Inspection on 07/03/06 for Woodlands Residential Care

This inspection was carried out on 7th March 2006.

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

Woodlands Residential Care 31/10/08

Woodlands Residential Care 16/10/06

Woodlands Residential Care 28/11/05

Woodlands Residential Care 07/02/05

Woodlands Residential Care 23/08/04

Woodlands Residential Care 01/02/04

Woodlands Residential Care 10/09/02

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

CARE HOMES FOR OLDER PEOPLE Woodlands Residential Care Wood Lane Liverpool Merseyside L27 4YA Lead Inspector Andrea Morris Unannounced Inspection 7th March 2006 10:15 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 Residential Care DS0000025386.V284529.R01.S.doc Version 5.1 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 Residential Care DS0000025386.V284529.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Woodlands Residential Care Address Wood Lane Liverpool Merseyside L27 4YA 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) 0151 498 4266 Mr J Leggett Yvonne Moore Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Woodlands Residential Care DS0000025386.V284529.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th November 2005 Brief Description of the Service: Woodlands is a residential care home registered with the Commission for Social Care Inspection to provide accommodation and personal care for 29 Older persons. The home is privately owned. Woodlands are located in the Netherley area of Liverpool and have easy access to bus routes and local amenities. The home is a large Victorian house set in three and half acres of woodland and gardens. A programme of modernisation and refurbishment has been carried out to ensure facilities in the house and garden is accessible to residents. Accommodation is supplied by mixture of single and double rooms, 14 of the rooms are en-suite. There are 3 lounges and a dining room. Woodlands Residential Care DS0000025386.V284529.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was an unannounced inspection that took 3.5hours. During the inspection the inspector spoke to the proprietor, the manager, staff and residents. A selection of documentation was examined, this included care files, staff files, training records, complaints file, health and Safety records including fire records. 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 Residential Care DS0000025386.V284529.R01.S.doc Version 5.1 Page 6 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 Residential Care DS0000025386.V284529.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5, 6 Residents are only admitted following a full assessment of their needs; this helps promote resident safety. EVIDENCE: The home Statement of Purpose and Service User Guide contains the necessary information and is available upon request. All residents moving into the home are issued with a copy of the contract. This provides the details of the terms and conditions of residency. The home manager carries out pre-admission assessments. Residents are only admitted following a full assessment of their needs has been agreed and can be met. Any potential residents are encouraged to visit the home, no appointment is required and if a person chooses they can stay for a few hours or a meal at no additional cost. Woodlands Residential Care DS0000025386.V284529.R01.S.doc Version 5.1 Page 8 The home accesses both support and advise from specialist nurses and other members of the Multi-disciplinary team as required. Records are held in the residents’ individual files of each visit or consultation. The home does not provide intermediate care. Woodlands Residential Care DS0000025386.V284529.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, 11 Care plans are well documented and regular reviews help ensure residents’ care is appropriate. EVIDENCE: Care plans are formulated for each resident as they enter the home. Risk assessments are also documented. Both risk assessments and care plans are reviewed on a regular basis and records maintained to a good standard. The home accident book is completed and all accidents are recorded, the manager monitors the accidents and seeks appropriate advice if required. The homes medication is well managed. Records were found to be accurate and all signatures maintained appropriately. The home records daily fridge temperature and stock of resident’s medication is controlled within acceptable limits. Woodlands Residential Care DS0000025386.V284529.R01.S.doc Version 5.1 Page 10 Residents who spoke with the inspector stated they were happy living in the home. They stated that the staff treated them well and any decisions they made were respected. Staff were noted to have a good rapport with all residents, residents stated they felt the staff provided a good service to them. The homes policy relating to care of the dying resident remains adequate and staff are aware of the policy, as it is needed. Woodlands Residential Care DS0000025386.V284529.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Activities provided help residents to lead an active and emotional balanced life. EVIDENCE: The home ensures residents are offered social interest, as they prefer. Residents with the staff decide on the preferred activity. The staff maintains records of daily activities. The home offers a variety of activities, such as games, visiting entertainers, outings during the summer months and sessions, which are on a 1-1 basis. The home operates an open visiting policy all residents are able to receive their visitors in private. The Roman Catholic Church visits weekly to provide communion to residents. The Church of England visits on request. Residents confirmed with the inspector they were able to decide on how they spent their day, many residents chose to spend time in the main lounges but several selected their own rooms. The home