Care Home: Woodlarks Workshop

Similar services:

• Thorndene
• Sutton Lodge Nursing Home
• Wingham Court
• 17 John Street
• Red Oaks
• Clare House Nursing Home
• Broad Oak Manor Nursing Home

What the care home does well Three residents are to start college in September, and will be covering a range of subjects for example food hygiene, life skills and cooking. The six surveys returned by residents indicated they are satisfied with the care they receive in Woodlarks Workshop and some stated they would not want to live anywhere else. One resident has lived in the home for fifty-five years. The manager stated the home is to continue to develop, person development plans and care plans electronically so all documentation is centralised. If a prospective resident is unable to visit the home the manager will visit them and their family in their own home or hospital. What has improved since the last inspection? A new fire alarm panel has been fitted and was operational from 05/06/08 and a new fridge has been purchased for the kitchen. The manager stated that at a Resident/Manager meeting it was identified that residents wanted to be able to access tea/coffee facilities without returning to their respective rooms, so a vending machine is now in place in the dining area. The residents are now able to make their own drinks through out the day. However some residents stated they are unable to make drinks without the support of staff due to carrying hot drinks from the area to a safe place to drink. The staff shift times have been changed so staffing levels support and reflect the needs of individuals. Organised shift patterns are in place so that more staff are available at times of need, but without having too many staff available when the need is lower. The roles and routines within the home are then organised in such a way as to make efficient use of all staff time. Domestic staff interacts with the residents and all staff eat their meals with the residents. Also in the AQAA it states there are plans to re-designing the `physiotherapy room` into a multi-purpose room to incorporate training to assist those residents who wish to become independent. The home is planning to build independent living quarters. Each room in Woodlarks will have en-suite facilities; a unit for two people is to be converted to supported independent living. A programme of routine maintenance is now kept in the home, compiled by the handyman; six bedrooms have recently been decorated. What the care home could do better: The manager to ensure staff does not make judgemental statements about residents in daily notes. In the AQAA it states the management will provide large print and audio on pre-admission and all documentation to allow residents with visual impairments to access the information. The home is introducing a change to the resident forum format re residents meetings. Each resident will be given the chance to `chair ` the meeting in place of the manager. Management will continue to be guided by comments from resident`s surveys, and to continue to take into account residents` verbal comments and work towards meeting those needs. By continually working on care plans, including electronic systems or updating current systems. This is an area of great importance to ensure that residents receive the best-individualised care. Improvements will continue to be made on the care plans with regards to involvement of residents and relatives. The management are currentlyproviding a good standard of care planning but are aware that there are always areas, which can be improved upon. The home will continue to work with healthcare providers to ensure documentation addresses all aspects of the person. For example psychological, social, physical, spiritual and emotional needs are met and will continue to invest in the physical structure of the home both internally and externally. Also in the AQAA it states management are aware that the dependency of the residents has increased and another hoist would provide a better service therefore an area the home could do better would be to increase the amount of equipment within the home and purchase a new hoist. The manager stated there are plans to involve residents to a greater extent in the recruitment process, by possibly having representatives from the residents involved in the interview process so they can portray opinions of possible employees. The manager also stated the management aim to look at ways to access more training for long distance learning courses to be undertaken. So that residents have the resources available for lifelong learning. Management are also aiming to encourage staff to feedback training attended to the rest of the staff team, to ensure new ways to practice is being filtered back to the team, and to continue to work towards meeting the National Minimum Standards. The manager stated an anonymous resident satisfaction questionnaire provides management with valuable feedback on what aspects of the service are working well and where improvements could be made. Therefore it is recognised that by making the document more user friendly the return of the form may increase, which will facilitate a greater amount of information being available. The questionnaire can also be made in various formats dependent on need, for example as a computer document, in large print and audio/braille, so that all residents can access the document. In response to this will help guide the manager to where efforts need to be concentrated and improvements made. CARE HOME ADULTS 18-65 Woodlarks Workshop Lodge Hill Road Farnham Surrey GU10 3RB Lead Inspector Vera Bulbeck Unannounced Inspection 17th June 2008 10:30 Woodlarks Workshop DS0000013841.V365628.