Care Home: Whitworth Lodge

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What the care home does well Comments from surveys indicates that: `They treat each person as individuals.` `Whitworth Lodge has shown us all new ways of enjoying [the residents] independence, [their] personality has been shown in so many ways, we didn`t think possible. A joy to see.` Whitworth Lodge organises care around the needs of the residents. Surveys received from people who live in the home state that they are happy with the care provided and their needs are met. What has improved since the last inspection? The recruitment process for staff now meets the requirements of the Regulations and Schedules. People living in the home can be confident that appropriate checks are carried out prior to staff commencing employment. Recommendations from previous inspections have also been acted on. CARE HOME ADULTS 18-65 Whitworth Lodge 52 Whitworth Road South Norwood London SE25 6XJ Lead Inspector Janet Pitt Key Unannounced Inspection 19th June 2007 10:00 Whitworth Lodge DS0000025869.V337594.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 Whitworth Lodge DS0000025869.V337594.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. Whitworth Lodge DS0000025869.V337594.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Whitworth Lodge Address 52 Whitworth Road South Norwood London SE25 6XJ 020 8768 0159 020 8771 3514 alt_Thompson@blueyander.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) Mr George Thompson Mrs Audrey Lyn Thompson Mr Andreas Steinmann Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Whitworth Lodge DS0000025869.V337594.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. A variation has been granted to allow three specified service users with additional mental health needs to be accommodated. A variation has been granted to allow one specified service user aged over the age of 65 to be accommodated until such time as the needs of the service user can no longer be met or until such time as the placement ceases. 9th December 2005 Date of last inspection Brief Description of the Service: Whitworth Lodge is registered to provide residential care for six young adults who have learning disabilities, some of whom have associated mental health needs. The home is a large three storey building situated in a residential area of South Norwood. It is well positioned to access local transport links to nearby Croydon and Crystal Palace, as well as local shops and amenities. There are six single bedrooms, two bathrooms, a shower room, spacious lounge, open plan kitchen/ dining room, office, and laundry and rear garden. The home has its own minibus that is used to facilitate a wide range of outings and activities. Whitworth Lodge DS0000025869.V337594.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One inspector undertook this unannounced inspection. Care documentation, staff files and a tour of the premises were examined on the site visit. Surveys were received form three residents and one relative. The manager and one member of staff were spoken with at the time of the site visit. The site visit lasted a total of four hours. What the service does well: What has improved since the last inspection? What they could do better: A comment from a survey suggested that: ‘At this moment in time I cannot find any reason to think that they need to change things to improve.’ Minor adjustments are needed to make sure that the Statement of Purpose reflects the service provided by the home. Whitworth Lodge DS0000025869.V337594.R01.S.doc Version 5.2 Page 6 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. Whitworth Lodge DS0000025869.V337594.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 Whitworth Lodge DS0000025869.V337594.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): 2 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Significant time and effort is spent making admission to the home personal and well managed. Prospective residents and their families are treated as individuals and with dignity and respect. There is a high value on responding to individual needs for information, reassurance and support. EVIDENCE: All three residents who responded to CSCI’s survey indicated that they had made a positive choice to move into Whitworth Lodge and received information on the service. The Statement of Purpose needs reviewing to make sure that it reflects the Registration certificate of the home. Assessments of prospective residents are undertaken prior to admission. These included details from other health professionals. Assessments undertaken on admission are person centred and evidence involvement of the resident and their representative. Good detail on specific communication and behavioural needs was present. Whitworth Lodge DS0000025869.V337594.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, and 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The care plan is person centred and focuses on the individual’s strengths and personal preferences. It sets out in detail how their current requirements and aspirations are to be met through positive individualised support. The plan is an up to date working tool used by the individual and all staff involved. The plan can be easily used by people who are not familiar with individual’s needs, to deliver care. EVIDENCE: Two residents files were examined. These were noted to lead from assessments and all identified needs were addressed. Residents are involved in the structure of the care plans and regular reviews are done. Whitworth Lodge DS0000025869.V337594.R01.S.doc Version 5.2 Page 10 Specific detail on how needs are to be met and support required was present in plans. Daily records indicated that staff have clearly developed knowledge of behaviours, moods, signals and temperaments of residents. Individual risk assessments are in place, which give clear guidance on risk reduction, without impinging on individual rights. This was demonstrated when a resident went to the shop during the site visit. A time was agreed when they would return and the manager made sure that the resident was aware of the dangers of crossing the road. All resident surveys received indicated that they were able to choose how to spend their time. Whitworth Lodge DS0000025869.V337594.