Inspection on 09/11/06 for Woodlands

This inspection was carried out on 9th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 24/01/06

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 09 November 2006 09:30 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.V304733.R01.S.doc Version 5.2 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.V304733.R01.S.doc Version 5.2 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 F/P 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.V304733.R01.S.doc Version 5.2 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. 24th January 2006 2. 3. Date of last inspection Brief Description of the Service: Woodlands is a detached Victorian property situated one mile from Oldham town centre, close to local amenities and public transport. Accommodation is provided 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 additional seating and a quiet area for residents. There are garden and patio 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. Residents gain information on the service through a service user guide, which is given to them prior to admission. The last inspection report is situated in the hallway of the home. Woodlands DS0000005547.V304733.R01.S.doc Version 5.2 Page 5 The weekly scale of charges within the home range from £313.86 to £402.85. Additional extras not covered by the fees include hairdressing, chiropody and holidays. Woodlands DS0000005547.V304733.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection, which included an unannounced visit to the home, took place by one inspector on the 9th November 2006. Time was spent talking to residents individually and in groups. Two staff and the deputy manager were also interviewed. Eight residents’ questionnaires were left for completion although none had been returned at the time of writing this report. The inspector also had a look round the building and looked at a selection of residents and staff records as well as other documentation including duty rotas, medication records and staff recruitment. What the service does well: Detailed assessments of service users needs together with good communication systems in the home ensure residents mental health and physical needs are met. Staff know the residents and how to care for them. The atmosphere in the home was warm and friendly. The inspector found the home to be in good administrative order, with staff training having a high profile leaving them feeling confident in their role. This is reflected in the care provided and residents satisfaction in living here. The small homely environment promoted good interactions with staff especially during meal times when staff join residents for their meals. This aids positive relationships between everyone. Residents spoke about the choices in their daily lives saying “ food is really good here and there is always a choice if we don’t like what is on offer”, and “ I am really looking forward to Christmas we have a great time, good food and entertainment.” Several residents choose to spend times in their rooms saying, “I like to be alone and staff respect my privacy”. During the summer months a number of residents went to Pontins holiday camp. A number of staff also went to support the residents. Residents mentioned this holiday several times saying how much they had enjoyed it and how good staff patience and support had been. Woodlands DS0000005547.V304733.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? 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.V304733.R01.S.doc Version 5.2 Page 8 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.V304733.R01.S.doc Version 5.2 Page 9 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): 3, 5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the service. Residents are encouraged to visit the home prior to admission in order to make an informed choice. The home obtains an assessment of residents needs to ensure their needs can be met. EVIDENCE: The home does not provide intermediate care. Detailed assessments of residents needs were on file. One assessment had been obtained from professionals with the home completing an assessment on admission. These were comprehensive and transferred into care planning. One file examined identified that the resident was invited to visit the home once a week for four weeks. Woodlands DS0000005547.V304733.R01.S.doc Version 5.2 Page 10 This allows an adjustment to take place and an opportunity to meet other residents and for a positive relationship to be commenced prior to the resident moving in. Woodlands DS0000005547.V304733.R01.S.doc Version 5.2 Page 11 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 & 10 The quality outcome in this area is good. This judgement was made using available evidence and a visit to the service. Care planning was detailed and provided staff with the information needed to meet the needs of residents. Residents were protected by the homes procedures for the storage, recording and handling of medication. Staff training included treating residents with respect and dignity. EVIDENCE: Care plans and risk assessments were detailed and reflected residents assessed needs. Three case files were examined in detail and contained, assessments, nutritional screening, evidence of professional visits and weight charts. Those residents with specialist mental health needs had detailed information on file for staff to read in order to raise their awareness. Woodlands DS0000005547.V304733.R01.S.doc Version 5.2 Page 12 Risk assessments specified how to deal with challenging behaviour and gave advice on aversion techniques. Care plans were reviewed on a regular basis, signed and dated. A new blister pack system for the storage and recording of medication had been introduced in the home. All senior staff had received training in the administration of medication. Ten senior staff have completed training in medication. Residents praised the staff for their support, one said “we are well looked after”. All residents interviewed felt that staff respected that privacy and dignity. One resident gave an example of preferring to bath unaccompanied with staff respecting this. Many of the residents at this time of inspection only required prompts from staff in relation to hygiene. Those requiring assistance were helped in the privacy of their rooms. Staff training in maintaining residents privacy and dignity forms part of the homes induction process and NVQ training. Woodlands DS0000005547.V304733.R01.S.doc Version 5.2 Page 13 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, 13, 14 & 15 The quality outcome in this area is excellent. This judgement has been made using available evidence and a visit to the service. A flexible approach to routines in the home enabled residents to make choices in their daily lives. Activities in the home provided residents with stimulation and enjoyment leading to a sense of fulfilment. EVIDENCE: The inspector dined with residents. The dining room has the advantage of a conservatory area making it light and congenial for residents to dine in. It is the home’s policy to have a light lunch with the main meal being taken in the evening. The lunch on the day of inspection was egg, homemade chips and peas. Steak was the evening meal. The cook and staff also dine with the residents. This allowed the cook