Care Home: Woodlands Care Centre

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What the care home does well Woodlands Care Centre is well managed so it is run in the best interests of the people who live there. Staff are highly regarded by people living in the home and their relatives. One person said, "the staff always seem very kind and patient with the residents. We visit weekly on different days and the pleasant atmosphere remains consistently the same", and another told us, "staff very approachable and supportive". People who are thinking about moving into Woodlands Care Centre have an assessment before they move in so they know their needs can be met there. Care staff seek advice and support from a variety of health care professionals so that people`s care needs are fully met. Woodlands Care Centre provides people with choice in their daily lives and they are able to take part in activities if they wish so they can keep active social lives. The standard of food provided by the home is good so that people who live there are well nourished.If people have any concerns about how the home is run they know how to make those concerns heard so they can be confident that actions will be taken to investigate concerns and put any problems they have right. Woodlands Care Centre is well maintained so people live in a comfortable and pleasant environment. The home is kept clean, tidy and free from infection. One relative said, "over the past twelve months we have seen a vast improvement at this care home. Tired furnishings have all been replaced. More activities seem to have been introduced and the notice board now tells us what is going on, who is who and what our relative is eating each day. We know we can ask staff what is happening and that if we have concerns the doctor visits each Wednesday". Staffing levels at the home are good and there is a good atmosphere in the home. We were told that the home had, "warm, friendly environment. Good relationship between staff and residents, everyone on first-name terms". When new staff are recruited, there are thorough checks to make sure they are suitable to work at Woodlands Care Centre. Staff are given support to undertake training appropriate for their jobs so they are skilled and knowledgeable in providing care for the people who live at the home. What has improved since the last inspection? The management of medication has improved so people receive their medication safely and as it was prescribed for them. Recruitment practices have improved so that people living in the home know that staff have been thoroughly vetted before they start working at Woodlands. All staff have taken part in fire drills and most staff have undertaken fire awareness training so they know what to do if a fire breaks out at the home. People living at the home (where possible) or their representative are involved in their own care planning and review so that they know what care will be provided and can say if it is effective. More activities are available so people can choose to take part in group activities or one to one activities with a staff member so they do not become socially isolated. What the care home could do better: Any staff who have not undertaken training in safeguarding adults need to undertake this training so they know how to recognise abuse and what to do if they suspect someone is being abused. The manager needs to submit a valid application to become registered with the CSCI, as required by law. Actions detailed in the fire risk assessment need to be signed off to show that the management have taken all necessary actions to ensure the safety of people living in the home. CARE HOMES FOR OLDER PEOPLE Woodlands Care Centre Woodlands Road Macclesfield Cheshire SK11 8AQ Lead Inspector June Shimmin Key Unannounced Inspection 22 September 2008 09:15 X10015.doc Version 1.40 Page 1 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 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Woodlands Care Centre DS0000069632.V364999.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Woodlands Care Centre DS0000069632.V364999.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodlands Care Centre Address Woodlands Road Macclesfield Cheshire SK11 8AQ Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01625 432 471 01625 421 570 woodlands@canterbury-care.com Canterbury Care Homes Ltd Care Home 30 Category(ies) of Dementia (5), Old age, not falling within any registration, with number other category (30) of places Woodlands Care Centre DS0000069632.V364999.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home with nursing: Code N, to people 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 (maximum number of places: 30). Dementia: Code DE (maximum number of places: 5). The maximum number of people who can be accommodated is: 30. Date of last inspection 26 November 2007 Brief Description of the Service: Woodlands Care Centre was built as a private residence around 1880 and remained as a private house until 1984 when it was converted into a nursing home. Ownership of the home had recently changed and the new owners are Canterbury Care Limited. The home is about two miles for the centre of Macclesfield in Cheshire. There are high walls around the property, giving privacy, and there is a patio and lawn for the people who live at the home to use. Accommodation is provided on two floors and includes both single and double rooms, some of which have en suite facilities. Access between floors is provided by a passenger lift. There is a large conservatory with lounge space and a dining room and there is a second lounge in the home. There is wheelchair access to the home. Room prices range from £417.86 to £720 per week, depending on the size of the room and whether it is a single or double and the type of en-suite facilities. Woodlands Care Centre DS0000069632.V364999.