Inspection on 08/09/05 for Woods Court Care Home

This inspection was carried out on 8th 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Woods Court Care Home 09/01/09

Woods Court Care Home 15/11/07

Woods Court Care Home 16/11/06

Woods Court Care Home 22/02/06

Woods Court Care Home 25/03/05

Woods Court Care Home 02/02/05

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Woods Court Care Home Hatton Gardens Newark Nottingham NG24 4BP Lead Inspector Richard Ramsden Unannounced 8 September 2005 at 10am 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. Woods Court Care Home C03 C53 S35542 Woods Crt V248045 070905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Woods Court Care Home Address Hatton Gardens Newark Nottinghamshire NG24 4BP 01636 673548 01636 673548 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) Nottinghamshire County Councill Miss C A Falshaw Hobson Care Home 49 Category(ies) of Old Age - 49 registration, with number Dementia (over 65) - 20 of places Dementia (55 and over) - 20 Physically Disabled (55 and over) - 10 Woods Court Care Home C03 C53 S35542 Woods Crt V248045 070905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 28th March 2005 Brief Description of the Service: Woods Court is a care home providing personal care and accommodation for 49 older people, 10 of which receive intermediate care. It is owned and run by Nottinghamshire County Council Social Services. The home is located within easy walking distance of Newark town centre where there are a variety of shops and other facilities. The home was opened in 1988 and consists of a two-storey purpose-built property, divided into five units. There is a shaft lift to assist independent access between levels. All of the bedrooms are for single occupancy, with wash hand basins. None of the rooms have ensuite facilities. The gardens are well tended and are accessible by service users. The inspector was advised that there is a secure garden area leading directly of one of the units which has been specifically designed for people who have dementia. Woods Court Care Home C03 C53 S35542 Woods Crt V248045 070905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was completed over one day and lasted for approximately 5 1/2 hours. It included the inspection of care and other records, a discussion with three members of staff, three residents and two visitors to the home. A partial tour of the building was also completed. What the service does well: The residents spoken with are very happy with the care they receive and made many positive comments. They said that the staff are very helpful and that they ensure that peoples privacy and dignity is maintained at all times. The observed interaction between residents and staff was of a very good standard. People said that they particularly liked the relaxed environment and Woods Court and the opportunity to make decisions about their day-to-day lives. One person said that she chooses to spend most of her time in her bedroom, except when she goes to participate in the impressive range of activities provided. All of the residents spoken with said that they enjoy the food provided at Woods Court. One person confirmed that she receives a specialist diet. The premises are purpose-built, they are well equipped and maintained to a good standard. People have been encouraged to personalise their bedrooms with pictures ornaments and small items of furniture. There were many aspects of good practice highlighted in the main body of the report. Woods Court Care Home C03 C53 S35542 Woods Crt V248045 070905 Stage 4.doc Version 1.40 Page 6 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. Woods Court Care Home C03 C53 S35542 Woods Crt V248045 070905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Woods Court Care Home C03 C53 S35542 Woods Crt V248045 070905 Stage 4.doc Version 1.40 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 standard(s) 1,3,6. The literature supplied prospective residents now contains all the required information. Prospective residents needs are comprehensively assessed prior to their admission to the home. The Intermediate Care Unit is helping people to maximise their independence and where possible return home. EVIDENCE: The literature supplied to prospective residents has now been updated to include a summary of the resident’s views of the home. This document now contains all the required information to enable people to make an informed choice as to whether the home will meet their individual needs. Of the three residents records checked during this inspection, two people had Extended Social Work Assessments, which had been obtained prior to their admission to the home. The other person was admitted to the home some considerable time ago and the senior staff believes that the preadmission Woods Court Care Home C03 C53 S35542 Woods Crt V248045 070905 Stage 4.doc Version 1.40 Page 9 assessment has now been archived. She stated that residents would never be admitted without social work assessments. Intermediate care is provided in a separate unit within the main building of the home. This unit has specialist facilities, equipment and trained staff to provide intensive rehabilitation to enable residents to return home. Woods Court Care Home C03 C53 S35542 Woods Crt V248045 070905 