Inspection on 26/07/05 for Woodlands

This inspection was carried out on 26th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 22/10/08

Woodlands 02/11/06

Woodlands 11/01/06

Woodlands 23/03/05

Woodlands 04/06/04

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

CARE HOMES FOR OLDER PEOPLE Woodlands Riverhead Driffield East Yorkshire YO25 7PB Lead Inspector Ros Sanderson Unannounced 26 July 2005 09:30 th 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. Woodlands J53_J04_S19774_Woodlands_V235859_260705_Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Woodlands Address Riverhead, Driffield, East Yorkshire, YO25 7PB 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) 01377 253485 01377 255287 Humberside Independent Care Association Limited Mrs Nicola Jane Wise Care Home 56 Category(ies) of Dementia - over 65 years of age (56), Old age, registration, with number not falling within any other category (56) of places Woodlands J53_J04_S19774_Woodlands_V235859_260705_Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 23/3/05 Brief Description of the Service: Woodlands Care Home is situated in the market town of Driffield in the East Riding of Yorkshire. It is close to all local amenities and transport links. The home offers six spacious lounges on two floors, one of which is reserved for residents wishing to smoke. The six lounges offer the opportunity for residents to see visitors in private and also to partake in the many varied activities offered at the home if they wish. Building work within the grounds is nearing completion and landscaping work to the gardens is complete. Woodlands J53_J04_S19774_Woodlands_V235859_260705_Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one day and lasted seven hours including preparation time. During the inspection records of service users were looked at and twelve service users were spoken with. Staff records including rotas and training records were also looked at and staff spoken with included two personal care managers, agency staff, domestic staff and the dedicated activities organiser. Health and safety records were also looked at. Comments received from a visiting relative are included in the report. A tour of the premises gave the opportunity to look at communal and private space with the permission of residents. What the service does well: What has improved since the last inspection? Since the last inspection improvements have been made to the presentation, choice and variety of meals on offer at the home. Additional training has been given to catering staff and residents now are very complimentary of the food on offer. At the inspection the meals were very well presented. A medication fridge has now been provided for drugs and creams requiring cold storage. Lockable facilities can be made available for residents wishing to self medicate A private telephone booth able to accommodate wheelchair users has been made available for residents use. Further improvements within the grounds have been made to add to the residents enjoyment of the gardens. Woodlands J53_J04_S19774_Woodlands_V235859_260705_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. Woodlands J53_J04_S19774_Woodlands_V235859_260705_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 Woodlands J53_J04_S19774_Woodlands_V235859_260705_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. Standard 6 is not applicable Residents coming to live at Woodlands can be assured that their assessed needs will be met. EVIDENCE: Records looked at showed that a pre admission assessment is carried out for prospective residents and the assessment is agreed between all parties and evidenced by signatures. Two service users spoken with confirmed that they had discussed their care needs prior to admission and had been told that their needs would be met at the home. The personal care manager confirmed that prospective residents are visited either in their homes or in hospital and a needs assessment carried out prior to admission. If this is not possible the assessment is carried out as soon as possible after admission. Woodlands J53_J04_S19774_Woodlands_V235859_260705_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) 7,8,9,10 Residents have their health and personal care needs met in a way that meets individual needs and promotes dignity, privacy and safety. EVIDENCE: All residents have individual care plans that clearly address the needs that are identified during the needs assessment and during the day-to-day care. The plans are reviewed regularly and amended to reflect changing needs. Risk assessments are in place for any identified risks and again, these are reviewed on a regular basis and amended as needed. There is evidence to suggest that residents are involved in the drawing up and reviewing of the care plans. Residents have access to primary healthcare professionals and this was confirmed when speaking with a number of residents and evidenced in the care plans. Specialist equipment is available for residents when they need this and the manager arranges assessments for equipment and liaises with the relevant professionals. Since the last inspection facilities for cold storage of medication had been obtained. The personal care manager confirmed that if a resident wished to Woodlands J53_J04_S19774_Woodlands_V235859_260705_Stage 4.doc Version 1.40 Page 10 self medicate and the risk assessment showed this would not pose a risk, a lockable facility for storage would be provided for them in their rooms. Procedures are in place to ensure that medications are handled and stored safely and securely. Staff dealing with medications have received or are in the process of receiving further training. Residents spoken with confirmed that they are satisfied with the care they receive at the home. Two relatives also praised the care. Comments received included, ‘The staff look after you very well and are very kind’ ‘The carers are worth their weight in gold, I am happy with everything’ Residents confirmed that their privacy is maintained. Staff were observed knocking on bedroom doors and waiting for a reply before entering. Residents are able to have keys to their rooms and again this was observed during the inspection. During recent building works a private telephone booth, able to accommodate a wheelchair had been created, which affords the residents privacy during telephone calls. Residents confirmed that they appreciated this. On the day of the inspection the call bells were answered promptly and residents received attention quickly. However comments were received from three residents that on occasions they had to wait for their calls to be answered and in one instance another resident said that she actually took residents to the toilet, as the calls were not answered immediately. This was discussed with the registered manager who is able to print off a response time for call bells and will address any problems highlighted. Woodlands J53_J04_S19774_Woodlands_V235859_260705_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) 12,13,14,15 Residents are satisfied with daily life and activities at the home. Meals provided are nutritious, well balanced and