Care Home: Woodlands

Similar services:

• Chirnside House
• Keer Sands Residential Home
• Sunny Bank (P.R.S.) Ltd
• Ruskin Lodge
• Bushell House
• Ashwood Court Unit 1
• Langrigg House
• Parkside

What the care home does well The care files we looked at all contained relevant pre-admission assessment information including summaries of the Care Management Assessments.Staff told us that all prospective residents whether privately funded or referred through social services care management arrangements receive a full assessment of their needs. Residents and relatives have made positive comments about the quality, values and attitude of the staff and management.The staff team welcomes friends and relatives regardless of the time of day and make an effort to keep in touch with families about residents wellbeing and will spend time giving people reassurance and the chance to express their worries and concerns. Residents are supported to take the correct medication so that they stay well.To make sure that medication is given correctly,a medication administration system is used to record all aspects of managing medication. The daily life, social activities and occupation of residents is enhanced by a vast array of activity and stimulation. Staff excel in the range of activities which are provided to the residents at Woodlands.Themed nights take place, ethnic cooking and local chip shop fish and chip suppers are also arranged. Residents do not have a set menu, seasonal food is prepared which is what residents want and like. A choice of meal is always available. A resident when we asked what does the home do well said, "activity, playing bingo, going out for meals".A member of staff said, "I think Woodlands does well at a number of things such as meals".And added, "I don`t think it could do any better than it does".A further staff member listed taking residents on holiday and activities as being areas where the home does well. Activities include bingo, board games,knitting,quizzes,art, gardening,cooking and reminiscence. The home also encourage residents go outside the home and participate in activities,this maintains skills and independence.Staff will escort residents shopping,to the bank,outside hair appointments and to the pub.Although most of the time the residents want at the moment to play bingo.On the other afternoons the home has entertainers,movies and popcorn and sing a longs.Residents go out as small groups for activities such as meals and to the theatre.Residents also have an annual holiday for those residents that wish to go and are capable of accessing the minibus. There was a varied training programme in place for care staff to access.All the care staff employed at Woodlands have obtained or are studying towards there National Vocational Qualification Level 2 and/or Level 3. What has improved since the last inspection? The requirement we issued on our last inspection has been complied with. Daily records of the care given to residents are now written, to show what care the person has needed and to use when reviewing the care plans. Risk assessments have been reviewed and updated monthly to take into account any changes to a resident`s health or personal care needs. Corresponding care plans have then been written to address any identified risks. Records are kept of all incidents that occur in the home which are detrimental to the health or welfare of residents so the manager can properly assess the potential risk to residents and the need for further action to minimize the risk to themselves or other residents. The manager has developed an audit system to check that documentation has been completed to the required standards. There was a greater understanding of when incidents that affect the well-being of the residents should be reported to the Care Quality Commission.The owner/manager told us she has notified us about any incidents that occur in the home that are detailed in Regulation 37 of the Care Homes Regulations 2001. Outcomes for residents in terms of their quality of life was good. The overall quality rating for the home has improved and is good. What the care home could do better: There are no requirements arising from this inspection. There are some recommendations to support the home to further develop the service provided. Key inspection report Care homes for older people Name: Address: Woodlands 69 Queens Road Oldham OL8 2BA     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Kath Oldham     Date: 0 3 1 2 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Older People Page 2 of 29 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 29 Information about the care home Name of care home: Address: Woodlands 69 Queens Road Oldham OL8 2BA 01616249344 F/P01616249344 woodlandsltd@tiscali.