Inspection on 09/08/07 for Woodview Care Centre

This inspection was carried out on 9th August 2007.

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 19/10/06

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 Karmon Hawley Key Unannounced Inspection 9th August 2007 11:00 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.V340866.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.V340866.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 woodview@schealthcare.co.uk the.willows@ashbourne.co.uk Exceler Healthcare Services Limited 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) ** Post Vacant *** 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.V340866.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 19th October 2006 Brief Description of the Service: Woodview Care Complex is located on the outskirts of Lincoln in the village of Branston. There are local services and facilities available within the village and transport links into the city of Lincoln. 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 manager stated that weekly fees ranged from £378 - £700 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.V340866.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was undertaken by an inspector reviewing all the previous inspection records available, looking at information provided by the manager about Woodview and by undertaking a visit to the service with the inspector using a method called “case tracking.” “Case tracking” involves identifying individual service users who currently live at the home and tracking the experience of the care and support they have received during the time they have lived there. The inspector also checked that information provided by the manager matched individual experiences of service users living at the home by talking with them and observing the care received. Five service users were spoken with, all of them expressed that care was at a good standard and staff were very kind and attentive. General records maintained by the service and staff records were also looked at to ensure these were maintained and provided positive outcomes for service users. What the service does well: What has improved since the last inspection? Plans of care are now signed and dated to provide an accurate historic record of any changes to service users needs. Evaluations are more meaningful, reflecting any deterioration or progress towards identified goals/aims. Continued refurbishment and redecoration is taking place to ensure service users live in a well-maintained and comfortable environment. All new staff now undergo a comprehensive induction to ensure they are adequately prepared for their responsibilities at the home. Appropriate numbers of staff who are recruited safely are on duty to meet service users needs. Woodview Care Centre DS0000002563.V340866.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Woodview Care Centre DS0000002563.V340866.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.V340866.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users are assured that their needs will be assessed and that staff can meet these before they decide to move into the home. The service does not offer intermediate care. EVIDENCE: To ensure that the service is able to meet prospective service users needs an appropriate member of staff visits them in the community before admission and carries out a preadmission assessment. There was evidence of these assessments taking place within service users files. Service users and relevant others may also visit the home and spend time there getting to know what the Woodview Care Centre DS0000002563.V340866.R01.S.doc Version 5.2 Page 9 service has to offer and the staff employed before making a decision to move in. One service user spoken with discussed how their spouse visited the home before they made a decision to move in. The service does not offer intermediate care. Woodview Care Centre DS0000002563.V340866.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are placed at a degree of risk due to the need to further develop risk assessments and ensuring all gathered information is utilised within the plan of care. Service users feel they are treated respectfully and that staff ensure that their privacy is maintained. EVIDENCE: Woodview Care Centre DS0000002563.V340866.R01.S.doc Version 5.2 Page 11 To ensure that service users needs are met they undergo various assessments such as manual handling, pressure area care, nutritional needs and the activities of daily living. Information gained forms the plan of care, however in one plan vital information about a food allergy, which may affect the wellbeing of the service user, was not included in the plan of care. Plans of care were personalised and to ensure continuity of care entries were now signed and dated. Risk assessments and management plans were in place with regards to entrapment and the use of bedrails however had not been fully considered with regards to reducing the risks that may be presented by aggressive behaviour, diabetes mellitus and asthma. To reflect any changes in service users care or their condition reviews were seen to be taking place, however within one plan where the need for blood glucose monitoring had been identified had not been reviewed for over three months and the blood glucose testing had not taken place. Staff spoken with were able to discuss service users needs and the support required in meeting these. Service users spoken with offered comments such as “staff are very kind and caring, they look after me very well,” staff are very polite and they went out of their way to make sure I have everything I need,” I feel settled and comfortable here, it is very homely, and “staff are very nice and I can have a laugh with them.” Evidence to show that service users receive specialist support such as the doctor, district nurse, optician and dietician was available within service users case files. During the brief tour of the building specialist equipment such as cushions and hoists were seen. One service user spoken with discussed how they had seen the doctor when needed. Another service user had obtained specialist help and support from staff with overcoming communication problems. Medication administration charts were observed, which corresponded with the prescription. There were records available to show audits trails of medication signed into and out of the building. Handwritten entries on the medication chart had not been signed by two members of staff on every occasion to show that these had been checked as