Inspection on 29/04/08 for The Woodlands

This is the latest available inspection report for this service, carried out on 29th April 2008.

CSCI found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

The Woodlands 25/08/05

The Woodlands 19/05/05

The Woodlands 21/09/04

The Woodlands 08/07/04

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Heathlands

Aston Court Nursing Home

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Ravenhurst

Bank House

Inspirations

Westmead

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOMES FOR OLDER PEOPLE Woodlands, The 434 Penn Road Penn Wolverhampton West Midlands WV4 4DH Lead Inspector Mike Moloney Key Unannounced Inspection 29th April 2008 09:30 X10015.doc Version 1.40 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, The DS0000030105.V363679.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 Older People. 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, The DS0000030105.V363679.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodlands, The Address 434 Penn Road Penn Wolverhampton West Midlands WV4 4DH 01902 341203 01902 337302 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) The Society of Friends Patricia Edwina Hulme Care Home 38 Category(ies) of Dementia (9), Old age, not falling within any registration, with number other category (29) of places Woodlands, The DS0000030105.V363679.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th July 2006 Brief Description of the Service: The home is a listed building with great charm. It consists of a main building with three floors and a two- storey annex. The annex is linked to the main building by a covered walkway. The annex has been converted to provide an nine bedded unit for elderly mentally infirmed. The home is set in extensive grounds, which has a well- maintained formal garden. The home is situated approximately two and a half miles from Wolverhampton City Centre. A local bus service stops at the end of the homes drive and there are amenities a few hundred yards from the home. Further information is available in the home’s Service User Guide. The fees are currently from £329 to £470 per annum. Woodlands, The DS0000030105.V363679.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 that the people who use this service experience good quality outcomes. A range of evidence was used to make judgements about this service. This includes: information from the provider which included a self assessment document that they are required by law to complete, records kept in the home, medication records, discussions with the staff team, tour of the premises, previous inspection reports and talking with as well as observing the care experienced by people using the service What the service does well: What has improved since the last inspection? What they could do better: There were no requirements or recommendations made as a result of this inspection. Please contact the provider for advice of actions taken in response to this Woodlands, The DS0000030105.V363679.R01.S.doc Version 5.2 Page 6 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, The DS0000030105.V363679.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Woodlands, The DS0000030105.V363679.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. Prospective residents have their needs assessed and a contract which clearly tells them about the service they will receive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The records of a person who had recently come to live at the home were looked at. Documents, such as the admissions application which contained information about the persons needs and preferences and the local authority assessment were seen and showed the home had carried out a full assessment of that person’s needs before agreeing to them being admitted. A copy of the contract outlining what service the resident could expect from the home was also seen in the records. Woodlands, The DS0000030105.V363679.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. The health and personal care, which a resident receives, is based on their individual needs. The principles of respect, dignity and privacy are put into practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The records of three of the people living at the home were looked at were seen to contains plans for the care of each of the individuals. These plans identified the needs and wishes of each of the individuals concerned and stated how those needs and wishes should be met. The areas covered by the plans included such things as personal hygiene, eating, mobility, household skills and medication needs. Each person was also seen to have a pressure sore assessment and an individual set of instructions about how they should be managed in if there was a fire. Woodlands, The DS0000030105.V363679.R01.S.doc Version 5.2 Page 10 The daily notes of the people concerned were looked at and these contained entries about visits by GPs and District Nurses who had been asked to attend due to issues that had been identified by the staff and entered in their records. Charts were seen that showed that the care plans were reviewed each month by the care staff and formally every year. The management, administration and storage of service users medication were looked at during the visit. The medication was seen to be stored in two areas; the main House and the Spinney annex. Both areas had a dedicated room for this purpose. The manager explained that plans for the development of a new medication room in the main house had been approved and work on this was expected to start in the near future. The records of the administration of the medication were looked at and seen to be appropriate. Talking with the staff established that a number of them are undergoing training in the safe handling and administration of medication with a view to only those who have received this type of training being the only ones who will be permitted to administer medication. At the time of the inspection the manager confirmed that some of those who were administering medication were being trained but had not as yet completed the course. Woodlands, The DS0000030105.V363679.