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Inspection on 14/06/06 for Woodview Care Home

Also see our care home review for Woodview Care Home for more information

This inspection was carried out on 14th June 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Service users are admitted to the home only on the basis of the staff at the home being able to fulfil their needs. Unplanned admissions are avoided and the service users and their relatives are encouraged to visit the home before moving in. These trial-visits help the service users, their relatives and the placing authorities to find out the suitability of the service/home. The key workers for the residents have a good understanding of the service users` specific needs and were able to discuss how they help the residents achieve their goals. The key workers work with the service users and their representatives when making decisions about their lifestyle so that the decisions are realistic and the staff are able to help the service users to follow through their planned care. The day to day running of the home centres on the service users needs and the staff enable and supervise service users when they take risk. The staff are familiar with the home`s policy on confidentiality and also the need to record information accurately and to keep it secure. The service users` rights are respected by the staff. The daily routines and house rules promote service users` independence, individual choice and freedom of movement. To promote the health and wellbeing of the service users the home supplies nutritious, varied, balanced and attractive meals in a friendly setting. Meals are not rushed, served in a relaxed environment and the staff help the service users enjoy the mealtime activity. The staff organised activities suitable for the three young people. For example visit to the bowling alley, going to the park, carriage riding. During direct observation it was evidenced that the staff complied with the service users` preferences about how they wanted to be guided, moved and supported. The staff have good rapport with the service users and helped them choose their clothes, hairstyle and appearance to reflect the service users` personality. The service users have technical aids and equipment they need to maximise their independence. The staff are able to verbalise the procedure to follow if the relatives of the service users wanted to make a complaint. Three staff said that they had received training on recognising abuse, neglect and discrimination and the processes to follow. The premise looked safe, comfortable, bright, cheerful, airy, clean and free of offensive odour. The bedrooms had suitable lighting, heating and ventilation and reflected the stated purpose of the service. All rooms were for single occupancy and the four rooms occupied had personal belongings of the service users reflecting the individuals` personalities. The staff team are employed in enough numbers and they have complementary skills to support the service users. The recruitment procedure ensures the protection of service users and other staff working at the home. During staff interview it was ascertained that they are aware of their own knowledge and skill limitations and they are able to recognise when they should involve other professionals.

What has improved since the last inspection?

This is a new service and this was the first unannounced inspection.

CARE HOME ADULTS 18-65 Woodview Care Home Richmond Parkway Richmond Park Sheffield South Yorkshire S13 8HH Lead Inspector Marina Warwicker Key Unannounced Inspection 14th June 2006 2:00 Woodview Care Home DS0000065605.V299704.R01.S.doc Version 5.2 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 Home DS0000065605.V299704.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 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 Home DS0000065605.V299704.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodview Care Home Address Richmond Parkway Richmond Park Sheffield South Yorkshire S13 8HH 07908 927022 none none 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) United Health Plc ** Post Vacant *** Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Woodview Care Home DS0000065605.V299704.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. An application for the registration of a manager of Wood View care home must be made to the CSCI by 6th March 2006. First inspection since registration Date of last inspection Brief Description of the Service: Woodview Care Home is a purpose built service, which provides personal care to adults with learning difficulties. The home consists of eight bedrooms, a lounge, a dining/activity area and a private and secure patio area to the rear. It is situated in the Woodhouse area of Sheffield and it is near amenities such as public transport, local shops and daycentres. The home was registered in January 2006. The service users have access to a mini bus supplied by the home. The weekly charges range between £1,700 and £1,900. The service users receive either one or two staff attending to their needs as part of their care package. The service users pay for their own toiletries, books, magazines, chiropody and hairdressing. There is a hydrotherapy unit adjacent to the home and the service users will be able to access this when it is officially opened. Each room has special tracker systems – special moving hoists- for the use of service users if they require when moving from their bedroom to the bathroom. There is information about the service at the entrance hall for the relatives and visitors. There is a visitor’s car park to the front of the building. Woodview Care Home DS0000065605.V299704.