Inspection on 05/03/07 for Woodfield Court Residential Home

This inspection was carried out on 5th March 2007.

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 21/07/05

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 Inspection 5th March 2007 11:30 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 Woodfield Court Residential Home DS0000024532.V334695.R01.S.doc Version 5.2 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. Woodfield Court Residential Home DS0000024532.V334695.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodfield Court Residential Home Address Temple Road Stowmarket Suffolk IP14 4AT 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) 01449 614114 01449 614114 Stowcare Limited Miss Stephanie Cross Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Woodfield Court Residential Home DS0000024532.V334695.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st July 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 DS0000024532.V334695.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced. The registered manager was present throughout the inspection and they were able to access and provide all the required documentation. The inspection took place on a weekday between 10.30 and 14.30. The home was warm and residents were appropriately dressed. During the course of the inspection four residents’ pre admission assessments and care plans were viewed, along with daily notes. Three new staff files were examined, along with various records and policies including financial records, complaints and compliments records, staff training records, menus, the medication policy, maintenance records, staff rotas and quality assurance materials were all seen. A brief tour of the home was undertaken, and a number of staff and residents were spoken with. The inspection included the examination of residents personal money held by the home, and corresponding records. On the day of inspection the home was clean and tidy. Staff were responding appropriately to residents’ needs and conversation between staff and residents was cheerful and caring. What the service does well: The service has a clear process for admitting and planning the care of residents, from a thorough pre admission assessment, and a range of leaflets and information about the home, including the routines and provisions available. Health needs of residents were being met. Records, feedback from both residents and relatives evidenced this. The home has a clear procedure for responding to complaints, and has information displayed prominently, enabling anyone who wishes to express dissatisfaction with the care provided to do so. Woodfield Court Residential Home DS0000024532.V334695.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Woodfield Court Residential Home DS0000024532.V334695.R01.S.doc Version 5.2 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 Woodfield Court Residential Home DS0000024532.V334695.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (6 does not apply) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users and their representatives can be confident that the service user will have their needs assessed by a person trained to do so, in relation to the areas identified by the National Minimum Standards. EVIDENCE: 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 DS0000024532.V334695.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect to receive planned care, in accordance with their health and personal needs, including leisure interests and hobbies. Service users who administer their own medication can expect to benefit from an enhanced recording procedure. Residents, and their representatives can be confident that the home provides care with regard to resident’s privacy. EVIDENCE: The inspector viewed three care plans. The plans included the identified means by which residents’ needs would be met in areas including allergies, diet/nutrition, weight, sight, hearing, dental needs, mobility, prosthesis, continence, pressure points, dependency levels, medical diagnosis, medical history, religion, interests, hobbies and family details. Separate documents summarised care in areas of personal and physical needs. Risk assessments were present in relation to manual handling and the administration of Woodfield Court Residential Home DS0000024532.V334695.R01.S.doc Version 5.2 Page 10 medication and assistance needed in daily living activities. One minor point was raised by the inspector, in that for one care plan, it was difficult to interpret regarding the agreed interventions to one residents needs in relation to balancing privacy and the health needs of the person concerned. A visiting community nurse was spoken to. The nurse confirmed that the people that they saw always looked well cared for and all of the health needs of residents were met. The nurse also confirmed that if they give instructions to the home about the application of creams, these are always followed. One residents was asked about the way the home meets their healthcare needs and they had nothing but praise, saying they always got to see a doctor or nurse if needed, and staff always gave medication on time, and provided them with support in relation to health care. Risk assessments were seen in care plans where residents were responsible for their own medication administration, and these included signatures of the resident concerned. Feedback from residents about medical support was consistently positive. One resident, interviewed by the inspector stated that the staff were considerate when providing personal care and they had no complaints at all. In response to the survey undertaken before the inspection, no negative remarks were made about medical support and comments made included, “prompt attention” and “very good”. The staff induction materials included reference to providing care with due regard to privacy and dignity, and the new member of staff interviewed confirmed that they had been given guidance in this area. Woodfield Court Residential Home DS0000024532.V334695.