Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 09/03/10 for Woodlands Care Home

Also see our care home review for Woodlands Care Home for more information

This inspection was carried out on 9th March 2010.

It is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

Annual service review Name of Service: Woodlands Care Home The quality rating for this care home is: The rating was made on: two star good service 1 6 0 2 2 0 0 9 A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   Yes You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Mary Cochrane Date of this annual service review: 1 2 0 1 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: Fairfield Road Broadstairs Kent CT10 2JU 01843860998 01843862865 Telephone number: Fax number: Email address: Provider web address:   www.southerncrosshealthcare.co.uk Ashbourne (Eton) Limited Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Number of places (if applicable): Under 65 Over 65 0 33 The maximum number of service users to be accommodated is 33. The registered person may provide the following category/ies of service only: Care home with nursing only - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP). Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): 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. Ashbourne (Eton) Ltd is the registered company, which is a subsidiary of Southern Cross Healthcare. Accommodation comprises of thirty bedrooms that are all currently used as singles, but this number includes three larger rooms that can be used as doubles. All bedrooms Annual Service Review Page 2 of 7 Change to the Responsible Individual 1 6 0 2 2 0 0 9 have en-suite toilet facilities. There is a lift to the first floor and ample bathroom and toilet facilities. Communal areas consist of the main lounge, a very small lounge and dining room. There is a well-kept garden to the side and patio area at the front of the building for residents use. Shared parking facilities are available to the front and the home is located in a residential area on the outskirts of Broadstairs. The home offers personal and nursing care. There is always at least one registered nurse on duty, with a team of carers and ancillary staff that deal with cooking, cleaning, laundry, administration and maintenance. The fees for support from the home are set during the assessment period and are very specific to the needs of the individual, depending on the level of support required and the staffing numbers provided. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection. This included: 1. The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. 2. Surveys returned to us by people using the service and from other people with an interest in the service. 3. Information we have about how the service has managed any complaints. 4. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. 5. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. 6. Relevant information from other organisations. 7. What other people have told us about the service. What has this told us about the service? The good 2 star rating was made at the Key Unannounced Inspection on 16th February 2009. The home did not send us their annual quality assurance assessment (AQAA) on time. We rang the home and we were told the manager had resigned the previous day. The deputy manager said she would make sure the AQAA was sent and it did arrive the following day. The AQAA could have contained more in depth information and examples about the service and how it plans to improve and develop in the future. They did not tell us very much about the views of the people living at the home, how the service finds out what they want or what they are doing to make sure their services provides good outcomes for them. It gave us no information on how the home was being managed on a day to day to basis. At the last Key Inspection we made two requirements. This means the service had to do things within a certain time to make sure people were being looked after and kept safe. The first one was about how staff are trained to move people safely and the other Annual Service Review Page 4 of 7 one was about making sure that a record was kept of all fire tests. The report also made four recommendations. The AQAA did not give us any information to tell us that these had been addressed. Since the last key unannounced inspection in February 2009 two managers have been appointed and have subsequently left the service. The last manager was only in post for about seven weeks. Neither of them applied to register with the CQC. The AQAA told us that the service employs eighteen full time members of staff and two parttime. It said that eight members of staff have left in the past twelve months. This means that people cannot rely on a consistent and reliable management to offer direction and guidance for the service and they cannot rely on consistent care being provided. Concerns have been raised about the standard of care people are receiving at the home and subsequently there has been a social services led safeguarding adults investigation. This means the safeguarding team has concerns about the home. They have offered support, advice and input from multidisciplinary agencies to move the home forward in the right direction. This is to make sure the people living at the home are safe and their needs are being met. The investigations have now been completed and closed. The AQAA told us that the service has received five complaints. These have been investigated according to the homes policies and procedures. We have received complaints from staff about the management. We are supposed to be notified when people die at the home. But the numbers on the AQAA exceed the number of notifications we have received. They also told us that nine people have developed pressure areas since coming to the home. If the pressure areas are of a certain grade then the home should inform us. We have received no notifications about pressure areas. We contacted the home. We found that one of pressure areas should have been reported to us and also a person had been admitted to hospital and we had not been informed. We cannot be sure that the service is informing of the events that are happening that we need to know about. We sent surveys to people who live at the home, staff and visiting professionals like care managers, doctors and nurses. At the time of writing the report we had three back from residents and two from staff. People have told us, There are friendly helpful staff who strive to assist and help when required. The food is very good. The cooks do a great job. The home could do with a face lift. The lounge is very dull There is an obvious lack of hoists. This results in people having to wait a long time to go into wheelchairs, bed or to the toilet. Staff said, Annual Service Review Page 5 of 7 The home needs to provide better quality of care and make sure there is enough staff on duty. The quality of the food is very good. The home has good reliable nurses. There are many activities. There was no kitchen assistance for a time and people did not get drinks in the afternoon and meals were delayed. The company employed a new manager who does not have any experience in managing a home and people. The staff also indicated that they do not get the up to date training they need to do their jobs. The AQAA gave us no information about the training that the staff receive. The analysis of our evidence suggests that the changes in management have caused a period of inconsistency and unsettlement amongst the staff group. This together with the recent safeguarding alert have caused us to be concerned that the service has not sustained the good outcomes for the people living in the home. What are we going to do as a result of this annual service review? We can inspect the Service at any time, if we have concerns about the quality of the Service, or about the safety of the people using the Service. As a result of the Annual Service Review we may bring the next Key Unannounced Inspection forward. Annual Service Review Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Annual Service Review Page 7 of 7 - 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!