Inspection on 06/12/07 for Woodland Court Nursing Home

This inspection was carried out on 6th December 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

Woodland Court Nursing Home 29/10/08

Woodland Court Nursing Home 03/05/07

Woodland Court Nursing Home 25/05/06

Woodland Court Nursing Home 06/01/06

Woodland Court Nursing Home 22/10/05

Woodland Court Nursing Home 14/12/04

Woodland Court Nursing Home 26/05/04

Woodland Court Nursing Home 15/01/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Woodland Court Nursing Home 56 Marldon Road Shiphay Torquay Devon TQ2 7EJ Lead Inspector Rachel Proctor Unannounced Inspection 10:00 6 December 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 Woodland Court Nursing Home DS0000028762.V349237.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. Woodland Court Nursing Home DS0000028762.V349237.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodland Court Nursing Home Address 56 Marldon Road Shiphay Torquay Devon TQ2 7EJ 01803 613162 01803 615192 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) Woodland Healthcare Ltd Vacancy Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (3), Physical disability over 65 years of age (39) of places Woodland Court Nursing Home DS0000028762.V349237.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. One named service user under the age of 60 years with mild learning difficulties may reside at the home Registered for max PD(E) 39 service users over the age of 65 Date of last inspection 03/05/07 Brief Description of the Service: Woodland Court has been a nursing home for just over 14 years. The home is part of a group of homes providing personal and nursing care. It is sited in a residential area on the outskirts of Torquay with easy access to the Torbay ring road, which is half a mile away. This home provides personal and general nursing care to people over the age of retirement. It is registered to care for up to 39 people mainly in single room accommodation. There are 25 single rooms all with en-suite facilities and 7 double rooms, mostly with en-suite facilities. The present configuration has four of the double rooms used as singles; therefore there are 29 singles and 3 double rooms. The home has a shaft lift, centrally located, making access between the ground and first floor easy for the less able bodied Service Users. There is one large lounge with dining space on the ground floor at the rear of the building. The terrace immediately outside the lounge that looks over the garden that has disabled and wheel chair access. The home has recently been redecoration throughout the communal areas and some bedroom areas, which included fitting good quality carpets in the communal areas and passageways. Some of the bedrooms have also been re-carpeted as part of the home’s redecoration program. The statement of purpose and the last inspection report were displayed in the reception area of the home. The fees charged were stated as from £317 to £527;the actual fee is calculated according to the dependency of the person using the service and the room occupied. Woodland Court Nursing Home DS0000028762.V349237.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection, which took place on 6th December 2007. Four of the people living at the home had their care followed. Their care planning records, medication records and their personal rooms were viewed. Some records relating to the management of the home were viewed. A tour of the home was completed. People who live at the home, visiting relatives and staff were spoken to during the visit. Some of their comments made during the inspection have been incorporated into this inspection report. What the service does well: What has improved since the last inspection? The three Requirements made at the last inspection had all been met. The way medication stock control was managed had improved and clear records were available for medication disposed of. Recruitment records viewed showed that a clear recruitment policy had been followed when new staff had been appointed. This should protect people from unsuitable staff. New storage had been provided for confidential care plan records for people. Care plans were being stored in a locked filing cabinet. This should ensure peoples confidential information is protected. The manager confirmed that people continue to have access to their own plans of care. The staffing levels had increased since the last inspection. The manager advised that this reflected the increased occupancy. The information provided for this inspection shows that 50 of the health care assistant’s employed had achieved an NVQ level 2 in care. This should ensure a knowledgeable staff team cares for people who live at Woodland Court. Woodland Court Nursing Home DS0000028762.V349237.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Woodland Court Nursing Home DS0000028762.V349237.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 Woodland Court Nursing Home DS0000028762.V349237.