Inspection on 29/11/05 for Woodfield House - North Yorkshire County Council

This inspection was carried out on 29th November 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 House - North... 08/11/06

Woodfield House - North... 28/04/05

Woodfield House - North... 25/11/04

Woodfield House - North... 20/05/04

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

CARE HOMES FOR OLDER PEOPLE Woodfield House - North Yorkshire County Council Woodfield House Woodfield Square Harrogate HG1 4LY Lead Inspector Denise Rouse Unannounced Inspection 29th November 2005 10:30 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 House - North Yorkshire County Council DS0000034598.V266986.R01.S.doc Version 5.0 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 House - North Yorkshire County Council DS0000034598.V266986.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Woodfield House - North Yorkshire County Council Woodfield House Woodfield Square Harrogate HG1 4LY Address 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) 01423 522858 01423 522 858 North Yorkshire County Council Ms Hazel Lynn Shepherd Care Home 29 Category(ies) of Dementia - over 65 years of age (5), Old age, registration, with number not falling within any other category (24) of places Woodfield House - North Yorkshire County Council DS0000034598.V266986.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th April 2005 Brief Description of the Service: Woodfield House is a care home run by North Yorkshire County Council for 29 service users aged 65 years old and above. There are 24 places for older people who do not have personal care needs requiring specialist help and 5 places for older people who have dementia care needs. The home was purpose built about 40 years ago and provides accommodation in four separate flat lets. Service users have single bedrooms and share small lounge/dining areas. The upper floor is accessible via passenger lift. There is a large day-centre located on the ground floor of the home. Outside there is ample parking and gardens. Woodfield House - North Yorkshire County Council DS0000034598.V266986.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection was carried out on 29 November 2005 lasting 3 hours, following a half a day preparation prior to the inspection. A tour of the premises was completed this included the kitchen and laundry. A number of staff and service users were spoken to during the inspection. A number of records inspected including menus, care plans, pre admission assessments, staff rotas and personal allowance account records. Team Manager, Vicky Bushfield was in charge of the home and assisted in the inspection process. The registered manager Mrs Hazel Lynn Shepherd came on duty later that morning and also took part as required. The inspection concluded with a feedback session, involving Vicky Bushfield Team Manager and Mrs Hazel Lynn Shepherd who attended towards the end of the feedback. What the service does well: 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. Woodfield House - North Yorkshire County Council DS0000034598.V266986.R01.S.doc Version 5.0 Page 6 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 House - North Yorkshire County Council DS0000034598.V266986.R01.S.doc Version 5.0 Page 7 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): Standards 3 (Intermediate care is not provided) Sufficient information is gathered prior to admission in order that the home can make an informed decision that the needs of prospective service users can be met. EVIDENCE: The registered manager ensures that a pre admission assessment is carried out for prospective service users, before a decision is made that their needs can be met. If an emergency admission occurs, the up to date assessment is received from social services prior to the individual being admitted and the home ensures that they can meet the needs of the new service user. The information gained at the pre admission assessment formed the basis of care plans and risk assessments. Woodfield House - North Yorkshire County Council DS0000034598.V266986.R01.S.doc Version 5.0 Page 8 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): None of the standards in this section were inspected. EVIDENCE: Woodfield House - North Yorkshire County Council DS0000034598.V266986.R01.S.doc Version 5.0 Page 9 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): Standard 15 Service users are provided with a good choice of food, which is well presented and caters for special dietary needs. EVIDENCE: The kitchen was clean and well organized. All the food open in the fridges was labelled and dated to ensure that it would be discarded within a short time frame if it were not consumed. There were up to date records of meat, fridge and freezer temperatures. All chemicals utilized within the kitchen were adequately stored and safety data sheets were available pertaining to COSHH requirements. Stock received is rotated upon delivery, home baking within the kitchen looked appetizing and well presented. The hot trolleys used to transport the food to each unit were clean and the temperatures of each trolley were recorded and monitored to ensure the food was transported at the correct temperature. The Cook informed me of service users who required puree diets and