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Woodlands Residential Care Home Limited care home 18 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: 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: Old age, not falling within any other category - Code OP, Dementia - Code DE, Mental disorder, excluding learning disability or dementia - Code ME. The maximum number of service users who can be accommodated is: 18. Date of last inspection Brief description of the care home Woodlands is a detached Victorian property situated one mile from Oldham town centre, close to local amenities and public transport. Accommodation is provided in 16 single rooms, 15 of which have ensuite. Of these, two bedrooms share an adjoining ensuite. One of the bedrooms is below the minimum Care Homes for Older People Page 4 of 29 Over 65 0 0 18 18 18 0 2 1 1 0 2 0 0 8 Brief description of the care home 10 square metres required by the National Minimum Standards. Communal areas consist of two lounges and a dining room, which leads onto a small conservatory area providing additional seating and a smoking area for residents. There are garden and patio areas to the front of the property, which are accessible to residents through the provision of ramps and handrails. There is a car park to the rear of the home. Residents gain information on the service through a service user guide, which is given to them prior to admission. The last inspection report is situated in the hallway of the home. The weekly scale of charges within the home range from £365 to £449. Additional extras not covered by the fees include hairdressing, chiropody and holidays. Care Homes for Older People Page 5 of 29 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This visit was unannounced, which means that the owner/manager, staff and residents were not told that we would be visiting, and took place on 26th November 2009 commencing at 9.15am. We returned to the home on 3rd December 2009 to provide verbal feedback to the owner/manager. The owner manager was available on the visit and provided us with information and records and support,in addition to the support from staff and residents. The inspection of Woodlands included a look at all available information received by the Care Quality Commission (CQC) about the service since the last inspection which was held in October 2008. Every year the owner,person in charge or manager is asked to provide us with written information about the quality of the service they provide.Some weeks before our visit the owner/manager was asked to fill in a questionnaire,called an Annual Quality Care Homes for Older People Page 6 of 29 Assurance Assessment (AQAA), telling us what they thought they did well, what they need to do better and what they have improved upon. This helps us to determine if the management of the home see the service they provide the same way that we do. We considered the responses and information the owner/manager at Woodlands provided and have referred to this in the report. Woodlands was inspected against key standards that cover the support provided, daily routines and lifestyle, choices, complaints, comfort, how staff are employed and trained, and how the service is managed. Comment cards were sent prior to the inspection for distribution to people staying and working at Woodlands the views expressed in returned comment cards and those given directly to the inspector are included in this report. We got our information at the visit by observing care practices, talking with people staying at Woodlands talking with the owner/manager and staff.A tour of Woodlands was also undertaken and a sample of care, employment and health and safety records seen. The main focus of the inspection was to understand how Woodlands was meeting the needs of residents and how well the staff were themselves supported to make sure that they had the skills, training and supervision needed to meet the needs of residents. The care service provided to three residents was looked at in detail to help form an opinion of the quality of the care provided.We call this case tracking.This is a way of inspecting that helps us to look at services from the point of view of the people who receive a service. We track residents care to see whether the service meets their individual needs. The term preferred by people consulted during the visit was residents. This term is, therefore, used throughout the report when referring to people living at Woodlands. A brief explanation of the inspection process was provided to the owner/manager at the beginning of the visit and time was spent on 3rd December 2009 with the owner/manager to provide verbal feedback. We have not received any complaints or safeguarding matters about this service. References to we or us in this report represents the Care Quality Commission(CQC). Care Homes for Older People Page 7 of 29 What the care home does well: What has improved since the last inspection? The requirement we issued on our last inspection has been complied with. Daily records of the care given to residents are now written, to show what care the person has needed and to use when reviewing the care plans. Risk assessments have been reviewed and updated monthly to take into account any Care Homes for Older People Page 8 of 29 changes to a residents health or personal care needs. Corresponding care plans have then been written to address any identified risks. Records are kept of all incidents that occur in the home which are detrimental to the health or welfare of residents so the manager can properly assess the potential risk to residents and the need for further action to minimize the risk to themselves or other residents. The manager has developed an audit system to check that documentation has been completed to the required standards. There was a greater understanding of when incidents that affect the well-being of the residents should be reported to the Care Quality Commission.The owner/manager told us she has notified us about any incidents that occur in the home that are detailed in Regulation 37 of the Care Homes Regulations 2001. Outcomes for residents in terms of their quality of life was good. The overall quality rating for the home has improved and is good. 