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Inspection on 08/06/05 for Woodland

Also see our care home review for Woodland for more information

This inspection was carried out on 8th 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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

Woodland provide a high standard of care to individuals. This was clearly communicated by all of the service users who spoke to the inspector during the visit. The care planning process is clear and consistent, staff are given clear information about an individual`s needs before they move in, the care plans detail how those needs should be met. Communication between management and staff is good, this ensures staff are aware of the needs of the service users living at the home. The home maintains good links with families, once again this is through good communication with family members. Clearly service users feel they are treated as individuals with staff respecting their privacy and dignity at all times.

What has improved since the last inspection?

This inspection reviewed key standards only as the home is currently considered to be performing well and thus warrants the application of a reduced methodology. The entrance corridor woodwork has been repainted since the last inspection.

What the care home could do better:

Acknowledgement that individual`s should be afforded the opportunity to chose whether they use a lock to fully protect their right to privacy has been an ongoing issue since the introduction of the National Minimum Standards in 2001. To address this the home must install locks to all service user bedrooms followed by a risk assessment with regard to a service user being issued with a key. If the laundry is not going to be re sited then the floor must be made impermeable in its current location.

CARE HOMES FOR OLDER PEOPLE WOODLAND TREFONEN ROAD MORDA OSWESTRY SHROPSHIRE SY10 9NX Lead Inspector KAREN POWELL Announced 23 June 2005 10.00 rd 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. WOODLAND CS0000020692.V191023.R01.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service WOODLAND Address TREFONEN ROAD MORDA OSWESTRY SHROPSHIRE SY10 9NX 01691 656963 01691 671225 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) MR STEVEN BOL MRS CATHERINE HEATHCOTE CARE HOME 20 Category(ies) of 19 OP registration, with number 1 LD of places WOODLAND CS0000020692.V191023.R01.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7TH JANUARY 2005 Brief Description of the Service: Woodland is a privately owned establishment that provides personal care and accommodation for up to nineteen elderly people and one person with a learning disability. The homes aims and objectives taken from the aims and objectives statement states To enable each resident to maintain a lifestyle as close as humanly possible to to that which he or she is used. To maintain each residents right to self-determination and individuality. The proprietor of the home is Mr S Bol and there is a registered manager, Mrs C Heathcote, who is responsible for the day-to-day running of the home. Mr Bol lives on site on the first floor of the home – the service users’ individual and communal rooms are all on the ground floor with level access throughout. The home is situated in the village of Morda, near to Oswestry. The home’s location is in a quiet residential, rural location with pleasant gardens for people to walk or sit in. The nearby shop and pub are within walking distance. The original part of the building and the purpose built extension are joined by the communal lounges and conservatory and people choose where to spend their time. The home is generally comfortable and welcoming with a well-established staff group. WOODLAND CS0000020692.V191023.R01.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and started at 10.00am and lasted 4 hours and fifteen minutes. All 20 places were occupied. The inspection included discussion with service users, staff and relatives and observation of daily routines, examination of service user records, policies and procedures. Written comments and feedback via questionnaires were sought prior to the inspection from a number of individuals. These included: Service users, relatives, General Practitioners, Health and Social care professionals. What the service does well: What has improved since the last inspection? WOODLAND CS0000020692.V191023.R01.doc Version 1.30 Page 6 This inspection reviewed key standards only as the home is currently considered to be performing well and thus warrants the application of a reduced methodology. The entrance corridor woodwork has been repainted 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. WOODLAND CS0000020692.V191023.R01.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 WOODLAND CS0000020692.V191023.R01.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 & 5 Service users are issued with a contract when entering the home detailing their terms and conditions of residence. Appropriate admissions procedures are in place. Opportunities are given for service users and their families to visit the home to assess the quality, facilities and suitability of the home. EVIDENCE: The contract of a recently new self -funding service user was seen at the visit detailing the terms and conditions of the individuals stay. There have been three admissions since the last inspection, all three service users had been suitably assessed prior to admission and written documentary evidence was seen to support this had taken place. WOODLAND CS0000020692.V191023.R01.doc Version 1.30 Page 9 The family of a service user who had recently moved into the home shared with the inspector that they had visited the home to view it’s suitability prior to making an informed decision about their relative moving into the home. WOODLAND CS0000020692.V191023.R01.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 & 10 There is a good, clear, care planning system in place. Staff are sensitive to individuals needs and meet these in a professional manner. Medication is dealt with in accordance with the homes policies and procedures. Service users, dignity and right to privacy is acknowledged and promoted within the home other than some service users having the choice to lock their individual rooms. EVIDENCE: The care plans of the three newest admissions to the home were examined. Service users health, personal and social care needs were set out in all care plans. Evidence showed that these have been reviewed monthly. Service user care plans contained information that confirmed health care needs are met. WOODLAND CS0000020692.V191023.R01.doc Version 1.30 Page 11 Observation of a district nurse visit confirmed treatment of an individual is in line with the care plan evidence. All records relating to the receipt, administration and disposals of medication were satisfactory. Service users spoken to said that they feel their privacy and dignity is maintained by the care team particularly when receiving personal care. Observations of personal care being delivered to individuals in their bedrooms by carers, treatment carried out by a visiting professional confirmed the practices at the home are sensitive and professional. WOODLAND CS0000020692.V191023.R01.