Care Home: J C Care Limited TA Woodhouse Cottage Care Home

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What the care home does well This was a very positive first inspection for the service. The home is well managed and people that live and work at the home feel valued and enjoy a friendly and relaxed atmosphere. The staff makes sure that people with different abilities get the same chances to do things as everyone else. They make sure that if people have chosen to do something then they can do it safely. Information is presented in a really good way that is easy for people to understand, with photographs and pictures showing what the written document says. The staff get very good training, which helps them to support people in the right way. People told us that the staff support them very well. The home has established close working relationships with other health care professionals to make sure people`s health care needs are met and they have access to the full range of NHS services. There is a warm and welcoming atmosphere in the home. Staff and people living in the home have good relationships; lots of positive interactions were noted. One person said, "Everyone likes living here it is a very good home". Another said "They are helpful and look after us well". Staff were thoughtful, discreet and respectful of people`s dignity when attending to any needs. It was clear that people who live at the home and the members of staff get on well. People who use the service said they were happy with their lifestyle at the home. What has improved since the last inspection? This is the first inspection since the home registration on its own. In the Annual Quality Assurance Assessment returned the manager said "We have become much more focused on people`s involvement. People are actively encouraged and supported to be involved in the decision making processes that influence their lives. What the care home could do better: People`s care file should be sorted clearly to ensure important information is not missed by staff. The manager should ensure all documentation in care plan are dated and signed. When reviews are carried out, it should be clear what is considered during the review and what action is taken. There is plaster damaged in one of the lounges, the walls going up the stairs, door handle missing, carpets worn and curtains needs replacing. A redecoration programme is recommended because a lot of areas in the home are now showing signs of wear and tear. Key inspection report Care homes for adults (18-65 years) Name: Address: J C Care Limited TA Woodhouse Cottage Care Home 5 Woodhouse Lane East Ardsley Wakefield West Yorkshire WF3 2JS     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Frederick Rawlins     Date: 1 0 0 5 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 28 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: J C Care Limited TA Woodhouse Cottage Care Home 5 Woodhouse Lane East Ardsley Wakefield West Yorkshire WF3 2JS 01924824119 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): www.craegmoor.co.uk J C Care Ltd Name of registered manager (if applicable) Type of registration: Number of places registered: care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users who can be accommodated is 6. The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender Either whose primary care needs on admission to the home are within the following categories: Service users with a Learning Disability - Code LD. Date of last inspection Brief description of the care home Woodhouse Cottage is a 24 hour care service, providing support for adults with learning disabilities and complex needs. Their aim is to provide quality support, enabling individuals to develop their skills, live as independently as possible and reach their goals. Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 6 Brief description of the care home Woodhouse Cottage is a 2 story building located in East Ardsley. The service is situated near Wakefield town centre, which offers shopping and leisure facilities, and it is also near the vast city of Leeds. These can be accessed by the local bus service, which is a short walk away from the cottage. Woodhouse Cottage is a detached, stone- built house, which is situated in beautiful surroundings. It has 6 bedrooms, all with en-suite facilities. Individuals are supported and encouraged to personalise their bedrooms. Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The inspection process included looking at information we have received about the service, as well as this unannounced visit to the home, which was carried out between 10:00 and 14:00 hrs on the 10th May 2010. The purpose of the visit was to assess what progress the home had made and the impact of any changes in the quality of life experienced by people using the service. Before the inspection evidence about the home was reviewed. This included looking at any reported incidents, accidents and complaints. This information was used to plan the visit. An Annual Quality Assurance Assessment (AQAA) had been completed by the home before the visit to provide additional information. During the visit a number of documents were looked at and areas of the home were visited. A good proportion of time was spent talking with people who live at the home as well as visitors to the home.The managers and staff were also spoken with. Care Homes for Adults (18-65 years) Page 6 of 28 We have reviewed our practice when making requirements, to improve national consistency. If a requirement is repeated, it is likely that enforcement action will be taken. Feedback was given to the manager at the end of the visit. Care Homes for Adults (18-65 years) Page 7 of 28 What the care home does well: What has improved since the last inspection? What they could do better: Peoples care file should be sorted clearly to ensure important information is not missed by staff. The manager should ensure all documentation in care plan are dated and signed. When reviews are carried out, it should be clear what is considered during the review and what action is taken. There is plaster damaged in one of the lounges, the walls going up the stairs, door handle missing, carpets worn and curtains needs replacing. A redecoration programme is recommended because a lot of areas in the home are now showing signs of wear and tear. Care Homes for Adults (18-65 years) Page 8 of 28 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 28 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported in making an informed decision about whether the home is right for them. They can be confident that the home will be able to meet their needs because a full assessment is done before they move in. Evidence: Although it has been sometime since anyone new has been admitted to