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 29 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 29 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. To ensure that residents needs will be met and they are well informed before moving in they have had their needs assessed and are given information about Woodlands. Evidence: The information provided to us before our visit to Woodland completed by the owner/ manager told us, we encourage all potential residents to come to Woodlands and spend part of the day with us before they consider moving in. We generally like them to come mid morning and also stay for lunch to get more of a feel for the environment.our main philosophy at Woodlands is choice, with choice you give people freedom, dignity, self esteem and promote self worth.They also told us that in the last 12 months they have improved by having more meetings, talking more to and involving families. Residents have a full assessment of their personal care needs on arrival. This is agreed with them or their next of kin and it is an ongoing assessment. The home tries Care Homes for Older People Page 11 of 29 Evidence: to assist residents when needed but it is the homes aim to maintain skills and encourage independence without compromising care. There is a service user guide given out to people before they move in to help them make the decision as to whether Woodlands will be a suitable home for them. All prospective residents have had their needs assessed by relevant professionals before they move in,and staff from Woodlands carry out pre admission assessments.This is to make sure that the service has the facilities and skills to meet each persons health,cultural and personal care needs.Assessments,which we read,were in depth and formed the basis of the persons care plan. People are invited to visit Woodlands before moving in to meet with residents and staff and to make sure they will feel relaxed and at home. Care Homes for Older People Page 12 of 29 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans in Woodlands provide staff with the guidance they need,to ensure that each residents health and personal care needs will be met. Evidence: Care plans for three residents were read.They gave clear guidance for staff as to how each residents needs will be met in Woodlands.They had been signed by residents or their representatives to ensure their full involvement.To ensure that support is responsive to the needs of each resident,there are systems for assessing risk and reviewing and writing down each residents support needs as they change.A resident said,Everyone is very kind,they care for us very well. Staff described a good care plan for one resident whose weight was being monitored,however,this detail of care provision was not recorded in the residents care plan.This would demonstrate what was described to us on the inspection. The owner/manager said this was an oversight and an amended care plan would be put in place right away for this aspect of the residents care. We looked at the daily and nightly reports for the same three residents. Some of the Care Homes for Older People Page 13 of 29 Evidence: entries in these records were making judgments about how residents were feeling and didnt always record enough detail about the care and support provided. Some staff need to receive some direction on how to complete these records with the right sort of information Other records we saw gave a wealth of information and were completed so as to demonstrate the care and support residents received. All the responses received in surveys were positive regarding care and support for residents.A comment received regarding care and treatment of residents included,In my experience at the home,privacy and dignity have been respected. To ensure their health care needs are addressed,residents of Woodlands are registered with local GPs and receive support from staff in the home and through specialist visits to the home. We were told by staff that all health issues are referred immediately to the GP.The consultant,psychiatrist,chiropodist,dietitian and speech therapist are referred to for advice when required and their involvement in a residents care is encouraged and recorded.Records of medical visits and treatment were seen in the residents care files we looked at. For staff guidance and residents safety,there is a procedure for managing and auditing medication.The procedure and systems for storage,record keeping and returns were in order at the time of this visit. When medication is prescribed to residents after the medication administration records are printed by the pharmacist the staff at Woodlands write out the medication,the dosage and how often it should be given to residents. Best practice is that staff sign the entry and a second staff member check that the record has been copied correctly and they should then sign to verify this.This ensures that no errors have been made when copying out the instructions so residents get the right medication.This practice would further protect residents. There were nogapsin medication records,which were read.Systems for returns of unwanted medication confirmed that stocks are counted and a record kept of returns to the pharmacy.In this way an audit of medication is carried out and stocks are checked each month. We were told by the owner/manager that they were going to review the medication policy looking specifically at medication which goes out with residents when they for example go out with their family for a few days. This is to ensure everyone is Care Homes for Older People Page 14 of 29 Evidence: safeguarded and that medication is taken by residents when it should