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Inspection on 08/08/05 for Woodland Grove

Also see our care home review for Woodland Grove for more information

This inspection was carried out on 8th August 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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

The home makes every effort to provide an environment which sees each resident as an individual this is reflected in the care plans which provide real detail about the resident including personal history. The flats provide accommodation which encourages residents to live as independent as possible the space and facilities are not generally available. This aspect of Woodland Grove could be seen as quite different from other care homes. One resident described, " having the privacy of your flat" as one of the good things about living at Woodlands Grove. There is a high standard of catering with good quality meals and the home was recently awarded a Food Safety Award by environmental health this is to be commended.

What has improved since the last inspection?

The home has addressed the requirements from the previous inspection resulting in improved practice in care planning, recruitment and training.

What the care home could do better:

Whilst there is a good standard in the writing of care plans there needs to be more consistent practice in their completion and updating particularly with regard to risk assessments and reviews. This was the only area of improvement identified from this inspection.

CARE HOMES FOR OLDER PEOPLE Woodland Grove Weston Park Bath Bath & N E Somerset BA1 4AS Lead Inspector Jon Clarke Unannounced 8 August 2005 09:30 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 Grove D05_ D56_ S8163_ WoodlandGrove_V238853_ 050805_ Stage4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Woodland Grove Address Weston Park Bath Bath & N E Somerset BA1 4AS 01225 464004 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) Anchor Trust Mr Philip John Caple PC Care home 42 Category(ies) of OP Old age registration, with number of places Woodland Grove D05_ D56_ S8163_ WoodlandGrove_V238853_ 050805_ Stage4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: May accommodate up to 42 persons aged 65 years and over requiring personal care only. Date of last inspection 30/03/05 Brief Description of the Service: Woodland Grove is a care home for older people owned and managed by Anchor Trust Foundation and provides accomodation for up to 42 residents. The home is a converted older property which has been extended and adapted to provide residential care within individual flats. Each flat has a bed sitting room, small integrated kitchen and en-suite bath or shower, basin and toilet. There is a large communal lounge which can be divided into two rooms and a dining room with direct access to the patio seating area. There is lift access to all parts of the home.The home is set in extensive gardens and located in the Weston area of Bath within easy reach of the town centre and local amenities. Woodland Grove D05_ D56_ S8163_ WoodlandGrove_V238853_ 050805_ Stage4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which took place over one day the manager was present during this inspection. As part of this inspection care plans were looked at, recruitment practice and training were also examined. Discussion took place with a number of residents about the care provided at the home. What the service does well: What has improved since the last inspection? What they could do better: Whilst there is a good standard in the writing of care plans there needs to be more consistent practice in their completion and updating particularly with regard to risk assessments and reviews. This was the only area of improvement identified from this inspection. Woodland Grove D05_ D56_ S8163_ WoodlandGrove_V238853_ 050805_ Stage4.doc Version 1.40 Page 6 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 Grove D05_ D56_ S8163_ WoodlandGrove_V238853_ 050805_ Stage4.doc Version 1.40 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 Grove D05_ D56_ S8163_ WoodlandGrove_V238853_ 050805_ Stage4.doc Version 1.40 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) 3 The quality of assessments obtained by the home and undertaken by the home on admission were of a good standard providing a full and comprehensive picture of individual’s health and social care needs. This helps the home meet identified needs and provide good quality care. EVIDENCE: Records of residents contained Pre-Assessment information which included details about general health, social needs and relationships, personal safety and risk, likes and dislikes. Assessments completed by the local authority were also included in resident’s information. Woodland Grove D05_ D56_ S8163_ WoodlandGrove_V238853_ 050805_ Stage4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,9,10 Care planning practice needs to be more rigorous and consistent to make sure full information is available to provide the necessary care to residents. The systems and practice for the giving of medication are good with well organised arrangements and staff training in place to make sure resident’s medication needs are met in a safe way. Residents are treated as individuals with respect and their right to privacy respected. EVIDENCE: Where care plans had been fully completed there was good detail about the personal and health needs