Inspection on 09/12/08 for Woofferton House Residential Home

This inspection was carried out on 9th December 2008.

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

Woofferton House Residential Home 03/05/06

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

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Ravenhurst

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Inspirations

Ashcroft Hollow Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Woofferton House Residential Home Woofferton Ludlow Shropshire SY8 4AL     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: Pat Scott     Date: 0 9 1 2 2 0 0 8 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. the things that people have said are important to them: They reflect 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 21 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) 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.csci.org.uk Internet address Care Homes for Older People Page 3 of 21 Information about the care home Name of care home: Address: Woofferton House Residential Home Woofferton Ludlow Shropshire SY8 4AL 01584711207 01584711962 jandeep_gill@hotmail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Fidelity Care Services Ltd care home 15 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home 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 current manager. 0 Over 65 15 Care Homes for Older People Page 4 of 21 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: The quality rating for this service is *TWO star Good service. This means the people who use this service experience good quality outcomes. We, the commission, used a range of evidence to make judgements about this service. This includes: information from the manager in the annual quality assurance assessment (AQAA), staff records kept in the home, medication records, survey results from people who use the service, discussion with the assistant manager, tour of the premises, previous inspection reports, quality assurance processes, Fire Authority reports, Environmental Health Office reports, observation of care experienced by people using the service. Care Homes for Older People Page 5 of 21 Care Homes for Older People Page 6 of 21 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.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 7 of 21 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 8 of 21 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. The home undertakes assessments so that successful and satisfactory admissions take place. Evidence: Paperwork seen indicates that individuals have an assessment of their needs by the home which is reviewed and amended as requirements change. One person has been successfully transferred to more appropriate care as her needs have changed beyond that which the home can provide for. Two other people admitted through a care management arrangement have assessment information on file. However, the service has not received an assessment of changed need or care plan regarding long term care from the funding authority. The information on file is that of when the person was receiving domiciliary care at home. Discussion with the assistant manager indicates that verbal communication has taken place between the placing authority and the Care Homes for Older People Page 9 of 21 Evidence: home. Care Homes for Older People Page 10 of 21 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. The service aims to address and meet assessed need through the continued development of plans of care, so that residents are provided with person centred care. The manager understands the need to comply with safe medication systems and staff practice ensures that the homes procedures are complied with and that service users health matters are always safely addressed. The actions of staff and their approach to care ensures that service users are treated with respect and their right to privacy is upheld. Evidence: Each resident has a care plan. Personal and health care needs are planned for but without full involvement of the individual. The assistant manager recognises that this aspect could improve and plans to involve residents more at their review. Residents are supported to access services to assist in improving their well being. For example, Care Homes for Older People Page 11 of 21 Evidence: one resident with wound problems has been able to get support from the district nurse and GP. Records are clear and plainly written so that people can understand their content. Staff receive safe handling of medicines training and records seen show that this is very thorough. The service does not conduct medication audits. Competency with medication is discussed at supervision. Care Homes for Older People Page 12 of 21 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are provided with social activity and can keep in contact with family and friends. Social, cultural and recreational activities may not meet peoples expectations without assessment, consultation and choice. Residents receive a healthy diet according to their assessed requirement and preference. Evidence: The service does not employ a dedicated activity person and staff fulfill this role. Social activities are provided but the service does not show that this is based on resident consultation as they do not hold any formal meetings regarding aspects of living at Woofferton House. There is no planned activity information for individuals or on display around the home. The service has one cook with staff fulfilling this role in the evening and at weekends. Menus seen display variety of nutritional food but with lack of written choice for the main meal. The assistant manager stated that food preferences are known and menus devised with this in mind. Care Homes for Older People Page 13 of 21 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. The service has a complaint procedure which is accessible so that people who use the service have information of how to make complaints about the home. Training is provided so that service users are protected from abuse and have their legal rights protected. Evidence: The service enables the residents to air concerns through day to day contact with staff. Formal processes are detailed in the statement of purpose which is on display. Staff have good interaction with residents and none said they had any concerns and would speak to the manager if needed. A comments box is provided for people to post concerns anonymously. Care Homes for Older People Page 14 of 21 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is safe and comfortable but planned improvements to the decoration will ensure that the residents live in a well presented environment. Evidence: The assistant manager spoke of the decoration improvement plan which is in place but has not been achieved. Areas of the home, whilst not unsafe or unclean, are looking tired and worn. All bedrooms are personalised according to the wishes of those people occupying them. The laundry is well organised but the unit around a sink is cracked with a dripping tap and is used to wash clothes items as well as urinals. This is not good practice. Care Homes for Older People Page 15 of 21 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. Staff in the home are trained and are in sufficient numbers so that the care needs of residents are met. Evidence: Staffing rotas are in place. NVQ training is provided and the minimum ratio of 50 trained staff being at level 2 has been met. Staff files kept in the home evidence the induction process provided for new starters. Initial training such as infection control, manual handling, first aid and medication are provided. After induction, candidates are assessed for suitability to move onto NVQ training. Staff turnover in the home is low so that continuity of care is provided. The residents know the staff very well and observation showed that they provide a personal but professional service. New staff have been recruited with all checks being in place. The AQAA tells us that the service is seeking an additional part time chef. This has not been achieved yet and staff still fill in for this role. Care Homes for Older People Page 16 of 21 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. The management of the home is based on openness and respect. The service has quality assurance surveys in place so that people are assured that the overall conduct of the home is taking into account their views. Evidence: The service has a manager in place who is not yet registered with the commission. The manager is away from her post at present and the assistant manager taking day to day control of the service until her return. The assistant manager has achieved her NVQ 4 qualification. The assistant manager and staff team are very resident focused through verbal interaction on a day to day basis. There is a lack of recording of formal consultation and management audit to show that staff practice complies with policies and procedures, e.g. medication/care plan/infection control audits. People who use the service say that they trust the staff and feel safe in the home. Care Homes for Older People Page 17 of 21 Evidence: The annual quality assurance assessment by the home identified where the provider suggests they could do better such as decoration of the premises, recording social activity. Fire safety has been reviewed and a member of staff trained as a fire marshal. Quality surveys are reported to have been conducted with the outcomes to be collated. Care Homes for Older People Page 18 of 21 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 19 of 21 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 3 The management should ensure that assessment information from placing authorities includes details of assessment and planned care relevant to that required from the care home. Recording in care plans can improve so that staff demonstrate that the individual has been involved in reviews about their care. The service could provide information about activities in a suitable format so that people know what leisure pursuits are planned. The service needs to review staffing in the kitchen so that staff are not routinely involved in preparing residents meals. If people are provided with a main choice of meal then this should be stated on the menus. The Provider should install a separate handwash basin and repair the janitor sink and tap in the laundry to minimise cross infection . The service should conduct internal audits to ensure that practice meets policy and procedures of the home. 2 7 3 12 4 15 5 6 15 26 7 33 Care Homes for Older People Page 20 of 21 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk 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 © (2008) 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 21 of 21 - 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!