Inspection on 09/10/07 for Woodlands Residential Care Home

This inspection was carried out on 9th October 2007.

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 10/08/06

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 Steve Smith Key Unannounced Inspection 9th October 2007 09:30 Woodlands Residential Care Home DS0000002012.V345467.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.V345467.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.V345467.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 Vacancy – Acting Manager Gemma Whiting Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Woodlands Residential Care Home DS0000002012.V345467.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th August 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. The charges made for a place at Woodlands Care Home range from £572.00 to £1780.00 a week, dependent on the needs of the Resident. Details of previous inspection reports can be found on the Commission for Social Care Inspection’s website: www.csci.org.uk, and from the Home. Woodlands Residential Care Home DS0000002012.V345467.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place in just over 7 hours. Discussion was not possible with Residents, due to their disabilities, however, the needs of two Residents were ‘case tracked’. The Acting Manager was spoken with, and one member of staff was also seen. A number of records were examined, and all the bedrooms in the Home were looked at and all public areas of the Home were examined. The Commission’s Annual Quality Assurance Assessment, sent to the Acting Manager, was completed and reviewed. The Commission’s questionnaire sent out to all the Residents in the Home, had been completed and returned by four Residents. These were examined and all were found to comment favourably on the operation of the Home, although the form had been completed with the assistance of staff. What the service does well: What has improved since the last inspection? Since the last visit made to the Home in August 2006, the Registered Providers have improved conditions inside and outside of the Home. The downstairs bathroom has also been thoroughly refurbished. Woodlands Residential Care Home DS0000002012.V345467.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 Residential Care Home DS0000002012.V345467.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.V345467.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): Standards 1 & 2 The quality in this outcome area was Adequate. This judgement was made using available evidence including a visit to this service. All new Residents moving to the Home were appropriately assessed prior to their admission, so that they and their families were reassured that their needs would be met. However, the current Residents Guide did not fully inform potential Residents and their families of the services offered within the Home. EVIDENCE: The Home’s statement of purpose and Residents Guide were reviewed during this visit. The statement of purpose was well laid out, covering all necessary issues. The Residents Guide was a document designed for use by Residents. It was written in ‘Widget’, which was a very simplified picture version, for ease of access by Residents with a learning difficulty. However, the Acting Manager was unable to provide a complete version of the Residents Guide, that would of included all the information required by the Regulations and Standards. The Home received referrals of new Residents via the Care Management teams of Social Services Depts or Health Authorities from various places around the country. The Acting Manager said that placing authorities always provided adequate information when Residents were placed in the Home, and this was seen when two files were reviewed. All new Residents would be assessed by the Acting Manager prior to the beginning of their placement, and a report Woodlands Residential Care Home DS0000002012.V345467.R01.S.doc Version 5.2 Page 9 completed on her assessment. However, no Residents were currently selffunding. All Residents had been provided with copies of the statement of terms and conditions of residency in the Home. Woodlands Residential Care Home DS0000002012.V345467.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): Standards 6, 7 & 9. The quality in this outcome area was Good. This judgement was made using available evidence including a visit to this service. The Acting Manager and staff ensured that Residents needs were met, allowing for their differing abilities and disabilities. EVIDENCE: To help assess Standard 6, the Residents Plan of Care, the records of two Residents were examined, for the purpose of case tracking. Almost all of the basic information, concerning the Residents, was found to be in the files examined. That was, their name and date of birth, their next of kin, their GP, Care Manager and their date of entry to the Home. However, their preferred name was not recorded. Copies of the initial assessment by the Acting Manager were available, together with good care plans and detailed risk assessments, providing staff with information to met the Residents needs. Woodlands Residential Care Home DS0000002012.V345467.R01.S.doc Version 5.2 Page 11 The files showed that good records of events affecting the Residents were kept. Entries were seen to be made at least twice a day, every day. The Residents formal reviews of care, to be undertaken on a six monthly basis, were detailed and were completed by the Acting Manager. The Residents records were easy to read, and the files were also well organised. Each file was found to be very full, with lots of information completed by staff. However, the files did not contain a confidential section. It was not possible to discuss Residents care needs with Residents due to their disabilities, however, staff were spoken to about Residents needs and the care provided for the Residents. Staff said that, Residents were provided with a choice of clothes to wear each day, and they were encouraged to indicate which