Inspection on 10/08/06 for Woodlands Residential Care Home

This inspection was carried out on 10th August 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Woodlands Residential Care Home 09/10/07

Woodlands Residential Care Home 16/01/06

Woodlands Residential Care Home 27/09/05

Woodlands Residential Care Home 08/02/05

Woodlands Residential Care Home 01/11/04

Woodlands Residential Care Home 22/07/03

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Woodlands Residential Care Home Woodlands Residential Care Home 147 Kedleston Road Derby DE22 1FT Lead Inspector Janet Morrow Key Unannounced Inspection 10th August 2006 10:00 Woodlands Residential Care Home DS0000002012.V306536.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 Residential Care Home DS0000002012.V306536.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 Residential Care Home DS0000002012.V306536.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodlands Residential Care Home Address Woodlands Residential Care Home 147 Kedleston Road Derby DE22 1FT 01332 349625 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) www.communitycaresolutions.com Community Care Solutions Limited Nicola Taylor Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Woodlands Residential Care Home DS0000002012.V306536.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 16th January 2006 Brief Description of the Service: Woodlands is situated on the outskirts of Derby City and is on a regular bus route into the city. The smaller shopping area of Allestree is also only a short bus ride from the home. It is close to two popular large parkland areas (Markeaton Park and Darley Park). Woodlands is a home registered for 6 adults with a learning disability. The Registered Provider is Community Care Solutions. The head office for the Registered Provider is in Bedfordshire. The home provides personal care only. The home receives all medical services via agreement with its local community medical practices. Residents receive twenty-four hour care. The home provides four single occupancy bedrooms and one shared bedroom. The home has a private enclosed garden and parking to the side and front. Information provided by the company in August 2006 stated that the scale of fees for 2006 were £500 - £1200 per week, according to assessed need. There are additional costs for hairdressing, social activities and personal items. Details of previous inspection reports can be found on the Commission for Social Care Inspection’s website: www.csci.org.uk Woodlands Residential Care Home DS0000002012.V306536.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection visit was unannounced and took place over 4.75 hours. Care records and staff records were examined. Two members of staff and the manager were spoken with during the visit. A tour of the building took place. All residents had communication difficulties so it was not possible to speak directly with them. However, their relationships with staff were observed and they were seen participating in daily activities. Written quality assurance information had been received from the provider prior to the inspection. What the service does well: What has improved since the last inspection? Staff training in mandatory health and safety issues such as fire safety, food hygiene and moving and handling had been undertaken or was planned for the near future. The employers’ liability insurance certificate was up to date. Woodlands Residential Care Home DS0000002012.V306536.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. Woodlands Residential Care Home DS0000002012.V306536.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 Residential Care Home DS0000002012.V306536.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. There was sufficient admission information available to establish that the service could meet residents’ needs. EVIDENCE: One care file was examined and assessment information completed by the home and from the assessment and care management process was in place that showed that the home was able to meet identified needs. This covered a range of information including physical health needs, communication needs and individual risk assessments. Woodlands Residential Care Home DS0000002012.V306536.R01.S.doc Version 5.2 Page 9 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 the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Individual care plans were thorough, which ensured that consistent patterns of support were given and residents were encouraged to make decisions where appropriate, which helped to maintain independence. EVIDENCE: One care file was examined and showed that a comprehensive care plan was in place that demonstrated how individual needs would be met. Risk assessments were available in individual care files and were comprehensive and showed how identified risks were minimised. Records were stored securely. There was evidence from general observation and discussion with the manager and staff that residents were involved in making choices about their daily routines and were able to make decisions, with assistance, as required. Woodlands Residential Care Home DS0000002012.V306536.R01.S.doc Version 5.2 Page 10 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 the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents’ quality of life was enhanced by well managed meals, contacts with the community and activities. EVIDENCE: It was observed during the inspection that residents had their own routines and were involved in different activities such as gardening, watching television or assisting in the kitchen. Residents had displays of their art and craftwork on show in the home. The manager