Care Home: Woodlands

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What the care home does well The home provides a service to people who have different cultural and religious needs. This is reflected in a diverse staff group. The care needs of prospective residents are comprehensively assessed by the home prior to admission. The separate healthcare needs of residents are fully met. People who use the service are encouraged to maintain their independence where appropriate and are able to maintain regular contact with relatives and/friends. Wholesome, varied and appealing meals are provided to residents. Care staff receive appropriate training and refreshers for meeting the needs of residents and are caring and attentive. All records are satisfactorily maintained and indicates that the health, safety and welfare of residents are being safeguarded. Residents appeared well cared for, appropriately dressed and content. Those spoken with expressed satisfaction with the care and support the received at the home. Overall, the home is clean, hygienic and well maintained. The environment is bright, airy, calm and homely. What has improved since the last inspection? All three requirements made at the last inspection had been complied with. Specifically care plans are clearly detailed and reviewed on a monthly basis. Care staff have received training in Dementia. Quality assurance is being undertaken. What the care home could do better: No requirements were made at this inspection. However, the service should endeavour to ensure that regular activities in the community - particularly during the summer months - are organised on behalf of residents. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Woodlands 84 Long Lane Ickenham Middlesex UB7 7UG     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Jean Bovell     Date: 1 1 0 6 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI 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 26 Information about the care home Name of care home: Address: Woodlands 84 Long Lane Ickenham Middlesex UB7 7UG 01895634830 01895634230 ajcampbell@woodlandscarehome.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Sybil Agatha Rose,Ms Marcia Loren Patterson-James care home 21 Number of places (if applicable): Under 65 Over 65 21 old age, not falling within any other category Additional conditions: 0 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 The maximum number of service users who can be accommodated is: 21 Date of last inspection Brief description of the care home Woodlands is a care home which is registered for twenty - one older people. The home is located on a busy main road between Ickenham and Hillingdon. The nearest shops are at Ickenham High Road, situated about one mile away. Ickenham and Hillingdon Underground Stations are within walking distances. The home is privately owned. There are fourteen bedrooms. Eight single and six double. There is a large lounge/dining room, which accommodates all service users at any one time. There is a small ground floor room, formerly an office, which is now designated as a meeting/visitors room. There are three bathrooms. One has a Parker bath. This room also has a shower. There are two bathrooms without any specialist appliances. One Care Homes for Older People Page 4 of 26 Brief description of the care home bathroom is used additionally for hairdressing. The kitchen and laundry room are on the ground floor. There is a small room where staff have lockers and can store their clothing. There are no further staff facilities. There is a team of day and night staff. Three staff are on each shift during the day and there are two waking night staff. There is a cook and a domestic worker. Fees for the service range from #380-#450 per week. Care Homes for Older People Page 5 of 26 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 unannounced inspection was carried out between 11:00am and 5:00pm on 11th June 2009. The Registered Manager, two carers, the cook and eight residents were at the home. During the course of the inspection, records, documents, policies and procedures in relation to key standards were examined. Observations were made and a tour of the building was undertaken. Six residents and two carers were spoken with. Care Homes for Older People Page 6 of 26 A completed Annual Quality Assurance Assessment (AQAA) was considered. Requirements made at the last key inspection and all key Standards were inspected. We received appropriate assistance from the Registered Manager throughout the inspection. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 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 Care Homes for Older People Page 8 of 26 7535. Care Homes for Older People Page 9 of 26 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 26 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. The care needs of prospective residents are appropriately prior to admission. Evidence: Six residents files were examined at random. Each file contained a comprehensive needs led assessment that had been undertaken by the home prior to admission. It was also indicated that relatives, social workers and healthcare professionals participated in assessment processess. There was documented evidence that prospective residents were required to sign written contracts which confirmed that their identified needs would be met by the home. The Registered Manager confirmed that district nurses, chiropodists and general Care Homes for Older People Page 11 of 26 Evidence: practitioners regularly visited the home and annual dental and eye checks were arranged. This was evidenced on separate files viewed. Six residents files were viewed at random and each file contained a comprehensive needs led assessment that had been undertaken by the home prior to admission. It was indicated, also, that relatives, social workers and healthcare professionals were involved in assessment processes. Care Homes for Older People Page 12 of 26 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 are being appropriately undertaken and the healthcare needs of residents are fully met. Medication procedures are satisfactory. People who use the service are treated with respect and their right to privacy is being upheld. Evidence: Six care plans were inspected at random and reflected that individual care plans were being appropriately undertaken. All care plans and risk assessments viewed were reviewed on a monthly basis. The healthcare needs of residents were identified on individual care plans and indicated they received access to healthcare professionals such as General Care Homes for Older People Page 13 of 26 Evidence: Practitioners, when required. Individuals were also accompanied by a named staff member or relative, to hospital appointments. Individual weight charts were in place. Medication prescribed to residents were securely stored and medication administration sheets were accurately documented and signed. The records indicated that medication audits were carried out by Boots Chemists on a three monthly basis and most recently on 16th May 2009. We were informed by the Registered Manager that residents did not have capacity to self-administer medication. Policies and procedures on medication were in place. Records