Inspection on 03/05/06 for Woofferton House Residential Home

This inspection was carried out on 3rd May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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.

Other inspections for this house

Woofferton House Residential Home 09/12/08

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Woofferton House Residential Home Woofferton Ludlow Shropshire SY8 4AL Lead Inspector Janet Oxley Unannounced Inspection 3rd May 2006 9.30 X10015.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 Woofferton House Residential Home DS0000065765.V292810.R01.S.doc Version 5.1 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. 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. Woofferton House Residential Home DS0000065765.V292810.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Woofferton House Residential Home Address Woofferton Ludlow Shropshire SY8 4AL 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) 01584 711207 01584 711962 Fidelity Care Services Ltd Mrs Barbara Cowell Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Woofferton House Residential Home DS0000065765.V292810.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Woofferton House is a privately owned and managed care home registered to provide care and accommodation for up to 15 older persons. It is located some five miles south of Ludlow, in South Shropshire, on the A49 set back off the main road in its own grounds providing a peaceful location. The accommodation is provided in a large detached house, which has been adapted and extended to provide comfortable and homely accommodation for the people living there. Five bedrooms are situated on the first floor, accessed via a staircase, and eight are on the ground floor. All but one bedroom have en-suite facilities. The home is owned by Fidelity Care Services Ltd, Mrs Jan Gill being the Responsible Individual who works at the home on a full time basis. The Registered Manager is Mrs Barbara Cowell who is a qualified nurse. Woofferton House Residential Home DS0000065765.V292810.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection reviewed key standards only as the home is currently considered to be performing satisfactorily and thus warrants the application of a reduced methodology. The inspection was unannounced and commenced at 9.30am. It included observing activity within the home, inspecting the premises, looking at records and case tracking and talking to 5 staff, 2 visitors and a District Nurse. The Proprietor, Manager, Senior Carer and the staff on duty were welcoming and helpful throughout the inspection. It was found that the National Minimum Standards assessed had been met with only minor exceptions and that the overall quality of care provided continues to be good. All residents appeared happy, content and well cared for and those who were able expressed satisfaction with their quality of life at the home. What the service does well: What has improved since the last inspection? Attempts continue to be made in order to improve the number and variety of activities. All aspects of the paperwork and recording systems continue to be reviewed and updated and amended where necessary in light of the change of ownership. Staffing levels have been improved and staff reported that the ‘team work’ approach and morale has also improved. Woofferton House Residential Home DS0000065765.V292810.R01.S.doc Version 5.1 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. Woofferton House Residential Home DS0000065765.V292810.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Woofferton House Residential Home DS0000065765.V292810.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The policies and procedures that are in place, and have been professionally followed, ensure that the home undertakes all necessary assessments for successful and satisfactory admissions to take place. EVIDENCE: The home has a Statement of Purpose and a Service Users Guide, which has been updated and includes all the required information for prospective residents. They may visit the home, stay on a temporary respite basis and also for day care before making a decision. Documentation examined indicated that individuals have a comprehensive assessment of their needs, which is reviewed and amended as requirements change Woofferton House Residential Home DS0000065765.V292810.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal needs of the residents are met with evidence of regular review and of good multi disciplinary working taking place on a regular basis. EVIDENCE: It was evident during the inspection from looking at records, inspecting the facilities and chatting to staff and residents that individual health, personal and social care needs were being met. Individual records of care are maintained and the three seen were well organised. Close liaison has taken place, on the behalf of one service user in recent months, with the District Nurse, GP, The Hospice and Macmillan Nurses, who all have praised the staff at the home for the care the service user had received. Matters pertaining to medication appeared satisfactory at the time of this inspection and all relevant staff have received the necessary training. Residents were being treated with respect and staff were working both professionally and sensitively in meeting individual needs. Those residents and visitors spoken to were complimentary regarding the quality of their lives at Woofferton House Residential Home DS0000065765.V292810.R01.S.doc Version 5.1 Page 10 the home and visiting health professionals reported that they were satisfied with the management and care standards there. Woofferton House Residential Home DS0000065765.V292810.