Inspection on 03/12/09 for Woodcote Grove Road (100)

This is the latest available inspection report for this service, carried out on 3rd December 2009.

CQC found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Woodcote Grove Road (100) 18/02/08

Woodcote Grove Road (100) 08/05/06

Woodcote Grove Road (100) 12/12/05

Woodcote Grove Road (100) 06/09/05

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

Extracts from inspection reports are licensed from CQC, this page was updated on 17/02/2010.

Key inspection report Care homes for adults (18-65 years) Name: Address: Woodcote Grove Road (100) 100 Woodcote Grove Road Coulsdon Surrey CR5 2AF The quality rating for this care home is: one star adequate service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Janet Pitt Date: 0 3 1 2 2 0 0 9 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should:  Be safe  Have the right outcomes, including clinical outcomes  Be a good experience for the people that use it  Help prevent illness, and promote healthy, independent living  Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home:  3 stars – excellent  2 stars – good  1 star – adequate  0 star – poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Care Homes for Adults (18-65 years) Page 2 of 33 Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by:  Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice  Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983  Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services.  Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2010) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 33 Information about the care home Name of care home: Address: Woodcote Grove Road (100) 100 Woodcote Grove Road Coulsdon Surrey CR5 2AF 02087634256 02087634257 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : CareTech Community Services (No.2) Ltd care home 8 Number of places (if applicable): Under 65 Over 65 8 0 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 8 The registered person may provide the following category of service only: Care Home Only (CRH - PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 33 A bit about the care home Woodcote Grove Road 100 was registered in October 2003. The home offers eight single bedrooms; two of which are in flatlets in the home, there are two bedrooms with en-suite bathrooms. There are two bathrooms with toilets upstairs and one bathroom with a toilet downstairs. The home is registered to provide support to eight people with learning disabilities. Care Homes for Adults (18-65 years) Page 5 of 33 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: one star adequate service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 6 of 33 How we did our inspection: This is what the inspector did when they were at the care home The quality rating for this service is one star. This means that people who live in the home received adequate quality outcomes. One inspector undertook this unannounced inspection. A site visit was made that lasted two and three quarter hours. During the site visit we looked at care records, medication records and were able to talk with the people that live at Woodcote. We looked around the premises. The home provided us with their Annual Quality Assurance Assessment [AQAA]. Information from this was used to inform this report. We also looked at notifications we have received from the home and other information that we hold or have been told about by other agencies, such as care managers. Care Homes for Adults (18-65 years) Page 7 of 33 What the care home does well What has got better from the last inspection Improvements to the service since the previous inspection include redecoration of the dining room and a new shed in the garden. No requirements were made at the previous inspection. Care Homes for Adults (18-65 years) Page 8 of 33 What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Janet Pitt 4th Floor Caledonia House 223 Pentonville Road London N1 9NG 02072390330 Care Homes for Adults (18-65 years) Page 9 of 33 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line - 0870 240 7535. Care Homes for Adults (18-65 years) Page 10 of 33 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 11 of 33 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confident that their needs will be assessed to make sure the home is able to care for them. Individuals are involved in their assessment of need. They are able to positively contribute toward this process. Evidence: The home states in its AQAA: Service users are offered a transition programme which is set over short visits to the home which include staying for meals and leading up to an overnight stay.and The service user guide has been developed in an easy read format with photos of the house, bedrooms and other communal rooms. All service users are involved in an assessment of their needs before they are offered transitional visits and ultimately a placement. Since the previous inspection there have been no new admissions to the home, but the manager confirmed that trial visits and stays would be offered as stated in the AQAA. We were also told that the service user guide will be available in a shortened form. This Care Homes for Adults (18-65 years) Page 12 of 33 Evidence: will contain relevant information such as how to make a complaint and contact details of other agencies. During the site visit we were able to meet with all of the people that live at Woodcote. We saw that there were good interactions with staff members and