correct. Due to space limitation bottles of lactulose (a laxative) were being shared between service users, the implications of this and good practice was discussed with the manager who stated that she would look into alternative practices. One service user spoken with said, “the staff looked after my medicines for me and give me it when I need it, I am happy with this arrangement.” One service user who self administers their own medication had an appropriate support plan and risk assessment in place. Service users spoken with felt that staff were very kind and caring and they always treated them with respect, they also felt that their privacy was maintained at all times. During the tour of the home there was a sign on one service users door, which requested that staff knock before entering. Staff Woodview Care Centre DS0000002563.V340866.R01.S.doc Version 5.2 Page 12 spoken with discussed how they ensure that service users privacy and dignity is maintained whilst they are being supported in meeting their needs. Woodview Care Centre DS0000002563.V340866.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are enabled and supported by staff to live a fulfilling life. Service users are able to make their own choices and have control over making decisions for themselves. EVIDENCE: To facilitate activities of service users choosing, two activities coordinators are employed. Activities such as one to one time, trips out, bingo, quizzes, arts Woodview Care Centre DS0000002563.V340866.R01.S.doc Version 5.2 Page 14 and crafts and various games are on offer. During the visit approximately fifteen service users were seen to enjoy a game of bingo and one service user was occupying themselves in the games room on the younger adults unit. Staff during this time facilitated interaction and assisted service users as needed. The younger adults had also had a disco with a pirates theme recently and notices were up for the forthcoming fete taking place. Service users spoken with said “ I enjoy the activities on offer, I can also do as I please and occupy myself”, “there are activities on offer and I have joined in one, however I choose not to do them most of the time” and “I am unable to join in the activities, however staff spend time talking to me.” A church service is offered on a monthly basis, this was taking place on the morning of the visit. The manager also stated that any additional support to maintain one’s faith would be sought if required. To enable service users to exercise choice and control over their lives the routine of the home was described as being flexible by both staff and service users. Service users may spend their time as they wish and throughout the visit service users were seen to be making their own choices and were moving freely around the home and the grounds. To ensure that service users maintain contact with relevant others there are no restrictions imposed upon visiting. Three service users spoken with said that their visitors are always made welcome and they may see them in private if they wished. The manager discussed the arrangements that were in place to ensure that service users privacy and dignity were maintained when entertaining visitors. To ensure that staff are aware of the different needs of service users and understand the concepts of equality and diversity they undergo training in this area. Plans of care were individualised and reflected service users needs and preferences. Staff spoken with were able to discuss service users individual needs and how they support them in meeting these. One service user spoken with expressed that staff had been extremely helpful in meeting one of their specialist needs and they had sought further specialist assistance to ensure this was done. A wholesome and appealing menu is on offer; this covered specialist diets such as diabetics and liquidised diets ensuring that each service users individual need is met. Choices are offered at each meal and on the day of the visit service users were seen to have at least four different main meals. On speaking with service users views about the meals on offer varied, “the food is very good, there is plenty to eat,” “the food is ok, but it is not like you would have at home,” and “the food is ok, there are some choices on offer.” A recent questionnaire had been sent out with regards to food choices and preferences, which was in the process of being analysed. Woodview Care Centre DS0000002563.V340866.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users and relevant others feel confident that staff will listen to and act upon any concerns they may have, ensuring these are resolved. Service users are protected from abuse by the policies and procedures in place and a well-trained staff team. EVIDENCE: To ensure that complaints are dealt with accordingly a complaints procedure is in place, a copy of this procedure is within the service user guide, which is placed within each service users room. There have been two complaints received since the previous inspection with regards to standards of care. Both of these were investigated and were not upheld. Staff spoken with were able to discuss how they would deal with a complaint should it be received. Service users spoken with all expressed that they were satisfied with the level of care they received. Two service users felt that they could approach a member of staff to express any concerns should they arise and they were confident that these would be resolved. Woodview Care Centre DS0000002563.V340866.R01.S.doc Version 5.2 Page 16 To ensure service users are protected from abuse the majority of staff are trained in this area, staff spoken with confirmed this and they were able to discuss the issues with regards to ensuring the health, safety and wellbeing of service users. One service user spoken with said “I feel safe and settled here.” Woodview Care Centre DS0000002563.V340866.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a safe, well-maintained and comfortable environment. EVIDENCE: So that the environment remains well maintained a maintenance person is employed. On going redecoration and refurbishment has been taking place since the previous inspection; there was evidence of this seen during the tour Woodview Care Centre DS0000002563.V340866.R01.S.doc Version 5.2 Page 18 of the building. The manager stated that a grant has also been secured to spend in the garden for the older persons unit and there are plans to add a summerhouse. To maintain a clean and comfortable environment for service users sufficient housekeeping staff are employed by the service. All areas of the home accessed were clean and tidy. One service user said, “I tidy my room a little bit myself, staff also come in every day and clean the areas I can not manage.” Woodview Care Centre DS0000002563.V340866.