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. Residents are able to choose their life style, social activity and keep in contact with family and friends. Social, cultural and recreational activities meet resident’s expectations. Residents receive a healthy, varied diet according to their assessed requirement and choice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A number of the service users said that there were regular activities organised by the home that they could attend on a regular basis that they could join in with should they wish to do so. Lists of these activities were seen posted on the notice boards around the home. In the main house activities were seen to include such things as scrabble club, piano playing, exercise club and various outings. In the Spinney annex more activities were seen to be available to those who may need more stimulation. Examples of this were greeting card making sessions and the making of a model garden. Woodlands, The DS0000030105.V363679.R01.S.doc Version 5.2 Page 12 Talking with some of the service users also established that the services of a variety of religious denominations were organised within the home on a regular basis. Looking at the daily records of a number of the service users showed that some of them frequently go out with friends and relatives and on the day of the inspection a number of people were seen and heard visiting people who live at the home. Staff were seen knocking on bedroom and bathroom doors before opening them and were heard to use the preferred names that had been identified in the individual’s records. The people living in the home were all complimentary about the staff with one person describing them as ‘warmly kind’. They were also complimentary about the food that is prepared for them. One of the service users said, ‘Very nice; well prepared’. Minutes of the monthly residents meeting were seen to contain a section relating to the food and what choices were available. Issues raised were seen to be discussed in the regular kitchen staff meetings. The meal seen during the inspection did look appetising and service users who needed assistance with eating were seen receiving discrete help from various members of staff. Woodlands, The DS0000030105.V363679.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. Residents have access to a robust, effective complaints procedure, are protected from abuse and have their legal rights protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home was seen to have a complaints leaflet that contained all of the information necessary to make a complaint should the need arise. The homes self assessment stated and the manager confirmed that no complaints had been received. A copy of the local policies and procedures that were designed to protect vulnerable adults were seen to be available. Staff stated and their records confirmed that they had received training during their professional supervision sessions with their manager. The manager stated that she was considering more formal training for the staff on this issue. The manager confirmed that no referrals had been necessary within those procedures. Woodlands, The DS0000030105.V363679.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment, which encourages independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is a large listed building set in a complex containing housing for people who need varying levels of support. It consists of a main building with three floors and an annex known as the Spinney. The annex is linked to the main building by a covered walkway. The annex has been converted to provide a nine bedded unit for people with dementia related needs. The home is set in extensive grounds and has a well maintained formal garden. The people who live in the Spinney are able to use the attractively Woodlands, The DS0000030105.V363679.R01.S.doc Version 5.2 Page 15 maintained and secure courtyard that is between the annex and the main house. There is a large car park for use by visitors to the rear of the home. The home and its grounds were seen to be maintained to a high standard. It was seen that the en-suite facilities in bedroom4, 6,and seven and the corridors in the annex had been redecorated. The home was found to be clean and tidy and free from odour. The home has good policies and procedures regarding infection control and all the staff have received training in food hygiene. The home was also seen to have an appropriately sited and equipped laundry for dealing with the clothing and bedding of those people who live there. Woodlands, The DS0000030105.V363679.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. Staff in the home are trained, skilled and in sufficient numbers to fill the aims of the home and meet the changing needs of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Throughout the inspection staff were seen to be interacting with the service users in a sensitive, caring and professional manner. Looking at the rota and talking to the staff established that there were enough staff on duty to meet the needs of the service users. Records were also seen that confirmed that pre-employment background checks were carried out on people before they started working with the vulnerable people living at the home to ensure that they were fit to do so. Talking with the staff confirmed that there are training opportunities for all of the staff ranging from the mandatory safety training to such things as National Vocational Qualifications in Care. The self assessment completed by the home showed that a significant proportion of the staff team have either completed or undertaken National Vocational Qualification training to level 2 or above in Woodlands, The DS0000030105.V363679.R01.S.doc Version 5.2 Page 17 care. Appropriate induction and foundation training was also available to staff who are new to the care industry. From talking with the staff during the inspection it was clear that they had a full understanding of the home’s equal opportunities policy and how it should be put into practice. Woodlands, The DS0000030105.V363679.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection a new manager for this home has been appointed and she has been registered with the Commission for Social Care Inspection. She also stated that she is about to finish the Registered Managers Award which is a qualification that is considered to be appropriate to someone who is managing a service such as this. Woodlands, The DS0000030105.V363679.R01.S.doc Version 5.2 Page 19 The records of the visits by senior managers appointed by the authority were seen and these showed that the provider has procedures that monitor the home’s ability to meet the needs of those living there. Records of the monthly residents meeting were seen and these contained the records of the discussions about such things as the meals that are served to the residents. As mentioned elsewhere in the report the records of any monies managed by the home on behalf of any of the residents were seen to be maintained in a robust and transparent manner. A number of other records were looked at. These were about safety tests and checks such as the weekly fire alarm tests, periodic electrical equipment tests and lift safety inspections. These showed that the tests had been carried out at the appropriate intervals by appropriately qualified people. Other records showed how various hazardous materials such as cleaning fluid should be used within the home. As stated elsewhere in this report the staff have received training in other issues around health and safety. Woodlands, The DS0000030105.V363679.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Woodlands, The DS0000030105.V363679.R01.S.doc Version 5.2 Page 21 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. 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. Refer to Standard Good Practice Recommendations Woodlands, The DS0000030105.V363679.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection West Midlands Office West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 Woodlands, The DS0000030105.V363679.R01.S.doc Version 5.2 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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