Inspection on 26/07/05 for Woodcroft

This inspection was carried out on 26th July 2005.

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 01/02/06

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 Patricia Scott Unannounced 26 July 2005 10:00 th 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. Woodcroft E56 E01 S20707 Woodcroft V241379 UI 260705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Woodcroft Address Croft Way Market Drayton Shropshire TF9 3UB 01630 657486 01630 658139 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) Coverage Care Shropshire Limited Mrs Patricia Ann Cadman Care Home (PC) 50 Category(ies) of 30 x Old age, not falling within any other registration, with number category (OP) of places 20 x Dementia (DE) Woodcroft E56 E01 S20707 Woodcroft V241379 UI 260705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th March 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 E56 E01 S20707 Woodcroft V241379 UI 260705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 26th July commencing at 10.00am. 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 (including care plans for 4 service users). 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. This inspection concentrated mainly on the dementia care provision in the home. The commission does not have any concerns with this home. What the service does well: The home provides for the needs of elderly people including those with dementia through small group living and a variety of activities. Service users were seen to be treated in a respectful and dignified way. After appropriate risk assessment, service users are not discouraged or unduly restrained from undertaking activities solely for fear that for example, they may hurt themselves. The building is used for a number of purposes as it also incorporates day care facilities. The way in which this is managed protects the privacy of service users whilst allowing the building to be used in other ways. Woodcroft E56 E01 S20707 Woodcroft V241379 UI 260705 Stage 4.doc Version 1.40 Page 6 Coverage Care provides training to a level that creates a trained and experienced staff team that is well managed. Service users living in care are often vulnerable both physically and emotionally and the manager ensures that staff are recruited with the ability to carry out personal services for people sensitively and tactfully. The recruitment of good staff is critical to the running of care homes and the manager at Woodcroft undertakes this carefully, but was reminded that staff must not commence induction before a Criminal Records Bureau check is received. Through discussions with the manager, the principles that should govern life as stated in the statement of purpose, focus on the importance of promoting service users’ independence through enabling them to make their own decisions, nurturing their individuality, keeping up with family and community contacts and seeking their opinions about the quality of life and care in the home. From this understanding comes a style of management which enables service users to make decisions for themselves, choose the way in which they spend their time, build friendships with whom they wish, and find satisfaction in living in the care home environment. The manager sets the tone and style of the home in terms of its efficiency, probity, concern for service users and staff and its relationships with the outside world. A good leader can have a major impact on the way care is delivered and the National Minimum Standards that are achieved or exceeded. Evidence at this inspection showed that Mrs Cadman has such qualities. What has improved since the last inspection? What they could do better: As there were no Regulatory requirements made at the last inspection in March 2005, this inspection focussed on the manager’s future plans and vision for improving the quality and type of service provided. This is included in the main body of the report under the managerial section. Woodcroft E56 E01 S20707 Woodcroft V241379 UI 260705 Stage 4.doc Version 1.40 Page 7 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 E56 E01 S20707 Woodcroft V241379 UI 260705 Stage 4.doc Version 1.40 Page 8 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 Woodcroft E56 E01 S20707 Woodcroft V241379 UI 260705 Stage 4.doc Version 1.40 Page 9 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) 1,3,4 The homes statement of purpose and service user guide is good providing service users and prospective users with details of the services the home provides enabling an informed decision about admission to the home. Pre-admission needs assessments are thorough ensuring that service users who move into the home are assured that their needs will be met. EVIDENCE: The statement of purpose and service users guide have been updated for 2005. The information provides details of needs assessment to be conducted prior to admission and examination of care plans on the units confirmed that this process had been carried out. Woodcroft E56 E01 S20707 Woodcroft V241379 UI 260705 Stage 4.doc Version 1.40 Page 10 The manager intends to make the respite service more tailored to the needs of service users in that they enjoy the same routine as they would at home, with more emphasis on quality assurance and service user satisfaction. In carrying out pre admission assessments on planned respite care the margin for error in meeting needs would be less than just relying on the care management referral process. Woodcroft E56 E01 S20707 Woodcroft V241379 UI 260705 Stage 4.doc Version 1.40 Page 11 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) 7,8,10 There is a clear, consistent care planning system in place to adequately provide staff with the information they need to satisfactorily meet service users needs. Personal support in this home is offered in such a way as to promote and protect service users’ dignity and privacy in their daily life. EVIDENCE: 4 care plans were case tracked, 2 on each of the dementia units. The care workers on each unit spoke about the care these people receive which mirrored the content of the plans. These staff were very knowledgeable about the client group they were caring for on this shift and approached them respectfully and spoke to them in a dignified manner. Service users in this unit showed signs of well being by their relaxed manner, being allowed by the staff members to show their emotions and being able to assert their own wishes e.g. they chose where to sit, whether they wanted the television on and at what time they got up (one service user was just getting up late morning) but had been discreetly checked upon. Care plans looked at were consistently completed and had all the useful information in them that is necessary to enable a care worker to provide the right care for that individual in a way that meets their wishes and preferences. Woodcroft E56 E01 S20707 Woodcroft V241379 UI 260705 Stage 4.doc Version 1.40 Page 12 Ascertaining such information can be difficult when an individual has dementia or mental health problems and records provide evidence of consultation with families and other supporters. The information that was read showed that individuals receive the level of care which their own situation requires. Regular monitoring and review