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. This judgement has been made using available evidence including a visit to this service. The information provided about the Woodland Court and its services gives people sufficient information to know whether the service will be able to meet their needs. The clear assessment documentation, which is completed by registered nurses, gives staff a clear understanding of the health, personal and social care needs of the individual. This should ensure that people have their care needs met in a way they need and prefer. Woodland Court does not provide intermediate care. EVIDENCE: The statement of purpose and a copy of the last inspection report are easily available. The manager advised that she was in the process of updating the statement of purpose to reflect the changes that have taken place. This included the appointment of a new clinical lead who is due to start work at the Woodland Court Nursing Home DS0000028762.V349237.R01.S.doc Version 5.2 Page 9 home in January 2008. The manager also advised that information about the activities provided for people living at the home was also being expanded. The information provided by the manager should ensure that people have sufficient information to make an informed choice about the home and its services. People spoken to during the inspection said they were given enough information about the home prior to moving in. The four people whose care was followed had clear assessments of their care needs. Pre-admission assessments had been carried out, which identified their initial care needs. The manager advised that where possible an assessment of need was carried out prior to the person being admitted to the home. Risk assessments were seen to be an integral part of the assessment process. Risk assessments included manual handling, nutritional risk, risk of pressure sore development, and any risks identified that were specific to the individual person such as use of bed guards. Where people had been admitted through the care management process a copy of the social services care plan and assessment was available with the homes information. The home does not provide intermediate care. Woodland Court Nursing Home DS0000028762.V349237.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who live Woodland Court have their health; personal and social care needs set out in a detailed individual plan of care. This provides the good information for staff so that care is provided in a way that meets a person’s assessed need. The majority of medication practices at Woodland Court are good. The staff team appear to have an excellent understanding, caring attitude towards the people who live at Woodland Court. This means that people who live at Woodland Court are treated with dignity and respect by the staff team who care for them. EVIDENCE: The manager confirmed that registered nurses carry out the health and personal care assessments and care planning for people living at Woodland Court. Four people had their care followed as part of this inspection. This Woodland Court Nursing Home DS0000028762.V349237.R01.S.doc Version 5.2 Page 11 included looking at the individuals plans of care and assessments and medication records. Where possible the care provided was discussed with the individuals whose care was followed. Each person had a comprehensive assessment from which a plan of care had been developed. The plans of care had been reviewed monthly or sooner if the persons care needs have changed. One person whose care was followed had a history of falls. This persons care plan had clear falls risk assessments and a plan of care in place to guide staff on how to reduce the risk of this person falling. A physiotherapist had reviewed the person to assess their ability. Bed guards were fitted to this person’s bed. They said the use of the bed guard had been discussed with them. They also commented that they found the bed guard useful when they were in bed. Nutritional assessments had been completed for all four people whose care was followed. This provided information for staff on the type of diet or any difficulty the person may have with maintaining their nutrition. The speech and language therapist had seen two people who had a compromised swallow reflex. Advice given by the speech and language therapist had been incorporated into both people’s plans of care. One person living at the home commented that the staff were making sure that they had supplement drinks to help build them up. Clear wound care planning and assessment were in place. Body maps are completed to show positioning of wounds and photographs had been taken which clearly showed wound healing. The wound measurements and state of the wound had been recorded as part of the evaluation within the wound care planning. The tissue viability nurse specialist spoken to prior to the inspection commented that wound care management in the home had improved. The manager advised that she had developed a form, which passed on referrals to the tissue viability nurse or asked her for advice. One person admitted recently who had been identified as having a high risk of pressure sore development had had a specialist bed and high dependency airflow mattress provided for them prior to their admission. The manager advised that the company has a budget to purchase equipment for people with high nursing needs. Medication records were viewed for the four people whose care we followed. The medication record sheets had been signed and where medication had not been given the reason for this had been recorded. Medication is stored in a treatment room in locked cupboards and a medication trolley, which is secured to the wall. Samples of the medication stored in these were viewed, this showed good stock control. A record of medication disposed of was being kept. Reference material was available for the registered nurses and carers in the treatment room. We checked the controlled drugs for one person and found the records to be correct. A lockable drug fridge was available to store medication that needs refrigeration. A record of temperatures