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced inspection of Woodview care home was carried out on 14th June 2006 between 2.00 pm and 7.30 pm. The manager was present and three service users occupied the home and a fourth resident was on leave. At around 2.00 pm the service users went out in the minibus to a bowling alley and returned at around 5.30 pm. Whilst the service users and the staff were away, care plans of the service users were checked, staff recruitment records, staff training records and supervision records were checked. Permission from the service users was sought and all bedrooms and the entire premises was inspected. When the service users and the staff returned in the early evening direct care and support was observed and the care staff were interviewed. Families of the service users were contacted before the site visit and their views of the service sought. The comments have been included in this report. What the service does well: Service users are admitted to the home only on the basis of the staff at the home being able to fulfil their needs. Unplanned admissions are avoided and the service users and their relatives are encouraged to visit the home before moving in. These trial-visits help the service users, their relatives and the placing authorities to find out the suitability of the service/home. The key workers for the residents have a good understanding of the service users’ specific needs and were able to discuss how they help the residents achieve their goals. The key workers work with the service users and their representatives when making decisions about their lifestyle so that the decisions are realistic and the staff are able to help the service users to follow through their planned care. The day to day running of the home centres on the service users needs and the staff enable and supervise service users when they take risk. The staff are familiar with the home’s policy on confidentiality and also the need to record information accurately and to keep it secure. The service users’ rights are respected by the staff. The daily routines and house rules promote service users’ independence, individual choice and freedom of movement. To promote the health and wellbeing of the service users the home supplies nutritious, varied, balanced and attractive meals in a friendly setting. Meals are not rushed, served in a relaxed environment and the staff help the service users enjoy the mealtime activity. The staff organised activities suitable for the three young people. For example visit to the bowling alley, going to the park, carriage riding. Woodview Care Home DS0000065605.V299704.R01.S.doc Version 5.2 Page 6 During direct observation it was evidenced that the staff complied with the service users’ preferences about how they wanted to be guided, moved and supported. The staff have good rapport with the service users and helped them choose their clothes, hairstyle and appearance to reflect the service users’ personality. The service users have technical aids and equipment they need to maximise their independence. The staff are able to verbalise the procedure to follow if the relatives of the service users wanted to make a complaint. Three staff said that they had received training on recognising abuse, neglect and discrimination and the processes to follow. The premise looked safe, comfortable, bright, cheerful, airy, clean and free of offensive odour. The bedrooms had suitable lighting, heating and ventilation and reflected the stated purpose of the service. All rooms were for single occupancy and the four rooms occupied had personal belongings of the service users reflecting the individuals’ personalities. The staff team are employed in enough numbers and they have complementary skills to support the service users. The recruitment procedure ensures the protection of service users and other staff working at the home. During staff interview it was ascertained that they are aware of their own knowledge and skill limitations and they are able to recognise when they should involve other professionals. 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. Woodview Care Home DS0000065605.V299704.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Woodview Care Home DS0000065605.V299704.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 and 5 The overall quality in this outcome area is good. The above judgement is based on the information gathered from relatives, staff and by checking the relevant documentation. The manager produces up to date information about the service so that the current category of service users reflects the home’s statement of purpose. Prospective service users are admitted to the home only on the basis of the staff at the home being able to fulfil their assessed needs. Unplanned admissions are avoided and the service users and their relatives are encouraged to visit the home before moving in. These trial-visits help the service user and the care managers to find out the suitability of the service/ home. The management develops and agrees with each funding authority and/or the service users a written costed statement of terms and conditions so that each party are aware of their rights and limitations. EVIDENCE: There was a copy of the statement of purpose at the entrance for the visitors to read. There were four service users living at the home. One service user had gone away for a short break with their parents and therefore the three remaining service users’ care and documentations were checked. Before the service users left for the afternoon outing their permission was sought to enter their bedrooms. Woodview Care Home DS0000065605.V299704.R01.S.doc Version 5.2 Page 9 There were comprehensive assessments of the individual needs and aspirations documented in their care records. There were copies of the care manager assessment on each file. The key workers for the residents had a good understanding of the service users’ specific needs and were able to discuss how they help the residents achieve their goals. Two relatives commented that they were able to visit the home and familiarise themselves with the staff before moving their son/daughter into the home. They were very positive about the manager and the staff attitude and helpfulness. All four service users had copies of the costed contracts which the funding authorities had agreed with the home. Woodview Care Home DS0000065605.V299704.