Care Home: Woodlands Residential Care Home

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What the care home does well Plans of care were detailed and provided staff with the relevant information they needed to support individuals. Each person had a comprehensive day care and social activities package that was tailored to meet their individual needs and choices. This enabled their independence and opportunities to be maximised. Family and friends were encouraged to visit the home and the home provided both transport and staff support if required to support individual`s to maintain contact with their family. The staff team strive to empower the people living at the home to voice their opinions, in order to develop and review the practices at the home. Monthly meetings were held with the people living at the home as well as one to one support. This ensured that the views of the people using the service were continuously promoted. What has improved since the last inspection? Since the last inspection visit the service user guide for the people living at the home and prospective new people has been developed. The information within the service user guide now contains all of the detail required by the Regulations and Standards. Key workers were now allocated to individual`s who were responsible for maintaining, reviewing and updating plans of care on a six monthly basis or more often if required. Out of a total of eight staff, six have achieved a National Vocational Qualification (NVQ) at level 2 or above in care, and most of those six staff were undertaking a level 3 in care with one doing the level 4 NVQ in care at the time of this inspection visit. This is a great improvement since the last inspection when only one out of seven staff had an NVQ2 in care. At the last inspection visit the carpet in the entrance area of the home was badly damaged in one corner. This carpet has now been replaced. CARE HOME ADULTS 18-65 Woodlands Residential Care Home Woodlands Residential Care Home 147 Kedleston Road Derby DE22 1FT Lead Inspector Angela Kennedy Unannounced Inspection 3rd September 2008 11:00 Woodlands Residential Care Home DS0000002012.V371352.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 Woodlands Residential Care Home DS0000002012.V371352.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. Woodlands Residential Care Home DS0000002012.V371352.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodlands Residential Care Home Address Woodlands Residential Care Home 147 Kedleston Road Derby DE22 1FT 01332 349625 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) www.communitycaresolutions.com Community Care Solutions Limited Manager post vacant Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Woodlands Residential Care Home DS0000002012.V371352.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 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: 2. Learning disability - Code LD The maximum number of service users who can be accommodated is: 6 9th October 2007 Date of last inspection Brief Description of the Service: Woodlands is situated on the outskirts of Derby City and is on a regular bus route into the city. The smaller shopping area of Allestree is also only a short bus ride from the Home. It is close to two popular large parkland areas (Markeaton Park and Darley Park). Woodlands is a Home registered for 6 adults with a Learning Disability. The Registered Provider is Community Care Solutions. The head office for the Registered Provider is in Bedfordshire. The Home provides personal care only. The Home receives all medical services via agreement with its local community medical practices. The people livings at the home receive twenty-four hour care. The Home provides four single occupancy bedrooms and one shared bedroom. The Home has a private enclosed garden and parking to the side and front. Applications follow a needs assessment undertaken by local health or social care authorities, this needs assessment determines the cost to live at Woodlands and the payments you would be asked to make. Details of previous inspection reports can be found on the Commission for Social Care Inspection’s website: www.csci.org.uk and from the Home. Woodlands Residential Care Home DS0000002012.V371352.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This key inspection was unannounced visit that took place over one day. Key inspections take into account a wide range of information and commence before the site visit by examining previous reports and information such as any reported incidents. The site visit is used to see how the service is performing in practice and to meet with the people using the service. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users and their views on the service provided. This process considers the provider’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. An Annual Quality Assurance Assessment (AQAA) had been completed by the service. This is a self-assessment for providers, which is a legal requirement. This assessment gives the provider an opportunity to let us know about their service and how well they think they are performing. The information provided in the AQAA is reflected within this report. At this inspection visit two people were case tracked. Case tracking is a method used to track the care of individuals from the assessments undertaken before they are admitted to a service through to the care and support they receive on a daily basis. This includes looking at care plans and other documents relating to that persons