Care Home: Wood Dene

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What the care home does well To make sure the service can meet peoples` needs these are assessed before coming to live in the home. One person says they spent time in the home before choosing to live there. People are fully involved in their assessments and developing their plan of care. Some peoples` relatives are fully involved and have a say in what happens in the home. Some people have independent advocates to help them have a say in how they live their lives. People have their own bedrooms as they want and choose their own colour scheme and furniture. Some people are able to manage some of their own finances and medication. Everyone has a programme of activities and they are supported to use ordinary community based leisure services. Local General Practitioners and Community Learning Disability Nurses and Specialist Social Workers support people. Some are also supported by hospital-based consultants. People have a choice of menu and are offered a varied and balanced diet. There are regular residents meetings and people have the opportunity to comment on the running of the home. Quality assurance surveys are given to people, their relatives and others visiting the home and what they say is published in the annual quality assurance report. People say they "enjoy living in the home", "the meals are good". The staff are "great". All information about the services provided is produced in alternative formats to make them easier to understand. What has improved since the last inspection? To make sure peoples care and support needs are met the assessments and care plans have got better and people have more of a say in what happens to them and how they live their lives. One person showed the inspector their assessments and care plans and explained why there is a need to have a `behavioural` assessment. To make sure the service can meet peoples support needs staff have more specialist training about people who have learning disabilities and in particular Autism, Aspergers and behaviour management. The new staff training MATRIX makes it easier to see what training support workers already have and what they need to do. The two main lounges have new televisions and DVD`s with cinema surround sound. One person living in the home says "these are very good" and "likes watching films". The manager says all areas of the home are going to be re-decorated this year. What the care home could do better: Staff supervision records show not everyone has had the recommended six line management supervision sessions per year. The manager says all areas are going to be re-decorated but these plans are not written down anywhere. CARE HOME ADULTS 18-65 Wood Dene Colliery Approach Outwood Wakefield West Yorks WF3 3JH Lead Inspector Tony Railton Key Unannounced Inspection 21st August 2008 09:00 Wood Dene DS0000006228.V369340.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 Wood Dene DS0000006228.V369340.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. Wood Dene DS0000006228.V369340.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wood Dene Address Colliery Approach Outwood Wakefield West Yorks WF3 3JH 01924 825252 01924 835543 wooddene@robinia.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) Life Links Limited Mrs Joanne Lunn Care Home 16 Category(ies) of Learning disability (16) registration, with number of places Wood Dene DS0000006228.V369340.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th November 2006 5th November 2007 ASR Brief Description of the Service: Wood Dene continues to provide accommodation and personal care for 16 people who have a learning disability and in particular Autistic Spectrum Disorder. Specialist training is provided for all workers and autism specific day care services are also offered on a different site close to Wood Dene. All people living in the home have their own room, which is en-suite. Wood Dene comprises of two eight bedded units each with its own kitchen, lounges and dining rooms. The care provided is based on ordinary living principles and there is an expectation that people do as much for themselves as possible within an agreed planned framework. Set back in its own grounds the home is situated in a residential part of Lofthouse on the outskirts of Wakefield. It has a small garden to the front and a larger garden to the rear. It is close to a main bus route and Outwood Rail Station and the M1/M62 link roads are close by. There are local shops, post office and public houses within walking distance from the home and Wakefield city centre and all services and amenities are only a few minutes journey away. On 21 August 2008 the registered person gave the range of fees as approximately between £1000 and £2,500 per week. Further information about the service provided can be obtained from the home or by e-mailing woodene@robinia.co.uk Wood Dene DS0000006228.V369340.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This service has been given a Two Star rating, which means people using the service experience good quality outcomes. This visit to the home commenced at 09.00 and ended at 13.00. During the visit there was the opportunity to speak to people living in the home, the Regional Manager, Manager, Deputy Manager, Team Leaders, Support Workers and the Handyman. There was the opportunity to look at care plans, staff records, rotas, training Matrix and staff supervision notes. Other information seen included the homes Annual Quality Assurance Report and the recent Accreditation report from the National Autistic Society. Other information included the Annual Quality Assurance Assessment (AQAA), the service history. A short tour of the premises was undertaken. The inspector would like to take the opportunity to thank people living in the home, the manager and the staff team for their hospitality and co-operation throughout the visit. What the service does well: To make sure the service can meet peoples’ needs these are assessed before coming to live in the home. One person says they spent time in the home before choosing to live there. People are fully involved in their assessments and developing their plan of care. Some peoples’ relatives are fully involved and have a say in what happens in the home. Some people have independent advocates to help them have a say in how they live their lives. People have their own bedrooms as they want and choose their own colour scheme and furniture. Some people are able to manage some of their own finances and medication. Everyone has a programme of activities and they are supported to use ordinary community based leisure services. Local General Practitioners and Community Learning Disability Nurses and Specialist Social Workers support people. Some are also supported by hospital-based consultants. People have a choice of menu and are offered a varied and balanced diet. There are regular residents meetings and people have the opportunity to comment on the running of the home. Quality assurance surveys are given to people, their relatives and others visiting the home and what they say is published in the annual quality assurance report. Wood Dene DS0000006228.V369340.R01.S.doc Version 5.2 Page 6 People say they “enjoy living in the home”, “the meals are good”. The staff are “great”. All information about the services provided is produced in alternative formats to make them easier to understand. 