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Inspection on 21/11/06 for Woodland Care Home

Also see our care home review for Woodland Care Home for more information

This inspection was carried out on 21st November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

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

Care planning is good, people have their health and social care needs met through a planned and risk assessed process. People had their needs assessed before moving into the home and could make an informed choice to move in. People said they liked the home and staff treated them well. Food was reported to be good and menus were varied. "It`s nice and the food is alright." Overall all people spoken to liked the service and were content with their home. Rooms were reported to be warm enough.

What has improved since the last inspection?

The home had provided evidence to the Commission for Social Care Inspection of the safety of the gas and electrical installations as required. Some rooms had been redecorated.

What the care home could do better:

Improvements were still needed to the environment some of the flooring was poorly fitted and needed a refit or replacement, as there was a risk of tripping. Some of the areas of the home needed to be cleaned, though the home had just employed a new cleaner who was due to start work. One room had loose floor boards which gave significantly when walked on and were dangerous, needing repair. Some of the medication storage and recording practices needed to be improved to ensure safe storage and administration of medication. Bathrooms and toilets needed supplies of liquid soap to improve infection control methods. Locks needed to be fitted to some bedrooms and to the cupboard storing cleaning products and those containing water tanks and boilers.

CARE HOME ADULTS 18-65 Woodland Care Home 28 Market Place Bishop Auckland Durham DL14 7NP Lead Inspector John Trainor Unannounced Inspection 21st November 2006 12:30 Woodland Care Home DS0000007458.V319356.R01.S.doc Version 5.2 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 Woodland Care Home DS0000007458.V319356.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 Adults 18-65. 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 Care Home DS0000007458.V319356.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodland Care Home Address 28 Market Place Bishop Auckland Durham DL14 7NP 01388 606763 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) woodlandcare@fsmail.net Woodland Care Ltd Janet Marie Perry Care Home 15 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (14), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (1) Woodland Care Home DS0000007458.V319356.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th November 2005 Brief Description of the Service: Woodland is a care home providing personal care and accommodation for up to 15 adults, with mental disorders, (not including learning disabilities or dementia,) including one older person. Woodland operates within the private sector as a limited company. The home is the sole care establishment operated by Woodland Care Ltd; Mrs Hakim, one of its directors is the homes responsible individual. Woodland is a three-storey building adjacent to Bishop Aucklands market place. The accommodation is provided in 13 single bedrooms and 1 double bedroom, none of the bedrooms have en-suite facilities although are sufficient toilets, showers and bathing facilities to meet the needs of residents. There is a large garden to the rear of the property. Prices for the service at the time of inspection were £347.00 per week. Woodland Care Home DS0000007458.V319356.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection included information sent to the Commission for Social Care Inspection by the provider before a site visit, unannounced to see how the service was. During the visit people living in the home were spoken to as were staff and management about their experience of the home. Records were inspected including care plans and records, staff files and a sample of health and safety documents and policies. The site visit lasted 4 hours. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Woodland Care Home DS0000007458.V319356.R01.S.doc Version 5.2 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Woodland Care Home DS0000007458.V319356.R01.S.doc Version 5.2 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People were assessed and received sufficient information to allow them to make an informed choice before moving into the home EVIDENCE: All care files inspected had evidence of assessment and ongoing review to show the home assessed people’s needs against their ability to provide for those needs. People had access to the service user guide and statement of purpose and had terms and conditions of residence. One person did not have their fees completed on the copy of their terms and conditions. Woodland Care Home DS0000007458.V319356.R01.S.doc Version 5.2 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, and 9. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. People have their needs met with regard to their choice and preference within a risk managed process. EVIDENCE: All files had good care plans clear to understand with risk management built into the planning process. Plans allowed for personal choice and preference. Residents meetings were held and recorded. Woodland Care Home DS0000007458.V319356.R01.S.doc Version 5.2 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s lifestyle met their own preference and individual need. EVIDENCE: People said the food was good. Menus were varied and people said they could choose something else if they didn’t like what was on the menu. The home respected the rights of people and residents said staff treated them well with regard for their dignity. Staff were observed to be polite and respectful. People reported accessing community venues. Relatives and friends could visit when they wished Woodland Care Home DS0000007458.V319356.R01.S.doc Version 5.2 Page 10 The home is within easy reach of the town centre. Woodland Care Home DS0000007458.V319356.R01.S.doc Version 5.2 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People had their health and personal care needs met within a planned and risk assessed model. EVIDENCE: Files inspected showed evidence of involvement of health care professionals from both primary care teams and secondary health services. Care plans accounted for individual preference. Improvements were needed to the storage and recording of medication. Woodland Care Home DS0000007458.V319356.R01.S.doc Version 5.2 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People could be assured their complaints would be listened and responded to and there were procedures in place to manage any potential risk of abuse. EVIDENCE: There was a complaints procedure which was fit for purpose. Abuse procedures were in place, staff had received training and there was a copy of the multi agency strategy to protect residents. Woodland Care Home DS0000007458.V319356.R01.S.doc Version 5.2 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People lived in a comfortable home though improvements were needed to the level of cleanliness and repair. EVIDENCE: Carpets and flooring needed attention in several areas in the home to ensure they were fitted correctly and safe. One room needed some repair to floor boards. Some areas of the home were not as clean as they could be though the home had appointed a new cleaner who was due to start work and hopefully improve this. Infection control would have been better managed by the use of paper towels though the home had tried this and found people were blocking toilets by trying to flush paper towels away. The home therefore uses hand towels which are clean each day though not the best solution for infection control purposes. Woodland Care Home DS0000007458.V319356.R01.S.doc Version 5.2 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People were supported by a staff team deployed in sufficient number and with sufficient skill to meet their needs. EVIDENCE: Staff felt there were sufficient people to meet the needs of the people resident. Service users were complementary about staff and said they were kind and courteous. Staff were seen to be polite and sensitive to peoples needs. The home was committed to training staff well. Staff were being supervised appropriately. Staff were inducted with a supernumerary period of two weeks where they shadowed a mentor then had a 3 month probationary period. Recruitment practices were safe and a residents representative took an active role on the interview panel. Woodland Care Home DS0000007458.V319356.R01.S.doc Version 5.2 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was well managed, in the interests of people resident, by a person competent to do the job. EVIDENCE: The manager was qualified as a social worker and had the Registered Managers Award with four years management experience. Health and safety matters were managed well. There was a quality assurance process in place and all residents filled in questionnaires. Results were then discussed at residents meetings and changes implemented if necessary. Woodland Care Home DS0000007458.V319356.R01.S.doc Version 5.2 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 3 2 3 3 X 4 X 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 1 x 3 X 3 X X 3 x Woodland Care Home DS0000007458.V319356.R01.S.doc Version 5.2 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 YA20 Regulation 13(2) Requirement Timescale for action 21/11/06 2. YA24 13(4) Ensure prescription medication is only administered from bottles or packaging dispensed from a pharmacist. 31/12/06 Repair bedroom floor to double room 12 to make safe there is significant give when stood on causing a risk to people. Replace flooring in the office area to deal with the trip hazard. Re fit flooring to upstairs bathrooms to avoid trip hazard. Re fit carpet to bedroom identified at inspection to avoid trip hazard. Fit working locks to COSHH cupboard and keep COSHH products locked away. Fit locks to electrical fuse cupboard and to boiler and tank storage areas in peoples rooms. Woodland Care Home DS0000007458.V319356.R01.S.doc Version 5.2 Page 18 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. Refer to Standard YA5 YA24 Good Practice Recommendations Contracts and terms and condidions should have the fees and who is responsible for paying them included. It is recommended the fabric of the building be maintained in an ongoing maintenance programme which identifies work needed as part of quality assurance and prioritises urgent work as well as ensuring the environment is both safe and peasant for people. It is recommended the results of quality assurance surveys are compiled into a report and made available to stakeholders. 3. YA39 Woodland Care Home DS0000007458.V319356.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Woodland Care Home DS0000007458.V319356.R01.S.doc Version 5.2 Page 20 - 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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