of a service user’s condition takes place to ensure that the correct treatment and care is being given. Service users spoken to on the elderly care units stated that they were happy with their care. Woodcroft E56 E01 S20707 Woodcroft V241379 UI 260705 Stage 4.doc Version 1.40 Page 13 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) 12,13,14 Staff have an excellent understanding of the service users support and leisure needs and use this to assist them to exercise choice and control in their lives. EVIDENCE: There is no imposition of rules or routines within the home. Service users with dementia can move within the home and gardens and are not confined to their unit. Individuality is maintained as service users have their own rooms, places to withdraw to from busy active communal areas, opportunities to prepare food and drink for themselves and choice over when they get up and go to bed. Service users spoke freely of their past experiences, interests and life histories which had been mirrored in some of the activities planned. Interests include; art, extend classes, book club and indoor bowls. They had also recently been on a on a horse drawn barge trip in Llangollen. 9 service users are off on holiday to Southport soon with some who attend day care with 6 staff allocated to support them. Woodcroft E56 E01 S20707 Woodcroft V241379 UI 260705 Stage 4.doc Version 1.40 Page 14 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) 16 The home has satisfactory complaints system with evidence that service users feel that their views are listened to and acted upon. EVIDENCE: There have been no complaints since the last inspection. On the whole, all service users spoken with were very happy with life at Woodcroft. They said they knew who they could speak to if they were worried about anything. The home has received many complimentary letters. Woodcroft E56 E01 S20707 Woodcroft V241379 UI 260705 Stage 4.doc Version 1.40 Page 15 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) 19 The standard of the environment within this home is excellent providing service users with an attractive and homely place to live. EVIDENCE: A general tour of the bedrooms and communal spaces demonstrated that the home is purposely designed into small group units each with its own lounge/kitchenette/dining area and courtyard gardens. These were all in an excellent state of repair and comfortably furnished. It is easy for service users, elderly frail or those with dementia, to find their way around the building. The connecting dining room area allows for participating in the hubbub of daily life or service users can retreat to one of the quieter lounges. There are few ‘dead ends’ and most corridors lead out into a lounge area that enable service users to mix with each other if they wish to. The garden areas are safe and accessible to all. Woodcroft E56 E01 S20707 Woodcroft V241379 UI 260705 Stage 4.doc Version 1.40 Page 16 The home achieves a score of 4 for standard 19 because of the successful way in which staff and management use the design of the building for the benefit of service users. Woodcroft E56 E01 S20707 Woodcroft V241379 UI 260705 Stage 4.doc Version 1.40 Page 17 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) 27,29,30 The arrangements for the induction and training of staff are good with the staff demonstrating a clear understanding of their roles. There is a good match of well-qualified staff offering consistency of care within the home. EVIDENCE: 2 new staff were on their induction period in the home. The home demonstrated that its recruitment procedures are carried out up to a point through staff files examined. These were in excellent order with the exception of a member of staff commencing supervised induction prior to the criminal Record Bureau check being returned. The home has not been ‘scored down’ on this occasion as all other outcomes of the National Minimum Standards were either met or exceeded. This will be monitored at the next inspection. Relevant training has been provided and staff spoken with confirmed this. Staff are offered financial support, subject to approval, for individual professional development. Staff also confirmed that supervision takes place monthly. Staff observed carrying out their duties were seen to be responsive and understanding of individuals wishes and needs. There were enough care staff in numbers and skill mix to meet the needs of service users. Domestic and catering staff are employed to ensure the critical care role is not impeded. Woodcroft E56 E01 S20707 Woodcroft V241379 UI 260705 Stage 4.doc Version 1.40 Page 18 Staff observed carrying out their duties were seen to be responsive and understanding of individuals wishes and needs. Two staff members spoken with were very aware of the content of the care plans. Woodcroft E56 E01 S20707 Woodcroft V241379 UI 260705 Stage 4.doc Version 1.40 Page 19 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) 32,33,36,38 The manager has a clear development plan and vision for the home that will enhance the facilities even further. EVIDENCE: Discussions demonstrated that the manager continues to strive for excellence and find innovative ways to provided the service to the ‘community’ that is involved with the home be it service users, visitors, day care, relatives, inhouse staff and outside health care professionals, etc. The report into the conduct of the home for the month of June 2005 stated that all health and safety checks are in place and up to date, such as; fire book, water temperatures, risk assessments and shower head checks. The duty manager is the designated person qualified in first aid on each shift. Woodcroft E56 E01 S20707 Woodcroft V241379 UI 260705 Stage 4.doc Version 1.40 Page 20 The manager is keen to introduce an upgraded quality assurance and monitoring system that seeks the views of service users using the respite care service as frequently as necessary. This will enhance the ability to measure success in meeting the aims and objectives of the home for the provision of respite care services to the community. Risk assessments were seen on files re falls and behaviour management of people with dementia. The manager conducted a tour of the premises and there was no doubt that the service users knew who she was. Woodcroft E56 E01 S20707 Woodcroft V241379 UI 260705 Stage 4.doc Version 1.40 Page 21 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 3 x 3 4 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 x 10 4 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 x COMPLAINTS AND PROTECTION 4 x x x x x x x STAFFING Standard No Score 27 3 28 x 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x 4 3 x x 3 x 3 Woodcroft E56 E01 S20707 Woodcroft V241379 UI 260705 Stage 4.doc Version 1.40 Page 22 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 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. Refer to Standard Good Practice Recommendations Woodcroft E56 E01 S20707 Woodcroft V241379 UI 260705 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection 1st Floor, Chapter House South Abbey Lawn SHREWSBURY SY2 5DE 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 E56 E01 S20707 Woodcroft V241379 UI 260705 Stage 4.doc Version 1.40 Page 24 - 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!