to discuss the meal and preferences for the evening meal. A number of residents requested a sandwich for tea preferring not to have a hot meal in the evening. Woodlands DS0000005547.V304733.R01.S.doc Version 5.2 Page 14 The inspector observed staff dealing discreetly with those who needed assistance. In one instance a resident was unsettled, staff asked them if they would prefer to eat in their room, to which the resident agreed and become more settled. The small home environment provides a flexible approach in the choice of meals in the home. One resident said, “the food is really good here, even the cat gets fed well”. A group of residents were interviewed in the main lounge, four of which had been in a party of residents who had a holiday in Pontins. All spoke of how much they enjoyed it. One said “we had a really good time and the food was very good”. Another residents spoke about recent entertainment in the home which they enjoyed. The home maintains an activity file which records any staff activities with residents i.e. out to park, quiz and bingo. One resident said family and friends take them out to a local pub when the visit and “I really like a glass of wine in the evening”. All residents interviewed gave examples of choices they made in their daily lives e.g. clothes, food and freedom to go out if they wish. A local priest visits to offer communion for those who wish to receive this. One residents said “ I like to be alone and staff respect my privacy”. Another said they liked to help out with chores in the home i.e. setting tables. All said they were looking forward to Christmas because, “we all have a good time”. Woodlands DS0000005547.V304733.R01.S.doc Version 5.2 Page 15 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 The quality outcome in this area is good. This judgement has been made using available evidence and a visit to the service. Residents were confident their complaints and concerns would be listened to. The home raises awareness on the protection of vulnerable adults through staff training ensuring the protection of residents. EVIDENCE: There was evidence on residents files that advocacy was available to them, with some resident choosing to exercise this right. The home’s complaints procedure is in the service user guide, a copy of which is in each bedroom and displayed on the home’s notice board. Residents interviewed said, “I have no complaints but if I had I would see the manager”. Training in the protection of vulnerable adults is included in staff inductions and NVQ training. Staff at interview were able to identify the forms in which abuse may present and action needed to be taken if such an event should occur. Woodlands DS0000005547.V304733.R01.S.doc Version 5.2 Page 16 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): 19 & 26 The quality outcome in this area is good. This judgement has been made using available evidence and a visit to the service. Residents live in a well maintained, clean, safe homely personalised environment. EVIDENCE: A selection of resident’s rooms were inspected and found to be personalised to their preferred standard. Many had brought in personal items of furniture. One had brought in their own bed and furniture. Locks and keys were provided to bedroom doors. The residents interviewed chose not to use this facility. Two widescreen television and digital boxes had been provided in each lounge. Woodlands DS0000005547.V304733.R01.S.doc Version 5.2 Page 17 Both lounges had been redecorated. The inspector was given a copy of the home refurbishment plan most of which had been completed, including resurfacing the car park, new conservatory and garden furniture, radiator covers, bathroom redecorated and two bedrooms. There were odours in certain areas of the home, however these were receiving immediate attention at the time of this inspection. All other areas were clean and tidy and well maintained. Woodlands DS0000005547.V304733.R01.S.doc Version 5.2 Page 18 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 & 30 The outcome in this area is good. This judgement was made using available evidence and a visit to the service. Recruitment procedures were robust for the protection of residents. The number of staff who hold NVQ 2/3 need to be increased to maintain positive outcomes for residents. Staff training and induction reflected the needs of residents ensuring their health and safety is maintained. EVIDENCE: Examination of the duty rota and staff allocation showed there were sufficient staff to meet the needs of residents at the time of this inspection. Each member of staff has a personal training file and is able to access training through Oldham Social Services training department. This includes a detailed induction in line with Skills for Care. Due to changes in the staff team the home has fallen short of the 50 of staff required to have NVQ 2/3. The manager reported this was being addressed. Examination of two staff files found evidence of references obtained and criminal record bureau checks. Woodlands DS0000005547.V304733.R01.S.doc Version 5.2 Page 19 Staff at interview gave examples of training undertaken and how this had been applied in the home. Examples were given of promoting choice, privacy and dignity. Woodlands DS0000005547.V304733.R01.S.doc Version 5.2 Page 20 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, 33, 35, 36 & 38 The quality outcome in this area is good. This judgement has been made using available evidence and a visit to the service. The home is well managed through effective communication systems, supervision and record keeping, promoting a feeling of ownership throughout the home. EVIDENCE: The owner manager is a qualified registered mental nurse and a registered general nurse who has completed NVQ4 in care and is undertaking NVQ4 registered managers award. Good communication systems are maintained through staff supervision, regular handovers and staff meetings. Resident meetings are conducted both informally and formal. Residents said, “If we want anything we just see the manager. Woodlands DS0000005547.V304733.R01.S.doc Version 5.2 Page 21 Four residents said they managed their own monies with some resident’s finances being managed by the home. Financial records were looked at and were found to match monies held by the home. There was no inappropriate expenditure and receipts were kept of all monies spent on behalf of residents. Ten staff had completed food hygiene courses and four undertaking first aid training. There was evidence of regular safety checks and equipment in the home. Each area of the home had a fire risk assessment with staff at interview demonstrating awareness of fire procedures in the home. The nurse call system was checked on a three monthly basis. Woodlands DS0000005547.V304733.R01.S.doc Version 5.2 Page 22 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 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 3 X 3 Woodlands DS0000005547.V304733.R01.S.doc Version 5.2 Page 23 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.V304733.R01.S.doc Version 5.2 Page 24 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. Extracts may not be used or reproduced without the express permission of CSCI Woodlands DS0000005547.V304733.R01.S.doc Version 5.2 Page 25 - 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!