Inspection on 21/07/05 for Woodfield Court Residential Home

This inspection was carried out on 21st July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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

Woodfield Court Residential Home 05/03/07

Woodfield Court Residential Home 28/02/05

Woodfield Court Residential Home 11/08/04

Woodfield Court Residential Home 16/02/04

Woodfield Court Residential Home 24/10/02

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Woodfield Court Residential Home Temple Road Stowmarket Suffolk IP14 4AT Lead Inspector Joe Staines Unannounced 21st July 2005 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. Woodfield Court Residential Home I54-I04 S24532 Woodfield Court V240717 050721 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Woodfields Court Residential Home Address Temple Road Stowmarket Suffolk IP14 4AT 01449 614114 01449 614114 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) Stowcare Ltd Miss Stephanie Cross Care Home 29 Category(ies) of Old Age (29) registration, with number of places Woodfield Court Residential Home I54-I04 S24532 Woodfield Court V240717 050721 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 28th February 2005 Brief Description of the Service: Woodfield Court is a 29-bedded care home for Older People, wholly owned by Stowcare Ltd. Simon Gibb, General Manager of Stowcare Ltd is actively involved in the daily running of this home. Mrs Gibbs, a Director of the Company, and State Registered Nurse, also contributes actively to the home. The original building was substantially renovated and extended before opening as Woodfield Court in 1995. Two additional rooms were added in 2003. All rooms are single rooms with en-suite toilet facilities. There are two lounges, one large, one small, and two dining rooms. Externally, the home is equipped with a large garden, and a level path surrounding the building.The Home can provide for residents who have physical disabilities and medical conditions arising from the ageing process. The Home does not provide nursing care.A comprehensive Residents’ Information Pack is given to all new admissions and there is a one-month trial period to assess that the Home is appropriate and suitable for each resident. Woodfield Court Residential Home I54-I04 S24532 Woodfield Court V240717 050721 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was undertaken by Joe Staines and Tina Burns, Regulation Inspectors. Stephanie Cross (Registered Manager) and Simon Gibb (General manager) were present throughout, and informed the inspection process in an open and positive manner. The inspection focussed on issues identified at previous inspections, and the inspection of a number of standards, identified by The Commission for Social Care Inspection as key standards, which must be assessed at least once over a twelve month period. The inspectors looked at a total of 4 service users files, and spoke with 4 service users as part of the inspection, some in their rooms, and some during the course of the day in communal areas. Staff files, and policies and procedures were examined. A visiting health care professional was interviewed, with positive comments made about the home. The inspection took place between 10am and 4pm. What the service does well: What has improved since the last inspection? The home has responded positively to the requirement made following the last inspection, and provided senior staff with adult protection training. The results of the service user survey have been completed, giving the home information about what it is doing well, and what areas they need to improve upon. Woodfield Court Residential Home I54-I04 S24532 Woodfield Court V240717 050721 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. Woodfield Court Residential Home I54-I04 S24532 Woodfield Court V240717 050721 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 Woodfield Court Residential Home I54-I04 S24532 Woodfield Court V240717 050721 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) 1 & 3 Prospective service users have access to information about the home, and the services it provides. However, it should be enhanced by including service users views, and must include the range of fees charged by the home. Prospective service users have their needs assessed by a person trained to do so, in relation to the areas identified by the National Minimum Standards. EVIDENCE: The home has a Statement of Purpose last updated in October 2004. The content is summarised in the home’s Service User Guide which is produced for residents in the form of a brochure. Residents spoken to during the inspection had copies in their rooms and confirmed that they were given to them prior to or on admission; there was also a copy in the entrance hall. The Service User Guide is informative but needs some additions. It did not contain the outcome of the survey completed regarding Residents views, or state the range of fees. Woodfield Court Residential Home I54-I04 S24532 Woodfield Court V240717 050721 Stage 4.doc Version 1.40 Page 9 Pre admission assessments were seen in respect of the service users files examined. All of the assessments seen contained detailed information about the needs of individual service users as identified in the National Minimum Standards. Woodfield Court Residential Home I54-I04 S24532 Woodfield Court V240717 050721 Stage 4.doc Version 1.40 Page 10 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 The needs of residents in relation to social and leisure interests were not consistently met. The home maintains good records of, and in practice meets the health care needs of residents, and has a number of policies and procedures, which highlight the importance of treating residents with dignity and respect. These issues are also included in the home’s training provision. EVIDENCE: Whilst service users needs and preferences regarding social and leisure interests were recorded in pre admission assessments, the care plans of the