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home understands the importance of enabling individuals to achieve their goals, follow their interests and be integrated into community life. EVIDENCE: Residents are supported to attend day centre and local colleges. Residents are able to access the local community to go shopping or meet with friends. Residents have an individualised activities plan, which reflects their personal interests and hobbies. Holidays are planned around residents’ preferences. One resident was visiting relatives in Scotland at the time of the site visit. Another resident likes to have a daily newspaper and is support to go to the shop and purchase this, on days when they do not attend a day centre. Whitworth Lodge DS0000025869.V337594.R01.S.doc Version 5.2 Page 12 One resident is an active member of a conservation group. It was noted that when residents are involved in community activities reports are obtained from the other services on progress. Residents are able to maintain contact with relatives and significant others. Personal, emotional, cultural and sexual needs are recognised in care planning. The manager reported that a weekly menu is drawn up at residents meeting, but this can be subject to change, depending on resident choice. One resident enjoys Nigerian foods and dress. Staff support this person to make sure this aspect of need is met. Support is given to maintain and improve independent living skills, such as cooking, making hot drinks and laundry. Whitworth Lodge DS0000025869.V337594.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 and 21 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staff make sure that care is person led, personal support is flexible, consistent and is able to meet the changing needs of the residents. Staff respond appropriately and sensitively in all situations involving personal care, ensuring that it is conducted in privacy. EVIDENCE: Emphasis is placed on meeting needs in a way, which respects the privacy and dignity of residents. Same gender care preferences are documented and guidance is available for staff to meet personal care needs. Daily routines and house rules promote independence and individual choice for residents. Routines are not rigid and residents are able to choose when they have meals and preferred sleeping and waking times. Residents are able to have a key to lock their room when they are out. Whitworth Lodge DS0000025869.V337594.R01.S.doc Version 5.2 Page 14 Medications were examined. There was a clear audit trail in place and stock balances were recorded. No gaps in administration were seen. Medications were noted to be stored correctly. Residents’ wishes on end of life care and death were noted within care plans, when the residents had agreed to discuss these issues. Care plans clearly demonstrate how residents’ physical and emotional needs are met. Whitworth Lodge DS0000025869.V337594.R01.S.doc Version 5.2 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. 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. The home has an open culture that allows residents to express their views and concerns in a safe and understanding environment. Residents and others involved with the service say that they are happy with the service provision. EVIDENCE: All three surveys received from residents stated that they knew how to make a complaint if needed. Care documentation evidenced that residents are informed of how to make a complaint on admission. Aids such as large print and picture boards are available to help with this process. There have been no protection of vulnerable adult investigations since the previous inspection. Whitworth Lodge DS0000025869.V337594.R01.S.doc Version 5.2 Page 16 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 pleasant, safe place to live; the bedrooms and communal rooms meet the needs of the residents. People who live in the home are encouraged to personalise their bedrooms. EVIDENCE: Whitworth Lodge is a domestic property. Residents are able to personalise their rooms and have a choice of furniture. The home was clean and tidy on the day of the site visit. Communal areas are homely and provide sufficient space for rest and relaxation. The dining room is able to seat all residents if they chose to eat together. Repairs are carried out as required and the manager stated that redecoration is undertaken as needed. Whitworth Lodge DS0000025869.V337594.R01.S.doc Version 5.2 Page 17 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 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use services have confidence in the staff that care for them. There are consistently enough staff available to meet the needs of the residents. The home has a good recruitment procedure, which clearly defines the process to be followed. Staff receive relevant training which is focused on delivering improved outcomes for residents, EVIDENCE: Two files on staff recruited since the previous inspection were examined. There was a clear recruitment procedure in place and necessary checks had been carried out. Each file had a job description and person specification form. There was evidence of interview notes. Two references had been obtained and there was a record of employment history. Proof of identity was present on files. Appropriate induction and NVQ training were evidenced. Records also showed that staff had undergone training in First Aid, food hygiene and English as a second language when needed. Whitworth Lodge DS0000025869.V337594.R01.S.doc Version 5.2 Page 18 Supervision is held with staff at least two monthly and recorded. Staff meetings are held regularly and minuted. Residents indicated in their surveys that they are confident in the skills of the staff team to meet their needs. Whitworth Lodge DS0000025869.V337594.R01.S.doc Version 5.2 Page 19 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 manager is experienced and competent to run the home. Residents views are sought an acted upon. The focus of the home is on person centred care. EVIDENCE: The registered manager has the necessary experience to run the home. Residents’ views on how the home should be run are sought and acted upon. Surveys received indicated that residents and the one relative respondent, felt included and supported. No issues relating to health and safety were identified. Whitworth Lodge DS0000025869.V337594.R01.S.doc Version 5.2 Page 20 The manager is proactive and demonstrated awareness of CSCI requirements and those of the residents A relative’s survey commented that: ‘The care home manager always advises me of all appointments or incidents/issues (if any).’ Whitworth Lodge DS0000025869.V337594.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 4 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 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 4 3 X 3 X X 3 X Whitworth Lodge DS0000025869.V337594.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP1 Regulation 4 Timescale for action The registered person must 30/10/07 ensure that the statement of purpose reflects the service provided. This will make sure that residents are able to make an informed choice. Requirement RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Whitworth Lodge DS0000025869.V337594.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Whitworth Lodge DS0000025869.V337594.R01.S.doc Version 5.2 Page 24 - 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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