provide a good choice to residents. EVIDENCE: Woodlands has an excellent activities programme. There is an activities organiser employed at the home and she recognises that different people enjoy different activities and strives to meet the wishes of all the residents, encouraging them to decide on activities that take place. A list of planned activities is displayed in the entrance for residents and their visitors to look at and choose what they would like to participate in. Outings are arranged depending on resident’s wishes and a number commented on a recent trip out to Pocklington garden centre that they had thoroughly enjoyed. The gardens at the rear of the building have been recently landscaped and improved. Residents confirmed that they had enjoyed sitting out in the gardens, some with their own sun loungers, during the recent spell of good weather. They had also enjoyed tea outside with their visitors. There is a courtyard garden that houses a raised fish pond. Residents spoken with said they enjoyed watching the fish and the fact that the pond was raised made this easy. One resident said she sits out in the courtyard most days apart from mealtimes. Woodlands J53_J04_S19774_Woodlands_V235859_260705_Stage 4.doc Version 1.40 Page 12 On the inspection day a choir from a local church had come along to the home to sing hymns that had been chosen by the residents, this event was well attended. Church services including communion are held at the home for those wishing to attend. Since the last inspection the manager had carried out audits of meals provided at the home and as a result of this additional training had been arranged for catering staff and issues arising had been addressed at supervision meetings. The home now provides a vegetarian option at each mealtime and records are kept of all food provided. All residents spoken with, some of who had complained previously, were in agreement that the food provided had improved substantially in recent months and that the food now provided was of a high standard. The lunches that were served were seen to be well presented and provided a nutritious meal. Staff were in attendance in sufficient numbers to help residents who needed it at lunchtime. Woodlands J53_J04_S19774_Woodlands_V235859_260705_Stage 4.doc Version 1.40 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 standard(s) 16 Complaints are taken seriously and acted upon. EVIDENCE: There is a complaints procedure in the home and residents and relatives are made aware of this on admission and within the service user guide. Residents spoken with confirmed that they knew who to complain to should they wish to and felt confident to do so. The complaints record showed that there had been two complaints since the last inspection and each had been attended to within the agreed timescale and outcomes had been passed on to the complainant. Woodlands J53_J04_S19774_Woodlands_V235859_260705_Stage 4.doc Version 1.40 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 standard(s) 19 The environment at Woodlands is safe and well maintained. EVIDENCE: The location of the home ensures that it is accessible to local amenities and services. The grounds are pleasant and well maintained and residents enjoy sitting out in good weather. There had been some recent redecoration of the reception foyer and seating area that had provided residents with a quiet area to sit with visitors if they wish. There is an on going programme of redecoration and renewal in the home to ensure that the environment is pleasantly decorated at all times. The home has a fire risk assessment and also complies with requirements of the local fire authority. Residents who wish to have their bedroom doors kept open have had ‘door guards’ fitted to ensure their safety in the event of a fire. Woodlands J53_J04_S19774_Woodlands_V235859_260705_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 Residents are cared for by sufficient numbers of staff who are safe and trained to do so EVIDENCE: The home operates a thorough recruitment procedure for all prospective staff. No member of staff starts work until all mandatory checks have been carried out and are satisfactory. All staff attend a block induction week at the companies headquarters to ensure that initial mandatory training is completed. Until this induction is completed then staff work under supervision. The home has recently experienced difficulties in recruiting permanent staff and has had to employ the use of agency staff to ensure staff numbers are maintained. On the day of the inspection there were four agency staff on duty. Two agency staff were spoken with. They confirmed that when they started they were given an induction covering health and safety requirements and fire safety. They were aware of residents needs as they had both worked a number of shifts at the home and were familiar with the residents and their care plans. Staff meetings are held monthly and minutes kept of these meetings. Staff are given the opportunity to discuss any problems they may have. Staff are also regularly supervised and this is used again to identify problems and highlight training needs. Woodlands J53_J04_S19774_Woodlands_V235859_260705_Stage 4.doc Version 1.40 Page 16 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) 38 The registered manager ensures that residents and staff have their health, safety and welfare promoted. EVIDENCE: With the exception of the gas safety check certificate all appliance checks are current and the manager deals with issues promptly. Fire drills are carried out on a monthly basis and all records are up to date. Generic and specific risk assessments are in place and reviewed regularly to identify any changes. The manager is aware of her responsibilities in relation to reporting of accidents and incidents. The organisation has a robust training programme for all their staff to ensure only safe systems of work are used and residents are safe. Supervision sessions highlight training needs for staff. Woodlands J53_J04_S19774_Woodlands_V235859_260705_Stage 4.doc Version 1.40 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 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 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x x STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x x x x 1 Woodlands J53_J04_S19774_Woodlands_V235859_260705_Stage 4.doc Version 1.40 Page 18 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 38 Regulation 13(4(a,c)) Requirement The registered manager must ensure that a current gas safety check certificate is obtained in respect of these premises and a copy forwarded to the Commission Timescale for action 1/9/05 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 Good Practice Recommendations Woodlands J53_J04_S19774_Woodlands_V235859_260705_Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection York Area Office Unit 4, Triune Court Monks Cross York, YO32 9GZ 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 J53_J04_S19774_Woodlands_V235859_260705_Stage 4.doc Version 1.40 Page 20 - 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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