Inspection on 24/05/07 for Woodlands Lodge And Cottage

This inspection was carried out on 24th May 2007.

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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Woodlands Lodge And Cottage 17/09/09

Woodlands Lodge And Cottage 22/05/08

Woodlands Lodge And Cottage 14/12/06

Woodlands Lodge And Cottage 11/07/06

Woodlands Lodge And Cottage 07/12/05

Woodlands Lodge And Cottage 10/06/05

Woodlands Lodge And Cottage 08/03/05

Woodlands Lodge And Cottage 29/09/04

Similar services:

Ruskin Lodge

Clover House

Dystlegh Grange

The Good Companions

Cuerden Grange Rest Home

Springfield Cottage

Parkside

Park Lodge

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

CARE HOME ADULTS 18-65 Woodlands Lodge And Cottage 95b Byrons Lane Macclesfield Cheshire SK11 7JS Lead Inspector Ms Julie Porter Unannounced Inspection 24th May 2007 10:10 Woodlands Lodge And Cottage DS0000006618.V333849.R01.S.doc Version 5.2 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 Lodge And Cottage DS0000006618.V333849.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 Adults 18-65. 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 Lodge And Cottage DS0000006618.V333849.R01.S.doc Version 5.2 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 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) Rossendale Trust Rachel Windelinckx Care Home 16 Category(ies) of Learning disability (16), Learning disability over registration, with number 65 years of age (1), Physical disability (4), of places Physical disability over 65 years of age (4) Woodlands Lodge And Cottage DS0000006618.V333849.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide care for up to 16 people including: * Up to 16 people in the category of LD (learning disabilities) * 1 named person in the category of LD(E) (learning disabilities over the age of 65) * Up to 4 people in the category of PD (physical disability) * Up to 4 people in the category of PD(E) (physical disability over the age of 65) 14th December 2006 Date of last inspection Brief Description of the Service: Woodlands Lodge and Cottage is registered to provide care for 16 people with learning disabilities. The home is a detached house on the outskirts of Macclesfield town centre. It is in pleasant surroundings in a quiet residential cul de sac off the main road. It is run by the Rossendale Trust, a charitable organisation. The Rossendale Trust was established in 1973 and provides both residential and day care for adults with learning disabilities. On the day of this site visit there were 15 service users living at Woodlands Cottage and Lodge. They have single and shared bedrooms on the ground and first floors. A number of these bedrooms are smaller than the sizes identified in the National Minimum Standards (Standard 25) for Care Homes. 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. Information provided by the manager states that the cost of living at the home is £460.62 per week. Woodlands Lodge And Cottage DS0000006618.V333849.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit took place on the 24 May 2007; it was carried out by one inspector and lasted 5.5 hours. This visit was just one part of the inspection. Before the visit the home manager was asked to complete a questionnaire to provide up to date information about services in the home. CSCI questionnaires were also made available for residents, families, and health and social care professionals to find out their views. Other information received by CSCI since the last key inspection was also reviewed. During the visit various records and the premises were looked at. No residents were at home during the visit as they were all attending day care or on holiday. What the service does well: What has improved since the last inspection? There is information about the home available so that people who may be interested in moving in can see what is available there. People who live at the home now have contracts between themselves and the home so they know what is and what is not included in the cost of their care. Thorough recruitment procedures are now used when new staff are appointed that include all the necessary checks to make sure that staff are suitable to work with the people who live at the home. Staff training is improving so that the people who live at the home are supported by suitably qualified staff. Woodlands Lodge And Cottage DS0000006618.V333849.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. The summary of this inspection report can be made available in other formats on request. Woodlands Lodge And Cottage DS0000006618.V333849.R01.S.doc Version 5.2 Page 7 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 Outcomes Statutory Requirements Identified During the Inspection Woodlands Lodge And Cottage DS0000006618.V333849.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 4 & 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People moving to the home have their needs assessed before they are offered a service and information about the home is available to them so that they know their needs can be met. EVIDENCE: There is information about the home and what services it provides so that people can decide if they want to move in. The information available (the statement of purpose and service user guide) includes pictures and symbols so it easy to understand. Nobody has moved into the home since the last inspection. However, there are processes to follow when this does happen. These include carrying out an assessment of the person’s needs before they move in so that the person, their family and the staff all know that the person’s needs can be met there. The assessment would cover information about the person’s health needs and their likes and dislikes so staff would have an understanding of these when the person moved in. The manager confirmed that visits to the home would be arranged before any decision was made to move there. Woodlands Lodge And Cottage DS0000006618.V333849.R01.S.doc Version 5.2 Page 9 Contracts are now in place stating the terms and conditions between the home and the people who live there. Woodlands Lodge And Cottage DS0000006618.V333849.