Inspection on 02/04/07 for Woodlands Court Care Home

This inspection was carried out on 2nd April 2007.

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 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

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Woodlands Court Care Home Boston Road Kirton Boston Lincolnshire PE20 1DS Lead Inspector Moya Dennis Unannounced Inspection 2nd April 2007 10:30 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 Court Care Home DS0000066999.V333932.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 Court Care Home DS0000066999.V333932.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodlands Court Care Home Address Boston Road Kirton Boston Lincolnshire PE20 1DS 01205 723572 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) sharon@lincsmail.co.uk Greenhold Care Homes Ltd Care Home 54 Category(ies) of Old age, not falling within any other category registration, with number (47), Physical disability (7) of places Woodlands Court Care Home DS0000066999.V333932.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide accommodation for service users of both sexes whose primary needs fall within the following categories: Old Age, not falling within any other category (OP) - 47; Physical Disability (PD) - 7 The service users in the category OP to be accommodated in the Main House, The Bungalows and the Coach House. The service users in the category PD must be aged 40 years and over and be accommodated in the Bungalows only. Access to the first-floor office accommodation for staff must be via the external staircase. The maximum number of service users to be accommodated is 54. 2. 3. 4. 5. Date of last inspection 11th August 2006. Brief Description of the Service: Woodlands Court is in the village of Kirton. The village has a number of shops and public houses. A wider range of facilities is available in Boston, approximately 5 miles away. Accommodation in Woodlands Court is arranged in two separate buildings. Oakwood Lodge is a two storey Victorian house, with accommodation for up to 23 residents, in ten double rooms and three singles. Stairs and a lift provide access to both floors. Rosewood is a purpose built single storey building, providing accommodation for 24 residents in twelve self-contained apartments. Each apartment has a kitchen diner, bathroom and two bedrooms. There is a communal dining and lounge area within the complex. A third building is currently being refurbished and is unoccupied. The home has large, well-kept grounds, with space for car parking. Fees range from £335 to £395 per week. At the time of inspection, the home had 37 residents. Woodlands Court Care Home DS0000066999.V333932.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place in April 2007, and was the homes’ first inspection under new ownership. One inspector conducted the visit over 5 ½ hours. All key standards were inspected. The inspection method used was to case track the care received by a sample of residents by looking at their records and discussing their experiences of care with them and with their relatives. General care practices were observed throughout the visit. A sample of regulatory records and policies and procedures were seen and the inspectors toured the premises. The inspector spoke to ten residents, five care workers, two domestic staff, one visiting relative and a community nurse. Ten residents completed ‘Have your Say’ questionnaires about their experiences of life in Woodlands Court, and the information contributed to this report. The recently appointed acting manager and deputy manager were present throughout the inspection. The acting manager was given general feedback about the outcomes at the end of the visit. What the service does well: What has improved since the last inspection? People said that things were different under new management. Comments included, “Meals have improved over the past 6 months …new management is getting things sorted …it’s a much better place, more peaceful …conditions have improved considerably since being under new management”. Woodlands Court Care Home DS0000066999.V333932.R01.S.doc Version 5.2 Page 6 Residents said leisure activities had been improved and reported via questionnaires that there were ‘always’ or ‘usually’ activities going on that they could take part in. New care plans were being completed, which would include all relevant information and be more organised. Residents were actively involved in the recruitment of new staff. Staff were receiving regular supervision and staff and residents’ meetings were taking place. Residents said they were able to go to the local shops, with staff assistance. Socialising with residents was seen as part of carers’ roles and staff were sitting with residents during the inspection. Staff said morale had improved and they found the acting manager to be supportive. 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. The summary of this inspection report can be made available in other formats on request. Woodlands Court Care Home DS0000066999.V333932.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 Court Care Home DS0000066999.V333932.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5,6. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People had access to sufficient information to decide if the home could meet their needs. Prospective resident’s needs were assessed and they had opportunities to visit the home before moving there. EVIDENCE: Residents and their representatives confirmed they had been given enough information about the home to make an informed choice. They, or their relatives, had received contracts or statements of terms and conditions. Senior members of staff had visited them at home, or in hospital, to assess their needs. They had been informed in writing that Woodlands Court could Woodlands Court Care Home DS0000066999.V333932.R01.S.doc Version 5.2 Page 9 meet those needs. Four residents’ files were inspected; all contained evidence to confirm this. New assessment forms currently being introduced allowed for more information to be gathered from other sources. Residents said they were able to visit the home, meet staff and other residents before deciding to move there. The home did not offer intermediate care. Woodlands Court Care Home DS0000066999.V333932.