Inspection on 14/12/05 for Woolsington Court, 48-49

This inspection was carried out on 14th December 2005.

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

Woolsington Court, 48-49 04/04/07

Woolsington Court, 48-49 08/09/05

Woolsington Court, 48-49 16/11/04

Woolsington Court, 48-49 06/07/04

Woolsington Court, 48-49 10/03/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Woolsington Court, 48-49 48-49 Woolsington Court Bedlington Northumberland NE22 5UH Lead Inspector Jim Lamb Unannounced Inspection 14th December 2005 17:30 DS0000000575.V268363.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 DS0000000575.V268363.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. DS0000000575.V268363.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Woolsington Court, 48-49 Address 48-49 Woolsington Court Bedlington Northumberland NE22 5UH 01670 823139 01670 823139 communityhome@woolsingtonnhs.fsworld.co.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) Northgate & Prudhoe NHS Trust Care Home 3 Category(ies) of Learning disability (3) registration, with number of places DS0000000575.V268363.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th September 2005 Brief Description of the Service: Woolsington Court is a Prudhoe NHS Trust home that accommodates three adults with learning disabilities. The service users can live in the home for as long as they wish provided that their individual needs can safely and appropriately met. The home is in a small residential estate in Bedlington. The accommodation is a ground floor flat and each service user has their own bedroom and shares the communal areas, which include a dining/kitchen and a lounge. The home is in the centre of Bedlington and is close to a range of amenities such as shops, pubs, and restaurants. The home has its own transport. DS0000000575.V268363.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes second annual unannounced inspection visit; the inspection took place over two and a half hours during the evening. Time was spent talking to the homes assistant team leader, talking to the service users, examining the homes policies and procedures, the service users care records and looking around the 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. DS0000000575.V268363.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 DS0000000575.V268363.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): 134 The homes statement of purpose and the service users guide provide service users and prospective service users with appropriate details of the services the home provides enabling an informed decision about admission to the home. EVIDENCE: The homes Statement of Purpose and the Service Users Guide both contained the full range of information required. One service user interviewed confirmed he had been given a copy of the guide. The inspector was informed that information would soon be available on DVD. Three service users’ files were checked and on each were a copy of a full needs assessment. Admissions to the home are very rare however the assistant team leader was fully aware of the homes admission procedures and she was able to describe accurately what these would entail. The service user interviewed confirmed he was involved in drawing up the home’s subsequent service user plans. DS0000000575.V268363.R01.S.doc Version 5.0 Page 8 The 3 service user plans checked by the inspector were comprehensive, and listed details of service user’s needs and actions taken by the staff to meet these needs. The service user interviewed said his needs were met and that he was very happy with the care offered to him. The three care plans checked and the staff member interviewed confirmed that a range of specialist services was provided to service users. The staff member interviewed had a professional nursing qualification and a range of other relevant training and experience. DS0000000575.V268363.R01.S.doc Version 5.0 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 8 9 10 There is a clear consistent care planning system in place to adequately provide staff with the information that they need to meet the holistic needs of the service users. The staff have a good understanding of the service users support needs. EVIDENCE: There is evidence of a comprehensive assessment in the service users’ care plans. There is also a comprehensive risk assessment of service users, all risk assessments have been agreed with the service users care managers and their representatives, all have also been signed by staff. The assistant team leader will ensure that all risk assessments are signed by the service users representatives. There was evidence of advocacy arrangements, as well as family input. Each service user has an allocated key worker. DS0000000575.V268363.R01.S.doc Version 5.0 Page 10 Care plans are drawn up with service users. There is evidence that plans are amended and reviewed on a regular basis. Monthly evaluations have also commenced. The service users have access to their files and know that information is handled appropriately, and that their confidences are respected and kept. All aspects of standard 7 have been met; self-advocacy is promoted, service users can access a range of external agencies that promote independence, any rights that are restricted are linked to risk assessments. Each service user receives support from staff to manage their finances. The service user spoken to said that he is able to make decisions for himself. DS0000000575.V268363.R01.S.doc Version 5.0 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): 11 14 15 16 Links with the local community are good and support and enrich service users social and educational opportunities. The home has its own transport. EVIDENCE: Each service user has a practical life skills assessment carried out and this is reviewed and updated on a regular basis, all service users participate in this process. Validated intervention treatment programmes are accessed if a need does arise. The service users have access to a range of community-based services, which promote and provide opportunities to learn and use life skills. There was evidence that each service user has the opportunity to participate in community-based activities, including supported work programmes, education and training. DS0000000575.V268363.R01.S.doc Version 5.0 Page 12 The staff team liaise closely with external agencies in order to monitor each service user progress. All service users are supported to maintain very close links with their families. All are able to choose who they want to see and when. There was evidence that daily routines promote independence, choice and freedom of movement. Service users are involved in housekeeping tasks. The inspector observed the staff member on duty interacting in a sensitive and respectful manner with service users. DS0000000575.V268363.R01.S.doc Version 5.0 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): 19 20 21 Personal support in the home is offered in such a way as to promote and protect service users privacy, dignity and independence. Systems for the management of medication are good. The service users have access to a range of health care professionals. EVIDENCE: One service user currently has moving and handling needs and specialist equipment has been provided following an O/T assessment of his needs. Other service users require minimum help with their personal care tasks, such as bathing and dressing. The service user spoken to said that his privacy is respected at all times. There was evidence within the service users care records that they have access to external health care services. G.P.’s visit when necessary, and service users are referred for specialist health