CARE HOMES FOR OLDER PEOPLE
The Woodlands 176 Alcester Road Studley Warwickshire B80 7PA Lead Inspector
Deirdre Nash Unannounced 10 August 2005 16:00 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 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. The Woodlands E53 S4259 The Woodlands V244370 100805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service The Woodlands Address 176 Alcester Road Studley Warwickshire B80 7PA 01527 852815 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Dr M Crooks Mrs W L Lewis Care Home 18 Category(ies) of Old Age - (18) registration, with number of places The Woodlands E53 S4259 The Woodlands V244370 100805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: None Date of last inspection 28 June 2005 Brief Description of the Service: The Woodlands is located on the outskirts of Studley within reach of a variety of shops and other facilities. The home is situated on a bus route to Studley, Redditch and Alcester. The home was originally a care home for seven people; in 1994 it was extended and now provides personal care for 18 older people. The home is fully accessible to users throughout and has a shaft lift giving access to the first floor. Seven bedrooms have en-suite facilities and the home has two lounges and a conservatory, all of which are located on the ground floor. The home has car parking spaces to the front of the house. The Woodlands E53 S4259 The Woodlands V244370 100805 Stage 4.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The Inspector called at the home without notice. The purpose of this inspection was to check on the things that had been found to be below standard at the last inspection. The Inspector spoke to the manager, inspected the new kitchen and talked to residents and their visitors in the main lounge and watched staff going about their work. The action plan provided by the manager to put right shortfalls raised at the last inspection is also taken into account in this report. What the service does well: What has improved since the last inspection?
A new kitchen has been fitted and better procedures for cleaning it have been put in place. Unnecessary clutter has been removed from the house and side garden. Mealtimes have been better spaced apart and. privacy between residents in shared rooms has been improved. The Woodlands E53 S4259 The Woodlands V244370 100805 Stage 4.doc Version 1.40 Page 6 What they could do better: 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 Woodlands E53 S4259 The Woodlands V244370 100805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection The Woodlands E53 S4259 The Woodlands V244370 100805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 0 EVIDENCE: The Woodlands E53 S4259 The Woodlands V244370 100805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 10 The home is run to accommodate the needs of residents. Residents are treated as individuals and not as a group. EVIDENCE: The Inspector saw staff treating residents with respect and affection. Residents and relatives spoken to confirmed that residents privacy is respected by staff. Screening curtains in the shared bedrooms have been lengthened to improve privacy. The Woodlands E53 S4259 The Woodlands V244370 100805 Stage 4.doc Version 1.40 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13, 15 The manager provides a flexible and welcoming service. Residents benefit from a relaxed approach to living that recognises their individuality. EVIDENCE: The Inspector spoke to two relatives and they confirmed that they are always made welcome in the home. The manager reports that the gap between lunch and dinner has been reviewed and adjusted since the last inspection to make sure that residents meals are more evenly spaced. The Inspector saw a resident being helped to eat her food in a sensitive and dignified way. The Woodlands E53 S4259 The Woodlands V244370 100805 Stage 4.doc Version 1.40 Page 11 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 0 EVIDENCE: The Woodlands E53 S4259 The Woodlands V244370 100805 Stage 4.doc Version 1.40 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 0 EVIDENCE: The Woodlands E53 S4259 The Woodlands V244370 100805 Stage 4.doc Version 1.40 Page 13 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29 The manager makes sure that proper proofs and documentation are obtained about the staff that are taken on by the home. Residents are protected from people who are not suitable to look after them. EVIDENCE: The manager reported that full references have now been obtained for the worker identified at the last inspection. The Woodlands E53 S4259 The Woodlands V244370 100805 Stage 4.doc Version 1.40 Page 14 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33 38 The manager has procedures in place to identify any hazards that may develop around the home. The health and safety of residents and staff is reasonably protected. EVIDENCE: The manager of the home is registered with the Commission for Social Care Inspection and has acted swiftly to comply with requirements and recommendations made for improvements at the last inspection. The profile of the staff team shows that the home owners and manager have a commitment to equal opportunities in employment. The manager has sent to the Commission a report of the results of a quality survey undertaken this year. The Woodlands E53 S4259 The Woodlands V244370 100805 Stage 4.doc Version 1.40 Page 15 The kitchen has been re designed and refitted since the last inspection, residents can continue to go in and out. Two residents spoken to said that they liked the new kitchen, another resident said that she had no intention of going into the kitchen because she had moved into the home for a rest. The home now has written procedures for looking after the house birds and the chickens to keep the residents safe. Clutter has been moved out of the house and side garden. There are still some radiators to be covered. The manager reports that the covers are on order. The Woodlands E53 S4259 The Woodlands V244370 100805 Stage 4.doc Version 1.40 Page 16 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 x 15 3
COMPLAINTS AND PROTECTION x x x x x x 2 x STAFFING Standard No Score 27 x 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x 3 x x x x x x 3 The Woodlands E53 S4259 The Woodlands V244370 100805 Stage 4.doc Version 1.40 Page 17 yes 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. 1. Standard OP25 Regulation 13 Requirement The registered person must ensure that all remaining radiators are safely covered (part met 30/04/05 and 15/08/05) Timescale for action 1st October 2005 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 OP19 Good Practice Recommendations That the widow frames on the lean to are repainted. The Woodlands E53 S4259 The Woodlands V244370 100805 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection Imperial Court Holly Walk Leamington Spa, Warwickshire CV32 4YB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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