Care Home: Woodfield Court Residential Home

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What the care home does well An experienced manager and a regular and familiar staff team look after the residents. Care is delivered with dignity and the routine of the home is flexible. Mealtimes are an opportunity to meet other residents as well as enjoy good food. Comments received include: "I consider Woodfield Court to be very well run in comparison to other homes I have visited." "Their care of the elderly seems first class". "Staff are good and I have a system going with them" What has improved since the last inspection? CARE HOMES FOR OLDER PEOPLE Woodfield Court Residential Home Temple Road Stowmarket Suffolk IP14 4AT Lead Inspector Nicola Dowling Unannounced Inspection 28th January 2008 09:45 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 Woodfield Court Residential Home DS0000024532.V358387.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. Woodfield Court Residential Home DS0000024532.V358387.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodfield Court Residential Home Address Temple Road Stowmarket Suffolk IP14 4AT Telephone number Fax number Email address Provider Web address Name of registered provider Name of registered manager Type of registration No. of places registered (if applicable) 01449 614114 01449 614114 Stowcare Limited Miss Stephanie Cross Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Woodfield Court Residential Home DS0000024532.V358387.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th March 2007 Brief Description of the Service: Woodfield Court is a 29-bedded care home for Older People, wholly owned by Stowcare Ltd. Simon Gibb, General Manager of Stowcare Ltd is actively involved in the daily running of this home. Mrs Gibbs, a Director of the Company, and State Registered Nurse, also contributes actively to the home. The original building was substantially renovated and extended before opening as Woodfield Court in 1995. Two additional rooms were added in 2003. All rooms are single rooms with en-suite toilet facilities. There are two lounges, one large, one small, and two dining rooms. Externally, the home is equipped with a large garden, and a level path surrounding the building. The Home can provide for residents who have physical disabilities and medical conditions arising from the ageing process. The Home does not provide nursing care. A comprehensive Residents Information Pack is given to all new admissions and there is a one-month trial period to assess that the Home is appropriate and suitable for each resident. Woodfield Court Residential Home DS0000024532.V358387.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 the people who use this service experience good quality outcomes. The key inspection site visit took place over a six and a half hour period on one day. The site visit consisted of a tour of the home, talking with staff and residents, observing the care given and reading of documents. Most of the residents were seen and some were spoken to. The proprietor and manager were both present during the day and assisted with the inspection. Also three staff were spoken with through the day. In addition there were twelve survey forms that were received back from the residents, relatives, staff and other professionals. These were used along with the Annual Quality Assurance Assessment (AQAA) to contribute to this report. The inspector would like to thank the staff and residents for their help and hospitality during the visit. What the service does well: What has improved since the last inspection? There have been improvements in the home’s décor and facilities. For example new chairs and carpets have been purchased. A bathroom is being refurbished. Staff have had dementia awareness training. All staff have the General Social Care Council (GSCC) code of practice and leaflets about safeguarding adults from Suffolk Council. The manager and proprietor have updated their knowledge of the Mental Capacity Act (MCA) 2005 and view care websites such as Alzheimer’s Society and Age Concern to keep up with current issues that affect elderly care. Woodfield Court Residential Home DS0000024532.V358387.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Woodfield Court Residential Home DS0000024532.V358387.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 Woodfield Court Residential Home DS0000024532.V358387.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): 1&3 6 Not Applicable Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are assessed by experienced staff and have enough information about the home to establish if their needs can be met. EVIDENCE: The manager has an information pack that all residents receive when they come to the home. This information is accessible and is held in the main hallway and is available for anyone to read. Feedback from residents questionnaires indicated that they did received enough information to enable them make up their mind about the home. Before entering the home a prospective resident will have an initial assessment. This is undertaken by the manager or deputy manager to find out if the home can meet the residents needs. A detailed assessment was seen in the residents care file that covered physical, psychological and social needs Woodfield Court Residential Home DS0000024532.V358387.R01.S.doc Version 5.2 Page 9 along with any other personal needs. This assessment is undertaken with the resident and family members and goes on to form the daily plan of care. Woodfield Court Residential Home DS0000024532.V358387.R01.S.doc Version 5.2 Page 10 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 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect staff to be sensitive to their care needs and to deliver care with dignity in mind. EVIDENCE: Three residents care plans were inspected. The care plans covered all areas of care and were short and easy to read. The senior care staff also undertakes risk assessments and monthly reviews. Residents and their families are invited to be