was being recorded to ensure that the fridge remained at the correct temperature for the Woodland Court Nursing Home DS0000028762.V349237.R01.S.doc Version 5.2 Page 12 medication stored. The homely remedy agreement with the home had been signed and dated by the GP and was valid until March 2008. One person whose care was followed required three monthly injections for slow release medication. The person’s care plan did not have clear information about the frequency of this medication. This was not recorded on the persons repeat prescriptions held by the home. This could mean that the person may not have the medication available to them when they need it. Woodland Court Nursing Home DS0000028762.V349237.R01.S.doc Version 5.2 Page 13 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): 12,113,14,15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff team at Woodland Court try to ensure that the activities and entertainment provided for people meets their needs and preferences. Meal times are a peasant experience for the people living at Wodland Court. EVIDENCE: Information about planned activities were provided for people on the notice board. The manager advised that one of the carers continues to provide oneto-one support or group activities for people on a regular basis. An external company also provides regular activities for people in the home. They provide the manager with an information sheet, which shows the activity that has taken place and who has participated. The manager advised that since the last inspection they have organised an entertainer that brings animals to the home. One person spoken to said how much they liked grooming one of the guinea pigs the person had brought in. The manager advised that the person brings different animals each time and people living at Woodland Court seemed to enjoy these visits. The four individual peoples plans viewed contained information about their interests and the activities they Woodland Court Nursing Home DS0000028762.V349237.R01.S.doc Version 5.2 Page 14 enjoyed. During the inspection in the afternoon people were singing along with a singer and a keyboard player who had come to entertain them. Visitors were coming and going throughout the inspection. They were seeing people in the privacy of their own rooms or in the communal lounge. One relative commented that the staff are friendly and try to ensure their relative is able to do the things they like. This person’s care plan indicated that they enjoyed reading. When this person was seen in their own room they were sitting in a comfortable reclining chair reading a book. They commented that they preferred to stay in their own room rather than join the others in the lounge. Individual peoples rooms entered during the inspection had been personalised with items of their choice. This included small items of furniture, pictures and ornaments. One person living at the home commented that they have been able to arrange the room and have the things that were important to them with them. The manager advised that a new cook had been appointed since the last inspection. Four weekly rotational menus were in use, which gives a variety of meals. During the inspection a choice of two main courses and two deserts were available for people. The manager advised that there was always a choice of two meals at lunchtime. People spoken to during the inspection said they usually enjoyed the food provided for them. The lunchtime meal on the day in the inspection was attractively presented and nutritionally balanced. People who required assistance to eat their food were being given this in a sensitive supportive way by the staff assisting them. A member of staff gave one person who was having difficulty cutting their food help. The mealtime was relaxed and people were eating their meals at their own pace. People were given the opportunity have extra helpings of the food if they wanted it. People that required their food puréed were being given this in a way that enabled them to taste the different textures and tastes of the food. The manager advised that food is always prepared separately for people who required this. Woodland Court Nursing Home DS0000028762.V349237.R01.S.doc Version 5.2 Page 15 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. This judgement has been made using available evidence including a visit to this service. People who live at Woodland Court are cared for by a staff team who are approachable and friendly and have their best interests at heart. People can have confidence that their complaints are listened to and taken seriously and acted on by the staff caring for them. EVIDENCE: The complaints policy and procedure was easily accessible for people in the reception area of the home. This provides information on how any complaints will be handled and the timescales for the process. The information also contains the contact details for the Commission. The manager keeps a record of complaints, which shows the concerns raised, details of any investigation and the action taken to address the concern. People spoken to during the inspection said they knew who to speak to if they had any concerns. All those asked said they had confidence any concerns they raised would be dealt with by the staff. The manager advised that people are encouraged to let staff know if there are things theyre not happy with. She advised that this has enabled her and the staff team to sort things out quickly for people and ensure they felt valued. The manager advised that staff have received adult protection