Latest Inspection
This is the latest available inspection report for this service, carried out on 24th March 2009. CSCI found this care home to be providing an Good service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Woodlands.
What the care home does well This home provides a comfortable, clean and very well maintained environment which is homely and light. People are consulted so that their needs and preferences are known and care plans provide staff with relevant information so that they can provide the right support to each person. People are supported to receive appropriate health care and to follow a healthy lifestyle. People are protected by the home`s arrangements for the storage and administration of medication. People choose how they spend their days. There are suitable activities but people`s choice to spend time alone is respected. Visitors are welcomed to the home. The menus suit the people in the home. There are good arrangements for handling complaints and comments and for protecting people who live in the home. The staff team members receive ongoing training so that they are competent. The system for assuring the quality of the care takes account of people`s comments about the service they receive. What has improved since the last inspection? Since the last inspection several areas have been decorated and new carpets have been fitted in some rooms. Staff have received further training so that they are better prepared to undertake their roles. What the care home could do better: There are some areas of the environment which would benefit from change. These are; the old car which remains parked in the drive of the home. We recommended that this should be moved at the last inspection. The home would benefit from an office area where private conversations could be held with visitors. inspectors. The doors to some of the kitchen cupboards need to be repaired or replaced. Inspecting for better lives Key inspection report
Care homes for older people
Name: Address: Woodlands 66 Bridle Road Stourbridge West Midlands DY8 4QE 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: Christine Lancashire
Date: 2 4 0 3 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 66 Bridle Road Stourbridge West Midlands DY8 4QE 01384394851 01384394851 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 Siobhan Shroff,Mr John Wall Davies care home 19 Number of places (if applicable): Under 65 Over 65 0 18 dementia old age, not falling within any other category Additional conditions: 1 0 One resident at any one time can be accommodated who has needs which fall within the category of DE(E) Date of last inspection Brief description of the care home Woodlands Care Home comprises two converted detached properties that are adjoined by a conservatory. Woodlands is situated in a quiet residential area of Stourbridge. The local village of Wollaston, which has numerous shops, public houses and other amenities, is within walking distance or can be easily accessed by local public transport. There is a small driveway and off road car parking facilities. The home has large well-maintained gardens to the front and rear of the property. Ramps are available for access to the home and garden area. The home was initially registered in 1986 by the current owners and provides care for 19 older people. Residential accommodation is situated on the ground and first floors. There are fifteen single and two double bedrooms. A passenger lift is available between Care Homes for Older People
Page 4 of 26 Brief description of the care home floors in one of the houses. The home has a number of bathrooms and toilets. One bath provides assisted facilities and a shower is available on the ground floor. The home has two attractive lounges, a dining area and additional dining space in the conservatory. 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: We visited this home on a weekday without telling anyone that we would be arriving. The purpose of the visit was to see how the home is meeting key National Minimum Standards. Before the visit we had received information from the manager about the running of the home and the plans for development. At the inspection we spoke to the manager, staff and some people who live at the home. We looked round the building and into bedrooms. We looked at the records which the home is required to keep and these include records about the peoples and preferences, safety, menus, staff rotas, medication, staff recruitment and training, complaints and minutes of meetings. We looked at the systems which the home has for monitoring its performance and at the Care Homes for Older People
Page 6 of 26 results of questionnaires completed by people who live there. We used this information to write this report. 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. Care Homes for Older People Page 8 of 26 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 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. People who are considering moving into this home are provided with the necessary information to make an informed choice. Assessments and visits to the home ensure that people know, before they move in, that their needs can be met by the home. Evidence: The home has a detailed Statement of Purpose and Service User Guide which are made available to people thinking of moving into the home. The manager told us that people are invited to visit the home to sample the atmosphere and meet the other people living there before they make a decision about moving in. We sampled three peoples records and found that they contained detailed assessments of their needs from the referring authority, health-care professionals and the home. We saw copies of letters to people informing them that the home would be able to meet their needs. Each person in the home is provided with a contract or
