Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 01/06/05 for Woodheyes Residential Home

Also see our care home review for Woodheyes Residential Home for more information

This inspection was carried out on 1st June 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.

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

What the care home does well

Clear guidance is given to staff members regarding keeping residents` care records up to date. Core training for Staff members is managed well which indicates that staff members are encouraged to update their knowledge and skills on a regular basis. Health care is managed well. Residents have regular access to health care facilities when needed. Choice of meals is good and varied including the provision of specialist meals.

What has improved since the last inspection?

1) Clear reasons are now given if medication is not given to residents. 2) Relatives are now involved in the care plan process.

What the care home could do better:

Based on the Standards inspected on this occasion, no issues were identified.

CARE HOMES FOR OLDER PEOPLE Woodheyes 231 Hinckley Road Leicester Forest East Leicester LE3 3PH Lead Inspector Everton Osbourne Unannounced 01 June 2005 09:30 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. Woodheyes C51 S1680 Woodheyes V228361 010605.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Woodheyes Address 231 Hinckley Road Leicester Forest East Leicester LE3 3PH 0116 2387371 0116 2387398 None Todaywise Limited 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) Mrs Sheila Sheil Care home only 24 Category(ies) of OP Old age (24) registration, with number DE(E) Dementia - over 65 (24) of places MD(E) Mental Disorder -over 65 (24) SI Sensory Impairment (2) Woodheyes C51 S1680 Woodheyes V228361 010605.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1) No-one falling within category SI(E) may be admitted into the home when there are two persons of category SI(E) already accommodated within the home. Date of last inspection 1st September 2004 Brief Description of the Service: Woodheyes care home cares for twenty-four older persons who have dementia, mental disorder and sensory impairment in a purpose built property situated along the main Hinckley Road leading to Leicester. The home is close to the city of Leicester where residents have access to a variety of facilities. The home is easily accessible for private and public transport.The premise consists of two floors accessible by use of the stairs and passenger lift. There are a variety of facilities in the home including dining and lounge space. The home comprises sixteen single bedrooms one without ensuite facility and four double bedrooms one without ensuite facility. A garden is situated to the rear of the premises. Woodheyes C51 S1680 Woodheyes V228361 010605.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took four hours to complete. The outcome of the inspection was very positive in that four residents spoken to indicated that they are satisfied with the care provisions in the home. Two staff members were spoken to as part of the inspection process. The registered manager and one of the proprietors were also spoken to. No Requirements or Recommendations were made during this inspection. A tour of the premises took place and the home throughout is maintained to good standards creating a homely environment. What the service does well: What has improved since the last inspection? 1) Clear reasons are now given if medication is not given to residents. 2) Relatives are now involved in the care plan process. Woodheyes C51 S1680 Woodheyes V228361 010605.doc Version 1.30 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. Woodheyes C51 S1680 Woodheyes V228361 010605.doc Version 1.30 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 Woodheyes C51 S1680 Woodheyes V228361 010605.doc Version 1.30 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) 2, 3, 4 and 5 The assessment process is good and the admission procedure effective in ensuring that residents receive the right care in the right environment. EVIDENCE: Four residents’ assessments were examined and the documents had sufficient information which accurately identified their care needs. This is also based on conversation held with the four residents. The residents spoken to indicated that they are satisfied that the home is meeting their care needs. One resident commented ‘We’re looked after alright’. Four residents’ admission records seen indicated that a contract of residence is given to them outlining the Terms and Conditions of their residency in the home. The residents spoken to gave clear indications that they understood their Terms and Conditions of residency and that they were given an opportunity to visit the premise before moving in. Woodheyes C51 S1680 Woodheyes V228361 010605.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10 and 11 The care plan process is effective in ensuring that residents’ social and health care needs are met appropriately. Medication is managed well so that residents can receive their prescribed dose of medication. EVIDENCE: Four residents care plans were inspected. The documents contained sufficient information to give staff members’ guidance on how to meet residents’ care needs. For example monitoring residents’ mobility to reduce the risk of falling. Four residents spoken to indicated that they are satisfied that the care staff are attending to their care needs. One resident stated ‘ I’m definitely being looked after well’. Four residents’ daily and health care records seen indicated that other professionals such as Community Nurses and General Practitioners form part of the care process in the home. Professional visitors’ records seen indicate that they visit the home to attend to residents’ medical and nursing care needs. One resident commented ‘We get attention from the nurses’. Woodheyes C51 S1680 Woodheyes V228361 010605.doc Version 1.30 Page 10 Four residents and two staff members spoken to indicated that residents’ views are paramount when making decisions about residents’ daily activities. The policy concerning the event of the death of a resident seen and conversation held with two staff members indicated that the home respects the rites of passage of residents in the event of death. Four residents’ medication records seen and a physical check made of two residents’ medication indicated that the home is managing residents’ medication in accordance with their medication policy. The document seen during the inspection had sufficient information for staff members’ guidance concerning safe medication practices. Woodheyes C51 S1680 Woodheyes V228361 010605.