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 and 10 The overall quality in this outcome area is good. The above judgement is based on the information gathered from relatives, staff and by checking the relevant documentation. The care staff develop and agree with each service user and/or their representative an individual care plan which includes the treatment, rehabilitation and the facilities to be provided so that the service users’ needs, aspirations and goals could be achieved. The key workers work with the service users and their representatives when making decisions about their lives so that the decisions are realistic and the staff are able to help the service users to follow through their planned care. The day to day running of the home centres on the service users’ needs and the staff enable and supervise service users when they take risk. The information given to staff by service users is treated with respect and in confidence and shared with the manager according to the homes policy and the Data Protection Act 1998. Woodview Care Home DS0000065605.V299704.R01.S.doc Version 5.2 Page 11 EVIDENCE: Four care plans were checked and key workers to three service users were interviewed with regards to the care plans. The care plans had been generated from the Care Management Assessment and the homes own assessment. The care plans were comprehensive and covered all aspects of personal, social and healthcare needs. Service users did not have any restrictions on choice or freedom imposed on them by the home. All care plans were drawn up with the involvement of the service users together with their families and the key workers. The care plans had been reviewed as and when changes were required. The key workers were seen providing service users with information, assistance and support with communication so that they could make decisions about their lives. The service users were unable to manage their finances therefore the families have taken the responsibility. But the pocket money for daily usage is managed by the manager of the home. The process of handling service users’ finance was checked and the system in place was satisfactory. This is a new home and therefore the quality assurance and out come of user satisfaction surveys will be sought in future inspections. The staff were familiar with the home’s policy on confidentiality and also the need to record information accurately and keep it secure. Woodview Care Home DS0000065605.V299704.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17 The overall quality in this outcome area is good. The above judgement is based on the information gathered from relatives, staff and by checking the relevant documentation. The service users are given opportunities to maintain and develop new skills so that they are able to take part in practical life skills. The key workers help the service users to take part in a range of activities and continue training so that the service users have a purpose and feel valued. The service users’ rights are respected by the home. Therefore the daily routines and house rules promote independence, individual choice and freedom of movement. The health and wellbeing of the service users are promoted by the home supplying nutritious, varied, balanced and attractive meals in a friendly setting. EVIDENCE: Service users were observed, their care plans were checked and staff were interviewed to find out about the care practices at the home. The service users with complex and multiple disabilities were offered opportunities by staff to Woodview Care Home DS0000065605.V299704.R01.S.doc Version 5.2 Page 13 learn practical skills to help with daily life, such as catching objects to develop hand eye co-ordination, sit forward when eating to stop choking. The service users have re-established activities since moving to this new home. The staff said that they monitor the suitability of the activities and refer appropriately to community centres and day centres to promote social inclusion. The manager said that the staff were looking into developing neighbourly relationships with the community to ensure that they have access to information and advice about activities organised by the local community. The service users were observed going out for the afternoon in the home’s mini bus supported by their key workers. The staff said that family and friends were included and involved in the daily routine if they were around. The service users enjoy community links by attending day centres and visiting the local activity centres. The three young people enjoyed music and singing. The staff played the guitar and sang with the service users. The staff organised activities suitable for the three young people. For example visit to the bowling alley, going to the park, carriage riding. The staff said that the daily routines were created around the individual service users. The meals were prepared at the home by the cook and the service users were given a choice of where and when to eat. The three service users needed help to eat and the staff gave assistance in a discreet manner. Both lunch and teatime meals were unhurried, relaxed and the staff helped the service users enjoy the mealtime activity. There were weekly menus on display in the kitchen. The manager said that the staff monitored the intake of food by keeping a record of meals eaten by each service user at every mealtime. Woodview Care Home DS0000065605.V299704.