Inspection on 08/11/06 for Woodfield House - North Yorkshire County Council

This inspection was carried out on 8th November 2006.

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... 29/11/05

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

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

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

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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 Caroline Long Key Unannounced Inspection 8th November 2006 09:30 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.V319477.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 House - North Yorkshire County Council DS0000034598.V319477.R01.S.doc Version 5.2 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 568728 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.V319477.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th November 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. Woodfield has four separate units; three are for people who live permanently in the home. The other offers a short stay for people with dementia. The home was purpose built about 40 years ago and provides accommodation in four separate flats. Service users have single bedrooms and share a small lounge/dining area. The upper floor is accessible via passenger lift. There is a large day-centre located on the ground floor of the home, which service users are able to use if they wish. Outside there is ample parking and gardens. At the time of the inspection the weekly charge is £368:90, this amount is dependent upon income and savings. The Commission for Social Care inspection reports are displayed in the home for anyone to read. Woodfield House - North Yorkshire County Council DS0000034598.V319477.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The accumulated evidence used in this report has included: • • • • A review of the information held on the homes file since its last inspection. Information submitted by the Registered Provider in the Pre Inspection Questionnaire. Surveys received from fourteen service users and two relatives. A unannounced site visit lasting 7 hours by a Regulation Inspector. This included a tour of the premises, examination of records, talking to service user, a relative, staff and the management team and observing staff working with service users. Four service users care records were looked at in detail. • What the service does well: The home is warm and welcoming, with a happy atmosphere. Service user comments were; ‘the home makes them happy,’ and ‘staff were very good and helpful’. Relatives’ comments were; ‘she really very well looked after, the food is excellent and the staff are very caring and nice.’ Staff are sensitive to the needs of the service users and have the necessary skills and ability to support service users with their daily lives. This helps to ensure the service users receive the health and personal care based upon their individual needs. Staff were particularly aware of the needs of service users with dementia when they came into the home for a short stay. This enabled them to help the service users settle into their new environment. Service users are able to make choices in many areas of their lives. Examples given by service users are rising and retiring times, food, and activities. This helps to maintain some independence and control in their lives. The staff are committed to making sure the home is a comfortable and clean place to live. A good choice of food and drinks are available. This ensures that service users receive a varied and nutritious diet. There are various activities in each of the units, and service users are welcome to join in at the day centre if they choose. The staff in the dementia unit Woodfield House - North Yorkshire County Council DS0000034598.V319477.R01.S.doc Version 5.2 Page 6 carried out activities dependent upon the individual day to day needs of the service users. This allows service users contact with the wider community and provides stimulation. The staff are provided with comprehensive training to improve their knowledge and skills. This means that service users receive care from a well-informed staff team whose practice is up to date. 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 House - North Yorkshire County Council DS0000034598.V319477.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 House - North Yorkshire County Council DS0000034598.V319477.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): Standard 1, 3 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The pre admission assessment makes sure individual care needs can be met. The prospective service user receives information to help them choose if the home is right for them. EVIDENCE: The home gives service users all the standard information and contracts provided by North Yorkshire County Council, which is available in different languages and formats. Specific information about Woodfield House is also included. Although service users spoken to during the site visit could not always remember what information they had received about the home. Discussion with the team manager, staff and records confirmed information was given to service users during the assessment visit and explained to and signed for by Woodfield House - North Yorkshire County Council DS0000034598.V319477.R01.S.doc Version 5.2 Page 9 the service users on entering the home. Copies were also kept in service user rooms so they could read them at their leisure. The Registered Manager explained all service users come into the home following being assessed by a Care Manager. Who refers them to the weekly meeting held by North Yorkshire Social Service, at which the North Yorkshire County Council services are allocated. If it is agreed the home can meet the service user needs all the assessments are given to the home. A member of the management team will then visit the service users and carry out Woodfield House own assessment. Within the four files examined during the site visit all service users had admission/assessment documents. All contained the detailed information necessary to enable staff to understand and plan for the social, personal and emotional needs of the service user. Some also included the service users personal likes and dislikes, such as ‘visits church every Sunday’. Three staff spoken to were able to recognise the challenges for the service user when they first came to the home, they explained how they would welcome and reassure them to help them adjust to the life change. Staff on the dementia unit were especially aware of and sympathetic to specific difficulties this service user may encounter. They discussed how time had to be spent talking with the service user and introducing them to the new environment. All service users spoken to said positive comments about living in the home. One saying they “liked it here” and another commenting “its all very nice”. The home does not provide intermediate care. Woodfield House - North Yorkshire County Council DS0000034598.V319477.