Inspection on 13/03/07 for Woodland House

This inspection was carried out on 13th March 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 House 24/02/09

Woodland House 07/12/05

Woodland House 12/07/05

Woodland House 01/02/05

Woodland House 17/08/04

Similar services:

Trevaylor Manor

Stallcombe House

Stroud Lodge

The Woodmill

Woodland Vale

Bolealler House

Claremont Nursing Home

Althea Park House

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

CARE HOMES FOR OLDER PEOPLE Woodland House Woodland Road St Austell Cornwall PL25 4RA Lead Inspector Mike Dennis Unannounced Inspection 13th March 2007 09:30 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 House DS0000009270.V332209.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 House DS0000009270.V332209.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodland House Address Woodland Road St Austell Cornwall PL25 4RA 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) 01726 72903 01726 77627 Cornwall Care Limited Mrs Carol Anne Locks Care Home 36 Category(ies) of Dementia - over 65 years of age (12), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (12), Old age, not falling within any other category (24) Woodland House DS0000009270.V332209.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Service users to include up to 24 adults of old age (OP) Service users to include up to 12 adults aged over 65 with dementia (DE[E]) Service users to include up to 12 adults aged over 65 with a mental illness (MD[E]) Total service users not to exceed a total of 36 Date of last inspection 7th December 2005 Brief Description of the Service: Woodland House is managed by Cornwall Care Ltd and provides care for 36 elderly people. The building is purpose built and is well maintained. The home is situated in St. Austell near to local shops. Woodland House provides residential care for 24 older people and specialist care for 12 older people with dementia. Respite care is also offered. There are four separate wings with bedrooms, bathrooms, toilets and sitting areas and a spacious central area. The central shared area is used as a dining room and for entertainment and activities. There is a small shop for the service users in this area. Woodland House DS0000009270.V332209.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 13th.March 2007 over a eight and half hour period. We met with the Manager and Assistant Managers. A selection of staff from all departments were spoken with and eight service users. Three relatives also stated her views concerning the home which proved to be positive. During the course of the day the inspector observed groups of service users engaged in a number of activities. Staff were observed to be tending to service user needs whilst respecting their dignity. Various records, policies and procedures were inspected. The inspector visited all parts of the building and noted a satisfactory standard of hygiene and maintenance. Service users commented favourably on the overall service received, and acknowledged the dedication of staff. Positive outcomes were noted. What the service does well: What has improved since the last inspection? A considerable amount of work is put into ensuring the service users lifestyle is varied and stimulating. Staff and management are working hard to communicate with service users to determine how best to improve their quality Woodland House DS0000009270.V332209.R01.S.doc Version 5.2 Page 6 of life. We were impressed with the range of activities and service user interests on offer. This has been rewarded by increased participation in events to include relatives and friends. The atmosphere in the home is positive. Staff were busy but seemed unrushed in going about their duties. They were attentive to service users and were observed as having time for individuals, being cheerful throughout. They appeared organised and those with whom we spoke were positive toward their job. The service users themselves reported satisfaction and in the main presented as a jovial bunch. 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 House DS0000009270.V332209.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 House DS0000009270.V332209.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): 1,2,3,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users are provided with the information they require in order to make an informed decision about admission to the home. Each service user has a written contract/statement of terms and conditions. Service users are fully assessed prior to admission to the home. Service users and their relatives are encouraged to visit the home prior to making a decision to move in. This home does not provide Intermediate care. Woodland House DS0000009270.V332209.R01.S.doc Version 5.2 Page 9 EVIDENCE: A comprehensive Statement of Purpose and Service User Guide is available. These documents are reviewed and updated at regular intervals. Service users informed us that they had knowledge of these documents, as did the relatives with whom we met during the inspection. They were also observed to be on display at various points throughout the building. Further information about the home, service users rights and facilities/choices open to them are also available via a number of pamphlets and notices displayed at the home. Four service user files were inspected and case tracked. All contained information pertaining to pre-admission assessment. The information provided included :- continence assessment, pain assessment, risk assessments and general details of daily care requirements, medication and health care requirements. Signatures of either service users or their relatives were evident. Service users files contained signed contracts/ terms and conditions of the home. The contracts include details of fees to be paid. Annual increases in fees are normally in line with the increase of inflation. Staff and service users told us that people were given the opportunity to visit the home prior to admission. This helps in the decision making process for people thinking of becoming a permanent resident. Woodland House DS0000009270.V332209.