menu is based on a 3 weekly rotation. There is 2 options per mealtime; any resident wishing for an alternative can request their preference Woodlands Residential Care DS0000025386.V284529.R01.S.doc Version 5.1 Page 12 and every effort is made to accommodate. The kitchen was found to be clean and stock well managed. Woodlands Residential Care DS0000025386.V284529.R01.S.doc Version 5.1 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17, 18 Staff are trained in Adult Protection; this helps safeguard residents from harm. EVIDENCE: The home has an adequate complaints file. The home records any complaints/concerns it receives along with the outcome of any investigation carried out. There have been no complaints to the Commission for Social Care Inspection since the last inspection. Copy of the complaints procedure is available upon request; it contains all the necessary information including the contact details for the Commission for Social Care Inspection. Residents who enter the home are registered on the electoral role. Residents are able to maintain their right to vote via either the postal system or by being assisted to the local polling station by either relatives or if required staff. Residents also maintain the right to receive their post unopened. Any resident requiring assistance completes a form to give permission to staff to open their mail for them; this is done in front of he resident. The majority of staff have completed the Adult Protection training, the manager informed the inspector that some night staff are yet to complete the training but plans for the completion are in place. The home plans to ensure all staff under take annual adult protection training to ensure resident safety is maintained. Woodlands Residential Care DS0000025386.V284529.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 24, 25, 26 Residents’ rooms are personalised this assists in promoting a homely atmosphere. EVIDENCE: The home is generally well maintained, however it was noted during the tour of the home that the ground floor lounge had a strong urine smell. The carpet was found to be badly stained and the wallpaper is peeling of the walls at places. The rest of the home was noted to be in a good state of repair, one resident’s bedroom had new flooring fitted to meet his needs more appropriately. The other communal areas were found to be pleasant and well decorated. There has been re-decoration to the corridors and new hidden lighting has been installed to many communal areas. Woodlands Residential Care DS0000025386.V284529.R01.S.doc Version 5.1 Page 15 A selection of residents’ rooms were seen and all were found to be personalised to the ‘ satisfaction. Residents stated they liked their rooms and identified they could spend as much time as they chose in them. Residents are able to access all area of the home, the lift is well maintained and all areas to out side have access to ramps to ensure safety is retained. Woodlands Residential Care DS0000025386.V284529.R01.S.doc Version 5.1 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Training is provided for all staff regularly, this assists in ensuring residents are cared for safely. EVIDENCE: The home rotas were examined and found to be staffed appropriately. The home does not use agency care staff this assists in providing continuity of care for all residents. 55 of care staff have completed the NVQ2 or above in care. Staff who are yet to commence on the course are planned to start later in the year. All staff receive regular training in a variety of care courses; these include moving and handling, fire, first aid and managing behaviour. The home manager is waiting for confirmation for staff to receive training in PEG feeding regimes in the near future. A selection of staff files were examined and found to contain all the necessary information as required in Schedule 2 of the National Minimum Standards. There has been no new staff since the last inspection. Woodlands Residential Care DS0000025386.V284529.R01.S.doc Version 5.1 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32, 33, 34, 35, 36, 37, 38 The manager provides leadership; this helps to promote high standards of care to residents. EVIDENCE: The manager is registered with the Commission for Social Care Inspection. She has completed her NVQ4 in management. The staff and residents both stated they found the manager and proprietor approachable and supportive. The home operates its own quality assurance system. Questionnaires are sent to a selection of relatives on a six monthly basis. Recent forms received into the home provided positive feedback, all comments are recorded and any areas where change is needed is carried out appropriately. Residents’ money is recorded accurately; individual account records are held for each resident. Woodlands Residential Care DS0000025386.V284529.R01.S.doc Version 5.1 Page 18 The homes policies and procedures remain adequate and are reviewed as necessary. All certificates relating to health and Safety were examined and found to be relevant and in date. Fire records are maintained to an adequate standard. Woodlands Residential Care DS0000025386.V284529.R01.S.doc Version 5.1 Page 19 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 N/a N/a N/a 3 3 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 Woodlands Residential Care DS0000025386.V284529.R01.S.doc Version 5.1 Page 20 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 OP26 Regulation 23(2)(d) Requirement The registered person shall ensure that all parts of the home are kept clean and reasonably decorated. Timescale for action 31/05/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Woodlands Residential Care DS0000025386.V284529.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Residential Care DS0000025386.V284529.R01.S.doc Version 5.1 Page 22 - 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!