Inspection on 12/03/09 for Woodway House

This inspection was carried out on 12th March 2009.

CSCI found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Woodway House 10/08/06

Woodway House 01/11/05

Woodway House 21/06/05

Woodway House 09/12/04

Woodway House 14/06/04

Similar services:

Trevayler Residential Care Home

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Woodway House 11 Enderby Road Blaby Leicestershire LE8 4GD     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Ruth Wood     Date: 1 2 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 24 Information about the care home Name of care home: Address: Woodway House 11 Enderby Road Blaby Leicestershire LE8 4GD 01162773890 01162773530 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Shabbir Hakimuddin Kaka,Mrs Naseem Shabbir Kaka care home 32 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: Service User Numbers. No person to be admitted to the home in categories DE(E) or MD(E) when 6 persons in total of these categories/combined categories are already accommodated in the home. Date of last inspection Brief description of the care home The home is set back off Enderby Road in Blaby and offers care for 32 people. 26 beds are in the category of older people and 6 in mental disorders and dementia. The home is a large spacious house on two levels, which has been converted for its existing use. The upper floor can be reached by stairs or passenger lift. There are four lounges Care Homes for Older People Page 4 of 24 Over 65 0 0 26 6 6 0 Brief description of the care home available, which enable the residents to have a choice in where they sit, there is also a good-sized dining area. An enclosed courtyard is available, with seating for residents who wish to sit outside. A no smoking policy operates in the home, although residents who smoke are able to do so in the patio area. The home is well located near the centre of Blaby and there is easy access for public and private transport. Residents can gain access to a variety of shops and other amenities in the village or Leicester city centre. There is information available in the reception area, including the Registration certificate together with the homes complaints policy. The latest copy of the Inspection report from the Commission for Social Care Inspection is available in the managers office. The current fee level ranges from £420.00 pw to £460.00 pw. There are additional costs for individual expenses such as personal toiletries, optician, hairdressing and some recreational activities. Care Homes for Older People Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This inspection visit took place on a weekday between 09:40 and 15:30. We focused on the care and support received by three people, including one who had recently come to live in the home. We looked at their care plans, spoke to them about the care they receive and spoke to the staff about how they deliver that care. We also spoke to five other people about their experiences of living in the home and to one relative. The registered manager was available throughout the inspection and we discussed her management of the home and how she ensured that peoples needs were effectively met. This included a discussion of the arrangements in place for gaining additional specialist support and equipment when required. We looked at four staff members training and recruitment records and spoke to two staff about their training experiences. Care Homes for Older People Page 6 of 24 We looked at all communal areas of the home and some peoples bedrooms and looked at records relating to the maintenance of equipment. We directly observed some care practices such as the administration of medication and the serving of lunch. In addition to the inspection visit this report has also been informed by the Annual Quality Assurance Assessment completed by the service. This is a self assessment that focuses on how well outcomes are being met for people using the service. It also gives us some numerical information about the service. We also received five responses to the Commissions survey to people living at the service. This asks questions about peoples impression of the support they receive. One response was received to the Commissions staff survey. This asks questions about the recruitment process, supervision and training. All survey responses have informed the content of the report. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 24 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good assessment procedures ensure that peoples needs can be met Evidence: The Statement of Purpose contains all the required information about the homes services and includes comments from people living in the home about the care provided. Four people responded to the question about information on the Commissions survey. Three felt that they had received sufficient information about the home, one person said that they had left this to their families. People are encouraged to look around the home before they move in and to stay on a day care basis if possible to try out the service. We looked at the assessment and admission of a person who had recently come to live in the home. The manager visited the person in their own home to assess their needs and completed assessment information and an outline care plan. The person moved into the home on a trial basis to establish that they are satisfied, before the placement is made permanent. Care Homes for Older People Page 10 of 24 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples social, health and medication needs are effectively met by well informed staff Evidence: We looked at three peoples care in detail, examining their care plans, speaking to them about the care they receive and speaking to the manager and staff about how they deliver that care. Plans accurately outline peoples