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 Woodlarks Workshop DS0000013841.V365628.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. Woodlarks Workshop DS0000013841.V365628.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodlarks Workshop Address Lodge Hill Road Farnham Surrey GU10 3RB 01252 714041 N/A manager@woodlarks-trust.org 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) Woodlarks Workshop Trust Manager post vacant Care Home 22 Category(ies) of Physical disability (18), Physical disability over registration, with number 65 years of age (4), Sensory impairment (1) of places Woodlarks Workshop DS0000013841.V365628.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The age/age range of the persons to be accommodated will be: 18 RESIDENTS WITHIN THE AGE RANGE OF 18 - 64 YEARS & 4 RESIDENTS 65 YEARS & OVER One resident with a sensory impairment Date of last inspection 26th February 2008 Brief Description of the Service: Woodlarks Workshop is a care home offering personal care for people with physical disabilities who are mostly below the age of 65 years. The purpose of Woodlarks Workshop is to provide opportunities for residents to develop personal and independent skills in a setting where their social and emotional needs are met in a safe and supportive environment. The sheltered workshop facility is pivotal to the daily activities for residents, and the service additionally offers respite care. Communal lounges are light and spacious and there is a dining area where meals are served. Bedroom accommodation is in single rooms. All have a designated living area, facilities for making drinks, a private telephone and a lockable storage facility. The building is on two levels served by one passenger lift. The design of the environment is suitable to meet the specific needs of the resident group, many of whom have lived at Woodlarks for many years. There is a small gymnasium used for physiotherapy sessions and personal exercise. Woodlarks Workshop is situated in a semi rural location on the outskirts of Farnham, surrounded by well-maintained spacious grounds. Local shops and community amenities are within a short distance by car, and the home is accessible by rail, the station being located in the town. There is ample car parking facilities in the front of the building. The range of fees is from £480.00 - £690.00 per week. This does not include personal items, hairdressing and travel each resident pays £4.15 per week towards the running of the mini bus. Woodlarks Workshop DS0000013841.V365628.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 unannounced visit formed part of a ‘key’ inspection and was carried out by Rosemarie James, Regulation Manager and Vera Bulbeck, Regulation Inspector. The Registered Manager left Woodlarks Workshop August 2007, and a manager has been appointed. The manager needs to apply for registration for the establishment. The Annual Quality Assurance Assessment (AQAA) has been undertaken and was used at the time of the inspection. Six residents returned surveys to the Commission for Social Care inspection (CSCI) prior to the inspection, and these will also be taken into consideration as part of the inspection process. A tour of the premises took place. On the day of this visit a number of residents were spoken too and several members of staff. Observations of the interactions between staff and residents were also used to form the judgements reached in this report. Resident’s care plans; menus, health and safety checklists, activity records, policies, procedures, medication records and storage were all sampled on the day of this visit. The Regulation Manager and Regulation inspector would like to thank the residents and staff for their time, assistance and hospitality during this visit. What the service does well: What has improved since the last inspection? Woodlarks Workshop DS0000013841.V365628.R01.S.doc Version 5.2 Page 6 A new fire alarm panel has been fitted and was operational from 05/06/08 and a new fridge has been purchased for the kitchen. The manager stated that at a Resident/Manager meeting it was identified that residents wanted to be able to access tea/coffee facilities without returning to their respective rooms, so a vending machine is now in place in the dining area. The residents are now able to make their own drinks through out the day. However some residents stated they are unable to make drinks without the support of staff due to carrying hot drinks from the area to a safe place to drink. The staff shift times have been changed so staffing levels support and reflect the needs of individuals. Organised shift patterns are in place so that more staff are available at times of need, but without having too many staff available when the need is lower. The roles and routines within the home are then organised in such a way as to make efficient use of all staff time. Domestic staff interacts with the residents and all staff eat their meals with the residents. Also in the AQAA it states there are plans to re-designing the physiotherapy room into a multi-purpose room to incorporate training to assist those residents who wish to become independent. The home is planning to build independent living quarters. Each room in Woodlarks will have en-suite facilities; a unit for two people is to be converted to supported independent living. A programme of routine maintenance is now kept in the home, compiled by the handyman; six bedrooms have recently been decorated. What they could do better: The