Inspection on 29/03/06 for Woolnough House

This inspection was carried out on 29th March 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Woolnough House 24/09/08

Woolnough House 31/10/07

Woolnough House 28/11/06

Woolnough House 06/12/05

Woolnough House 24/02/05

Woolnough House 10/08/04

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

CARE HOMES FOR OLDER PEOPLE Woolnough House Woolnough House 52 Woolnough Avenue Tang Hall York North Yorkshire YO10 3RE Lead Inspector Mr M. A. Tomlinson Unannounced Inspection 29th March 2006 13.45 X10015.doc Version 1.40 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 Woolnough House DS0000034896.V285831.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 Older People. 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. Woolnough House DS0000034896.V285831.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Woolnough House Address Woolnough House 52 Woolnough Avenue Tang Hall York North Yorkshire YO10 3RE 01904 413656 01904 431755 EPHwoolnough@york.gov.uk 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) City of York Council *** Post Vacant *** Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35) of places Woolnough House DS0000034896.V285831.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 6th December 2005 Brief Description of the Service: Woolnough House provides personnel care and accommodation for up to 35 older people and is owned and managed by City Of York Council. Nursing care is not provided. Woolnough House was purpose-built approximately 40 years ago and is located in the Tang Hall area of the city. The centre of York is about 2 miles from the home. There are nearby shops and public houses. Accommodation is provided in single rooms on two floors. The upper floors are accessed by a passenger lift. There is a small car park to the front of the home. The manager is in the process of applying to the Commission for Social Care Inspection for registration. Woolnough House DS0000034896.V285831.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second of two statutory inspections to be undertaken by the Commission for Social Care Inspection during this inspectoral year. The inspection was unannounced. The inspection primarily focussed on the requirements and recommendations made during the previous inspection and on those ‘key’ National Minimum Standards not assessed on that occasion. This report should, therefore, be read in conjunction with the report of the inspection undertaken on 6th December 2005. Discussions were held with a number of service users and some of the staff on duty at the time of the inspection. The service users’ financial records were examined. Only the ground floor of the premises was inspected on this occasion. On completion of the inspection, feedback was provided for the Manager. What the service does well: What has improved since the last inspection? Following the manager taking up her post approximately eight months ago, she had taken several actions to improve the quality of life for the service users. This included a revised social activity programme and the reintroduction of service users’ meetings. She had also employed a cook to negate the need for external catering services over the weekends. Woolnough House DS0000034896.V285831.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. Woolnough House DS0000034896.V285831.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Woolnough House DS0000034896.V285831.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None EVIDENCE: These standards were not assessed on this occasion. Woolnough House DS0000034896.V285831.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None EVIDENCE: Whilst these standards were not fully assessed on this occasion, it was apparent from observation of the staff that they provided support and care for the service users in a friendly and patient manner. Woolnough House DS0000034896.V285831.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above 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 15 The service users are provided with appropriate support by the staff to enable them to participate in a range of social activities thereby reducing the likelihood of lethargy and depression. EVIDENCE: Since her arrival in the home approximately eight months ago, the manager had introduced a range of changes to improve the social care provided for the service users. These changes included the introduction of regular service users’ meetings and a revised programme of activities. The weekly programme of activities was displayed in the main lounge. The activities had been based on the preferences of the service users and had been discussed during the service users’ meetings. The manager had also encouraged the staff to take an active role in the provision of social activities. Two General Assistants, whose role had been expanded to take these activities into account, confirmed this. The service users also confirmed this increase in social activities. One of the problems encountered by the staff was the range of needs presented by the service users. To overcome this staff were encouraged to ‘tailor’ activities to service users’ needs, abilities and wishes. This was particularly evident when arranging trips out. The manager stated that she is intending to introduce an internal ‘newsletter’ with input from service users. She has also managed to gain external commercial sponsorship in order to Woolnough House DS0000034896.V285831.R01.S.doc Version 5.1 Page 11 redesign the garden and make it more appropriate for the use of the service users. It was the manager’s stated aim to provide a greater level of social stimulation for the service users and to enable them to have a greater level of ‘ownership’ over their lives and involvement in the way that the home is run. Following the comments made by service users during the previous inspection regarding the unpopular use of external catering services for lunches, the manager had recently employed a cook to undertake the catering at weekends. The service users spoken to continued to express dissatisfaction with the quality of the external catering and this was discussed with the manager. The service users confirmed that they had a choice of meals for breakfast and tea, with several service users choosing to have a regular cooked breakfast. The mealtimes were reasonably flexible to take into account the service users daily routines. Woolnough House DS0000034896.V285831.R01.S.doc Version 5.1 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None EVIDENCE: These standards were not assessed on this occasion. Woolnough House DS0000034896.V285831.