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect to have opportunities to engage in activities based on the preferences, and the social, cultural, religious and recreational needs of residents. Furthermore, they can expect to be enabled to make decisions about their life, and be supported to achieve more independence, and to follow their own personal goals. Residents, and their representatives can be confident that the home will encourage and facilitate ongoing contact with family and friends, as well as the local community, and that the home will provide a wholesome and appealing diet. 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 crafts. It was positive to note that the deputy manager has begun training in relation to hobbies, with a view to enhancing the supervision and Woodfield Court Residential Home DS0000024532.V334695.R01.S.doc Version 5.2 Page 12 development of this area. Resident’s records demonstrated that individuals were asked about their interests and hobbies prior to admission, and this was reflected in their care plans. One resident who spoke to the inspector, had a number of items they had made during the craft sessions organised by the home. The examination of care plans showed that service users are enabled to follow their own routines, based on their expressed preferences. The service user who completed a pre inspection comment card stated that they did not want to be more involved in decision making within the home. The home had undertaken a survey of service user views, with no adverse comments made regarding autonomy, choice or service user involvement. The home does not take responsibility for the financial affairs of any service users. The examination of the menu confirmed that choice is offered to service users for each of the main meals, which contain a good nutritional balance, including fresh fruit and vegetables included on a daily basis. One resident, interviewed in their room confirmed that they had been able to take their meal in their room in accordance with their wishes, and that there was always three choices of meal offered the night before by the staff team. Care plans showed evidence of the identification of special dietary needs of residents. Woodfield Court Residential Home DS0000024532.V334695.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can expect the home to provide clear information to residents and visitors about how to complain if they are unhappy with the care provided. They can also be confident that the home 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. The manager and one of the proprietors had attended certificated adult protection training within the last 2 years, and all new staff received an introduction to this area as part of their induction. Woodfield Court Residential Home DS0000024532.V334695.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can expect to live in a clean and pleasant environment, with suitable procedures in place for maintaining good standards of hygiene. EVIDENCE: During the inspection, all of the areas visited by the inspector were clean, pleasantly decorated and furnished, with no evidence of poor hygiene or unpleasant odours. During interviews with the manager and care staff, the procedure for managing odour control was explained. The home uses a carpet washer to respond to all incidents of incontinence, refers problems to the continence nurse for advice if required, Woodfield Court Residential Home DS0000024532.V334695.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents could expect the home to be adequately staffed, with employees who were competent, supervised and trained to meet the specialised needs of the service user group. Residents could expect that they would be safe due to the homes recruitment procedures. EVIDENCE: The training records provided by the home confirmed that over 50 of care staff had achieved the NVQ level 2 in care, and many had actually achieved NVQ at a higher level. The deputy reported that all new staff were automatically referred on the training as part of their appointment. The inspection included the examination of 3 staff recruitment and training files. These confirmed that the home employs robust recruitment practices, including obtaining all the checks required by legislation. New induction training materials have been obtained by the home and were now being used for all new staff. These induction materials were specifically linked to the competencies identified by the national training organisation (skills for care) and were enhanced by the homes internal induction checklist, which gave a clear introduction to the home’s own policies and procedures. Woodfield Court Residential Home DS0000024532.V334695.R01.S.doc Version 5.2 Page 16 Woodfield Court Residential Home DS0000024532.V334695.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident, and their representatives can be confident that the home has ongoing processes for monitoring the quality of care provided. They can also expect the home to be well managed, by a person qualified to do so, and receive appropriate levels of protection in relation to financial matters and the health and safety of the residents and staff. EVIDENCE: The home had undertaken its own quality assurance survey completed within the last 12 months. The results showed generally high levels of satisfaction, and no specific areas for development could be identified from this document. Woodfield Court Residential Home DS0000024532.V334695.R01.S.doc Version 5.2 Page 18 The home does not hold any money on behalf of residents. 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. 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 DS0000024532.V334695.R01.S.doc Version 5.2 Page 19 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Woodfield Court Residential Home DS0000024532.V334695.R01.S.doc Version 5.2 Page 20 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 Refer to Standard OP7 Good Practice Recommendations The registered persons should ensure that care plans clearly identify the privacy needs and requests of residents in relation to each separate incident of personal care. Woodfield Court Residential Home DS0000024532.V334695.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ National Enquiry Line: 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 © 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 DS0000024532.V334695.R01.S.doc Version 5.2 Page 22 - 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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