manager to ensure staff does not make judgemental statements about residents in daily notes. In the AQAA it states the management will provide large print and audio on pre-admission and all documentation to allow residents with visual impairments to access the information. The home is introducing a change to the resident forum format re residents meetings. Each resident will be given the chance to chair the meeting in place of the manager. Management will continue to be guided by comments from resident’s surveys, and to continue to take into account residents verbal comments and work towards meeting those needs. By continually working on care plans, including electronic systems or updating current systems. This is an area of great importance to ensure that residents receive the best-individualised care. Improvements will continue to be made on the care plans with regards to involvement of residents and relatives. The management are currently Woodlarks Workshop DS0000013841.V365628.R01.S.doc Version 5.2 Page 7 providing a good standard of care planning but are aware that there are always areas, which can be improved upon. The home will continue to work with healthcare providers to ensure documentation addresses all aspects of the person. For example psychological, social, physical, spiritual and emotional needs are met and will continue to invest in the physical structure of the home both internally and externally. Also in the AQAA it states management are aware that the dependency of the residents has increased and another hoist would provide a better service therefore an area the home could do better would be to increase the amount of equipment within the home and purchase a new hoist. The manager stated there are plans to involve residents to a greater extent in the recruitment process, by possibly having representatives from the residents involved in the interview process so they can portray opinions of possible employees. The manager also stated the management aim to look at ways to access more training for long distance learning courses to be undertaken. So that residents have the resources available for lifelong learning. Management are also aiming to encourage staff to feedback training attended to the rest of the staff team, to ensure new ways to practice is being filtered back to the team, and to continue to work towards meeting the National Minimum Standards. The manager stated an anonymous resident satisfaction questionnaire provides management with valuable feedback on what aspects of the service are working well and where improvements could be made. Therefore it is recognised that by making the document more user friendly the return of the form may increase, which will facilitate a greater amount of information being available. The questionnaire can also be made in various formats dependent on need, for example as a computer document, in large print and audio/braille, so that all residents can access the document. In response to this will help guide the manager to where efforts need to be concentrated and improvements made. 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. Woodlarks Workshop DS0000013841.V365628.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 Woodlarks Workshop DS0000013841.V365628.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): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The pre-admission procedures at the home are in the process of being updated to ensure that resident’s needs and aspirations are fully assessed prior to admission to make sure that their needs can be met. EVIDENCE: The manager stated that new residents are invited to visit the home and stay overnight. Following the initial visit to the home, and if the resident wishes to continue, the manager will visit the resident in their own home or hospital and carry out a pre-admission assessment. The newest residents’ pre admission assessment was sampled and the manager stated this document is in the process of being updated. The manager stated she plans to provide preadmission and all necessary documentation in large print and audio, to allow residents with visual impairments to access the information. It was also noted that the statement of purpose needs to be updated and a copy of the service users needs to be updated. In the AQAA it states pre-admission/assessment forms are to be re-written to make them more relevant to the service, and make amendments to fully Woodlarks Workshop DS0000013841.V365628.R01.S.doc Version 5.2 Page 10 address the requirements within the Mental Capacity Act for example and whether the resident has lasting power of attorney. Woodlarks Workshop DS0000013841.V365628.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 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal care and healthcare support and assistance is planned and was seen to be provided, where needed, in a respectful and sensitive manner. EVIDENCE: The home has a small and close care team and the staff demonstrate an in depth knowledge of each individual residents’ needs, abilities and preferences in how they wish their care to be delivered. Resulting in the majority of residents stating that they always receive the care and support they need. One resident commented “I am very well looked after” and another resident stated, “I have everything I need”. The care plans sampled during this visit were in the process of being changed to person centred and three had been completed on the day of the inspection and six were ready to be typed and put on the computer. The manager confirmed within three months all the care plans will be completed, person