Care Home: Woodland Care Home

Similar services:

• Ashlea Mews Residential Home
• Eastwood
• West Lodge
• Arran House
• Avenue Community Nursing Home
• Cosin Lodge
• Farmborough Court
• Cragston Court

What the care home does well The underpinning values of the service are clearly stated. This means that people who are considering coming to live at the service know what they can expect. Clear information is shared with people who are considering living at the service so they can make an informed decision. The home assesses the needs of prospective service users so that people can be a sure as possible that their needs will be met. Where possible service users can take their time to get to know the home before signing a contract. People who live at the home are encouraged to make their own decisions and to influence the way the home is run. Opportunities are created for service users to express their views and people generally feel that they are listened to. People who live at the home are involved in planning their care and their views are taken into account. Service users are consulted and can influence the quality of the service they receive. In surveys the staff identified the following as things that the service does well- activities, meeting needs, holding meetings with staff and service users, and helping service users to regain independence.In surveys the people who live at the service, without exception, confirmed that the home was always fresh and clean and that the staff treat them well, listen to them and act on what they say. What has improved since the last inspection? The premises have been improved so that people who live there have better facilities and the home is a safer environment. Social care is more individualised and people can enjoy one to one outings or small group activities. People are supported with taking medications in a safer way, so that they are protected from harm. What the care home could do better: CARE HOME ADULTS 18-65 Woodland Care Home 28 Market Place Bishop Auckland Durham DL14 7NP Lead Inspector Carole McKay Unannounced Inspection 5 and 26 March 2008 11:00 th th Woodland Care Home DS0000007458.V362306.R01.S.doc Version 5.2 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 Woodland Care Home DS0000007458.V362306.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 Adults 18-65. 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. Woodland Care Home DS0000007458.V362306.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodland Care Home Address 28 Market Place Bishop Auckland Durham DL14 7NP 01388 606763 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) woodlandcare@fsmail.net Woodland Care Ltd Janet Marie Garcha Care Home 15 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (14), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (1) Woodland Care Home DS0000007458.V362306.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st November 2006 Brief Description of the Service: Woodland is a care home providing personal care and accommodation for up to 15 adults, with mental disorders, (not including learning disabilities or dementia,) including one older person. Woodland operates within the private sector as a limited company. The home is the sole care establishment operated by Woodland Care Ltd; Mrs Hakim, one of its directors is the homes responsible individual. Woodland is a three-storey building adjacent to Bishop Aucklands market place. The accommodation is provided in 13 single bedrooms and 1 double bedroom, none of the bedrooms have en-suite facilities although there are sufficient toilets, showers and bathing facilities to meet the needs of residents. There is a large garden to the rear of the property. Prices for the service at the time of inspection were £347.00 per week. Woodland Care Home DS0000007458.V362306.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 service was visited on two occasions. The manager was interviewed; staff and service users were consulted. Surveys were sent to the home but unfortunately these were not returned in time to be taken into account in the inspection but a summary has been included in the report. The results from the home’s survey are referred to. A tour of the building was undertaken. The records and procedures kept at the home were examined. What the service does well: The underpinning values of the service are clearly stated. This means that people who are considering coming to live at the service know what they can expect. Clear information is shared with people who are considering living at the service so they can make an informed decision. The home assesses the needs of prospective service users so that people can be a sure as possible that their needs will be met. Where possible service users can take their time to get to know the home before signing a contract. People who live at the home are encouraged to make their own decisions and to influence the way the home is run. Opportunities are created for service users to express their views and people generally feel that they are listened to. People who live at the home are involved in planning their care and their views are taken into account. Service users are consulted and can influence the quality of the service they receive. In surveys the staff identified the following as things that the service does well- activities, meeting needs, holding meetings with staff and service users, and helping service users to regain independence. Woodland Care Home DS0000007458.V362306.R01.S.doc Version 5.2 Page 6 In surveys the people who live at the service, without exception, confirmed that the home was always fresh and clean and that the staff treat them well, listen to them and act on what they say. 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 contacting your local CSCI office. The summary of this inspection report can Woodland Care Home DS0000007458.V362306.R01.S.doc Version 5.2 Page 7 be made available in other formats on request. Woodland Care Home DS0000007458.V362306.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Woodland Care Home DS0000007458.V362306.