Inspection on 09/06/05 for Woodmarket House

This inspection was carried out on 9th June 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

Woodmarket House 15/12/08

Woodmarket House 03/01/07

Woodmarket House 19/09/05

Woodmarket House 11/01/05

Woodmarket House 09/08/04

Woodmarket House 10/03/04

Similar services:

Hillside

Applegarth

Trevayler Residential Care Home

122 Scorer Street

Byars Care Home

St Marys Nursing Home

Jubilee Villa Care Home

Bramble Lodge

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

CARE HOMES FOR OLDER PEOPLE Woodmarket House Woodmarket Lutterworth Leicestershire LE17 4BZ Lead Inspector Linda Clarke Unannounced 9 June 2005, 10:45am th 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. Woodmarket House C51 S32528 Woodmarket House V227117 180505.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Woodmarket House Address Woodmarket Lutterworth Leicestershire LE17 4BZ 01455 552678 01455 552678 None Leicestershire County Council Social Services 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) Mr David W Merry Care Home 40 Category(ies) of Dementia - over 65 years of age (20) registration, with number Learning disability over 65 years of age (4) of places Mental Disorder, excluding learning disability or dementia - over 65 years of age (6) Old age, not falling within any other category (40) Physical disability over 65 years of age (10) Sensory Impairment over 65 years of age (4) Woodmarket House C51 S32528 Woodmarket House V227117 180505.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: No person falling within category DE(E) may be admitted to the home when 20 persons who fall within category DE(E) are already accommodated within the home No person falling within category MD(E) may be admitted to the home when 6 persons who fall within category MD(E) are already accommodated within the home No person falling within category LD(E) may be admitted to the home when 4 persons who fall within category LD(E) are already accommodated within the home No person falling within category PD(E) may be admitted to the home when 10 persons who fall within category PD(E) are already accommodated within the home No person falling within category SI(E) may be admitted to the home when 4 persons who fall within category SI(E) are already accommodated within the home Service users between the age of 55-65 who fall within the above categories and were resident in the care home at the date of registration may continue to reside there To be able to admit the named person under the age of 65 named in variation application No. V18575 dated 23rd March 2005. Duration of stay for the service user named in variation application No. V18575 shall not carry on past 13th April 2005 Date of last inspection 11th January 2005 Woodmarket House C51 S32528 Woodmarket House V227117 180505.doc Version 1.30 Page 5 Brief Description of the Service: Woodmarket House is a care home providing personal care and accommodation for forty older persons. Woodmarket House has two respite beds, two assessment beds and four beds dedicated to rehabilitation. The forty single bedrooms are without ensuite facilities. The home has a large garden which is well maintained and which is accessible to all residents resding in the home. The premise is owned by the Leicestershire County Council Social Services Department and is situated close to Lutterworth, where residents have access to shops, pubs, the post office and other amenities. The home is easily accessible by private or public transport. Accommodation is provided over two floors with access betweent he floors being via a stairs or passenger lift. Communal areas are provided on both floors with a loop system in the main lounge for service users with a hearing impairment. Woodmarket House C51 S32528 Woodmarket House V227117 180505.doc Version 1.30 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection took place between 10.45 am and 3.30pm. Opportunity was taken to look around the home, view records and policies which included viewing the care plans of four residents residing at the home and three individuals accessing respite or rehabilitation services. The Inspector spoke with residents and staff. The Registered Manager and Assistant Manager facilitated the Inspection, spending time with the Inspector and discussing the management of the home What the service does well: What has improved since the last inspection? Medication procedures have been reviewed since the previous Inspection, and the Management team have developed a system to ensure that medication administration and records are managed appropriately. Environmental improvements have been improved with regards to the décor of some areas within the home. Woodmarket House C51 S32528 Woodmarket House V227117 180505.doc Version 1.30 Page 7 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. Woodmarket House C51 S32528 Woodmarket House V227117 180505.doc Version 1.30 Page 8 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 Woodmarket House C51 S32528 Woodmarket House V227117 180505.doc Version 1.30 Page 9 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, 3, 4, 5 and 6 The admission process is well managed with residents needs being assessed ensuring staff have the appropriate information to meet individual needs. EVIDENCE: There is a comprehensive Statement of Purpose produced as booklets, one for those residents accessing long-term care, and one for individuals accessing the rehabilitation service. The admission procedure is adequate in that assessments of individuals are carried out by a Social Worker as part of the referral process. Those individuals accessing the rehabilitation are assessed by the Intermediate Care Team, which consists of an Occupational Therapist, District Nurse and Physiotherapist, upon admission to Woodmarket House. One lady admitted for rehabilitation on the day of the Inspection was accompanied by relatives and greeted by the Registered Manager, and appointed a member of staff to help her settle into the home. Woodmarket House C51 S32528 Woodmarket House V227117 180505.doc Version 1.30 Page 10 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 and 11. Residents are looked after well in respect of their health and personal care needs and are involved in the drawing up of their plans. EVIDENCE: The care plans of seven individuals viewed reflected residents’ specific needs and contact with other health care professionals. One lady spoken to who had arrived for rehabilitation on the day of the Inspection had a clear understanding of the goals she needed to achieve, to return home. Records indicated as to whether residents or staff managed medication, administration records of four residents were viewed and found to be in good order. Care plans could be further developed to include the needs of individuals with Mental Health and/or Dementia care needs. Consideration should also be given to incorporating daily activities both internal and external to the home providing a holistic approach to care. Woodmarket House C51 S32528 Woodmarket House V227117 180505.doc Version 1.30 Page 11 A member of the management team has undertaken comprehensive training in the care of individuals with Dementia; information gained has been shared with care staff, training received needs to be incorporated into the developing of care plans. Woodmarket House C51 S32528 Woodmarket House V227117 180505.doc Version 1.30 Page 12 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 and 14. Residents experience a homely life style and visitors are encouraged to visit. Various formal and informal activities are made available to residents. EVIDENCE: The home has an Activities Organiser, who is currently employed two days a week, who arranges activities, a member of the Management Team stated that some residents had visited a local garden centre yesterday, whilst later in the month some residents would be going for a meal at a pub in Ullesthorpe. Activities organised within the home, include singing, an organist, quizzes, chair exercises, art and craft sessions with Holy Communion taking place one a month. Comments received from residents included: “I think the activities go on for too long, however most people seem to enjoy them.” “I enjoy listening to the organist and singing.” Woodmarket House C51 S32528 Woodmarket House V227117 180505.doc Version 1.30 Page 13 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 and 18 Complaints are handled objectively and residents are confident that their concerns would be listened to, taken seriously and acted upon. The home has a copy of the vulnerable adults procedure to ensure a proper response to any suspicion or allegation or abuse. EVIDENCE: The home has received one complaint since the last Inspection, the complaint had been recorded and a satisfactory outcome had been achieved for the resident. The Commission for Social Care Inspection has not received any complaints since the most recent Inspection. Complaints and concerns made to the home are dealt with appropriately. Staff within the home receive training on adult protection and resident rights. Woodmarket House C51 S32528 Woodmarket House V227117 180505.doc Version 1.30 Page 14 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 and 26. A comfortable and safe standard of accommodation is provided for the resident’s including a garden area, which individually and collectively meets the resident’s needs. EVIDENCE: Woodmarket House is well maintained and suited to the needs of residents. It is decorated and furnished to a standard that creates a comfortable and homely environment. The main garden is well maintained and an aviary is currently being constructed. The bedrooms of seven residents were viewed, and found to be comfortable and clean. Residents were asked as to their view of their individual bedrooms and the communal areas; all expressed satisfaction with the accommodation provided. Woodmarket House C51 S32528 Woodmarket House V227117 180505.doc Version 1.30 Page 15 A lounge located on the first floor provides computer facilities for residents which includes Internet access The home provides sufficient lavatories and bathing/shower facilities to meet the needs of residents. Residents have access to equipment such as hoists to assist them and staff in the delivery of personal care. Woodmarket House C51 S32528 Woodmarket House V227117 180505.doc Version 1.30 Page 16 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) 29. Recruiting procedures are robust, with checks in place for the protection of residents. EVIDENCE: Records of two members of staff recruited since the most recent Inspection were viewed and found to contain all relevant documentation including Criminal Record Bureau checks. Woodmarket House C51 S32528 Woodmarket House V227117 180505.doc Version 1.30 Page 17 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, 32, 33 and 36. The Registered Manager offers a clear sense of leadership, which reflect on the day-to-day delivery of care practices of residents and running of the home. EVIDENCE: The Registered Manager is currently working towards a National Vocational Qualification at level 4 in Care and the Registered Managers Award. A member of care staff spoken to stated she receives a formal one to one supervision sessions with a member of the management team, these take place on a regular basis and are used to discuss training needs, changing needs of residents and any areas of concern. Members of the management team of designated areas of specific responsibility, ensuring that all aspects of resident care are met. Woodmarket House C51 S32528 Woodmarket House V227117 180505.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 x 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 x x x 3 3 3 x x 3 x x Woodmarket House C51 S32528 Woodmarket House V227117 180505.doc Version 1.30 Page 19 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 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 7 7 Good Practice Recommendations It is recommended that Care Plans incorporate the health care needs of those indivdiuals diagnosed with Mental Health and/or Dementia. It is recommended that Care Plans incorporate activities and social needs. Woodmarket House C51 S32528 Woodmarket House V227117 180505.doc Version 1.30 Page 20 Commission for Social Care Inspection 5 Smith Way Grove Park Enderby Leicestershire LE19 1SX 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 Woodmarket House C51 S32528 Woodmarket House V227117 180505.doc Version 1.30 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. 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!