Inspection on 27/04/05 for Woodland Care Home

This inspection was carried out on 27th April 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 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.

Other inspections for this house

Woodland Care Home 21/11/06

Woodland Care Home 25/11/05

Woodland Care Home 08/12/04

Woodland Care Home 16/06/04

Similar services:

Ashlea Mews Residential Home

Eastwood

West Lodge

Arran House

Avenue Community Nursing Home

Cosin Lodge

Farmborough Court

Cragston Court

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

CARE HOME ADULTS 18-65 Woodland Care Home 28 Market Place Bishop Auckland Durham Dl14 7NP Lead Inspector Bill Drumm Unannounced 27 April 2005 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 B54 S7458 Woodland V218986 260405 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Woodland Care Home Address 28 Market Place Bishop Auckland Durham Dl14 7NP 01388 606763 01388 606763 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) Woodland Care Ltd Janet Marie Perry CRH 15 Category(ies) of MD Mental Disorder (14) registration, with number MD(E) Mental Disorder -over 65 (1) of places Woodland Care Home B54 S7458 Woodland V218986 260405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 8 December 2004 Brief Description of the Service: Woodland is a care home providing personal care and accomodation for upto 15 adults, including one older person with mental disprders (not including learning disabilities or dementia). 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 accomodation is provided in 13 single bedrooms and 1 double bedroom, none of the bedrooms have en-suite facilities although are are sufficient toilets, showers and bathing facilities to meet the needs of residents. There is a large garden to the rear of the property. Woodland Care Home B54 S7458 Woodland V218986 260405 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 27/04/05 over 4.5 hours and was carried out as part of the annual inspection process. Six service users who live at the home and three members of staff were spoken to during the inspection. During the inspection all of the communal areas of the building were looked at including bathroom and toilets as well as records kept by the manager. On the day of the inspection the outside of the building was being repainted. On this occasion none of the residents’ relatives were contacted or spoken to. The home had a change in management toward the end of last year and the Deputy Manager has been fulfilling the role of manager until a suitable replacement can be appointed. The home has continued to operate effectively during this time. During the inspection it was necessary to issue a requirement for immediate action with regard to two electrical sockets in the kitchen area of the home, which were unsafe. The repairs required were undertaken within twenty four hours of this requirement being issued. What the service does well: What has improved since the last inspection? Since the last inspection alternative door closers have been fitted to a number of doors to avoid the temptation to wedge doors open, this will help to maintain the safety of residents living at the home. In addition changes have been made to the way in which staff training is monitored to help ensure essential training such as first aid, fire awareness remains up to date and appropriate. This will again help to ensure the safety and welfare of residents. Woodland Care Home B54 S7458 Woodland V218986 260405 Stage 4.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. Woodland Care Home B54 S7458 Woodland V218986 260405 Stage 4.doc Version 1.30 Page 7 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 Standards Statutory Requirements Identified During the Inspection Woodland Care Home B54 S7458 Woodland V218986 260405 Stage 4.doc Version 1.30 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2. Each service user is admitted only on the basis of having received a full assessment on their needs carried out by a person trained to do so. Pre-admission assessments are also undertaken by the homes manager to help ensure the suitability of the placement. Service users and/or their family members are fully involved in the assessment and care planning process and receive their own copies of these documents. EVIDENCE: Each Service User has a copy of the Statement of Terms and Conditions of residency in the home. Inspection of service user files showed that they had been signed by the service user or their relatives on their behalf to indicate their agreement. Individual records are kept for each service user and an inspection of records contained a Care Manager or Community Psychiatric Nurse assessment as well as a pre-admission assessment carried out by the homes’ manager. Individual records examined also contained up to date, thorough risk assessments and personal futures plans. This helps to ensure staff members have all the essential information to work with residents in meeting their individual needs. Woodland Care Home B54 S7458 Woodland V218986 260405 Stage 4.doc Version 1.30 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7 and 9. The personal futures planning system, adopted within the home, is both comprehensive and thorough and gives a clear indication of service user involvement. EVIDENCE: Individual care plans are available and are comprehensive and thorough. Risk assessments are carried out and regularly reviewed, as are the personal futures plans. Care planning and review systems ensure that changing needs are identified and continue to be met. Service users spoken to confirmed that they are able to personalise their own rooms in a manner of their choosing and are supported by staff to do this. Financial records examined indicate that nine service users manage their own finances and six, need some staff support to help promote this area of independence. From direct observation and from discussions with service users and staff members it was apparent that within the limits of their mental capacity service users are enabled to take responsible and informed risks associated with daily living therefore maintaining as much independence as possible. Woodland Care Home B54 S7458 Woodland V218986 260405 Stage 4.doc Version 1.30 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 15, 16 and 17. The location of the home provides easy access to the full range of community services and resources. Each service user has a named key worker who can help to facilitate and promote individual access to these resources when required. EVIDENCE: Discussions with service users, members of staff and direct observation confirmed that a positive relationship exists between service users and staff members. Service users spoken to confirmed that they are free to come and go as they wish and that their family members and visitors are always made welcome. A number also spoke of enjoying a summer holiday last year something, which some people had never experienced before. They also stated they were looking forward to their next holiday. This helps to provide all residents with a number of life experiences within a homely environment. Woodland Care Home B54 S7458 Woodland V218986 260405 Stage 4.doc Version 1.30 Page 11 Menu’s examined indicated that a balanced diet is provided for each service user and that menu’s are regularly reviewed. Service users confirmed that the food provided at the home was both, “nice and very enjoyable”. Woodland Care Home B54 S7458 Woodland V218986 260405 Stage 4.doc Version 1.30 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20. The system of individual personal futures planning adopted within the home sets clear guidelines of