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ were involved in their care planning and reviews, on a regular basis. Their independence and development were promoted and supported by comprehensive risk assessments. EVIDENCE: Care plans set out residents’ health needs and evidenced that these were monitored. Plans were reviewed monthly, or more often if needed. New care plans contained space for residents’ or their relatives to sign, evidencing their involvement. Staff received training on oral hygiene and spoke knowledgably of importance of maintaining aids such as dentures, spectacles and hearing aids in good order. Referrals to health care specialists were made, as necessary. Residents saw health professionals in the privacy of their rooms. As previously stated, the home had good working relationships with health professionals. Woodlands Court Care Home DS0000066999.V333932.R01.S.doc Version 5.2 Page 11 During the inspection, a medication round was observed and correct procedures were seen to be followed. The senior carer dispensing medication had received appropriate training and confirmed the homes’ homely remedy policy. This, and policies for administration, recording, storage, training, ordering and safe returns of medication were robust. One resident chose to self medicate and used the lockable facility in their room to store medication. General care practices were observed throughout the inspection. Staff addressed residents by the preferred name recorded on their care plans. Newer staff said the need to be respectful to residents at all times had been impressed on them during induction, and senior carers often observed their interaction with residents. They were aware of the home’s policies regarding privacy, dignity, choice, rights and independence. Care plans gave details of end of life wishes, when these had been made known. Most staff had received training, or had experience, in giving palliative care. They were aware of the need to support relatives, as well as residents, during the end of life stages. Woodlands Court Care Home DS0000066999.V333932.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents were able to maintain links with the community and had a choice of leisure activities. They were actively involved in staff selection. Meals were well balanced and varied and all residents were assisted to make choices. EVIDENCE: Improvements had recently been made regarding the provision of activities. Residents and their relatives said there was, “more going on” since the home had new owners. Via questionnaires, seven people said there was ‘always’ something going on, one ‘usually’ and 2 ‘sometimes’. Residents were doing craft work for Easter and told the inspector about recent social events, such as a visiting choral group and a film show about Boston in days gone by. The deputy manager said entertainers visited the home once a month. An organist/singer was due to visit the following day. Activities included bingo, bowls, dominoes, connect 4, karaoke and dancing. Relatives often attended organised activities. Woodlands Court Care Home DS0000066999.V333932.R01.S.doc Version 5.2 Page 13 Televisions were not on unless residents specifically wanted to watch something. Most residents were talking, reading or knitting. Some residents went to the local shops with care staff during the inspection. Others said they appreciated being able to go outside more often and it made them feel part of the local community. Local suppliers had contributed to an Easter raffle, the proceeds of which were to go to the residents’ comfort fund. Residents said they were able to see visitors in private when they wished. Relatives confirmed they were kept fully informed of things affecting residents’ health or well being. The acting manager had involved residents in staff selection. Interviews included a representative resident who asked candidates questions, and her opinion was taken into consideration, along with that of other interview panel members’. All interviewed candidates were introduced to residents and general interactions observed. Meals could be taken in the dining rooms or in residents’ own rooms. Most people said they enjoyed the food. Menus were drawn up with residents’ suggestions and involvement. A visitor said, “The meals always look nice, I could happily eat them myself”. Most residents said they enjoyed the food. Some said the food was not always as hot as they would like, others that they did not like “some of the ethnic choices”. Alternatives were offered at every meal and the deputy manager said visual aids, such as drawings or photographs were to be introduced to ensure all residents were able to make real choices. Diabetic and vegetarian options were available. Some residents required soft diets and food items were liquidised separately, to look more appetising. Staff helped residents who needed assistance to eat. Following the first course, residents were given the choice of a hot pudding or yoghurt, in case they had changed their mind since making their original choice. Bowls of fresh fruit were provided daily in lounges and staff peeled fruit as residents wished. Woodlands Court Care Home DS0000066999.V333932.R01.S.doc Version 5.2 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. 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. Residents and their relatives were aware of the home’s complaints procedure and said they were confident that all concerns would be listened to and addressed. Robust policies protected residents from abuse. EVIDENCE: Residents said they knew how to make a complaint but none had had reason to do so. They said they felt able to speak to any member of staff if they had any concerns. One said, “The new manager is on the ball; she’d soon sort it”. Any complaints would be recorded, addressed within agreed timescales, resolutions found and complainants informed of the outcome. No complaints had been received. Letter of appreciation from relatives were available. Relatives wrote of “ the courtesy and love” shown to residents, and said their relatives had been happy living at Woodlands Court and they could not thank staff enough. Another wrote of, “the very noticeable improvements” in the home and said that residents were most appreciative. Residents said they were aware of who the new owners were as they visited the home on a weekly basis and had made themselves known to staff and residents. The manager and all staff demonstrated a clear understanding of the need to protect vulnerable people and were able to recognise various forms of abuse. Woodlands Court Care Home DS0000066999.V333932.R01.S.doc Version 5.2 Page 15 All staff were aware of the whistle blowing process and said they would feel confident to raise any concerns with the manager. The home’s procedures for responding to suspicion of abuse were robust, further ensuring residents’ safety and protection. Woodlands Court Care Home DS0000066999.V333932.