Latest Inspection
This is the latest available inspection report for this service, carried out on 26th February 2010. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
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.
Annual service review
Name of Service: Woodlands The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Elizabeth Kelley Date of this annual service review: 2 0 0 1 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service
Address of service: Toll Bar Distington Workington Cumbria CA14 4PJ 01946830065 Telephone number: Fax number: Email address: Provider web address:
www.cumbriacare.org.uk Cumbria Care Name of registered provider(s): Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia Conditions of registration: Number of places (if applicable): Under 65 Over 65 1 0 38 1 The home is registered for a maximum of 40 service users to include: up to 38 service users in the category of DE(E) (Dementia over 65 years of age) 1 service user in the category of DE (dementia under 65 years of age) 1 named service user in the category MD(E) (Mental disorder, excluding learning disability or dementia - over 65 years of age). An application to vary the registration must be made to the Commission for Social Care Inspection when care is no longer offered to this person in category MD(E). The service must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. When single rooms of less than 12 sqm usable floor space becomes available they must not be used to accommodate wheelchair users and where existing wheelchair users are in bedrooms of less than 12 sqm they must be given the opportunity to move to a larger room when one becomes available. Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable):
Annual Service Review Page 2 of 7 Brief description of the service Woodlands is a residential care home registered with the Commission for Social Care Inspection to provide personal care and accommodation for up to forty older people with dementia. Short-term respite care is also offered. The home is owned and run by Cumbria Care which is part of Cumbria Adult Social Care. Mrs Lynne Newbury is employed as the registered manager for the home. Woodlands is located on the outskirts of Distington and consists of a purpose built single storey building set in its own grounds. Accommodation is provided in forty single bedrooms all with wash hand basins. The home is arranged into three living units, each with its own kitchen, sitting and dining areas. Outdoor space is provided in the form of a secure inner courtyard with flowerbeds and seating for residents and a garden area which is accessible to the people living in the home. All referrals are arranged through Social Services. The current scale for charging is #434. A Handbook is available for prospective residents, which includes a summary of the latest Commission for Social Care Inspection report. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We assessed all the information we have relating to the home. This included: The annual quality assurance assessment (AQAA) was completed and returned to us by the manager. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the home and the people who live and work there. We also sent out surveys to gain feedback from people who have stayed in the home, the staff who work there and other people with an interest in the home, such as social workers and health professionals. We looked at information we have about how the home has managed any concerns, complaints or adult protection referrals. We also considered information supplied to us in Regulation 37 notifications. These are a legal requirement and provide us with information about significant events in the home that affect the people living and working there. We also look at the previous key inspection report and the results of any other visits that we have made to the home in the last 12 months. Relevant information from other organisations and what other people have told us about the service is also taken into account. What has this told us about the service? The registered manager completed and sent us the annual quality assurance assessment when we asked for it and it gave us the information we asked for. We looked at the information provided in the AQAA , from surveys we sent out as part of this review and the homes service history and judged that the manager and staff are still providing a good service. The AQAA recorded how the service is consulting with people in a number of ways to make sure their opinions and views are taken on board and improvements made if required. Good systems are in place to make sure the home have sufficient information about a persons care needs prior to agreeing for them to stay. There was evidence this system has been reviewed and improved with staff contacting Social Workers for the most up to date assessment of need. In addition they also ensure the person receives relevant information about the service to help them make an informed choice about using the service. Relatives told us in surveys that they were happy with the service provided, these are some extracts of their views: Seems to do most things well. Havent had to complain about anything Annual Service Review Page 4 of 7 I am in the home two to three times a week and I can only say that the service and staff at Woodlands are absolutely brilliant in every way- very caring and dedicated. My mother speaks in glowing terms of the quality and range of care she receives at Woodlands, and the character of the care staff themselves. My observations during my visits bear this out. The premises always look attractive, clean and well cared for. Staff attitudes and demeanor are crucial to everything else, and for me Woodlands scores highly here. Staff spend time informally with resident, not just attending to obvious practical needs.There is eye contact, physical contact, cheerfulness, humour and seemingly genuine friendship and affection. People living in the home say: I am profoundly deaf and the carers take the time when talking to me,as I lip read mostly. The meals are excellent and I enjoy them very much. Staff always keep me clean and tidy and I have my hair and nails done regularly which makes me happy. Professionals views were also mostly positive. A number agreed that increasing stimulation and activities for residents would improve quality of life even more. The AQAA completed by the manager states that this is an area they are currently trying to address saying: Activity sessions have improved, memory games, activities of recognition, encouraging family members to take an active part in activities, home visits, taster sessions and the growing of vegetables in our new outside raised beds. And a District Nurse said that they would like to hear more quickly about tissue injuries, even if it is out-of-hours, rather than staff trying to do dressings themselves. 88 care staff have now gained their NVQ Level 2, staff are being encouraged and supported to improve their knowledge and presently 4 are working towards NVQ Level 4, and 2 NVQ Level 2 The manager is continuing to roll out Challenging Behaviour training in-house. The home has responded to reccomednations of the last inspection and the manager has undergone specialist demantia care training. The amount of detail in the following extract from the AQAA demonstrates that the home is striving to constantly improve in all areas: Meal times are made a pleasurable experience; they are staggered to ensure that those Service Users who require extra support are given the time and privacy to enjoy their meals. Family members are encouraged to support their family members when they wish to, again this can make a difference to how service users respond to mealtimes, it can be more enjoyable and relaxed. This enables staff to give 1 to 1
Annual Service Review Page 5 of 7 support to provide extra time, giving dignity and respect to those who need extra care and support. A varied 4 weekly diet is available for both summer and winter choices. The winter menu has been reviewed by my 2 cooks and with discussions with service users. Visual choices are offered on a daily basis to service users who require extra support. We promote our service users to live their own chosen lifestyles; some service users are able to hold and access their own bedroom keys and are encouraged and supported to assist in the maintenance of their own rooms. During the summer months several residents enjoyed being in the garden, tending the vegetable plots. We intend to roll this out again in the spring. Nutritional screening has been completed for all service users and those that require high protein drinks and snacks. is all included in their own care plans. We promote 5 a day fruit and veg and have incorporated fruit and veg into cakes to encourage a more healthy eating programme, carrot cake, banana, walnut, tea breads, date and walnut cake and apricots. We try to add bran and nuts into a varied diet for extra proteins. I am part of the dementia strategy group. All future decorations, fittings etc. will be in line with defined colour charts, lighting to be reviewed, carpets, wallpapers etc. In line with this and working with the Food Group - a pilot scheme, a designated coloured crockery will be trial led in late Nov/Dec. This is being funded by the Food Standard Agency. We are looking for evidence of improved appetite, improved or sustained social skills, relaxed and more comfortable, less anxious, as food will be more visible to the eye. The home has recently supported people to express themselves in accorandance with the Menatal Capacity Act and in line with the Deprivation of Liberty Safeguards. This is relatively new legislation and demsontrates that the staff team are keeping abreast of new developments and are acting in the best interests of people living at the home. The home continues to let us know about things that have happened since our last key inspection and they have shown that they have managed issues well. They work well with us and have shown us that their service continues to provide good outcomes for the people who use it. What are we going to do as a result of this annual service review? Based on the evidence described above there is no need to change the current inspection plan. However, the service will be inspected sooner if we have any concerns about the safety of people living in the home or the quality of the service provided to them. Annual Service Review Page 6 of 7 Reader Information
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