Care Home: Woodland View

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Woodland View Sea View Ryhope Sunderland SR2 0GW two star good service The quality rating for this care home is: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Sam Doku Date: 1 5 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. They reflect the things that people have said are important to them: 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 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Internet address www.csci.org.uk Information about the care home Name of care home: Address: Woodland View Sea View Ryhope Sunderland SR2 0GW 01915214497 01915235169 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Northumberland, Tyne & Wear NHS Trust Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : Care home 6 Number of places (if applicable): Under 65 Over 65 6 6 1 0 0 0 learning disability physical disability sensory impairment Additional conditions: Date of last inspection 1 1 1 2 2 0 0 6 A bit about the care home 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 How we did our inspection: This is what the inspector did when they were at the care home Before the inspection started the inspector looked at all the information we received about the home. During the visit the inspector talked to the manager, care staff and some of the residents so that he would know more about how the residents are being looked after. The inspector looked around the home to make sure that the place is safe for the residents who live there. He also wanted to make sure that the building meets the needs of the residents. What the care home does well The home is good at supporting the residents to enjoy a good health and social life. The residents are helped to go out to do shopping, go to the cinema, go swimming and take part in fun activities in the home. The staff are very friendly to the residents and respect them. What has got better from the last inspection A new manager has been appointed and staff and residents are very happy with her. The medicines in the home are now well looked after by the staff. What the care home could do better . The home should give the contracts to the residents so that they know what their rights and responsibilities are If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Sam Doku St Nicholas Building St Nicholas Street Newcastle upon Tyne NE1 1NB 01912333300 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 set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 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 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 . The service user guide provides good information about the home for prospective residents. Furthermore, thorough assessments of needs are carried out before admission is arranged. This ensures that prospective residents and their relatives have all the necessary information available to them to help make informed decisions about the home. Evidence: The homes admissions policy includes giving people the opportunity to visit the home to see for themselves the facilities that are available to help care for them. The manager stated that potential residents who have been referred to them would have the opportunity for day visits to the home, overnight stays and the provision to have settling periods when they are admitted. The manager confirmed that admission would only take place if the home has assessed the needs of the individual and the staff are confident that they have the necessary skills and facilities to look after the person. It is the policy of the home that all prospective residents and their relatives are offered a visit to the home and to spend time to speak with other residents and staff about the home. The files showed that a multi-agency team was involved in the pre-admission assessment of all the residents. The assessments are very detailed and they form the basis for developing the care or support plans that the care staff work to. The assessments also identify peoples developmental needs and the support plans show how those needs are to be met. At the moment the Trust has no contracts with the individuals. The manager explained that this is being looked and as soon as the fees are agreed a contract will be issued to Evidence: all the residents. 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 . The individual support plans reflect the assessed needs of the residents. Furthermore, the support plans provide guidance to staff on how those needs are to be met, thus promoting the residents wellbeing. Residents are supported to participate in matters relating to the running of the home thus promoting their independence and sense of ownership. Evidence: The support plans are very detailed and provided good guidance to the staff on how best to meet the complex needs of the individuals. The support plans address peoples individuals needs, goals and aspirations. These include the support for individuals to enjoy their chosen activities, such as shopping, swimming, aromatherapy and going to the cinema. The daily report records show that the staff have supported the individuals in pursuing their interests. The support plans are regularly reviewed to make sure that the identified needs remain relevant and that the residents continue to benefit from their chosen activities. The key worker system is well developed and provides the means for each resident to have a special carer who takes particular interest in them. The key workers encourage residents to get involved in day-to-day household tasks, and also to support people to lead an independent lifestyle within the constraints of their profound disabilities. In order for the residents to enjoy some level of independence, the staff have carried out risk assessments which are supported by risk management plans. This allows the Evidence: residents to engage in activities that involve some element of risk without compromising their safety and welfare. Examples of such risk assessments include travelling on the minibus and swimming. These are regularly reviewed to make sure that they remain relevant to the needs of the residents. Information provided by the home in their Annual Quality Assurance Assessment stated that the residents are supported to contribute to the general running of the home, such as shopping and laundry activities. 