training. The training matrix provided showed when staff had receiving protection of vulnerable adult training and other mandatory training such as manual handling, fire safety and health and safety. The company has introduced a robust procedure for responding to evidence of abuse or neglect. Woodland Court Nursing Home DS0000028762.V349237.R01.S.doc Version 5.2 Page 16 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. This judgement has been made using available evidence including a visit to this service. The people who live at Woodland Court continue to have a clean fresh homely environment to live in, which helps them to settle into a way of life at the home. EVIDENCE: Woodland Court is a large house, which has been adapted for use as a care home with nursing. Disabled access bathrooms and toilets have been provided for the people who live in the home. There is a passenger shaft lift between the floors to give level access to the accommodation. A staircase provides access to an office on the second floor, the people who live in the home do not have access to this area. The Regulation 26 reports have indicated that repairs and renewals have continued. A tour of the home revealed that carpets had been replaced in the corridors, hallway and communal lounge. Those spoken to said they liked the new carpet. Individual bedrooms entered Woodland Court Nursing Home DS0000028762.V349237.R01.S.doc Version 5.2 Page 17 were arranged to suit the person occupying that room. Where the person needed specialist pressure relief and bed these had been provided. One person recently admitted to the home had been provided with a high dependence pressure relief mattress and a profiling hospital style bed. The home was fresh and clean in all areas entered during the inspection. The domestic staff working in the home advised that they took pride in the way they looked after the home for the people who lived there. The bathrooms and en-suite facilities entered were clean and smelt fresh. The people who lived at the home spoken to said their rooms are kept fresh and clean by the staff on a daily basis. Information about infection control was provided in the treatment room for staff use. The manager advised that the new training manager appointed by the company would be providing infection control up dates for all staff. A training matrix showed the staff who had already received this training. Staff observed providing care were using gloves and aprons provided and were washing their hands as they cared for people in the home. The laundry area is separate from the home thus minimising cross contamination risks. Woodland Court Nursing Home DS0000028762.V349237.R01.S.doc Version 5.2 Page 18 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. This judgement has been made using available evidence including a visit to this service. The staff are friendly and supportive as they care for individual people living at Woodland Court. A clear staff recruitment policy is followed; this should ensure people are protected from unsuitable staff. EVIDENCE: Registered nurse’s oversee and monitor the health care of people living at Woodland Court 24 hours a day. A duty rota shows the number of staff on duty each shift and in what capacity they are employed. The rota showed that more staff are on duty at peak times during the day. The manager advised that since the clinical lead had left they were using agency registered nurses to fill shift short falls. She further commented that the agency used supplies the same four registered nurses, which gives people living at the home chance to get to know the registered nurses caring for them. The agency registered nurse on duty during the inspection advised that they were covering several shifts at the home. They also commented that they were given a hand over by the registered nurse from the previous shift before starting work. Two people asked said the agency staff were good but it was not the same as having regular staff to care for them. The lunchtime observed during the inspection Woodland Court Nursing Home DS0000028762.V349237.R01.S.doc Version 5.2 Page 19 appeared to have sufficient staff provided to assist those people who needed assistance to eat their meals. In addition to the care staff the home employs a cook, domestic staff and maintenance person. Two domestics were working in the home during the inspection. The information provided by the manager indicated that six health care assistants had achieved an NVQ level 2 or above. Two staff spoken to said they felt supported to do their work and had access to training they needed. Four staff files were viewed during the inspection. These contained application forms, two written references and evidence that police checks had been carried out. Each staff file had a copy of the interview process, which showed how the decision to employ them was made. A statement of terms and conditions of employment, which had been signed by the member of staff was also contained in the all the staff files viewed. The manager advised that a new clinical lead had been appointed and was due to start work at the home in January 2008. This person was visiting the home during the inspection. They confirmed that they had had an interview and applied for a police check. The manager confirmed that she was in the process of completing the employment checks for the new clinical lead and was confident these would be returned before they started work. A checklist had been completed, which showed when new staff started their induction. One staff member’s