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 health care needs of service users are identified, planned for and met. Comprehensive policies and procedures for dealing with medicines are followed Service users are treated with dignity and respect EVIDENCE: Woodland House DS0000009270.V332209.R01.S.doc Version 5.2 Page 11 From discussion with service users, their representatives, staff and inspection of documentation it was evident that individual care needs are identified appropriately. From inspection of service users files, and in discussions it is evident that Woodland House encourages service users and their representatives to express their views in the formation of their care plans. The care plans are detailed documents, which clearly identify service users skills and where assistance is needed. From this the care plan specifies what actions staff should take to ensure that the care need is approached in a consistent manner. The care plan documentation commenced with a brief history of the service user to include their likes and dislikes. A care profile is then drawn up to identify the care/support needed by the service user. Recourse requirements are identified from which a matching of staff time can be allocated. A Key Worker is then assigned. The care plan includes detailed information relating to :- Mobility, washing and grooming, dressing and oral care, toilet use and continence, skin care, vision and hearing, mood/behaviour patterns, interactions, night care, medication, health care, food and drink, appetite, memory orientation and personal safety. The care plans are reviewed at monthly intervals by the key worker and with input from other staff, the service user and relatives where appropriate. Changes made to the care plan are documented and signed off. Other information contained in these documents includes bathing records, bowel/bladder records, fracture and falls risk assessments, moving and handling assessments, foot and eye care, oral health and continence assessment. An occupational action plan and profile complete the care plan information. Continuity records are kept giving a good account of daily care and social activities undertaken. Health needs are met by visiting G.P’s and community nurses. Three nurses visited the home on the day of inspection. The administration, storage and disposal of medication processes were inspected. From this the inspector noted that the Cornwall Care Ltd medication policy is comprehensive and evidenced that delegated staff have read the policy and that they receive annual training in the administration, storage and disposal of medication. A pharmacy agreement was seen. The controlled drug register was inspected and cross- referenced to a tablet count, all corresponded; Controlled drugs were stored correctly as was other medication. Records required were filled out correctly. Where entries are hand written on the medication administration record, a signature of the author is required. Staff were observed to treat service users with respect and it was noted that staff knocked at bathroom and bedroom doors before entering. Service users and relatives confirmed that this was the case. General practitioners examine and treat all service users in the privacy of their own bedrooms. Woodland House DS0000009270.V332209.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The routines of daily living and activities made available are flexible and varied. Service users receive visitors at any reasonable time throughout the day Service users are helped to exercise choice and control over their lives within the bounds of their individual capabilities. Service users dietary needs are well catered for with a balanced and varied selection of food and drink available that meets tastes, and choice EVIDENCE: The service users individual care plan has a detailed section regarding their interests and choice, and activities are planned to encompass these interests. The home arranges and facilitates visiting entertainment and in-house activities. Regular outings are arranged. Woodland House DS0000009270.V332209.R01.S.doc Version 5.2 Page 13 Planned activities are displayed on a notice board. Flexibility is achieved throughout all aspects of daily living. Social Profiling or Active Care is promoted at this home. This in turn allows staff to target individual service users with activities most likely to provide stimulation. The above statements were confirmed by service users and staff. At various times throughout the day we observed we observed service user routines and activities to include the input of staff. At 1145am there were 12 service users sitting in the dining area waiting for lunch to be served. The C.D. player was on and many service users were singing along with the tunes that were playing. There was a jolly atmosphere with groups in conversation and friendly banter. One member of staff was circulating from table to table conversing and reassuring service users. Other staff were assisting service users to the dining area and attending to personal needs. The menu for the day indicated that a choice of either lamb hotpot, Swede, and broad beans, or, fish fingers, mash and beans was on offer. Serving of lunch commenced shortly after midday. Some meals were ready plated whilst others were presented with side dishes containing the vegetables. The staff on duty sat at tables assisting service users as necessary. All appeared to enjoy their meal which was a very sociable occasion. Notices are posted throughout the home stating what activities are on offer throughout each week. Current activities included a visit from the hairdresser (twice), making Easter cards, aromatherapy, video afternoon, Ladies Fellowship at Mount Charles Chapel, dart ball, cross stitch knitting, making Easter bonnets and a quiz. After lunch the service users were seated in small groups at 6 or 7 small tables. A member of staff and a visiting relative/friend were also seated at each table. The first of six session began entitled the “Art for Health “ project. We spoke with the trainer who explained that participants are encouraged to relate their dreams, both past, present and future. This would lead to the making of hats upon which these dreams would be depicted. Finally a book will be compiled to record the experience to include photographs. Service users were observed to be enthusiastically taking part. A previous workshop dealing with reminiscence was also reported to have been successful. A social worker is on a three day a week placement at the home as part of her social work college training. She was giving a new service user one to one attention throughout the day as this lady was rather disorientated. We read the minutes of a recent service user meeting. Many areas affecting daily routine and choices available were discussed. It is obvious that service users are involved in the running of this home. Woodland House DS0000009270.V332209.