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Inspection on 13/09/05 for Woodlands Residential Home

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

This inspection was carried out on 13th September 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

A good standard of care and support is provided by the manager and her staff. Service users spoke very positively of the home and the service provided by staff, comments from them included "we couldn`t be better looked after", "a home from home" and "we couldn`t be looked after better anywhere in the world". 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 fire protection procedures.

CARE HOMES FOR OLDER PEOPLE Woodlands Beacon Road Crowborough East Sussex TN6 1UD Lead Inspector Andy Denness Announced 13 September 2005 10:00 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 H59-H10 S21392 Woodlands V240504 130905 Stage 4.doc Version 1.40 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 and Care Mrs Christine Coles Care Home (CRH) 38 Category(ies) of Old age, not falling within any other category registration, with number (OP), 38 of places Woodlands H59-H10 S21392 Woodlands V240504 130905 Stage 4.doc Version 1.40 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 12 April 2005 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. Accommodation is provided on three floors with shaft lifts fitted to assist those who may have mobility problems. Bedrooms are all ensuite and are situated on five separate units, each with its own lounge. The home is registered to accommodate up to 38 older people and the registered owners are Sussex Housing and Care. Woodlands H59-H10 S21392 Woodlands V240504 130905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced Inspection took place over a morning and afternoon in September and lasted 4½ hours. To help gather evidence on how the home is performing the Inspector sat and ate lunch with service users, met with staff and the home’s manager, examined a range of records and written information and undertook a tour of the premises. In depth discussions took place with eight service users. Also written comment cards feedback regarding the home was received from several service users and some health professionals. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Woodlands H59-H10 S21392 Woodlands V240504 130905 Stage 4.doc Version 1.40 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 H59-H10 S21392 Woodlands V240504 130905 Stage 4.doc Version 1.40 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) 1,2,3,4,& 5. Pre-admission procedures are good and help ensure that service users are appropriately placed in a service that is suitable to meet their assessed needs. EVIDENCE: A statement of purpose and a service user’s guide have been produced for the home, these documents provide guidance for prospective service users about Woodlands and the service provided by the manager and her staff; both documents were examined, they were of a good quality. Assessments of service users’ needs are undertaken by the management team prior to admission to the home; a selection were examined, they were of a satisfactory standard and covered all required areas of daily living. Service users spoken to said that that they or their relatives had the opportunity to visit the home and look around prior to moving in. All service users are issued with a contract detailing the terms and conditions of their stay at Woodlands this document contained all required information. Woodlands H59-H10 S21392 Woodlands V240504 130905 Stage 4.doc Version 1.40 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) 7,8,9,10 & 11. 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 by staff. 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 service users require 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; they were of a good quality although it has been required that the manager ensures that a more detailed assessment of risk is undertaken for those service users who go out unaccompanied and that any action identified to reduce risk is transferred to the plans of care. 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, records examined confirmed that this happens only once the manager has carried out assessments to ensure that service users can do this safely; in the majority of instances however medication is managed for service users by staff. Woodlands H59-H10 S21392 Woodlands V240504 130905 Stage 4.doc Version 1.40 Page 9 Medication storage and records were examined, these were generally in order although it was noted that one medication had not been sent with a service users when they had moved to another care home, this could have meant that they did not receive their prescribed medication. Woodlands H59-H10 S21392 Woodlands V240504 130905 Stage 4.doc Version 1.40 Page 10 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, 13, 14 & 15. Arrangements in the home regarding social and recreational needs and meals are good and ensure service users choice and variety. EVIDENCE: From discussions with service users and an examination of records it was evident that a range of social and recreational activities are provided. This includes in house entertainments and activities, twice weekly shopping trips to Crowborough in the home’s mini bus and excursions to places of interest. Service users said that visitors are made welcome at any reasonable time. Observation and discussions confirmed that service users have choices in all areas of their lives including how to spend their time, when to get up and go to bed etc. It was evident from records examined that a varied and wholesome menu is provided. The Inspector sat and ate lunch with service users, the meal was well prepared and presented and obviously enjoyed by service users, who were very complimentary of the meals provided for them. Woodlands H59-H10 S21392 Woodlands V240504 130905 Stage 4.doc Version 1.40 Page 11 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, 17 & 18. Arrangements regarding complaints and adult protection matters satisfactory and ensure that these matters are managed appropriately. EVIDENCE: The home has a detailed written complaints procedure; records examined confirmed that this is followed should a complaint be made. 