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care, which a service user receives is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: All service users spoken to were happy with the care provided, one showed a picture of a smiling face and said that it resembled what they thought of the home. Other comments were ‘very good’ and ‘very well looked after.’ Thirteen of the service user surveys returned said they receive the care and support they need. On the dementia unit staff were observed being responsive to the individual needs of the service users. They had created a calm environment where service users were treated with respect, and dignity. And were offered reassurance in a sympathetic way. Woodfield House - North Yorkshire County Council DS0000034598.V319477.R01.S.doc Version 5.2 Page 11 Within the other units staff were observed talking to with service users respectfully and knocking when entering their rooms. Two service users said staff are polite to them and make all attempts to maintain their dignity. Service users were appropriately and cleanly dressed at the site visit. One relative commented on their form ‘My relative has been at Woodfield house for many years now, they are really very well looked after, they are always clean, well dressed. I have been there at lunchtime and the food is excellent and the staff are very caring and very nice. I have no complaints.’ Four resident care files were looked at in detail all contained the information necessary to meet the personal, social, welfare needs of the service user. They included specific personal details such as ‘likes a sherry’ or a ‘snowball drink on a Sunday’. For the service users with dementia the plans contained information about how to reassure the service users. Although the service users on admission signed the front sheet of the plan, the actual care plan and review, did not evidence service user involvement. Also service users spoken to were unaware of the care plans. The home could further improve by enabling the service users to participate and communicate their views to the development of the care plan and the review process. Risk assessments were in place and staff described how they would minimise risk for the service user. However these had not been reviewed in line with the care plans. To ensure the safety of the service user risk assessment should be reviewed in line with the care plan. One member of staff who works temporarily at the home said how useful the care plans were and how they informed her about the needs of the service users. Service users have access to health care services of their choice such as a general practitioner, chiropodist and optician. This was confirmed by discussion with service users, staff and the team managers, and records of the four service users whose care was looked at in detail. There have been three notifications of incidents when the wrong medication has been given to service users. The site visit evidenced that the home has improved procedures to ensure this does not occur, the sample of records and medication checked was in order. Staff explained they had all received medication training. Photos were now at front of the medication sheets to enable the staff to easily identify the service users. Woodfield House - North Yorkshire County Council DS0000034598.V319477.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users enjoyed a range of social and recreational activities to meet their needs and expectations. EVIDENCE: During the site visit the home had a warm friendly atmosphere, where service users were being engaged and encouraged by staff to participate in social activities of their choice. Within each of the flats is a lounge/dining/kitchenette area, where service users were engage socialising or watching DVD’s. Others were visiting the hairdressers’ room. The home is attached to a day centre where service users can visit if they choose. A service user explained how they could go on trips with the day centre if they wished. Staff in the dementia unit explained social activities would be dependant on how the service user was feeling that day and was normally on a one to one basis. They described helping service users maintain daily living skills such as making a hot drink or helping with the washing up. Woodfield House - North Yorkshire County Council DS0000034598.V319477.R01.S.doc Version 5.2 Page 13 All the care plans had information about service users social needs, all included their religious and cultural needs. Service users said visiting is encouraged and visitors were seen in the home during this visit. Service users are able to make choices about their daily routines, such as the times of rising and retiring to bed. A service user explained it had been the custom for all the service users to eat together in the day centre on a Sunday, this was no longer carried out as service users had requested it stop during a meeting. One service user who smoked was given the opportunity to smoke outdoors, with staff accompanying them. At the inspection were four service users and a relative spoken to said the food was very good, the chef explained service users have a choice of hot meal at lunch time and hot light tea or a choice of sandwiches most evenings of the week. During the site visit most service users on the units were eating homemade shepherds pie for lunch and hot drinks were offered regularly. Service users could choose to eat their meals either in the units lounge areas or in the day centre. Staff eat with the service users and on a special occasions such as Christmas everyone is encouraged to eat in the day centre . Woodfield House - North Yorkshire County Council DS0000034598.V319477.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have access to an effective complaints procedure and are protected from abuse. EVIDENCE: The home has a clear complaints procedure that highlights the importance of complaining if people are not happy with the service. The procedure is given to every service user and is on display in the home. Most of the service users and relatives’ stated they knew who to speak to if they were unhappy with the services provided and felt able to complain to the staff. Records examined showed one complaint only since 2005. Where a service user had not been allocated a carer during a visit to hospital, the team manager explained this had been resolved with the complainant. The home did not record minor concerns. However the home should consider recording concerns as this information can identify areas for improvement to the quality of the service provided. Woodfield House - North Yorkshire County Council DS0000034598.V319477.R01.S.doc Version 5.2 Page 15 The policies and procedures regarding the protection of service users are in line with best practice. Management know the course of actions to take in relation to protecting the rights of service users. Staff are aware of the need to report any allegations or suspicions of abuse to their