Stage 4.doc Version 1.40 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. Residents have an individual plan of care that appropriately identifies their personal, social and health care needs. The homes policies and procedures for the administration of medication are well maintained and appeared to provide adequate protection to residents, but the risk assessments for those people who administer their own medication must be reviewed regularly. Residents are treated with respect and their right to privacy is upheld. EVIDENCE: All of the Care Plans viewed during this inspection contained relevant information and were being reviewed and updated to reflect the individual residents changing needs. It was however noted that not all of the residents or their representatives were signing the care plans to confirm that they had been involved in the planning and review process. Woods Court Care Home C03 C53 S35542 Woods Crt V248045 070905 Stage 4.doc Version 1.40 Page 11 The Inspector also noted that one of the residents’ records did not contain a personal history. It is important that this information is included as it is helpful for staff to be aware of the residents’ lifestyle and interests, prior to their admission to the home. The care records show that peoples health care needs are being appropriately met. The resident’s relatives spoken with during the inspection stated that they believe that staff make appropriate referrals when medical intervention is required. The homes medication is stored safely and the records of receipt and disposal of medication were well maintained. The staff who administer medication have all received appropriate training. (Staff training records were sampled during the inspection). The control medication was checked at random and was well maintained. The senior staff was informed that staff must record the temperature in the room in which medication is stored on a daily basis. The temperature must not exceed 25°C as the medication can deteriorate and become less effective if stored at higher temperatures. The records of one resident, who administers some of her own medication, were checked and an appropriate risk assessment had been completed; however this had not been updated for over two years. It is important that medication risk assessments are reviewed regularly to ensure that the residents remain safe to continue to administer their own medication. All of the residents spoken with during this inspection said that staff are always friendly and respectful and that they ensure that their privacy and dignity is maintained at all times. The observed interaction between staff and residents was of a very good standard. Woods Court Care Home C03 C53 S35542 Woods Crt V248045 070905 Stage 4.doc Version 1.40 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) 13 Residents are encouraged to maintain contact with family and friends. EVIDENCE: The literature supplied prospective residents and their representatives contains details of the homes policy on maintaining relatives and friends involvement with residents. All of the people spoken with during this inspection, said that they can have visitors at any time and that their visitors are always made very welcome. Both of the visitors spoken with during this inspection said that they could visit at any time; one person said that he visits his wife three times a day. On one occasion, when his wife was ill, he stayed overnight and was provided with meals the following day. (This is good practice). Woods Court Care Home C03 C53 S35542 Woods Crt V248045 070905 Stage 4.doc Version 1.40 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) 16,18. Woods Court has a simple, clear and accessible complaints procedure. There have been no complaints made and Woods Court since the last inspection. Appropriate procedures are in place to protect residents from abuse. EVIDENCE: A copy of the homes complaints procedure is displayed in the main reception hall and is included in the literature supplied to all prospective residents. The home had not received any complaints since the last inspection. All of the residents spoken with were confident that if they had any complaints senior staff would deal with them appropriately. The home has an appropriate Whistle Blowing Procedure and a copy of the local Protection of Vulnerable Adults Procedure. At the last inspection some of the staff interviewed were unclear which agencies to contact if they needed to go higher than their own management team. Since that inspection every member of staff has been issued with a copy of the Whistle Blowing Procedure and they have signed to say that they have read and understood it. (This is good practice). The inspector was informed that there have been no allegations of abuse, in the home, in the last year. Woods Court Care Home C03 C53 S35542 Woods Crt V248045 070905 Stage 4.doc Version 1.40 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) 19,26. The purpose-built accommodation is maintained to a good standard. At the time of inspection the home is clean and there were no offensive odours. EVIDENCE: A partial tour of the premises was completed as part of this inspection. The accommodation is comfortably furnished and well decorated. The home has a written programme of decoration and refurbishment. (This