Care Home: Woodcroft

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What the care home does well The people who live in this home clearly feel that the staff and the managers are all very helpful, friendly and respectful. They are well trained and spread around the home in a well managed and balanced way. The people who live in the home also have a range of activities that they can take part in should they wish to but equally they have places where they can be if they do not wish to join in. The meals are of a standard that everybody approves of. There were lots of positive comments from the people living in the home with one person saying that the home was, "One of the best". What has improved since the last inspection? There were no recommendations or requirements made at the last inspection. What the care home could do better: No recommendations or requirements were made as a result of this inspection. CARE HOMES FOR OLDER PEOPLE Woodcroft Croft Way Market Drayton Shropshire TF9 3UB Lead Inspector Mike Moloney Unannounced Inspection 13th May 2008 10:00 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 Woodcroft DS0000020707.V364832.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Woodcroft DS0000020707.V364832.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodcroft Address Croft Way Market Drayton Shropshire TF9 3UB 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) 01630 657486 01630 658139 pcornes@coveragecareservices.co.uk www.coveragecareservices.co.uk Coverage Care Services Ltd Patricia Anne Cornes Care Home 50 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (30) of places Woodcroft DS0000020707.V364832.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may admit one (1) service user below the age of 65 years. Date of last inspection 23rd January 2007 Brief Description of the Service: Woodcroft is a purpose built home, situated in a newly built residential area within the town of Market Drayton. It provides residential care for 50 older people, 20 of those with dementia related illnesses. It is a large modern open plan building with large well maintained gardens and which has been decorated to a high standard without detracting from the practicalities of providing specialist equipment, wide door ways etc. In addition to the above, the home also has a day care facility for people living in the local community and offers a hot meal delivery service to older people living in the local community. There are five separate units within the home, each offering accommodation for up to ten people. All service users have single bedrooms. Coverage Care Services Ltd make their services known to prospective service users in: The Statement of Purpose, Company Brochure and web site which also contain their contact e mail address. Coverage Care Services rates are reviewed annually on 1st April each year and service users are notified one month in advance. The only additional charges to service users are for toiletries, hairdressing, newspapers and escorting to hospital for routine appointments. This is clearly laid out in the terms and conditions. Fees for Woodcroft are currently: £425 to £450 per week. Woodcroft DS0000020707.V364832.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means that the people who use this service experience good quality outcomes. A range of evidence was used to make judgements about this service. This includes: information from the provider which included a self assessment document that they are required by law to complete, records kept in the home, medication records, discussions with the staff team, tour of the premises, previous inspection reports and talking with as well as observing the care experienced by people using the service What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by Woodcroft DS0000020707.V364832.R01.S.doc Version 5.2 Page 6 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Woodcroft DS0000020707.V364832.R01.S.doc Version 5.2 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 Woodcroft DS0000020707.V364832.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. Prospective residents and their representatives have the information needed to choose a home which will meet their needs They have their needs assessed and a contract which clearly tells them about the service they will receive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The records of a person who had recently come to live at the home were looked at. Documents, such as the admissions application which contained information about the persons needs and preferences were seen and showed the home had carried out a full assessment of that person’s needs before agreeing to them being admitted. A copy of the contract outlining what service the resident could expect from the home and a copy of the service user guide were also seen in their records. Woodcroft DS0000020707.V364832.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. The health and personal care, which a resident receives, is based on their individual needs. The principles of respect, dignity and privacy are put into practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The records of four of the people who live at the home were looked at and each was seen to contain a care plan which identified specific needs for each of them. Each contained instructions for the staff about how they should meet those needs. Talking with some of the service users, the staff and observing the care that they gave the service users showed that they were aware of how the needs should be met. There were a number of ways in which the needs had been assessed and these included nutritional assessments, falls assessments, manual handling assessments as well as more general risk assessments. Woodcroft DS0000020707.V364832.R01.S.doc Version 5.2 Page 10 It was seen that the health of each person was monitored by the use of such things as fluid balance charts and weight charts. There were also records showing when people visited or were visited by health care professionals. Those visits related to observations entered by the care staff in the individuals’ notes. The records also showed that the care plans were reviewed by the staff on a monthly basis and were also subject to a full annual review to which other professionals and members of the family were invited to discuss the service user’s progress. Throughout the inspection the staff were seen to be polite and considerate towards the service users. The storage and management of medication were also looked at with each of the units having its own secured medication trolley but with the facility to store controlled drugs being in a more central secured room. The manager stated and staff confirmed that only those who had received the appropriate training are allowed to give out medication. Looking at the records showed that the handling of medication was recorded in an appropriate manner. Woodcroft DS0000020707.V364832.