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Please note that the information on this website is now out of date.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 10/06/05 for Woodlands Lodge And Cottage

Also see our care home review for Woodlands Lodge And Cottage for more information

This inspection was carried out on 10th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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.

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

What the care home does well

The atmosphere in the home is welcoming and homely. The staff know the residents well and are able to provide support for them to met their needs. There are good links with doctors, nurses and the learning disability team so the residents get treatment as they need it.

What has improved since the last inspection?

Improvements are being made to the home in respect of a new laundry and disabled access. Staff report that the availability of training is improving.

CARE HOME ADULTS 18-65 Woodlands Lodge and Cottage 95b Byrons Lane Macclesfield Cheshire SK11 7JS Lead Inspector Julie Porter Unannounced 10 June 2005 10:30 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 Lodge and Cottage F01 F51 S6618 Woodland lodge Cottage V230749 020605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Woodlands Lodge and Cottage Address 95b Byrons Lane Macclesfield Cheshire SK11 7JS 01625 610049 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) Rossendale Trust Care Home 16 Category(ies) of Learning Disability (15) registration, with number Learning Disability over 65 years of age (1) of places Physical Disability (4) Physical Disability over 65 years of age (4) Woodlands Lodge and Cottage F01 F51 S6618 Woodland lodge Cottage V230749 020605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 The total number of Service Users must not exceed 16 2 3 4 5 15 of the Service Users may be LD 1 of the Service Users may be LD(E) 4 of the LD/LD(E) Service Users may also be PD Service Users to be accommodated: 9 at Woodlands Lodge, 7 at Woodlands Cottage Date of last inspection 8 March 2005 Brief Description of the Service: Woodlands Lodge and Cottage is registered with the CSCI to provide care for 16 service users within the category of Learning disability 15 of whom must be under the age of 65 and one over the age of 65 years of age. The service is provided within a detached property located on the outskirts of Macclesfield town centre. The service is set within pleasant surroundings in a quiet residential cul de sac off the main road. The premises are part of the service provided by the Rossendale Trust, a charitable body.The Rossendale Trust was established in 1973 and provides both residential and day care for adults with learning disabilities.On the day of the inspection there were 15 service users living at Woodlands cottage and lodge. Accommodation is in single and shared bedrooms situated on the ground and first floors. A number of these bedrooms are smaller than the sizes identified in the National Minimum Standards (Standard 25 of the National Minimum Standards for Care Homes for Younger Adults). However, as the home was registered and in use before 31 March 2002, the home does not have to meet this standard.Local amenities, in the village of Sutton and at other Rossendale Trust services, are a short drive away. Woodlands Lodge and Cottage F01 F51 S6618 Woodland lodge Cottage V230749 020605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took approximately six hours and included a tour of the home and discussions with six members of staff. One resident who was at home during the inspection and a visitor gave information that is incorporated into the report. Records kept at the home were also checked. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Woodlands Lodge and Cottage F01 F51 S6618 Woodland lodge Cottage V230749 020605 Stage 4.doc Version 1.30 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Woodlands Lodge and Cottage F01 F51 S6618 Woodland lodge Cottage V230749 020605 Stage 4.doc Version 1.30 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 3 & 5 Residents’ care needs are assessed before they move into the home so they know their needs can be met at the home. As there are no statements of terms and conditions available, residents and their relatives do not know what their rights and responsibilities are. EVIDENCE: When there is a vacancy at the home, the needs of potential resident are assessed before they move in, to check that their needs can be met at the home. The needs of the current residents are also taken into account before any decision for the person to move in is made. The staff said that new residents are invited to have meals and stay over night before moving in. Contracts are not available in the home, staff are unaware of the terms and conditions of residence in the home; the fees charged and what they cover. See requirement 1 Woodlands Lodge and Cottage F01 F51 S6618 Woodland lodge Cottage V230749 020605 Stage 4.doc Version 1.30 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 -10 Although the staff working at the home know the residents well, there is a risk that because care plans are not kept up to date, residents may not receive the care they need if staff who know them become unavailable. EVIDENCE: Two residents’ care files were checked. Information about the resident is not always recorded on the file and is kept in note books, which does not allow the reader to get a full picture of the resident’s current needs. For example, one plan identified the need for a quarterly visit to the doctor but the last written entry to show this had happened was February 2004. Each resident’s needs and risks have been identified but information on how to meet the needs and minimise the risk is not clear. For example, one care plan says “will stand and reach for items on the wardrobe which is freestanding” with no further instructions about how to manage this. Staff did not see that this was possible, and if this is the case, information on the care plan should be updated. On 16 July 2003 the care plan states “arrange for bloods” but there was no further written information about this nor could staff confirm whether this had happened. See requirements 2 and 3 Woodlands Lodge and Cottage F01 F51 S6618 Woodland lodge Cottage V230749 020605 Stage 4.doc Version 1.30 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11 -13 & 15 -17 The home has a ‘family’ atmosphere but staff need to develop awareness of the rights of the people living in the home so they can help them to achieve their full potential. EVIDENCE: A number of family members were seen at the home during the inspection. One said that she was happy with the care her daughter received, the staff were always available and kept her up to date with what was going on. She felt that the home offered a “family” atmosphere. Staff were not clear about their role in supporting residents with appropriate relationships and talked of family involvement to discourage this from happening. Lunch was planned with the residents and a record was kept to check