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. We carried out an unannounced visit to the home on 22 September 2008. It was done by one inspector and lasted six hours. The visit was just one part of the inspection. We also looked at other information received about Woodlands Care Centre since the last time we visited it. Before our visit the home manager was asked to complete a questionnaire to provide up to date information about the home. We sent questionnaires to people who live in the home and staff in order to find out their views about it. During our visit, we looked at the premises and at various records that have to be kept at the home. We spoke with a number of people who live at the home, several relatives and staff and they gave us their views about Woodlands Care Centre. What the service does well: Woodlands Care Centre is well managed so it is run in the best interests of the people who live there. Staff are highly regarded by people living in the home and their relatives. One person said, “the staff always seem very kind and patient with the residents. We visit weekly on different days and the pleasant atmosphere remains consistently the same”, and another told us, “staff very approachable and supportive”. People who are thinking about moving into Woodlands Care Centre have an assessment before they move in so they know their needs can be met there. Care staff seek advice and support from a variety of health care professionals so that people’s care needs are fully met. Woodlands Care Centre provides people with choice in their daily lives and they are able to take part in activities if they wish so they can keep active social lives. The standard of food provided by the home is good so that people who live there are well nourished. Woodlands Care Centre DS0000069632.V364999.R01.S.doc Version 5.2 Page 6 If people have any concerns about how the home is run they know how to make those concerns heard so they can be confident that actions will be taken to investigate concerns and put any problems they have right. Woodlands Care Centre is well maintained so people live in a comfortable and pleasant environment. The home is kept clean, tidy and free from infection. One relative said, “over the past twelve months we have seen a vast improvement at this care home. Tired furnishings have all been replaced. More activities seem to have been introduced and the notice board now tells us what is going on, who is who and what our relative is eating each day. We know we can ask staff what is happening and that if we have concerns the doctor visits each Wednesday”. Staffing levels at the home are good and there is a good atmosphere in the home. We were told that the home had, “warm, friendly environment. Good relationship between staff and residents, everyone on first-name terms”. When new staff are recruited, there are thorough checks to make sure they are suitable to work at Woodlands Care Centre. Staff are given support to undertake training appropriate for their jobs so they are skilled and knowledgeable in providing care for the people who live at the home. What has improved since the last inspection? The management of medication has improved so people receive their medication safely and as it was prescribed for them. Recruitment practices have improved so that people living in the home know that staff have been thoroughly vetted before they start working at Woodlands. All staff have taken part in fire drills and most staff have undertaken fire awareness training so they know what to do if a fire breaks out at the home. People living at the home (where possible) or their representative are involved in their own care planning and review so that they know what care will be provided and can say if it is effective. More activities are available so people can choose to take part in group activities or one to one activities with a staff member so they do not become socially isolated. Woodlands Care Centre DS0000069632.V364999.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Woodlands Care Centre DS0000069632.V364999.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Woodlands Care Centre DS0000069632.V364999.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. People have their needs assessed before they move into Woodlands Care Centre so they know their needs can be met there. EVIDENCE: We looked at the assessments of two people who had recently moved into the home. These contained enough information for the manager to decide if their needs could be met at Woodlands Care Centre. The manager, who is a registered nurse, said that she carries out assessments of people wishing to move into the home. When she is not available, the deputy manager does the assessments. Although there was limited information about the social and family history on the assessments we saw, the manager told us that she asks the person’s family to complete a detailed social history of people moving into the home Woodlands Care Centre DS0000069632.V364999.R01.S.doc Version 5.2 Page 10 when they first arrive. This is good practice as it enables staff to understand the person’s background and unique needs and helps them to communicate better with new residents. The manager gave us information about Woodlands Care Centre and said that visits are encouraged before people move into the home so they can see what it is like to live there before they make their decision to move in. The manager told us, “Information is sought from medical records if in hospital, relatives’ information, social services and other multidisciplinary assessments to enable us to put together a full and comprehensive plan of care’. This means that the staff at the home are prepared when a new person moves in and they can provide appropriate care for them straightaway. Records we looked at showed that the nursing staff do a re-assessment of people’s needs when they move in to make sure that everything is covered and that there have been no changes in people’s care needs since the original assessment was done. Woodlands Care Centre does not provide intermediate care so this standard does not apply. Woodlands Care Centre DS0000069632.V364999.