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who live at the home are supported by a staff team who know them well. Care plans accurately reflected their needs so they get the care and support they need. EVIDENCE: Staff have worked in the home for a number of years and there has been little change to the group of people who live there so they and the staff know each other very well. Two people’s care plans were checked and both contained valuable information of how the person needed to be supported. Care plans showed that health care professionals such as doctors, dentists, opticians, physiotherapists and an epilepsy nurse are also involved with their care. On the day of the visit the community nurse was in the home to review the residents’ health needs with the manager. The meeting was held in the very Woodlands Lodge And Cottage DS0000006618.V333849.R01.S.doc Version 5.2 Page 11 busy kitchen of one of the houses and discussions about individual needs did not involve the person whose needs were being discussed in each case. Both care plans had been reviewed by the staff team on 12 December 2006 and 14 May 2007 respectively. One care plan identified that the person had chosen not to attend their recent review undertaken by the funding authority on 06 February 2007. Their report stated, “appears to provide a good service that meets current needs.” Care plans in picture format for the people live at the home are due to be introduced in the next six weeks. Risk assessments are progressing from just being about risks in the environment to include people’s individual lifestyles, activities and choices. Woodlands Lodge And Cottage DS0000006618.V333849.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The people who live at the home are given support to make choices within their abilities but further work needs to be done to ensure that they have control over their lives. EVIDENCE: Two of the people who live at the home were away on a short holiday with staff on the day of the visit. None of the people who live at the home were available on the day to speak with as they were all out either at the Rossendale day centre, the Oakwood project or at Carter House day centre. The manager said that there will be further opportunities for them will be available when the learning zone resource opens in Macclesfield. One comment from a relative identified that, “sometimes there are no drivers on Sunday mornings so they are unable to go to church.” The manager said there are occasions when this does happen, but lifts can be arranged from Woodlands Lodge And Cottage DS0000006618.V333849.R01.S.doc Version 5.2 Page 13 church volunteers. This matter will be discussed with staff so that they plan better for such occasions. Both care plans that were looked at during the visit included information about the individuals’ families and showed there was regular contact with them. Relatives confirmed that communication with the home is good. During a tour of the premises it was noted that none of the bedroom doors have been fitted with locks. This was discussed with the manager as the terms of the contract and information in the service user guide states that when people are away from the home for any reason such as hospital stays, holidays or visits to family their personal belongings in their bedroom will be kept secure. There was no opportunity to observe the mealtime during this visit; however during previous visits mealtimes appear to be sociable occasions. Menus were inspected and included traditional food and fresh produce. Woodlands Lodge And Cottage DS0000006618.V333849.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who live at the home are supported by staff who have worked with them for a long time and staff training is available so they know how to provide appropriate care for the people who live there. EVIDENCE: Staff have worked in the home for a number of years and know the people who live there well. People living there have a variety of individual needs from needing minimal support to needing help for all aspects of their personal care. Specialist equipment is available to meet their needs as required and overhead tracking and hoisting equipment was being maintained appropriately. The two care plans that were checked showed that healthcare professionals were monitoring the people’s health care needs. There are good links with the community nurse, physiotherapist and the epilepsy nurse. Policies and procedures are in place on medicine administration and, since the last inspection, fifteen staff have received training so they can give medicines to the service users safely. Woodlands Lodge And Cottage DS0000006618.V333849.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies, procedures and staff training are in place in relation to adult protection to ensure the people who live at the home are safeguarded from harm. EVIDENCE: There is a written complaints policy and procedure for the home. The complaints record showed that the concerns of the relative had been dealt with satisfactorily. The complaint log showed what the complaint was, how it was dealt with and the outcome. Some of the people who live in the home would not be able to understand the complaints process and consideration should be given to how staff can support them to raise any concerns they may have. Since the last inspection all staff have attended training relating on adult protection. One referral has been made to the adult protection team since the last inspection. Information was provided by the home to the appropriate local authority adult protection team on 05 March 2007, but they did not take any action until 19 March 2007. The manager said that this matter has been discussed with Social Services. Woodlands Lodge And Cottage DS0000006618.V333849.