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Accessible and clear information is available for service users who are fully involved in a comprehensive assessment process. EVIDENCE: The service user guide is comprehensive and easy to read. The underpinning values of the service are clearly stated, these being: privacy, dignity, rights, choice, fulfilment and independence. The service is described as being’ led by the needs of the service users’, ‘open, positive and inclusive’. The admission process is described in a written procedure. Under normal circumstances this is a very gradual process and involves pre admission visits to the home, followed by short introductory stays, as well as a trial period. The views of existing service users are taken into account during this process. A key worker from the staff team is allocated to the service user once they are admitted to the home. Woodland Care Home DS0000007458.V362306.R01.S.doc Version 5.2 Page 10 A copy of the guide and a sample contract are both given to service users before admission and during the initial assessment process. Contracts signed by both parties are completed once an admission takes place. The contract is also a comprehensive document. And it clearly states the rights, as well as the responsibilities of the service user. No recent planned admissions have taken place. But one emergency admission occurred some time ago. The home had received good information from the person’s care manager, and the person was admitted with a detailed care plan and medication plan. Two staff from the person’s previous home accompanied the person during the admission. The home also has a comprehensive pre admission assessment. The manager, Janet, or her deputy use this to make an initial assessment of the home’s suitability for a prospective resident. This involves visiting the person and working through the assessment with them. The manager described a good level of support from community mental health team with the admission process. During a more recent emergency admission, there was evidence that the home had been provided with all necessary information, including a clinical risk assessment and a plan for managing risk. Woodland Care Home DS0000007458.V362306.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staff are being properly supported to meet individual service users’ needs. Service users influence the way they receive support. EVIDENCE: Each service user has a service user plan. Service user plans were examined. These files are well organised and indexed. Basic information is held at the front with a photograph of the person and information about how they prefer to be known. The care plan section is comprehensive and includes: medical history, communication, personal hygiene, personal care, dressing, eating, health, mental health, posture movement, maintaining safe environment, work recreation, social, sexuality, sleep, education, cooking skill, community use, independent travel. The plan is devised with the person using the service and a care plan agreement is signed. This includes a true statement of need Woodland Care Home DS0000007458.V362306.R01.S.doc Version 5.2 Page 12 declaration, which is also signed by the service user and the member of staff responsible for completing the document. Each care plan is evaluated monthly and up to date review notes are in place. The service user plans have a section for personal future planning (PFP). This section is based around the underpinning values of the service. These are drawn from a Department of Health guidance document – Homes are for Living In (HAFLI) and take account of the outcomes for service users. Aspirations and personal goals are included. There is evidence that service users are involved in devising these. Documents are signed and meetings are recorded. These are reviewed bi- monthly in one to one meetings with key workers. Each plan has a risk assessment section. Risks are assessed under headings: environment, daily activity, injury self and others, out and about, lifting and handling, health and vulnerability. The service user, as well as the person carrying out the assessment signs these. Each specific risk is described in detail followed by action to be taken to support the service users. The service shows that it has a ‘can do’ attitude to risk taking. There are clear written plans for support in managing behaviour that could lead to harm. There is evidence that the person using the service is involved in devising these. The plans include strategies for coping. Triggers and deescalation and other techniques are clearly identified. Service users are consulted on how well the plan works for them and their comments are recorded at the evaluation and review. Last year each person living at the home was involved in a survey about his or her lives at Woodlands. The survey covered the HAFLI principles and included specific questions about the support people receive. Woodland Care Home DS0000007458.V362306.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the service are supported to maintain good relationships, experience an active lifestyle and use local community facilities. EVIDENCE: The home has an activity co- coordinator, who is part of the staff team and has time out from the usual duties to organise social activity. Community presence, social activity, relationship needs are all part of the home’s assessment and each service user plan includes action plans for these areas of the lives of the people using the service. Clear planning was evident for one service user’s agreement to take part in structured activity. Woodland Care Home DS0000007458.V362306.R01.S.doc Version 5.2 Page 14 Service users had been out in the morning of the inspection and another person was going out, with staff support later that day. A small group short break to London is planned for later in the month. Photographs from outings and holidays are evident around the home. There is evidence that family contact is supported through visits. The manager said that many of the service users prefer to go out together as one large group. But the manager is trying to encourage smaller group outings. The recent survey for service users asked very specific questions about how people like to be supported and what activities they would like to pursue. Some of these suggestions have been followed through. For example one person is now attending church. Service users meet regularly as a group to discuss the running of the home. These meetings are recorded. Matters to do with organising activity are covered in the meetings. Menus are varied and choices are offered at each meal on the menu. Service user survey asked questions about meals and menus. Responses indicated a high level of satisfaction with the food. One repeated comment arose to do with having more take away meals. Individual preferences are respected and addressed, for example one service user supported to take meals alone Woodland Care Home DS0000007458.V362306.