Inspection on 28/06/05 for Woodlands Care Home

This inspection was carried out on 28th June 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Woodlands Care Home 16/04/07

Woodlands Care Home 26/07/06

Woodlands Care Home 22/11/05

Woodlands Care Home 08/09/04

Woodlands Care Home 29/04/04

Woodlands Care Home 04/06/03

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Winton House

Newbeech House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE Woodlands Care Home Station Road Sandleheath Fordingbridge Hampshire Lead Inspector Roy Bega Unannounced 28/6/05 09:45am 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 Care Home H54 S11612 Woodlands V233990 280605.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Woodlands Care Home Address Station Road, Sandleheath, Fordingbridge, Hampshire, SP6 1PA 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) 01425 652710 01425 652950 Woodlands House Retirement Limited Mrs Alison Sarah Wait CRH 30 Category(ies) of DE(E)- Dementia over the age of 65 years: 30 registration, with number OP- Old Age: 30 of places PD(E)- Physical Disability over the age of 65 year: 3 Woodlands Care Home H54 S11612 Woodlands V233990 280605.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1- A maximum of three service users in the category PD(E) may be accomodated at any one time. 2- Service users in the category PD(E) may only be accomodated on the ground floor. Date of last inspection 8/9/2004 Brief Description of the Service: Woodlands House is located in the village of Sandleheath, a rural area of the New Forest approximately one and a half miles from Fordingbridge. Woodlands House provides accommodation for 30 older persons in 24 single bedrooms and 3 double bedrooms. The house sits in spacious grounds which are in the process of being re landscaped. Residents have varying needs with aspects of daily living.Mr P Reynolds is the named responsible individual.. Mrs A Wait is the registered manager responsible for the daily running of the home. Woodlands Care Home H54 S11612 Woodlands V233990 280605.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report summarises the assessment of the extent to which the National Minimum Standards for Care Homes for older people were being met at the time of the inspection. Standards not inspected on this occasion will be assessed during future visits. This inspection took place over one day, a total of five and a quarter hours between 9-45 a.m. and 3 p.m. Opportunity was taken to look around the home, view records and talk with, residents an staff. It was not possible to obtain the views of relatives due to none being present during the visit. A four year improvement plan for the period May 2004 to April 2008 with regards to the interior and exterior of the home has been agreed by the Commission for Social Care Inspectorate (C.S.C.I.). Subsequent to the previous inspection much work has been completed as detailed in the main body of this report. As acknowledged by Mr Reynolds the refurbishment programme will remain a requirement until all agreed work has been completed. As result of this inspection two requirements were raised. What the service does well: What has improved since the last inspection? It was noted the improvement plan is moving forward in that the following work has been completed subsequent to the previous inspection • • Rear garden laid to lawn with a patio, summer house and seating areas. Industrial laundry equipment has been installed. H54 S11612 Woodlands V233990 280605.doc Version 1.30 Page 6 Woodlands Care Home More modern extension of the home. • • • • • • • Corridors and door frames have been colour coded to assist residents to identify their rooms and bathing facilities. Lounge/dining room decorated. New lounge furniture including dining table and chairs. New curtains in corridors Two bedrooms have been completely refurbished including the installation new vanity units. Nine bedrooms have been provided with new furniture. Two bedrooms have been redecorated and new carpets and curtains fitted. Additional care staff have been employed subsequent to the previous inspection. The home has introduced a government apprenticeship scheme for students under the age of 18 years. The programme enables young people to work towards the National Vocational Care (NVQ) level 2 care. The inspector was assured that they do not provide personal care and are in addition to the staffing compliment. The staff programme for training has been improved. Several staff are working towards the N.V.Q. level 2/3 in care. Other training in the past year has included – Dementia care x 3 staff; infection control x 4 staff and basic care practice x 3 staff. Management have completed a quality assurance policy and procedure for obtaining residents, family/friends and visiting professionals’ views on how the home is achieving its aims. What they could do better: A four year improvement plan for the period May 2004 to April 2008 with regards to the interior and exterior of the home has been agreed by the Commission for Social Care Inspectorate (C.S.C.I.). Subsequent to the previous inspection much work has been completed as detailed in the main body of this report. As acknowledged by Mr Reynolds the refurbishment programme will remain a requirement until all agreed work has been completed. Residents care plans include information relating to social interests and preferences with regard to leisure activities. Current activities include art and craft, puzzles, staff/resident one to one, scrap books an entertainer once a month and local clergy. Management acknowledged that this area needs further development. Woodlands Care Home H54 S11612 Woodlands V233990 280605.doc Version 1.30 Page 7 Whilst the staff programme for training has improved, the home’s management are aware that the current ratio of members of care staff who are trained NVQ level 2 in care or equivalent does not meet the 50 requirement. Discussions did reassure the inspector that the home is working towards the required target. 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 Care Home H54 S11612 Woodlands V233990 280605.