stated that local facilities such as parks, theatres and pubs were used on a regular basis. Residents were also involved in helping to prepare meals and assisted in domestic chores around the house. Written records of activities showed that residents took part in shopping, visiting the cinema and going to football matches. The manager stated that personal relationships were maintained and residents had their own friends within the home as well as receiving visits from family and professionals. General observation during the inspection showed that relationships between staff and residents were warm and friendly and respect and dignity was upheld. Woodlands Residential Care Home DS0000002012.V306536.R01.S.doc Version 5.2 Page 11 The serving of the lunchtime meal was observed. All residents were able to indicate that they enjoyed the food and a choice was on offer. The menus showed that food was nutritious and individual tastes were accommodated. The dining areas were bright and cheerful and those residents needing assistance to eat where given help in a sensitive manner. Woodlands Residential Care Home DS0000002012.V306536.R01.S.doc Version 5.2 Page 12 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 the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents’ health and personal care needs were well managed, which ensured that good health was maintained. EVIDENCE: Two care files were examined and showed that access to health professionals was made available. There were records available that showed visits to dentists, opticians and General Practitioners took place. Referrals to other professionals, such as a dietician, were made as necessary. On the day of inspection it was evident that residents were supported in their preferred way as there were no set times for getting out of bed in the morning or going to bed in the evening. Personal choices were made regarding activities. It was evident that residents were supported to choose their own clothing. All residents had a key-worker and this helped to provide continuity of care. General observation showed that personal support was offered sensitively. Two residents’ medication administration record (MAR) charts were examined. Recording on the MAR charts corresponded with the dispensing system on both charts. A copy of the Royal Pharmaceutical Society Guidelines was provided Woodlands Residential Care Home DS0000002012.V306536.R01.S.doc Version 5.2 Page 13 during the inspection, as the home did not have one. There was secure storage for controlled drugs. The manager stated that there were no controlled drugs in storage at the time of the inspection. The medicine refrigerator temperatures were recorded regularly and were within safe limits. However, the room where medicines were stored sometimes had temperatures recorded of twenty-five and twenty-six degrees Celsius. This needs monitoring and advice should be sought on whether the medicines stored are affected by these temperatures. Woodlands Residential Care Home DS0000002012.V306536.R01.S.doc Version 5.2 Page 14 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 the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. A clear complaints procedure ensured that complaints were dealt with objectively. Safeguarding adults procedures were robust and protected residents. EVIDENCE: Examination of the complaints record showed that there had been no complaints at the home since the last inspection in January 2006. There had also been no complaints received at the office of the Commission for Social Care Inspection. The complaints procedure was clear and stated that complaints would be dealt with in fourteen days. Derby and Derbyshire Local Authority Social Services safeguarding adults procedures were not available in the home but the provider organisation, Community Care Solutions, had provided a clear policy that referred to Local Authority procedures and had provided safeguarding adults training for staff. The manager stated that their had been no allegations of abuse since the last inspection in January 2006. Woodlands Residential Care Home DS0000002012.V306536.R01.S.doc Version 5.2 Page 15 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 the following standard(s): 24, 25, 26, 27, 28 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home was generally well maintained although further refurbishment would enhance the quality and comfort of the accommodation. EVIDENCE: The home was generally well maintained and furnishings and fittings were of good quality and bedrooms were personalised. However, some refurbishments would enhance the quality of the accommodation: • The downstairs bathroom was in need of refurbishment as the toilet had a cracked cistern cover and the bath was small and was not used. This meant that all five residents were using one bathroom. • There was a broken step leading into the cellar, which posed a trip hazard • The outside slabs at the rear of the house were uneven and broken, which posed a trip hazard • There was scratched paintwork in two identified bedrooms The quality assurance survey completed by staff also contained a comment that ‘maintenance could be improved by quicker response to requests’. Woodlands Residential Care Home DS0000002012.V306536.R01.S.doc Version 5.2 Page 16 The kitchen was clean and tidy and staff spoken with stated that all equipment was in good working order. There had been no changes to individual or communal room sizes since the last inspection in January 2006 and these met the recommendations of the National Minimum Standards. The laundry room was neat and tidy. There was one washing machine and one drier, which were both in working order. Staff spoken with stated that they had received training on infection control and the training matrix seen and certificates in staff files confirmed this. The communal areas of the home were clean, tidy and odour free. Information on the Control of Substances Hazardous to Health (COSHH) was available in the cleaning materials store. Woodlands Residential Care Home DS0000002012.V306536.