Care Home: Woodlands

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What the care home does well We have judged that all eight requirements we made following the last inspection have been met. Risk assessments have been carried out, and management plans put in place to manage any of the risks people living here might come across, both at home and in the wider community . People are doing a wider range of activities, and staff are spending more time encouraging people to do things for themselves. Staff have been looking for activities to do at weekends, and one person now goes bowling on Sundays. Another person has chosen to go to a local Caribbean restaurant each week for a meal. Generally medication is handled well. All the information required about staff is held, and staff rotas, which are now accurate, show that there are enough staff to make sure the planned activities can go ahead. Some staff training has taken place, including moving and handling, infection control, autism awareness and PEG feeding. There are plans for further training, especially in sensory awareness. What the care home could do better: We found a couple of issues with medication. There were no `carried forward` figures on the MAR charts, so we were unable to carry out a proper audit as we did not know how many tablets each person had at the beginning of the cycle. Also, when a variable dose has been prescribed (for example, `one or two tablets to be taken`) staff are not recording how many have actually been given. We have made a requirement about these issues. The home must carry out its own medication audits and make sure they are accurate.The home must also maintain the progress it has made, and ensure that it continues to meet the standards and regulations. In particular, staff must continue to receive training, including regular refresher courses, and staffing levels must be maintained to ensure that people can continue to develop their independence and lead full, satisfying lives. Random inspection report Care homes for adults (18-65 years) Name: Address: Woodlands Leamington Road Barton Hills Luton Beds LU3 3XF one star adequate 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: Nicky Hone Date: 2 6 0 5 2 0 1 0 Information about the care home Name of care home: Address: Woodlands Leamington Road Barton Hills Luton Beds LU3 3XF 01582564780 01582564782 Telephone number: Fax number: Email address: Provider web address: www.affinitytrust.org Name of registered provider(s): Name of registered manager (if applicable) Mr Mohamed Naguib Fuzurally Type of registration: Number of places registered: Conditions of registration: Category(ies) : Affinity Trust care home 5 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 5 The maximum number of service users who can be accommodated is 5 The registered person may provide the following categories of service only: Care Home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning Disability - Code LD Date of last inspection Brief description of the care home Woodlands is a home for up to five adults with learning disabilities. Affinity Trust (formerly TACT UK Ltd ) manages the care and support needed by the people who live here. The bungalow is owned by MacIntyre Housing Association MHA, which is Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home responsible for the maintenance and upkeep of the building. The home is situated in a well-established residential area of Luton, with access to local shops as well as to town centre facilities and good public transport links. Woodlands is a large bungalow, which is suitable for people who may also have physical disabilities. About 4 years ago, Woodlands was completely refurbished to a very high standard, and more work was done last year to make the bungalow more suitable to provide supported living. Each service user has their own bedroom with an ensuite bath or shower. Two of the bedrooms also have their own kitchen/living room. Communal space consists of a large lounge, activity room, quiet room, and a goodsized kitchen/dining room. Office, storage, laundry and additional bathing facilities are also provided. There is a garden to the rear of the building and a number of parking spaces to the side of the home. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: We (the Care Quality Commission) carried out this unannounced random inspection of Woodlands on 26/05/2010, to check that the home had met the requirements we made at the inspection on 24/09/2009. We spoke with the manager, deputy manager and one of the people who lives here. We also spoke with the operations director from Affinity Trust who arrived to carry out a regulation 26 visit. The management team told us that the plans for Woodlands to de-register and become supported living are moving forwards. All 4 people who live here, with support from families and advocates, have decided they want to stay here. Assessments are currently being done to ensure that the level of support each person needs will be available. Staff have visited 2 other supported living projects, and continue to move towards working in a supported living way. For example, each person now has their own menu, they each do their own food shopping, and they help staff to prepare and cook their meal. The two people who have kitchen/living rooms are now using these to cook and eat in. One of these people now enjoys spending time sitting in his living room listening to his music: staff said he is much more relaxed. What the care home does well: What they could do better: We found a couple of issues with medication. There were no carried forward figures on the MAR charts, so we were unable to carry out a proper audit as we did not know how many tablets each person had at the beginning of the cycle. Also, when a variable dose has been prescribed (for example, one or two tablets to be taken) staff are not recording how many have actually been given. We have made a requirement about these issues. The home must carry out its own medication audits and make sure they are accurate. Care Homes for Adults (18-65 years) Page 4 of 8 The home must also maintain the progress it has made, and ensure that it continues to meet the standards and regulations. In particular, staff must continue to receive training, including regular refresher courses, and staffing levels must be maintained to ensure that people can continue to develop their independence and lead full, satisfying lives. 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 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 6 of 8 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 All medicines, including variable doses, must be recorded accurately when received into the home, carried forward from a previous medication cycle, and when administered. So that people who live here receive their medication safely. 11/06/2010 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 Care Homes for Adults (18-65 years) Page 7 of 8 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. 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