Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 12/04/05 for Woodlands Residential Home

Also see our care home review for Woodlands Residential Home for more information

This inspection was carried out on 12th April 2005.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Service users spoke very positively of the home and the service provided by staff, comments from them included ` a home from home` and `a lovely place`. They also spoke positively of the activities provided for them, which include bingo, music sessions and regular shopping trips. One service user said that the Christmas entertainments last year were the best ever. The home is purpose built and physical and environmental standards throughout are very high.

What has improved since the last inspection?

Since the last Inspection improvements have been made to the care planning system, this system provides guidance to staff on how they should support and help service users in their day-to-day living. Improvements have also been made to the recording of complaints and staff recruitment procedures.

What the care home could do better:

This inspection highlighted that improvements are needed to the recording of some fire protection procedures.

CARE HOMES FOR OLDER PEOPLE Woodlands Beacon Road Crowborough East Sussex TN6 1UD Lead Inspector Andy Denness Unannounced 12 April 2005 16:00 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 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 Version 1.10 Page 3 SERVICE INFORMATION Name of service Woodlands Address Beacon Road Crowborough East Sussex TN6 1UD 01892 653178 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Sussex Housing & Care Mrs Christine Joyce Coles Care Home 38 Category(ies) of Old age, not falling wihtin any other category registration, with number (OP) 38 of places Woodlands Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: 1. That only older people will be accommodated 2. The service users accommodated will be aged sixty five (65) years or older on admission 3. The maximum number of service users to be accommodated is thirty-eight (38) Date of last inspection 27 September 2004 Brief Description of the Service: Woodlands is a purpose built care home situated on the outskirts of Crowborough. The town centre is approximately one mile away and bus services run past the home. Service users accommodation is divided into five units each with its own lounge. Bedroom accommodation is provided in 38 single rooms all of which have ensuite showers and WCs; these are situated on three floors and shaft lifts are fitted to assist those service users who may have mobility problems. The home is registered to accommodate up to 38 older people and the registered providers are Sussex Housing and Care (SHAC). Woodlands Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced Inspection took place over an afternoon and evening in April and lasted 3½ hours. To help gather evidence on how the home is performing the Inspector sat and ate an evening meal with service users, met with staff and the home’s manager, examined a range of records and written information and undertook a short tour of the premises. In depth discussions took place with eight service users. 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Woodlands Version 1.10 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 Standards Statutory Requirements Identified During the Inspection Woodlands Version 1.10 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 standard(s) 3 & 6 Pre-admission procedures are good and help ensure that service users are appropriately placed in a service that is suitable to meet their needs. EVIDENCE: The assessments undertaken of service users needs prior to admission to the home were examined; they were of a good quality and covered all required areas of daily living. Service users spoken to said that that they had the opportunity to visit the home prior to moving in. They had also received written information regarding the home to help them in their decision whether to move to Woodlands or not. Intermediate or rehabilitative care is not provided. Woodlands Version 1.10 Page 8 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 standard(s) 7,8 & 9. The policies, procedures and practices in the home regarding health, personal and social care needs are good and help ensure that identified service user needs in these areas are appropriately met. EVIDENCE: Using the initial assessment of need as a starting point individual plans of care are compiled for each service user; these identify amongst other things what support is required from staff to meet their day to day needs in relation to health, personal and social care needs. A selection of these plans was examined; improvements have been made to them since the last inspection and their quality is now good. Service users spoken to confirmed that medical and other professional help is obtained for them when it is required. Other records examined confirmed that day-to-day needs are met as described in the individual plans. Some service users look after their own medication, although for the majority this is done for them by staff. Medication storage and records were examined and found to be in order. Woodlands Version 1.10 Page 9 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 standard(s) 12 & 15 Activities and excursions and the provision of meals are managed well by the manager and her staff, ensuring that quality in these areas is high and that choice and variation is available. EVIDENCE: Service users all spoke of the variety of on and off site activities available for them; activities include whist, scrabble, art, and bingo. The home has a computer room where a service user runs training sessions and a small conservatory, which is used by one service user as an art studio. Service users said that they can use the home’s mini bus twice weekly to go shopping in Crowborough and for other outings and that a volunteer will do weekly shopping for them if they do not wish to go out. One service user said that the Christmas celebrations in the home this year were the best ever. The Inspector sat and ate the evening meal with service users; the meal was well prepared and service users said that alternatives are available for them; they all spoke highly of the quality of the meals provided. Woodlands Version 1.10 Page 10 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 standard(s) 16 Procedures and practices in the home ensure that complaints made by service users are managed appropriately. EVIDENCE: The home has a detailed complaints procedure. Records examined confirmed that following a requirement made at the last inspection complaints are now recorded in line with the home’s procedure. Service users said that they feel confident that they could make a complaint and be listened to should they be unhappy with any aspect of the service provided at Woodlands. Woodlands Version 1.10 Page 11 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 standard(s) 19, 20, 23 25 & 26 Woodlands is a purpose built care home and physical standards throughout are very high ensuring that service users live in a spacious, comfortable and safe environment. EVIDENCE: An inspection of areas of the environment confirmed that physical standards are high throughout. All bedrooms are in excess of the size requirements of national minimum standards and service users spoke highly of the standard of their rooms and facilities, which include ensuite showers and WCs. Standards of cleanliness in all areas of the home inspected were very high. Service users have a choice of several communal areas, all of which were furnished and decorated to a high standard. The home has a small bar, which is open at lunchtime and in the evenings. Heating is provided by a gas central heating system with radiators in all rooms, all radiators are guarded and service users can control the temperature of their rooms themselves. Hot water is delivered to wash hand basins and baths at a safe temperature. Woodlands Version 1.10 Page 12 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 & 29 Staffing arrangements and numbers were satisfactory to meet the needs of service users and recruitment procedures are robust to help ensure their protection. EVIDENCE: The home’s rota confirmed that staffing levels are appropriate to meet the needs of service users. Service users spoken to confirmed that staff are on duty in sufficient numbers to meet their needs. Since the last inspection improvements have been made to staff recruitment procedures. Procedures are now robust. Service users said that staff were ‘kind’ ‘friendly’ and were ‘always available to help’. Woodlands Version 1.10 Page 13 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 35 & 38. Management and administration systems are good; this helps ensure the smooth and efficient running of the home, which in turn helps ensure that a good quality of care is provided for service users. EVIDENCE: The manager presents as hardworking and has complied with all requirements made following the last inspection; she is always willing to accept advice and guidance and is about to complete her required management training course. The manager helps some service users manage their finances by holding some monies securely for them, records and balances regarding this were examined and found to be in order. A selection of health and safety records, including risk assessments completed by the manager, were examined, these were mainly in order. However it was noted that records were not being kept of the testing of emergency lighting or of fire drills, the manager has been required to take action to address these matters. Woodlands Version 1.10 Page 14 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 4 3 x x 3 x 3 3 STAFFING Standard No Score 27 3 28 x 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 3 x 3 x 3 x x 2 Woodlands Version 1.10 Page 15 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 38 Regulation 12(1)(a) Requirement That the manager ensures that the testing of emergency lighting and fire drills are recorded appropriately. Timescale for action 19/4/05 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 31 Good Practice Recommendations That the manager completes her NVQ management training by the end of 2005. Woodlands Version 1.10 Page 16 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Version 1.10 Page 17 - 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!