same service users did not include reference to these and had not been ascertained by the home’s hobbies therapist. Individual service user’s files contained information about the needs of each person in terms of health care and medication. Medical appointments were booked in the home’s central diary. The home’s computerised service user’s records included a section that could be separated from others, which identified all the medical and healthcare appointments made in respect of each service user. The service users spoken to as part of the inspection all stated that their healthcare needs were met by the home, both in terms of the tasks undertaken by the home, and the procedures for getting healthcare professionals to visit, should service users needs require this. A visiting healthcare professional (district nurse) was Woodfield Court Residential Home I54-I04 S24532 Woodfield Court V240717 050721 Stage 4.doc Version 1.40 Page 11 interviewed as part of the inspection. The nurse stated that they had no concerns about the quality of care provided to service users who the nurses visited, the care they observed was of a high calibre, staff worked well with nurses, and communication was good between the home and the district nurses team. Three residents were spoken to during the inspection and they all said that they felt that the home respected their privacy and dignity. They all spoke positively about staff and said that they found them courteous and polite. The home also operates an induction programme that includes basic professional values and principals such as privacy & dignity. This was evidenced by looking at their foundation training manual. The homes code of conduct also states an expectation for staff to uphold the Residents Charter which contains clear objectives regarding the privacy and dignity of Residents. Policies and procedures are in place for confidential visits by family, friends & officials and residents personal relationships. These reflected the fact that the home strives to respect residents privacy and dignity. Woodfield Court Residential Home I54-I04 S24532 Woodfield Court V240717 050721 Stage 4.doc Version 1.40 Page 12 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 The home provides activities, but the activities programme at the home does not reflect the expressed desires and recorded preferences of resident’s. The home actively promotes and facilitates visiting by relatives and friends. EVIDENCE: The home employs a part time “hobbies therapist”, 5 mornings a week, to organise activities for residents, another comes in some afternoons each week to “do craft”. However, the programme on the information board in the reception hall had minimal information on it and did not reflect the social needs or wishes of the residents. Resident’s records demonstrated that individuals were asked about their interests and hobbies prior to admission, however this information was not consistently reflected in their care plans, which had little detail in relation to social and recreational needs. The hobbies therapist also stated that she did not have access to care plans/records. This clearly does not enable her to plan activities around resident’s needs and wishes. An example of this was that they were unaware that a recently admitted resident, who spoke to t he inspectors, had a keen interest in gardening / plants. Woodfield Court Residential Home I54-I04 S24532 Woodfield Court V240717 050721 Stage 4.doc Version 1.40 Page 13 Another resident spoken to during the inspection said that they were bored and had “nothing to do”. They also said that most of the residents “slept too much” and there was no one to talk to. When asked if they involved themselves in any of the homes activities they said that they had tried the craft sessions but it had been sewing and they couldn’t see to thread the needle. They also said that they would like to have some trips out and entertainment come in. More positively, there were notices of religious services within the home on a regular basis and posters advertising a 10th anniversary party and VE day celebration in the near future. Residents stated that visitors were welcomed at the home, and the visitors book contained evidence of several visits to residents. The home provides a guest flat for visitors who have travelled from afar, or for relatives of residents who are seriously ill. Woodfield Court Residential Home I54-I04 S24532 Woodfield Court V240717 050721 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 & 18 The home provides clear information to residents and visitors about how to complain if they are unhappy with the care provided, and provides procedural guidance and training for staff in adult protection. EVIDENCE: The home’s complaints procedure was displayed in the main entrance of the building, and in other areas of the home. The procedure gives assurances regarding the timescales for responding to complaints, and includes reference to the Commission for Social care Inspection, and the local government ombudsman, should anyone wish to make a complaint to an independent body. The complaints procedure was seen in the resident’s information pack, which was also seen in resident’s rooms. Individual residents stated that they felt able to speak to senior staff if they were unhappy with the care provided. The manager and one of the proprietors had attended certificated adult protection training courses since the last inspection, and reported that they planned to cascade this learning to the care staff. Records showed that adult protection training for the staff team had not been recorded as occurring since February 2003. Woodfield Court Residential Home I54-I04 S24532 Woodfield Court V240717 050721 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 & 26 The home is well equipped, and maintains good standards of cleanliness and hygiene, both internally and externally, where the environment is pleasant and well equipped. EVIDENCE: The inspectors toured the