Inspection on 19/10/06 for Woodview Care Centre

This inspection was carried out on 19th October 2006.

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

Woodview Care Centre 23/07/08

Woodview Care Centre 09/08/07

Woodview Care Centre 13/01/06

Woodview Care Centre 04/10/05

Woodview Care Centre 30/03/05

Woodview Care Centre 23/08/04

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 HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Woodview Care Centre 127 Lincoln Road Branston Lincs LN4 1NT Lead Inspector Dawn Podmore Key Unannounced Inspection 19th October 2006 08:30 X10029.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 Woodview Care Centre DS0000002563.V315249.R01.S.doc Version 5.2 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 and Care Homes for Adults 18 – 65*. 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. Woodview Care Centre DS0000002563.V315249.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodview Care Centre Address 127 Lincoln Road Branston Lincs LN4 1NT 01522 790604 01522 793478 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) the.willows@ashbourne.co.uk Exceler Healthcare Services Limited Care Home 63 Category(ies) of Old age, not falling within any other category registration, with number (42), Physical disability (21) of places Woodview Care Centre DS0000002563.V315249.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Twenty one residents - category PD (sex - both) to be accommodated in Greenwood Court. One service user under the category PD to be accommodated in the nursing unit on a named basis. The maximum number of services users to be accommodated is 63. Date of last inspection 13th January 2006 Brief Description of the Service: Woodview Care Complex is located on the outskirts of Lincoln in the village of Branston. Southern Cross recently purchased the home and the former deputy manager Ms Carole Ritchie is now managing the home. Accommodation is at ground level and is provided in two separate units, these are quite separate in purpose; both are managed by the same general manager and share some common facilities. Woodview Accommodation for Older People: 38 single bedrooms, 28 bedrooms with ensuite facilities, 10 without ensuite facilities, two double bedrooms, two lounges, and two dining rooms. Greenwood Accommodation for people with a Physical Disability: 21 single bedrooms, 1 lounge, 1 smoke lounge, 1 quiet room, 1 activity room, conservatory and one dining area. There is car parking to the side of the building. The gardens are well kept and can be easily accessed by residents. At the time of the inspection the home confirmed that the weekly fees ranged from £335 - £2075 depending on the residents assessed needs. Additional charges are made for services such as chiropody and hairdressing. Information about these costs as well as the day-to-day operation of the home, including a copy of the last inspection report is available in the reception area or the manager’s office. Woodview Care Centre DS0000002563.V315249.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced and took any previous information held by Commission about the home into account. The inspection included a site visit, which took place over six hours. The main method of inspection used was called case tracking. This involved selecting three residents and tracking the care they receive through the checking of records, discussion with them, the care staff, and observation of care practices. A partial tour of the premises was also conducted. Interviews with residents and staff took place and 32 completed questionnaires were returned to the Commission before the visit. The acting manager was not present on the day of the visit so her deputy and key staff at the home assessed in the inspection. On the day of the visit 50 people were living at the home. What the service does well: What has improved since the last inspection? What they could do better: Although care plans, telling staff about the care people require were in place, they need to be improved so that they provide clearer information for staff. Areas needing improvement include the detail of peoples care needs, risk assessment, and completion of forms. Monthly reviews of the planned care had been carried out but these did not contain enough detail to show whether or not there had been any changes in peoples needs. Woodview Care Centre DS0000002563.V315249.R01.S.doc Version 5.2 Page 6 Some residents felt that on some days there were not enough staff on duty and this was confirmed by records and staff comments. The registered person needs to make sure that there is enough staff on duty, on every shift, to meet the needs of the people living at the home. The management team need to make sure that people are recruited properly as one file did not contain two satisfactory written references. New staff must also receive a good induction to the home so that they are aware of how the home operates; this helps to ensure that they are competent to do their job. 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. Woodview Care Centre DS0000002563.V315249.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Woodview Care Centre DS0000002563.V315249.