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13, 14 & 15 The home welcomes service users’ visitors to the home. Individuals are enabled to exercise choice and control over their lives wherever possible balancing the rights and risks with each individual. Service users are offered a varied well balanced diet, which takes into account individual’s likes and dislikes along with seasonal changes. EVIDENCE: Service users and their families spoken to said that they are welcomed at each visit to the home. One relative was seen to stay for lunch and told the inspector they visit at various times of the day to see their relative, at all times they are welcomed. Service users were happy to talk to the inspector about their experiences of living at Woodland. Some recognised that in any type of communal living there have to be some ‘timings for certain activities’ and that where possible staff encourage them to exercise their choice in relation to daily living. One service user goes out walking daily and has a routine established that suits their choice. WOODLAND CS0000020692.V191023.R01.doc Version 1.30 Page 13 All service users were complimentary about the standard and variety of food provided. It was apparent that the menu is changed to incorporate seasonal changes. The lunch- time meal was served during the inspection, this looked appetising and was well presented. All service users spoken to said they had enjoyed lunch. WOODLAND CS0000020692.V191023.R01.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 & 18 A clear complaints policy is made available to all service users. Service users are protected from abuse by the home’s policies and procedures. EVIDENCE: It was stated on the pre inspection questionnaire and confirmed with the manager at the inspection that there have been no complaints since the last inspection. Service users spoken to said they can speak freely to the manager who makes herself available on a daily basis. There were no complaints raised to the inspector. One service user said about the manager “if she meets an obstacle she deals with it in the best way she can, which shows she cares.” One relative spoken to was fully aware of the complaints procedure and how to make a complaint if they needed to. Discussion with the staff demonstrated a clear understanding of the relevant policies and procedures in relation to the protection of vulnerable adults. WOODLAND CS0000020692.V191023.R01.doc Version 1.30 Page 15 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) 24 & 26 Service users individual accommodation is safe and comfortable, it is personalised by the individuals own belongings. The home was clean and appeared comfortable. The home has chosen not to promote service users’ privacy through the provision of locks on individual bedrooms. EVIDENCE: All service users spoken to were happy with their personal space, many of them had brought in with them personal belongings to individualise their accommodation. Service users appeared safe and comfortable. Not all individual bedrooms have locks fitted to the doors and in order to fully respect an individuals right to choose whether they use this facility locks should be in place on all bedroom doors. This is an ongoing requirement from previous inspections. WOODLAND CS0000020692.V191023.R01.doc Version 1.30 Page 16 Lockable storage space is not available in all rooms due to the fact that space limits the provision of this if an individual has ‘brought in’ their own furniture, however the manager stated that if an individual requested it lockable storage space would be provided. On a tour of the home it was observed that individuals looked comfortable in their surroundings. All areas of the home were clean. It was acknowledged that the requirement to the laundry floor to make the floor finish impermeable remains outstanding. This is due to the fact that the home may re site the laundry in the near future. . WOODLAND CS0000020692.V191023.R01.doc Version 1.30 Page 17 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 The home is staffed to a level that ensures service user needs are met at all times. EVIDENCE: Staff seen and the duty rota examined for the period of 20.6.05 to 31.7.05 indicated that there are sufficient staff in numbers and skill mix to meet the service users needs. WOODLAND CS0000020692.V191023.R01.doc Version 1.30 Page 18 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) 35 & 38 Service users are protected by the homes policies and procedures in relation to the management of their finances. Health, safety and welfare of service users and staff are promoted within the home. EVIDENCE: Monies held at the home on behalf of service users are handled in line with the homes policy of handling service user money. A sample was checked and found to be satisfactory at the inspection visit. Accident and fire prevention records examined were appropriately maintained. Matters pertaining to fire safety and environmental health were found to be satisfactory at the last inspection carried out by Shropshire Fire and Rescue service and Environmental Health Department. WOODLAND CS0000020692.V191023.R01.doc Version 1.30 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 x 3 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 x 13 3 14 3 15 3 COMPLAINTS AND PROTECTION x x x x x 1 x 2 STAFFING Standard No Score 27 3 28 x 29 x 30 x 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 3 x x 3 WOODLAND CS0000020692.V191023.R01.doc Version 1.30 Page 20 Yes 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. 2. 3. Standard 24 26 Regulation 13(5) 23 Requirement Suitable locks must be installed on service users doors followed by a risk assessment. The laundry floor must have an impermeable, readily cleanable finish. Timescale for action 06.10.05 06.10.05 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 Good Practice Recommendations WOODLAND CS0000020692.V191023.R01.doc Version 1.30 Page 21 Commission for Social Care Inspection 1st Floor, Chapter House South Abbey Lawn SHREWSBURY SY2 5DE 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 WOODLAND CS0000020692.V191023.R01.doc Version 1.30 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. 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