Inspection on 16/12/05 for Woodleigh

This inspection was carried out on 16th December 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.

Other inspections for this house

Woodleigh 06/06/07

Woodleigh 16/08/05

Woodleigh 14/01/05

Woodleigh 13/07/04

Woodleigh 06/03/04

Similar services:

Chirnside House

Sunny Bank (P.R.S.) Ltd

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Ashwood Court Unit 1

Langrigg House

Parkside

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

CARE HOMES FOR OLDER PEOPLE Woodleigh Callands Road Callands Warrington Cheshire WA5 9RJ Lead Inspector Wendy Smith Unannounced Inspection 16th December 2005 12:15p X10015.doc Version 1.40 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 Woodleigh DS0000037249.V271632.R01.S.doc Version 5.0 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 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. Woodleigh DS0000037249.V271632.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Woodleigh Address Callands Road Callands Warrington Cheshire WA5 9RJ 01925 235237 01925 242571 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) Warrington Borough Council Mrs Marine Hall Care Home 39 Category(ies) of Dementia (12), Dementia - over 65 years of age registration, with number (12), Mental disorder, excluding learning of places disability or dementia (15), Mental Disorder, excluding learning disability or dementia - over 65 years of age (15), Old age, not falling within any other category (39), Physical disability (4), Physical disability over 65 years of age (4) Woodleigh DS0000037249.V271632.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 39 service users including:* Up to 39 service users in the category of OP (Old age, not falling within any other category) * Up to 12 service users in the category of DE (Dementia under the age of 65 years) * Up to 12 service users in the category of DE(E) (Dementia over 65 years) * Up to 15 service users in the category of MD (Mental disorder under 65 the age of 65 years) * Up to 15 service users in the category of MD(E) (Mental disorder over 65 years) * Up to 4 service users in the category of PD (Physical disability under the age of 65 years) * Up to 4 service users in the category of PD(E) Physical disability over 65 years) The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidance which may be issued through the Commission for Social Care Inspection 16th August 2005 2. 3. Date of last inspection Brief Description of the Service: Woodleigh is a community support centre for older people and people with disabilities which is owned and managed by Warrington Borough Council. It is a single storey modern building located in the Callands area of Warrington and is close to local shops and amenities. The home has 39 places for people requiring personal care and there is a 25 place day centre in the same building. The home also has close links with the local authoritys care at home service. There are 23 long term places, 14 short stay places for emergency admissions and respite stays, and two places for transitional care. All service users have single bedrooms, 18 of which have ensuite facilities. Woodleigh DS0000037249.V271632.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out on the afternoon of 16th December 2005 as part of the Commission for Social Care Inspection annual inspection programme. 23 residents were living at the home and a further 16 people were receiving short term care. Time was spent in conversation with the service manager and other staff. Eight service users were spoken with. A sample of records was inspected. Most of the key national minimum standards were inspected at the last inspection on !6th August 2005 and were found to be met in full. What the service does well: What has improved since the last inspection? 50 of staff have achieved an NVQ qualification. A maintenance person has been recruited. Woodleigh DS0000037249.V271632.R01.S.doc Version 5.0 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. Woodleigh DS0000037249.V271632.R01.S.doc Version 5.0 Page 7 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 Outcomes Statutory Requirements Identified During the Inspection Woodleigh DS0000037249.V271632.R01.S.doc Version 5.0 Page 8 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 the following standard(s): Not inspected on this visit. EVIDENCE: Woodleigh DS0000037249.V271632.R01.S.doc Version 5.0 Page 9 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 the following standard(s): 9 Medicines are well managed. EVIDENCE: Policies and procedures are in place for the receipt, recording, storage, administration and disposal of medicines. Senior care staff are responsible for medicines and have all received training. This training is regularly updated. Most medicines are in NOMAD cassettes, and repeat prescriptions for the medicines contained in the NOMAD’s are ordered and collected by the pharmacy. Items not included in the cassettes are ordered by the home’s staff. All medicines brought into the home are recorded in a medicines book and when short stay service users go home their medicines are signed out. Administration records were inspected and a good standard of recording was found. There were photographs of service users on the administration records. At the time of the inspection no service users controlled their own medicines but procedures are in place for this. Woodleigh DS0000037249.V271632.R01.S.doc Version 5.0 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 the following standard(s): 14 and 15 Service users are able to exercise choice in daily living. Service users enjoy a good diet. EVIDENCE: Eight service users were spoken with. One told the inspector ‘I have no complaints at all, I would tell you if I had’. Another resident said that she had a ‘good bed, good food and good friends’. All commented on the kindness and patience of the staff. A number of residents go out with their relatives and may go out to local shops with staff. Two service users attend a local blind society. One gentleman was going to the local pub for a game of snooker. He told the inspector that a member of staff takes him to the pub and a friend brings him back to the home. Woodleigh