they wished to wear. Staff also said that some Residents were able to indicate whether they wished to go out, when staff gave them the choice. Residents were also able to choose their meals and what to drink, which was witnessed during this visit, and to say whether they wished to take their medication. Staff said that the Residents were regularly taken out on visits, for example, trips to the coast, to public houses, and the zoo (the visit that occurred on this unannounced visit to the Home). Occasional meals out were also said to be liked by some Residents. Staff were able to outline the ‘risk taking’ strategies required for these activities. The Acting Manager and staff said the Residents regularly helped, in a limited way, with tasks in the kitchen, again this was observed during the visit, and that Residents was able to help, to a degree, with cleaning tasks around the Home, as well as in their own bedrooms. Staff were regularly heard, during the visit, to compliment and praise Residents for successfully carrying out tasks for their own benefit and for the home in general. Woodlands Residential Care Home DS0000002012.V345467.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): Standards 12, 13, 14, 15, 16 & 17. The quality in this outcome area was Good. This judgement was made using available evidence including a visit to this service. Links with the local community were good and supported and enriched Residents social opportunities. Varied meals were also provided to the satisfaction of all Residents. EVIDENCE: Staff said that Residents went out from the Home approximately 2 or 3 times each week. This might include going for walks, to watch football matches at Derby County, going shopping, going to a public house or to a café for a drink. Residents were also said to go to leisure centres, and three Residents chose to go to a place of worship each week. Staff and the Acting Manager commented that the Acting Manager would resolve any issues relating to Residents benefit entitlements should they arise. Staff were able to confirm that they were expected to be available to go out with Residents in the evenings as well as during the day. Woodlands Residential Care Home DS0000002012.V345467.R01.S.doc Version 5.2 Page 13 The Acting Manager and staff said that Residents families could visit at any time. They were able to see Residents in private, and could talk to staff as the relatives saw fit. Relatives were also regularly invited to take part in house activities, such as BBQ’s, parties and the up and coming halloween party. When staff needed to go into Residents bedrooms they said that they would knock and wait to be invited in, with some Residents. With other residents, because of the level of their disability, they would knock, pause, and enter the bedroom. Staff said that certain Residents were able to let staff know when they wished to be alone, and would take themselves, or be accompanied, to their bedrooms. The Home’s garden area had been made safe for Residents. Some Residents would indicate that they wanted to go out into the garden, and, weather permitting, they were able to do this on request. The Home was designated a non-smoking home, although Residents were able to have alcoholic drinks, within reason. Staff and the Acting Manager were able to say that a number of meals were available each day for Residents, to allow for their differing likes and dislikes. Meals were available at the usual times each day, and drinks were available between meals and on request by a Resident. Some of the Residents were able to assist, to a limited degree, with the preparation of meals. During this visit a Resident was seen assisting with the cooking of a sponge cake. It was evident that she was used to this activity, spontaneously putting things away when they were no longer needed, and participating in the preparation of the cake at regular intervals. Woodlands Residential Care Home DS0000002012.V345467.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): Standards 18, 19 & 20. The quality in this outcome area was Good. This judgement was made using available evidence including a visit to this service. Residents’ personal needs were well met, ensuring that their privacy, dignity and independence were maintained. The system of administering medication was good, and ensured Residents medication needs were met. EVIDENCE: A member of staff said that personal care for Residents was always provided in private and that all staff were very discrete when doing this. Staff also said that Residents could choose to stay in bed in the morning, if they so chose, and that in the main Residents also chose when to go to bed at night. Residents were apparently aware of the need to wash, and, in the main, did this spontaneously, with guidance provided by staff. To help Residents choose their clothing a member of staff said that they laid clothing out each day for the Resident and the Resident indicated which they preferred to wear. Staff said that some Residents had a preference of whom they wished to be assisted by, and, in the main, staff allowed this to meet the choice of the Residents. The Acting Manager said that at the time of this visit keyworkers for Residents had not been decided on within the Home. She said that at the Woodlands Residential Care Home DS0000002012.V345467.R01.S.doc Version 5.2 Page 15 next staff meeting it was her intension, as the new Home’s Acting Manager, to discuss this with staff and decide on which staff to allocate as keyworker to which Resident. Each Resident was provided with at least a twice yearly health check, and they attended the ‘Well Man’ and Well Woman’ clinic, again at 6 monthly intervals. The Acting Manager said that health problems were identified at an early stage and a referral to the Resident’s Doctor was made. Visits by GPs always took place in the Resident’s bedroom. During this visit the Medication Administration Record sheets were examined and all was found to be very well managed and maintained. Woodlands Residential Care