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. The health and personal care needs of people living in the home are met and care is provided in a manner that protects their privacy and dignity. EVIDENCE: We looked at the care plans of three people who live in the home. One was for a person who had recently moved to Woodlands Care Centre and another was for a person who had moved in from hospital with extensive pressure sores. The care plans had been written within forty-eight hours of the person moving into Woodlands so that any risks were quickly identified and a suitable risk assessment provided. This also means that staff had been told promptly about what they needed to do to meet the care needs of these people. The risk assessments and care plans included the physical needs of people living in the home as well as other needs such as communication and being involved in any social activity in the home if they wished. We saw that people had been asked if they wanted to be involved in reviewing their own care Woodlands Care Centre DS0000069632.V364999.R01.S.doc Version 5.2 Page 12 plans. This means they would know what changes needed to be made to their care plan if necessary. Care plans and risk assessments were reviewed monthly so that staff could evaluate whether care provided was effective and make any necessary changes to make sure people were continuing to receive the right care to meet their needs. The care plans used at Woodlands were pre printed and staff had amended these to include the name of the person receiving care and to add other actions that needed to be taken. However, in a number of instances staff had ticked all the boxes for action on these pre-printed forms, even though they were not relevant to that person. This showed us that the care planning at the home was not yet person centred. For instance, one care plan referred to the person using a nurse call bell although the person could not physically do this. Another referred to a mini mental test being carried out but did not show what actions should be taken as a result of the findings of the test. We found several minor problems with the care plans and the manager told us she would take action to put these matters right. Staff at the home were to be commended as they had managed to heal one person’s pressure sores through good nursing care. We also saw evidence that staff at the home had also managed the care of another person with ulcers well. The care plans we saw showed that care staff took into account the principles of privacy and dignity in the way they provide care to people living at Woodlands. People living there told us that staff treated them with respect and were polite and sensitive when meeting their personal care needs. We saw records that showed that staff refer the people who live at Woodlands Care Centre to appropriate health care professionals for further advice and treatment to make sure their health care needs are met. These included a chiropodist, optician, dietician and specialist nurses. A GP usually visits the home once a week to review the care of people living at Woodlands. Medicines are managed quite well at Woodlands Care Centre. The medication policy of the organisation that runs the home is very brief in content. The manager had obtained a recent document about the management of medication from the Nursing and Midwifery Council so staff would have up to date guidance about good practice. Medication records were of a good standard. However, medication storage facilities were quite limited on the ground floor, following the move of the medication room to a different location. We noted two types of medication cream lying on the bedside table of one person; these should have been stored securely. Woodlands Care Centre DS0000069632.V364999.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. There is a range of activities for people who live at Woodlands Care Centre to choose to take part in and the standard of catering is good so they are able to remain active socially and enjoy a good diet. EVIDENCE: There is a person employed to provide activities in the home and these are offered during the day from Tuesday to Friday every week. There is a notice board in the entrance hallway to display information about the weekly programme of activities. These appeared varied and one person said that they were able to join in if they wished. Staff from the home get information about people’s previous live and interests when they come to live at the home from them and their families. This means that staff at the home can provide group and one to one activities that are suited to each person. A person who was visiting the home whilst we were there told us, “the activities have improved and there is a notice board in the hallway so we can keep up to date with what’s going on”. There was also information available about representatives of two local churches who visit Woodlands Care Centre DS0000069632.V364999.R01.S.doc Version 5.2 Page 14 Woodlands Care Centre monthly so that people can join in a religious service if they wish. People were complimentary about the home and one relative was touched that the staff at the home had prepared an anniversary cake for him and his wife as a surprise for them both. Several of the people who live at Woodlands told us that the standard of catering is good and visitors confirmed this. Since our last major inspection of the home new chairs, tables and carpets have been installed in the dining room so the area is a more pleasant environment for people to enjoy their meals meals. During lunch we saw staff helping people to eat their meals. This was done sensitively and, where necessary, people were given appropriate protective clothing to make sure their clothes did not become soiled. The food appeared to be nutritious and well presented. The cook said that staff ask people what they would like to eat in advance of the next meal so that their choices can be respected. There was a choice of meal for both the lunch and evening meals on the day of our visit to Woodlands Care Centre. Woodlands Care Centre DS0000069632.V364999.