file had a copy of the new induction assessment completed. One new member of staff spoken to said they were working with other staff in the home until they had got to know the people living there, and completed the first part of their induction. The manager advised that new staff work along side existing members of staff when they first start at the home. The training matrix the manager provided showed the training staff had completed or had planned. This showed the majority of staff had completed infection control and dementia care training with the new training coordinator. The manager advised that two training matrix are completed: one for the core ‘required’ training and one for specialist training. Both were seen during the inspection. This showed that the registered nurses had completed end of life care training and wound care management training. The manager confirmed that staff have access to the training they need to do their jobs. Staff spoken to said they regularly receive training, one commenting they had recently completed a manual handling and fire training up date. Woodland Court Nursing Home DS0000028762.V349237.R01.S.doc Version 5.2 Page 20 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. This judgement has been made using available evidence including a visit to this service. The manager continues to work towards ensuring the people who live at Woodland Court live in a well run home. Improvements to the way the home is managed have continued since the last inspection. The improvements to the way people’s care planning information was being stored will protect their confidential information. EVIDENCE: The manager appointed to lead the home is not a registered nurse. She is supported by a clinical registered nurse lead, who manages people’s health care. At the time of this inspection an application to register the manager had not been received. During the inspection there were clear lines of Woodland Court Nursing Home DS0000028762.V349237.R01.S.doc Version 5.2 Page 21 accountability between the manager, registered nurses and health care assistants. The people living at the home who were asked knew who the manager was. They were also aware that the clinical lead had left and a new clinical lead would be starting in January 2008. A system for monitoring quality and seeking the views of the people who live at the home was in place. The Commission receives regular reports from a senior nurse within the organisation about the home and its services (Regulation 26 reports). The manager advised that quality audits had been completed, a copy of the last quality audit, which sought the views of people living at the home and their representatives was provided during the inspection. The manager advised that she was in the process of completing a new quality audit and would forward the results to the Commission once this had been completed. Requirements made at the last inspection have been completed within the timescales set. The manager confirmed that people who live in the home are encouraged to have an appointed person such as family or a solicitor to manage their financial affairs. Expenditures such as newspapers, hairdressing and chiropody are included in the billing system of the home. This means that the people who live at the home do not need to hold money to pay for these. This remains the same as the last inspection. The manager confirmed that she was working towards completing supervision and personal development plans for staff. She further commented that the registered nurses receive their supervision from one of the senior registered nurses within the company. A record of the supervision staff had received was being kept. However although staff files seen did have a training and development plan not all staff had an up to date personal development plan or supervision record on their staff file. A tour of the home revealed that cleaning chemicals used were securely stored. COSHH (Control of Substances Hazardous to Health) information was available in the office of the home for staff to refer to. The dates for maintenance of electrical equipment were provided with the Annual Quality Assurance Assessment prior to this inspection. The fire logbook was up to date and contained information about safety checks and staff fire training. Accident records being kept included information on any actions taken as a result of the accident or incident. The organisation has provided a statement of the policy, organisation and arrangements for maintaining safe working practices at Woodland Court. This was available in the policy folder in the office of the home. Woodland Court Nursing Home DS0000028762.V349237.R01.S.doc Version 5.2 Page 22 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 2 X 3 X 3 2 X 3 Woodland Court Nursing Home DS0000028762.V349237.R01.S.doc Version 5.2 Page 23 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 2 Refer to Standard OP9 OP36 Good Practice Recommendations The manager should ensure that clear information about slow release medication is recorded in individual medication records. The manager should ensure that all staff receive regular supervision and have their training and development needs up dated. Woodland Court Nursing Home DS0000028762.V349237.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Devon Area Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Court Nursing Home DS0000028762.V349237.R01.S.doc Version 5.2 Page 25 - 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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