Random inspection report
Care homes for older people
Name: Address: Woodcote Hall Woodcote Newport Shropshire TF10 9BW one star adequate service 27/01/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme 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 review a ‘key’ inspection This is a report of a random inspection of this care home A random inspection is a short, focussed review of the service Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report Lead inspector: Dawn Evans Date: 1 1 1 1 2 0 0 9 Information about the care home
Name of care home: Address: Woodcote Hall Woodcote Newport Shropshire TF10 9BW 01952691383 01952691635 woodcotehall@btconnect com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Kay Davies Type of registration: Number of places registered: Conditions of registration: Category(ies) : Select Healthcare Limited care home 56 Number of places (if applicable): Under 65 Over 65 56 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is: 56 The registered person may provide the following category of service only: Care Home with Nursing To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following category: Old Age, not falling within any other category, Code OP (56) Date of last inspection Brief description of the care home The last key inspection was carried out on 27 January 2009 Woodcote Hall is a care home for older people, which also provides nursing care for individuals with complex nursing needs due to their physical health condition The home is located in a rural setting and is not easily accessible via public transport and amenities such as shops,
Care Homes for Older People Page 2 of 8 2 7 0 1 2 0 0 9 Brief description of the care home pubs and restaurants are situated in Newport Town a short drive away The two storey property is situated within its own grounds, offering 47 seven bedrooms located on both the ground and first floor Fifty per cent of bedrooms are equipped with en suite Bathrooms and toilets are located on both the ground and first floor and are nearby to communal areas The dining room and kitchen is situated on the ground floor, having a laundry in the basement Equipment and adaptations are in place to assist people with restricted mobility Staffing is provided throughout the day and night to assist people with their care needs People do not have access to previous inspection reports Access to these reports should enable people to find out about the quality of service provided and peoples experiences of living there The fees charged for the service provided at Woodcote Hall was not made available to us The reader is advised to contact the service direct for this information Care Homes for Older People Page 3 of 8 What we found:
The focus of inspections undertaken by the Care Quality Commission is based on outcomes for people who use the service The inspection process considers the homes capacity to meet regulatory requirements, national minimum standards and aspects where the service requires further development This was an unannounced random inspection that took place over 2 5 hours commencing at 05:30 in the morning The reason for this visit was to make inquiries about concerns we have received telling us people are being woken up in the early hours of the morning against their wishes We arrived at Woodcote Hall at 5:15am, we rang the front door bell at 5:30am several times and also the homes telephone We were not given entry to the home until 5:45am Staff informed us they were attending to peoples personal care needs and did not hear the door bell or the telephone Whilst awaiting entry to the home we observed from outside the property that one person was awake, dressed and sitting at the dining table This person told us, They wake me at 06:00am When we were talking to this person it was 5:50am They said, The staff dress me and bring me downstairs I have to put up with it Im not a grouch, dont worry about me The nurse in charge told us it was this persons choice to get up early, this was also confirmed by two other staff members The nurse in charge said one person required assistance with their personal care needs in the early hours of the morning This was also confirmed by a care staff We observed this person was dressed and looked comfortable in their bed but saw the television was on and the volume was loud The light had been left on and this person was asleep These practices do not ensure people will have a restful sleep and awake when they so wish The nurse in charge said she did not realise the staff had left the television on We looked at this persons care records to find out their sleep pattern, in the Personal centred preferences, it stated, X is bed bound This does not reflect the persons choice about when they wish to awake The care plan told us, People are allowed to wake up naturally The nurse in charge told us they commence assisting people who are awake at 5:30am She told us they do not wake people up against their wishes This was also confirmed by two care staff we spoke to On entry to the home at 5:45am the nurse in charge told us six people were awake and dressed We also observed two staff members assisting a person out of their bed Care Homes for Older People Page 4 of 8 Two out of these six people required assistance with mobility and all their personal care needs These people did not have the capacity to discuss the care they receive Three people required minimal assistance and one person was able to meet their own needs One person told us I want to get up early Ive always been like that I get up on my own Staff told us this person always gets up early in the morning This means their choice is respected and supported We saw one person in their room who had been washed and dressed The nurse in charge said she went into this persons room at 05:40am and they were awake, so assisted them with their personal care needs One staff member told us this person requires assistance with their mobility and all personal care needs The nurse in charge answered the door to us at 5:45am One staff member told us it would take about 30 minutes to attend to this persons care needs in the morning This would mean this person was assisted with their personal care needs before 05:40am as stated by the nurse in charge We looked at two care plans and saw information contained were generic and not specific to peoples needs They did not provide clear information relating to peoples preference of times they wish to retire to bed and awake This means people cannot be confident that all staff will know what their preferences are We observed the ceiling within one bedroom had water damage due to a leak from the roof The registered manager told us arrangements are in place to repair the ceiling and decorate this area This should ensure the persons comfort and provide a more stimulating area to live in What the care home does well: What they could do better: 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 2 Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R 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, Regulations 2001 and the National Minimum Standards No Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 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 Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards The registered person(s) must do this within the timescales we have set No Standard Regulation Requirement Timescale for action 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 No Refer to Standard Good Practice Recommendations 1 2 7 19 To ensure care plans tell staff about peoples preference of when they wish to wake up To ensure the ceiling in the identified bedroom is repaired and redecorated, so this area is comfortable and stimulating Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000 Copies of the National Minimum Standards –Care Homes for Older People can be found at www dh gov uk or got 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 Helpline: Telephone: 03000 616161 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 © (2009) 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 Care Homes for Older People Page 8 of 8 - 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!