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 The overall quality in this outcome area is good. The above judgement is based on the information gathered from relatives, staff and by checking the relevant documentation. The staff provide sensitive and flexible personal care and support to the service users so that privacy, dignity and independence of the service users are maintained. The manager ensures that the health care needs of the service users are assessed and attended to by the general practitioner where the service users are registered. The staff manage medication and maintain appropriate records to demonstrate compliance with legislations. EVIDENCE: During direct observation it was noted that staff complied with the service users’ preferences about how they are guided, moved and supported. The staff had good rapport with the service users and helped them choose their clothes, hairstyle and appearance to reflect their personality. The service users had technical aids and equipment they need to maximise their independence. The care plans highlighted the service users likes and dislikes with regards to food, clothes, activities and programmes. Woodview Care Home DS0000065605.V299704.R01.S.doc Version 5.2 Page 15 The manager had introduced a process where the care workers have access to the information on the medication the service users are taking which specifies the reason for the medicine and any side effect that they should be looking for. None of the service users had the capacity to self-medicate. Two key workers said that they had received training on medication management. There were records kept of all medicines received, administered and disposed of to ensure that there was no mishandling. Woodview Care Home DS0000065605.V299704.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 The overall quality in this outcome area is good. The above judgement is based on the information gathered from relatives, staff and by checking the relevant documentation. The manager ensures that there is a clear and effective complaints procedure which is accessible to staff and the relatives so that concern and complaints can be heard and action could be taken to rectify the problems. The staff receive training on protection of vulnerable adults from abuse, neglect and discrimination so that the service users are safeguarded. EVIDENCE: Three staff were able to verbalise the procedure to follow if the relatives of the service users wanted to make a complaint. They were familiar with the home’s policy and they said that they remember reading the complaints policy as part of their induction. There was a book for logging complaints in the manager’s office and there was no record of any complaints. In responding to the Commission for Social Care Inspection survey, one relative said that if there were any concerns that they would contact the manager as he was available seven days a week to help rectify the issues. Three staff said that they had received training on recognising abuse, neglect and discrimination and the processes to follow. They had watched a video on abusive treatment and answered questions. The manager was encouraged to have a mix of internal and external training to allow new ideas to be sought by the staff and exchange good practice. Woodview Care Home DS0000065605.V299704.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29 and 30 The overall quality in this outcome area is good. The above judgement is based on the information gathered from relatives, staff and by checking the relevant documentation. The premise is accessible, safe and well-maintained so that it meets the service users’ individual and collective needs. The service users have their own bedroom so that they are able to personalise the rooms to suit their lifestyle. The bathroom and toilet facilities offer sufficient personal privacy. A range of comfortable, safe and accessible communal space is made available for service users so that they are able to use areas for private use or partake in group activities. The environmental adaptations and disability equipment such as overhead tracking and hoists are provided to meet the individual service user’s assessed needs. Systems are in place to control the spread of infection. EVIDENCE: The premise looked safe, comfortable, bright, cheerful, airy, clean and free of offensive odour. The bedrooms had suitable lighting, heating and ventilation Woodview Care Home DS0000065605.V299704.R01.S.doc Version 5.2 Page 18 and reflected the stated purpose of the service. All rooms were for single occupancy and the four rooms occupied had personal belongings of the service users. They had been furnished and decorated to the liking of the service users and their families. The key workers were observed helping service users look after their rooms and keep them tidy and safe. The service users shared the toilet and bath facilities between two rooms. Therefore the en-suite room has a privacy lock so that one person can use the en-suite room at any one time. Since all four service users require help with hygiene this had not been a problem. The shared space includes a secure patio area to the back, which has been made homely for the service users. The manager said that arrangements for the repair and maintenance of equipment has been organised to ensure continued safety. The laundry was away from the kitchen and food preparation area. Four staff said that there were plenty of gloves and aprons for use and that they had received training on health and safety and infection control. Woodview Care Home DS0000065605.V299704.