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. There were sufficient, well trained staff to ensure that residents’ needs were met. There were insufficient qualified staff, which meant that residents care had the potential to be compromised. Recruitment procedures were robust, which ensured that residents were fully protected. EVIDENCE: There were two care staff plus the manager on duty during the inspection, which ensured that there were sufficient staff to meet residents’ needs. Staff training records were available and showed that mandatory health and safety training was undertaken, as well as training applicable to the role such as managing challenging behaviour, medication and epilepsy. Most staff responses in the quality assurance survey indicated that access to training, guidance and development was ‘good’. National Vocational Qualification (NVQ) training was undertaken but only one out of seven care staff had the qualification to level 2 or above. This meant the home was not meeting the target of having 50 of care staff qualified to NVQ Level 2. Staff spoken with were keen to undertake the training and it was anticipated, but not confirmed, that a further two staff would be undertaking the training from September 2006. Woodlands Residential Care Home DS0000002012.V306536.R01.S.doc Version 5.2 Page 18 Two staff files were examined and showed that all the information required by Schedule 2 of the Care Homes Regulations 2001 was in place, including identity information, Criminal Record Bureau checks and two written references. Woodlands Residential Care Home DS0000002012.V306536.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 41 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home was well managed and run in residents’ best interests. EVIDENCE: The manager was registered with the Commission for Social Care Inspection and was qualified and experienced. She had the Registered Managers Award and was undertaking a National Vocational Qualification in care to level 4. Records were stored securely and contained the information required by Schedules 1 – 4 of the Care Homes Regulations 2001. Records were clear, legible and easy to read. Staff interviewed confirmed that health and safety training was undertaken in food hygiene, moving and handling and fire safety and this was confirmed in the training matrix and certificates seen. Maintenance records confirmed that maintenance checks were undertaken regularly; for example, fire equipment had been tested in June 2006, portable electrical appliances in January 2006, gas safety in January 2006,the electrical wiring had been checked in June 2006 Woodlands Residential Care Home DS0000002012.V306536.R01.S.doc Version 5.2 Page 20 and further work to the installation was booked for September 2006 and emergency lighting and fire alarms had been checked in July 2006. Quality assurance processes had been developed and the home had a number of ways of collating the views of residents and auditing the quality of care. This included visits by the proprietors, which occurred on a monthly basis. An analysis of the annual quality assurance survey for 2006 was provided to the Commission for Social Care Inspection prior to the inspection visit. This included views of residents and staff from a questionnaire survey sent in March 2006. The surveys showed that residents were ‘always’ or ‘mostly’ happy in the home. Staff responses indicated that the management was ‘very good’. Although visiting professionals had been included in the survey, none had returned the questionnaire. Woodlands Residential Care Home DS0000002012.V306536.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 X 2 3 3 X 4 X 5 X 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 3 26 3 27 2 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Woodlands Residential Care Home DS0000002012.V306536.R01.S.doc Version 5.2 Page 22 NO 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 YA24 Regulation 23 (2) (b) Requirement The home must address the identified repairs: Scratched paintwork in bedrooms, broken step in the cellar, damaged and uneven paving to the patio at the rear of the house. The downstairs bathroom must be refurbished to ensure that it is safe and usable by residents Timescale for action 01/12/06 2. YA27 23 (2) (j) 01/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA20 Good Practice Recommendations The temperature of the room where medicines are stored should be monitored and advice sought on whether or not high temperatures have any effect on the medicines stored. A copy of the Derby and Derbyshire Local Authority Social Services adult protection procedures should be obtained. 50 of care staff should be qualified to National Vocational Qualification Level 2. DS0000002012.V306536.R01.S.doc Version 5.2 Page 23 2. 3. YA23 YA32 Woodlands Residential Care Home 4. YA39 Different ways of obtaining visiting professionals’ views of the home should be explored to ensure a fuller response to quality assurance surveys. Woodlands Residential Care Home DS0000002012.V306536.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: 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 Home DS0000002012.V306536.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. 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