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 . There are suitable arrangements in place to engage the residents in community activities, which enhances their sense of belonging and worth. Evidence: The files belonging to three residents were examined. They showed that each resident has a programme of activities, which sets out the arrangements for ensuring their involvement in community activities. Some of the activities that residents are supported to take part in include visits to local pubs, cinema, shopping and going swimming. The staff also make arrangements for the residents to take part in indoor activities such as video films, karaoki, singing and music sessions and watching TV. There are arrangements for residents to visit their families if needed. Arrangement are also made for residents to have holidays. The last holiday was to Kielder in Cumbria. The manager stated that they are currently looking at other holiday destinations that have facilities for people with profound disabilities to add to their list of holiday destinations for the residents. The manager and care staff confirmed that the residents are involved in the drawing up of the weekly menus and also take part in the weekly shopping for the home. The residents are offered choice of meals and are supported by staff to exercise choice regarding meals. Examination of past menus show that the residents receive nutritious and balanced meals. The records also show that the advice of the local hospital Evidence: dietician is often sought where staff have concerns about the dietary needs of any of the residents. Meal times are very flexible to suit individual needs. Breakfast is often between 07:30 and 10:00, lunch is served between 12:00 and 14:00 and evening meal is between 17:00 and 19:00. Staff confirmed that the evening meal is the main meal of the day. At lunch time the staff were observed to assist residents with their meals, and this was done in a discreet and sensitive manner. 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 . The home promotes the emotional and physical health of the residents through their GPs and other healthcare professionals. Furthermore, the home has suitable arrangements in place for the safe handling of medication in the home. These arrangements promote the health and welfare of the residents. Evidence: All the residents have their own GPs and they are supported to attend appointments with their doctors when required. There are also good arrangements for the residents to attend specialist out-patient appointments with other healthcare professionals. These visits are recorded in the individual support plans and in daily report books to show that they have been receiving the care that they are entitled to. The home works in partnership with healthcare agencies and professionals including a physiotherapist, speech and language therapist, occupational therapist, a psychiatrist, and a clinical psychologist. The staff have prepared detailed support plans which set out the health and social care needs of the individuals. All the three support plans that were examined contained good information about their needs and provided detailed information to staff on how those needs are to be addressed. Residents support plans, risk assessments and other care records show that individual care needs are clearly identified and care programmes have been put in place to meet them. The care staff ensure that the care provided matches what has been agreed in the support plans. Where there are changes to a residents condition, the support plans are altered to take account of the changes. The drugs administration system was inspected and there were no discrepancies Evidence: noted. Staff who have responsibility for administering medicines have had suitable training in the safe handling of medication. Detailed written policies on medicines were also available for inspection. The manager confirmed that weekly audit of the medication system is carried to make sure that any mistakes are spotted and rectified in time. 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 . Residents and their relatives have information about how to make a complaint, thus promoting their right to express their views about the service. Staff are aware of safeguarding adults procedures and have received suitable training which safeguards the safety and welfare of the residents. Evidence: The home has a written complaint procedure, which is part of the Northumberland, Tyne and Wear NHS Trust complaint procedure. Summary of the complaint procedure is included in the Service User Guide and copies are retained in the home and readily available to residents and families. There are also detailed protection of vulnerable adults policies and procedures in the home and the staff who were spoken with demonstrated good understanding of how to protect the service users from any form of abuse. All the staff have received training in safeguarding adults. The inspector spoke with staff about the complaints procedure and issues about safeguarding adults. Staff were very clear about safeguarding matters and described what actions they would take if they suspected a residents welfare is not being safeguarded. Staff also spoke about whistle blowing policy and that they are aware of the policies in this regard. There has been no complaints received since the last key inspection. However, the home has all the necessary formats for receiving and recording any complaints. 