Inspection on 10/08/05 for Woodland Vale

This inspection was carried out on 10th 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.

Other inspections for this house

Woodland Vale 31/01/07

Woodland Vale 13/01/06

Woodland Vale 06/10/04

Woodland Vale 04/06/04

Woodland Vale 22/03/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Queensmount

Poldhu

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 Vale Woodland Vale Community Care Support Centre New Street Torrington EX38 8DN Lead Inspector Susan Taylor Announced 10th August 2005 10:00 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 Vale D54-D07 S33150 Woodland Vale V232503 100805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Woodland Vale Address Woodland Vale Community Care Support Centre New Street Torrington Devon EX38 8DN 01805 622206 01805 622713 info@devon.gov.uk Devon County Council 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) Mrs Thea Stephanie Stach Care Home 23 Category(ies) of Dementia - over 65 years of age (23), Mental registration, with number disorder, excluding learning disability or of places dementia - over 65 years of age (23), Old age, not falling within any other category (23), Physical disability over 65 years of age (23) Woodland Vale D54-D07 S33150 Woodland Vale V232503 100805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 6/10/04 Brief Description of the Service: Woodland Vale is a new purpose built home run by Devon County Council, which provides 24-hour care to older people, some of whom may have dementia.The home overlooks the River Torridge and is on the outskirts of Great Torrington. Outside there is a garden. There is level access into the main entrance of the home. There is ample car parking available.Internally, the home is on one level. It is divided into two separate units; each has its own lounge, dining area and conservatory. All bedrooms are ensuite with either a disabled access shower or assisted bath. All of the bedrooms are single. Three are large enough to accommodate couples or people wishing to share. Woodland Vale D54-D07 S33150 Woodland Vale V232503 100805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection that took place over one day. The inspector received feedback cards from four residents, and four relatives. During a tour of the building, the inspector met a further five residents and one relative who made comments about the care, accommodation and attitudes and behaviour of staff working in the home. In addition to this, records were inspected and staff were interviewed. The people who live at Woodland Vale, the staff and visitors told the inspector that they did not like the term ‘service user’ and preferred to be referred to as residents. Therefore, the title ‘residents’ is used throughout the report rather than ‘service users’. What the service does well: What has improved since the last inspection? The induction procedures for new and agency staff have been improved and are excellent. Woodland Vale D54-D07 S33150 Woodland Vale V232503 100805 Stage 4.doc Version 1.40 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Woodland Vale D54-D07 S33150 Woodland Vale V232503 100805 Stage 4.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 Vale D54-D07 S33150 Woodland Vale V232503 100805 Stage 4.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, 6 Needs are well known, and met for residents by a competent team of carers. EVIDENCE: Three care files were inspected. A summary of the care management assessment and care plan had been obtained prior to each individual’s admission to the home. The manager said that intermediate care is not currently provided at Woodland Vale. Woodland Vale D54-D07 S33150 Woodland Vale V232503 100805 Stage 4.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) 7,8,10 Woodland Vale staff are responsive to the changing needs of their residents. They make good use of health and social care resources available to them in the community to ensure that residents receive the best care available. Residents are treated with dignity and respect. EVIDENCE: Care plans were well-maintained, accessible to residents and/or where applicable their next of kin. A visitor told the inspector that they were kept fully informed about their relative’s care. Care plans inspected had been kept under review. The inspector tracked the care for three residents and saw evidence of good outcomes for the people concerned. For example, one person’s care plan clearly identified risks with regard to eating and drinking, and set out a strategy for minimising those risks. One to one care was given at mealtimes, in an unhurried way. The inspector observed that the person was also regularly offered drinks. Records demonstrated that the home had good relationships with other social and healthcare professionals. One resident’s comments were typical of others Woodland Vale D54-D07 S33150 Woodland Vale V232503 100805 Stage 4.doc Version 1.40 Page 10 received “You see the Doctor within the first few days of moving in, then when you need to if you’re poorly.” Two other residents told the inspector that the staff had arranged for them to see a dentist. The inspector observed staff to be kind and caring towards residents. During a conversation, a resident told the inspector “It’s lovely here, I really like it”. Their relative said “This is an absolutely excellent home. I can’t fault it. I’ve seen others and this is the best. Woodland Vale D54-D07 S33150 Woodland Vale V232503 100805 Stage 4.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) None EVIDENCE: Woodland Vale D54-D07 S33150 Woodland Vale V232503 100805 Stage 4.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) None EVIDENCE: Woodland Vale D54-D07 S33150 Woodland Vale V232503 100805 Stage 4.