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory assessment process in place, which helps to make sure that it can meet the needs of anyone admitted to the home. EVIDENCE: The home has an admission policy, which includes assessing residents before admission. Records and peoples comments confirmed that this had taken place. The Statement of Purpose and Service Users Guide are currently being updated to include information about the new owners and the management team. Copies should be made available to residents and sent to the Woodview Care Centre DS0000002563.V315249.R01.S.doc Version 5.2 Page 9 Commission as soon as they are completed. The deputy manager confirmed that the home is currently not providing intermediate care. Woodview Care Centre DS0000002563.V315249.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Shortfalls in care planning and risk assessments puts residents and staff at risk and could lead to residents care needs not being met. Residents’ health needs are being met. Medications are stored, administrated and disposed of safely. Staff respect the wishes and preferences of people living at the home while maintaining their privacy and dignity. Woodview Care Centre DS0000002563.V315249.R01.S.doc Version 5.2 Page 11 EVIDENCE: Each resident has an individual plan, which contains information about his or her care needs. The care planning documentation had changed since the last inspection to the format used by Southern Cross, the new owners of the home. Plans seen did not fully outline all the care needs in enough detail. For example in one file the body map that is used to show where any damage to the skin is located had not been completed. Records contained people’s personal details such as date of birth and doctor but this did not include their religion. This should be added to the form so that staff are aware of residents preferences in relation to their spiritual needs. The form used for bowel assessments does not contain any scoring system therefore it was ineffective. The majority of the records had not been signed or dated by either the staff member completing them or the resident concerned. This should be done to provide an accurate history of events and to show that the resident or their representative agrees with the planned care. Although a manual handling risk assessment had been completed there were no instructions to tell staff what assistance people needed or how to safely handle them. Assessments in one plan highlighted that the resident could be at risk in certain areas but a risk assessment had not been completed to tell staff what measures had been put in place to minimise these risks. Care plans had been reviewed monthly however some evaluations did not give a clear review of any improvements or deterioration in the resident’s condition. Staff demonstrated a good understanding of people’s individual needs and preferences. They were seen speaking to them in a respectful friendly manner. People said that they were happy with the standard of care provided. Comments included: ‘I am very well looked after’, ‘overall I feel that my mother is very well cared for and is safe’ and ‘I am happy with the care I get’. Outside agencies such as, doctors, opticians and chiropodists had visited the home regularly to meet people’s health care needs. The company has recently changed the way that medications are administered. The policies, procedures and documentation concerning the receipt, storage, administration and disposal of medications were satisfactory. Observation of the lunchtime medication round demonstrated that the correct procedures were being followed and appropriately recorded. Woodview Care Centre DS0000002563.V315249.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offers a varied activities programme that meets people’s needs. Residents maintain good contact with their families, friends and the local community. Residents’ are offered choice regarding their daily lives. Meals provided offer variety and choice. Woodview Care Centre DS0000002563.V315249.R01.S.doc Version 5.2 Page 13 EVIDENCE: The home employs someone to organise an activities programme. Records identified residents’ interests and lifestyle and their participation in the social activities planned. The programme for October and November was displayed on the notice board in the reception area and included: a Halloween party, pub lunch, crafts, coffee mornings and bingo sessions. Some residents said that they enjoyed taking part in the activities but others said that they preferred not to. Comments included: ‘I enjoy the activities at the home’, ‘I choose not to take part in them’, ‘brilliant activities’, ‘I am not able to take part’ and ‘I don’t enjoy doing activities’. The need to make sure that people who do not wish to take part in the organised activity programme are consulted about anything else that they would like to do was discussed with the acting manager. Residents said that they were offered choice in their daily lives such as menu options, times for getting up and going to bed as well as how they preferred to spend their day. Bedrooms had been personalised and residents confirmed that they had been encouraged to bring small items of furniture, photographs and mementoes into the home. People in the young disabled unit described how they were encouraged to be as independent as possible while having the support they needed. One commented that they made their own appointments and arranged transport but were supported by staff as needed. The lunchtime meal was observed and a varied menu was offered. Most people said that they were generally happy with the menu choices available, commenting that they enjoyed the food but others felt that more choice could be given. One resident commented that she would prefer more seasoning in her vegetable and another said that hot meals were sometimes served on cold plates. The chef said that the Environmental Health Offices had visited the previous week and awarded a 3 star rating. Preparations to close the kitchen for a day were underway to allow deep cleaning to take place. Appropriate arrangements had been made to cater for meals during this time. Woodview Care Centre DS0000002563.V315249.