Inspection on 24/01/06 for Woodlands

This inspection was carried out on 24th January 2006.

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 21/10/08

Woodlands 09/11/06

Woodlands 09/08/05

Woodlands 03/03/05

Woodlands 11/11/04

Similar services:

Chirnside House

Keer Sands Residential Home

Sunny Bank (P.R.S.) Ltd

Ruskin Lodge

Bushell House

Ashwood Court Unit 1

Langrigg House

Parkside

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

CARE HOMES FOR OLDER PEOPLE Woodlands 69 Queens Road Oldham OL8 2BA Lead Inspector Sandra Bennett Unannounced Inspection 24th January 2006 10:28 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 DS0000005547.V271006.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 DS0000005547.V271006.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Woodlands Address 69 Queens Road Oldham OL8 2BA 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) 0161 624 9344 0161 624 9344 Woodlands Residential Care Home Limited Mrs Caroline Jane Howard Care Home 18 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (10), Mental disorder, excluding learning of places disability or dementia (1), Mental Disorder, excluding learning disability or dementia - over 65 years of age (8), Old age, not falling within any other category (14), Sensory Impairment over 65 years of age (1) Woodlands DS0000005547.V271006.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 18 service users to include: * up to 14 service users in the category of OP (Old age not falling within any other category). *up to 10 service users in the category of DE(E) (Dementia over 65 years of age). *up to 1 service user in the category of DE (Dementia under 65 years of age). *up to 1 service user in the category of SI(E) (Sensory Impairment over 65 years of age). *up to 8 service users in the category of MD(E) (Mental disorder excluding learning disability or dementia over 65 years of age). *up to 1 service user in the category of MD (Mental disorder excluding learning disability or dementia under 65 years of age). One named service user under 55 years of age in the category DE can be admitted into the home. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 9th August 2005 2. 3. Date of last inspection Brief Description of the Service: Woodlands is a detatched Victorian property situated one mile from Oldham town centre, close to local amanities and public transport. Accommodation is proivided in 16 single rooms, 15 of which have ensuite. Of these, two bedrooms share an adjoining ensuite. One of the bedrooms is below the minimum 10 square metres required by the National Minimum Standards. Communal areas consist of two lounges and a dining room which leads onto a small conservatory area providing addittional seating and a quite area for residents. There are garden and patios areas to the front of the property which are accessible to residents through the provision of ramps and handrails. There is a car park to the rear of the home. Woodlands DS0000005547.V271006.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unscheduled inspection took place on the 24 January 2006. During the inspection four residents were interviewed in private, as were three members of staff. Group interviews also took place were service users discussed what it was like living in the home. A selection of service user records were scrutinised as well as other documentation including staff rotas and medication records. Communal areas of the environment were inspected and a selection of residents rooms. What the service does well: What has improved since the last inspection? Recording systems have improved since the last inspection with care plans being signed and dated and medication being record accurately. Nutritional screening now takes place on service users admission. All staff have now received training in the protection of vulnerable adults. Woodlands DS0000005547.V271006.R01.S.doc Version 5.0 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. Woodlands DS0000005547.V271006.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 DS0000005547.V271006.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): 1, 3. (Standard 6 is not applicable to Woodlands) Information is available on the facilities and services in the home. This enables residents and their families to make an informed choice before making a decision to stay. Assessments of service users needs are obtained prior to their admission to ensure the home is able to provide appropriate care. EVIDENCE: A copy of the homes service users guide is situated in a prominent position in the home, attached to this is also a copy of the home’s last inspection report which service users and their families can use has reference document. Examination of resident’s files found that a detailed assessment of need had been obtained prior to their admission. Woodlands DS0000005547.V271006.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): 7, 8, 9. Care planning was detailed and provided staff with the information needed to meet the needs of service users. Service users were protected by the homes procedures for the storage, recording and handling of medication. EVIDENCE: Care plans were detailed and reflected the assessed needs of service users. These included reviews, risk assessments, nutritional requirements, health care visits and social interests. Service users social histories and likes and dislikes were on file providing staff with a pen picture of the service users previous lifestyle. Daily reports were well written and provide full details on care delivered by staff. Medication was administered and recorded correctly. All senior staff had received training in the administration of medication. Woodlands DS0000005547.V271006.R01.S.doc Version 5.0 Page 10 At interview staff demonstrated a good knowledge of their residents needs likes and dislikes. They gave examples of how the privacy and dignity of the residents is maintained through confidentially and their involvement in daily life. Service users were complimentary regarding staff and how they were looked after, one said, “staff really look after us”, this comment was made several times during the inspection. Woodlands DS0000005547.V271006.R01.S.doc Version 5.0 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 the following standard(s): 12, 14, 15. The daily routine within the home was flexible, and enabled residents to make choices in various