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. Wood Dene DS0000006228.V369340.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 Wood Dene DS0000006228.V369340.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 People living in the home experience excellent quality outcomes in this area. We have made this judgement using a range of evidence including this visit. To make sure peoples needs are met these are assessed before coming to live in the home and they have a say in the way services will be provided. EVIDENCE: Peoples records show to make sure the home can meet peoples’ care and support needs these are assessed before coming to live in the home. The manager and Annual Quality Assurance Assessment confirmed this. A sample of peoples records show the assessments are very good and detailed and contain peoples’ words to show how they want to be supported and how they want to live their lives. One person went through their assessment with the inspector and showed them what they had said about how they wanted to be supported. A sample of he reviews show peoples’ assessments are looked at regularly and changed to show peoples’ progress or changing care needs. The manager said peoples’ assessments are reviewed and people and their relatives have a say in how they live their lives. The Quality Assurance Report shows people and their relatives and other healthcare professionals have a say in how people are supported and show they are happy with the services provided. Wood Dene DS0000006228.V369340.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 People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. People are fully involved and have a say in how they are supported and how they live their lives. EVIDENCE: A sample of peoples records show they and their relatives are fully involved and have a say in their assessments and care plans. The manager and the Quality Assurance Assessment confirmed this. One person said they “helped with their assessments” and “help review their care plans” and “can invite who they want to their reviews””. People were observed throughout the visit being treated with dignity and having their wishes respected. The daily records show and reflect peoples choices and preferences and any decisions they make on how they want to live their daily lives. One person says they have an “advocate who comes and listens to what they say”. The minutes of the house meetings show people are consulted about what happens in the home. Wood Dene DS0000006228.V369340.R01.S.doc Version 5.2 Page 10 The Quality assurance report shows that people living in the home, their relatives and others involved have a say and are happy with the services provided. The Accreditation report from the National Autistic Society following a visit in 2007 shows they are happy with the support and services provided. Wood Dene DS0000006228.V369340.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 People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. People enjoy living an ordinary lifestyle and they are offered a varied and balanced diet. EVIDENCE: People say they like the meals and said they have a choice of menu. The manager said people are asked what they would like to eat and peoples’ choices and preferences are recorded. The assessments and care plans and daily records confirmed this. The manager says everyone living in the home has a weekly activities plan showing what they like to do. The assessments care plans and activity plans confirmed this. The Annual Quality Assurance Assessment (AQAA) says there are Person Centred Plans that include support plans, action plans, risk assessments and record of planned timetable of activities. Local ommunity based facilities such as pubs, swimming baths, bowling alley Wood Dene DS0000006228.V369340.R01.S.doc Version 5.2 Page 12 and shops are used by service users on a regular basis. The home is a member of the local Working Mens Club and many people visit the club for evenings out, to play pool and snooker and have parties. Daily logs and monthly summaries document peoples choices and preferences . All Service Users are supported to choose and participate in an annual holiday. The AQAA goes on to say a cook is employed to assist with mealtime choices, preparation of food and maintaining a healthy diet. The cook also assists people in cookery sesssions and improving and maintaining self help skills. One service user visits the dietician to monitor their weight loss and they are very proud of their achievements. Families are encouraged to participate in reviews and are made welcome to visit the home. The company newsletter (Robinia Round up) is sent to families to help them keep updated and keyworkers maintain contact by phone with those families whose circumstances are such that they do not visit regularly. Wood Dene DS0000006228.V369340.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 and 20 People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. Peoples’ healthcare needs are met and they are protected by the way medicines are dealt with. EVIDENCE: The Annual Quality Assurance Assessment shows people recieve personal care from same sex staff to minimise any embarrassment and maintain their dignity. The manager confirmed this. Peoples healthcare needs are assessed and all service Users are registered with local GP practices and dental surgery. Some Service Users also recieve specialist healthcare support from hospital based Psychiatrict Consultants, Psychologists, Physiotherapists and Community Nurses. Peoples records confirmed this. Other healthcare professionals are invited to reviews and involved in discussions to maintain Service Users health needs . The reviews confirmed this and one person says they can invite who they want to their reviews. Peoples medicines is administered by senior staff who are trained and these are checked every week. The staff training records show and confirm staff giving medicines are trained to do so safely. The medicine administration Wood Dene DS0000006228.V369340.R01.S.doc Version 5.2 Page 14 system was checked and founf to be safe. People have a Health care diary to compliment their Person Centred Plans. Wood Dene DS0000006228.V369340.