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. Woodlands Care Centre provides effective policies and procedures about complaints and safeguarding adults to make sure that people living in the home are listened to and protected from harm. EVIDENCE: Woodlands Care Centre has a complaints policy and procedure. This was displayed in the hallway of the home and gave people information about how they could notify the home of any concerns they had about it. It also provided the contact details of the CSCI so they could speak to us if they wished. People living in the home and relatives said they would know who to speak to if they had any concerns. The manager kept a record of complaints together with details of the investigations carried out and the outcomes of the complaints. This shows that people can be confident that their concerns will be listened to and acted upon. The manager notifies us of any issues relating to safeguarding adults and takes appropriate action to protect vulnerable people. Since our last major inspection of the home, nearly half the staff group have undertaken training in safeguarding adults but the rest of the staff still need to do this training. The manager said that she has been liaising with a local NHS trainer with the intention to provide the rest of the staff with this training in the near future. Woodlands Care Centre DS0000069632.V364999.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21 and 26 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. Woodlands Care Centre is well maintained so that people live in safe, pleasant and comfortable surroundings. EVIDENCE: The manager told us that various improvements have been made in the home since we last did a major inspection there. These include new carpets throughout the home except for four bedrooms, new armchairs and curtains in both lounges, new dining furniture, a new hoist and nine specialist beds. The manager’s office has been upgraded and the former ground floor medication room converted into a satellite kitchen. A bathroom on the ground floor has been converted into a nurses’ office and there is a separate medication room within this office. The new medication room is quite small although there are hand-washing facilities so that nurses can wash their hands before and after Woodlands Care Centre DS0000069632.V364999.R01.S.doc Version 5.2 Page 17 giving out medication. The manager told us there was another small medication room on the first floor. People who live at the home would benefit from some improvement to the bathing and toilet facilities. The manager told us that the ground floor bathroom that had been converted to a nurses’ office was rarely used. However, there is now only one bathroom and a separate shower room on the ground floor. On the first floor there is a bathroom located between two bedrooms. Both these bedrooms are occupied so the bathroom could only be used by people living in those two rooms. There is a toilet in this bathroom but no other toilet on the first floor. At our previous visits to Woodlands, we found that there was nobody living on the first floor who would be able to use a toilet so the fact that there were no other toilets available on the first floor had not been a problem. At this visit we saw that there is at least one person living on the first floor of the home who is able to use a toilet but as the one on the first floor is not available to them, they would have to go down to the ground floor if they needed a toilet. The manager said that it was hoped that work to provide en suite toilets and washbasins in rooms on the first floor would start in the near future. During our visit, we walked round the home and found that it was clean and tidy with no unpleasant odours. We found that there were effective measures in place to make sure that any potential outbreak of infection is well managed. We saw a number of bedrooms; these all contained personal items such as pictures, ornaments and small items of furniture to make them feel more homely for the person living there. Woodlands Care Centre DS0000069632.V364999.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. There are thorough procedures to check on new staff before they start work at Woodlands Care Centre and there are enough suitably trained staff employed to make sure that people living in the home are well cared for and protected from possible harm. EVIDENCE: People living in the home and their relatives think highly of staff working at Woodlands Care Centre. One person living in the home said, “all nice to me and they’re lovely”. Staff told us they enjoy working in the home; one staff member told us, “I like the residents, staff, very pleasant atmosphere”. People who live at Woodlands Care Centre, their relatives and staff who work there told us they thought the staffing levels were sufficient to meet the needs of people in the home. During our visit, we saw that staff did not appear to be rushed in their work and they behaved in a friendly, sensitive and relaxed manner with people living in the home. We looked at the recruitment records of two new staff members. These included all necessary documentation and showed that the necessary Criminal Records Bureau checks had been obtained to make sure that the staff were suitable to work in the home. The manager told us