Latest Inspection
This is the latest available inspection report for this service, carried out on 13th May 2010. CQC found this care home to be providing an Good service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Woodcrofts.
What the care home does well People living at the service are supported to access the `Care at the Chemist` scheme enabling them to receive prompt treatment for minor ailments. What the care home could do better: Further external medication training is planned for staff, but this needs to be supported by assessment of staff competency in the homes medicines policies and procedures to help ensure consistency in the way medicines are handled. Care needs to be taken to always clearly record any health care professional advice or medication changes to help support and evidence the safe administration of medicines, as prescribed. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Woodcrofts 164 Warrington Road Widnes Cheshire WA8 0AT 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: Stephanie West Date: 1 3 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Woodcrofts 164 Warrington Road Widnes Cheshire WA8 0AT 01514245347 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Sheila Gilroy Type of registration: Number of places registered: Conditions of registration: Category(ies) : Woodcrofts Residential Homes Limited. care home 21 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Conditions of registration: 21 The maximum number of service users who can be accommodated is: 21. 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: Mental Disorder, excluding learning disability or dementia - Code MD. Date of last inspection Brief description of the care home Woodcrofts is a privately owned two-storey care home providing accommodation to 21 adults with mental health needs. Three members of the family, one of which lives on the premises, share the day-to-day management responsibilities.
Care Homes for Adults (18-65 years) Page 2 of 10 3 0 0 9 2 0 0 8 Brief description of the care home The home is located approximately three-quarters of a mile from Widnes town centre and is close to a church, shops and other community facilities. There are adequate car parking facilities available adjacent to the home. Residents accommodation consists of seventeen single and two double bedrooms [used as single accommodation]. There are a variety of communal facilities available. These include three lounges, one of which is the designated smoking area and a dining room. Woodcrofts has an adequate number of toilets and bathrooms available for residents. Care Homes for Adults (18-65 years) Page 3 of 10 What we found:
The purpose of this visit was to look at action taken to improve medicines handling in order to address concerns identified at our previous visit and to meet with current requirements. This visit focused on medicines handling, other areas were not examined on this occasion. We looked at care documentation within the home and the medication systems that were in place. We spoke with the acting manager and staff responsible for medicines handling. Overall we found that action was being taken to bring about improvement in medicines handling, although there were some areas that remain to be addressed to help ensure peoples health and well-being is best protected. We looked at medicines administration. All medicines were administered by care staff. The homes medication policy was available for reference and provided written guidance in the handling of medicines at the home. And, since our previous visit staff attendance at further external medication training had been planned, to help ensure that all staff handling medicines will have up-to-date knowledge in this area. But, assessment of staff competence in medicines handling had not been carried out. This needs to be completed to help ensure consistency in the handling of medicines at the home. We saw that some peoples medicines had special label instructions such as, before food but arrangements were not in place to ensure this always happened in practice. This needs to be addressed to help ensure people receive most benefit from their medicines. People living at the home are supported to access the pharmacy Care at the Chemist scheme enabling them to receive prompt treatment for minor ailments without a prescription. We looked at how medicines were recorded and found recent records of receipt, administration and disposal to be generally clear and accurate. Staff had recently started to mark when new supplies of medicines were started helping to ensure that medicines handling can be accounted for (tracked). But, where quantities of medicine were carried forward from previous months deliveries the quantities were not recorded. This is recommended to help ensure all medication be accounted for (tracked). We looked at how care plans supported the safe use of medicines. We were concerned that there was a lack of clear guidance for staff about the use of medicines prescribed when required about when they may be needed, and how this need is made known. This needs to be addressed to ensure consistency in their use as prescribed, when needed. We saw that records of healthcare professional advice were generally recorded within peoples care plans. However, we were concerned that we were unable to confirm a recent dose change to one persons medication. There was no supporting information about when the dose change was made, or who by within their care plan. The manager said that action would be taken to obtain confirmation of the dose change and that usual practice was to ask for this in writing. We found that medicines were stored securely. This helps to ensure that they are not misused or mishandled. Arrangements were not in place for the safe handling and storage of controlled drugs. Consideration needs to be given to this as the homes medicines storage would not comply with current law should any be prescribed. The manager had started to carry out written medicines stock checks but wider audits of medicines handling were not completed. This should be considered to help ensure that should any shortfalls arise they can be promptly identified and addressed.
Care Homes for Adults (18-65 years) Page 4 of 10 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 5 of 10 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 6 18 Residents or a representative 27/07/2010 of theirs must be fully involved in putting together and reviewing their written care plan and they must be signed on completion and following each review to show their involvement and that they agree with their plan of care. 2 6 15 Residents must have a written care plan so that staff have all the information they need about how all their needs are to be met. 07/07/2010 3 13 16 The home must discuss with residents a programme of activities and make arrangements to provide facilities for recreation, fitness and training, which meet their individual needs so that they are given appropriate opportunities to take part in activities of their choice. 30/06/2010 4 16 16 Residents must be provided with laundry facilities 07/05/2010 Care Homes for Adults (18-65 years) Page 6 of 10 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 to wash, dry and iron their own clothes if they wish. 5 16 17 A record of any limitations must be kept and agreed with the resident or their representative to show that decisions have been made in the best interest of the resident. 6 16 16 Adequate facilities must be provided at the home so that residents can safely prepare their own food and drinks. 7 20 13 Effective training and assessment of competency for staff giving out medications need to be in place. In order to make sure that people living in the service receive their medications correctly. 8 24 23 Areas of the home used by 14/04/2010 residents must be made safe to ensure their health, safety and welfare. 9 24 23 All parts of the home and 31/08/2010 equipment used in it must be maintained and kept in a good state of repair to ensure residents comfort and dignity. 10 30 13 Equipment must be provided 10/04/2010
Page 7 of 10 07/05/2010 31/05/2010 07/05/2010 Care Homes for Adults (18-65 years) 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 at the home and it must be used and disposed of appropriately to minimise the risk of cross infection. 11 33 18 Staffing levels must be sufficient in numbers to meet the assessed needs of the residents. 12 34 19 A thorough recruitment procedure that fully protects the people receiving a service must be implemented. [Timescale of 07/09/06 not met]. 12/10/2007 07/05/2010 Care Homes for Adults (18-65 years) Page 8 of 10 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 1 20 13 Clear records of any health 21/06/2010 care professional advice or medication changes must be made to help support and evidence the safe administration of medicines, as prescribed. 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 To help ensure consistency in the handling of medication at the home assessments of staff competency should be completed in this area. Where medicines are prescribed when required there should be written guidance for staff about when they may be needed and how this need is made known. Care Homes for Adults (18-65 years) Page 9 of 10 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 10 of 10 - 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!