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 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, 32, 33, 34, 35 and 36 The overall quality in this outcome area is good. The above judgement is based on the information gathered from relatives, staff and by checking the relevant documentation. The manager ensures that staff have clearly defined roles and responsibilities so that the main aim of the home is promoted. Staff employed have the qualities and competencies to meet the needs of the service users. The staff team are employed in enough numbers and they have complementary skills to support the service users. The recruitment procedure ensures the protection of service users and other staff working at the home. The training and development programme for the staff ensures that they fulfil the aims of the home and meets the specific needs of the service users. Systems are in place for staff to receive regular supervision and support so that their contribution to the service is recognised and they are supported in areas they may require. EVIDENCE: The organisational structure of the home consists of the general manager, deputy manager, a team leader and support workers. On the day of inspection it was noted that all staff worked as an effective team and there was clear Woodview Care Home DS0000065605.V299704.R01.S.doc Version 5.2 Page 20 leadership. During staff interview it was ascertained that they were aware of their own knowledge and skill limitations and also able to recognise when they should involve other professionals. The manager is a first level nurse, the deputy is a second level nurse and the team leader has NVQ level2 in care award. The other staff have had experience in working with similar clients and the manager said that he/she was looking into introducing NVQ training to the support workers. The ratio of care staff to service users was determined by the assessed needs of the service users and at times it was observed that two staff were responsible for a service user. The use of bank and agency staff was limited due to staff reliability and flexibility. Four staff files were checked and there was documentary evidence of all of the information required by the Care Home Regulation 2002. The manager was commended on this. Four staff training files were also checked. The staff had received induction, follow up training and there was evidence of ongoing training at the home. The deputy manager facilitated this. Of the four staff three have had supervision and there were records maintained by the manager; however the fourth staff was a new recruit who commenced work three days before the inspection and was following the home’s induction programme. Woodview Care Home DS0000065605.V299704.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 41 and 42 The overall quality in this outcome area is good. The above judgement is based on the information gathered from relatives, staff and by checking the relevant documentation. The manager is qualified and competent to meet the stated purpose, aims and objectives, runs the home. The manager and his staff approach create a positive, transparent and inclusive atmosphere. This helps the service users and their families to be comfortable and feel part of the home. The records required by the Care Home Regulations 2002 are maintained at the home to demonstrate that the home is compliant with the relevant legislation and is run efficiently. The manager ensures safe working practices so that the health safety and welfare of service users and staff are maintained.. Woodview Care Home DS0000065605.V299704.R01.S.doc Version 5.2 Page 22 EVIDENCE: The manager is in the process of applying to be registered with the Commission for Social Care Inspection. The staff interviewed commented on the manager’s ability to listen and work with them as a team member. During the day it was observed that both the manager and the deputy worked effectively to created a friendly and positive environment. It was also noted that the management planning and practice encouraged the staff to be innovative, creative and bring about good practice changes. There was commitment made to equal opportunities in the organisation. Since this is a new service, no records of quality audits were available for inspection. However, the Responsible Individual carries out monthly visits and writes a report of her finding to the manager. Individuals’ records and home’s records were checked they were kept securely. All staff working at the home as part of their induction have had training on moving and handling, fire safety and health and safety. Woodview Care Home DS0000065605.V299704.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 Adults 18-65 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 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 3 3 3 X Woodview Care Home DS0000065605.V299704.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? This is a new service. STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Woodview Care Home DS0000065605.V299704.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Home DS0000065605.V299704.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!