Inspection on 28/02/06 for 15 Woodville Road

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 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

15 Woodville Road 04/12/06

15 Woodville Road 20/06/05

15 Woodville Road 04/02/05

15 Woodville Road 02/09/04

15 Woodville Road 05/03/04

15 Woodville Road 21/01/04

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Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Woodville Road, 15 Harborne Birmingham West Midlands B17 9AS Lead Inspector Brian Reamsbottom Unannounced Inspection 28th February 2006 08:15 Woodville Road, 15 DS0000016806.V285156.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 Woodville Road, 15 DS0000016806.V285156.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. Woodville Road, 15 DS0000016806.V285156.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Woodville Road, 15 Address Harborne Birmingham West Midlands B17 9AS 0121 428 2455 0121 428 4660 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) New Outlook Housing Ms Michelle Louise Dennehy Care Home 5 Category(ies) of Learning disability (5), Sensory impairment (5) registration, with number of places Woodville Road, 15 DS0000016806.V285156.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents must be aged under 65 years Date of last inspection 20th June 2005 Brief Description of the Service: Woodville Road is a large traditional house. There is accommodation for five younger adults with a visual impairment and an associated learning disability. The home is staffed 24 hours a day including waking night and a sleeping in member of staff. Service users would be admitted to the home following a full assessment that would determine the level of support they require. The full range of medical services, leisure and social activities are provided for the service users. Service users are encouraged and supported to maintain links with their families and the local community. The care needs of the service users are monitored and reviewed and action is taken to address any concerns. The home is in Harborne, a residential area of Birmingham. It is in walking distance of shops, pubs, parks, places of worship and public transport. Woodville Road, 15 DS0000016806.V285156.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report must be read in conjunction with the inspection report of 20 June 2005. The home was inspected unannounced from 08.15 to 10.30. The documentation inspected included the following: Care plans, risk assessments, fire records, medication records, health and safety records, accident book, daily records, complaints and adult protection records. Three service users and two members of staff were spoken with. The inspector thanks service users’ and the members of staff on duty for their welcome, hospitality and for their co-operation during this inspection. What the service does well: What has improved since the last inspection? Service users’ care plans are being reviewed twice a year or as service users needs change. Health Action Plans are in place and continue to be improved with the involvement of service users’. Weekly activity records have been up dated to reflect the chosen activities of service users’. Woodville Road, 15 DS0000016806.V285156.R01.S.doc Version 5.1 Page 6 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 Road, 15 DS0000016806.V285156.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 Woodville Road, 15 DS0000016806.V285156.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): 5 Prospective service users are be able to make an informed decision about the service offered at the home by the Statement of Purpose and the Service User Guide. Service users’ have a written contract with the home. EVIDENCE: Standards 1 and 2 were met at the inspection of 20 June 2005 and were not inspected at this visit. Service users’ have a written contract/statement of terms and conditions in their personal files. The contract includes, for example, the room to be occupied, fees to be paid and personal support. Woodville Road, 15 DS0000016806.V285156.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 Service users assessed needs and goals are reflected in their individual care plans so that staff know how to support each individual. The care plans must be reviewed as a priority. Risk assessment practices meet the needs of service users living in the home. EVIDENCE: Standards 7 and 9 were met at the inspection of 20 June 2005 and were not inspected at this visit. The service user personal file inspected included an individual care plan. These included how staff are to support the service user with communication, personal hygiene, daily living skills, behaviour, health, diet, leisure activities, medication, social activities and personal safety. Care plans are reviewed at least twice a year or as the needs of service users’ change. There is evidence that service users’ are involved in their care plans. This was confirmed on speaking with a service user. The have been no new admissions since the last inspection Woodville Road, 15 DS0000016806.V285156.R01.S.doc Version 5.1 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): X Service users are part of the local community and participate in appropriate leisure activities. Arrangements are in place to support service users to have appropriate family relationships. Service users choose what they eat and enjoy their meals. Food is nutritious and meets dietary needs. EVIDENCE: Standards 12 13 15 16 and 17 were met at the inspection of 20 June 2005 and were not inspected at this visit. Woodville Road, 15 DS0000016806.V285156.R01.S.doc Version 5.1 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 the following standard(s): 18, 19 Systems are in place to ensure that service users receive the care they need. The medication management is good ensuring service users receive medication as prescribed. EVIDENCE: Standard 20 was met at the inspection of 20 June 2005 and was not inspected at this visit. Service users’ are given support in a warm and friendly manner, and staff were seen to be polite, considerate, patient and respectful, as appropriate. From inspecting service users’ records and from observations made it is evident that staff provide sensitive and flexible personal support to service users. Health Action Plans are in place and are continuing to be developed with service users’. Woodville Road, 15 DS0000016806.V285156.R01.S.doc Version 5.1 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 the following standard(s): X The complaints and adult protection procedures available ensure that service users are protected from harm. EVIDENCE: Standards 22 and 23 were met at the inspection of 20 June 2005 and were not inspected at this visit. The inspector was told by staff on duty that there have been no complaints since the last inspection. Woodville Road, 15 DS0000016806.V285156.R01.S.doc Version 5.1 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 the following standard(s): 24, 30 The home was clean and well maintained it provides service users with a safe, homely and comfortable environment. EVIDENCE: Standard 24 and 30 were met at the inspection of 20 June 2005. Work is now completed on the extension to the home. It has improved facilities. It includes a new kitchen, laundry, office and the installation of a shaft lift. Service users’ said, “ That they are pleased to be home.” The home has been redecorated throughout. It is light and airy, clean and odour free. The management and organisation are to be commended for providing a pleasant home for service users’. Woodville Road, 15 DS0000016806.V285156.R01.S.doc Version 5.1 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 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): X An effective staff team supports service users. Service users are protected by the home’s robust recruitment practices. Staff receive the appropriate training to meet residents individual and joint needs. Staff are supported and regularly supervised which benefits the residents. EVIDENCE: Standards 34 35 and 36 were met at the inspection of 20 June 2005 and were not inspected at this visit. Woodville Road, 15 DS0000016806.V285156.R01.S.doc Version 5.1 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 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, 39 The home is well managed ensuring the health, safety and welfare of service users are promoted and protected. EVIDENCE: Standard 42 was met at the inspection of 20 June 2005 and was not inspected at this visit. The manager must be qualified to level 4 in management and care by 2006. This requirement is outstanding from previous inspections. Standard 39 has been met at this inspection and is in use in all the organisation care homes. Information, feedback, views and opinions on the services are actively collected from service users’, family and friends. Other professionals who have an input to the lives of service users’ give feedback on how needs are being met. Woodville Road, 15 DS0000016806.V285156.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 X 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 4 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 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X X 2 X 3 X X X X Woodville Road, 15 DS0000016806.V285156.R01.S.doc Version 5.1 Page 17 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. 1. Standard YA37 Regulation 9 (2)(i) Requirement The manager must be qualified to NVQ level 4 in management and care. This requirement is outstanding from previous inspections. Timescale for action 30/06/06 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 Road, 15 DS0000016806.V285156.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Woodville Road, 15 DS0000016806.V285156.R01.S.doc Version 5.1 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. 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. 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