the home, we saw records of pre-admission assessments in the care plans we looked at. These assessments incorporated the views of people, their families and other health care professionals. The manager said should a potential admission be referred to the home, she would ensure that they are firstly invited to come and have a look around the home before a full assessment would take place. People that are already living in the home would be consulted. The home have a comprehensive statement of purpose which details the aims and objectives and philosophy of care. Care Homes for Adults (18-65 years) Page 11 of 28 Evidence: People using the service said they were very happy with the home. One said, I like it here, another said, Its nice here. A relative who returned a survey said Our son is very happy at Woodhouse Cottage. People who use the service have a contract with the organisation. This shows the cost for their placement. Care Homes for Adults (18-65 years) Page 12 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are aware of the individual needs of the people who use the service. However some recommendations is made relating to care plans. Evidence: We looked at three peoples care records. The care records we looked at had detailed assessments of peoples needs. This information is used to draw up support plans showing how peoples personal, health and social care needs will be addressed. The support plans are person centred and have information about peoples abilities and preferences. However it was not easy to find specific information, because of the size, the layout of the files and the fact that some information should be archived to ensure important care needs are not missed. The manager said care plans have been reviewed at regular intervals. However, the care plan documentation is not dated. It is not clear who has carried out the review and what has been considered during the review. The daily records of peoples support Care Homes for Adults (18-65 years) Page 13 of 28 Evidence: were up to date, however they were not generally reflective of the information actually recorded in the persons care/support plan. Risks to people who use the service have been identified and assessed. The risk management plans for some people do not have enough detail, which could lead to needs being overlooked. Some risks to people do not show when they have been reviewed. Despite the gaps in care planning and risk assessment documentation, staff have good knowledge on the care and support needs of the people using the service. They were able to describe the care they give and talk about in detail of how people like to be supported in their daily routines. People using the service were offered choices throughout the time of the visit, around what to do or what to eat. People who use the service also have meetings a few times per year. Issues discussed are holidays, activities, menus and any dissatisfaction people may be feeling. Staff interactions with people were very good. Staff showed warmth and a positive approach to people who use the service. People have chosen to have a rota system to prepare and cook the evening meals. They do this with varying levels of support, dependent on their needs. Each person has choices regarding the meals they would like to prepare. Other choices of food are available to those who do not wish to eat the prepared evening meal. Care Homes for Adults (18-65 years) Page 14 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Daily routines are flexible. People who use the service are able to make choices about their lifestyle. They also benefit from a good, healthy and varied diet. Evidence: People using the service who we spoke with said they are able to make decisions about what they do and how they spend their time. People said they can have their meals at any reasonable time and we saw people eating their breakfast and lunch at varying times during the morning and early afternoon. Staff said that people who use the service have a variety of activities that they are involved in within their local community. This includes day centres, shopping, meals out, going out to the pub, going to shows and going on holidays. People are involve in the daily running of the home, involving them in all aspects of Care Homes for Adults (18-65 years) Page 15 of 28 Evidence: daily living skills including cleaning, cooking, shopping and personal laundry. People are supported with this by the staff as much or as little as their need requires. Staff said they felt there were enough staff to make sure people who use the service get a good level of activity. The home has a lovely garden and people sit outside whenever the weather permits. A shed with electricity and lighting has been put up in the garden to give one person space to play his drum kit. One person has a rabbit and he is supported on a daily basis to care for his pet. The staff support people to maintain links with family. They have a good degree of flexibility and endeavor to meet the needs of people using the service and their families. This includes providing transport to parents homes and relaying any relevant information that people using the service wishes. Some people access the community without staff support. They use public transport independently and are confident in their abilities to do this. There are measures in place to ensure that staff know where they are going and what time they are expected to return. People will ring the home an inform staff of any changes to their plans. Menus are developed based on the likes and dislikes of people who use the service. Staff ensure they are well balanced and nutritious. A good variety of food is available and staff make sure there is plenty of fresh produce such as fruit and vegetables. Care Homes for Adults (18-65 years) Page 16 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff provide sensitive and flexible person support that promotes peoples privacy and independence. They work well with people to make sure that health needs are met. Evidence: Care plans show that peoples health is monitored and people have access to health care facilities and any relevant specialists that are necessary. Some people have input from a multi disciplinary team including community nurses, psychiatrists and psychologists. All people using the service are supported at healthcare appointments, the degree of support varies depending on need. People and their relatives are very positive about the level of care and support provided at Woodhouse Cottage and made comments such as: Staff listen to him, treat him with respect and they are well trained to deal with with him. Care Homes for Adults (18-65 years) Page 17 of 28 Evidence: If we feel that we need to ask any questions we feel we can and find it