those who were diabetic. Menus were displayed on each unit and within the communal dining room and were current for the day of inspection. A five-week rolling menu is provided and the cook changes this as required. The service users on each unit may eat in the communal or units dining room. They may also eat in their own room. Service users stated, “ The food is very good.” Woodfield House - North Yorkshire County Council DS0000034598.V266986.R01.S.doc Version 5.0 Page 10 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): None of these standards were inspected. EVIDENCE: Woodfield House - North Yorkshire County Council DS0000034598.V266986.R01.S.doc Version 5.0 Page 11 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): None of these standards were inspected. EVIDENCE: Woodfield House - North Yorkshire County Council DS0000034598.V266986.R01.S.doc Version 5.0 Page 12 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): Standard 27 28 30 Service users needs are met by trained and competent staff. EVIDENCE: The building comprises of four units, each staffed separately. The dementia unit had a high staff ratio for three service users. The staff rota was examined and showed adequate numbers of staff were on duty at peak times of the day. Service users needs are met by a highly trained workforce, of 25 care staff all but two have the National Qualification in Care award at level two or three. There were adequate numbers of staff on duty at the time of the inspection. Agency usage is limited at the home, and if required they try to utilize the same agency staff to provide continuity of care. The home has a good bank of staff that are flexible and willing to come in at short notice. The Team Manager stated that “ the service does not suffer, we have a very valuable bank of staff who come in at the drop of a hat” All staff complete in house and external training, three staff files were examined and evidence of courses attended were seen. New staff all have a mentor appointed to them and for the first week are supervised. During this time the induction training is carried out and documented. Induction foundation training is commenced within six months .In house training takes place for moving and handling, this occurs when the new staff member commences at the home. Training in regard to dementia and challenging behaviour also occurs. This gives care staff relevant knowledge to help them deliver appropriate care to service users. Woodfield House - North Yorkshire County Council DS0000034598.V266986.R01.S.doc Version 5.0 Page 13 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): Standards 31 33 35 The registered manager ensures that the home is run well and does not put service users at risk. EVIDENCE: The Team Manager and registered manager who were observed during the inspection were competent and experienced and managed the home well. Staff stated that the registered manager was good at her job and was approachable. Evidence of this was seen during the inspection as staff came to speak with her and issues were raised and appropriately managed by both members of staff. The registered manager has finished her Registered Managers Award and is awaiting her certificate. The home is run with the best interests of service users at the forefront of all decisions made. There are monthly Resident and relative meetings held on each of the units. The minutes are recorded and available for everyone to read. Woodfield House - North Yorkshire County Council DS0000034598.V266986.R01.S.doc Version 5.0 Page 14 Quality assurance takes place in the form of monitoring and recording complaints and the outcomes. Staff meetings, which are also held monthly. There is a Quality Champions system in place where the home management carries out self assessment of the National Minimum Standards, the outcomes are documented and action where required takes place to ensure that the standards are being met. This information is then shared with all the other council homes in the area. A newsletter called Quality Matters is circulated monthly for all the staff to read on the notice board. A yearly questionnaire is also sent out to the residents and relatives, these are reviewed and any necessary actions taken to address shortfalls in service are undertaken. Three service users personal allowance accounts were checked, all were correct. Receipts for transactions and purchases were kept at the back of the individual’s statement. Service users were encouraged to have individual bank accounts for their personal allowance money. Woodfield House - North Yorkshire County Council DS0000034598.V266986.R01.S.doc Version 5.0 Page 15 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 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 3 28 3 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X X Woodfield House - North Yorkshire County Council DS0000034598.V266986.R01.S.doc Version 5.0 Page 16 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. Refer to Standard Good Practice Recommendations Woodfield House - North Yorkshire County Council DS0000034598.V266986.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 House - North Yorkshire County Council DS0000034598.V266986.R01.S.doc Version 5.0 Page 18 - 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!