The home is situated in a central area of Ryde, which makes it easier for residents to access the local services within the town Woodville DS0000012558.V249101.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): 18 All but two residents are independently mobile and require minimal physical support from staff. Guidance and support regarding personal hygiene generally involves encouragement and reassurance. EVIDENCE: The inspector noted that one resident with mobility difficulties, while largely independent has an en-suite wheel-in shower. Following assessments by the physio and occupational therapists aids and adaptations have been prepared for another resident who will shortly be discharged back to the home from hospital. There is a mix of male and female staff at Woodville to provide residents with flexible personal support as and when required. It was very clear from observations and discussions with residents that they choose their own clothes, hobbies and interests. Rooms are individually personalised. Woodville DS0000012558.V249101.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): 23 The home’s policies, procedures and practices ensure that residents are safeguarded from abuse. Procedures for responding to suspicion or evidence of abuse are robust. EVIDENCE: Woodville has an adult protection policy and procedure, which links with the Social Services policy guidance. Staff spoken with during the inspection showed a good understanding of what constitutes abuse and what to do if they had any concerns. This is a subject covered in the staff induction programme. Woodville DS0000012558.V249101.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): 30 All areas of the home are generally clean, hygienic and free from unpleasant odours. EVIDENCE: The inspector toured the building with the manager. It was seen generally to be clean and hygienic with no unpleasant odours. The home has a separate laundry room, away from areas where food is prepared, stored, cooked or eaten. The washing machine, while domestic in style enables washing to be carried out at appropriate temperatures. Woodville DS0000012558.V249101.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): 32 and 34 Staff at Woodville have the necessary skills and experience to meet the needs of the people who live there. Staff turnover is low and a robust recruitment procedure ensures residents are protected. EVIDENCE: All staff are scheduled to receive training and refreshers in first aid, food hygiene, manual handling and infection control. 88 of staff have achieved the NVQ at level 2 or above. The inspector looked at the staff training plan, which showed that all statutory training is either completed or scheduled. The Ryde House Group ensures staff in all their homes undertake awareness training in service related subjects, including the management of challenging behaviour, which is not especially relevant to the current resident group. Courses are accessed as and when they become available. Staff spoken with confirmed that training is ongoing. Two support workers had been recruited since the standard was last assessed. Their recruitment records were checked found to be in good order. Woodville DS0000012558.V249101.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): 37 and 39 The manager has the experience and qualifications to run the home and meet its stated purpose, aims and objectives. However, she is still undergoing the process of registration. The Ryde House group has an annual development plan for its homes. Woodville has a process of establishing residents/representatives’ views about the service. EVIDENCE: The manager Mrs Thornton manages this and another nearby home of similar size and category of service user. She has been in post for about six months and is currently undergoing the process of registration. She has several years’ experience of working in and managing a home for people with learning disabilities, and has achieved The NVQ at level 4 in care and the Registered Managers Award. She has completed all statutory training and as with the rest of the staff group keeps up to date with service related awareness training, which is accessed as and when it is available. Woodville DS0000012558.V249101.R01.S.doc Version 5.0 Page 17 The home has achieved the Investors in People Award. Each resident has a named key-worker who gets to know him or her well. This person is involved in all decisions about the service provided for their particular key resident. Residents, relatives and care managers are included in the yearly care reviews. The manager confirmed that she maintains regular contact with most of the residents’ families and addresses issues as and when they arise. A representative of the Ryde House group monitors the conduct of the home by carrying out monthly regulation 26 visits. This same individual is involved in regular reviews of policies and procedures. Woodville has recently had a complete review of all policies and procedures. While not seen by the inspector it is know that the Ryde House group has an annual development plan, which includes a plan for a major service development. Woodville DS0000012558.V249101.R01.S.doc Version 5.0 Page 18 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 3 x x Standard No 22 23 Score x 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x 3 x x x Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x 3 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x 3 x 3 x x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Woodville Score 3 x x x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x x x DS0000012558.V249101.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Woodville DS0000012558.V249101.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight Ground Floor Mill Court Furrlongs Newport, IOW PO30 2AA 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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