Latest Inspection
This is the latest available inspection report for this service, carried out on 19th June 2009. 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 Gate.
Annual service review
Name of Service: Woodlands Gate 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: Ann Farrell Date of this annual service review: 1 9 0 6 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 12 Dingle Road Stourbridge Dudley West Midlands DY9 0RS 01562885546 01562885546 admin@sclcare.co.uk www.sclcare.co.uk S.C.L. Care Limited Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category physical disability Number of places (if applicable): Under 65 Over 65 2 0 0 0 13 6 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): Brief description of the service Woodlands Gate is a large converted domestic property located in a quiet residential area of Pedmore near to the town of Stourbridge with good public transport links. There is car parking to the front of the property. The garden to the rear is large and well established with a variety of shrubs, trees and plants and a patio area adjacent with a number of tables and chairs. The home is registered to care for twenty one older persons and has seventeen single bedrooms and two double rooms. Accommodation is on two floors accessed by a passenger lift. Bedrooms are all decorated individually and reflect peoples different tastes and personality. People may bring some of their own furniture if they wish, after discussion with the manager. The home has a number of bathrooms with assisted bathing facilities located on the ground
Annual Service Review Page 2 of 7 and first floors. There is a large lounge with a conservatory, a dining room and `quiet lounge/dining room all situated on the ground floor. Communal areas are decorated and furnished to a good standard. There are a a range of stimulating social activities for people living in the home. The home should be contacted for up to date information about the weekly charge for this service. 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 looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included; The annual quality assurance assessment (AQAA) that was sent to us by the service. 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 service. Surveys returned to us by people using the service and from other people with an interest in the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. Any relevant information from other organisations. What has this told us about the service? The service sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and gave us the information we asked for. They told us about how they had met Equality and Diversity. They told us the Home has always promoted equality and people who live in the home staff. They have comprehensive policies and procedures including recruitment, admissions and staff training, which are reviewed regularly and updated when necessary due to changes in legislation. All staff are aware of the policies and are expected to adhere to them. These issues are refreshed during staff supervisory meetings as well as during staff meetings. They have told us about the improvements they have made over the past twelve months, which include; They told us they have introduced new, more detailed needs assessment forms which ensure a more thorough needs assessment of potential clients and therefore a more comprehensive care plan. They have introduced a formalised checklist to ensure that all steps required in accepting a new person into the home are completed and evidenced. The brochures have been updated to provide more information about the Home for people considering moving into the home. Person centred care plans have been fully introduced that are based on peoples strengths and abilities and are more user friendly. Information is obtained about peoples preferences as well as their life history to enable more detailed care plans to be developed. All staff have been trained to record more details in the daily observations book wherever possible to enable follow up of people living in the home. The key worker system has been updated to improve 24 hour feedback on the persons health and personal need requirements. A new medication trolley has been obtained for the safe storage of medication, which is kept secured and locked in the upstairs office. An activities coordinator has been appointed and they have introduced a whole new Annual Service Review Page 4 of 7 range of activities, including more therapeutic activities, which have been chosen by people living in the home. A display of peoples achievements is on display to encourage greater participation, and to give people living in the home a sense of satisfaction. Staff are in the process of completing level 2 in dementia care, which has improved their understanding of what and how activities should be encouraged for people living in the home. They are also encouraged to maintain a more detailed activities diary to demonstrate the range of activities undertaken. A copy of the complaints procedure has been placed in every persons bedroom, so they have the information available if they wish to raise any concerns. Any concerns or negative feedback from the quality assurance surveys are recorded and followed up to ensure continuous improvement. Two bedrooms have been redecorated, carpet has been replaced in one room, three beds have been replaced, the flooring in the hall and corridor has been replaced and new light fittings have been installed in the hall, dining room and lounge, so enhancing the environment for people living in the home. All staff are in the process of completing level 2 in Dementia Care and two new staff are studying for their NVQ level 2 in Care. Staff have also been provided with training in safe working practice topics, including Infection Control/COSHH, plus safeguarding, so staff have the knowledge and skills to meet peoples needs effectively. They have told us about the plans they have for the next twelve months and these include; They told us they plan to update their website to provide more information to people who are considering moving into the home. They plan to continue to monitor and introduce new activities when necessary to ensure the continued interest and participation by people who live in the home. They are introducing a Compliments and Concerns Book to promote greater transparency and continuous improvement in the home. We have received surveys from seven people who live in the home, three visitors and three staff who work in the home. People who live in the home told us; Four people told us they received a contract and they received enough information about the home before they moved in. Seven people told us they always/usually received the care and support they needed. Seven people told us they always received the medical support they needed. They all told us there is always/usually staff available when they need them. Six people told us staff always/usually listen to them and one person told us staff sometimes listen to them and act upon what they say. Five people told us there are always/usually activities that they can take part in and two people told us there were sometimes activities they can take part in. Seven people told us they always/usually like the meals in the home. Everyone told us they knew who to speak to if they were not happy and six people were aware of how to make a complaint. They all told us the home is always/usually clean and fresh. Annual Service Review Page 5 of 7 Comments included; All my needs are met to my complete satisfaction. Very good makes sure we are all cared for. Keeping me clean and warm. Meals are very good; staff friendly. Treats me with respect and dignity. I am happy living here. Very grateful for all the help I receive. Relatives told us; Staff are friendly and obliging. Clean environment Everything is to my complete satisfaction. Staff told us; Three staff told us they are always/usually given up to date information about the needs of people living in the home. Three told us employment checks had been undertaken before commencing employment. Three staff told us the induction training covered everything they needed very well and they were given training relevant to their role. One member of staff told us they meet with the manager regularly for support and two told us they meet sometimes. Three told us they were aware of what to do if any concerns were raised. Two staff told us they always have the right support to meet the different needs of people living in the home. Three staff told us there is usually/sometimes enough staff on duty. When asked what the home did well they told us; Provide a safe, caring and friendly atmosphere for clients, staff and visitors. Promote independence and well being of all clients. Meals are good. High standard of hygiene. In house training always ongoing When asked what the home could improve they told us; Provide outings or live entertainment. We have received one complaint about aspects of care in the home since the last key inspection, which was referred to the provider to investigate. They responded to us in writing and the complaint was not upheld. The home has told us they received three complaints, which were all responded to within 28 days and one was upheld. They told us they have not made any safeguarding referrals. The home has kept us informed about relevant important information and the action they took to address them through the notifications forwarded to us. We have looked at all the relevant information available and in our judgement the home is still providing a good service. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by 10th June 2010. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 6 of 7 Reader Information
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