how staff, are to help, support and enable service users. Personal futures plans are agreed and implemented with the full involvement of service users. EVIDENCE: Personal futures plans examined were signed by service users to indicate their agreement and involvement, there was also evidence to confirm that plans are regularly reviewed and adapted in order to meet the changing needs of service users. Medication records examined showed that no residents are independent in this area and require the support of staff. Training records examined did indicate that all staff members receive training in the safe handling and administration of medication. Service users are all registered with a local GP service and have access to Mental Health services when required. Service users spoken to confirmed that, when they need to see a doctor they can see one within the local town. Some also indicated that they receive regular out patient appointments with the mental heath psychiatric services. Woodland Care Home B54 S7458 Woodland V218986 260405 Stage 4.doc Version 1.30 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23. The home has a satisfactory complaints system in place and there is some evidence that residents are aware of the complaints policy and procedure. The home also has a comprehensive policy and procedure for dealing with issues relating the protection of vulnerable adults (POVA). EVIDENCE: A complaints policy and procedure is in place and there have been no recorded complaints since the last inspection. Service users spoken to confirmed that they are encouraged to raise any areas of concern that they may have, regular service user meetings are held and one service user has been elected to be the service user representative at staff meetings which helps to ensure that any concerns are raised and dealt with quickly in a formal manner. Since the last inspection minor amendments have been made to the homes’ procedure for dealing with, whistle-blowing and allegations of abuse. Training records examined indicate that staff members within the home are shortly to begin training in this area, which will help to protect service users from abuse or exploitation. Woodland Care Home B54 S7458 Woodland V218986 260405 Stage 4.doc Version 1.30 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 and 30. The standard of the environment within the home is generally good providing service users with an attractive and homely place to live. Two electrical sockets within the kitchen were observed to present a significant risk to the health and safety of service users and staff members. Clealiness within the home was of a reasonable standard although the absence of a permanent cleaner was noted. EVIDENCE: All communal areas were inspected during this inspection. Two wall mounted electric sockets within the kitchen were found to be loose and did not provide a close seal to the wall. This is a hazard to the safety of both staff members and service users. In addition to this the floor covering in the kitchen and first floor bathroom, (particularly around the toilet), were in a state of poor repair. This could provide a good place for germs and bacteria to breed and may present a health hazard. Woodland Care Home B54 S7458 Woodland V218986 260405 Stage 4.doc Version 1.30 Page 15 Cleanliness within the home was generally adequate, however a number of carpets were in need of hovering and hand towels were absent from all toilet areas. Staff members spoken to confirmed that the homes’ cleaner had been absent due to ill health for some time. This may also provide a health hazard to both staff and service users. Woodland Care Home B54 S7458 Woodland V218986 260405 Stage 4.doc Version 1.30 Page 16 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35. Records examined and discussion with staff showed that, staff are trained and competent to do their job in addition to maintaining the safety and well being of service users. EVIDENCE: All staff working within the home have achieved or are working toward obtaining the NVQ level 2 in care. Two staff members have recently left the home and replacements have, already been identified. Direct observation confirmed that CRB applications have been made. Staff members spoken to were positive about self-development and gaining knowledge about the mental health needs of service users. Individual training records for staff were viewed and were found to be up to date and applicable to the skills needed to deliver the care service to the people living within the home. Staff members are appropriately trained to meet the changing needs of service users. Woodland Care Home B54 S7458 Woodland V218986 260405 Stage 4.doc Version 1.30 Page 17 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 and 42. Service user involvement is central to the philosophy of the running of the home. Service users are represented at all staff meetings and interview panels for new staff members. Records in general including health and safety are up to date and robust procedures are in place for dealing with service users finances and medication. EVIDENCE: Records examined confirmed that, regular service user meetings take place and the agenda for these meetings is, set by service users themselves. One service user has been elected by his peers to represent them at staff meetings, service users therefore have a direct formal link to the homes’ management which helps to deal with problems or difficulties quickly and efficiently. Monthly visits and reports by the responsible individual for the home, are being carried out and direct observation confirms that the views of service users are sought with regard to the running of the home. Woodland Care Home B54 S7458 Woodland V218986 260405 Stage 4.doc Version 1.30 Page 18 Individual risk assessments examined were found to be up to date and regularly reviewed. Health and safety records inspected were current and up to date. Staff members spoken to confirmed that they had completed training on fire safety, first aid and safe handling for the administration of medication. These procedures help to ensure the health and safety of both staff and service users. Woodland Care Home B54 S7458 Woodland V218986 260405 Stage 4.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 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 4 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 1 x x x x x 2 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Woodland Care Home Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x B54 S7458 Woodland V218986 260405 Stage 4.doc Version 1.30 Page 20 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 YA24 Regulation 13(4)(a) Requirement Timescale for action 24 Hours 2. YA30 23(2)(d) All parts of the home to which service users have access amust be kept free from hazards to their safety. In particular, the loose electrical sockets in the kitchen must be repaired and the floor coverings in the kitchen and upstairs toilet are in need of repair or replacement. The registered person shall 26 July ensure that all parts of the home 2005 are kept clean and reasonably decorated. 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 YA22 Good Practice Recommendations Service user meetings are held at least every two months and that minutes of those meetings are both signed and dated. Woodland Care Home B54 S7458 Woodland V218986 260405 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection No 1 Hopetown Studios Brinkburn Road Darlington Dl3 6DS 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 Care Home B54 S7458 Woodland V218986 260405 Stage 4.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. 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