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All Quality outcomes in this area are good. The judgement has been made using available evidence including a visit to this service. The routines of daily living at Woofferton House are flexible and each resident finds the lifestyle experienced in the home meets their individual needs. A number of activities take place, there is an open visiting policy and the menu offers a choice of well balanced and wholesome meals. EVIDENCE: The residents are encouraged and enabled to personalise their bedrooms, enjoy good meals in the pleasant dinning room or in their own rooms and have daily activities arranged for them within the home. Individual needs, likes and dislikes are shown in the care plans. Visitors are made welcome, are included in events and are given all the necessary information on aspects of the home and the welfare of the residents. Visitors spoken to previously and at the time of this inspection were complimentary regarding the quality of life for the residents at the home. Woofferton House Residential Home DS0000065765.V292810.R01.S.doc Version 5.1 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. The judgement has been made using available evidence including a visit to this service. Concerns and complaints are dealt with promptly and professionally and procedures and practices are in place to ensure that individuals are protected from abuse. EVIDENCE: The home has a clear complaints procedure which is given to residents and their relatives before they move into the home. No complaints have been received since the last inspection. The home has all necessary documentation in relation to the protection of vulnerable adults and this subject is included in staff training. The proprietor and senior care are attending additional training on the subject in June 2006. Woofferton House Residential Home DS0000065765.V292810.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is adequate. The standard of the environment within the home is generally satisfactory, providing residents with a warm, safe and homely place to live however it was identified and fully acknowledged that a number of improvements need to be made without undue delay. EVIDENCE: The location and layout of the home are suitable for elderly residents. Communal rooms are well equipped and are warm, homely and welcoming. Bedrooms are personalised and suit individual needs and the gardens and grounds are generally well maintained and accessible to residents and their visitors. At the time of the most recent Fire Officer and Environmental Health Officer’s inspections matters were reported to be satisfactory. It was identified that some areas of the home will need refurbishment, repair and redecoration in the near future and it was agreed that a full programme and plan for routine maintenance and renewal of the fabric and redecoration of Woofferton House Residential Home DS0000065765.V292810.R01.S.doc Version 5.1 Page 14 the premises will be forwarded to CSCI within the month and that this will be implemented within timescales agreed. Woofferton House Residential Home DS0000065765.V292810.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are generally supported by a well trained and committed staff group who are meeting the needs of each individual in a sensitive and professional manner. EVIDENCE: Three members of staff has been recruited since the last inspection and all elements required by Schedule 2 of the Care Home Regulations and evidence of induction training were maintained. The management continue to support staff to undertake their NVQ awards, a variety of other training has been undertaken and staff on duty indicated that they were sensitive to the service users needs and disabilities. Staff seen and the duty rota indicated that there were generally sufficient staff in numbers and skill mix to meet the service users needs. A senior care, three carers, one catering staff and cleaner were on duty at the time of this inspection. All care staff are over the age of 18. It was evident that on occasions in the afternoons at the weekends there are only two staff on duty to care, cook, clean, and undertake laundry tasks, however the proprietor reported that she or the Senior Carer were available at these times. Staffing has been increased in the mornings at weekends. Given the dependency levels of the service users and size and layout of the building, it was fully acknowledged that this situation should continue to be Woofferton House Residential Home DS0000065765.V292810.R01.S.doc Version 5.1 Page 16 reviewed to ensure that the critical care role is not impeded and that the service users needs are met. Woofferton House Residential Home DS0000065765.V292810.R01.S.doc Version 5.1 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. There are lines of accountability within the homes management structure and the management approach creates an open and positive atmosphere from which the residents benefit. The home regularly reviews all aspects of its performance through a programme of self review and consultations and meets the requirements of the Fire Officer and Environmental Health Officer, promoting the health, safety and welfare of the residents. EVIDENCE: Mrs Cowell the manager is qualified and experienced. The Senior Carer commenced the Registered Managers Award and NVQ4 in care in September 2005 and the Proprietor has now commenced NVQ 4 in care. An open, positive and inclusive atmosphere continues to be maintained at the home. The Proprietor involves herself fully in the day-to-day running of the home and works alongside her team offering support to all staff. All staff Woofferton House Residential Home DS0000065765.V292810.R01.S.doc Version 5.1 Page 18 spoken to at the time of this inspection spoke positively regarding the support they receive. Quality assurance systems are in place and there was evidence available to indicate the Proprietor ensures, so far as is reasonably practical, the health, safety and welfare of service users and staff. All staff have received necessary Health and Safety training and updates have now been booked. It was reported that a first aider is on site at all times and the accident records were satisfactory. Woofferton House Residential Home DS0000065765.V292810.R01.S.doc Version 5.1 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 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 2 3 x x 3 x x 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Woofferton House Residential Home DS0000065765.V292810.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? No 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 OP19 Regulation 23(2) Requirement That a programme and plan of routine maintenance and renewal of the fabric and decoration of the premises be produced and be implemented within stated timescales and records kept. Timescale for action 30/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP27 Good Practice Recommendations That the staff rota be kept under review to ensure that the critical care role of staff is not impeded. Woofferton House Residential Home DS0000065765.V292810.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Woofferton House Residential Home DS0000065765.V292810.R01.S.doc Version 5.1 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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