were indicative of staff training on medication being delivered. Care staff were observed interacting with residents in a respectful manner and knocked on bedroom doors prior to entering. People spoken with confirmed that their privacy and dignity were respected at the home. A policy on Privacy, Respect and Dignity was in place. Care Homes for Older People Page 14 of 26 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The social and religious needs of residents are being adequately met and residents are able to maintain regular contact with relatives and friends. People are able to be independent, where appropriate, in relation to their daily living routines. Wholesome, nutritional and appealing meals are being provided to residents. Evidence: Separate religious needs and social interests were identified within care plans. We were informed by the Registered Manager that a Church of England Cleric visited the home on a regular basis. An activities programme was on display and organised activities reflected included: singing and clapping to music, throwing and catching, walks in the garden and netball. Two residents spoken with reported they were often bored and would like to Care Homes for Older People Page 15 of 26 Evidence: participate in activities within the community on a regular basis. These issues were discussed with the Registered Manager and we were assured that appropriation action would be taken. Residents and care staff were observed engaging in throwing and catching ball games during the afternoon of the inspection. An open visiting policy was in place and contact between residents and relatives and/or friends are encouraged and facilitated. Residents confirmed that they received regular visits from their respective relatives who also took them to activities in the local community. The Registered Manager confirmed that residents were able to make decisions in relation to personal purchases, what they wore each day, hairstyles, make-up, activities and meals. Personal interests and choices were also reflected in separate bedrooms. The home employs a trained cook and varied and nutritional meals were listed on menus. Appealing lunch options were offered to residents at the time of the inspection and they appeared to be enjoying their chosen meal. Regular snacks and drinks are also provided. Everyone spoken with reported being happy with the quality and quantity of food they received. Care Homes for Older People Page 16 of 26 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. The complaints procedure is appropriately detailed and residents are being safeguarded from abuse. Evidence: The complaints procedure was clear and concise, and accessible to residents, relatives and/or friends. The complaints book was viewed and indicated that no complaints had been received since the last inspection. Incidents and accidents were being appropriately recorded and notifications were submitted to the Commission, where required. We were informed by the Registered Manager that relatives were responsible for the financial affairs of residents but individual personal allowances were being secured at the home. Separate financial records in relation to personal allowances were examined and no discrepancy was identified. The homes policy and procedures on the Protection of Vulnerable Adults were in place. Care Homes for Older People Page 17 of 26 Evidence: The records indicated that staff training on Safeguarding Adults had been delivered. Care Homes for Older People Page 18 of 26 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. The home is being well maintained and the environment is calm and homely. Evidence: Communal areas at the home are spacious and suitable for shared and/or individual activity. Equipment and furnishings were appropriate and of good quality. The garden was being maintained. No issues were identified in relation to the laundry. Overall, the home is being well maintained. The environment is bright, airy, calm and homely. Care Homes for Older People Page 19 of 26 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. The home is adequately staffed and care staff members are appropriately trained and qualified for meeting the needs of people who use the service. Recruitment procedures are satisfactory. Evidence: We were informed by the Registered Manager that fourteen care staff, a trained cook and a domestic were enployed at the home. It was reflected on staff rotas that the Registered Manager and two care staff were on duty during waking hours, and one sleeping and one waking care staff member covered duty at night. Staff recruitment files were viewed at random and each file contained all required recruitment documents. Training certificates were within recruitment files viewed and indicated that recent staff training delivered included Protection of Vulnerable Adults, Introduction to Dementia and Moving and Handling. There was also documented evidence that new care staff received induction training. Care Homes for Older People Page 20 of 26 Evidence: The Registered Manager confirmed that a total of eight care staff had achieved NVQ level 2 or above. Care staff members who covered duty at the time of the inspection were observed being competent and attentive in meeting the needs of residents. People spoken with confirmed that care staff were friendly and kind. Care Homes for Older People Page 21 of 26 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. The Registered Manager is suitably trained, qualified and experienced. Quality assurance has been undertaken satisfactorily. The financial interests of residents are secured. The health, safety and welfare of people who use the service are being safeguarded. Evidence: The Registered Manager has been in post for two years. He has had had nine years of working experience in the care profession and has obtained the Registered Managers Award. Care staff spoken with reported that the Registered Manager was open, approachable and supportive. He was observed being friendly and spontaneous in his interactions Care Homes for Older People Page 22 of 26 Evidence: with care staff and residents. An Annual Qualilty Assurance Assessment (AQAA) was fully completed and returned to the Commission at the required time. Although the home is not responsible for the financial affairs of residents, separate personal allowances are being held in safe-keeping by care staff. We inspected financial records that were maintained in relation to individual residents and no discrepancies were identified. All health and safety records viewed were up-to-date. These included fire safety and water temperature checks, gas maintenance, and legionella and portable appliances testing. Fire drills were undertaken on a regular basis and environmental risk assessments were in place. The records indicated that staff training on Food Hygiene, Infection Control, First Aid and Moving and Handling had been delivered. Care Homes for Older People Page 23 of 26 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 24 of 26 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 Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 or Textphone: or 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - 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!