care, talking to staff regarding the care they provide and if possible talking to the individual. None of the people living at Woodlands were able to verbally express their views of the service and the support it provided. However some of the people spoken with were able to indicate that they liked living at the home through limited verbal communication, facial expression and forms of sign language. Two members of staff were spoken with at some length. Their views and opinions of the care provided, the support and training given to them is included within this report. The previous manager and recently appointed manager were available on the day of this inspection visit and provided the relevant information requested. What the service does well: Woodlands Residential Care Home DS0000002012.V371352.R01.S.doc Version 5.2 Page 6 Plans of care were detailed and provided staff with the relevant information they needed to support individuals. Each person had a comprehensive day care and social activities package that was tailored to meet their individual needs and choices. This enabled their independence and opportunities to be maximised. Family and friends were encouraged to visit the home and the home provided both transport and staff support if required to support individual’s to maintain contact with their family. The staff team strive to empower the people living at the home to voice their opinions, in order to develop and review the practices at the home. Monthly meetings were held with the people living at the home as well as one to one support. This ensured that the views of the people using the service were continuously promoted. What has improved since the last inspection? What they could do better: It was confirmed by the manager that staff were administering insulin to an individual following training from the district nurse. It was confirmed that the insulin administered was via an insulin pen and therefore did not require staff to draw up the insulin. However there was no evidence to demonstrate that this training had been given and that staff were deemed competent to undertake this procedure. The manager stated that no certificates of competence had been provided following training. Woodlands Residential Care Home DS0000002012.V371352.R01.S.doc Version 5.2 Page 7 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. Woodlands Residential Care Home DS0000002012.V371352.R01.S.doc Version 5.2 Page 8 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 Woodlands Residential Care Home DS0000002012.V371352.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient information was available for individuals to decide whether the home could meet their support and accommodation needs. Assessments were undertaken prior to admission to ensure individual needs could be met. EVIDENCE: People can decide whether the home is able to support them because there is clear and easy to understand information about the home and the support and services it provides. Since the last inspection visit the service user guide for the people living at the home and prospective new people has been developed. The information within the service user guide now contains all of the detail required by the Regulations and Standards. A summary of the service user guide was also available in ‘Widget’, which was a very simplified picture version, for ease of access by people with a learning disability. Woodlands Residential Care Home DS0000002012.V371352.R01.S.doc Version 5.2 Page 10 Both of the people case tracked had been provided with the service user guide and copies of the statement of terms and conditions of residency in the Home. People at the home can be confident that the service is able to meet their needs because an accurate assessment of their needs is undertaken before admission is agreed. The pre-inspection self-assessment information stated there was an extensive and exhaustive assessment process in place to ensure that all needs and aspirations are identified and are able to be met by the home. Records seen demonstrated that the local authority made referrals to the home. Both files seen contained needs assessments and care plans that had initially been undertaken by the care managers prior to admission. Needs assessment were also seen that had been undertaken by the manager of the home prior to admission, these assessments were also detailed and covered all areas of support in health, personal and social care needs. Although the verbal communications skills of the people living at Woodlands was limited, some of the people spoken with were able to confirm that they liked living at the home. From general observations it was apparent that the people living at Woodlands felt relaxed and comfortable in their environment. Woodlands Residential Care Home DS0000002012.V371352.R01.S.doc Version 5.2 Page 11 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): 6,7,9. