Inspection on 01/02/06 for Woodcroft

This inspection was carried out on 1st February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Woodcroft 23/01/07

Woodcroft 26/07/05

Woodcroft 30/03/05

Woodcroft 30/06/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Woodcroft Croft Way Market Drayton Shropshire TF9 3UB Lead Inspector Pat Scott Unannounced Inspection 1st February 2006 09:45 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 Woodcroft DS0000020707.V268713.R01.S.doc Version 5.1 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. Woodcroft DS0000020707.V268713.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Woodcroft Address Croft Way Market Drayton Shropshire TF9 3UB 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) 01630 657486 01630 658139 Coverage Care Shropshire Limited Mrs Patricia Ann Cadman Care Home 50 Category(ies) of Dementia (20), Old age, not falling within any registration, with number other category (30) of places Woodcroft DS0000020707.V268713.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th July 2005 Brief Description of the Service: Woodcroft is a purpose built home, situated in a newly built residential area within the town of Market Drayton. It provides residential care for 50 older people, 20 of those with Alzheimer related illnesses. The home presents itself as a large modern open plan building with large well maintained gardens and which has been decorated to a high standard without detracting from the practicalities of providing specialist equipment, wide door ways etc. In addition to the above, the home also has a day care facility for people living in the local community and offers a hot meal delivery service to older people living in the local community. There is a group of volunteers at Woodcroft called the Friends of Woodcroft who organise various events and parties throughout the year for the home. There are five separate units within the home, each offering accommodation for up to ten people. All service users have single bedrooms and can decorate them with their personal belongings and to their individual taste. Woodcroft DS0000020707.V268713.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 1st February 2006 commencing at 09.45 hrs for the duration of one and a half hours by one inspector. The National Minimum Standards for Care Homes for Older People focus on achievable outcomes for service users – that is the impact on the individual of the facilities and services of the home. Evidence was looked for that the standards were being met and a good quality of life enjoyed by service users through: • Discussions with service users, families and friends, staff and managers. • Observation of daily life in the home • Scrutiny of written records. The statement of purpose was used to assess how far the home’s claims to be able to meet service user requirements and expectations were being fulfilled. Reports regarding an overview of the conduct of the home are sent to CSCI on a monthly basis by the Head of Operations for Coverage Care. These, as well as the risk assessment from the last inspection were taken into account to determine the core standards focused on and depth of inspection. The Commission does not currently have any concerns regarding this home. What the service does well: What has improved since the last inspection? There were no requirements from the last inspection on 26.7.05. Woodcroft DS0000020707.V268713.R01.S.doc Version 5.1 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. Woodcroft DS0000020707.V268713.R01.S.doc Version 5.1 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 Woodcroft DS0000020707.V268713.R01.S.doc Version 5.1 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 the following standard(s): These standards were not assessed at this inspection. EVIDENCE: Woodcroft DS0000020707.V268713.R01.S.doc Version 5.1 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 the following standard(s): 9 The medication at this home is well managed promoting good health. EVIDENCE: Medicines are kept safely with full records of their receipt, administration and disposal. Wherever possible and depending on their capabilities, service users are enabled to take responsibility for their own medicines. One service user who does this for herself had appropriate storage provided, had signed a disclaimer and also had signed receipts for her medication. The direction to staff that she self medicates is written on the administration (MAR) chart. Reviews of medication are conducted by the GP on a regular basis, usually annually, and it is recommended that this would be a suitable time to update signed disclaimers for those who self-medicate. The home does not stock any non-prescribed remedies other than mild analgesia. Spot checks are undertaken on a periodic basis for all staff. Accredited training continues to be provided. The inability/refusal of service users to take their medication was discussed with the manager who stated that all areas are discussed with the GP and families/supporters and in some cases medication may be administered via the diet of that individual with agreement from all parties as per Coverage Care’s Woodcroft DS0000020707.V268713.R01.S.doc Version 5.1 Page 10 medication policies. This is recorded in the care plans with the informed consent of the individual or that of their GP and representative. However, it is strongly recommended that if this method is in the service users ‘best interests’ that this agreement is formally reviewed and authorised to avoid possible allegations of covert medication. Woodcroft DS0000020707.V268713.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15 Dietary needs of service users are well catered for with a balanced and varied selection of food available that meets service users tastes and choices. EVIDENCE: Menus seen demonstrate that the food provided is nutritious, well balanced and appealing. Service users have three choices and confirmed that staff ask them what they would like each day, usually after breakfast. Those spoken with said that the food was very nice and well cooked. A visit to the kitchen showed that the handling, storage, preparation and serving of food comply with the requirements of the Environmental Health Officer who last visited December 2004. The Chef is long serving and strives to achieve excellence within his role and responsibilities within the care home team. The staff have achieved the healthy eating gold award. Woodcroft DS0000020707.V268713.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 18 Staff are provided with induction and on-going training regarding adult protection. This provides staff with the relevant knowledge to safeguard service users from many types of abuse. EVIDENCE: Staff training portfolios showed that regular training/discussion is provided on the subject of abuse. Staff confirmed that information on this topic is provided. All care managers receive external training on adult protection who then cascade it down to the rest of the staff team. The topic is also discussed at staff meetings. Woodcroft DS0000020707.V268713.R01.S.doc Version 5.1 Page 13 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 the following standard(s): 26 The laundry is very well organised ensuring that service users clothes and bed linen are always clean and fresh. EVIDENCE: Laundry equipment is in place to meet the standards. Service users confirmed that their clothes are well laundered. Sluice rooms provided are situated away from areas used by service users. A hand-wash basin has not been installed in the laundry room and the organisation has given an undertaking to do so. The home was low on support workers due to sickness but this had not had a detrimental impact on the cleanliness of the home. The staff member on duty confirmed that training relevant to her job role had been provided e.g. COSHH, fire, privacy and dignity. Woodcroft DS0000020707.V268713.R01.S.doc Version 5.1 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed at this inspection EVIDENCE: Woodcroft DS0000020707.V268713.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,35 The manager is experienced and competent and management systems and practices ensure that the home is well run for the benefit of the residents. Service users personal monies are well managed so that their financial interests are safeguarded. EVIDENCE: Discussions demonstrated that the manager continues to strive for excellence and find innovative ways to provide the service to the ‘community’ that is involved with the home be it service users, visitors, relatives, in-house staff and outside health care professionals, etc. A service user commented during the inspection that they looked positively to the days ahead and had no complaints but would know who to talk to if they needed to. The manager was seen around the home talking to service users and was receptive to opinions that they had. Woodcroft DS0000020707.V268713.R01.S.doc Version 5.1 Page 16 The system for keeping and recording service users’ personal allowances was examined. Accurate records are kept with the money of one reconciling with the balance. Woodcroft DS0000020707.V268713.R01.S.doc Version 5.1 Page 17 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 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X X X 3 X X X Woodcroft DS0000020707.V268713.R01.S.doc Version 5.1 Page 18 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. 1 2 Refer to Standard OP9 OP9 Good Practice Recommendations To obtain signed authorisation from the GP when administering medication in food. To update signed disclaimers for those who self-medicate on a regular basis. Woodcroft DS0000020707.V268713.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Wolverhampton Area Office 2nd Floor St. Davids Court Union Street Wolverhampton WV1 3JE National Enquiry Line: 0845 015 0120 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 Woodcroft DS0000020707.V268713.R01.S.doc Version 5.1 Page 20 - 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. 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