involved in the care planning process, however uptake of this has been slow. Residents spoken with commented on their care and said that they felt “well cared for” and “not neglected”. This was also reflected in the surveys received from relatives and other professionals. Daily care notes evidenced that health care is monitored. For example care staff are aware of the importance of nutrition. They do not undertake a detailed assessment of nutrition however they do take into account the residents weight and general health and wellbeing as indicators for this area of care. The manager also uses other health care professionals to provide Woodfield Court Residential Home DS0000024532.V358387.R01.S.doc Version 5.2 Page 11 treatment and advice. For example a district nurse called on the day of inspection along with a social worker. Residents commented that staff treated them well. We observed care staff helping residents in a gentle and caring way. Giving them reassurance and guidance when the residents were being assisted with walking aids. We observed the administration of medication to residents. This practice was good. Residents also have a risk assessment to establish if they are able to manage their own medicines. Some residents do this whilst others have chosen not to. Staff are sensitive to residents needs. For example one resident that had previously suffered with toothache was discretely asked if they needed further pain relief. Although the administration and recording of medication demonstrated good practice. The storage of medication does not meet the guidelines set out in the Royal Pharmaceutical Society of Great Britain, Administration and Control of Medicines in Care Homes. This whole area needs to be reviewed and a safer storage system put into place. Woodfield Court Residential Home DS0000024532.V358387.R01.S.doc Version 5.2 Page 12 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 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have a relaxed lifestyle with good food and opportunities to socialise. EVIDENCE: There is a flexible routine for the residents. Residents can choose to spend time in their room, watching TV or reading the papers and doing crosswords. They can also participate in other activities that the manager provides. For example after lunch on the day of inspection residents made snowmen and knitted scarves. This was well organized with the residents enjoying a glass of sherry while they undertook this activity. There is a notice board in the hallway that gives details of what activities are going to take place for the residents. A senior care worker also reported that the manager has appointed a person to do hobbies with the residents through the week. However as yet they have not started. Residents spoken with were generally happy with the activities provided by the manager. Some commented that they would like more trips out. The manager is looking into how the mini bus for the home is used. Woodfield Court Residential Home DS0000024532.V358387.R01.S.doc Version 5.2 Page 13 Residents can receive visitors in their rooms or in the communal areas. Feedback from the relatives’ questionnaires commented that there is a “welcoming and happy atmosphere” in the home. Religious services take place in the home and the manager supports residents to maintain their faith. One resident commented how nice the services are. The manager does not hold any money for the residents. Advocates are not used often. However the manager has used an advocacy service in the past and is aware of their role within the care environment. The proprietor is knowledgeable about the Mental Capacity Act 2005 and how this impacts on the residents care. Residents had good reports about the food served in the home. The manager operates a system of residents changing seats in the dinning room every month. This is so that all residents get to know each other. This system does not suit all residents and for those that choose not to eat in the dinning room the staff take their food to their room. The dinning room is also slightly partitioned so that those residents who require help with eating can be supported in a dignified manner without embarrassment. There is a choice of menu and drinks and snacks are served between meals, this also includes a healthy option of fruit. Woodfield Court Residential Home DS0000024532.V358387.R01.S.doc Version 5.2 Page 14 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 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff listen to residents and act to resolve complaints at the earliest stage. EVIDENCE: Since the last inspection the manager has investigated one serious incident that occurred at the home. This incident was theft of money from a resident. The manager followed the company complaints procedure and the outcome included reimbursement of the money lost and dismissal of the person involved. The complaints procedure is accessible in the home and residents are given a copy of the procedure in their information pack. Residents were asked if they knew whom to approach if they have a problem and those asked were clear about whom to talk to. The manager reported that they prefer to deal with problems as they arise to prevent problems escalating. Feedback from resident and relatives’ questionnaires supported this. Staff have received adult protection training and there was certificated evidence of this. The manager and proprietor have ensured that policies and procedures are up to date on this subject. All new staff undertake induction training that covers the topic of abuse. Woodfield Court Residential Home DS0000024532.V358387.R01.S.doc Version 5.2 Page 15 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 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a comfortable environment that is clean and well maintained. EVIDENCE: The sitting rooms and dinning room and other communal areas are warm, well lit and have comfortable seating. Some residents showed their room to us. These contained their own possessions and were kept in the style that the