that they eat a balanced diet. See requirement 4 Woodlands Lodge and Cottage F01 F51 S6618 Woodland lodge Cottage V230749 020605 Stage 4.doc Version 1.30 Page 10 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 -20 The residents are supported by a staff team who know them well so staff were able to understand their needs and methods of communication. EVIDENCE: Staff were seen speaking with the residents offering choices to activities and meals. Each resident’s chosen form of communicating and their likes and dislikes should be recorded on their care plan to ensure that the staff consistently support them in the way they wish. See recommendation 1 Medication records were checked in Woodlands Lodge and were well maintained. Woodlands Lodge and Cottage F01 F51 S6618 Woodland lodge Cottage V230749 020605 Stage 4.doc Version 1.30 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 -23 Without suitable training for all staff on protecting people from abuse, residents and staff are vulnerable. EVIDENCE: Staff talked of the “family” in the home and thought that all families argue, fight and tell tales. Although incidents of physical violence and or allegations are recorded but not always acted upon. None of the staff spoken to at the inspection had had attended training on how to protect people from abuse and how to use the adult protection procedures. See requirement 5 Woodlands Lodge and Cottage F01 F51 S6618 Woodland lodge Cottage V230749 020605 Stage 4.doc Version 1.30 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 - 30 Although the home is clean, tidy and homely, it would benefit from having a planned schedule of maintenance work so that residents live in a safe, comfortable environment at all times. EVIDENCE: The home was clean and there was equipment available to meet the needs of the people who live there. The residents’ lounges and bedrooms had personal items of furniture and photographs. A number of the upstairs windows did not have window restrictors fitted to minimise the risk of falls. See requirement 6 A new laundry and entrance with ramp is being built at the home to replace the laundry which has been declared unsafe. Rotten window frames in other areas of the home will need to be repaired or replaced in the near future. See requirement 7 One resident said she was happy living in the home. Her mother said she was happy with the facilities available in the home. Woodlands Lodge and Cottage F01 F51 S6618 Woodland lodge Cottage V230749 020605 Stage 4.doc Version 1.30 Page 13 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,35 &36 The staff have worked with this group of residents for a number of years and know them well enough to make sure that their needs are met. EVIDENCE: Staff spoken with were long standing employees of Rossendale Trust and have known the residents for a number of years. They were enthusiastic about the training available to them, but felt that they would benefit from having information about training that they must do and structured individual training plans. Staff said that supervision was now available and the manager had an “open door” policy. The benefit of formal supervision has yet to be realised. The manager was not available on the day of the inspection and therefore staff records and training records were not seen. See requirement 5 Woodlands Lodge and Cottage F01 F51 S6618 Woodland lodge Cottage V230749 020605 Stage 4.doc Version 1.30 Page 14 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37 -43 Although the best interests of the residents are important to the staff, they do not have all the training and information they need in order to support residents’ rights. EVIDENCE: A frequent visitor to the home said that the home runs well, that the manager and staff are always available and make her feel welcome. At the time of the inspection, the manager had applied for registration with the Commission for Social Care Inspection but the process had not yet been completed. Accurate records were kept in the home regarding fire safety and accidents. Internal quality monitoring systems (Regulation 26 visits) need to be in place and ways of obtaining the views of residents, relatives and staff about the home to enable it to develop the service it provides. See requirements 8, 9 &10 Woodlands Lodge and Cottage F01 F51 S6618 Woodland lodge Cottage V230749 020605 Stage 4.doc Version 1.30 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 x 2 Standard No 22 23 ENVIRONMENT Score 2 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 2 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 x 2 3 3 Standard No 31 32 33 34 35 36 Score x x 2 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Woodlands Lodge and Cottage Score 2 3 3 x Standard No 37 38 39 40 41 42 43 Score 2 3 2 3 3 3 3 F01 F51 S6618 Woodland lodge Cottage V230749 020605 Stage 4.doc Version 1.30 Page 16 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 5 Regulation 5 Requirement Residents must be given a written contract or statement of the terms and conditions of residence at the home. These should include information about the accomodation provided and the method of payment of their fees Care plans must be reviewed regularly and amended to reflect any changes in the residents needs. Action needs to be taken to make sure that residents are not put at any unnecessary risk. The role of staff to support residents to make their own informed decisions must be clarified. All staff must receive training on protecting people from abuse and on adult protection procedures. Plans must be drawn up for each member of staff to receive training relevant to the role they perform. Window restrictors must be fitted to minimise the risk of falls from the upstairs windows Timescale for action 31/08/05 2. 6 15 31/08/05 3. 4. 9 15 13 12 31/08/05 31/08/05 5. 23 18 30/09/05 6. 24 13 Immediate Woodlands Lodge and Cottage F01 F51 S6618 Woodland lodge Cottage V230749 020605 Stage 4.doc Version 1.30 Page 17 7. 8. 24 39 23 26 9. 10. 39 37 24 9 Repairs or replacement windows must be included in the planned maintenance of the home Visits to the home must be undertaken by a nominated person for the trustees at least once a month and a report produced Quality monitoring systems must be adopted to ensure service users views are sought The registered provider must ensure that the proposed manager has the necessary skills to manage the home and is registered with the Commission for Social Care Inspection 30/11/05 31/07/05 and ongoing 31/07/05 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 18 Good Practice Recommendations Residents likes and dislikes and their preferred form of communication should be recorded on their care plan to ensure consisitent approach Woodlands Lodge and Cottage F01 F51 S6618 Woodland lodge Cottage V230749 020605 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection Unit D, Off Rudheath Way Gadbrook Park Northwich Cheshire CW9 7LT 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 Lodge and Cottage F01 F51 S6618 Woodland lodge Cottage V230749 020605 Stage 4.doc Version 1.30 Page 19 - 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!