individuals. Some people were sitting in the main lounge chatting with a couple of members of staff about what they wanted to do that day. We looked at the assessments done when people moved into the home. We found that they were written in the first person. The assessments had information on keeping health, communication and things that were important to the individual. These included contact with friends and relatives, daily routines and religion an cultural needs. We saw that care had been taken to make sure the documents were written in a way that people could understand. For example: I choose to talk in English and I find picture and photographs along with written word really helpful. Individuals had been consistently involved in the assessment process and when able had signed their name to show this. Care Homes for Adults (18-65 years) Page 13 of 33 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples plans evidence that individual needs and choices are central to the meeting of needs. Plans are written from the individuals point of view and specify what the person considers they need support with. There are no restrictions on an individuals liberty and people are able to take risks if they want. Evidence: The homes AQAA told us: All service users have a comprehensive support plan which is developed with the service user and covers all aspects of how they wish to be supported. This is supported with a developing health care plan tailored to meet individual need. When we looked at the plans we found that they were written from the individuals point of view. There were good details on how a person wanted to be supported. For example: I need staff to remind me to brush my teeth. and I can chose the clothes I want to wear. We were able to see that individuals are involved in the process. Care Homes for Adults (18-65 years) Page 14 of 33 Evidence: The AQAA also said that: Service users are supported and encouraged to access community opticians and dentists on a regular basis. Woodcote retains good relations with the GP services with regular medication reviews occurring. Woodcote supports service users to utilise the local services available to them and maintains contact with specialists such as Speech and Language Therapists, behaviour therapist, epilepsy specialist. We saw that the plans contained details of other health professionals who assist in making sure needs are met. These included the mental health team, consultants, care managers and psychologists. When needed people had a programme in place to manage challenging behaviours and detailed appropriate levels of physical intervention that might be needed. Examples of this included the use of blocking techniques prior to restraint being used. The manager told us that they had recently received training on the Mental Capacity Act and would be undertaking Deprivation of Liberty training in the near future. She confirmed that this training will be rolled out to all staff members. We do not have any concerns that individual who live in Woodcote are being unnecessarily restricted. The AQAA stated that: We have met with each individual service user and discussed with them their individual support plans and embraced the preferred methods of support. This was confirmed when we looked at peoples plans. The home told us that: Service users are actively involved in the compiling of the weekly menu and inform staff of their choice of meals to ensure preferences are catered for. Service users likes and dislikes are updated to suit the service users needs. We found evidence of personal likes and dislikes. Examples included: time on own, meals, activities preferred. Entries such as I love spending time with my dad,I love some time to myself.and I do not enjoy housework but I have to do this. were seen in plans. We saw that risk assessments were in place for activities such as travelling on public transport cars and shopping, according to the persons preferences. The risk assessments evidence that people are able to make informed choices about any risk they may take in their daily lives. Each persons keyworker spends time with them regularly to assess progress made and to plan for any change in need that may happen. Care Homes for Adults (18-65 years) Page 15 of 33 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individuals are supported to develop and maintain hobbies and interests. Emphasis is placed on contact with significant others. There is flexibility around what a person wishes to do. People are involved in food shopping and the preparation of meals. Evidence: The home told us in their AQAA that: Service users are supported to partake in a range of locally accessed activities and include bowling, cinema, pottery, swimming, picnics, college meals out. Woodcote ensures flexibility to accommodate the persons wishes on the day where possible. Whilst we were on the site visit staff took two people to the local shop to buy some personal items and sweets. We found that individuals life stories had been documented and included information on hobbies such as riding and their previous education. One person has a designated shopping day as part of their plan, to help them learn how to budget. It had been recorded that the person was aware of this and the reasons why. Care Homes for Adults (18-65 years) Page 16 of 33 Evidence: The AQAA also said: Family contact is encouraged and supported via home visits, telephone contact, anniversary recognition and with visits to the service. One particular [person] frequently enjoys