be and is not dispensed by staff for relatives for example or signed as if staff have given it. A resident told us,they do everything well, they do everything right for me.Another resident said when we asked what does the home do well, look after me, couldnt do better than they are doing.Further comments included, the home could do nothing better. A member of staff in response to the question what does the home do well said, caring for residents, very well looked after and cared for, taking residents on holidays and day trips, meals. The staff member continued by saying, I dont think there is anything the home could do better on thats not already being done.A further staff member in response to the same question said, Care for different age groups and different types of dementia and mental health clients. We provide the best care for our range of clients. Care Homes for Older People Page 15 of 29 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents have the lifestyle they prefer and their diverse needs are catered for at Woodlands. Evidence: A record is kept of all leisure events provided in Woodlands and a range of in house activities,visiting entertainers and outings is offered to residents. Residents diversity is respected through recording their religion in their care plans and making arrangements for visiting ministers as necessary. We were told by staff that Woodlands is managed in a way that satisfies residents social,cultural,religious and recreational interests and helps them to exercise choice and control over their lives. There was a relaxed atmosphere in Woodlands during the inspection,and residents were spending time either in the lounges,conservatory or in their bedrooms.A resident said, I like being in my room,that is what I want to do.No one bothers me,I get plenty of drinks during the day.The meals are really good and you can have whatever you want to eat. Residents responses in the surveys,which were received,were positive in the comments received regarding their experiences and meals in Woodlands.A relative Care Homes for Older People Page 16 of 29 Evidence: told us, I have seen care staff going beyond their expected duty to provide variety of meals and times of meals for individuals to try and meet their needs. From speaking with staff,it was evident that there are no unreasonable restrictions on visiting times for family and friends of people who live in Woodlands. It was evident in care files that the details of family and friends are written down and ongoing contact is supported and encouraged.A relative told us,Good communication with both resident and relatives is a strong point. There were good stocks of food in store and the kitchen,was clean and in good order. Catering records had been well maintained.The home had been awarded four stars on the last Environmental Health Inspection. A resident told us, food OK.A member of staff indicated that the home has, high standards of food. We were told by the manager that the home offer a great menu with plenty of choice and provide residents with food they want.All shopping is done locally and only quality named brands are used. Themed nights take place, ethnic cooking and local chip shop fish and chip suppers are also arranged. Residents do not have a set menu, seasonal food is prepared which is what residents want and like. A choice of meal is always available. When we asked residents what could the home do better, one resident said, create something to do.A further resident when we asked what does the home do well said, activity, playing bingo, going out for meals.A member of staff said, I think Woodlands does well at a number of things such as meals etc.And added, I dont think it could do any better than it does.A further staff member listed taking residents on holiday and activities as being areas where the home does well. The information provided to us in the AQAA completed by the owner manager before our visit told us, Our activities include bingo, board games,knitting,quizzes,art, gardening,cooking,reminiscence etc.We also encourage residents go outside the home and participate in activities,this maintains skills and independence.Staff will escort residents shopping,to the bank,outside hair appointments, to the pub etc.,although most of the time the residents want to play bingo.On the other afternoons we have entertainers,movies and popcorn, sing a longs etc.We go out as small groups for activities such as meals and to the theatre.We also have an annual holiday for those residents that wish to go and are capable of accessing the minibus.Last year we went to Filey and this year we have been to Skegness on the Lincolnshire coast. Care Homes for Older People Page 17 of 29 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are protected through training and guidance provided for staff in Woodlands. Evidence: Woodlands has a complaints procedure,which is given to residents as they move in and to staff during their induction training.In this way,residents know how complaints are dealt with and staff will be aware of their role in the complaints procedure. There were no complaints recorded since the last visit.In the surveys received from residents,they said they knew how to go about making a complaint. One resident told us,everything is always alright and if it isnt you just mention to staff whats the matter and its sorted. Unusually something and nothing but its important to you,and they sort it as if your life depended on it. The manager told us, We have copies of the complaints procedure in all rooms. All residents and