residents chose. Residents were pleased with the laundry service that they receive. One resident said that staff “do extra” for them. For example when clothes have been freshly laundered, ironed and put away. If, when they come to ware a particular article of clothing it has become creased, the staff will iron it again for them. Woodfield Court Residential Home DS0000024532.V358387.R01.S.doc Version 5.2 Page 16 The home is kept clean and surveys supported this. There were no bad odours in the home. The manager implements infection control guidance to ensure hygiene standards are maintained. For example hand-washing facilities. Woodfield Court Residential Home DS0000024532.V358387.R01.S.doc Version 5.2 Page 17 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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff that are trained in care looks after residents. Missing documents let down the otherwise robust recruitment process. EVIDENCE: The manager employs cooks and domestic staff in the home so that care staff can look after the residents needs. The staff are familiar with the residents and knew them by name. The staff team is regular and care staff described good communication between themselves and the managers. Comments from the residents included that they “felt cared for”, by the staff. Currently of the twenty staff team, eleven have a National Vocational Qualification (NVQ) in care. Three staff are also working towards their NVQ. Four staff files were checked. Some recruitment documentation was missing and this included photographs and proof of identification. This was fed back to the proprietor and manager. They reported that they are currently in the process of checking each file and will ensure that all documentation relevant to recruitment will be put in place. All new staff follow the skills for care induction programme. Other staff undertake core skills courses for example fire, manual handling and infection control. Some staff have also undertaken dementia awareness training. Woodfield Court Residential Home DS0000024532.V358387.R01.S.doc Version 5.2 Page 18 Feedback from staff included more skills and training courses to be made available. The manager, as an area for improvement has already identified “Introducing more courses to staff” on the AQAA form. Woodfield Court Residential Home DS0000024532.V358387.R01.S.doc Version 5.2 Page 19 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, 36 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from a competent manager that runs the home well. EVIDENCE: The manager has the Registered Managers Award (RMA) and has suitable experience and qualifications to look after and work with older people. The manager has undertaken quality assurance work to gain the views of residents and others about the home. The last surveys were carried out in November 2007. At this time the residents requested more crafts, games, jigsaws and scrabble. The manager has recruited a hobbies person to meet this request from the residents. Woodfield Court Residential Home DS0000024532.V358387.R01.S.doc Version 5.2 Page 20 The manager does not hold any money for the residents. Money is generally managed by resident’s relatives or by residents themselves. There are secure facilities in the residents’ rooms for valuable items. The manager ensures that residents’ records are held securely and that if residents request it they can have access to their records. The registered provider does visit the home regularly and maintains good contact and communication with the manager. However the provider does not carry out a monthly-unannounced visit under regulation 26. This involves inspecting the premises and it’s records. Interviewing residents, their representatives and staff to form an opinion of the standard of care provided in the home and then write a report of the findings. A random sample of safety certificates was inspected. The manager has kept all these up to date. The provider has also ensured that all health and safety risk assessments are reviewed and that policies and procedures are in place. Woodfield Court Residential Home DS0000024532.V358387.R01.S.doc Version 5.2 Page 21 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 2 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 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x 2 3 Woodfield Court Residential Home DS0000024532.V358387.R01.S.doc Version 5.2 Page 22 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 OP9 Regulation 13(2) Requirement The medication storage in the home must be reviewed. This includes: • Controlled drugs. • Medicine Keys. • Medication trolley. • Recording of fridge temperature and room temperature. • Medication room. This is to ensure that all medication is treated as valuable and to deter theft. Also to meet the guidelines from the Royal Pharmaceutical Society of Great Britain, Administration and Control of Medicines in Care Homes. All care workers must have identification that includes a recent photograph. This is to for a robust recruitment process that demonstrates staff employed are fit to work with vulnerable people. Timescale for action 06/05/08 2 OP29 19 Schedule 2(1) 19/03/08 Woodfield Court Residential Home DS0000024532.V358387.R01.S.doc Version 5.2 Page 23 3 OP37 26 The proprietor must produce a written report to include, inspection of the premises and it’s records and interviews with staff, residents and others. This is to establish and monitor the standard of care provided. 19/03/08 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 Woodfield Court Residential Home DS0000024532.V358387.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eastern Regional Contact Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE 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. Extracts may not be used or reproduced without the express permission of CSCI Woodfield Court Residential Home DS0000024532.V358387.R01.S.doc Version 5.2 Page 25 - 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. 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