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20,23,24,25 and 26 The service users are provided with a clean, warm and comfortable environment in which they are able to live their lives at their own pace. EVIDENCE: Only the ground floor areas were inspected on this occasion. These areas continued to be maintained and decorated to a good standard in particular the service users’ bedrooms, which had been personalised by them. The bedrooms were individually decorated with, where possible, the service users choosing the décor of their rooms. The premises were very clean and totally free of any unpleasant odours. This was considered to be very important by one service user when they had to make a choice of care home. The furniture and fittings in the communal rooms were of a good standard and were suitable for use by the service users. As previously mentioned in this report, the manager had plans to totally refurbish the garden area in order to make it more inviting and more suitable for use by the service users. The bathrooms and toilets on the ground floor were clean and well maintained. None of the bedrooms inspected had en suite facilities. Woolnough House DS0000034896.V285831.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None EVIDENCE: These standards were not assessed on this occasion. Woolnough House DS0000034896.V285831.R01.S.doc Version 5.1 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33 and 35 The service users are protected from financial abuse by the implementation of sound financial systems and procedures. EVIDENCE: The manager had been in post at Woolnough House for approximately eight months and had applied to the Commission for Social Care Inspection to be registered. The manager demonstrated a sound understanding of the needs of older people and in particular those elements of care, such as independence and choice, that go to provide them with a good quality of life. As previously mentioned in this report since taking up her post the manager had introduced a range of measures to improve the lives of the service users including the reintroduction of service users’ meetings. She also had plans to involve the service users in the running of the home and to provide them with a ‘degree of ownership’ over their environment. It was evident that she believed in a democratic style of management that included involving the staff in the Woolnough House DS0000034896.V285831.R01.S.doc Version 5.1 Page 16 decision making processes. From discussions with her it was evident that she had sound leadership qualities and strongly believed that any decision made in the home should primarily be for the benefit of the service users. It was evident that the manager employed an ‘open-door’ policy and was consequently readily available to both staff and service users. Those staff spoken to said that the home was a happy and enjoyable place in which to work and they felt that the manager had brought stability and a sense of purpose for the staff. The home’s Administrator was primarily responsible for the safekeeping, monitoring and recording of the service users’ personal money. The finances of three service users were fully managed by the home. The majority of the remaining service users had some, if not all, of their spending money looked after by the home for safekeeping. In all of these cases it was undertaken with the written agreement of the service user concerned or their representative. The financial records were examined. They were comprehensive but clear in layout. The entries were appropriately cross-referenced between respective records. It was possible to undertake an audit of the service users’ finances due to this good standard of recording. All transactions made on behalf of the service users had been fully recorded and signed by the staff member(s) involved. Receipts had been obtained to verify any purchases. There was recorded evidence that these records had been fully audited by an external source and regularly checked by the Administrator and the Manager. The service users’ personal money were appropriately secured and retained separately. Three amounts of cash were checked successfully against the records. The Administrator provided evidence that on the death of a service user, written confirmation of their personal financial accounts were readily available to their next of kin. The deceased service user’s representative then signed a formal agreement in confirmation as to the accuracy of the account. Woolnough House DS0000034896.V285831.R01.S.doc Version 5.1 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X 3 X X 3 3 3 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 X X X Woolnough House DS0000034896.V285831.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? Yes 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. 1. Refer to Standard OP15 Good Practice Recommendations Efforts should continue to ensure that all of the meals, in particular lunches, meet with the approval of the service users. Woolnough House DS0000034896.V285831.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 Woolnough House DS0000034896.V285831.R01.S.doc Version 5.1 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. 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