their families are made fully aware of how to make a complaint and they are also made aware that if they have any concerns they can see me at any time convenient to them.Residents without family are referred to the advocacy service at age concern in Oldham or Tameside,usually according to funding. The Adult Protection procedure of Oldham Council is used for staff guidance in addressing incidents of suspected abuse and training schedules record that POVA Care Homes for Older People Page 18 of 29 Evidence: training(Protection of Vulnerable Adults),is provided for staff. When we last inspected Woodland in October 2008 we reported that, from reading some of the care files we could see that there had been a number of incidents in the home where the challenging behaviour of different residents had resulted in some physical contact between residents or residents being frightened by the behavior of others. It was not clear that the manager had taken steps to involve other members of the multi-disciplinary team to address these issues and care plans and risk assessments had not always been updated to reflect what was happening and did not give staff enough information about how to deal with individual residents. We issued a requirement that the manager must ensure that appropriate agencies are always informed when incidents occur within the home that potentially place residents at risk. We were provided with an action plan by the owner/manager after the last inspection to state that this had been addressed. We were also told on this inspection that other agencies like social services are notified of these events. The requirement is complied with.The owner/manager has a policy for the reporting of incidents. Care Homes for Older People Page 19 of 29 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a clean and well maintained home,which has a range of aids and facilities in place for their comfort and convenience. Evidence: The building was clean and odour free during the visit.There are two homely lounges,a conservatory used by residents who smoke and a separate dining area. The front garden and rear car park were in good condition.Staff said that residents use the garden often in fine weather. There is a keypad on the front door and the door leading to the rear door for which a code is needed to leave the house.To safeguard residents and staff,the owner/manager need to consult with the fire authority to check that this is appropriate as,in an emergency situation,the code to the door will need to be known to enable people to leave from these exits. All but one of the bedrooms are singles.The double bedroom has currently one resident accommodated there.Screening would be provided to respect residents privacy when a second person is accommodated in this bedroom.Bedrooms,which were looked at,were comfortable and personalised. Domestic staff are employed in Woodlands,they are provided with protective Care Homes for Older People Page 20 of 29 Evidence: clothing,and there are procedures and guidance for infection control.Domestic staff said there is always a good stock of cleaning materials and these are stored when not in use,in accordance with COSHH procedures. This ensures that residents are kept safe. The laundry was well organised during the visit,and we were told the equipment was in working order.To ensure that residents clothing is returned to them in good condition,there are systems for returning laundered items to their bedrooms.Infection control in the laundry is managed through colour coded laundry bags and use of a washing machine which has sluicing facilities. A resident told us, we have warm beds and nice warm bedrooms and nice gardens.The detail in the AQAA informed us , We try and provide an environment that stimulates and promotes independence.No home can be the same as anyones own home and to say we can provide that would a lie,however,what we try and always aim for is for residents to feel their own ownership of Woodlands so they can feel,as much as possible,it is their own home now.Staff are always reminded that we are employed by the residents to work for them. To those residents who are able and request,the staff offer tea and coffee making facilities in residents bedrooms. All bedrooms are offered a TV and also a digital box as the home has digital television. In the last twelve months the home has:-replaced the carpets in several bedrooms and replaced bedroom furniture.The carpets to the downstairs hall way and the landing upstairs have been replaced,five new chairs have been purchased,all the fire door sealants have been replaced with new and all the doors have been repainted, bedrooms 2, 6 and 13 have been decorated and new carpets fitted in two bedrooms and one of the lounges.8 residents have received new beds and all the bedding in the house has been replaced so all residents have there own bedding in their room with a change of bedding also available to them.New lighting have been installed in the bathroom, conservatory and lounges. A resident told us,Its really nice here its always clean and the rooms have everything in them you need. If you want something you just have to ask. Care Homes for Older People Page 21 of 29 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are protected through the recruitment,training and staff support systems followed in Woodlands. Evidence: The staff rosters were seen and gave a record of the staff who were on duty during the visit.Training schedules were read and show a range of mandatory training for example moving and handling and food