Inspection on 30/09/06 for Woodlands Care Home

This inspection was carried out on 30th September 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 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 09/03/10

Woodlands Care Home 10/02/10

Woodlands Care Home 16/02/09

Woodlands Care Home 22/07/08

Woodlands Care Home 20/08/07

Woodlands Care Home 06/03/06

Woodlands Care Home 01/11/05

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Woodlands Care Home Fairfield Road Broadstairs Kent CT10 2JU Lead Inspector Brenda Pears Key Unannounced Inspection 30th August 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Woodlands Care Home DS0000065784.V301246.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 Care Home DS0000065784.V301246.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodlands Care Home Address Fairfield Road Broadstairs Kent CT10 2JU 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) 01843 860998 01843 862865 www.southerncrosshealthcare.co.uk Ashbourne (Eton) Limited Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (33), Physical disability (3), Terminally ill over of places 65 years of age (5) Woodlands Care Home DS0000065784.V301246.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Of the 33beds registered for nursing patients 10 are also registered for the admission of residential clients 1st November 2005 Date of last inspection Brief Description of the Service: Woodlands Care Home is a purpose built two-storey building set in gardens next to Fairfield Manor Care Centre, both of which are owned by the same company. The Home offers personal, nursing and palliative care, it is also registered to care for 3 people with a physical disability. Accommodation comprises of 28 single and one double room all with en-suite facilities. The well-kept garden and patio area are available to service users at the front of the building. The Home stands in extensive grounds, with ample parking facilities and is located in a residential area on the outskirts of Broadstairs. The fees for support from the home are set during the assessment period and are very individual to the needs of the service user, depending on the level of support required and the staffing numbers provided. The manager stated that the average fee levels at this time are between £386.00 to £698.00. Woodlands Care Home DS0000065784.V301246.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and the process consisted of speaking with the manager, staff members, service users, visitors and also included a review of records, documents and undertaking a tour of the premises. Questionnaires were also sent to families, regular visitors and health care professionals. The responses received through questionnaires provide valuable feedback that helped with the completion of this inspection. At the time of this report being completed, questionnaires had been received from service users, three family members and two GPs. All stated they are happy with the support provided and families explained how staff are ‘like friends’. What the service does well: What has improved since the last inspection? The ongoing redecoration and refurbishment programme continues to enhance the environment for service users. The continuation of this programme will further develop the building to offer a comfortable and well maintained environment for those living in the home. The ordering and stock control of medication has improved and is regularly checked by an allocated member of staff. Woodlands Care Home DS0000065784.V301246.R01.S.doc Version 5.2 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 Care Home DS0000065784.V301246.R01.S.doc Version 5.2 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 Care Home DS0000065784.V301246.R01.S.doc Version 5.2 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): 3,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Pre admission assessments are carried out to ensure any decision to move into the home is appropriate. Intermediate care is undertaken with appropriate support to maximise independence and facilitate a speedy return home. EVIDENCE: All new admissions are undertaken following a pre admission assessment to ensure the placement is appropriate. Files seen at this time contained pre admission assessments that are undertaken by the manager or deputy manager. Woodlands Care Home DS0000065784.V301246.R01.S.doc Version 5.2 Page 9 All intermediate care and rehabilitation is undertaken using appropriate equipment plus assessed support from care staff and healthcare professionals. All care is undertaken to enable a full recovery and to ensure independence is achieved and maintained. Woodlands Care Home DS0000065784.V301246.R01.S.doc Version 5.2 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 the following standard(s): 7,8,9,10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. All the appropriate information is recorded within the service user care plans, however, these are not always reviewed regularly. This is therefore not ensuring the appropriate support and safety of service users. Medication practices are satisfactory and appropriate. Service users are treated with respect and the right to privacy is upheld. EVIDENCE: Care plans are to be reviewed on a monthly basis and files must evidence this to ensure care needs are appropriate at all times. Staff have been working to review care plans, but those seen at this time were not all up to date or reviewed regularly. New formats for files is currently being implemented and this will support regular reviews but staff must take responsibility to ensure this is undertaken and evidenced on files. Woodlands Care Home DS0000065784.V301246.R01.S.doc Version 5.2 Page 11 Some staff are still not taking full responsibility for this practice and it is hoped that the current move to a new format may support regular review. Records have improved and do, in the