premises both internally and externally. The exterior of the home was very well maintained, with well kept flower beds, lawn areas and pathways. Outdoor furniture was available for those who wished to sit outside, and all areas of the building were clean. Internally, no unpleasant odours were detected, and those residents who were interviewed in their rooms, stated that they were always maintained to a good level of cleanliness. No obstructions were noted that would restrict access by any of the residents. The laundry was equipped with hand washing facilities, machines capable of washing at temperatures above 60 degrees, and fitted with a sluice cycle. The policies of the home included guidance for staff on infection control and hygiene. Woodfield Court Residential Home I54-I04 S24532 Woodfield Court V240717 050721 Stage 4.doc Version 1.40 Page 16 Woodfield Court Residential Home I54-I04 S24532 Woodfield Court V240717 050721 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, 28, 29 & 30 The staffing levels and skill mix are suitable to meet the needs of the group of residents, with a programme of training in areas relevant to the care of the elderly. However, evidence of staff support through supervision needs to be maintained before the outcome for this standard can be assessed as fully met. The home was working well towards ensuring sufficient numbers of NVQ trained staff, and has a recruitment policy that protects service users. EVIDENCE: On the day of this unannounced inspection, 4 carers were on duty in the morning, one of who was a senior carer who had been trained in administering medication. The turnover of staff was reported to be low by the manager, with a number of established staff members who had worked at the home for many years. The manager was supernumerary. Staffing levels were not identified as low by any of the residents, and a check on response time to the call system proved rapid, with a member of staff present within 30 seconds. Training records provided by the home identify 29.17 of current care staff with National Vocational Qualifications (NVQ qualifications), and a total of 12 others working towards it, leading to a projected figure of 79.19 when all those who are undertaking the course complete it. The records identified that not all members of staff had completed an induction, based on the national training organisation units. A foundation training manual was seen, confirming that it included basic professional values and principles around privacy and dignity, choice, independence and other areas relevant to care of the elderly. The charter of resident’s rights was also Woodfield Court Residential Home I54-I04 S24532 Woodfield Court V240717 050721 Stage 4.doc Version 1.40 Page 18 included. Training undertaken by the majority of the care staff team over the last 12 months included first aid, food hygiene, infection control and manual handling. The examination of staff recruitment files confirmed that the required checks were completed in respect of all new employees before starting work at the home. Woodfield Court Residential Home I54-I04 S24532 Woodfield Court V240717 050721 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) 33, 35 & 38 The lack of response to service users views regarding activities means the relevant standard could not be said to be fully met. Service users finances are safeguarded, and the home has ensured that health and safety of equipment is ensured through regular servicing and testing. EVIDENCE: The home provided the inspectors with a detailed summary of a quality assurance survey completed within the last 12 months. The results showed generally high levels of satisfaction, although the issue of activities was identified as an area for improvement. The home does not hold any money on behalf of residents. Woodfield Court Residential Home I54-I04 S24532 Woodfield Court V240717 050721 Stage 4.doc Version 1.40 Page 20 Records were seen of regular servicing and equipment checks in relation to hoists, fire safety equipment including the alarm system, emergency lighting, call points and extinguishers, stairlifts, gas, electrical installations, food safety visits, and the last health & safety visit made to the home in 2003. records were also seen of monthly checks on ladders, grab rails, raised toilet seats, walking frames, wheelchairs, carpets, furniture and other household items. Woodfield Court Residential Home I54-I04 S24532 Woodfield Court V240717 050721 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 2 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 x COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 N/A 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x 3 x x 3 Woodfield Court Residential Home I54-I04 S24532 Woodfield Court V240717 050721 Stage 4.doc Version 1.40 Page 22 No 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 1 Regulation 5 Requirement The registered persons must include the range of fees payable by service uses in the service users guide. The registered persons must ensure that care plans contain plans to meet the assessed needs of service users in relation to social and leisure needs and preferences. The registered person must ensure that all new staff receive a recorded induction, within 6 weeks of appointment to post. Timescale for action 20th September 2005 20th September 2005 2. 12 16 3. 30 18 20th September 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 1 Good Practice Recommendations The service users guide should include the results of the most recent survey of service users views Woodfield Court Residential Home I54-I04 S24532 Woodfield Court V240717 050721 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection 5th Floor, St Vincent House Cutlet Street Ipswich IP1 1UQ 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 Woodfield Court Residential Home I54-I04 S24532 Woodfield Court V240717 050721 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. 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