is good practice). The residents spoken with during the inspection said that they are all very satisfied with their bedrooms, they confirmed that they were encouraged to bring photographs ornaments and small items of furniture to personalise their individual rooms. People said that they could use their rooms at any time. One person said that she chooses to have all her meals in her bedroom and that she never leaves the room without locking the door. Woods Court Care Home C03 C53 S35542 Woods Crt V248045 070905 Stage 4.doc Version 1.40 Page 15 The laundry is well equipped and has industrial washing machines and tumbles dryers. The room is rather small and the staff informed the inspector that there are plans to extend it. At the time of the inspection the laundry door was left open and there were no staff in situ. The inspector expressed concern as residents; some of who may have dementia would have access to the laundry equipment and potentially to soiled or infected linen. The registered person must ensure that residents health and safety is not put at risk. It was also recommended that the relevant sections of the homes Infection Control Policy be displayed in the laundry. All parts of the home viewed during the inspection were appropriately clean and there were no offensive odours. Woods Court Care Home C03 C53 S35542 Woods Crt V248045 070905 Stage 4.doc Version 1.40 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 Staff do not commenced employment until the appropriate POVA 1st checks have been completed. EVIDENCE: At the last inspection a requirement was made that a Protection of Vulnerable Adults check needs to be in place before staff commenced employment. The records of the most recently recruited members of staff were checked and there were written evidence that POVA1st checks and two written references had been obtained before the staff commenced employment. Woods Court Care Home C03 C53 S35542 Woods Crt V248045 070905 Stage 4.doc Version 1.40 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) 33,38. Additional work needs to be completed to ensure that the homes quality Assurance System contains all the required information. Appropriate radiator covers have now been fitted to all the radiators in the areas to which residents have access, ensuring that people are not at risk of burning themselves. EVIDENCE: At the last inspection a requirement was made that stakeholders, e.g. GPs District Nurses etc need to be consulted about the homes Quality Assurance System. The inspector was advised that the manager has started to prepare a questionnaire to be completed by visiting professionals. However the questionnaire was not available at the time of inspection. This will need to be completed and circulated to the visiting professionals in order to comply with this requirement. Woods Court Care Home C03 C53 S35542 Woods Crt V248045 070905 Stage 4.doc Version 1.40 Page 18 A requirement was also made at the last inspection that a risk assessment must be in place for the doors of the home, which are left open during the day potentially giving access to intruders. A satisfactory risk assessment has now been completed. Woods Court Care Home C03 C53 S35542 Woods Crt V248045 070905 Stage 4.doc Version 1.40 Page 19 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 x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 4 14 x 15 x COMPLAINTS AND PROTECTION 3 x x x x x x 2 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 3 x 3 x x 2 x x x x 3 Woods Court Care Home C03 C53 S35542 Woods Crt V248045 070905 Stage 4.doc Version 1.40 Page 20 Yes 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 Requirement It is required that documentary evidence shows that service users and relatives, where appropriate, are involved in the production and review of care plans. It is required that the risk assessments for residents who wish to administer their own medication are reviewed on a regular basis. It is required that staff record the temperature in the room in which medication is stored. The temperature must not exceed 25 C. It is required that a risk assessment is completed and where necessary action is taken to ensure that residents are not at risk from gaining access to the homes laundry It is required that other stakeholders,e.g. GPs, district nurses etc need to be consulted about the homes Quality Assurance System. (Timescale of 25/6/05 not complied with). Note some work has been commenced to implement this requirement. Timescale for action 1st November 2005 2. 9 12 Immediate 8/9/05 3. 9 13 Immediate 8/9/05 4. 26 12,13 1st November 2005. 5. 33 24 1st November 2005 Woods Court Care Home C03 C53 S35542 Woods Crt V248045 070905 Stage 4.doc Version 1.40 Page 21 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 7 Good Practice Recommendations It is recommended that the personal history section of the care plans are always completed so that staff are aware of residents lifestyle and interests prior to admission to their home. Woods Court Care Home C03 C53 S35542 Woods Crt V248045 070905 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Woods Court Care Home C03 C53 S35542 Woods Crt V248045 070905 Stage 4.doc Version 1.40 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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