after an initial check, new staff worked under supervision until full clearance was received from the CRB. Woodlands Care Centre DS0000069632.V364999.R01.S.doc Version 5.2 Page 19 This was to make sure that people living in the home were protected from possible harm and poor practice. The staff files we saw showed that staff at the home receive formal supervision so they were given support about any training or practice needs. Staff members’ training records were kept on file but there were no records of induction for new staff to show they had received appropriate training and support when they first started work at the home. The manager told us that the induction training for new staff is linked to Skills for Care, which is a nationally recognised organisation for training standards in the field of social care. This means that staff are working towards nationally recognised awards. The manager also confirmed that all care staff have either achieved or are working towards an NVQ2 award in care so they have the skills and knowledge to perform their role more effectively. Woodlands Care Centre DS0000069632.V364999.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to this service. Woodlands Care Centre is well managed so that people living there can be confident that the home is run in their best interests. EVIDENCE: The manager works full time, and is a trained nurse. She has achieved the registered manager’s award as well as certificates in clinical audit, supervisory management and a diploma level palliative care qualification. She has worked in the field of care for older people for over twenty years and has been in senior management for ten years. She had held her current post for ten months and was with the company that previously ran this home for thirteen years. She had yet to become registered with us as the manager of Woodlands Care Centre DS0000069632.V364999.R01.S.doc Version 5.2 Page 21 Woodlands Care Centre. The person who was the manager previously continues to work at the home as the deputy manager. The manager has put various systems in place to make sure the quality of the service at Woodlands Care Centre is monitored. This includes audits of the medication system, accidents and health and safety. The feedback from these audits enables the manager to identify where further improvements need to be made. A representative of the company that runs the home visits each month to see how it is running and provides a report on their findings. These reports are available for us to read during our inspection visits to Woodlands Care Centre. The manager has also held meetings with the people living in the home, their relatives and the staff so that they can say what they feel about how the home is run. Any issues raised at these meetings are listened to and actions taken to resolve them. The personal allowances of people living in the home are well managed so they know their money is safe. We checked a selection of maintenance records. These showed that installations in the home such as the gas and electricity had been checked regularly to make sure they are safe. This means that people living and working in the home are safe. We also looked at the fire safety records. These showed that all staff have taken part in a fire drill during the past year and most have attended fire safety awareness briefings so they know what to do if a fire breaks out. The manager told us that those staff who had yet to receive this refresher training would do so during the month after our visit. Although a fire risk assessment for the building had been completed, various actions identified as needed had not been signed off to show that appropriate actions had been taken. The manager was confident that these actions had been taken but said that the representatives from head office had not signed to confirm this. Woodlands Care Centre DS0000069632.V364999.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X 2 X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 2 Woodlands Care Centre DS0000069632.V364999.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP18 Regulation 13(6) Requirement All staff who have not yet undertaken training in safeguarding adults must do this training so they know what to do to if they suspect someone is being abused and so that people living in the home are protected. The home manager must submit a valid application to be registered with the Commission for Social Care Inspection, as required by the Care Standards Act 2000. Written confirmation must be given to CSCI that all the actions detailed as necessary in the fire risk assessment for the home have been carried out to show that people living in the home are safe. Timescale for action 22/12/08 2 OP31 Part 2 Section 2 Care Standards Act 2000 23(4)(c) 22/12/08 3 OP38 22/12/08 Woodlands Care Centre DS0000069632.V364999.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP7 Good Practice Recommendations All care staff working in the home should undertake training in person centred care so that they understand the principles of care that is tailored to the individual needs of the person and which values the individual. Medication should be stored securely at all times so that it is stored at the right temperature and only used as stated on the instructions. Action should be taken to make sure there are sufficient bathing and toilet facilities available at all times to meet the needs of people living in the home. 2 OP9 3 OP21 Woodlands Care Centre DS0000069632.V364999.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Regional Contact Team Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries.northwest@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Woodlands Care Centre DS0000069632.V364999.R01.S.doc Version 5.2 Page 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. 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