Inspection on 24/02/09 for Woodland House

This inspection was carried out on 24th February 2009.

CSCI found this care home to be providing an Good service.

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 13/03/07

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 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Woodland House Woodland Road St Austell Cornwall PL25 4RA     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Michael Dennis     Date: 2 4 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Woodland House Woodland Road St Austell Cornwall PL25 4RA 0172672903 0172677627 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Cornwall Care Ltd Name of registered manager (if applicable) Mrs Maria Frances Dent Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users who can be accommodated is 36. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Dementia, aged 65 years and over on admission (Code DE(E)) - maximum 36 places Mental disorder, excluding learning disability or dementia, aged 65 years and over on admission (Code MD(E)) maximum 36 places Date of last inspection Brief description of the care home 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 36 older people with dementia and /or a mental disorder. Respite care is also offered. There are Care Homes for Older People Page 4 of 26 care home 36 Over 65 36 36 0 0 Brief description of the care home 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.The current fee levels range from 429 to 510 pounds per week. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This unannounced inspection took place on the 24th. February 2009 over a seven hour period. We met with the Manager and Care Coordinators. A selection of staff from all departments were spoken with and four service users. A relative also stated her views concerning the home which proved to be positive. During the course of the day we 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. We 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 Care Homes for Older People Page 6 of 26 acknowledged the dedication of staff. Positive outcomes were noted. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of 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. 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. Care Homes for Older People Page 10 of 26 Evidence: 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. Care Homes for Older People Page 11 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of 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 followedService users are treated with dignity and respect. Evidence: 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. A Key Worker is then assigned. The care plan includes detailed information relating to Mobility, washing and grooming, Care Homes for Older People Page 12 of 26 Evidence: 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. A new system to record the above, known as the Standex System of recording, has been introduced. At present some information is still held on the old system. We discussed the need to eventually transfer all documentation to this new system with the manager. Health needs are met by visiting G.Ps and community nurses. 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 crossreferenced to a tablet count, all corresponded. Controlled drugs were stored correctly as was other medication. Records required were filled out correctly. 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. Care Homes for Older People Page 13 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of 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 dayService 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. 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 Care Homes for Older People Page 14 of 26 Evidence: 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. During the morning we observed staff spending quality time with groups of service users. One person was receiving a foot massage, a group were playing dominoes and another attempting a cross word puzzle. A bingo session was held in the afternoon. Some service users assisted in the making of biscuits. There was a jolly atmosphere with groups in conversation and friendly banter. One member of staff was circulating from person to person conversing and reassuring service users. Other staff were assisting service users and attending to personal needs. The menu for the day indicated that a choice of either roast chicken or ham and cheese bagels and salad 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. 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. Care Homes for Older People Page 15 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of 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 requiredwith 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 complaints procedure should contain the contact details of the Department of Adult Social Care. 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 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. Care Homes for Older People Page 16 of 26 Evidence: 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. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The location and layout of the home is suitable for its 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 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. Most areas of the home have benefited from a major decoration programme. This has been achieved with a good degree of success. The building presents to a high standard. Outside the limited parking space has been slightly improved. The enclosed sensory garden is attractive and has proved to be a good asset. The home presented as being clean and hygienic. Care Homes for Older People Page 18 of 26 Evidence: 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. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of 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 users 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 homes 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 obtained awards at various levels, far exceeding the standard of at least 50 . 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. Care Homes for Older People Page 20 of 26 Evidence: Staff morale is high resulting in an enthusiastic workforce that works positively with service users to improve their quality of life. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of 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 in management, is a health care practitioner and a NVQ assessor. 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. We noted that improvements have Care Homes for Older People Page 22 of 26 Evidence: 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. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 16 The complaints procedure should include the contact details of the Department of Adult Social Care Care Homes for Older People Page 25 of 26 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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!