centred and computerised. The residents are receiving training on how to view Woodlarks Workshop DS0000013841.V365628.R01.S.doc Version 5.2 Page 12 their care plan on the computer. These care plans set out the actions, which need to be taken by care staff to meet the health, personal and social care needs of the residents. Care plans will be reviewed on a monthly basis and daily notes are kept that reflect the care given. These daily notes demonstrated that any changes or new concerns are promptly acted upon. However staff to be mindful of making judgemental statements on daily records. The manager stated all contracts are to be reviewed within the next month. In the AQAA, to demonstrate what the home does well, the manager stated that two computers have been set up for residents to use and there are more to be available for resident’s use, which also allows resident’s access to the internet. This opens up various possibilities to each resident enabling them to access information regarding local activities and emails, this also allows each resident to learn new skills which would have an effect of promoting feelings of self worth and confidence. During the tour of the home staff were observed to always knock before entering the residents’ bedrooms and all interactions observed between staff and residents were seen to be caring and respectful. All residents stated that they felt their privacy was always respected. Woodlarks Workshop DS0000013841.V365628.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, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents have opportunities for personal development and to take part in appropriate activities within the home and in the local community. They are supported to maintain and develop appropriate personal and family relationships. Meals are well balanced and varied. EVIDENCE: The daily routines at the home are a reflection to promote independence, individual choice and freedom of movement. Residents confirmed they could choose what to do, when they wanted. This was also confirmed by observations made by the inspectors on the day of this visit. Meetings are held and at the last meeting on 12/06/08 twelve residents attended. Minutes indicate that the meetings are held on a regular basis. Residents are encouraged to participate and have a say. Evidence and suggestions of how to improve service provision and exploring ideas for the social side of their care needs was seen, the meetings are chaired by volunteers. Woodlarks Workshop DS0000013841.V365628.R01.S.doc Version 5.2 Page 14 There are plans to change the workshop into a day centre, this arrangement is still in the planning stage and has not been agreed or has been finalised. In the AQAA, to demonstrate what the home does well, the manager stated that residents have been provided with an area to give residents the choice and opportunity to make drinks and snacks for themselves and visitors. A newsletter via the website to be implemented and all residents can contribute if they choose to do so. There are plans in place for all residents, who wish, to have and operate their own bank accounts and finances and staff will actively encourage residents. Each resident has a weekly activity schedule that is based on his or her known interests and hobbies. The activity schedules sampled were seen to be varied and included activities both within and outside the home in the local community. Residents were seen to be making decisions, at the time, as to whether they wanted to do what was on their schedule or to do something different. One resident informed the inspectors that she enjoys going swimming and ski-ing. The inspectors were informed that an outing to Wisley had been arranged and several residents had already indicated they would like to go. It was also noted that vegetables are being grown on the patio area and the cook uses the vegetables for cooking, so all the residents’ benefit from the activity. On the day of the visit one resident was taking bird seed to the patio area for the wild birds, this particular resident has a budgie named Tommy. One resident spoke with the inspector about the plans that were being made for the changes to the home. The inspectors were informed the residents have been notified that the home plans to make changes to all the bedrooms each room will have an en-suite, this will entail losing some bedrooms and other areas in the home to become supported living flats. One resident stated she did not want to move into supported living and would prefer to remain in the home receiving support from staff. The home has its own transport that is available to facilitate activities and trips out. However there is a problem with respect for available drivers and staffing levels. The management of the home is currently looking this into. The majority of residents plan and take holidays during the year, with support from staff where needed. The menu for the week of this visit was seen to be varied and well balanced, advice is sought from a local dietician, for individual residents, as and when needed, one resident is on a special diet. The lunchtime meal was taking place during this visit. The food was presented in an appetising manner, and the dining room had a relaxed atmosphere. Woodlarks Workshop DS0000013841.V365628.R01.S.doc Version 5.2 Page 15 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal care and healthcare support and assistance was documented and observed to be provided, where needed, in a respectful and sensitive manner. Competent trained staff undertakes the administration and management of medication. However