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13, 14 and 15 Meals are very good in meeting residents’ nutritional needs. Residents’ choice and contact with the community is managed well so that residents maintain contact with relatives and friends. EVIDENCE: Four residents spoken to indicated that meals are varied and wholesome and that daily choice is given. The menu seen confirmed the residents’ verbal statements. One resident stated ‘The food is quite good’. Another resident commented ‘Nicely cooked’. Four residents indicated that they have choices concerning their daily activities, which includes a choice to have regular visitors in the home. One resident stated ‘You can sort of do what you want in moderation’ indicating that her choice is based on her abilities. Four residents’ risk assessments seen and discussion held with the registered manager indicated that risk assessments are in place in order to promote safe independence for residents. Woodheyes C51 S1680 Woodheyes V228361 010605.doc Version 1.30 Page 12 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 and 18 Robust processes are in place so that residents or their relatives can make a complaint if required. There is an adult protection procedure in place to respond to suspicion or allegation of abuse for residents’ protection. EVIDENCE: Detailed inspection of the written complaint process indicated that adequate guidance is given to residents and their relatives on how to make a complaint. The complaints logbook seen indicated that there have been four complaints since the last inspection, which appear to have been resolved with positive outcomes. The adult protection process was inspected. Clear guidance is written for staff members regarding protecting vulnerable adults. Two staff members spoken to gave good verbal responses regarding their understanding concerning reducing the risk of elder abuse and what actions to take in the event of suspicion or allegation of abuse. Four residents spoken to indicated that they feel safe residing in the home. Woodheyes C51 S1680 Woodheyes V228361 010605.doc Version 1.30 Page 13 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, 20, 21 and 26 The home is maintained to a good standard with an emphasis on creating a homely environment. Adequate communal space and facilities are provided for residents’ comfort. EVIDENCE: A programme of refurbishment is currently ongoing to keep the home maintained in good condition. Observations made indicated that the flooring, walls and fixtures are maintained in good condition. One resident stated ‘I’m quite happy here at the moment’. The bathroom and toilet facilities were inspected and found to be sufficient in numbers based on the number of residents residing in the home. An inspection of the premises found it to be clean and hygienic in appearance. Two staff members spoken to gave good verbal responses concerning suitable hygiene practices for example good hand washing techniques. Woodheyes C51 S1680 Woodheyes V228361 010605.doc Version 1.30 Page 14 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 and 30 The care hours and staffing numbers provided in the home are sufficient for the provision of residents’ care and protection. Suitable training opportunities are given to staff members to enhance their skills and knowledge. EVIDENCE: The staffing rota was examined and it indicated that sufficient skill mix and staffing hours are provided on a daily basis. Discussion held with the registered manager and observations made indicated that there was adequate numbers of staff members on duty at the time of the inspection. Four residents spoken to indicated that they are satisfied with the staffing compliment in the home. One resident commented ‘We’re always attended to’. Two staff members spoken to and their training certificates seen indicated that they are attending regular training courses to enhance their skills and experience in residents’ care. Woodheyes C51 S1680 Woodheyes V228361 010605.doc Version 1.30 Page 15 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) 37 and 38 Residents’ care records and fire safety is well managed for residents’ protection. EVIDENCE: Four residents’ care records were inspected. All care records seen for example medication records are kept up to date and in order in accordance with the Data Protection Act 1998 and the Care Homes Regulations 2001. Observations made indicated that fire safety equipment for example fire extinguishers are examined on a regular basis. During the inspection the fire alarm was tested and was found to be in good working order. Two staff members spoken to indicated that the home appear to be adhering to safe work practices for example the practice of safe moving and handling techniques. Woodheyes C51 S1680 Woodheyes V228361 010605.doc Version 1.30 Page 16 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 x 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 x x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 3 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 x x x x 3 3 Woodheyes C51 S1680 Woodheyes V228361 010605.doc Version 1.30 Page 17 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 Regulation None 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 None Good Practice Recommendations Woodheyes C51 S1680 Woodheyes V228361 010605.doc Version 1.30 Page 18 Commission for Social Care Inspection The Pavilions, 5 Smith Way Grove Park, Enderby Leicester LE19 1SX 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 Woodheyes C51 S1680 Woodheyes V228361 010605.doc Version 1.30 Page 19 - 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!