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The staff team supported individual’s to enable their needs and goals to be met. This included supporting people to make decisions and take reasonable risks in their daily lives to enable them to maintain as much independence as possible. EVIDENCE: Peoples needs and goals were met, this was seen through the plans of care that were in place for the two people case tracked. As stated in the pre-inspection self-assessment information these plans of care were detailed and provided staff with the relevant information they needed to support individuals. Key workers were allocated to individual’s who were responsible for maintaining, reviewing and updating plans of care on a six monthly basis or more often if required. The records seen demonstrated that individual’s needs Woodlands Residential Care Home DS0000002012.V371352.R01.S.doc Version 5.2 Page 12 were reviewed and discussions with staff showed that staff had a good understanding of their role as a key worker and the responsibilities involved. The plans of care demonstrated that people were able to make decisions about their daily life with staff support when needed and were supported to take risks to enable them to stay as independent as possible. This included decisions about when to get up and go to bed, what to wear, preferred meals and beverages and activities both within the home and the local community. Staff spoken with and records seen confirmed that individuals were supported to participate in household tasks, such as keeping their rooms clean and generally participating in the domestic chores around the home, making drinks and snacks. The records seen showed that any identified areas of risk regarding household/ daily living tasks were managed appropriately with risk strategies in place. As the people living at the home were unable to manage their own money the home ensured their money was managed appropriately and that they were safeguarded from financial abuse. Records were seen to demonstrate this. Staff were able to communicate with individuals to ensure they were supported appropriately and this included staff being trained in MAKATON sign language, which was the method of communication used by some of the people living at the home. Woodlands Residential Care Home DS0000002012.V371352.R01.S.doc Version 5.2 Page 13 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): 12,13,14,15,16,17. Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The home was responsive to individuals needs and choices and they were provided with opportunities to develop their social and independent living skills and participate in suitable leisure activities. EVIDENCE: The home was responsive to each person’s preferences and choices, such as religious and cultural needs, hobbies and interests and likes and dislikes. As stated in the pre-inspection self-assessment information each person had a comprehensive day care and social activities package that was tailored to meet their individual needs and choices. This enabled their independence and opportunities to be maximised. Woodlands Residential Care Home DS0000002012.V371352.R01.S.doc Version 5.2 Page 14 Information within the two care files seen demonstrated that one person accessed a local day service three days a week, the information provided was detailed on the types of activities they undertook there. It also provided information on their chosen interests, hobbies and faith needs and how staff were to support them in these areas. Information was in place regarding the support individuals needed to manage their spending money in a safe way. This ensured individuals were safeguarded financially. The other person case tracked had specific support needs that required some level of risk management when out in the community. There was detailed information for staff that enabled them to support this person in a safe way and this ensured they were able to take part in activities in an inclusive way within their local community. Staff spoken with confirmed that they regularly supported the people at the home to access the local community, it was stated that this was at least three times a week and included trips out to local shopping centres, walks, visiting the local pubs and ensuring people were supported to follow their hobbies, such as local football matches. It was also confirmed that some of the people living at the home visited their local church each week and staff supported them to do this. Daily records seen demonstrated that the people living at the home accessed the community on a regular basis with staff support. As stated in the pre-inspection self-assessment information it was confirmed by staff that family and friends were encouraged to visit the home and the home provided both transport and staff support if required to support individual’s contact with family. Individual’s dignity and rights were respected; staff were observed knocking on bedroom doors and asking individuals if they could enter their room. The level of disability and communication from most of the people living at the home meant that there were unable to verbal respond to staff knocking on the door, however this gesture at least alerted individuals that someone was entering their room and demonstrated a respectful approach. Staff also asked individuals consent before showing the inspector their room. One person happily provided a guided tour of their room and other parts of the home and seemed pleased to show off their own private accommodation that had been decorated in their preferred colours and decor. Staff were consulted as to how they had ascertained this person’s preferences in colour and décor and said that this was achieved by taking the individual shopping to look at different colours and furnishings, they then were able to physically pick out their preferences. Woodlands Residential Care Home DS0000002012.V371352.R01.S.doc Version 5.2 Page 15 Individuals were seen wandering freely around the home and some were seen spending time in their own room, whilst others were within the communal areas of the home. Within the two care files seen individual’s preferred names were recorded to ensure