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Woodlands Care Home H54 S11612 Woodlands V233990 280605.doc Version 1.30 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 standard(s) 3, 4 and 5 The admission process is well managed with residents and their representatives being provided with clear information regarding the home and ability to make pre admission visits. EVIDENCE: Care managers and management staff from the home are involved with prospective residents pre admission assessments. Further information is obtained when the potential resident visits the home. This includes, for example, communication, mobility, dietary requirements and medication. A sample of 2 residents comprehensive pre admission assessments were seen. There was evidence to confirm that residents and/or relatives are involved in the assessment process. Residents spoken with stated that staff were so kind and helpful before and after they had moved in. They and their family had opportunities to visit the home before making a decision. Woodlands Care Home H54 S11612 Woodlands V233990 280605.doc Version 1.30 Page 10 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, and 10 The health and personal care needs of residents’ is provided in a manner which ensures respect, dignity and rights. EVIDENCE: A sample of 3 residents care plans which covered all aspects of their assessed needs and wishes were seen. They included detailed information with regards to personal health needs, communication, moving and handling and daily routine. Observations, discussions indicated that staff have the skills and experience to deliver care effectively. Staff were observed to inform residents what they were going to do with regards to care before carrying it out. Staff were also observed to be courteous, respectful, ensuring residents dignity and privacy at all times. Residents echoed this in discussions. Comments made included – “They’re marvellous”; “ They’ve got so much patience” and “They don’t rush you”. Woodlands Care Home H54 S11612 Woodlands V233990 280605.doc Version 1.30 Page 11 Medication within the home is stored appropriately and administered primarily through a monitored dosage system. The inspector was informed that there are no residents who are able to self medicate. Records seen were well maintained. Woodlands Care Home H54 S11612 Woodlands V233990 280605.doc Version 1.30 Page 12 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 and 15. Social activities organised provide stimulation and interest for people living in the home. Visitors are made welcome at all times. Meals are nutritious and balanced offering a healthy and varied diet. EVIDENCE: The inspector had the opportunity to observe routines. Residents freely moved around the home with use of various walking aids. There was an open, relaxed friendly, inclusive atmosphere with residents interacting with each other and with staff. Residents care plans include information relating to social interests and preferences with regard to leisure activities. Current activities include art and craft, puzzles, staff/resident one to one, scrap books, an entertainer once a month and visits from local clergy. Management acknowledged that this area needs further development. Residents are encouraged to access the community. This was evident during the inspection. One gentleman went out to a local luncheon club. A garden party has been arranged for the end of July to provide an opportunity for improving community, relative and professional links. This is viewed by CSCI as a positive way forward. Woodlands Care Home H54 S11612 Woodlands V233990 280605.doc Version 1.30 Page 13 Subsequent to the previous inspection the rear garden has been landscaped providing a lawn, patio area and seating. Discussions indicated this has become a popular venue with residents and visitors during the better weather. Discussions and available information indicated that there is an “open house” attitude with regards to visiting arrangements. Available menus indicated a varied and balanced diet is provided. A record of food provided that varies from the main menu was seen. Residents readily expressed their satisfaction with regards to the quality, quantity, and choice of food provided. The meal was taken at residents pace. It was noted special dietary needs and choice other than the main menu were provided. The kitchen was clean and well maintained. As part of the home’s four year improvement plan the kitchen is to be relocated to the lower ground floor. Woodlands Care Home H54 S11612 Woodlands V233990 280605.doc Version 1.30 Page 14 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 and 18. Residents are confident that their complaints will be listened to, taken seriously and acted upon. Policies and procedures are in place to ensure residents are protected from abuse. EVIDENCE: The home has a clear policy/procedure with regards to how residents, relatives and friends can make complaint, which was on display. It was noted that records of complaints are maintained in residents’ personal files. It would be best practice to also maintain a reference log of complaints. This would enable the home to supply the Commission on request a statement containing a summary of the complaints made and action taken. Residents spoken with indicated an awareness of what action to take if they have any concerns. In the preceding year the CSCI have not received any complaints with regards to Woodlands. The home has a policy and procedure document with regards to the protection of vulnerable adults in place. Records seen and discussions indicated that the protection of vulnerable adults forms part of staff training. Discussions with staff indicated a good awareness in respect of the protection of vulnerable adults. Woodlands Care Home H54 S11612 Woodlands V233990 280605.doc Version 1.30 Page 15 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, 22, 23 and 24. Residents live and are able to move around freely in a safe and well maintained environment. EVIDENCE: A four year improvement plan for the period May 2004 to April 2008 with regards to the interior and exterior of the home has been agreed by the Commission for Social Care Inspectorate (C.S.C.I.) It was noted the improvement plan is moving forward in that the following work has been completed subsequent to the previous inspection• • Rear garden laid to lawn with a patio, summer house and seating