Inspection on 04/04/07 for Woolsington Court, 48-49

This inspection was carried out on 4th April 2007.

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 14/12/05

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 Anne Brown Unannounced Inspection 4th April 2007 and 10th April 2007 13:30 Woolsington Court, 48-49 DS0000000575.V324423.R01.S.doc Version 5.2 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 Woolsington Court, 48-49 DS0000000575.V324423.R01.S.doc Version 5.2 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. Woolsington Court, 48-49 DS0000000575.V324423.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woolsington Court, 48-49 Address 48-49 Woolsington Court Bedlington Northumberland NE22 5UH 01670 823139 01670 823139 dawn.common@nhs.net 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) Northumberland, Tyne & Wear NHS Trust Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Woolsington Court, 48-49 DS0000000575.V324423.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th December 2005 Brief Description of the Service: Woolsington Court is a Northgate and Prudhoe NHS Trust home that accommodates three adults with a learning disability. The residents can live in the home for as long as they wish provided their individual needs can be safely and appropriately met. The home is situated in a small residential estate in Bedlington. The accommodation is a ground floor flat and each resident has their own bedroom and shares the communal areas, which include a kitchen/dining room and a lounge. The home is in the centre of Bedlington and is close to a range of local amenities such as shops, pubs and restaurants. The home has its own transport. The fees are £917.95 per week. Inspection reports and information about the home are readily available. Woolsington Court, 48-49 DS0000000575.V324423.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over four and a half hours. A tour of the premises took place and a sample of records was inspected. These included care plans, fire log, accident book, complaints, minutes of meetings, finance and medication records. Staffing records were examined at the Human Resources Department at Northgate Hospital. The manager, four members and three service users were spoken to during the inspection. Questionnaires were sent to the service users and their relatives. A service user and a relative returned questionnaires. What the service does well: The home provides a good standard of care to the people using the service. The staff team enjoy their work and make every effort to ensure the service users’ privacy and dignity is respected. They deal with the individual needs of the service users in a competent and caring manner. The service users are encouraged and supported to pursue a wide range of activities and a vehicle is provided to transport them to venues of their choice. The staff team are offered a wide range of training courses that include mandatory health and safety training and a range of specialist courses to ensure they are competent to deal with the service users’ needs. The service user who was interviewed said they enjoyed living in the home and the staff were very good. They said they enjoyed going shopping, concerts at the arena and was going on holiday to London later this year. He confirmed that he had a file giving information about the home and would complain if he had a problem. One questionnaire returned by a relative stated ‘the home does everything well, my son is very well looked after’. The staff on duty were able to describe the individual needs of each service user and good relationships were observed. Woolsington Court, 48-49 DS0000000575.V324423.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Woolsington Court, 48-49 DS0000000575.V324423.R01.S.doc Version 5.2 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 Woolsington Court, 48-49 DS0000000575.V324423.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information is available for prospective service users to help them decide where to live. Service users have their individual needs assessed prior to admission. This ensures that the staff are aware of individual needs and helps them to meet these. EVIDENCE: The Statement of Purpose and the Service Users Guide both contained the full range of information required. This helps prospective service users to decide if the home is able to meet their needs. One service user interviewed confirmed he had been given a copy of the guide. Woolsington Court, 48-49 DS0000000575.V324423.R01.S.doc Version 5.2 Page 9 The home conducts a thorough pre-admission assessment. This includes obtaining the Care Management Assessment and, where applicable, information is sought from carers/relatives and relevant health care professionals. Copies were available on the individual case files so staff can refer to these to help ensure individual needs are met. Woolsington Court, 48-49 DS0000000575.V324423.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are care plans that contain guidelines for dealing with complex needs, which explain what staff need to do. Service users are encouraged to make decisions. The care staff support the service users to take risks as part of their lifestyle. EVIDENCE: All three service user plans were checked. The plans were comprehensive and listed details of service user’s needs and actions taken by the staff to meet these needs. They confirmed that a range of specialist services is provided to the individual service users. Woolsington Court, 48-49 DS0000000575.V324423.R01.S.doc Version 5.2 Page 11 The plans are signed by the service users or their representatives. Service users and their representatives attend review meetings and the plans are updated if necessary. The manager evaluates the plans on a monthly basis to ensure individual needs are still being met. The service user interviewed confirmed his needs were met and that he was very happy with the care offered to him. The staff members who were interviewed, confirmed that a range of specialist services were provided to service users. Service users are supported to take risks in their day-to-day lives. Risk assessments were available on the care plan. Each service user receives support from staff to manage their finances. Woolsington Court, 48-49 DS0000000575.V324423.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Links with the community and opportunities to participate in social and personal development activities are good. Service users are encouraged to keep in touch with family and friends. Service users’ rights are respected in all aspects of their lives. Meals are varied and healthy eating is encouraged. EVIDENCE: The service users have access to a range of community-based services, which promote and provide opportunities to learn and use life skills. Woolsington Court, 48-49 DS0000000575.V324423.R01.S.doc Version 5.2 Page 13 There was evidence that each service user has the opportunity to participate in community-based activities, including supported work programmes, education and training. One service user attends an adult training centre three days a week. He stated he really enjoyed his time and had made friends. The staff team liaise closely with external agencies in order to monitor each service user progress. All service users are going on holiday later this year to venues of their choice. Activities include visiting local shops, cafes and pubs. The service users also enjoy walking in the local countryside and going out in the car to local places of interest. Activities within the home include aromatherapy sessions, baking, art and gardening. Two service users have recently started to attend a local ‘ball pool’ which they enjoy on a regular basis. 