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has satisfactory procedures for handling complaints and residents felt confident that any concerns would be addressed appropriately. Residents are protected by the home’s procedures for handling allegations of adult abuse. EVIDENCE: The home has a complaints procedure, which tells residents and relatives how to make a complaint and how it will be handled. This forms part of the Service Users Guide, which is given to residents on admission and was displayed in the home. Records showed that the home had received 6 complaints in the last year; all had been appropriately investigated and recorded. Residents said that they knew how to make a complaint and felt that any concerns would be dealt with properly. All 32 returned questionnaires indicated that people were happy with the overall service they received. As 31 of the questionnaires received had been completed with the help of a member of staff it was recommended that in Woodview Care Centre DS0000002563.V315249.R01.S.doc Version 5.2 Page 15 future relatives should be encouraged to participate more in this process. On the day of the visit people said ‘everyone is so nice and happy to help’ and I would talk to the staff or my son if I was not happy, but I am. One relative did however say that they would like to be kept more informed about their mothers care. There are satisfactory procedures in place relating to adult protection and the home has a copy of Lincolnshire County Council’s adult protection procedure. Staff comments and records showed that most staff had received adult protection training. Woodview Care Centre DS0000002563.V315249.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) 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 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home live in a clean, comfortable and homely environment. EVIDENCE: The home is a purpose built premises set in its own grounds with wellmaintained gardens. Accommodation is on the ground floor. A partial tour of Woodview Care Centre DS0000002563.V315249.R01.S.doc Version 5.2 Page 17 the building showed that bedrooms and communal areas had a homey atmosphere and were clean and tidy with no unpleasant odours. Residents said that they were happy with the accommodation and the home’s general facilities. Comments included: ‘ the home is always beautiful’ and I am happy with my room but I wish it was a bit bigger’. One relative said that they thought that a visitor’s toilet should be available rather than them having to use the staff or residents toilets, this was discussed with the acting manager who felt that the current arrangement were satisfactory. Woodview Care Centre DS0000002563.V315249.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Shortfalls in appropriate levels of staff on some days could lead to residents needs not being met. The home has a satisfactory procedure for recruiting staff but this had not always been followed, which could put people at risk. The home offers a good training programme but shortfalls in staff induction training could put people at risk. EVIDENCE: The duty rota showed that on the day of the visit the home was working under minimum staffing levels. Records and staff comments indicated that this was happening on a regular basis due to staff vacancies. A senior nurse said that the home was trying to recruit new staff to fill vacancies, but had not been successful. A discussion took place with the deputy manager regarding the need for appropriate staffing levels being maintained. She was also reminded Woodview Care Centre DS0000002563.V315249.R01.S.doc Version 5.2 Page 19 that the person in charge should inform the Commission of any shortfalls in staffing numbers and the actions taken to minimise the affect on the residents. This subject had been discussed at the last visit but no notifications of staffing shortfalls had been received. Qualified nurses are on duty 24 hours a day along with senior carers and care assistants. Separate ancillary staff is provided in the kitchen, laundry and for domestic duties. Residents and relatives said that they felt that in the main there was adequate staff on duty to care for them but some said that at times staff seemed busy and rushed. Staff commented that staffing levels were adequate if the minimum levels were met, but shortfalls could affect the smooth running of the home and put added stress on staff that worked additional hours. Although some residents said that they were happy with the level of care they received others said that they felt there should be more staff available. Comments included: ‘ they are always there when I need them’, ‘I believe the carers are often busy due to the lack of staff’ and ‘sometimes I have to wait ages especially at teatime’. The home has a good recruitment procedure in place but the file of a recently employed person showed that it had not been followed. The file contained an application form and C.R.B. (Criminal Records Bureau) certificate but there was only one reference on