trips out with [their] parents. Where transportation from Woodcote is required, the use of the homes vehicle is available for use. Service users are encouraged to use public transport to include bus, train and tram. Appropriate risk assessments were found to be in placed, with guidance on the number of staff needed to accompany people. Peoples hobbies and interests were listed in their plans, eg swimming, reading, puzzles and listening to music. We saw that individuals had CDs and DVDs of their own choice in their personal space. Places that individuals wished to visit or go for a holiday had been recorded. There was information on how plans to achieve these outings were progressing. During the site visit staff informed us that one person prefers not to go out into the community, but will go into the garden when they want to. The individual concerned confirmed this. Another person was getting ready to visit a relative later in the day. They showed us their new outfit that had recently been bought. The individual was excited about meeting their relative and staff had to gently intervene when the individual wanted to get changed too early. Daily records showed What I have planned and done this month. The manager told us that they plan to use more pictures to indicate what a person has done, so individual can be involved more in completing the daily records. The AQAA also told us that: All service users are registered to vote and can undertake this if they wish to do so. People who live in the home are supported to assist in meal preparation. One persons plan evidenced involvement in shopping for food and making snacks and beverages. Individuals we spoke to did not raise any concerns about meals and said they enjoyed the meals. Care Homes for Adults (18-65 years) Page 17 of 33 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confident that there personal and healthcare support needs will be met in a way that respects them as a person and protects their dignity. Independence is promoted within a risk assessed framework. Evidence: The AQAA told us: Support in terms of personal care, social support and health care needs will be clearly identified and worked through in the body of the plan. Woodcote, with the inclusion of the individuals have developed the My Healthy Plans which is a developing document to ensure the needs of the individuals are met. We found that plans identified when an individual needed support and how to carry out care safely. For example one person preferred to have a bath in the morning, but at times could become impatient if they needed to wait for staff. Their plan stated: I am aware that I have epilepsy and most of the time I will wait for a member of staff, but at times I will put myself into the bath when I get agitated. This helps to make sure that all staff are aware of this persons individual needs and what behaviours may be exhibited. The home told us: All personal and health care support is maintained with privacy and dignity with the service users being encouraged to be as independent as possible within these areas. We found evidence of routine health checks and what support is needed. Care Homes for Adults (18-65 years) Page 18 of 33 Evidence: Each plan had a section on Keeping Healthy and How to Support Me. This area included detail on what an individual is able to do for themselves and which aspects of their care that they needed assistance. Medications are appropriately handled and administered. People are encouraged to self medicate: We have two service users who have the use of medication retaining cabinets in their flats to support this person centred approach. The manager told us that all staff have attended comprehensive medication training at a local college. Medication records detailed when to give and how often the medicine was needed. The home acknowledges in its AQAA that improvements could be made: Discuss and give feedback to service users about their appointments and evidence this during My Times. and they plan to: Continue to increase service users Independence in all areas of their personal and healthcare needs. End of life wishes had been documented where the individual had agreed to discuss this. There were good details on what the person wanted, for example: I wish to be cremated. I would like a simple, fun and up beat service to celebrate my life. I would like just the Lords Prayer. I wish to have lots of flowers at my funeral. I have savings in my bank that can be used for the funeral expenses. Care Homes for Adults (18-65 years) Page 19 of 33 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home that makes sure that any concerns or complaints will be looked at properly. Staff are aware of what to do if they have any allegations of abuse and training is provided to make sure that they are aware of current guidance. Evidence: People we spoke with, during the site visit, did not raise any concerns and felt they were able to approach staff if they had any issues. The AQAA tells us that; Service users at Woodcote have a clear and effective easy read version of the organisational complaints procedure which can be referred to at any time. Service users have continual opportunity to talk to staff to raise any concerns that they may have. ....the area manager visits regularly and provides each individual with the opportunity for private and confidential discussion. The home have received five complaints in the past twelve months, three of which were upheld. The majority had been resolved within the twenty-eight day