of residents. Risk assessments are undertaken though again in some cases ie for resident who was self-medicating one had not been undertaken. Reviews on a monthly basis are held but in two instances no review had been completed. Personal histories involving the involvement of residents provided information about the individual’s life. Mobility assessments were completed. Medication administering records were accurate and had been satisfactory completed to evidence the giving of medication. Photographs are contained in Woodland Grove D05_ D56_ S8163_ WoodlandGrove_V238853_ 050805_ Stage4.doc Version 1.40 Page 10 individual records. The storage of medication was as required. Staff have received the necessary training to manage medication competently. Staff were observed assisting residents and did so sensitively and in a supportive appropriate way. Staff were also observed knocking on residents flats and waiting for a response before entering. Residents commented on how they felt they were treated “ with respect”, staff “always friendly”. One resident said “ I enjoy the friendliness of staff and am pleased to live here I am treated well feel contented and at home”. Woodland Grove D05_ D56_ S8163_ WoodlandGrove_V238853_ 050805_ Stage4.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 15 A varied and balanced diet is provided to meet the dietary and nutritional requirements of residents. EVIDENCE: Menus showed there was an attractive range of meals provided with specialist diets such as diabetics fully catered for. A number of residents commented on the “good” food and “ choices” available on a daily basis. The meal provided on the day of this inspection was attractively presented and there was an unhurried atmosphere with staff available to give assistance if this was needed. The providing of a small kitchen in each of the flats enables residents to prepare light snacks and hot drinks. Woodland Grove D05_ D56_ S8163_ WoodlandGrove_V238853_ 050805_ Stage4.doc Version 1.40 Page 12 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) 18 The home provides a safe environment where as far as possible residents are protected from abuse. Staff have an understanding of Adult protection and there is a policy and procedure to protect the interests and welfare of residents. EVIDENCE: The home has a Adult Protection and whistle blowing policy. Staff have attended Adult Protection “Alertor” training. Residents spoke of feeling “safe” in the home and having “trust” in the staff of the home. Woodland Grove D05_ D56_ S8163_ WoodlandGrove_V238853_ 050805_ Stage4.doc Version 1.40 Page 13 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) 19,24 The standard of the décor and general environment is good providing residents with a homely and comfortable place to live. Resident’s personal accommodation is well equipped and furnished and residents are encouraged to personalise their rooms. EVIDENCE: In looking around the home the decoration and furnishings were in good condition. Rooms are decorated regularly and records showed that equipment is maintained and serviced as required. There are plans to extensively redecorate and re-furbish areas of the home. As flats become vacant they are to be fitted with new bathrooms and kitchen area to be re-designed. This will further improve the home’s environment and facilities available to residents. A number of resident’s flats were seen and all had been furnished with individual’s personal furniture and possessions. The rooms were well equipped with appropriate domestic lighting and where needed equipment such as rails to enable residents to be as independent as possible. Woodland Grove D05_ D56_ S8163_ WoodlandGrove_V238853_ 050805_ Stage4.doc Version 1.40 Page 14 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) 29 The standard of recruitment is good with the necessary checks being carried out to make sure as far as possible residents are not placed at risk. EVIDENCE: Recruitment records showed that checks had been carried out. The necessary references, CRB were obtained. Medical declarations were completed. Staff had completed induction and mandatory training ie moving and handling, fire safety. The induction includes: Principles of Care, Values and Confidentiality, Policies and Procedures, Understanding the Needs of Residents and Safety at Work. Woodland Grove D05_ D56_ S8163_ WoodlandGrove_V238853_ 050805_ Stage4.doc Version 1.40 Page 15 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) These standards will be looked at on the next inspection. EVIDENCE: Woodland Grove D05_ D56_ S8163_ WoodlandGrove_V238853_ 050805_ Stage4.doc Version 1.40 Page 16 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 x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x 3 x x STAFFING Standard No Score 27 x 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 x x x x x x x x Woodland Grove D05_ D56_ S8163_ WoodlandGrove_V238853_ 050805_ Stage4.doc Version 1.40 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 Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Woodland Grove D05_ D56_ S8163_ WoodlandGrove_V238853_ 050805_ Stage4.doc Version 1.40 Page 18 Commission for Social Care Inspection 300 Aztec West Almondsbury South Glos BS32 4RG 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 Grove D05_ D56_ S8163_ WoodlandGrove_V238853_ 050805_ Stage4.doc Version 1.40 Page 19 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!