main, identify the actual mood of each person and how the day was spent. New formats for recording support on care plans will include charts to show when a person has been checked, spoken to, turned or has received any form of care. This provides a full picture at all times and ensure no person goes unattended in when spending time in their room. Healthcare professionals had no areas of concern and stated that staff do work in partnership and ensure the privacy of service users. All other questionnaires received confirmed that staff provide appropriate care and support. Alternative therapies are being discussed to assist with those showing any signs of dementia. Full assessments will be undertaken and additional support is to be given by a member of the local psychiatric team and also from GPs. Medication records contain photographs and clear information regarding each service user to support the correct administration of medication. Medication is appropriately stored and only staff who have been trained and assessed as competent administer medication. The ordering and stock control of medication has improved and is regularly checked by an allocated member of staff. Staff were seen to be demonstrating good attitudes towards the service users and have clearly established a good rapport. Service users stated that staff are caring and always ready to help and assist when needed. Staff were speaking to service users in an appropriate way and people were approaching staff in a confident and comfortable manner. Observations, conversations with service users and questionnaires received confirm that staff do consider privacy and treat service users with respect. All areas that are used for oxygen must have clear signs to identify this area for health and safety. There is alcohol hand scrub throughout the building to control infection and provide a hygienic environment for those living in the home. Woodlands Care Home DS0000065784.V301246.R01.S.doc Version 5.2 Page 12 . Woodlands Care Home DS0000065784.V301246.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Choice and autonomy are supported and encouraged, ensuring individuals have control over their own routines and life. All aspects of service user needs are met by the home and family, friends or advocates are encouraged to maintain contact. Service users stated they enjoy the food in the home and there is always a choice. EVIDENCE: Discussions with service users and visitors at this time, confirm that staff do support visitors and encourage continued contact. Questionnaires received also confirm this. One visitor explained how well one service user is doing since moving into the home and staff are both caring and encouraging. Woodlands Care Home DS0000065784.V301246.R01.S.doc Version 5.2 Page 14 Information is passed to members of the family to ensure they are fully aware of current events. Any matters needing attention are brought to the staff directly and service users stated they are confident with approaching staff with any matters that need their attention. The kitchen area was found to be clean and orderly, alternatives are offered at each meal and various meals were being prepared at this time. There is a large dining room that is used by those choosing to eat in this area and those wishing to eat in their rooms are supported to do so. Service users stated they have plenty to eat and have good choices, with snacks being available if requested. A gold award has been achieved in the home this year. There is a record sheet for all service users that clearly identifies what activities have been undertaken, if outings have occurred and any books/films that have been obtained for a person. This will ensure appropriate support is provided, will support full follow up in all areas and also inform where options have been offered and refused by the service user. Woodlands Care Home DS0000065784.V301246.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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and family members are confident their complaints will be listened to and acted on. Service users stated they feel safe and cared for in their home. EVIDENCE: Questionnaires received and discussions with service users confirm that family/visitors are kept fully informed and are welcomed into the home at all times. Service users explained that they are confident when talking about any areas of concern with members of staff or with the manager. A copy of the service user guide is available to each service user in their room and this is currently being updated following new ownership of the company. This provides support for all service users, explains routines in the home and sets out how to complain. Policies are in place to support staff and service users and these are again gradually being replaced with Southern Cross policies and procedures. Service users are protected by the recruitment practices and all money is appropriately secured. Records clearly evidence two signatures for all transactions and receipts are retained and thorough records maintained. Woodlands Care Home DS0000065784.V301246.R01.S.doc Version 5.2 Page 16 Woodlands Care Home DS0000065784.V301246.R01.S.doc Version 5.2 Page 17 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, 20, 24, 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Rooms, communal areas, bedding and bathroom areas were all found to be clean and odour free at this time. While redecoration and some refurbishment has enhanced areas of the home, other areas remain in need of total refurbishment before the home reaches an acceptable standard throughout. EVIDENCE: Communal areas have been improved with some redecoration. While redecoration and alterations have enhanced some areas of the home, other areas remain in need of total refurbishment and decoration before the home reaches an acceptable standard throughout. Woodlands Care Home