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. There is also a detailed written adult protection procedure in place. are Woodlands H59-H10 S21392 Woodlands V240504 130905 Stage 4.doc Version 1.40 Page 12 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) 19,20,21,22,23,24,25 &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: Woodlands is a purpose built care home with accommodation on three floors; shaft lifts are fitted to assist those service users with mobility problems. An inspection of all areas of the environment confirmed that physical standards throughout are very high. All bedrooms are in excess of the size requirements of national minimum standards and are furnished and decorated to a high standard; all bedrooms have an ensuite WC and shower. The home is divided into several small units, each of which has its own small lounge/dining room; a larger communal lounge, dining room and bar area are also available for service users. As well as ensuite facilities, other bathrooms are situated on each residential unit; these are fitted with specialist equipment to help service users who may have mobility problems; other mobility aids including hoists and grab rails are also available. Woodlands H59-H10 S21392 Woodlands V240504 130905 Stage 4.doc Version 1.40 Page 13 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. The home’s laundry is suitably equipped with commercial machines. Standards of cleanliness throughout the property were high and all staff are trained in infection control matters. Woodlands H59-H10 S21392 Woodlands V240504 130905 Stage 4.doc Version 1.40 Page 14 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) 27, 28, 29 and 30 Staffing arrangements are satisfactory and ensure that service users are supported by sufficient numbers of well-trained staff. EVIDENCE: Staffing levels on the day of the inspection were satisfactory; records examined confirmed that this is the case at all other times, service users confirmed that there are always enough staff on duty to meet their needs. Their comments regarding staff included, “everybody is so nice and kind, “all staff `are extremely nice” and “I couldn’t be better looked after”. Records examined confirmed that a good basic training is provided for staff, including first aid, fire prevention, moving and handling and infection control. Currently 50 of staff are not trained to NVQ level 2 as is required by national minimum standards, however the manager is confident of reaching the target in the near future. Records examined confirmed that robust recruitment procedures are followed, when new staff are employed, this includes the use of application forms, the following up of two references, ID checks, criminal record checks, Protection of Vulnerable Adult checks and the issuing of contracts of employment. Woodlands H59-H10 S21392 Woodlands V240504 130905 Stage 4.doc Version 1.40 Page 15 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, 33, 34, 35, 36, 37 & 38. Management and administrative systems are good and provide the necessary support to staff so that they can provide a good standard of care for service users. EVIDENCE: Throughout the Inspection the manager presented as motivated and competent and demonstrated a clear understanding of the needs of older people who require residential care. She has just completed her NVQ level 4 in care and is soon to start the required management-training course. Records examined confirmed that the manager regularly consults service users over their view of the service provided at Woodlands, by means of comment cards, and that regular staff meetings take place. The home’s involvement in service users finances is limited to holding some personal spending monies for them. Balances and records regarding this were examined and found to be in order. Staff spoken to confirmed that they receive the regular required one to one support from the manager. Woodlands H59-H10 S21392 Woodlands V240504 130905 Stage 4.doc Version 1.40 Page 16 A selection of the records required by regulation were examined, these were in order and were stored securely. Required policies and procedures were seen to be in place. A selection of health and safety records was examined, these were in order. Regular risk assessments of the environment are undertaken and the environment appeared well maintained and safe. Any substances that may be hazardous to health are stored securely and written guidance is available in case of accidents with them. The home is fitted with a full fire protection system; records examined confirmed that it is tested regularly as is required and that fire drills take place at the prescribed intervals. Woodlands H59-H10 S21392 Woodlands V240504 130905 Stage 4.doc Version 1.40 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 4 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 2 x 3 3 3 3 3 3 Woodlands H59-H10 S21392 Woodlands V240504 130905 Stage 4.doc Version 1.40 Page 18 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 7 Regulation 15(1) Requirement That risk assessments are undertaken regarding service users who go out unaccompanied and that guidance issued by district nurses regarding pressure sore care is transferred care plans. That the manager ensures that prescribed medication accompanies service users when they are discharged. Timescale for action 13/10/05 2. 9 13(2) 13/9/05 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. 2. Refer to Standard 28 31 Good Practice Recommendations That 50 of staff are trained to NVQ level 2 by the end of 2005. That the manager completes NVQ level 4 in management or the Registered Managers Award. Woodlands H59-H10 S21392 Woodlands V240504 130905 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Ivy House 3 Ivy Terrace Eastbourne East Susssex 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 H59-H10 S21392 Woodlands V240504 130905 Stage 4.doc Version 1.40 Page 20 - 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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