Latest Inspection
This is the latest available inspection report for this service, carried out on 9th June 2010. CQC 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.
For extracts, read the latest CQC inspection for 17 Woodrows Lane.
What the care home does well Support plans for people who live at the home are person centred, ensuring there is detailed and comprehensive information recorded about their specific care needs, identified areas of risk and provide guidelines for staff as to how their support needs are to be met. The manager and the staff team understand the principles of providing person centred care. The healthcare needs of people are well documented. The practice at the home ensures that where appropriate people are supported by staff to attend appointments but also to encourage maximum independence for those people able to manage some aspects of their own healthcare needs. Medication practices and procedures in the home are generally good so as to ensure people`s health and welfare. People are able to make choices and decisions about how they spend their day and are supported by staff to develop their life skills. People who use the service are able to express their concerns and are protected from abuse. The service has a very low incidence of complaints and safeguarding referrals. Training of staff in safeguarding is regularly arranged by the home. People living at 17 Woodrows Lane are happy with the care they receive, and the choices of food, and activities. One person stated "I like living here" and another said "I am happy here, they care for me very well". People confirmed they are enabled and supported to maintain close relationships with family members and to see friends and to receive visitors. Again this is echoed in the AQAA when the manager stated that "The home offers a comfortable environment for all service users, we provide a service that respects, values and caters for all service users changing needs". Quality Assurance is carried out with all interested parties and the information collated will be forwarded to the CQC and made available to all interested parties. The purpose of the reviews the home do validate service improvements and assess the service progress. What the care home could do better: Any transcribed medications must be clearly documented with evidence of two signatures to ensure the risk of medication errors being made are reduced. Random inspection report
Care homes for adults (18-65 years)
Name: Address: 17 Woodrows Lane 17 Woodrows Lane Bockings Elm Clacton On Sea Essex CO16 8DN two star good service The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Helen Laker Date: 0 9 0 6 2 0 1 0 Information about the care home
Name of care home: Address: 17 Woodrows Lane 17 Woodrows Lane Bockings Elm Clacton On Sea Essex CO16 8DN 01255433057 NA WoodrowsLane@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss April Phillips Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Liyanage Lal Gunaratne care home 6 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 6 The maximum number of service users who can be accommodated is: 6 The registered person may provide the following category of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD Date of last inspection Brief description of the care home 17 Woodrows Lane is a detached chalet bungalow offering care for six people with learning disabilities. The property is in keeping with the local community and is sited in a residential area.
Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home Accommodation is on the first and ground floors, with three single rooms on the first floor and one double and one single on the ground floor. Shower, bathing and toilet facilities are found on both floors. The ground floor single bedroom has an en-suite facility of a wash hand basin and toilet. Communal areas consist of a lounge, dining room and a small conservatory/lobby. There are gardens to the front, side and rear of the bungalow. There is a garage and a storage shed. The home is within walking distance of local shops, parks and schools. Public transport is close by and the home has their own transport. A copy of the homes Statement of Purpose and Service User Guide is available on request and fees range between £621.36 and £1071.41 per week and people pay a contribution of between £69.90 and £108.10 per week. There are additional charges for personal items such as mobile phone top-up and cigarettes, toiletries, magazines, books and clothing. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
This was an unannounced random inspection. The visit took place over one day by one inspector and lasted a total of 3 hours. The purpose of the site visit was to monitor compliance to the Outcome Groups relating to Personal and Healthcare Support, Concerns, Complaints and Protection, Environment and Conduct and Management of the Home. As part of the process a number of records relating to people who live in the home, support staff and the general running of the home were examined. Prior to the site visit, surveys for people who live at the home and support staff were requested to be sent to the home for distribution. The response was positive and we received four completed surveys from people who live at the home, one from a healthcare professional, three from staff and two from relatives. We also looked at all the information that we have received, or asked for, since the last key inspection on the 27th September 2007, including the last key inspection report and the Annual Service Reviews undertaken on 28th August 2008 and 17th September 2009. Prior to this inspection, the manager submitted an Annual Quality Assurance Assessment (AQAA). This is a self assessment document, required by law, detailing what the home does well, what could be done better and what needs improving. Information given in this document has been incorporated into this report. At the time of the site visit there were six people living at 17 Woodrows Lane, whose predominant need was that of learning disabilities. Sufficient members of care staff were noted to be on shift and additionally the registered manager was on duty. On inspection of two care plans these showed that these are developed with the person using the service and/or their representative. Each support plan was seen to be person centred detailing their specific care needs and included peoples strengths, abilities, choices and areas where they require specific staff support. The support plans included risk assessments detailing the identified risk and actions to be taken to reduce the risk. Risks are managed