hygiene. This is in addition to NVQ training and courses which are specific to residents needs. Staff told us they were due updates to their moving and handling training and this we were told would be arranged for all staff by the end of December 2009. Woodlands has a training plan and has access to training courses provided by the local authority.We were told staff had been given training in managing challenging behaviour to ensure that they can fully support residents behavioural needs. The staff files for the two most recently appointed staff were seen.The records gave evidence of the vetting and clearances carried out before staff take up their posts at Woodlands. We were told that staff start work after interview on receipt of references and a POVA first check and work along side experienced staff until the Criminal record bureau check is received. Care Homes for Older People Page 22 of 29 Evidence: The staff surveys we received expressed satisfaction with the training and support they receive at Woodlands and the outcomes to residents.Some of the comments we received included, We are encouraged to read residents care plans as often as possible.My induction was very thorough to a very high standard.We are offered frequent updates and relevant courses which are ongoing.We have staff appraisals.We can discuss anything informally in between times.high standard of training.We provide a high standard of care to residents.A resident told us, care staff OK. Care Homes for Older People Page 23 of 29 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Woodlands is managed in a way,which supports residents wishes,health and welfare. Evidence: To ensure that residents opinions are central to the ongoing improvement and development of Woodlands,there is a quality assurance system,which is based on seeking their views.We discussed the arrangements with the owner/manager, who confirmed that quality questionnaires are given out to residents and their families each year.She said that their needs and opinions are important to service development. The owner/manager confirmed that staff at Woodlands,have no involvement in residents personal finances.In instances where small sums of personal allowance are held for safekeeping,records of each transaction are kept and receipts for purchases are kept. The records were made available and the sample we looked at were in order. Care Homes for Older People Page 24 of 29 Evidence: A sample of the records of accidents and incidents to residents and staff were seen and these had been maintained with sufficient detail written about each incident.This will help to ensure that risk assessments will be put in place for use of equipment and for residents who are at risk of falls and/or accidents. A member of staff told us, the home is a very high standard. Good people to work with and good management. We asked to see the fire records.These records should demonstrate that the fire safety procedures are followed and the necessary checks are undertaken to safeguard residents and comply with fire safety legislation. The records we looked at were in order. There was a record of fire drill training. We couldnt tell from the records which staff had undertaken this training on the specified days. Best practice indicates that staff sign next to their printed name to confirm they have undertaken this training. This would ensure that all staff receive this training and the owner/manager is aware if and when staff need updates. Care Homes for Older People Page 25 of 29 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 29 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, Care Homes 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 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 7 The manager needs to further develop the care staff team to ensure when they complete the day and nightly reports they include how a resident has been and the support they receive and any presenting difficulties.This will demonstrate the needs and preferences identified in the care plan and evidence the care and support provided. To safeguard residents make sure that when entering handwritten details on the medication administration records that these are signed by the staff member making the entry and also signed by a second staff member to verify the medication has been correctly copied from the prescription. Review the medication policy taking reference to The Royal Pharmaceutical guidelines for care homes specifically for the policy in relation to when residents for example go out for a few days. This is to ensure everyone is safeguarded and that medication is taken by residents when it should be and is not dispensed by staff for relatives for example or signed as if staff have given it. 2 9 Care Homes for Older People Page 27 of 29 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 3 19 To ensure that the safety of residents,staff and visitors is not compromised in an emergency situation by the placement of a keypad on the front and door leading to the rear door,the owner/manager needs to consult with the fire authority to check that this practice satisfies fire regulations. To confirm that all staff have had fire drill practice training as often as they should and to identify when staff need updates to this training,arrange for all staff to sign next to their printed name when they have taken part in fire drill practice training. 4 38 Care Homes for Older People Page 28 of 29 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 29 of 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!