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff undertake regular training to ensure they have the necessary knowledge and skills to meet service users needs. A thorough recruitment and selection policy and procedure is in place to ensure service users are protected. EVIDENCE: Service users dependencies are assessed and recorded to ensure that sufficient staff are on duty to meet their needs. The two units are staffed separately allowing a dedicated staff team to tend to service users needs. Staff spoken with felt that staffing levels were sufficient to meet service users needs. Service users spoken with stated “I ring my buzzer when I need help, staff come reasonably quickly,” and “staff are available to help me when needed.” Woodview Care Centre DS0000002563.V340866.R01.S.doc Version 5.2 Page 20 To ensure that new members of staff are familiar with the routine of the service and service users needs they undergo an induction programme. The induction covers the majority of the required compulsory training and staff work with senior staff during this time. There was evidence within staff training files to show that an induction takes place. There was also evidence to show that all new staff have been booked on an induction course. Within the documentation the service sent to the Commission for Social Care Inspection prior to the visit there was evidence to show that four members of staff have attained the National Vocational Qualification level 2 (a nationally recognised work and theory based qualification) and four members of staff are working towards this qualification. To fully protect service users a through recruitment and selection procedure takes place. Four staff files were seen, all contained the required documentation such as proof of identity, references and a Criminal Record Bureau check (a police check to show if an individual has a police caution or conviction). One member of staff spoken with confirmed that they had a Criminal Record Bureau check in place. To enable staff to be trained in all compulsory areas a home trainer is based at the home and additional outside training is also sourced. On the day of the visit ten members of staff were undertaking manual handling training. There was also a training board that advertised training due to take place; further training in first aid has been arranged. Whilst observing staff files evidence of staff undertaking training was available. Staff spoken with said that training was at a good standard and they felt supported by the management in their development. One service user spoken with said that they felt confident in the staff and they were well trained to do their job. Woodview Care Centre DS0000002563.V340866.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a home, which is well run and managed. Service users are enabled to have a say in how the home is run. Woodview Care Centre DS0000002563.V340866.R01.S.doc Version 5.2 Page 22 EVIDENCE: The manager is now registered with the Commission for Social Care Inspection. She has completed the Registered Managers Award (a nationally recognised work and theory based qualification) and continues to remain up to date with all compulsory training. She stated that she ensures that she maintains an open door policy and staff; service users and relatives may approach her at anytime. Throughout the visit both staff and service users were seen to converse freely with the manager. One service user spoken with said, “the manager is very nice, I can talk with her and she tries to sort out any problems I may have.” Both staff members stated that improvements in the running of the home have taken place. Ensuring service users and relatives have a say in the running of the home regular meetings are held and questionnaires are given out. Comments such as “ I am satisfied with the choices in food available,” and “I like the home baking” had been received from the previous catering questionnaire. The manager also carries out several audits on a monthly basis such as care planning, medication and the environment, results are analysed and an action plan is devised if required to address any negative issues. To enable service users to have access to personal allowances whilst ensuring they are safe these may be placed in safe holding at the home. Individual accounts and receipts are kept for all transactions. Service users may access their account at any time. There was evidence within one plan of care to show that the safe holding of their finances had been discussed and arranged accordingly. The information provided to the Commission for Social Care Inspection prior to the visit showed that routine maintaince and servicing of equipment was taking place as required. The hoist certificates were seen on the day of the visit and these had been serviced. There was evidence on the staff training matrix to show that staff had undertaking training in health and safety and manual handling. Woodview Care Centre DS0000002563.V340866.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 3 11 X 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 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 3 34 X 35 3 36 X 37 X 38 3 Woodview Care Centre DS0000002563.V340866.R01.S.doc Version 5.2 Page 24 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 OP7 Regulation 13(4,c) Requirement Systems must be in place to ensure service users are protected from identified risks. Development has taken place since the previous inspection however further attention is required to fully comply with this requirement. Health monitoring must be undertaken as directed to ensure service users needs are fully met and their health and welfare is maintained. Timescale for action 30/09/07 2 OP7 12(1,a,b) 30/09/07 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 OP9 OP28 Good Practice Recommendations Handwritten entries on medication administration records are signed by two members of staff to show that these have been checked as correct. A minimum ratio of 50 of care staff have attained or are working towards the National Vocational Qualification level 2 in care. DS0000002563.V340866.R01.S.doc Version 5.2 Page 25 Woodview Care Centre Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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. 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