there were changes made to the dosage on a label on medication. Therefore staff requires more training. EVIDENCE: The inspector was informed by residents that they are able to choose when to go to bed and when to get up and are supported to choose their own clothes, hairstyles and other aspects of personal grooming. Interaction between residents and staff is very good. There are regular visits to the local G.P who is within a short walking distance from the home all residents have an annual health check. The medical team as well as other professional health care people, these include the dentist, optician, chiropodist and physiotherapist when required. Woodlarks Workshop DS0000013841.V365628.R01.S.doc Version 5.2 Page 16 A number of risk assessments were seen on the two care plans sampled. The confidential notes currently in the care notes are stored appropriately in a locked facility; care plans are used as a working tool for all staff. The lunchtime medication round was observed and the medication administration records, medication storage, policies and procedures were all sampled and found to be in order. The system for medication administration was seen and was undertaken by staff that had received medication training. The Medication Administration Record (MAR) sheets were seen for the two individuals who were case tracked and it was noted that the recording records had no gaps and are kept up to date. However it was noted that a label had been changed by hand from one daily to two. The inspector advised the manager to contact the pharmacy as this practice is not appropriate and any medicines that have the dosage changed must be by the issuing pharmacy. The manager did explain that she did contact the pharmacy and due to the change over of pharmacy, which is in the process of being changed within the next couple of weeks, the new provider will train all staff and undertake two audits a year. There are several residents who are able to self medicate. Management of the home has appropriate risk assessments in place to ensure medication is taken as directed. Systems are in place to ensure residents who self medicate receive their medication when the medicines are received into the home. Woodlarks Workshop DS0000013841.V365628.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All required policies and procedures are in place to ensure that residents feel their views will be listened to. Policies and practices are in place to protect residents from abuse and neglect. EVIDENCE: The home has a complaint’s procedure in place that is available to all residents and is individualised to the home. No complaints have been made to the home since the last inspection. However, the safeguarding team have been undertaking an investigation following several complaints made previously. No complaints have been made in the last few months, and no complaints have been referred to the Commission regarding a complaint or allegation, since the last inspection. There is a whistle blowing policy in place and the home has a copy of the latest Surrey Multi-agency Procedure for the Protection of Vulnerable Adults. The manager stated all staff has received training or updates in the protection of vulnerable adults. Training records were available to evidence this statement. Residents surveyed and those spoken to stated that they knew who to talk to if they were not happy; some said they would talk to staff and some said they would talk to their care manager. Woodlarks Workshop DS0000013841.V365628.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The location and layout of the home is suitable for it’s stated purpose. It is accessible, safe and well maintained. The home was found to be clean and hygienic and to meet residents’ individual and collective needs in a comfortable and homely way. EVIDENCE: Woodlarks Workshop is set in a rural area close to local amenities and the town centre. The home consists of single bedrooms with a communal lounge and a separate dining area. The bathrooms and toilets are also shared. The gardens are nicely laid out and are well maintained, there is a large patio area and in good weather is used frequently. Within the grounds of the home there is a campsite, which is used by a number of organisations including the residents from Woodlarks. Woodlarks Workshop DS0000013841.V365628.R01.S.doc Version 5.2 Page 19 Laundry facilities are sited on the first floor with washing machines and tumble dryers suitable for the needs of the residents living in the home. Residents are able to use the laundry facilities. Residents spoken with expressed their satisfaction with the accommodation provided at the home. The home was toured during this visit. The furniture and furnishings were seen to be of a reasonable quality. A number of bedrooms were personalised to the individual residents wishes. One of the carpets in a resident’s bedroom was worn and needs replacing. However, the manager explained, the home has been granted the money to upgrade bedrooms and to build individual flats for supported living for people who are able live independently. During this time a refurbishment will take place. The residents informed the inspector they had been informed of the forthcoming changes and some were looking forward to living more independently and some prefer to remain in Woodlarks being supported by the staff. On the day of this visit the home was found to be warm and bright with a homely atmosphere and a good standard of housekeeping apparent. Woodlarks Workshop DS0000013841.V365628.