guidance stated in the homes policy. Action had been taken when necessary. We have not received any concerns or complaints directly about the home. There have been no new members of staff recruited since the previous inspection, therefore staff files were not examined. However, we can be assured that necessary checks will be made before a new member of staff is employed. The homes AQAA states Care Homes for Adults (18-65 years) Page 20 of 33 Evidence: that: All staff undergo vigorous identity and security checks before being offered a position within the home. These include CRB and POVA checking. The home have had two safeguarding investigations since the previous inspection. At the time of writing this report a third alert was made directly to us by the area manager. Issues relating to financial misappropriation are being investigated by the appropriate authorities and staff members have been suspended pending the outcome. The home acknowledges that improvements could be made in Safeguarding: Update training and awareness regarding safe guarding of vulnerable adults. Plans are in place to continue refresher training. Care Homes for Adults (18-65 years) Page 21 of 33 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home that is generally clean and hygiene. However, delays in routine maintenance and replacing equipment means that individuals cannot be confident that their safety and comfort is maintained. Evidence: The AQAA told us that: The service is split to accommodate two self contained flats. All bedrooms and flats are personalised to individual taste. All bedrooms and flats cater for single occupancy. Two of the bedrooms provide en suite facilities. Service users are encouraged to be involved in the choosing of colour schemes in the home. recent redecoration that has and is to take place was with the service users involvement. The home conducts a monthly health and safety audit and maintenance audit, both of which are actioned via the maintenance department. Maintenance requests are updated each month and show which work has been completed. The home acknowledges that improvements are needed: repainting of the window frames and painting the front facade of the home. Redecoration and re carpeting in some areas of the home. Develop the grounds to provide more vibrancy through smell, colour and texture. Care Homes for Adults (18-65 years) Page 22 of 33 Evidence: The current plans for improvement included: replacement dining room floor to be requested. Lounge to be painted. During the site visit we were able to look around the home. The two people who live in the flats kindly showed us their accommodation. The majority of the home was warm and clean, with no offensive odours. However, in one bedroom there was a smell of urine. This was found to be coming from the mattress. It was stressed to the manager and area manager that suitable equipment must be purchased to prevent this occurring and a hospital standard mattress was needed. We were told that staff decorated the dining room with help of residents. There are plans to choose pictures and furniture to further enhance dining room. We are concerned that maintainers and refurbishment of the home has not been completed in line with the services own improvement plan. We found that all metal windows in the home need to be replaced as soon as possible. We were not able to fully close the windows and there was evidence of water damage to the window sills. Carpeting in some areas of the home requires urgent replacement, as it is stained and dirty. There have been ongoing issues with the heating system in the home for the past twelve months. During the site visit we heard the pipes making a noise. This was discussed with the manager and area manager and it was agreed that the cause needs to be investigated. The sound was coming from under the floorboards and seemed to be pipes knocking against each other. Damp was found in one of the en suite bathrooms. Also, a suitable bath hoist was needed for this room. The individual who resides in the room prefers a bath, but staff reported that once in the bath the person will take themselves off the bath chair, as it is uncomfortable. This results in making it difficult for the person to get out of the bath. Windows were noted to be damaged in the bathrooms and also in the upstairs flat. The two people who have flats have entry pads on their doors that need a code to enter. We saw that flat consist of a kitchen, sitting room, bathroom and bedroom. All rooms that we saw had been personalised and were comfortable. The homes windows have been painted on the outside. However, handles on some Care Homes for Adults (18-65 years) Page 23 of 33 Evidence: windows were broken inside, therefore these windows could not be used. The above issues have been highlighted by manager and in Regulation 26 reports, but no action has been taken. We were able to discuss with the area manager the importance of maintaining the fabric of building and making sure repairs and new equipment are done/ordered as a priority. We expect the necessary work to be completed. If requirements are not met, then enforcement action will be taken without further notice. Care Homes for Adults (18-65 years) Page 24 of 33 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by a suitable number of trained and competent staff. Care is taken to make sure the duty rota allows for differing numbers of staff throughout the day to make sure peoples needs are met. Evidence: The AQAA states: The staff team at Woodcote are of