so refreshing. Staff have a very good knowledge of peoples health, social and emotional needs. Staff communicated with people with empathy and understanding. There are suitable systems in place to make sure that medicines are managed safely and people get their medicines as prescribed. All staff involved in the administration of medication are trained appropriately and assessed for competency on a regular basis by a senior member of the team. Care Homes for Adults (18-65 years) Page 18 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are appropriate systems in place to make sure that peoples concerns/complaints are taken seriously and acted on and to make sure that people are protected from abuse. Evidence: Information about complaints procedure is available in the home. People told us they know how to make a complaint if they need to and know who to speak to if they are unhappy. Staff said they know what to do if anyone has a complaint about the service. There are procedures in place to make sure that people are protected from abuse. Staff said they are aware of protection polices and procedures, such as the whistle blowing policy. The manager said all staff have safeguarding training. This helps to ensure people who use the service are safe and protected. Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Although the home is homely, comfortable and clean, a number of areas are showing signs of wear and tear. Evidence: The site visit confirmed the information given in the AQAA. We toured the premises, spoke to staff and people using the service about their home, looked at health and safety related checks and cleaning schedules. The home is suitable for its purpose. It is accessible and meets the needs of the people living there. Each individual has their own en-suite bedroom which is decorated and furnished to their individual taste and choice. People are encouraged to take pride in their home and are involved on a daily basis in maintaining the cleanliness of communal areas and weekly in the cleaning of their bedrooms. This is done with varying levels of support depending on the individuals level of need. Facilities are available for people to complete their personal and household laundry. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: During the visit we observed one person doing her laundry, she explained to us how she separate her washing making sure whites are not mixed with dark colours. She said she enjoyed doing her own washing and does not need the help of staff. During the tour of the building we notice several areas throughout the home need cosmetic improvements. There is plaster damaged in one of the lounges, the walls going up the stairs, door handle missing, carpets worn and curtains needs replacing. A redecoration programme is recommended because a lot of areas are showing signs of wear and tear. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are enough staff to meet peoples needs and people are protected because of all the required checks are done before new staff start work. Evidence: People told us that staff treat them well and take notice of what they say. People said staff are usually available when they need them. The staff we spoke to said there were enough staff on duty to meet peoples needs. We saw that staff were available to support people when needed. In the AQAA, the manager said, they have a thorough interview and selection process in order to short list candidates. They would encourage people using the service to support the the home manager to show potential candidates around their home and gain feedback. The manager told us that all the required checks are done before new staff start work. Three staff files were checked. The files contained a range of information including two references and a declaration of health and identification. The staff had undertaken a criminal record bureau check (CRB), at the enhanced level. Staff told us they received induction training when they started work and this covered Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: what they needed to know. Staff said they get the training they need to keep them up to date and to help them meet peoples needs. They said they have regular supervision and feel very well supported by the management team. Comments from staff were positive about the service. They said: We have a good team and the manager is very supportive. I really enjoy working here. Yes Im very happy with the support I get. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is well managed. People are able to share their views and contribute to the development of the service. Evidence: The manager has many years experience within the caring profession and has completed the registration process with the Care Quality Commission. She is supported by the area manager who conducts monthly provider reports with detailed requirements for improvement. Staff and people spoke very highly of the manager and said she is always available and very approachable. The management team check out the quality of the service they are providing. Regular staff meetings are arranged. People who use the service meet with the manager of the home on a regular basis. Minutes of meetings held were seen. Satisfaction surveys are given to people and their families. People and staff said they are able to talk to the manager at any time. Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: The self-assessment form completed by the home indicated that the required maintenance and servicing of equipment is up to date, a sample of records we looked at confirmed this. Written records of finances are available for people of all transactions that take place. Monthly statements are reviewed by the manager and discussed with people using the service (if appropriate) or their families/nominated representatives. The manager said the welfare and safety of people using the service is paramount and ensures that all fire safety checks are completed, staff receive training in Fire Safety, Manual Handling, Health &Safety, Food Hygiene, First Aid etc. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 6 Documentation in care plan should be dated and signed. When reviews are carried out it should be clear what is considered during the review and what action is taken. Peoples care files should be sorted out to ensure important information is not missed by staff. There is plaster damaged in one of the lounges, the walls going up the stairs, door handle missing, carpets worn and curtains needs replacing. A redecoration programme is recommended because a lot of areas is showing signs of wear and tear. 2 3 6 24 Care Homes for Adults (18-65 years) Page 27 of 28 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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