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 . The home is clean, suitable and appropriately equipped to meet the needs of the residents. Evidence: The home is clean and there are good arrangements in place for maintenance work to be carried out. At the time of the inspection, there were workmen from Three Rivers Housing carrying our maintenance work as part of the refurbishment programme. The work is aimed to minimise damaged to the walls along the corridors by people who use wheelchairs and other mobility aids. The home is designed to accommodate people with profound physical disabilities. The corridors are wide and the entrances to bedrooms, toilets, bathrooms and other parts of the house have been designed to allow easy and unrestricted access for the residents. There is suitable equipment including grab rails, adapted toilets and overhead tracking to assist with moving and handling of the residents. Records show that all the equipment is regularly serviced and is in good working order. The sensory room has been recently revamped and new sensory equipment has been installed. Staff indicated that the residents make good use of the sensory room and has obvious benefits for some of the residents. The residents bedrooms are spacious to meet their special needs which require sufficient space for safe and easy movement in their bedrooms. The bedrooms are tastefully decorated and reflect individual tastes. Residents have personalised their rooms with personal items including family photographs, sports memorabilia, television and other electrical items. There are policies and procedures in place regarding safe handling and disposal of Evidence: clinical waste, dealing with spillage, the provision of protective clothing and hand washing. Staff have had training in infection control and also in health and safety. 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 . The residents are supported by staff who are well motivated and appropriately trained to meet their complex needs. This promotes the residents safety and welfare. The residents enjoy good staff to service user ratio, enabling them to enjoy personalised care and attention, thus promoting their welfare. Evidence: About a year ago the provider changed the functions of the home from a nursing to a residential care facility without nursing. As a result there has been a change of manager and a number of new care staff with a social care background. The new staff team has made positive contributions to the quality of life experience for the residents. Examination of past rotas indicate that the recent staffing arrangements provided sufficient staffing complements to meet the needs of the residents. The staff have had appropriate training to equip them for their roles. The manager confirmed that the staff have received training in moving and handling, first aid, infection control, protection of vulnerable adults, fire safety, food hygiene and health and safety training. This was confirmed in the staff training log that was available in the home which shows the number of staff with relevant training. The home adheres to proper employment policies in recruiting staff. Staff who were spoken with confirmed that they had completed job application forms and were interviewed before they were appointed. All the staff who were spoken with stated that before they were appointed to their current positions, they provided suitable references and also had enhanced CRB check before their appointments were confirmed. The manager stated that the personnel files for the staff are kept at Human Resources section of the healthcare Trust. Staff receive regular supervision and records of the supervision are kept on individual Evidence: files. Staff commented that they find the supervision sessions helpful and it gives them the opportunity to discuss with the manager, their training needs. 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 home is managed by a qualified and experienced person, and runs the home for the benefit of the residents. Furthermore, the home has procedures in place to provide supervision for all staff. This promotes the quality of the service that the residents receive. The safety and welfare of the residents are protected by the regular servicing of electrical and mechanical equipments and the safety arrangements that are in place. Evidence: The manager has been in post for the past eight months and she is in the process of making an application to be registered with the Commission for Social Care Inspection. She has NVQ Level 4 in both Care and Management, a certificate in higher education in learning disabilities and moving and handling facilitator qualification. There are suitable arrangements for staff to receive one-to-one supervision from the manager. The manager stated that the supervision sessions with individuals have commenced and it is anticipated that each staff member will receive six supervisions in a year. Staff commented that they find the supervision sessions useful. There is a quality assurance system in place for seeking the views of the residents and visitors to the home. The manager described the procedure for ensuring that the service is under constant review taking into consideration the views of the staff who work very closely with the residents and understand the way they communicate. The providers Health and Safety policies remain in place. These cover policy areas such as fire prevention and Care of Substances Hazardous to Health (COSHH). There is Evidence: evidence that staff adhere to the policies as set by the provider. A record is maintained of regular water temperature tests in the home. Regular servicing of fire equipment, bath lifts and hoists, gas and electrical appliances have been carried out by the contracted companies. Records examined indicate that fire precautions relating to weekly fire alarm testing and record of inspection takes place. There are records in the home indicating fire drills and fire instructions with staff. Records also show that all portable appliances have been tested. A record is maintained of regular water temperature tests in the home. There is evidence of regular servicing of fire equipment, gas and electrical appliances. Are there any outstanding requirements from the last inspection? Yes  No  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 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 Description 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 Description 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 2 5 23 The provider should provide a written contract with the residents so that they know what their responsibilities are. The homes complaints procedure should be reviewed to include the contact details of the Commission for Social Care Inspection. Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. 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