aspects of their daily life within the home. Activities provided residents with enjoyment and stimulation, which leads to a sense of fulfilment. EVIDENCE: Woodlands is a small home with several service users who are physically capable of managing their personal care with prompts from staff. Staff and service users were observed to have good interactions with each other with the staff also dining with service users. Staff had a good knowledge of the service users preferences likes and dislikes, which, is also reflected in care planning. Services spoke about the regular trips out either with staff shopping, monthly trips to the theatre or for meals out. Photos of outings are displayed in the entrance of the home has are forthcoming activities. A particular interest to service user was a forthcoming holiday to Pontin’s holiday camp Blackpool in July which they were really looking forward to. Woodlands DS0000005547.V271006.R01.S.doc Version 5.0 Page 12 However a number of service users did not want to go or were to frail, which was respected by staff. One service user said, “I love living here and am really looking forward to going to Blackpool”. Another said “ I have always gone to bed very early and got up early morning and continue to do so here, we have a meeting with staff and they ask us if every thing is ok.” Service users spoke about Christmas and how special staff had made it for them. Meal times were well managed and food served was tasty and nutritional i.e. pork casserole and fresh vegetables. One service user said, “They serve good food and we can have a cooked breakfast, you couldn’t wish for better”. Service users were well presented with ladies wearing tights and nails polished. Several service users spoke about how clothes always came back from the laundry in good condition. A minister from the local church calls on a regular basis to offer communion to those who wish it. Woodlands DS0000005547.V271006.R01.S.doc Version 5.0 Page 13 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, 18. The complaints procedure ensured that all interested parties were aware of how to complain and the process that would be undertaken. Staff training in the protection of vulnerable adults provided protection for service users. EVIDENCE: The home had a written complaints procedure. All residents spoken to expressed confidence that complaints would be appropriately dealt with. Staff felt confident that any concerns they had could be discussed with the manager and they would be listened to. All staff had completed training in the protection of vulnerable adults since the last inspection. The home or the Commission for Social Care has not received a complaint since the last inspection. Woodlands DS0000005547.V271006.R01.S.doc Version 5.0 Page 14 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): 20, 22, 24. Since the last inspection the home has continued with improvements in the environment and garden areas providing a homely environment for service users. Resident’s rooms were personalised, and provide aids and adaptations were needed promoting the independence of service users. EVIDENCE: The home was well maintained, safe, clean, tidy and free from odours. Since the last inspection the home has continued with their refurbishment programme and provided a new kitchen and resurfaced floor. A large screen TV had been purchased for the main lounge, which service users said, they really enjoyed watching. One service user said “its just like being at the pictures”. There are two lounges and a dining room, which leads to a small conservatory. One room is allocated a no smoking area. Woodlands DS0000005547.V271006.R01.S.doc Version 5.0 Page 15 At the time of this inspection the gardens had been landscaped and the care park was having tarmac laid. A selection of resident’s rooms was inspected and was found to be personalised and homely. At interview service users said that they were happy with their rooms and they had all they required. Specialist aids, adaptations in bathrooms and toilets had been provided to promote the service users independence. Service users bedrooms and ensuites were fitted with aids if assessed has necessary. Woodlands DS0000005547.V271006.R01.S.doc Version 5.0 Page 16 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, 30. Staffing levels and training in the home were sufficient to ensure service user needs are met. EVIDENCE: Over 50 of staff are trained to NVQ level 2, three staff have gone on to achieve NVQ level 3. Each member of staff has a training file. Training provided for staff include, dementia care, moving and handling, care and responsibility and de-escalation techniques. Staff interviewed was confident in their role and knowledge of the service users needs. The deputy manager has undertaken training to become a moving and handling facilitator enabling new staff to receive training immediately. Staffing levels in the home were sufficient to meet the needs and numbers of residents at the time of inspection Woodlands DS0000005547.V271006.R01.S.doc Version 5.0 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 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, 32, 36. The home is well managed and is inclusive of service users and relatives views. Staff receive regular supervision to ensure the needs of service users are met. EVIDENCE: The manger is a qualified RMN RGN and dementia care nurse who as completed NVQ 4 in care and the registered managers award. Staff and service user meetings are conducted and recorded. There was also evidence of questionnaires from professionals and relatives. Staff supervision was undertaken on a regular basis with records being maintained. At interview staff discussed their training whilst working in the home, which included food hygiene and health and safety. Woodlands DS0000005547.V271006.R01.S.doc Version 5.0 Page 18 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X 3 X 3 X 3 X X STAFFING Standard No Score 27 4 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X X 3 X X Woodlands DS0000005547.V271006.R01.S.doc Version 5.0 Page 19 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 DS0000005547.V271006.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Ashton-under-Lyne Area Office 2nd Floor, Heritage Wharf Portland Place Ashton-u-Lyne Lancs OL7 0QD 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. 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