areas. Industrial laundry equipment has been installed. More modern extension of the home • Corridors and door frames have been colour coded to assist residents to identify their rooms and bathing facilities. H54 S11612 Woodlands V233990 280605.doc Version 1.30 Page 16 Woodlands Care Home • • • • Lounge/dining room decorated. New furniture in lounge including dining table and chairs. New curtains in corridors Two bedrooms have been completely refurbished including the installation new vanity units. • Nine bedrooms have been provided with new furniture. • Two bedrooms have been redecorated and new carpets and curtains fitted. Mr Reynolds informed the inspector that the next phase includes • • To extend the garden facilities. The improvement of fire safety precautions to “Open up” the home to increase natural light and enable residents more freedom of movement. • To install a new call bell system. • To provide a shower room suitable for wheelchair use. • To provide staff with an appropriate washing/changing facility when assisting in meeting residents needs. Management are to be commended with regards to the progress of the home’s development plan. Woodlands Care Home H54 S11612 Woodlands V233990 280605.doc Version 1.30 Page 17 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 and 30. Resident’ needs are met by the number and skill mix of staff. They are also protected by the home’s recruitment policy and practices. EVIDENCE: Additional care staff have been employed subsequent to the previous inspection. The home has introduced a government apprenticeship scheme for students under the age of 18 years. The programme enables young people to work towards the National Vocational Care (NVQ) level 2 care. The inspector was assured that they do not provide personal care and work supernumerary to the staffing compliment. On the morning of this visit an external training agency was providing first aid training, therefore, the manager and two care staff were on duty plus a domestic and the catering manager. Discussions with staff, residents and available rota indicated that the normal staffing levels are as follows Manager, 7-30 am. 1-30 pm. 8-30 pm. 9 am to 5 pm Monday to Friday (Unless needed to cover duties) to 1-30 pm., four care staff seven days a week. to 8-30 pm., three care staff seven days a week. to 7-30 am., two awake night staff seven nights a week H54 S11612 Woodlands V233990 280605.doc Version 1.30 Page 18 Woodlands Care Home A full time catering manager, a part time cook and a full time domestic are also employed. The inspector was informed that it is planned to employ a further domestic to cover week - ends. It was noted that the staff training programme has been upgraded. Several staff are working towards the N.V.Q. level 2/3 in care. Other training in the past year has included – Dementia care, x 3 staff. Infection control, x 4 staff. Basic care practice, x 3 staff. The home’s management are aware however that the current ratio of members of care staff who are trained NVQ level 2 in care or equivalent does not meet the 50 requirement. Discussions did reassure the inspector that the home is working towards the required target. The inspector was advised that planned future training includes – Dementia care; managing aggression; adult protection, risk assessments and an up date on moving and handling. Staff were observed to inform residents what they intended to do before carrying it out. Staff were also observed to be courteous, respectful, ensuring residents’ dignity and privacy at all times. Staff spoken with confirmed that they had to complete an application form, CRB check, obtain two written references and attend a formal interview before being appointed. Woodlands Care Home H54 S11612 Woodlands V233990 280605.doc Version 1.30 Page 19 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) 31, 32, 33, and 37. Residents live in a home that is well run and managed with an ethos of being open and honest. EVIDENCE: Observation and discussions indicated that the management approach of the home creates an open, positive and inclusive atmosphere. Minutes of staff meetings were available. Good relationships between staff on duty and staff and residents’ was evident. Staff portrayed a strong loyalty towards their work and management. Residents spoken with had nothing but positive comments to say about staff, which included – “They really care”, “They don’t rush you” and “Staff like a laugh”. Woodlands Care Home H54 S11612 Woodlands V233990 280605.doc Version 1.30 Page 20 The inspector was shown the home’s recently completed quality assurance policy and procedure for obtaining residents, family/friends and visiting professionals’ views on how the home is achieving its aims. Records seen were up to date and kept secure. Woodlands Care Home H54 S11612 Woodlands V233990 280605.doc Version 1.30 Page 21 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 3 3 N/A 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 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 x 3 3 3 x x STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 3 3 x x x 3 x Woodlands Care Home H54 S11612 Woodlands V233990 280605.doc Version 1.30 Page 22 yes 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 O P 12 Regulation 12 (1 a & b) Requirement Current activities include art and craft, puzzles, staff/resident one to one, scrap books an entertainer once a month and local clergy. Management acknowledged that this area needs further development. . A four year improvement plan for the period 2004 to 31 May 2008 with regards to staff training, refurbishment of the interior and exterior of the home has been agreed by the Commission for Social Care Inspectorate This will be re assessed during future inspections. Timescale for action 30/11/05 2. O P 19 23 31/05/08 3. 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 Care Home H54 S11612 Woodlands V233990 280605.doc Version 1.30 Page 23 Commission for Social Care Inspection 4th Floor- Overline House Blechynden Terrace Southampton Hampshire 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 Care Home H54 S11612 Woodlands V233990 280605.doc Version 1.30 Page 24 - 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. 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