Care Homes for Older People Page 11 of 26 Evidence: statement of terms & conditions and a copy of the homes visiting policy and complaints procedure. 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. Peoples health, personal and social needs are set out in a care plan so that they can be met by staff. People are treated with respect and their privacy and dignity are maintained. They are protected by the homes practices in relation to the storage and administration of medication. Evidence: We sampled three peoples records and found that the home produces care plans based on the assessments of the peoples needs and information which they have supplied about their preferences. The plans include how peoples personal care, health care and social needs are to be met. We saw risk assessments for areas which may pose hazards, such as moving. We saw evidence that staff regularly monitor care plans against peoples changing needs. We saw the notes of reviews of care plans, which had been carried out with the person concerned and their relative. Chenges to the plans are clearly recorded. We saw details of peoples health needs in their notes. There are lists which contain
Care Homes for Older People Page 13 of 26 Evidence: details of visit made by various health professionals such the the GP, district nurses, chiropodists and dentists. There are brief details of the treatment received. There are policies and procedures for the safe handling and administration of medication. These contain information about how people who manage their own medication are to be supported. Completed medication administration records (MAR) sheets are kept on peoples files together with details of when medication was prescribed and, where applicable, discontinued. Senior members of the staff team are responsible for managing and administering medication once they have completed training. We looked at the administration sheets and found that they were up to date an completed appropriately. We heard staff addressing people with respect and peoples preferred names are recorded in their plans. Shared bedrooms have screening available. WC and bathroom facilties have enough space so that people can be helped with the door closed. 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. Peoples lifestyles in the home match their preferences and suitable activities are arranged. They are encouraged to maintain significant relationships with people in the community and they receive a choice of nutritious meals which meet their needs and take account of their preferences. Evidence: The manager uses the information in the assessment to draw up the care plan and this contains details of each persons preferred routines, interests, activities and life history. Two members of staff coordinate activities in the home. We saw the activities folder and this contained details of daily activities such as games and discussing newspaper articles as well as periodic activities such as visiting entertainers and parties. On the morning of the inspection people were watching television, spending time in the front room reading or chatting or relaxing in their own room. Service users spoken to confirmed they are able to follow their preferred routines and participate in their own leisure pursuits. One told us that she often goes out with relatives. The home has daily recording systems for staff to complete about how peoples care and social needs have been met. The daily records are also used to keep staff fully
Care Homes for Older People Page 15 of 26 Evidence: informed of any changes made to each persons care plan. There are regular meetings of people in the home and the minutes of these show that people are consulted about activities, food and other aspects of life at the home. The village of Wollaston is within walking distance and can be accessed by local transport. It has a selection of shops and local amenities such as a library, places of worship, post office and public houses. People who wish to, make use of the local ring and ride bus service for trips into Stourbridge or to visit friends. The home welcomes visitors at any reasonable time during the day. A number of visitors were seen arriving throughout the inspection. Visitors are requested, for safety reasons, to sign the book in the reception on their arrival and departure. We saw that peoples dietary needs and personal preferences are recorded and made available to the catering staff. There are two cooks and they have a good handover system. Menus are available in the home. The main meal is served at lunchtime. People told us that they enjoy their meals and there is enough choice. All staff attend training for Basic Food Hygiene. The kitchen recently received three stars following a recent inspection by the local environmental services department. 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. There are good arrangements to ensure that people are protected, including the arrangements for handling complaints. Evidence: The homes Statement of Purpose and Service User Guide includes information about how to make a complaint. A copy of this policy and procedure is available in the home. The manager stated no complaints had been received by the home during the last twelve months. No concerns or complaints have been reported to the Commission for Social Care Inspection (CSCI). The home has produced an in-house policy that reflects the Local Authoritys multi-gency policy on safeguarding adults. It also provides clear guidance on what action is to be taken by staff and the manager. Arrangements are made for all staff to receive training in the protection of vulnerable adults. No adult protection concerns have been raised by the home or reported to the CSCI during the last twelve months. Care Homes for Older People Page 17 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. People live in a homely, clean and safe environment which meets their needs, but there should be a suitable place for carrying out administrative tasks and holding private discussions. Evidence: We toured the building and found all areas very clean, with no unpleasant odours. The building has good levels of natural light as there are many large windows. People have pleasant views from their rooms. People told us that they are pleased with the facilities. The gardens are very well maintained with a variety of flowers, shrubs and lawn areas that people can enjoy without being overlooked. The gardener was working on the day of the inspection. There is some off road parking space for visitors but this is restricted by a car which is permanently stored there. The home has adequate communal areas comprising two lounges, conservatory and dining areas. The decoration and furnishing provide a homely atmosphere. There is an ongoing programme of decoration which makes sure that all areas are maintained in good order. The manager told us that people are welcome to bring small items to personalise their rooms. Lockable facilities are