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive personal and health care support to meet their individual needs and preferences EVIDENCE: Most of the service users have lived at the service for several years and have been registered with the same local GP practice for that time. The manager said that the home receives a good level of support from the practice and that one of the GPs regularly attends the home to review the health care needs of the service users. Appointments are also made at the surgery as required. For recent short-term emergency admissions to the home the service users concerned have been able to continue to use their own GP practice. The homes pre admission assessment covers medical history and general health. Each service user plan has a section for health needs, and records of appointments. The manager said that service users receive a good level of Woodland Care Home DS0000007458.V362306.R01.S.doc Version 5.2 Page 16 support from local mental health teams and a consultant from a nearby specialist centre attends the home regularly to review the care needs of his clients at the home. There is evidence in the records that community psychiatric nurses attend the home frequently. Janet said that she can call on these services at any time on behalf of service users and can expect a prompt response. Medication procedures at the home have just been up dated following training for the staff, which highlighted some gaps. Janet has introduced procedures for monitoring the competency of the staff in administering medications. Competency statements have been introduced for each member of staff. These are signed and dated through to February 2008. Medications administered to service users are fully recorded and accounted for. Changes to medication are recorded on special forms, showing change, date, reason and the signature of visiting professional. The home has a file of guidance showing information and side effects of each medicine in the home. Medications are recorded as they are received on the medication administration record (MAR) and returns are recorded on the returns book. This book includes name of service users and name and strength and dose of medicines as well as signatures of receivers. A weekly medication audit has been introduced. This is recorded on a checking sheet, signed and dated by two people. Copy prescription sheets are held on file as well as permission forms for use of over the counter medication such as paracetomol. The service user survey, carried out last year, included a section of questions to do with ‘ improving health and emotional well being’. In answers all service users responded ‘yes’ to the questions about feeling cared for and having their health needs met. Service users were also asked about personal care. Most responded positively to questions about the level of support they received and all answered ‘yes’ to the question ‘ do you feel you are treated equally and with respect’. Woodland Care Home DS0000007458.V362306.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at the service are able to safely express themselves, and are protected from harm EVIDENCE: A copy of the basic complaints procedure is available at the front door. This refers to the ‘open door’ policy and the complaints book. There is a suggestion box in the hallway. The home has a detailed complaints procedure. A copy of this is included in the service user guide. This is clear and easy to follow but it includes some out of date information about the National Care Standards Commission. And the role of the Commission for Social Care Inspection is misleading in other related procedures. Local Authority procedures to do with safeguarding service users from abuse, for County Durham are available in the home. The home also has copies of guidance documents – ‘No Secrets’ and ‘A Practical Guide’ in place. The home also has its own written procedures and these cover reporting concerns. Woodland Care Home DS0000007458.V362306.R01.S.doc Version 5.2 Page 18 All staff have received training in protecting vulnerable adults and the certificates are available. Staff meetings and supervision records show that safeguarding is addressed at each meeting. Staff are encouraged to identify any potential areas of vulnerability for service users. Recent allegations and the impact allegations could have on the mental health of service users were discussed. The manger was advised to forward the homes procedures for discussion with the lead officer for safeguarding in the Local Authority. Last year service users were surveyed about how well they felt they were listened to. All but two people answered ‘yes’ to the question ‘are your views taken seriously’. One person responded ‘sometimes’ and one person responded ‘no’. Suggestions for improving this were: ‘listen to my views more’ and ‘weekly one to one chats’. The manager has introduced regular meetings with service users. The home provides staff with detailed guidance to do with dealing with aggression and use of physical intervention. These reflect good practice guidance. Service users are supported to be as independent as possible in managing their own financial affairs and most do so. There is evidence that where courts of protection arrangements are necessary this is pursued. Woodland Care Home DS0000007458.V362306.