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 according to their individual capabilities. The inspector observed the staff member on duty interacting in a sensitive and respectful manner with service users. Menus are planned on a four weekly basis. These are varied and nutritious. Alternatives are always available and special diets are catered for. One service user said the food was good and described his favourite meals. Woolsington Court, 48-49 DS0000000575.V324423.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are given the personal support they require and according to their preferences. Professional medical advice is sought, and reassessments are requested when necessary. An appropriate system is in place for dealing with medications, which protects the service users. EVIDENCE: There was evidence within the service users care records that they have access to external health care services. The service users are registered with local GP practices and referrals are made to specialist health care services if appropriate. All service users receive regular health care checks, which are recorded in the case records. Woolsington Court, 48-49 DS0000000575.V324423.R01.S.doc Version 5.2 Page 15 One service user currently has moving and handling needs and specialist equipment has been provided following an Occupational Therapy assessment of his needs. The medication systems were examined for ordering, receiving and administering and disposal. These were well maintained and this protects the health needs of the service users. Guidelines for dealing with health care needs are available for the staff. The staff on duty confirmed they had completed a 12-week course on administering medications and they receive regular updates from the manager, who is a qualified nurse. Woolsington Court, 48-49 DS0000000575.V324423.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ views are listened to and acted upon. Staff training and policies and procedures protect service users from abuse. EVIDENCE: The home has a complaints procedure written in a way to help the service users understand its contents. The procedure is also available on DVD. One of the service user interviewed confirmed that he had been given a copy of the procedure. He said he would feel able to make a complaint if necessary. The manager confirmed that service users’ relatives have all been provided with a copy of the homes complaint procedures. A copy of the procedure is not displayed in the home so other visitors may not have access to this. The home does keep a record of complaints. No complaints have been received since 2000. The home has a Whistle Blowing policy as well as, the Local Authority Vulnerable Adults procedures. This staff on duty were well aware of these Woolsington Court, 48-49 DS0000000575.V324423.R01.S.doc Version 5.2 Page 17 procedures and described the action they would take if they observed bad practice. The staff have confirmed they had received training on Safeguarding Adults procedures. The system for dealing with service users’ finances was examined. 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. Woolsington Court, 48-49 DS0000000575.V324423.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is comfortable, pleasantly decorated and well maintained. This provides the service users with a pleasant place to live. There is a good standard of hygiene that protects the service users. EVIDENCE: A tour of the premises was carried out. All areas of the home were homely, comfortable and well furnished. Service users have their own bedrooms that are decorated and personalised according to their wishes and tastes. On the day of the inspection one service user had been shopping with the staff to choose a laundry basket for their bedroom. Woolsington Court, 48-49 DS0000000575.V324423.R01.S.doc Version 5.2 Page 19 Bedrooms are equipped to ensure the comfort and safety of the individuals and specialist equipment is provided to promote independence. There is sufficient space for service users to enjoy internally and externally. The laundry room and the corridor near the shower room would benefit from redecoration. Staff receive infection control training as part of their mandatory training. Protective clothing is readily available and liquid soap and paper towels are provided to prevent the spread of infection. All areas were clean, hygienic and free from offensive odours. All areas were seen to be clean and hygienic on the day of the inspection. Woolsington Court, 48-49 DS0000000575.V324423.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff team are well trained and competent to support the service users. The recruitment policy and practice supports and protects the service users. The needs of the service users are met by appropriately trained staff. The staff team are well supported and supervised, so that they are able to do their job well. EVIDENCE: During the day there are three members of staff on duty. There is flexibility in the evenings if service users wish to go out. Three members of staff have achieved National Vocational Qualification (NVQ), Level 3 and two have achieved Level 4. Woolsington Court, 48-49 DS0000000575.V324423.R01.S.doc Version 5.2 Page 21 An appropriate recruitment and selection process is in place. Staff files are held at the Human Resources Department at Northgate Hospital and a sample was inspected. They showed that appropriate checks are carried out prior to staff being employed, which protects the service users. Photographs were not available on the staff files for identification purposes. Training programmes are in place for staff to receive up to date health and safety training. The staff also confirmed that they receive specialist training to meet the individual needs of the service users. A programme is in place to ensure all staff receive formal supervision at regular intervals. The staff on duty confirmed that these sessions had taken place. Woolsington Court, 48-49 DS0000000575.V324423.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run with a focus on the service users. The management and staff team respect the service users’ views regarding the running of the home. The health, safety and welfare of service users are protected by the systems the home has in place. Woolsington Court, 48-49 DS0000000575.V324423.R01.S.doc Version 5.2 Page 23 EVIDENCE: The manager is qualified and has experience in working with adults with learning disabilities. The staff team and service users, who commented, confirmed that she is supportive and approachable. Meetings are held in the home on a regular basis. The minutes showed that service users are asked their opinion on the day-to-day running of the home. Maintenance contracts and test certificates are in place and fire safety equipment is tested at the appropriate intervals. This helps to ensure the service users’ safety. The staff confirmed that they had received up to date health and safety training. No safety hazards or unsafe practices were observed during the inspection. Woolsington Court, 48-49 DS0000000575.V324423.R01.S.doc Version 5.2 Page 24 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 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Woolsington Court, 48-49 DS0000000575.V324423.R01.S.doc Version 5.2 Page 25 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 YA22 YA24 YA34 Good Practice Recommendations A copy of the complaints procedure should be displayed in a prominent place in the home. The corridor outside the shower room would benefit from redecoration. Photographs should be available on all staff files for identification purposes. Woolsington Court, 48-49 DS0000000575.V324423.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Woolsington Court, 48-49 DS0000000575.V324423.R01.S.doc Version 5.2 Page 27 - 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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