needs and how they should be met, including their social and emotional needs. Staff displayed a good understanding of peoples needs, both when speaking directly to us and during the handover of information between the shifts. People expressed satisfaction about how their care needs are met and their appearance and demeanour indicated that care was being successfully delivered. Of the five people who responded to the Commissions survey, four said that they always receive the care and support they need with one person saying they usually do. People responding to the survey also said that their medical and health needs are met. Discussion with people living in the home, the staff and the manager together with examination of documents, demonstrated that people have access to all aspects of Care Homes for Older People Page 11 of 24 Evidence: health care. This includes GP services, chiropody, optical and dental services as well as more specialist health care services such as dietitians and speech and language therapists. The service has good links with the elderly mental health team and ensures that people receive specialist reassessment if their mental health deteriorates. The majority of staff have worked in the home for several years and have a good knowledge of peoples needs. At all times during the inspection staff treated people living in the home with respect and their appeared to be a genuine, friendly relationship between the people living and working in the home. We observed the administration of medication at lunchtime. Only senior staff members administer medication and all of them have completed appropriate training. The staff member displayed a good knowledge of the medication being administer and the needs of the people living in the home. People were asked if they required pain medication before being giving this and the Medication Administration Records were completed fully and accurately. Appropriate storage is in place for controlled medication. The balance of controlled medication held was counted, and was accurately recorded in the controlled drugs register. Care Homes for Older People Page 12 of 24 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can make choices about their daily lives and enjoy good, home cooked food in pleasant surroundings Evidence: People are giving the opportunity to exercise choice in their daily lives as to when they get up and go to bed, what and where to eat and what visitors to receive. One person said that they liked having a kettle in their own room so that they could make a cup of tea when they wanted one. One couple explained that they receive regular visits from the local chapel as well as family and friends. One relative explained that they visited the home everyday. Visitors can visit the home at any reasonable time and can arrange to eat with the person they are visiting, if they wish. When we arrived at the service the PAT (Pets as Therapy) service was just leaving. They visit the home every week with a dog, which the people living in the home like to see and pet. The service also has a resident cat. Four out of five of the people who responded to our survey said that there were usually activities for them to take part in, one person said that there usually were. One staff member said that they felt that Care Homes for Older People Page 13 of 24 Evidence: some people could do with more stimulation. During the spring and summer people have the opportunity to go out for meals at a local hotel, to visit the local bowling club and to go on a barge trip. Activities in the home include movement to music. People can choose where they wish to eat their meals, either in the main dining room, one of the other communal rooms or in their own rooms. On the day of the inspection the meal served at lunchtime was, roast lamb, roast beef or cheese and potato pie, all served with fresh vegetables. The sweet was home made lemon meringue pie (one lady on finishing this said, that was lovely!) or fruit and ice cream. People were very complimentary about the food both in their responses to the Commissions survey and during the inspection visit. All five people who responded to the survey said that they always or usually liked the food. The atmosphere during lunch was relaxed and unhurried and there was a sense that this was a social occasion. Two people explained to us how their particularly dietary needs for a soft and pureed diet were being well met. Care Homes for Older People Page 14 of 24 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples concerns are listened to and they are protected from abuse by well informed staff Evidence: The five people who responded to the Commissions survey said that they knew who to speak to if they were not happy and that staff listen to and act on what they say. The complaints procedure is clearly outlined in the Statement of Purpose; no formal complaints have been received by the service or by the Commission since the previous inspection. The registered manager said that Little things get dealt with on a daily basis and discussion with two people living in the home confirmed that a concern raised with the manager was being dealt with appropriately and sensitively. All staff have received formal training in safeguarding and those spoken with displayed a good understanding of these issues and their responsibilities under the whistleblowing procedures if they suspected abuse or mistreatment of anyone living in the home. A discussion with the registered manager about how she had dealt with one incident demonstrated that she had the appropriate knowledge and understanding. The local authority provides training in safeguarding vulnerable adults and it is recommended that the manager and staff access this training to enable them to keep up to date with any changes in local policy and procedure. Care Homes for Older People