care if appropriate. All service users receive regular health care checks. DS0000000575.V268363.R01.S.doc Version 5.0 Page 14 The medication systems were examined for ordering, receiving and administering and disposal. All were found to be well maintained. The local G.P. practice offers good support and advice to service users and staff. All staff within the home has received medication training. It is recommended that the staff receive ageing, illness/palliative care and death training. DS0000000575.V268363.R01.S.doc Version 5.0 Page 15 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 has a satisfactory complaints system with evidence that service users views are listened to and acted upon. EVIDENCE: The home does have a complaints procedure is written in a way to ensure that service users fully understand its contents. The inspector was informed that these procedures would soon be available on DVD One of the service user interviewed confirmed that he had been given a copy of the procedure and that staff always listened to his concerns and dealt with them fairly. The service users relatives have all been provided with a copy of the homes complaint procedures The home does keep a record of complaints; no complaints have been received since 2000 The home has a Whistle Blowing policy procedure as well as, the Local Authorities Vulnerable Adults procedures. Staff have all received POVA training. DS0000000575.V268363.R01.S.doc Version 5.0 Page 16 The home also has a copy of the D.H. “NO SECRETS” for further information. The Home maintains detailed financial records on behalf of the service users; each has an individual bank account. There was evidence of personal spending and receipts are kept. External audits of service users finance records are carried out. DS0000000575.V268363.R01.S.doc Version 5.0 Page 17 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 25 26 27 28 29 30 The standard of the environment within the home is good providing service users with an attractive and homely place to live. EVIDENCE: On the day of the inspection the home was clean, well decorated and well maintained. There are plans to decorate the main corridor, shower room and the laundry. The service user interviewed said it was homely, comfortable and just like a hotel. The grounds/courtyard were tidy, safe, attractive and accessible. The home does have an appropriate amount of sitting, recreational and dining space. Service users can see visitors in private in their own rooms. The dining area is large enough to cater for all three-service users. Furnishings and fittings were domestic in design and in good condition. DS0000000575.V268363.R01.S.doc Version 5.0 Page 18 Lighting was sufficiently bright and also domestic in design. The home does have a sufficient number of baths, showers and toilets. These were close to bedrooms, lounges and dining areas. Doors had privacy locks. Room dimensions were such there was space on either side of the bed when necessary to enable access for carers and specialist equipment. Service users’ bedrooms checked all had opening windows. The rooms were centrally heated and the heating level could be controlled within each bedroom. Radiators and pipes were guarded. Water is stored at over 60°C. Valves are in situ at water outlets to ensure water is provided close to 43°C to prevent scalding. The home was clean and free from offensive odours. The laundry facilities appeared to be well organised. The washing machine has the specified programme to meet disinfection standards. DS0000000575.V268363.R01.S.doc Version 5.0 Page 19 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): 31 34 There is clarity of staff roles and responsibilities within the home. The procedures for the recruitment of staff appear to be robust and provide safeguards to offer protection to the service users. EVIDENCE: Staff levels on the day of the inspection did meet the agreed level. The member of staff spoken to and one service user interviewed said that staffing levels were appropriate. All the staff were over 18 years of age and those left in charge were at least 21. There was evidence that the service users benefit from clarity of the staff roles and responsibilities, each service users has an allocated key worker. DS0000000575.V268363.R01.S.doc Version 5.0 Page 20 No staff files were available to look at however; the staff member interviewed confirmed that there are very robust recruitment and selection procedures in place within the Trust. She was able to describe in detail the checks that are carried out; CRB/POVA, health checks, two written references, employment history etc and that service users are involved in the selection process. All applicants if successful are subject to a trial period, induction training and they must be committed to further advanced training within the Trust. DS0000000575.V268363.R01.S.doc Version 5.0 Page 21 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): 38 39 41 43 The home provides leadership, guidance and direction to staff and ensures that the service users are properly cared for and protected from harm. The Trust regularly reviews the homes performance through a programme of self-review and consultations, which include seeking the views of, service users. EVIDENCE: The registered manager has many years experience in senior management, in the last year all of the staff team have attended several courses to keep themselves up to date. The staff member interviewed was clear about her responsibilities and other members of the staff team, she spoke positively about the manager saying he had encouraged both staff and service users to contribute to the development of the service. DS0000000575.V268363.R01.S.doc Version 5.0 Page 22 Service users are informed when inspections take place and have access to inspection reports. These are also summarised and discussed in service user meetings. Copies are available for relatives/others to see The Health Trust has developed a range of new policies and procedures which have been linked to the National Minimum Standards. Policies and procedures are in place that safeguard and promote the service users health, safety and welfare. The Trust also operates an effective quality assurance system that is based on the continuing development of the service and seeking the views of the service users. The records inspected were found to be appropriately completed, and there was information which verified that appropriate maintenance contracts for the home are in place. Water storage tanks, gas and electrics are checked annually. Finance records have previously been forwarded to the CSCI to verify that the home is viable. DS0000000575.V268363.R01.S.doc Version 5.0 Page 23 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 3 X 3 3 X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 X 13 X 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 X X 3 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 3 Standard No 37 38 39 40 41 42 43 Score X 3 3 X 3 X 3 DS0000000575.V268363.R01.S.doc Version 5.0 Page 24 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. 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 2 3 Refer to Standard YA9 YA21 YA24 Good Practice Recommendations It is recommended that the service users representatives sign the agreed risk assessments. The staff team would benefit from ageing, illness/palliative care and death training. The corridor, laundry and shower room would benefit from redecoration. DS0000000575.V268363.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 DS0000000575.V268363.R01.S.doc Version 5.0 Page 26 - 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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