mixed age, culture and gender which suits the age range, gender and cultural diversity of the service users. We conduct staff meetings and use this forum to encourage discussion on ways to improve the service. We discuss any issues concerning service users to promote awareness and consistency of approach within the team. Supervision is conducted which provides a forum to discuss and monitor the training needs, performance, achievements an attitude of the person. Areas identified for improvement were: Have more specialised training in order to support each individual more. Ensure supervision and appraisals are conducted in a timely manner and with a set agenda. During our site visit the manager reported that no new staff have been recruited staff since the previous inspection. We found that there were sufficient numbers of staff on duty to meet peoples needs and allow for flexibility. Care Homes for Adults (18-65 years) Page 25 of 33 Evidence: The training matrix inspected showed that training given or planned included: 1st Aid, Safeguarding, food hygiene, challenging behaviour,moving and handling, sex and sexuality, risk assessments, bereavement and loss, and medication. Staff did not raise any issues during discussions we had with them about training provision. As previously mentioned the home have not recruited any new staff members. However, evidence from previous inspection indicated that there are suitable procedures in place. Care Homes for Adults (18-65 years) Page 26 of 33 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People need to be confident that their monies will be handled appropriately. Individuals are able to have a say in how the home is run. Lack of action in respect to making sure that home is safely maintained puts people at risk of harm. Evidence: The home told us in its AQAA: Woodcote is working to ensure an open, positive and inclusive approach is taken in all things at all times. Caretech employ their own quality and performance team who undertake unannounced audits of the service. Following these visits, a development and action plan is devised as a means of monitoring progress to improve the service. Areas for improvement include: Standardisation of the service to support all departments and particularly the service users with their support needs. negotiate local authority training. Introduce service user meetings. We found the manager to be proactive and inclusive in the running of the home. They were able to identify where improvements were needed and the AQAA clearly showed us Care Homes for Adults (18-65 years) Page 27 of 33 Evidence: how the service is currently performing. The manager was currently in the process of registering with us. We are concerned that the company which runs and owns the home are not proactive in making sure that premises and equipment meet the needs of the people that live in Woodcote. As previously mentioned concerns have been raised regarding handling of individuals personal monies. Whilst the investigation is ongoing a weekly auditing of peoples personal monies are being carried out by the company that owns the home. New books to record income and expenditure have been purchased and staff must check that all amounts tally at end of shift. People were seen talking openly with members of staff and the manager. We were able to discuss our concerns about the lack of action taken about maintenance of the home, with the area manager. Polices and procedures relating to the running of the home have all been reviewed during 2009. There was evidence in the AQAA of gas checks and electrical checks being carried out. No new health and safety issues were identified during the site visit. Care Homes for Adults (18-65 years) Page 28 of 33 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 29 of 33 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action 1 24 23 All carpeting in the home must be checked for wear and tear and replaced if needed. 30/03/2010 This will make sure that people live in a safe maintained environment. 2 24 23 The heating system must be properly checked and free from unnecessary noise. 30/04/2010 This will make sure that people live in a maintianed and comfortable environemnt. 3 24 23 All windows in the home 30/06/2010 must operate fully. Checks of all windows must be made and any that are not functioning adequately require replacement. Care Homes for Adults (18-65 years) Page 30 of 33 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action This will make sure that individuals are able to make choices about whether to open or close windows and not suffer any undue discomfort. 4 27 16 All matresses in the home must be suitable for use. 01/03/2010 This will make sure that individuals are not placed at risk of harm from unsuitable equipement. 5 29 16 Appropriate equipment must 01/03/2010 be purchased and installed. This will make sure that people are able to maintian their independent living skills. 6 37 11 The company that owns the 30/03/2010 home must make sure that the premises are maintained and safe. Maintenance requests need to be actioned in a timely manner. This will make sure that people are protected from harm. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. Care Homes for Adults (18-65 years) Page 31 of 33 No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 32 of 33 Helpline: Telephone: 03000 616161 or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2010) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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