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users live in a safe environment where they can exercise choice and control how it is improved. EVIDENCE: The home occupies a large old property with communal rooms and bedrooms on the ground floor and bedrooms and bathrooms on the first and second floors. As such it is neither easy to clean or easy to maintain. However the property has been improved in various areas since the last inspection. And the manager described future planned improvements. People living at the service have a choice to use a smoking or non-smoking lounge. None of the bedrooms have en suite facilities, but facilities are available on each floor. These have been upgraded since the last inspection. Woodland Care Home DS0000007458.V362306.R01.S.doc Version 5.2 Page 20 Furnishings are varied in quality across the home. Some service users have bought items for themselves out of choice. Furniture is gradually being replaced with new. For example the non -smoking lounge has a new suite. The dining room has new tables and chairs. One of the service user’s rooms has recently been decorated to his personal preference and is very individualised. Each service user has a single room, but sharing can be accommodated if people prefer this. Room sizes pre date national minimum standards but the space dimensions are clearly described in the service user guide. The premises are in keeping with the local community and within walking distance of the town centre shops and banks. The premises are accessible to all service users, though one person commented that they did not like stairs. The home was clean throughout. There are separate laundry and staff facilities. In response to the home survey service users reported a high level of satisfaction with maintenance of the building. All replied that they liked their room and that he home was kept clean and tidy. Woodland Care Home DS0000007458.V362306.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A well-established, qualified and confident staff team supports Service users. Staff training may not always match the needs of the people who live at the service. EVIDENCE: The staff rotas provide for a minimum of two staff on duty at all times and this is exceeded at busy times of the day. No cleaning staff are employed, so these duties are carried out by the care staff. This matter was mentioned in staff surveys as a separate comment. One of the staff team takes a lead for staff training. But the manager has no training budget and free training tends to be sourced. The manager is of the view that staff miss out on opportunities because of this. There is no evidence that a training needs assessment has been carried out for the staff team as a Woodland Care Home DS0000007458.V362306.R01.S.doc Version 5.2 Page 22 whole. Nor has an impact assessment of all staff development been carried out to identify the benefits for service users and to inform future planning. Some of the staff have worked at the home for several years and some since the home opened in 1992. Files of the staff most recently recruited to the service show that there is a formal recruitment process and that this includes a formal application, references and criminal record checks as well as formal interviews. A highly structured induction process was in place for the most recent recruit. One of the staffs’ criminal record checks was dated 2004. All of the staff are trained to national vocational qualification (NVQ) standards at levels form 2 to 4. There is evidence in the staff records of further training in the following: fire safety, dementia, catheter care, safeguarding adults, food hygiene, diversity, medications, managing behaviour, deaf awareness, moving and handling and palliative care. Training for staff in The Mental Capacity Act is booked for this year. Janet, the manager has already had one day training in this. Regular staff meetings and one to one supervisions take place. These are recorded. Woodland Care Home DS0000007458.V362306.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed well and people living at the service have their safety and their rights protected EVIDENCE: Janet the manager is qualified and registered with CSCI. There is evidence that she undertakes periodic training to update her knowledge. Janet has introduced processes to monitor the quality of care since coming into post and these are having a beneficial affect on the experiences of staff and service users. The home has strong value base and clear aims and objectives. Satisfaction surveys are used; regular meetings take place in groups and at one to one Woodland Care Home DS0000007458.V362306.R01.S.doc Version 5.2 Page 24 level. These meetings are with staff and between staff and service users. Previous requirements arsing from inspection have been addressed. Janet has also forged productive working relationships with the owners of the home and other external agencies. These other interested parties could be brought into the quality assurance process. This should be considered. The home has the support of an external body for its health and safety guidance and assurance. Systems and checks are in place for all aspects of health and safety, including fire prevention, first aid, food hygiene, infection control, electrical equipment and installations. Woodland Care Home DS0000007458.V362306.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 4 2 4 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 2 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Woodland Care Home DS0000007458.V362306.R01.S.doc Version 5.2 Page 26 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 YA22 Regulation 22 Requirement The registered manager must update the complaints procedure to include current details of contacts for referring complaints to outside agencies The registered person must • Allocate to the manager a budget for training The registered manager must • Carry out a training needs assessment for the staff team as a whole • Carry out an impact assessment of all staff development to identify the benefit for service users and to inform future planning. Timescale for action 31/07/08 2 YA35 18(1)© 31/08/08 3 YA35 18(1)© 30/09/08 Woodland Care Home DS0000007458.V362306.R01.S.doc Version 5.2 Page 27 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA23 Good Practice Recommendations It is recommended that the manager contacts the lead officer for safeguarding in the Local Authority to share the homes safeguarding procedures and to discuss the procedures in the event of false, vexatious allegations and the influence that choice of service users has over making referrals. The registered manager should consider renewing criminal record checks for staff periodically. It is recommended the results of quality assurance surveys are compiled into a report and made available to stakeholders. Stakeholders could also contribute to the process. 2 3 YA34 YA39 Woodland Care Home DS0000007458.V362306.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Woodland Care Home DS0000007458.V362306.R01.S.doc Version 5.2 Page 29 - 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!