Inspection on 09/10/07 for Woodheyes Residential Home

This inspection was carried out on 9th October 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

Woodheyes Residential Home 05/09/06

Woodheyes Residential Home 17/11/05

Woodheyes Residential Home 01/06/05

Woodheyes Residential Home 01/09/04

Woodheyes Residential Home 05/05/04

Similar services:

Applegarth

Trevayler Residential Care Home

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

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

CARE HOMES FOR OLDER PEOPLE Woodheyes Residential Home 231 Hinckley Road Leicester Forest East Leicester LE3 3PH Lead Inspector Martin Hefferman Unannounced Inspection 09:30 9 October 2007 th 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 Woodheyes Residential Home DS0000001680.V347126.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. Woodheyes Residential Home DS0000001680.V347126.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodheyes Residential Home Address 231 Hinckley Road Leicester Forest East Leicester LE3 3PH 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) 0116 2387371 0116 2387398 Todaywise Limited Position Vacant Care Home 24 Category(ies) of Dementia - over 65 years of age (24), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (24), Old age, not falling within any other category (24), Sensory impairment (2) Woodheyes Residential Home DS0000001680.V347126.R01.S.doc Version 5.2 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. 5th September 2006 Date of last inspection Brief Description of the Service: Woodheyes Residential Home is registered to provide care for twenty-four older people who may have dementia, mental disorder and sensory impairment. Residents live in a purpose built property situated on the main Hinckley road. The home is close to the city of Leicester and is easily accessible by private and public transport. The premises consist of two floors. The first floor is accessible by use of the stairs and a passenger lift. There are a variety of facilities in the home including a dining room and two lounges. The home comprises sixteen single bedrooms (one without en-suite facility) and four double bedrooms (one without en-suite facility). A garden, which is secure, is situated to the rear of the premises. Ample parking is available for visitors. At the time of the inspection, fees ranged from £319 to £450 per week. Information about the home is available. Woodheyes Residential Home DS0000001680.V347126.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A visit to the home took place on 9th October 2007, lasting approximately six and a half hours. The main method of inspection used on that day was ‘case tracking’ which involved selecting two people who live at the home and tracking the care they receive through review of their records and discussion with staff, the deputy manager & the owners. A significant proportion of the visit was spent in one of the lounges observing the care provided to residents, the majority of whom have dementia. A relative was also spoken to during the course of the visit. The inspection took account of all information received since the date of the last visit, including the owners’ self-assessment. Comments cards were received from six residents (all of which were completed by someone else on their behalf) and six relatives or friends. What the service does well: Assessment & care planning practices are effective, ensuring that staff members have access to the information they require to meet individual needs. Records contain a detailed social history and information about the person’s hobbies & interests. Residents are treated with dignity and respect. A senior member of staff has been given the responsibility of ensuring that issues relating to privacy & dignity are promoted. Residents appear to enjoy the lifestyle experienced within the home. Several people enjoyed listening & dancing to music during the afternoon of the visit. Photographs were available of recent trips to a local park and a farm. Spiritual needs appear to be well met. Residents are able to maintain contact with family members and friends. They appeared to enjoy the meals that were provided on the day of the visit. Residents live in a safe and well-maintained environment. The home is decorated and furnished to a high standard. Fresh flowers had been purchased to welcome a new resident whose room had also been redecorated in preparation for her arrival. Residents’ needs are met by trained staff. The comments of people who completed survey forms included the following: ‘Staff are first class’; ‘The care staff are very loving and attentive’; ‘The staff are caring & compassionate and I marvel at times at their patience’; ‘Extremely attentive, well presented staff who listen to all comments, making visitors welcome’. When asked what the home does well, comments included the following: Woodheyes Residential Home DS0000001680.V347126.R01.S.doc Version 5.2 Page 6 ‘Looks after my friend. Keeps her safe’; ‘Keeps M clean & tidy. Attends to her daily needs very well’; ‘Care is first class. Mum is clean, well fed and cared for extremely 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. The summary of this inspection report can be made available in other formats on request. Woodheyes Residential Home DS0000001680.V347126.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 Woodheyes Residential Home DS0000001680.V347126.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): 1, 3 & 6 Quality in this outcome area is good. Prospective residents are assessed before admission to ensure that their needs can be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information about the home was available at the time of the visit. The people who completed comment cards indicated that they had received enough information to help them make decisions. One of the owners stated that they were in the process of producing a new brochure. The home had completed its own assessments for both of the people who were chosen for the purposes of case tracking. The assessments that were inspected covered a range of areas and contained a detailed social history & information about the person’s hobbies & interests. Copies of assessments completed by health and social care professionals were also available for inspection. The home does not provide intermediate care. Woodheyes Residential Home DS0000001680.V347126.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. Staff members have access to the information they require to meet individual needs. Residents are treated with dignity and respect. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Individual plans were available for both of the residents who were chosen for the purposes of case tracking. The plans that were inspected had been amended since the date of the last inspection to include information about any social, cultural or religious needs that have been identified. Records indicate that individual plans are kept under review & that relatives are involved in those reviews when possible. Risk assessments – covering a range of issues have been completed for each of the residents whose records were inspected. Individual plans contain details of any healthcare needs that have been identified and of any action that is felt to be necessary as a result. Records of appointments attended by residents indicate that they have access to relevant healthcare professionals. Woodheyes Residential Home DS0000001680.V347126.R01.S.doc Version 5.2 Page 10 None of the residents who were chosen for the purposes of case tracking manage their medication. Records of the medicines received into the home and administered to residents met relevant requirements. Senior members of staff are responsible for administering medication. They have completed a course on the safe handling of medication, which is run by a local college. Residents were treated with respect by the staff members who were on duty at the time of the visit. Staff members used residents’ preferred form of address, which is recorded in their individual plans. They knocked & waited for a response before entering residents’ rooms. One of the owners stated that a senior member of staff has recently been given the responsibility of ensuring that issues relating to privacy & dignity are promoted within the home. Woodheyes Residential Home DS0000001680.V347126.