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ enjoyed a homely, clean and safe environment. EVIDENCE: One of the dining rooms and several bedrooms were being extensively refurbished. The dining room had been replastered and was to have new flooring and restaurant type furniture. New furniture had been ordered for other communal rooms and residents’ bedrooms. One finished bedroom was available for inspection; the finish was of a high quality. Some bedrooms were being structurally altered to incorporate en suite facilities. There was an ongoing maintenance programme and rooms were being decorated and updated as they became vacant. Residents were consulted Woodlands Court Care Home DS0000066999.V333932.R01.S.doc Version 5.2 Page 17 about proposed changes and no one was moved to other rooms without their express permission. Several residents said they were pleased that the previously dated décor was to be changed and looked forward to having, “something a bit more modern”. Domestic staff ensured that the previously high standards of cleanliness were maintained. The home smelled clean throughout and residents were largely unaware of the building work going on. Meals were taken in the conservatory whilst work was being carried out in the dining room. Residents said they had not been inconvenienced and enjoyed the change of routine. Woodlands Court Care Home DS0000066999.V333932.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents were protected by robust recruitment policies. However, staff were not employed in sufficient numbers to meet the needs of all residents. Not all staff received sufficient information about residents’ needs, which reduces the level of care. EVIDENCE: Two staff were on duty in Oakwood House in the afternoon; rotas demonstrated that this was the usual staffing level for the shift. Some residents needed help from two staff for all care tasks and had to wait for assistance. Staff said they were unable to give sufficient time to residents, or respect their preferred bathing and bedtimes. Some residents had been unable to have a bath because of staffing levels and had received strip washes instead. The owners said the deputy manager would be based in the building in future. They said that staffing levels would be reviewed on a monthly basis and increased according to residents’ needs at the time. Only senior carers attended handover session at shift changes. Some care workers said they did not receive enough information to enable to do their job Woodlands Court Care Home DS0000066999.V333932.R01.S.doc Version 5.2 Page 19 as well as they wished. One said that an incident that caused distress to a resident could have been avoided, had she been given more information. The acting manager agreed that handover routines had been noted as being a problem and there were plans for all staff to attend handovers in future. Approximately 95 of staff had, or were training for, NVQ awards and several held current first aid certificates. Recruitment policies and procedures had been followed for all new workers. Four staff files were inspected. All contained the information required by National Minimum Standards. Staff said they had received an induction to the home when they started, which included shadowing an experience member of the team. Records confirmed this. The acting manager confirmed that staff received mandatory training but more specialist training had not taken place for some time under the home’s previous ownership. Training programmes were made available, showing that this was to be addressed in the near future. Woodlands Court Care Home DS0000066999.V333932.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was well managed and had systems to ensure care was provided in a safe and appropriate manner. Residents were supported to express their views regarding life within the home. EVIDENCE: The acting manager had been in post since November 2006, and had applied to become the registered manager. She had considerable experience of managing other homes and in providing care to older people. Staff said she was, “understanding … professional and very fair”. They said they felt able to Woodlands Court Care Home DS0000066999.V333932.R01.S.doc Version 5.2 Page 21 approach if they had a problem and were confident that she would do her best to sort it out. Residents’ meetings were held each month and relatives were encouraged to attend. Residents or relatives were encouraged to give feedback or make suggestions at these meetings or informally at any time. Policies and procedures protected service users where the home had any involvement with their personal finances. Monies were securely kept and receipts and records kept of all transactions. Records demonstrated that staff received regular supervision, covering personal development, future learning needs and targets and appraisal. Work practices were also observed as a matter of routine. Servicing records of equipment were available for inspection. Staff had ready access to a range of policies and procedures regarding health and safety and demonstrated a good working knowledge of relevant legislation. Woodlands Court Care Home DS0000066999.V333932.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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 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 1 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X X Woodlands Court Care Home DS0000066999.V333932.R01.S.doc Version 5.2 Page 23 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 OP27 Regulation 18(1) (a) Requirement Suitably trained and experienced staff must be available in sufficient numbers to meet the assessed needs of all residents. Timescale for action 31/05/07 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 Court Care Home DS0000066999.V333932.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Court Care Home DS0000066999.V333932.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. 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