staff addressed people in a way they preferred. The people living at the home chose the meals. Pictures and photographs were used to assist them in planning meals with staff support. Food shopping was done by the people living at the home with staff support and the staff confirmed that everyone seemed to enjoy food shopping. The kitchen was of a good size to enable individuals to prepare and cook meals with staff support. It was confirmed that some people were able to prepare and cook meals with support, however due to the level of ability and risks identified this was limited to certain task. All of the people spoken with indicated that they had enjoyed their lunch on the day of the inspection visit. . Woodlands Residential Care Home DS0000002012.V371352.R01.S.doc Version 5.2 Page 16 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 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People received personal care in a way they preferred and their physical, emotional and health care needs were met by the staff team. EVIDENCE: People received personal support from staff in the way they preferred. All of the people living at Woodlands required some degree of support in their personal care needs. Records demonstrated that people were supported in a dignified way using their preferred personal care routines. For example some people preferred to have a bath whilst others disliked baths and preferred a shower. Staff confirmed that individuals chosen routines were followed and stated that people were able to get up and go to bed as they chose. It was stated that most people had a set routine for going to bed and getting up, which they chose to follow. Records demonstrated that individuals physical and emotional health needs were met. As stated in the pre-inspection self-assessment information this Woodlands Residential Care Home DS0000002012.V371352.R01.S.doc Version 5.2 Page 17 included well man and well woman clinics and other referrals and appointments with health care professionals as required. Records were held to demonstrate that any treatments and appointments from or to doctors and district nurses, opticians and dentists was also recorded. Other professional input such as Speech and Language reports, and hospital appointments were recorded, along with any treatments given Assessments were also seen regarding nutrition and individuals weight records were kept. Records were kept of any behaviour demonstrated by individuals that required staff intervention, and how these interventions were managed. These records were detailed and demonstrated that individuals requiring support were given this in a non invasive and respectful way. Staff training records demonstrated that staff had received the appropriate training to manage any aggressive or negative behaviours demonstrated. The medication practices were looked at and in general were found to be good. Records were accurate and clear and medicines were stored correctly. Staff received training in medication practices from a local pharmacy and through the companies training department. Although no controlled drugs were stored at the time of this inspections visit. One area regarding medication practices that should be considered for future practice was the medicine cupboard. The cupboard used was wooden and therefore would not meet the legal requirements now in place for storing controlled drugs. It was confirmed by the manager that staff were administering insulin to an individual following training from the district nurse. It was confirmed that the insulin administered was via an insulin pen and therefore did not require staff to draw up the insulin. However there was no evidence to demonstrate that this training had been given and that staff were deemed competent to undertake this procedure. The manager stated that no certificates of competence had been provided following training. Woodlands Residential Care Home DS0000002012.V371352.R01.S.doc Version 5.2 Page 18 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): 22,23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. If people have concerns the people close to them, know how to complain on their behalf and the practices in place safeguard people from abuse. EVIDENCE: The home has received no complaints since the last inspection visit and we have not received any complaints relating to the home. A complaints policy was in place at the home and was also available within the service user guide given to each individual on admission to the home. The people living at the home were unable to verbally raise any concerns or complaints and it was confirmed by staff that they, people’s relatives and independent advocacy services would raise any concerns on behalf of individual’s living at the home if required. The pre-inspection self-assessment information stated that the home continues to look at ways to enhance the communication methods in place, such as setting up alternative communication methods such as a widget board. From discussions held and records seen on the day of the inspection visit, it was confirmed that monthly meetings were held with the people living at the home as well as one to one support and counselling and close communication with families. This ensured that the views of the people using the service and the people close to them were continuously promoted. Woodlands Residential Care Home DS0000002012.V371352.R01.S.doc Version 5.2 Page 19 The home had a Safeguarding Adults procedure and a Whistle Blowing policy in place and this ensured staff had detailed