This inspection was carried out on 16th January 2006.
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 no outstanding requirements from the previous inspection report,
but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
CARE HOME ADULTS 18-65
Woodlands Residential Care Home Woodlands Residential Care Home 147 Kedleston Road Derby DE22 1FT Lead Inspector
Vanessa Davies Unannounced Inspection 16th January 2006 09:00 Woodlands Residential Care Home DS0000002012.V278721.R01.S.doc Version 5.1 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.V278721.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 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.V278721.R01.S.doc Version 5.1 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) 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.V278721.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 27th September 2005 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. Service users receive 24-hour care. The home provides 4 single occupancy bedrooms and 1-shared bedroom. The home has a private enclosed garden and parking to the side and front. Woodlands Residential Care Home DS0000002012.V278721.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was unannounced, the manager was not available on this occasion and therefore a further visit will be necessary to access staff files. Information for this report was gathered by speaking with a staff member, observing service users with staff and reading records. A number of standards were not assessed on this occasion as they were assessed at the previous inspection in September 2005. What the service does well: What has improved since the last inspection? What they could do better:
A number of staff need to complete training in various areas. The manager must ensure that mandatory training remains up to date. The certificate of employers liability should be updated. Woodlands Residential Care Home DS0000002012.V278721.R01.S.doc Version 5.1 Page 6 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.V278721.R01.S.doc Version 5.1 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.V278721.R01.S.doc Version 5.1 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): 1 A detailed Statement of Purpose enables prospective service users or relatives to make an informed choice about the home and its suitability. EVIDENCE: The home has a detailed Statement of Purpose, included in this is everything required in the Care Homes regulations. The key standard within this section was assessed at the previous inspection September 2006. Woodlands Residential Care Home DS0000002012.V278721.R01.S.doc Version 5.1 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): EVIDENCE: All key standards within this section were assessed at the previous inspection in September. Woodlands Residential Care Home DS0000002012.V278721.R01.S.doc Version 5.1 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 Positive working relationships between staff and service users ensures that service users reach their full potential socially. EVIDENCE: Records examined evidenced a number of activities. Service users are encouraged to participate in weekly shopping. They visit the local swimming baths on a weekly basis. The home is on a busy road with a number of amenities and service users are known and part of the community. Files examined evidenced input and involvement with their relatives. The staff at the home work very well with the service users ensuring that a consistent approach is made. It was clear that various relationships are supported and some service users have friends within the home, Woodlands Residential Care Home DS0000002012.V278721.R01.S.doc Version 5.1 Page 11 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 Offering personal support individual to each service user assists in the promotion of choice and supports independence. EVIDENCE: On the day of inspection it was evident that service users are supported in their preferred way. There are no set times for getting out of bed in the morning or going to bed in the evening, this is personal choice. It was evident that service users are supported to choose their own clothing, one service user spoken with agreed that staff help to choose appropriate clothing. Referrals to other professionals are made as necessary. All service users have a key-worker and this helps to provide continuity. All staff work well with relatives keeping them as involved as necessary. Woodlands Residential Care Home DS0000002012.V278721.R01.S.doc Version 5.1 Page 12 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): EVIDENCE: All key standards within this section were assessed at the previous inspection in September 2005. Woodlands Residential Care Home DS0000002012.V278721.R01.S.doc Version 5.1 Page 13 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): EVIDENCE: All key standards were assessed at the previous inspection in September 2005. Woodlands Residential Care Home DS0000002012.V278721.R01.S.doc Version 5.1 Page 14 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): EVIDENCE: Key standards 32 and 35 were assessed at the previous inspection in September 2005. Key standard 34 will be assessed at a pre-arranged time with the manager. Woodlands Residential Care Home DS0000002012.V278721.R01.S.doc Version 5.1 Page 15 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): 42 Regular equipment testing ensures the safety of the service users, however out of date mandatory training could potentially put service users at risk. EVIDENCE: All staff have completed basic first aid. 4 staff need to complete Manual Handling training and 2 staff need to complete the Protection of vulnerable Adults training. The manager has arranged training for the forth coming months. The certificate of employers liability displayed was out of date November 2005. All relevant professionals; fire officer and environmental health officer, have all visited and any issues raised have been addressed. Portable electrical equipment has been tested up to date as has the gas. Relevant risk assessments have been completed and a re reviewed.
Woodlands Residential Care Home DS0000002012.V278721.R01.S.doc Version 5.1 Page 16 Woodlands Residential Care Home DS0000002012.V278721.R01.S.doc Version 5.1 Page 17 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 X 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 X 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 X 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X X X X X X X 2 x Woodlands Residential Care Home DS0000002012.V278721.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? NO 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 YA42 Regulation 18.1 (c)(i) Requirement The staff must receive training necessary to fulfil the role they undertake. Timescale for action 30/04/06 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 YA42 Good Practice Recommendations The manager should ensure that employers liability certificate is kept up to date. Woodlands Residential Care Home DS0000002012.V278721.R01.S.doc Version 5.1 Page 19 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
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