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25 & 30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Significant improvements have been made to the inside of the home but some problems around the home have not been dealt with so the people who live at the home and staff remain exposed to unnecessary risk. EVIDENCE: A tour of the home was done with the manager and included all communal areas and bedrooms. None of the people who live at the home were there during the visit and the staff on duty were cleaning. All areas of the home were clean and fresh. Following the last inspection there has been some significant improvements to the inside of both the Lodge and Cottage. Kitchen cupboards have been repaired and broken tiles replaced. The kitchen, the small lounge, hall, stairs, landing and two bedrooms have been painted. One person’s bedroom carpet has been replaced and one bathroom has been renewed, including new tiles and flooring. Woodlands Lodge And Cottage DS0000006618.V333849.R01.S.doc Version 5.2 Page 17 Access to the rear of the property from the cottage is down an unsteady paving slab. At the rear of the home the ground remains uneven and poses a risk to people with mobility difficulties who live at the home, as identified on one person’s care plan. There are three twin rooms in the home; the people living in those rooms have shared them for a number of years. However, this arrangement should be reviewed at the next opportunity to check whether those people continue to be happy to share a room or would prefer to have one of their own. A number of the bedrooms in the home do not meet the space requirements set out in the National Minimum Standards for Care Homes for Younger Adults. However the home was registered before these standards came into force and is therefore not required to meet that standard. Woodlands Lodge And Cottage DS0000006618.V333849.R01.S.doc Version 5.2 Page 18 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are thorough recruitment procedures to make sure that people who live at the home are not put at risk of harm or poor practice. Although staff have received some training to ensure they deliver care safely, further training is needed so that all aspects of care can be provided safely. EVIDENCE: Staff training and development plans have been compiled and some training has taken place with further training available during June. All staff have received training on adult protection. All senior staff responsible for medication administration have now attended medicine administration up dates. Six of the twenty-two staff are qualified first aiders and further training is planned for moving and handling and fire training. No new staff have been recruited since the last inspection. Following the last inspection, the manager has provided information to the Commission for Social Care Inspection confirming that satisfactory Criminal Bureau checks will be obtained for all staff before they start work in the home. Woodlands Lodge And Cottage DS0000006618.V333849.R01.S.doc Version 5.2 Page 19 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The absence of prompt action in relation to requirements made by the Commission for Social Care Inspection and the homes own risk assessment process means the residents’ welfare is not sufficiently protected. EVIDENCE: The manager said she is due to complete her registered managers award by September 2007. She confirmed that a representative of the organisation that runs the home makes regular visits to check how it is running. However, the reports of these visits, required under Regulation 26 of the Care Homes Regulations, were not all available for inspection. There is a development plan for the service and a training plan for staff working in the home. There has been a significant improvement in the number Woodlands Lodge And Cottage DS0000006618.V333849.R01.S.doc Version 5.2 Page 20 of staff receiving relevant training to improve the way they provide care but not all mandatory training has yet been done for all staff. Service contracts are in place for gas, electrical equipment and equipment necessary to support residents with daily living. However, action has not yet been taken to ensure a safe environment for residents, staff and visitors in relation to the outdoor steps and pathways. Woodlands Lodge And Cottage DS0000006618.V333849.R01.S.doc Version 5.2 Page 21 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 Standard No Score 1 3 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 2 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 34 35 36 3 3 X 2 X LIFESTYLES Standard No Score 11 12 13 14 15 16 17 X 3 3 X 3 2 3 X 3 2 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 DS0000006618.V333849.R01.S.doc Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Woodlands Lodge And Cottage Score 3 3 3 X 3 X 2 X X 2 X Version 5.2 Page 22 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 YA24 Regulation 23 Requirement Timescale for action 31/07/07 2. YA32 18 3. YA39 26 The grounds of the home must be suitable for, and safe for the residents and staff in the home Previous timescale of 30/10/06 and 15/03/07 not met. Staff must receive training 31/08/07 appropriate to the work they perform including mandatory training Previous timescale of 30/09/06 & 28/02/07 not met. A copy of the report produced by 30/06/07 the nominated person in accordance with Regulation 26 must be supplied to the home manager and made available for the Commission for Social Care Inspection. 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 YA6 Good Practice Recommendations Care plans should be produced in a format the residents DS0000006618.V333849.R01.S.doc Version 5.2 Page 23 Woodlands Lodge And Cottage 2. 3. 4. YA6 YA16 YA25 can understand. (Recommendation made at previous inspection) The location of meetings with health care professionals regarding treatment plans should be considered and when practicable should include the residents. Locks suitable for the residents to use should be fitted to bedrooms, so that their possessions can be kept securely and they can have privacy. The manager should review the arrangements for residents in shared bedrooms at the next opportunity to find out whether they would prefer not to share a room. Woodlands Lodge And Cottage DS0000006618.V333849.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Lodge And Cottage DS0000006618.V333849.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. 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!