DS0000037249.V271632.R01.S.doc Version 5.0 Page 11 Service users have a choice of sitting places in the lounges and in the ‘mall’ area, or they may choose to stay in their own room. Service users may join in some of the activities going on in the Day Centre. A smoking area for service users is provided at the end of the mall. Service users confirmed that they are able to choose their own time of rising and retiring. Safe outdoor areas are provided. Service users can order newspapers and magazines and a hairdresser visits the home. There is an additional charge for these services. The home has a five weekly cycle of menus, which includes a choice at every meal. In addition to this, the cook always tries to cater for individual preferences and requests. Service users spoken with said that they were satisfied with the quality of meals provided and they were always offered a choice of meals. Each of the five units has its own dining area and a kitchenette where drinks and snacks can be prepared. Woodleigh DS0000037249.V271632.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 18 Service users are protected from abuse. EVIDENCE: Warrington Borough Council has appropriate adult protection procedures in place. All staff receive training regarding abuse as part of their induction programme. At the time of the inspection all staff were booked to attend a training programme ‘pro-active approach to conflict’ . Woodleigh DS0000037249.V271632.R01.S.doc Version 5.0 Page 13 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 the following standard(s): 19 The home is clean and well maintained. EVIDENCE: The home has five living areas each of which contains a lounge/dining room with a fitted kitchenette, bedrooms, bathroom and toilets. The ‘Mall’ area provides communal sitting space through the centre of the building and service users who smoke may do so in a part of this area. All areas are kept clean and well-maintained. A property inspection was carried out by Warrington Borough Council the day before this inspection and it was identified that exterior woodwork was in need of re-painting, and that intumescent should be fitted to fire doors. Recommendations The home has a new maintenance person who is shared with another similar service. Two bedrooms have been decorated. Woodleigh DS0000037249.V271632.R01.S.doc Version 5.0 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28, 29 and 30 Care staff are qualified for their work. The local authority’s recruitment procedures protect service users from abuse. Staff receive training for the work they perform. EVIDENCE: The home has a stable staff team and there has been only one new staff member since the last inspection. Personnel records are not kept at the home, but have been made available for inspection by Warrington Borough Council. The manager said that two new staff have been recruited and are hoping to start in January if all recruitment checks are satisfactory. 21 care staff have achieved an NVQ qualification. Four are currently working towards NVQ level 2 and six are working towards level 3. All other staff have been nominated to commence NVQ, with the exception of a small number of staff who are nearing retirement. The aim is for all care staff to have a qualification by 2007. Senior care staff, who have completed NVQ level 3, are to be given the opportunity to train as NVQ assessors. Administration staff are working towards an NVQ in business and administration. Woodleigh DS0000037249.V271632.R01.S.doc Version 5.0 Page 15 New staff have a two week induction with the local authority, which covers all aspects of their work. Information provided by the manager showed that inductions are held regularly throughout the year. Records in the home provided evidence of ongoing staff training including equal opportunities, fire safety, and food hygiene. Moving and handling refresher training was booked for the New Year and all staff were booked to attend ‘pro-active approach to conflict’ training. Woodleigh DS0000037249.V271632.R01.S.doc Version 5.0 Page 16 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33 and 35 Quality assurance systems are in place. Service users’ personal money is handled appropriately. EVIDENCE: The principal officer walks round the home and speaks with service users at least once each week. Monthly visits, to comply with regulation 26 of the Care Homes Regulations, are carried out by staff from the contract and policy department of Warrington Borough Council. Elected members of the council also carry out visits to the home. Each service user has an annual review by the purchasing care manager, with an in-house review between these. Questionnaires are sent out following the reviews. A quality standard manual is in place. Woodleigh DS0000037249.V271632.R01.S.doc Version 5.0 Page 17 The home has one full time and six part time administration staff. One member of this team deals with residents’ money and acts as agent for one resident. This person’s pension is collected weekly from the Post Office. Her accommodation charge is paid and her personal allowance is retained at the home. Records showed that the personal allowance is spent, in accordance with the residents’ choice, on cigarettes. Some of the other residents have small amounts of personal money in safekeeping at the home. There are receipts for all transactions and all entries are double signed. Woodleigh DS0000037249.V271632.R01.S.doc Version 5.0 Page 18 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X X X X X X STAFFING Standard No Score 27 X 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X X Woodleigh DS0000037249.V271632.R01.S.doc Version 5.0 Page 19 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. Standard Regulation Requirement Timescale for action 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 OP19 OP19 Good Practice Recommendations Exterior woodwork should be re-painted. The Local Authority should act on recommendations made by the Fire Officer in December 2004. Woodleigh DS0000037249.V271632.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Woodleigh DS0000037249.V271632.R01.S.doc Version 5.0 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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