Home DS0000002012.V345467.R01.S.doc Version 5.2 Page 16 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): Standards 22 & 23. The quality in this outcome area was Good. This judgement was made using available evidence including a visit to this service. Complaints made to the Registered Providers or Acting Manager were appropriately addressed to meet Residents needs. The protection policies and procedures provided by the Registered Providers meant that Residents were well protected. EVIDENCE: The Commission had received one notice of complaint since the last inspection of the Home in August 2006, which had been passed to the Registered Providers to investigate. The outcome was reviewed during this visit to the Home, and a satisfactory outcome was found to have been made. The complaints procedure was provided in the Residents Guide, detailing that each complaint would be responded to within 28 days. However, the procedure did not state to Residents or their relatives that they would not be ‘victimised’ for making a complaint. The Safeguarding Adults procedure was seen. The Acting Manager also had a Whistle Blowing policy, but did not have copies of the Public Interest Disclosure Act of 1998 or the Dept of Health guidance called ‘No Secrets’. The Acting Manager said that all allegations and incidents of abuse would be followed up and action would, if necessary, be taken. She also said that any incidents of abuse by her staff would be passed on to the Protection of Vulnerable Adults register. The policies and practices of the Home ensured that physical or verbal aggression by Residents was understood by staff and that staff would Woodlands Residential Care Home DS0000002012.V345467.R01.S.doc Version 5.2 Page 17 only intervene as a last resort to protect the Resident, other Residents or staff. The Home had satisfactory policies and procedures to deal with Residents money and financial affairs. However, the Acting Manager said that the Home did not have a policy to inform staff that they could not benefit, in any way, from Residents wills, and a member of staff confirmed this. Woodlands Residential Care Home DS0000002012.V345467.R01.S.doc Version 5.2 Page 18 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): Standards 24, 25, 26, 27, 28, 29, & 30. The quality in this outcome area was Good. This judgement was made using available evidence including a visit to this service. The Home was well maintained throughout, providing all Residents with a safe, and comfortable environment in which to live. EVIDENCE: The premises of the Home were judged to be suitable for caring for Residents, as they were found to be safe and well maintained. At the time of this visit each Resident had their own bedroom, and all bedrooms were seen. The bedroom space was well designed and laid out to suit the needs of the Resident, and were provided with all the necessary furniture. The Home was attractively decorated throughout, and the lounge and dining room were pleasant to sit in, and were provided with appropriate items for the Residents. Woodlands Residential Care Home DS0000002012.V345467.R01.S.doc Version 5.2 Page 19 Toilets were easily available to all Residents, and were clearly marked, although staff had to assist when a toilet was needed. All bedroom doors were provided with locks, although Residents were not able to use this facility. All radiators were appropriately guarded, and could be controlled within each bedroom. The Home had an appropriate laundry and clothing was washed at appropriate temperatures. However, the following issue needed attention: The carpet in the entrance area of the Home was badly damaged in one corner, and needed replacement. Woodlands Residential Care Home DS0000002012.V345467.R01.S.doc Version 5.2 Page 20 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): Standards 32, 33, 34, 35 & 36. The quality in this outcome area was Good. This judgement was made using available evidence including a visit to this service. Appropriate levels of staffing were provided consistently within the Home to meet the needs of Residents. EVIDENCE: At the time of this inspection it was found that only 14 , 1 out of a total of 7 staff, held at least a qualification of NVQ level 2 in Care. The majority of staff had changed within the last 3 months, and this was given as the reason for such a low percentage. However, this Home was below 50 , the target for staff holding an NVQ level 2 in Care, at the time of the last visit to the Home in August 2006. The Acting Manager said that this matter had already been highlighted by her, and all staff were due to start their training to obtain an NVQ level 2 in Care within days of this visit. The Registered Providers was found to be providing sufficient staff to meet the care needs of Residents living in the Home. The records of the last two staff employed at the Home were examined to see whether the Acting Manager had obtained all relevant information about them, Woodlands Residential Care Home DS0000002012.V345467.R01.S.doc Version 5.2 Page 21 and it was found that all information had been obtained. All new staff were also supplied with copies of the code of conduct set by the General Social Care Council. The head office for the Home managed all training provided for staff. A member of staff said that induction training was provided for new staff, and that foundation training was also provided. This member of staff also said that approximately 12 paid days of training were provided each year, which was confirmed by the Acting Manager of the Home, when she said that 12 to 15 days training were provided. The Acting Manager said that the Home’s head office were planning to provide Learning Disability Award Framework accredited training for staff, as all staff in the Home needed this training. A staff member was asked about the supervision received from the Acting Manager. She said that this was provided monthly by the Acting Manager, which the Acting Manager later confirmed. Woodlands Residential Care Home DS0000002012.V345467.R01.S.doc