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff training and recruitment programme, which is designed to ensure that residents are supported by competent and qualified staff, was up to date. All staff working in the home has received appropriate training. EVIDENCE: The staff rota evidenced that three members of staff are on duty at any time of the day, and at night two waking night staff are on duty. Staff employed and staff recruitment files were up to date and training records indicated that staff are receiving up dates to their training as well as more specialised courses. As stated in the AQAA shift patterns have been introduced, which has meant that more staff are on duty at peak times. Staff have been encouraged to take more ownership of their own development, identifying what training days they wish to attend, and working with the manager to achieve individual goals. There are now monthly staff meetings and regular team meetings, Staff appraisals have also begun. Woodlarks Workshop DS0000013841.V365628.R01.S.doc Version 5.2 Page 21 A number of training courses have been booked and most of the staff has been booked onto one or two courses. The most recent courses already undertaken include, POVA, infection control, communication and first aid. In September the three new team leaders are to commence NVQ Level 3. A member of staff confirmed they had been supplied with a copy of the General Social Care Council (GSCC) code of conduct and practice. The manager confirmed induction is in line with the new, mandatory Skills for Care common induction standards and the inspector was advised that staff are supervised until they have completed their induction. Staff are booked on additional training and updates as the courses become available. Woodlarks Workshop DS0000013841.V365628.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a quality assurance and monitoring system in place that is based on seeking the views of the residents. Policies and procedures are in place to ensure, so far as is reasonably practicable, the health, safety and welfare of residents and staff. EVIDENCE: The manager has been in post for a few months and is in the process of applying for registration. In the AQAA, to demonstrate what the home does well, the manager stated that she has the Registered Managers Award; the manager has 5 years experience in the care setting and holds NVQ Level 4. Several areas in the home have been updated and the manager stated she is committed to managing a good service. Woodlarks Workshop DS0000013841.V365628.R01.S.doc Version 5.2 Page 23 The management structure has been changed and three team leaders will replace the two previous deputy managers. Currently two team leaders are in post and a third person to be appointed. There is a new administrator in place who understands the need for changes in attitude to outside agencies. Residents are able to look at records held by the home about them if they wish to. When a resident does not want to manage their finances, or does not have the capacity to do so, the home can offer to manage their finances in the best interest of the resident and/ or encourage a resident to appoint lasting power of attorney. The management of the home provides a safe place for residents to keep their valuables and money. The home continues to work towards meeting all the National Minimum Standards for Younger Adults. Staff vacancies are constantly being advertised and some new carers have been recruited. However, agency staff is still being employed on a regular basis to ensure continuity with residents needs. The home has introduced an anonymous resident satisfaction questionnaire, which provides valuable feedback. By making the document more user friendly, the management are hopeful the return of the form by residents may increase, which will facilitate a greater amount of information being available. The questionnaire can also be made in various formats dependent on need, for example as a computer document, in large print, audio/braille, so that all residents will be able to access the documents. This will help guide the manager in where efforts need to be concentrated and improvements made. Residents’ views are sought on a regular basis and monthly visits by the responsible individual take place as required. The Inspector was informed that the organisation carry out a yearly survey, which seeks the views of residents, family, friends and other stakeholders in the community, district nurses, G.P and care managers. The manager stated another survey is to be undertaken very shortly. All necessary health and safety checks are carried out by the staff at the home with documentary evidence of inspected routine fire practices the fire alarm system is tested on a weekly basis and evacuations are well documented, fire equipment checks are recorded monthly. A new fire alarm panel has been fitted and operational from 05/06/08. A number of up to date maintenance certificates were seen. The records sampled were up to date and well maintained. Woodlarks Workshop DS0000013841.V365628.R01.S.doc Version 5.2 Page 24 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 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 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 Woodlarks Workshop DS0000013841.V365628.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? 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 YA1 Good Practice Recommendations The statement of purpose and service users guide needs to be updated. Woodlarks Workshop DS0000013841.V365628.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Woodlarks Workshop DS0000013841.V365628.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!