file. The deputy manager said that this was because the referee had not returned the reference form sent to them. The need to get 2 written references before staff are allowed to start work is essential to help ensure residents safety. Records did not show that the same person had received a structured induction to the home when they started. This is needed to make sure that new staff have all the essential information they need to carry out their work. The training coordinator said that usually all new staff received essential training when they started but due to holidays this had not happened in this case. Although staff said that new staff shadowed a senior member of staff there were no records to demonstrate that any guidance regarding the running of the home had been provided or that the new starter was competent to carry out their job. Other records and staff comments showed that existing staff had received essential training. This included, adult protection, manual handling and health and safety. Records showed that currently only 2 care staff have completed an N.V.Q. (National Vocational Qualification) course, however the deputy manager confirmed that 20 carers were currently being registered. This course helps to make sure that carers have the knowledge and skills to provide a good standard of care. Staff comments indicated that specialist training in subjects such as dementia, physical disabilities and strokes had been provided but records showing which staff have received this training need to be improved. Woodview Care Centre DS0000002563.V315249.R01.S.doc Version 5.2 Page 20 Woodview Care Centre DS0000002563.V315249.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient leadership, guidance and direction are provided to staff to ensure that residents receive a good standard of care. The home consults people about the care they received. Residents’ finances are handled appropriately. Woodview Care Centre DS0000002563.V315249.R01.S.doc Version 5.2 Page 22 The home has health and safety policies and procedures, which help to safeguard staff and residents. EVIDENCE: The Registered Manager was promoted within the Company in June 2006 and the deputy Ms Carole Ritchie has been appointed as the acting manager. Ms Ritchie is a registered nurse with previous experience of managing a care home. It is anticipated that the Company will apply to the Commission for her to become the registered manager shortly. Residents and staff said that Ms Ritchie was supportive and approachable and felt confident to take any concerns to her. Staff commented that both Ms Ritchie and her deputy Ms Julia Buck worked as part of the team and listened to any ideas that they have. The home has a quality assurance system to gain the views of people living and working at the home. This includes meetings, satisfaction surveys and company audits. Residents or their relatives handle their finances but the home does hold some monies in safekeeping. Records were examined and found to be accurate, with receipts and 2 signatures for each transaction. There are a range of policies and procedures regarding health and safety available to guide and instruct staff. There is also a programme in place to service and maintain the equipment in the home on a regular basis. Information provided to the Commission prior to the visit, discussions with staff and sampling of records demonstrated that checks on equipment such as bath hoists, the fire safety system, electrical installation and portable electrical appliances had taken place. Woodview Care Centre DS0000002563.V315249.R01.S.doc Version 5.2 Page 23 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 X 2 X 3 3 4 X 5 X 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 ENVIRONMENT Standard No Score 19 3 20 X 21 X 22 X 23 X 24 X 25 X 26 3 STAFFING Standard No Score 27 2 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No Score 31 2 32 X 33 3 34 X 35 3 36 X 37 X 38 3 Woodview Care Centre DS0000002563.V315249.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 OP7 Regulation 15(1)(2) 13(4) Requirement Timescale for action 01/01/07 2. OP27 18 (1) 2. OP29 19 (1) (b) 3. OP30 18 (1) Care plans must be in sufficient detail to enable care staff to provide comprehensive care; this must include risk assessments and management strategies. Plans and assessments must be signed and dated to provide an accurate historic record of any changes to peoples needs. Evaluations must be meaningful, reflecting any deterioration or progress towards identified goals/aims. The previous timescale of 01/03/06 had not been met. The registered person must 14/11/06 ensure that there is an appropriate number of staff on duty to meet the needs of the people living at the home. Essential checks must be 14/11/06 undertaken for all staff before they are allowed to work at the home. This must include 2 satisfactory written references. All new staff must undergo a 14/11/06 comprehensive induction, which demonstrates that they have been adequately prepared for their responsibilities at the home. DS0000002563.V315249.R01.S.doc Version 5.2 Woodview Care Centre Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Woodview Care Centre DS0000002563.V315249.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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. Woodview Care Centre DS0000002563.V315249.R01.S.doc Version 5.2 Page 27 - 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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