Care Homes for Older People Page 18 of 26 Evidence: provided in all bedrooms. However, these are situated in a low position making it difficult for service users to access. The manager was advised at the last inspection to review the positioning of these facilities. This has been done, but there is no suitable alternative location for these facilities which would be as safe. Toilet and bathing facilities are available on both floors. Each are fitted with appropriate aids and adaptations. Hand washing signs are displayed next to all communal wash hand basins. Some parts of the kitchen have recently been refurbished. However, there are still some cupboards which lack doors and drawer fronts which need to be replaced. The manager said that this work will be carried out. There are procedures for the control of substances hazardous to health (COSHH). The laundry area is adequately equipped and cleaning materials are stored in a locked cupboard. Training is provided to make sure that staff are familiar with the homes infection control procedures. Although the home has secure storage facilities for files and records there is no suitable area where administration tasks and discussions can be carried out in private. A room which may be suitable for the purpose is full of papers and equipment not belonging to the home. Consideration should be given to converting this areas into an office for the home. A small changing area has been identified for staff. Lockers have been purchased for staff to store personal items whilst they are at work. 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 people who live in this home are cared for by sufficient numbers of staff who are well trained and competent to do their jobs. They are protected by the homes recruitment practices. Evidence: The rota shows a good level of staff cover, with a minimum of four care staff on duty in the morning, three during the afternoon and evening and two during the night-time hours. Staff are all female and vary in age and experience. There is a core group of staff who have worked at the home for several years. The home has policies and procedures for the recruitment of staff so that references and the relevant checks are taken up. We sampled three staff files and found that they contained appropriate details such as completed application forms, references and interview notes. Records show newly appointed staff work under the supervision of an experienced staff members. All newly appointed staff are provided with an induction programme and Skills for Care Workbook. We saw records of training undertaken and due to be attended by staff. A training programme is identified from this making planning easier. More than 60 per cent of care staff have completed the National Vocational Qualification (NVQ) Level 2. Staff also receive training in areas relevant to their job, such as moving and handling,
Care Homes for Older People Page 20 of 26 Evidence: dementia and sudden death. The manager told us that training is planned for April in the Deprivation of Liberty Safeguards (DOLS). The manager provides relevant reading materials for staff so that they can keep themselves up to date with good practice. 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. People live in a well managed home which is run in their best interests and where there are good systems for maintaining the quality of care. Their financial interests are safeguarded and their health, safety and welfare is promoted and protected. Evidence: The home is managed by one of its co-owners since it opened in 1986. The manager holds relevant qualifications and has completed the Registered Managers Award. The home has developed a detailed quality assurance system for assessing the homes performance. This includes the analysis of satisfaction questionnaires issued to service users and relatives. The manager and senior staff also monitor staff practice through regular supervision, staff meetings and residents meetings. We saw many positive comments received by the home. We also saw records of the actions taken in response to comments made by people who live in the home and their relatives. There are clear details of plans for further development, including the action taken in response to the
Care Homes for Older People Page 22 of 26 Evidence: comments made in the last CSCI report. The home has robust procedures in place to ensure any personal allowance looked after by the home on behalf of service users is safe. Examination of records and receipts kept by the home demonstrated the process is being followed. Policies and procedures are reviewed on a regular basis and copies are provided to staff. A selection of policies and procedures is discussed in detail throughout the year with staff to ensure they are familiar with the content of these. A folder is kept for recording jobs that need to be completed about the home. The manager provided us with the details of the dates for the servicing and maintenance of equipment in the home. We checked a sample of these against the records in the home. We also saw risk assessments on people, tasks and the environment. These make sure that people who use the building are kept safe. 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 1 19 The manager should identify a suitable area for carrying out administrative tasks and for holding discussions in private. The owners should make alternative arrangments for the sorage of an old car, presently in the parking space. 2 19 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!