manager. These practices help to ensure service users protected from abuse in the home. Woodfield House - North Yorkshire County Council DS0000034598.V319477.R01.S.doc Version 5.2 Page 16 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): Standards 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a clean, well maintained and comfortable home. EVIDENCE: The accommodation on both ground and first floor level and is divided into four separate units. Each unit has a small kitchenette/living area; and up to eight bedrooms, a bathroom and toilets. The bedrooms do not have en suite facilities, however they have a wash hand basin and all the units have a shared bathroom with assisted bathing facilities. Service users had personal possessions in their rooms. Those spoken to felt their bedrooms were warm and comfortable. There are additional sitting areas around the home where service users can get away from others without having to go to their bedrooms. The service users Woodfield House - North Yorkshire County Council DS0000034598.V319477.R01.S.doc Version 5.2 Page 17 can also use the day centre during the day and at weekends. The home has a lift and all areas are wheelchair accessible and have adaptations available to aid the service users independence. The home was fresh, clean and well maintained, the kitchenette/living area areas appeared warm, comfortable and agreeable, service users had a sense of ownership and talked about it as ‘their home’. Twelve-service user surveys returned said the home was always clean, others spoken also said the home was generally very clean. The home has a call bell system that enables the staff to respond quickly to the needs of the service user. Woodfield House - North Yorkshire County Council DS0000034598.V319477.R01.S.doc Version 5.2 Page 18 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): Standard 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. Service users needs are met by trained and competent staff. EVIDENCE: The home had a good atmosphere. Staff were observed being both thoughtful and skilled when helping the service users. For service users with dementia they demonstrated good practice by providing reassurance, support and a good understanding of their special needs. Service users said the permanent staff were always polite, helpful and kind. Talking to staff, the registered manager and examination of the records showed staff are provided with the training and support they need to provide good care for the service users. Many said they had received dementia training. All staff are having training on equality and diversity issues, this will enable the management to recognise if there are any discriminatory practices. The pre inspection questionnaire shows most of the staff have achieved National Vocational Qualification level 2 or above in care. The home has two staff in the dementia care unit and one for the other units. Service users said their call bells were answered quickly. And eleven of the services user surveys returned stated staff are always available when they Woodfield House - North Yorkshire County Council DS0000034598.V319477.R01.S.doc Version 5.2 Page 19 need them. However staff said when dependency levels are high it is sometimes difficult to manage in the home. The team managers explained when service user needs are increased they can ask for help from County Care the domiciliary care agency and for temporary staff from the relief team. The home follows North Yorkshire County Councils recruitment procedures that are thorough and makes sure staff whom are employed by the home have the skills and manner necessary to care for the service user needs. However, this could not be confirmed, as the home did not have full copies of recruitment records for the staff. Woodfield House - North Yorkshire County Council DS0000034598.V319477.R01.S.doc Version 5.2 Page 20 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): Standards 31,33,35,37,and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service user’s benefit from competent management and an effective quality assurance system, however this could be improved further by better record keeping. EVIDENCE: The Registered Manager was not present at the home but the outcomes in this report have evidenced a well managed home. The team manager and records showed the home operates a quality review system. Where service users and their relatives are asked about their views about the home annually. Meetings were also held regularly so service users could have a say in the running of the home. The home also followed North Woodfield House - North Yorkshire County Council DS0000034598.V319477.R01.S.doc Version 5.2 Page 21 Yorkshire County Council self-assessment of qualitative performance where the home had an average of 100 in October. Where the service users choose for the home to look after money it is kept in separate envelopes, in a lockable cupboard and any payments or receipts are recorded. Staff and records confirmed regular staff meetings and supervision are held. Overall, the keeping of record could be improved upon. Many were not always up to date. A number of health and safety certificates were checked, most were correct. However, the electricity certificate was found have recorded unsatisfactory. Discussion with the staff evidenced it had been carried out but the buildings management department had failed to send the home a copy. At the time of the site visit the staff were carrying out a fire alarm test, all staff said they had regular fire training and were aware of the fire procedures. Woodfield House - North Yorkshire County Council DS0000034598.V319477.R01.S.doc Version 5.2 Page 22 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 Stan3dard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 3 X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 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 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 2 2 Woodfield House - North Yorkshire County Council DS0000034598.V319477.R01.S.doc Version 5.2 Page 23 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. 1 Standard OP29 Regulation 19 (4) Requirement The Registered Person must make sure all the necessary copies of the recruitment documentation are accessible and kept in the home. The home must have an up to date electrical certificate. Timescale for action 01/01/07 2 OP38 13 (4) 10/12/06 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 2 3 Refer to Standard OP7 OP7 OP37 Good Practice Recommendations Service users should be encouraged to be involved in the producing of their care plans, evidence of their involvement should be recorded on the care plan. Risk assessments should be reviewed regularly. All records should be kept up to date. Woodfield House - North Yorkshire County Council DS0000034598.V319477.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 House - North Yorkshire County Council DS0000034598.V319477.R01.S.doc Version 5.2 Page 25 - 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!