Page 15 of 24 Evidence: Appropriate recruitment checks are completed, such as obtaining Criminal Records Bureau checks, before people come to work in the home. This helps to ensure that only suitable people work at Woodway House. Care Homes for Older People Page 16 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a clean and comfortable environment, which meets their needs. Evidence: We looked at all communal areas and some peoples bedrooms. All areas of the home were clean, tidy and fresh smelling on the day of the inspection. Three people who responded to the Commissions survey said that the home is always fresh and clean, two said that it usually was. People spoken with at the inspection visit commented on the cleanliness of the home, The place is always very clean. All staff have received training in infection control and a recent visit by the Environmental Health Officer awarded the home 3 stars, good for their food hygiene standards. Appropriate equipment, such as hospital beds, have been obtained to meet peoples specific needs. All areas appeared well maintained with the exception of two radiators which were excessively hot, one in the office and one in the downstairs bathroom. An immediate requirement was made to ensure the latter was safe and did not present a burning risk. This was met within the given timescale. Care Homes for Older People Page 17 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are effectively supported by well trained staff. Evidence: On the day of the inspection there was one senior and two carers on duty in addition to the registered manager. In addition there were two housekeepers, a laundry person, a cook, a kitchen assistant and an administrator on duty. People felt that there were sufficient people to meet their needs but commented that sometimes they had to wait if staff were busy. During the inspection visit it was noted that call bells were responded to promptly. All staff have a National Vocational Qualification at level 2 or level 3, certificates confirming these qualifications were evident in staff files. Ancillary staff are also encouraged to undertake National Vocation Qualifications in their area of work. Discussion with staff and examination of training files confirmed that they had received a range of of training to help them to meet peoples needs. This includes training in dementia and palliative care as well as statutory training in first aid, moving and handling and health and safety. Two senior staff had attended recent information sessions relating to the Mental Capacity Act and the implementation of the Deprivation of Liberty Standards. Care Homes for Older People Page 18 of 24 Evidence: Four care staff files were examined and all contained evidence that appropriate Criminal Record Bureau checks had been completed before they started work in the home. Three staffs references could not be located on the day of the inspection but copies of these were later forwarded to the Commission. The one staff member who responded to the Commissions survey confirmed that their employer had carried out employment checks before they started work. Care Homes for Older People Page 19 of 24 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Good management ensures that the service is well run and meets the needs of the people living there. Evidence: The registered manager has worked in the home for sixteen years and managed the service for seven of these. She holds the Registered Managers Award and participates in regular training to ensure she remains up-to-date with current thinking and practice. She has recently attended information sessions relating to the implementation of the Mental Capacity Act and the Deprivation of Liberty Standards. She works alongside the staff team allowing her to directly supervise their work; formal one to one staff supervision is also carried out. People living in the home , their relatives and and other stakeholders (such as GPs) complete questionnaires to establish their opinions on the quality of the service, approximately every 6 months. Peoples comments about the service are included in Care Homes for Older People Page 20 of 24 Evidence: the Statement of Purpose and are used to inform changes in the home, for example a new floor covering is to be fitted in the entrance area following comments from relatives. Risk assessments are completed for areas of specific risk in relation to individuals living in the home and for general safe working practices. Good systems are in place to ensure that equipment and systems in the home are maintained and tested on a regular basis. A gas safety check was completed on 07/03/09 and testing of portable electrical equipment was completed on 06/11/08. The maintenance and testing of all fire equipment is up to date and the fire risk assessment was reviewed on 07/11/08. The original fire risk assessment, or a copy, must be kept on site. Staff have received training in fire safety, food hygiene, first aid and moving and handling. Good practice was observed in the latter area during the inspection visit. Some people require support to administer their finances and a system is in place to enable this. All transactions are recorded and a limited balance of monies is held in the home, additional monies being requested from relatives as and when required. Care Homes for Older People Page 21 of 24 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 22 of 24 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 18 The local authority provides training in safeguarding vulnerable adults and it is recommended that the manager and staff access this training to enable them to keep up to date with any changes in local policy and procedure Care Homes for Older People Page 23 of 24 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 24 of 24 - 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!