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Inspection on 30/09/08 for Woodcrofts

Also see our care home review for Woodcrofts for more information

This inspection was carried out on 30th September 2008.

CSCI found this care home to be providing an Good service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Medicines are stored and handled well in the majority of cases.

What the care home could do better:

Records of the "audit trail" of medicines received, given and disposed of could be improved. They should show that every dose of medicine is accounted for and residents` health is protected. Staff that handle medicines must be able to do all the aspects of medicine management. This will ensure that essential records are not missed due to a shortage of trained staff.

Inspecting for better lives Random inspection report Care homes for adults (18-65 years) Name: Address: Woodcrofts 164 Warrington Road Widnes Cheshire WA8 0AT The quality rating for this care home is: The rating was made on: two star good service 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Elaine Bray Date: 3 0 0 9 2 0 0 8 Information about the care home Name of care home: Address: Woodcrofts 164 Warrington Road Widnes Cheshire WA8 0AT 01514245347 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Terence Lyons Type of registration: Number of places registered: Woodcrofts Residential Homes Limited. care home 21 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia 21 Over 65 0 Conditions of registration: The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Mental Disorder, excluding learning disability or dementia - Code MD The maximum number of service users who can be accommodated is: 21 Date of last inspection Brief description of the care home Woodcrofts is a privately owned two-storey care home providing accommodation to 21 adults with mental health needs. Three members of the family, one of which lives on the premises, share the day-to-day management responsibilities. The home is located approximately three-quarters of a mile from Widnes town centre and is close to a Care Homes for Adults (18-65 years) Page 2 of 7 church, shops and other community facilities. There are adequate car parking facilities available adjacent to the home. Residents accommodation consists of seventeen single and two double bedrooms [used as single accommodation]. There are a variety of communal facilities available. These include three lounges, one of which is the designated smoking area and a dining room. Woodcrofts has an adequate number of toilets and bathrooms available for residents. The current fees for the home are 360 pounds per week. Further details regarding fees are available from the proprietor. Care Homes for Adults (18-65 years) Page 3 of 7 What we found: This inspection was carried out as part of a programme of random inspections to see if medicines were handled safely. The visit took about one and a half hours and involved looking at residents medicines and medicine records and speaking with the manager and two residents. We found that the majority of residents medicines were managed to a satisfactory standard, so protecting their health. There were a few aspects of medicine management that need improving. We looked at how medicines were stored and found them secure. This makes sure that unauthorised people cannot get to the medicines. We looked at how medicines were given. The record sheets showed the morning medicines to be given at 8:30am. By 10:30am six residents had not had their medicines. The manager said that some residents chose to get up later. The residents in the dining room said that they sometimes had to wait for their medicines if staff were busy. There was an instance of a medicine being recorded given but the dose remained in the pack. It is important to give residents their medicines at the time they are needed to keep medicine levels in the bloodstream at the correct level. We looked at how medicines were recorded. The current months medicines had not been recorded received as the manager said he had been too busy. He said that some staff were trained to give medicines but not to receive them. One resident was recorded as having a medicine that was only prescribed at night, twice daily for six days. The manager said this was a recording error as there was no supply to be given in the mornings. It is important to keep the audit trail of medicines complete and accurate to account for every dose of medicine and show that residents have had their medicines safely. Poor record keeping may put residents health at risk from harm. 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 Adults (18-65 years) Page 4 of 7 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action 1 34 19 A thorough recruitment procedure that fully protects the people receiving a service must be implemented. [Timescale of 07/09/06 not met]. 12/10/2007 Care Homes for Adults (18-65 years) Page 5 of 7 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, 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 Requirement Timescale for action 1 20 13 Clear and accurate records of 31/10/2008 medicines received into, administered and disposed of by the home must be maintained. So that medicines can be fully acounted for to show that they are being given correctly and to prevent mishandling. 2 20 13 Staff that handle medicines must be trained to manage all aspects of medicine management. So that records are not missed due to a shortage of trained staff 31/10/2008 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 Care Homes for Adults (18-65 years) Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI 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 Adults (18-65 years) 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: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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 © (2008) Commission for Social Care Inspection (CSCI). 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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