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered persons ensure that service users are protected from all forms of abuse. The complaints procedure is well publicised and used when required with staff having knowledge through training of Adult Protection issues which helps to protect service users. Service users legal rights are protected. EVIDENCE: A comprehensive complaints policy and procedure is kept within the home. This procedure includes timescales and who will deal with the complaint. The home also keeps a complaints log for ease of reference. Service users indicated that they were aware of the procedures. Relatives spoken with confirmed that they too were aware of the complaints procedures. The home has a comprehensive policy and procedure in place to protect service users from abuse. Staff are made aware of these procedures during the induction period. The registered manager is also aware of the local social Woodland House DS0000009270.V332209.R01.S.doc Version 5.2 Page 15 services procedure within “No Secrets” to investigate any complaints regarding the suspected abuse of any service user. CRB and POVA checks are undertaken, with Cornwall Care being the umbrella body to obtain these checks. Service users and staff informed the inspector that they were able to participate in the political process either by voting in person or by way of postal votes. Advocacy services can be provided to those who wish to access this service. Woodland House DS0000009270.V332209.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): 19,20,21,22, 23, 24,25,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The location and layout of the home is suitable for it’s stated purpose and provides a safe and well maintained environment. The home was clean, hygienic and free from offensive odours providing an attractive and homely place to live. EVIDENCE: Woodland House is a single floor development consisting of four residential wings housing the service users. Each wing has a lounge area attached. The large dining area is situated in the middle of the premises and is also used by service users at all times, being the focal point of the home. Individual Woodland House DS0000009270.V332209.R01.S.doc Version 5.2 Page 17 bedrooms were all pleasantly decorated and furnished. No one room was the same as the next as each was personalised by the occupant. Bathing and toilet areas and facilities are well appointed. Some rooms have ensuite facilities. Redecoration and maintenance is on going and currently service users informed us that they were choosing new wallpaper for the dining area. Outside there is limited parking space and an enclosed sensory garden which has proved to be a good asset. The home presented as being clean and hygienic. Policies and procedures are in place for the control of infection. Service users and relatives stated they were happy with the accommodation and their surroundings. Woodland House DS0000009270.V332209.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): 27,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Robust recruitment policies and procedures are implemented. All staff are supported and Inducted through good training opportunities. A positive number of staff are on duty to meet the service user’s needs EVIDENCE: The staff team shows a positive regard for service users and appears very organised. Additional staff are on duty at peak times of activity during the day. In addition to care staff there are domestics and laundry staff members on duty. The duty rota indicates that 5 care staff are on duty during the mornings, 3 throughout the afternoon and 3 on duty in the evenings. Waking night staff number 2. In addition managers, domestic and catering staff are on duty Staff recruitment is conducted in line with the home’s policies and procedures. Evidence obtained from staff files indicates that references, CRB and POVA checks are taken up prior to interview. All staff undertake Induction Training. NVQ training is encouraged as demonstrated by the majority of staff having Woodland House DS0000009270.V332209.R01.S.doc Version 5.2 Page 19 obtained awards at various levels, far exceeding the standard of at least 50 . At this time 78.9 of the staff team have achieved an NVQ award. Individual training profiles for staff are kept up to date with accurate information of progress made. Staff are receiving supervision and an appraisal system is in place. Staff morale is high resulting in an enthusiastic workforce that works positively with service users to improve their quality of life. Woodland House DS0000009270.V332209.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): 31,32,33,34,35,36,37,38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of Woodland House strive to maintain and improve a good quality of care and lifestyle for the service users and promote their health, safety and welfare EVIDENCE: The Registered Manager is qualified to NVQ level 4 and has obtained the Registered Managers Award. Woodland House DS0000009270.V332209.R01.S.doc Version 5.2 Page 21 Internal audits of quality assurance are undertaken at 12 monthly intervals. A survey taken from a cross section of service users and carers/relatives plus opinion from District Nurses provides the information. An annual development plan for the home is drawn up between the company and the registered manager and priorities are agreed. Records are kept of all financial transactions and appropriate insurance certificates were displayed. Evidence that staff are supervised was presented. The inspector noted that improvements have been made in this area and that all inspected were up to date. The health, safety and welfare of service users and staff is promoted and protected. A named member of staff is responsible for health and safety matters. The registered manager has a good awareness of the legislation regarding health and safety. Statutory checks are made by appropriate agencies as evidenced from various service contract documents. Staff are trained in health and safety, manual handling, fire safety, first aid, food hygiene and infection control Fire records are up to date. Woodland House DS0000009270.V332209.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 3 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 4 3 3 Woodland House DS0000009270.V332209.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? None 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 OP37 OP9 Good Practice Recommendations Entries to night security checks should be initialled rather than ticked. Hand written entries to the medication administration record should be signed by the author. Woodland House DS0000009270.V332209.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 House DS0000009270.V332209.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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