proactively so as to assist people to lead the life they want and choose. Records showed that the support plans were reviewed regularly every three months and amended where the persons care needs had changed so as to ensure information recorded was accurate. Evidence showed that the support plans and risk assessment profiles can be easily used as a good source of information by newly appointed staff and/or others who are not familiar with the individual person. This will enable them to deliver a personalised and consistent quality of care and support. Staff spoken with on the day of inspection all confirmed they are given up to date information about the needs of the people they support. One stated We always offer service users choices in all aspects of their care and Woodrows has always created a warm and friendly place to live There is evidence that consultation with the individual goes ahead and that their choices are included, additionally other professionals are used as a part of this process. All care plans are signed for by the resident, if able or their representatives to show that care to be provided is agreed. Looking through care plans it evidenced that specialist services are catered for, that appropriate equipment is provided and in place for those individuals that need it. There is a good process for monitoring of falls; pressure sores and other health issues in place. All residents have access to a GP, district and community nurse, chiropodist, optician, audiologist and dental practice. Good paperwork evidenced staff liaise well with other professionals and have strong links and good partnerships with external teams. New procedures and staff checks on medication have been put into place. On inspection
Care Homes for Adults (18-65 years) Page 4 of 9 medication was stored and recorded appropriately apart from a few transcribed medications which were noted to not have two signatures. Staff spoken with about medication gave a clear understanding of their responsibilities and of the procedures in use. A monitored medication dosage system is in place for most residents. Medication is stored in a lockable cabinet and the administration records were being maintained in accordance with agreed procedures. One resident administers medication and has the appropriate storage facilities available in their room and is monitored by staff appropriately. Regular management checks of medication are carried out. Staff spoken with around medication issues evidenced that they were experienced and competent. Staff who administer and stock check medication are all fully trained to do so. Overall the homes system for checking, monitoring, ordering, disposal and booking in of, and accounting for medication are all to a good standard. Information relating to how people can make a complaint or raise concerns was displayed on the notice board. The AQAA told us that within the last 12 months there have been three complaints and one safeguarding referral. From inspection of the complaints log book and documentation, and from discussion with support staff, this was confirmed. People who live in the home know how to make a complaint and to whom they would make it e.g. key worker, manager or other member of care staff. We have not received any complaints directly about the service or concerns from placing authorities who the home state regularly review the care of people living at the home. The AQAA confirms that they ensure staffs knowledge is continually updated to keep abreast of changes in legislation and any impact that may have on the service. The last SOVA course attended was noted to be in December 2009. The homes AQAA states Service users views are listened to and taken seriously, the home has a clear and effective complaints procedure, and service users know who to complain to and any problems that arise are dealt with as soon as they happen. The manager states in the AQAA that new flooring has been fitted in the dining room and the conservatory and in part of the hallway and that the home has had a new boiler, had window restrictors fitted and a new toilet in the downstairs bathroom within the past twelve months. The last report showed that one requirement had been made for the registered provider to carry out monthly visits under regulation 26 and prepare a report of their findings. This random unannounced inspection evidenced that this requirement had been met and that all of the reports are filed in the office. It appears from the information that we have received that the manager recognises when improvements are needed and that she ensures they are implemented. The registered manager has relevant previous experience of working in a care sector and has completed the registered managers award. The manager evidenced through discussion, documentation looked at during the site visit, and the AQAA sent back to CQC that she is knowledgeable, has good experience and is well organised and efficient in her role. There is clear accountability of roles amongst the team and a strong management support system in place. The policy, procedures and support for both residents and staff maintains that their health, safety and welfare is protected. The manager leads by example and encourages the staff team to practice in terms of a residents rights and empowerment. The homes practice is continually changing and adapting according to individual and group need which in turn moulds the service provided. Residents are benefiting from a good management team and the level of service is maintained. The homes Quality Assurance, which is to a good standard and residents meetings partly mould the homes business plan. Overall the home provides a very person centred based service which promotes and encourages independence of the individual. After looking at the AQAA, the last inspection report, the last annual service review and all of the other evidence our judgement is that the home is still providing a good service.
Care Homes for Adults (18-65 years) Page 5 of 9 What the care home does well: 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 2. Care Homes for Adults (18-65 years) Page 6 of 9 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 7 of 9 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, 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 20 Any transcribed medications must be clearly documented with evidence of two signatures to ensure the risk of medication errors being made are reduced. Care Homes for Adults (18-65 years) Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 9 of 9 - 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!