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is excellent. Residents are able to choose their life style, social activity and keep in contact with family and friends. Social, cultural and recreational activities meet resident’s expectations. Residents receive a healthy, varied diet according to their assessed requirement and choice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Talking with a number of the service users confirmed that a variety of activities are available to them on a regular basis. These included such things as art sessions, board games, ‘film and choc-ice’ sessions, hand and nail care, bingo, cards and craft and quizzes. There was a quiz taking place in the day area during the morning of this inspection. Comments made by service users included, ‘We have a lovely hairdresser’, ‘We do all sorts of things’ and a few people said such things as, ‘Cup of tea in the morning- 7o’clock; knock on the door and a cup of tea’. A minibus was seen to be available for outings. Woodcroft DS0000020707.V364832.R01.S.doc Version 5.2 Page 12 Throughout the inspection staff were seen knocking on bedroom and bathroom doors before entering. Each bedroom door was seen to have a lock and the manager confirmed that some of the residents had keys to their room and they used them to keep them locked. Each individual’s record stated by what name they preferred to be known and staff were heard using it. The meal served at lunchtime was seen to be well presented and in appropriate amounts. All of the service users spoken to about the meals said that they liked them. Looking at the records of the meals that had been served showed that they are varied and balanced and talking to the catering manager established that special diets could be catered for. Woodcroft DS0000020707.V364832.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. Residents have access to a robust, effective complaints procedure, are protected from abuse and have their legal rights protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A copy of the complaints procedure was seen and this outlined the procedures to be followed should someone wish to make a complaint. A record of the complaints received since the last inspection were looked at and discussed with the manager as were the details of any referrals made within the local policies and procedures relating to vulnerable adults. One such referral is still being investigated and the manager explained how the home’s systems had been changed because of this and any other referrals that they had received. A number of the residents who were spoken to during the inspection said that if they had any issues that they needed to raise they would find it easy to do so with the manager or any member of her staff. The staff confirmed that they had received training in the handling of such issues. Woodcroft DS0000020707.V364832.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. The physical design and layout of the home enables residents to live in a safe, well-maintained This judgement has been made using available evidence including a visit to this service. EVIDENCE: Woodcroft is situated in the Shropshire town of Market Drayton. The home is purpose built and has five separate units that are joined by a central communal area. The areas to which the residents have access are all on one floor. There is car parking for visitors to the rear of the building. Woodcroft DS0000020707.V364832.R01.S.doc Version 5.2 Page 15 Each of the five units is self-contained with it’s own lounge/dining area and its own section of the garden some of which is secure. The kitchens and the fully equipped laundry are in a separate wing of the building. The building is well maintained as are the gardens. Various bedrooms were looked into and these were seen to have been personalised to varying degrees by their occupants. Woodcroft DS0000020707.V364832.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. Staff in the home are trained, skilled and in sufficient numbers to fill the aims of the home and meet the changing needs of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Talking with the staff and looking at the staffing rotas as well as observing the level of activities available to the people living at the home confirmed that there are enough staff on duty at any one time to meet the needs of the service users. The records of a number of newly appointed staff were looked at and these were seen to contain evidence of the pre-employment checks that are necessary to ensure that such staff are fit to work with vulnerable people. Looking at the training records kept by the home as well as talking with the staff showed that the training necessary to meet the needs of the people living at the home is ongoing and that of the forty-five care staff forty have achieved National Vocational Qualification level 2 in care or better. Woodcroft DS0000020707.V364832.R01.S.doc Version 5.2 Page 17 Throughout the inspection staff were observed listening to and chatting with the service users who were, as mentioned elsewhere in this report, very complimentary about them. Woodcroft DS0000020707.V364832.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is good. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager is newly appointed to the post and is still in the process of applying for registration with the Commission for Social Care Inspection. She was previously the registered manager for another home within the provider’s organisation. She heads the management team that consists of a deputy manager and two assistant managers. Woodcroft DS0000020707.V364832.R01.S.doc Version 5.2 Page 19 Records showed that senior managers visited the home on a regular basis to monitor how well the needs of the service users were being met. Other records seen also showed that the service users are periodically given survey forms to complete so that they can give feed-back to the provider. A number of the service users spoken to said how they often speak to senior managers who are visiting the home. Cash was seen to be stored by the home on behalf of some of the service users and records of any such transactions were seen to be kept in a clear and transparent way. A number of records were seen showing that safety checks had been carried out on such things as portable electrical appliances and fire safety equipment Records of fridge and freezer temperatures were seen to have been kept. The home was also seen to have secure storage for hazardous materials and have developed instructions for their safe use. As mentioned elsewhere in this report the staff team receive appropriate safety training in infection control, the safe handling of medicines, first aid, food hygiene, manual handling and fire prevention. Woodcroft DS0000020707.V364832.R01.S.doc Version 5.2 Page 20 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 x 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 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 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 Woodcroft DS0000020707.V364832.R01.S.doc Version 5.2 Page 21 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Woodcroft DS0000020707.V364832.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT National Enquiry Line: 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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