Version 5.2 Page 22 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): Standards 37, 39 & 42. The quality in this outcome area was Good. This judgement was made using available evidence including a visit to this service. Management arrangements at the Home were in place to ensure that Residents care was maintained at a positive standard. EVIDENCE: The Acting Manager had only been in post for a short period prior to this visit to the Home. As a result she had not as yet obtained a qualification of NVQ level 4 in Management and Care. However, she anticipated completing the training by March 2008. The Area Manager visited often, at least twice each month, and an independent Manager visited once each month to complete the monthly ‘inspections’ of the Home. Copies of these documents were seen during this visit. The Acting Manager ensured that effective quality assurance measures were used within the Home. An annual development plan was provided, although it Woodlands Residential Care Home DS0000002012.V345467.R01.S.doc Version 5.2 Page 23 was not possible to obtain surveys of Residents opinions on the operation of the Home due to their disabilities. However, the annual development plan was reviewed by the Area Manager at regular intervals during the year. The views of family and friends of Residents were obtained via an annual questionnaire sent out to all Residents’ families. The training required by the Regulations was examined. This showed that Fire Safety, First Aid, Food Hygiene and Infection Control training had already been provided for all staff working in the Home. However, Moving and Handling training was still required by two of the 6 staff working in the Home. First Aider training was recommended by the Commission, and the Acting Manager said that only she held this qualification. In addition to this required training, the Acting Manager was able to say staff working for the Home were required to obtain qualification in Safeguarding Adults procedures, Understanding Challenging Behaviour, Principles of Care, POVA, Dementia, Medication training, Risk Assessment, Key Working, Aggression, Autism and report writing. From copies of the Home’s maintenance schedule, forwarded to the Commission prior to the inspection, it was found that all necessary maintenance and repairs were being appropriately addressed. The Registered Providers had complied with all necessary legislation, such as the Health and Safety at Work Act 1974, and the Manual Handling legislation of 1992. The Acting Manager was able to show that the Home was provided with risk assessments on the working conditions of staff; and had provided a written statement of the policy, organisation and arrangements for maintaining the safe working practices in the Home. The Acting Manager was also able to confirm that all accidents, injuries and incidents of illness or communicable disease were recorded and reported to the relevant government bodies. She also confirmed, that with the assistance of the Fire Service, fire safety notices were posted in relevant places around the Home. Woodlands Residential Care Home DS0000002012.V345467.R01.S.doc Version 5.2 Page 24 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 2 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 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 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 3 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.V345467.R01.S.doc Version 5.2 Page 25 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 YA1 Regulation 5(1)(a) to (f) Requirement A complete Residents Guide must be produced, with the current document for Residents, produced in ‘Widget’ format, only being a summary. The carpet in the entrance area of the Home must be replaced. Timescale for action 05/12/07 2. YA24 16(2)(c) 05/12/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Refer to Standard YA1 No. 1 Good Practice Recommendations A complete Residents Guide should include all of the items listed within Standard 1.2 to 1.3 of the National Minimum Standards. The initial information provided in the Residents plan of care should include the preferred name of the Resident. Residents files should contain a confidential section. This section should be used for records made by staff that the Resident, or their relative (Representative) should not see, 2. YA6 Woodlands Residential Care Home DS0000002012.V345467.R01.S.doc Version 5.2 Page 26 and for information passed to the Home by professionals to which the Resident had not been made party. 3. YA18 The Acting Manager and staff should decide on a ‘keyworker’ for each Resident, and decide on the tasks the keyworker should undertake. Within the procedure for making a complaint it should be stated that neither Residents nor their relatives will be ‘victimised’ for making a complaint. Copies of this amendment should be placed within the Residents Guide. A copy of the Public Interest Disclosure Act 1998 and the Dept of Health guidance called ‘No Secrets’ should be obtained. Staff should be informed that they cannot benefit in any way from Residents wills. 6. YA32 50 of care staff should be qualified to National Vocational Qualification Level 2 in Care. (This issue is outstanding from the inspection report dated 10 August 2006) Learning Disability Award Framework (or LDQ) accredited training should be provided to assist staff in progressing towards achieving R/NVQs. The Acting Manager should obtain a qualification of NVQ level 4 in Management and Care by the end of March 2008. Sufficient staff should be trained as First Aiders to ensure that at least one member of staff, holding this qualification, could be on shift every hour of the day. 4. YA22 5. YA23 7. YA35 8. YA37 9. YA42 Woodlands Residential Care Home DS0000002012.V345467.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Residential Care Home DS0000002012.V345467.R01.S.doc Version 5.2 Page 28 - 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. 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