steps to follow if they had any serious concerns that anyone living at the home was experiencing abuse and or neglect. This means that home is able to promote individual’s safety by taking the correct actions to keep people safe. The training records seen demonstrated that the staff team had undertaken training in Safeguarding Adults, and the staff spoken with confirmed this and demonstrated a good understanding of the procedure to follow in the event of any safeguarding concerns. This indicated that the practices in place safeguard the people living at the home from abuse. At the last inspection visit it was identified that the home did not have copies of the Public Interest Disclosure Act of 1998 or the Department of Health guidance called ‘No Secrets’. At this inspection visit the acting manager was unable to confirm that these documents were now in place, this means that the staff team may not be aware of these laws and the protection they afford not only to the people living at the home but also to the staff in making certain disclosures. Woodlands Residential Care Home DS0000002012.V371352.R01.S.doc Version 5.2 Page 20 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): 24,25,26,27,28,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a generally well maintained home that is safe and comfortable. EVIDENCE: A tour of the building was undertaken and was mainly focused on the communal areas of the home. However some individuals did consent to their private accommodation being viewed. In general the home was well maintained and suitable for the people living there. Individual’s private accommodation had been decorated and furnished according to their preferences and taste. Discussions with staff confirmed that individuals were supported to choose the décor and furnishings for their rooms by taking them to the shops to enable them to pick out their preferred choices. Woodlands Residential Care Home DS0000002012.V371352.R01.S.doc Version 5.2 Page 21 This demonstrates that the staff team encouraged and promoted individuals autonomy. The décor within the communal areas was satisfactory, although not to the same high standard as seen in individual’s private accommodation. It was agreed that some communal areas would benefit from redecoration. The communal areas provided sufficient space to accommodate everyone living at the home. It was noted that the television in the lounge was a small portable television that may be difficult to view for some individuals, due to the size of the screen. The acting manager confirmed that this was a temporary measure and said that a new larger television was replacing this one in the near future Toilets and bathrooms provided sufficient space and facilities to meet the needs of the people at the home. The kitchen was of a good size and design and this enabled the staff to support individuals in food preparation, cooking and domestic tasks. The laundering facilities in place were suitable and enabled clothes to be washed at the appropriate temperatures. At the last inspection visit the carpet in the entrance area of the home was badly damaged in one corner, and needed replacement and as stated in the pre inspection information this has now been done. The carpet in the corridor had been taped down by the office door. It was stated that this was because the carpet was worn and needed replacing with new flooring. Some of the people living at the home were able to indicate that they liked the décor of their home. One person seemed especially pleased to show their bedroom and clearly was pleased with the décor and furnishings in their room. . Woodlands Residential Care Home DS0000002012.V371352.R01.S.doc Version 5.2 Page 22 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): 32,33,34,35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have appropriate support from a competent and qualified staff team. EVIDENCE: The staffing rotas were looked at and demonstrated that there was sufficient staff on duty to support the people living at the home. The staff on duty were spoken with and confirmed that the numbers of staff on duty enabled them to support individuals appropriately. Minutes of staff meetings held each month demonstrated that regular staff meetings took place to inform the staff of any changes in practice and ensure a open and inclusive approach to team work was promoted. The records seen demonstrated that the recruitment practices in place safeguarded the people living at the home. All of the recruitment checks required by law had been undertaken before employment commenced. All new staff were supplied with copies of the code of conduct set by the General Social Care Council. Woodlands Residential Care Home DS0000002012.V371352.R01.S.doc Version 5.2 Page 23 The training records were seen and demonstrated that the staff team were given the correct training that was updated as required to enable them to support people in the right way to meet their needs Staff spoken with confirmed that the training provided enabled them to develop their skills and knowledge. They confirmed that training was provided not only in mandatory training but also in other areas that were specific to individuals needs such as autism, understanding and managing challenging behaviour and alternative communication methods such as makaton. The training records also demonstrated that people were supported by appropriately qualified staff. Out of a total of eight staff, six have achieved a National Vocational Qualification (NVQ) at level 2 or above in care, and most