Care Home: Woodlands Care Home

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What the care home does well A service user said I love it here, it is like being on holiday. A relative said the staff are all very nice, very good. The call bells get answered quicker than they use to.A staff member said that staffing has been increased but we could always do with more staff to get people out more. What the care home could do better: The manager has plans to improve the service and they continue to work to their action plan to meet the requirements made at the last inspection. More work is needed to ensure that care plans are individual and person centred. For example the plan we sampled had no mention of the persons life history and background, this section was blank. This means that staff may not know this information and so may not have a full picture of the person. A senior staff said they are working through the care plans to address this. Random inspection report Care homes for older people Name: Address: Woodlands Care Home Fairfield Road Broadstairs Kent CT10 2JU two star good service 16/02/2009 The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Kim Rogers Date: 2 4 0 5 2 0 1 0 Information about the care home Name of care home: Address: Woodlands Care Home Fairfield Road Broadstairs Kent CT10 2JU 01843860998 01843862865 Telephone number: Fax number: Email address: Provider web address: www.southerncrosshealthcare.co.uk Name of registered provider(s): Name of registered manager (if applicable) Ashbourne (Eton) Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 33 Number of places (if applicable): Under 65 Over 65 33 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users to be accommodated is 33. The registered person may provide the following category/ies of service only: Care home with nursing only - (N) 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 (OP). Date of last inspection Brief description of the care home Woodlands Care Home is a purpose built two-storey building set in gardens next to Fairfield Manor Care Centre, both of which are owned by the same company. Ashbourne (Eton) Ltd is the registered company, which is a subsidiary of Southern Cross Healthcare. Care Homes for Older People Page 2 of 9 1 6 0 2 2 0 0 9 Brief description of the care home Accommodation comprises of thirty bedrooms that are all currently used as singles, but this number includes three larger rooms that can be used as doubles. All bedrooms have en-suite toilet facilities. There is a lift to the first floor and ample bathroom and toilet facilities. Communal areas consist of the main lounge, a very small lounge and dining room. There is a well-kept garden to the side and patio area at the front of the building for residents use. Shared parking facilities are available to the front and the home is located in a residential area on the outskirts of Broadstairs. The home offers personal and nursing care. There is always at least one registered nurse on duty, with a team of carers and ancillary staff that deal with cooking, cleaning, laundry, administration and maintenance. The fees for support from the home are set during the assessment period and are very specific to the needs of the individual, depending on the level of support required and the staffing numbers provided. Care Homes for Older People Page 3 of 9 What we found: We carried out a random inspection of the service. This means that we made a short focused visit to the home focusing on one or more standards. We looked at the areas relating to the requirements made at the last inspection of 10/02/2010. These requirements relate to staff training, staffing levels, staff supervision, training and induction records and how the service is monitored. Following the last key inspection we made five requirements and sent the provider a warning letter about meeting these and previous requirements. We received a response with an improvement plan from the provider. We looked at care planning and how the home is being managed. We spoke to staff, service users, a relative and the manager. We sampled records and had a look at some areas of the home. There is a new manager at the home who has been in post for about three months. This follows a period of inconsistent management. The manager has several years experience and has the skills and qualifications needed to manage the service. The manager has identified what needs to improve and has plans to improve the service. The manager said she is committed to investing in and developing the staff. The manager is meeting with each member of staff on a one to one basis to look at what training and support staff need. Most of the staff have now attended first aid training and other training including care planning has been arranged. There are now clear up to date records of training and induction. Staffing levels have been reviewed. Some new staff have been recruited and the staffing levels have been increased. A relative said that they feel there are enough staff on duty and that they have noticed call bells now get answered more quickly. Care plans have started to be reviewed and updated where necessary. The manager said that staff have had training in developing care plans to make them more person centred. The manager agreed that the work on care plans is ongoing. Guidelines about how people should be moved safely have been improved. This means that staff have the information they need about moving people safely. The manager and provider have established systems to audit and monitor practice. Staff said that they have responsibility for checking records daily including medication administration records. The manager is developing the quality assurance system to ensure that service users views are sought and acted on. We will not be taking further action at this time as the provider is working towards meeting previous requirements. What the care home does well: A service user said I love it here, it is like being on holiday. A relative said the staff are all very nice, very good. The call bells get answered quicker than they use to. Care Homes for Older People Page 4 of 9 A staff member said that staffing has been increased but we could always do with more staff to get people out more. 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 2. Care Homes for Older People Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes R No £ 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 1 7 15 To ensure the care plan 31/03/2009 provide staff with clear moving and handling guidelines. The daily records are legible and reflect the care given at that time. To ensure that the people and staff are safe when moving people. To ensure that records are clearly written to provide staff with details of what care has been provided. 2 27 18 The Registered Provider to 28/02/2010 make sure that at all times suitable qualified, competent and experienced persons are working in the care home in such numbers as are appropriate for health and welfare of service users. To make sure that there is enough staff on duty to meet the needs of the people living in the home. 3 30 18 The Registered Provider to 31/03/2010 ensure that staff receive first aid training. To make sure that staff have the appropriate training to meet the peoples needs. Care Homes for Older People Page 6 of 9 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action 4 30 17 The Registered Person shall 31/03/2010 maintain in the care home the records specified in Schedule 4 (6)(g) a record of all training undertaken including induction training. To make sure that an accurate record of all training is in place to evidence that the staff have received appropriate training to do their jobs well. 5 33 24 The Registered Provider shall 31/03/2010 establish and maintain a system for evaluating the quality of the services provided. To make sure that the home is run in the best interest of the people who live there. 6 36 18 The Registered Provider to 31/03/2010 ensure that persons working in the care home are approrpaitely supervised. To make sure that staff are supported to do their jobs well. Care Homes for Older People Page 7 of 9 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, 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 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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