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) 19,20,21,22,23,24,25,26 Residents live in comfortable accommodation that is suitable for their needs and is maintained to a high standard. EVIDENCE: The manager explained that there is a system in place for maintenance and rectifying faults for the home. The inspector saw records, which showed that matters arising had been addressed in a timely and appropriate way. This was further verified by staff who told the inspector “if the item can’t be fixed, quotes are obtained and then it’s replaced”. Certificates for the gas, electrical and fire systems were inspected and demonstrated that maintenance had been carried out during the year to all of the equipment in the home. The inspector toured the premises meeting residents and staff en route. The home was immaculately clean and free from any offensive odours. Some of the bedrooms had been fitted with linoleum due to the high level of incontinence experienced by the occupant. In doing so, the occupant’s dignity had been maintained because domestic staff were able to thoroughly clean and Woodland Vale D54-D07 S33150 Woodland Vale V232503 100805 Stage 4.doc Version 1.40 Page 14 disinfect the flooring. The Commission considers this to be acceptable practice in these circumstances. Woodland Vale D54-D07 S33150 Woodland Vale V232503 100805 Stage 4.doc Version 1.40 Page 15 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) 27,29,30 The home has a competent team of staff that are in sufficient numbers to meet the needs of residents. Recruitment procedures are robust, and therefore protect residents. There is a training and development culture at Woodland Vale, which ensures that residents are cared for by properly qualified and experienced staff. EVIDENCE: The duty rosters accurately recorded the names of staff, and duties that had been worked. The inspector observed that staff attended to resident’s needs in a timely and unhurried manner. Four relatives made comments either in feedback cards or in person to the inspector. All were satisfied with the level of care provided and felt that there were sufficient numbers of staff on duty. Comments received included: “I am very pleased with the care that my mother receives at Woodland Vale. I have always found the staff to be very pleasant, helpful and very polite”, “We are pleased with the care provided and consider Woodland Vale to be an excellent facility”, “This is an absolutely excellent home. I can’t fault it. I’ve seen others and this is the best”. One of the residents said “It’s lovely here, I really like it”. Four other residents in comment cards verified that they felt well cared for. Three personnel records were audited. The home had obtained satisfactory references including CRB and POVA checks as required. Woodland Vale D54-D07 S33150 Woodland Vale V232503 100805 Stage 4.doc Version 1.40 Page 16 A wide range of training had been provided over the last 12 months. Records demonstrated that the home had exceeded the standard for there to be 50 of the care staff qualified to NVQ level 2. Three staff showed the inspector their individual training files, which contained further evidence of specialist training having been provided e.g continence care, moving and handling, and coping with violence and aggression. Staff told the inspector that they felt well supported, and that supervision is viewed as a “two-way process”. Management staff verified that they had undertaken supervisory management training before being given a caseload of staff to manage. The manager showed the inspector an induction training pack that had been developed for agency staff, which is excellent practice. Induction records seen demonstrated that training meets the appropriate standards set out by the ‘Skills for Care’ organisation. Woodland Vale D54-D07 S33150 Woodland Vale V232503 100805 Stage 4.doc Version 1.40 Page 17 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) 33 The quality assurance systems in the home ensure that residents, their relatives and other stakeholders participate fully in the process. EVIDENCE: The inspector saw an ISO/9001/2000 certificate displayed in the hallway, which was awarded in 2004. Also in the hallway was a suggestions book. Minutes of meetings held with residents demonstrated that people’s views were sought on all aspects of the running of the home, and quality of life issues. An annual development plan had been produced, and was inspected. The document made links to the national minimum standards and regulatory requirements, and set out clear plans showing how shortfalls within the home would be met. In addition to this, the inspector read the quality improvement plan that had resulted from a satisfaction survey conducted in May 2005. The Commission had received a copy of this published report prior to this inspection. Woodland Vale D54-D07 S33150 Woodland Vale V232503 100805 Stage 4.doc Version 1.40 Page 18 Woodland Vale D54-D07 S33150 Woodland Vale V232503 100805 Stage 4.doc Version 1.40 Page 19 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x 3 x x x x x Woodland Vale D54-D07 S33150 Woodland Vale V232503 100805 Stage 4.doc Version 1.40 Page 20 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 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 33 Good Practice Recommendations Use open ended questions in the annunal quality assurance survey to encourage participants to give feedback about the home. Woodland Vale D54-D07 S33150 Woodland Vale V232503 100805 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Vale D54-D07 S33150 Woodland Vale V232503 100805 Stage 4.doc Version 1.40 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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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