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 People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. People have a say in how the home runs and know their complaints will be listened to and acted upon and they are protected from abuse. EVIDENCE: The complaints file shows written details of any complaints, the subsequent investigation and outcome. The complaints policy is accessible to people and uses simple language and and symbols to make it easier to understand. People are encouraged and supported to express their views at weekily house meetings. The minutes of the house meetings confirm this. Quality Assurance questionnaires are sent out annually and a report has been published summarising what people say about the services provided. All staff recieve training in identifying potential abuse as part of their induction as well as Adult Protection training. The staff training records confirmed this. To make sure people are safe there is a Safeguarding Policy and the way staff are recruited include (prtection of vulnerable adult list (POVA) checks and Police (CRB disclosure) checks to enhanced level. Wood Dene DS0000006228.V369340.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 People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. People like their home and have a say in how it looks. EVIDENCE: Some people showed the inspector their bedrooms that are clean, comfortable and homely. One person was pleased with their new bed that they have chosen. Another was pleased to show the inspector their new television. People were observed being asked their opinion and what colour scheme and floor covering they wanted in their rooms. The manager says the home is going to be completely re-decorated this year, however, these plans are not written down. The inspector noted some preparation work has been started in the lounges. People were observed relaxing in the lounges and dining room and people said they like living in the home. One person pointed out their new televisions and DVD players in the lounges and said they have Cinema surround sound as well. They said they enjoy watching movies. Wood Dene DS0000006228.V369340.R01.S.doc Version 5.2 Page 17 The Annual Quality Assurance Assessment (AQAA) shows people living in the home, their relatives and other visitors are happy with the home and the quality of the services provided. A tour of the premises found all areas to be clean and well maintained. Wood Dene DS0000006228.V369340.R01.S.doc Version 5.2 Page 18 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. People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. Peoples’ needs are met and they are supported by trained and competent staff and they are protected by the way staff are selected and recruited. EVIDENCE: The manager said there enough staff planned to be on duty to meet peoples’ needs. The staffing rotas confirmed this. On the day of the visit there appeared to be enough staff available to meet peoples care and support needs in a relaxed and unhurried manner. Staff was observed fostering good positive relationships with people living in the home. People living in the home said they “. “Like the people looking after them”, “staff are great” and “they like their key worker”. One says they can “talk to staff” and they are very “helpful”. People in the home are in safe hands as the staff training records show they receive all the mandatory training in including Health and Safety, First Aid, Moving and Handling, Infection Control, and Food Hygiene. Peoples’ special needs are met as the staff training record’s show they also have Autism, Asperger’s and Behaviour Management training. Wood Dene DS0000006228.V369340.R01.S.doc Version 5.2 Page 19 People are protected by the way staff are selected and recruited as records show police and Protection of Vulnerable Adults List (POVA) checks are taken up before people are employed. Staff said they like working in the home and feel they are supported in the work they do. The minutes of the staff meetings show they have the opportunity to comment on the running of the home. The manager says not all of the staff have had line management supervision this year but there are plans to make sure everyone has the recommended six supervisions per year. Wood Dene DS0000006228.V369340.R01.S.doc Version 5.2 Page 20 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 People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. People live in a well managed home that is run in their best interest, where they are safe and have a say in what happens to them. EVIDENCE: People live in a well managed home as the acting manager says they have a National Vocational Qualification Level 4 in Care and in Management. The regional Manager says an application to register the acting manager with the CSCI will be made following a probationary period. The homes Annual Quality Assurance report and the homes National Autistic Society Accreditation Report show people living in the home, their relatives and other professionals have the opportunity to comment on the running of the home and the quality of the services provided. The minutes of the weekly house meetings also show people are encouraged and supported to comment on the running of the home. The reviews and daily Wood Dene DS0000006228.V369340.R01.S.doc Version 5.2 Page 21 records show people have a say in how they live their day-to-day lives and reflect peoples choices and preferences. The manager says to keep the home safe there are monthly Health and Safety Audits. The Health and Safety Reports confirmed this. The staff training records also show they have Health and Safety training that includes, First Aid, Moving and Handling, Infection Control, Food Hygiene, Control of Substances Hazardous to Health (COSHH), and Behaviour Management training. The training records and in particular training MATRIX confirmed this. Wood Dene DS0000006228.V369340.R01.S.doc Version 5.2 Page 22 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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 2 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 3 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 Wood Dene DS0000006228.V369340.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA24 Good Practice Recommendations To show people the improvements made and are going to be made to the home the manager should provide a plan of the maintenance and renewal for the fabric and decoration of the premises. To make sure people living in the home receive the care and support they need the work of staff should be supervised and they should receive at least six line management supervision sessions per year. It is acknowledged that people live in a well run and well managed home that is run in their best interests. However, an application to register the acting manager needs to be made as the law says the manager of the home should be registered 2 YA36 3 YA37 Wood Dene DS0000006228.V369340.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Wood Dene DS0000006228.V369340.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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