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. Residents appear to enjoy the lifestyle experienced within the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A number of people appeared to be interested in a television programme, which was on during the morning of the visit. At least one person read a newspaper. Several residents enjoyed listening & dancing to music in the afternoon. A programme of activities is displayed in the hallway. The activity planned for the afternoon of the visit did not take place due to the inspection, a visit by a National Vocational Qualification assessor, fire training for staff and the admission of a new resident. Photographs were available of recent trips to a local park and a farm. One of the owners stated that a senior member of staff has recently been given the responsibility of overseeing activities for residents. One of the people who were chosen for the purposes of case tracking received a visit from a Roman Catholic minister during the course of the inspection. Representatives from other local churches visit the home each month. Woodheyes Residential Home DS0000001680.V347126.R01.S.doc Version 5.2 Page 12 A number of residents received visits from family members during the course of the inspection. A relative stated that he is always made to feel welcome whenever he visits the home. Residents appeared to enjoy the meals that were provided on the day of the visit. They were offered a choice of two main meals, both of which were served with fresh vegetables. Records indicate that residents receive a varied diet. Woodheyes Residential Home DS0000001680.V347126.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): 16 & 18 Quality in this outcome area is good. Residents are protected by the home’s arrangements for dealing with complaints and for responding to allegations of abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The people who completed comment cards indicated that they know how to make a complaint and reported that the home had responded appropriately if they had raised concerns in the past. A copy of the complaints procedure is displayed in the hallway alongside details of an advocacy service. One of the owners agreed to amend the procedure to reflect revised guidance from the Commission about the handling of complaints. Information provided prior to the visit indicates that the home has received one complaint since the date of the last inspection. Records kept by a previous manager indicated that a meeting had been arranged to discuss the concerns but did not contain any information regarding the outcome of that meeting. The owner was reminded that a record must be kept of any action taken in response to a complaint. The home has a copy of the local multi-agency policies and procedures on the protection of vulnerable adults. The owner agreed to amend the home’s procedure to highlight the role played by Social Services. She stated that some staff members have attended Safeguarding Adults training (this was confirmed by staff) and that others are due to undertake it later in the year. Woodheyes Residential Home DS0000001680.V347126.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): 19 & 26 Quality in this outcome area is good. Residents live in a safe and wellmaintained environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The areas of the home that were inspected were decorated and furnished to a high standard. The people who completed comment cards reported that the home is always fresh and clean. A number of rooms have been redecorated since the date of the last inspection, including a room into which a new resident was due to move on the day of the visit. Fresh flowers had been purchased to welcome her. The home has created a hairdressing salon since the date of the last inspection where residents are able to have their hair & feet attended to. The owner provided plans of a proposed extension, which will further improve the facilities available at the home. She stated that they had sought, and would implement, guidance on how to make the environment more conducive to people with dementia. Woodheyes Residential Home DS0000001680.V347126.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. Arrangements for the recruitment & training of staff ensure that residents are protected and their needs met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The roster for the day on which the visit took place indicated that there were four members of care staff on duty from 7am to 2pm, three from 2pm until 8 and two during the night. The staff records that were inspected indicated that appropriate pre-employment checks had taken place. New members of staff complete induction training to the standards set by Skills for Care. Information provided prior to the visit indicates that eight of the twenty members of care staff have obtained National Vocational Qualification level 2 or above & that five are working towards such an award. Two members of staff completed their NVQs on the day of the visit. Staff members stated that they have attended training on a range of issues relevant to their work including dementia, the safe handling of medication and safeguarding adults. The deputy manager reported that she has recently completed the manual handling ‘training for trainers’ course. The home had yet to receive certificates for some of the courses attended by staff. Woodheyes Residential Home DS0000001680.V347126.R01.S.doc Version 5.2 Page 16 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. Residents live in a well run home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The owner stated that the acting manager – who was not present on the day of the visit - has completed a National Vocational Qualification level 4 in management & care. She reported that an application for registration with the Commission had been discussed with the central registration team and would be submitted at the earliest opportunity. Staff members stated that they felt the home was well run and that the owners & the manager were approachable. A questionnaire is sent to relatives each year. The owner stated that completed copies were not available at the time of the visit. She reported that the findings had not been published. Woodheyes Residential Home DS0000001680.V347126.R01.S.doc Version 5.2 Page 17 The home maintains records of any money it handles on behalf of residents. Two staff members had signed each entry. Staff members have received training on a range of safe working practices. Fire training was taking place on the day of the visit. The owner was reminded that fire tests and drills must take place at the required frequency. Risk assessments have been completed on a range of issues associated with safe working practices since the date of the last inspection. Woodheyes Residential Home DS0000001680.V347126.R01.S.doc Version 5.2 Page 18 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 3 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 3 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 2 X 3 X X 3 Woodheyes Residential Home DS0000001680.V347126.R01.S.doc Version 5.2 Page 19 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 OP33 Good Practice Recommendations The findings of any surveys to measure the quality of the service provided at the home should be made available to residents and their representatives. Woodheyes Residential Home DS0000001680.V347126.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Woodheyes Residential Home DS0000001680.V347126.R01.S.doc Version 5.2 Page 21 - 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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