of those six staff were undertaking a level 3 in care with one doing the level 4 NVQ in care at the time of this inspection visit. This is a great improvement since the last inspection when only one out of seven staff had an NVQ2 in care. Discussions took place regarding the Learning Disability Qualification (LDQ) and as stated in the pre inspection self assessment information it was confirmed that the staff team were awaiting verification and approval from the training provider for this training to commence. Woodlands Residential Care Home DS0000002012.V371352.R01.S.doc Version 5.2 Page 24 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): 37,38,39,42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run and managed appropriately and the opinions of those that live there are central to the homes development and are used to review the practices in place. EVIDENCE: Since the last inspection there have been some changes in the management structure of the home. It was confirmed that the manager of Woodlands is moving to another service within the organisation and the deputy manager of that service had recently moved to Woodlands to take up the manager’s position. The new manager stated that they were at present qualified to NVQ level 3 in care and were awaiting funding to commence NVQ 4 in management and care. Woodlands Residential Care Home DS0000002012.V371352.R01.S.doc Version 5.2 Page 25 Staff that were spoken with said they had received a good level of support both from the previous manager and the new manager in post. They stated that they felt the managers supported the staff team very well and enabled an open and inclusive working environment. Staff spoken with confirmed that the staff all worked well as a team, which enhanced their work and the environment for the people living at the home. As stated earlier within this report the staff team strive to empower the people living at the home and those close to them to voice their opinions, in order to develop and review the practices at the home. Twenty questionnaires had been sent out to visiting professionals, and the relatives of the people living at the home. From these thirteen that had been returned, the records seen demonstrated that the views and opinions within these questionnaires had been audited and a summary and plan of action had been developed to address any issues raised. As stated earlier in this report, monthly meetings were held with the people living at the home as well as one to one support. This ensured that the views of the people using the service were continuously promoted. An annual development plan was in place and the area manager reviewed this at regular intervals throughout the year. As stated in the pre-inspection self-assessment information compliments were in place from some of the family members of people living at the home. These comments clearly demonstrated that family members felt their relatives were supported by a dedicated team that was managed to a high standard. Information with the pre- inspection self-assessment information indicated that health and safety checks were carried out as required. This included the serving of gas and electrical wiring and equipment and fire safety procedures and tests. Some of the records held relating to the health and safety practices were looked at. All of the records seen confirmed that the environment was safe for the people living at the home and staff team as the appropriate health and safety practices had been carried out. Woodlands Residential Care Home DS0000002012.V371352.R01.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 2 X 3 X X 3 X Woodlands Residential Care Home DS0000002012.V371352.R01.S.doc Version 5.2 Page 27 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 YA20 Regulation 13 (2) Requirement Evidence must be in place to demonstrate that staff have received training by a suitably qualified person to enable them to administer insulin to a person living at the home. Evidence should be in place to demonstrate that competence has been achieved in this procedure following training. The carpet in the corridor near the office should be replaced to ensure there are no trip hazards. The manager should apply for registration with the commission within the near future. Timescale for action 09/12/08 2 3 YA24 YA37 23 (2) (b) Section 11(i) of the Care Standards Act 2000 09/02/09 09/04/09 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 YA20 Good Practice Recommendations Consideration should be given to the installation of a DS0000002012.V371352.R01.S.doc Version 5.2 Page 28 Woodlands Residential Care Home 2. YA23 medicines cupboard that meets the legal requirements for the storage of controlled drugs. As staff may be required to administer controlled drugs to people living at the home in future practice. A copy of the Public Interest Disclosure Act 1998 and the Dept of Health guidance called ‘No Secrets’ should be obtained. Staff should be informed that they cannot benefit in any way from Residents wills. 3. 4. YA24 YA35 Consideration should be given to the redecoration of communal areas within the home. Learning Disability Award Framework (or LDQ) accredited training should be provided to assist staff in progressing towards achieving R/NVQs. The manager should commence NVQ4 training in Management and care. 5. YA37 Woodlands Residential Care Home DS0000002012.V371352.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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. 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