DS0000065784.V301246.R01.S.doc Version 5.2 Page 18 Bedrooms are being decorated where possible and some service users stated they were pleased with their new look rooms. There are currently two lounge areas available for service users, one is a very small room that offers quiet time and cannot accommodate many more than 3 people in armchairs. The proposed conservatory will provide a valuable area that will enable activities to be undertaken in space that will be freed up. Many service users use specialist chairs and additional space is needed to comfortably accommodate all service users and support chosen activities. The external grounds are also being developed with a sensory garden and pathway for those in wheelchairs or just getting mobile. One service user enjoys this walk with family and is becoming more mobile from this exercise. This area will also have additional seating areas, raised flower beds and will also have wind chimes. Consideration is being given to an appropriate smoking area and also to covering the current seating area to the front of the building. This will enable those who enjoy sitting outside to maintain their routine during the winter months. Again, this provides a much needed use of space and choice for service users. Woodlands Care Home DS0000065784.V301246.R01.S.doc Version 5.2 Page 19 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are caring and consider the dignity of service users, creating a relaxed and calm environment. Staff numbers do support the current needs of service users. Training is now monitored throughout the year and training needs are being identified and booked. EVIDENCE: Staff on shift at the time of this inspection consisted of the manager, three senior carers, one senior registered nurse plus five carers. There would usually be one domestic but due to sickness, care staff were covering the domestic work. There was also one cook, an assistant cook and a maintenance man on duty. The main working station has been opened up at the front of the home to create an open reception/working area. However, attention must be paid when sharing information and especially when using the notice boards. Confidentiality and privacy must be recognised when working and using the notice board in this open area. Methods must support the dignity of service users and appropriate methods must be developed to ensure this is met Woodlands Care Home DS0000065784.V301246.R01.S.doc Version 5.2 Page 20 Staff supervision has been formalised and is regularly undertaken. This process was evidenced when reviewing staff files. Staff are to undertake training in dementia during October with support from a specialist in the field of dementia and awareness packs are already in place. Staff files were reviewed at the last inspection and clearly evidenced orderly files with appropriate recruitment procedures and safety checks being undertaken prior to staff commencing work in the home. Woodlands Care Home DS0000065784.V301246.R01.S.doc Version 5.2 Page 21 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, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager and staff have addressed previous areas needing attention and do ensure the best interests of service users are met. In the main, staff and practices in the home due support the safety and well being of service users. EVIDENCE: The current manager has worked in the home for some years and has also undertaken acting manager duties on previous occasions. Staff work together with full support from the manager to support service user needs. Staff have all worked hard to meet previous requirements and have been very keen to improve routines in the home. Woodlands Care Home DS0000065784.V301246.R01.S.doc Version 5.2 Page 22 The staff group and service users were observed to be relaxed and confident when dealing with the manager during this inspection. All fire extinguishers, service records, fire drills and fire log are maintained and up to date. Fire exits are appropriately signed and COSHH items were securely locked. There is an emergency call system in place and security measures in the home are appropriate to ensure the full safety of service users. Magnetic closers are to be installed on all service user doors for fire safety, bed rails are inspected regularly and are maintained and these actions are recorded. Maintenance records also evidence checks on temperatures, emergency call system, fire doors and door releases. . Woodlands Care Home DS0000065784.V301246.R01.S.doc Version 5.2 Page 23 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 X 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 2 X X X 2 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Woodlands Care Home DS0000065784.V301246.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? YES 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 OP7 Regulation OP 14 Requirement Care plans are to be reviewed on a monthly basis to ensure staff are fully aware of all service user needs. (This requirement carried over from the last inspection report) All open doors are fitted with appropriate fire safety installations (This requirement carried over from the last inspection report) Timescale for action 27/10/06 2. OP38 OP 12,13,16 & 23 31/12/06 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 OP20 Good Practice Recommendations That the planned conservatory be added to the front of the DS0000065784.V301246.R01.S.doc Version 5.2 Page 25 Woodlands Care Home home to provide adequate communal space for service users and support the provision of a selection of activities, to meet individual needs. 2 OP19 That the refurbishment and redecoration programme continue until all areas meet an acceptable standard. Woodlands Care Home DS0000065784.V301246.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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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