Inspection on 10/11/05 for Woodlands

This inspection was carried out on 10th November 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

Woodlands 16/02/07

Woodlands 09/06/05

Woodlands 08/12/04

Woodlands 04/09/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Woodlands 176 Reading Road South Church Crookham Hampshire GU13 0AE Lead Inspector Liz Palmer Unannounced Inspection 10th November 2005 10:00 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 Woodlands DS0000012103.V265959.R01.S.doc Version 5.0 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. Woodlands DS0000012103.V265959.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Woodlands Address 176 Reading Road South Church Crookham Hampshire GU13 0AE 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) 01252 613880 Woodlands and Hill Brow Limited Mrs Theresa Fields Care Home 40 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (40) of places Woodlands DS0000012103.V265959.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th June 2005 Brief Description of the Service: Woodlands provides accommodation for forty people who are within the category of older people. The home endeavours to provide a homely and relaxed environment for service users. The home is owned and operated by Woodlands and Hill Brow Ltd a family business who also have a second home in the area. The home is situated between the towns of Farnham and Fleet and is located in a residential street in Church Crookham. The home is set within its own grounds. Accommodation is provided on two floors. Woodlands DS0000012103.V265959.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection for the year 2005/2006 and was unannounced. Any key standards not assessed on this occasion were looked at during the last inspection. Therefore, this should be read alongside the last report. The registered manager was not on duty, the deputy manager and secretary assisted with the inspection. Three residents and three staff were interviewed. The proprietor, Alison Lee was present for the feedback. What the service does well: What has improved since the last inspection? What they could do better: Woodlands DS0000012103.V265959.R01.S.doc Version 5.0 Page 6 A minor discrepancy was found in money held on behalf of residents. The amount held was more than the amount recorded and six balances were checked and found to be accurate. The procedure for safekeeping and recording residents’ monies is suitable but balances should match records at all times. 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. Woodlands DS0000012103.V265959.R01.S.doc Version 5.0 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 Woodlands DS0000012103.V265959.R01.S.doc Version 5.0 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 the following standard(s): None of these standards were assessed. EVIDENCE: Woodlands DS0000012103.V265959.R01.S.doc Version 5.0 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 the following standard(s): 9 Arrangements for all aspects of handling medication protect residents. EVIDENCE: Woodlands have a clear policy on recording, safekeeping, handling and disposal of medication. One of the senior staff, who was spoken to, has responsibility for medication. She checks stocks and reorders repeat prescriptions. Currently five residents self-administer medication, each has a risk assessment which is reviewed monthly and recorded. All medicines are stored appropriately, for example, controlled drugs are double locked and a locked fridge is provided for any medicines requiring to be kept cool, for example, insulin. Woodlands DS0000012103.V265959.R01.S.doc Version 5.0 Page 10 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 the following standard(s): 14 Residents are supported and encouraged to exercise choice and have control over their lives. EVIDENCE: Residents spoken to said they were able to have choice and control for example, managing their finances and how they spend their time. Staff were able to give examples of how they offered choice to residents, for example, how they preferred their care to be given. Care plans and risk assessments reflect this, for example, for those who manage their own medication. Woodlands DS0000012103.V265959.R01.S.doc Version 5.0 Page 11 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 the following standard(s): 16 and 18 Procedures for complaining promote the rights of residents and their representatives. Arrangements are in place to protect residents from abuse. EVIDENCE: There is a complaints procedure available to residents and their families or representatives. Residents spoken to said they would discuss any concerns or complaints with the staff or the provider, Mrs Lee. The home has various literature on adult protection including the Hampshire County Council policy. Staff said abuse awareness training is provided and they were aware of the home’s policies. Arrangements are looking after residents’ monies are in place. Residents can ask for their money whenever they want and the amount is signed out by a senior staff member. Seven balances were checked and one was £1 over. This was discussed with the deputy who agreed to resolve the problem and inform all staff that they should only sign for the exact amount recorded. Woodlands DS0000012103.V265959.R01.S.doc Version 5.0 Page 12 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 the following standard(s): None of these standards were assessed. EVIDENCE: Woodlands DS0000012103.V265959.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 The arrangements for recruiting and training staff protect residents and uphold their safety. EVIDENCE: Three staff files were inspected and showed that a suitable recruitment procedure is followed, including an application form, interview, references, criminal record and protection of vulnerable adults (POVA) checks being carried out prior to appointment. Staff spoke highly of the supervision and support they receive and stated that they can go to seniors or managers at any time for support and guidance. One senior member of staff said that she supervises some staff and had received suitable training to enable her to do this. Residents said they felt they were safe hands at all times and had confidence in the manager to recruit and train staff to do the job properly. They said they felt the numbers and mix of staff were adequate and that staff worked really hard. A rolling training programme is provided to staff which includes the mandatory courses, such as, manual handling, fire training and first aid. Staff also have the opportunity to do National Vocational Qualifications (NVQs), and a range of Woodlands DS0000012103.V265959.R01.S.doc Version 5.0 Page 14 other subjects such as, adult protection, dementia, medication and activity courses. Staff spoke highly of the training provided by the home. Woodlands DS0000012103.V265959.R01.S.doc Version 5.0 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 and 35 The home is well run and residents and staff have confidence in the manager. Procedures for maintaining health and safety protect residents. EVIDENCE: Although the manager was not present she has been met on previous inspections and has proved well organised and efficient in her role. She has achieved the NVQ level 4 in management. Staff and residents spoke highly of her and their confidence in her to resolve problems and offer support when needed. Training and the policies and procedures followed in the home promote the health and safety of residents and staff. Training such as first aid, manual handling, health and safety, fire safety and food hygiene is provided. Woodlands DS0000012103.V265959.R01.S.doc Version 5.0 Page 16 Staff spoken to described ways in which they promote health and safety in the home, such as wearing gloves and aprons. Regular fire drills and checks are undertaken. Woodlands DS0000012103.V265959.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X X Woodlands DS0000012103.V265959.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? no STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Woodlands DS0000012103.V265959.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Woodlands DS0000012103.V265959.R01.S.doc Version 5.0 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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