Care Home: Woodlands Lodge And Cottage

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What the care home does well The people who live at Woodlands Lodge and Cottage are happy there and some of their relatives describe the home as excellent. They can have confidence in the home because it is managed by a qualified and experienced person who has developed her skills over time through training and personal development. Each person`s individual needs are known and their rights to privacy and confidentiality are respected so the support they get from staff is given in a way that meets their needs and maintains their dignity. All the people who live at the home have a care plan that has been written and developed with them so they receive care and support in the way they want and prefer. The atmosphere in the home is relaxed and sociable. People are offered a range of activities in the home and are supported and encouraged to explore and take advantage of opportunities for personal development, learning, leisure, education and meeting and socialising with other people in the home and in the local community. There is a strong and consistent team of staff. They are well trained and were recruited through thorough procedures so they are suitable to work with the people who live at the home. What has improved since the last inspection? A new manager has been appointed who has the required qualification and experience to run the home. They have shown that they are person centred in approach and have enthusiasm, commitment and a good understanding of best practice principles of care so they know how to run the home in the best interests of the people who live there. Much has been achieved since our last inspection with significant improvements in staff training, person centred care planning and care practice so people are always treated with dignity and respect and receive care that meets their needs and expectations. All staff have completed training on safeguarding vulnerable adults so they know what to do in the event of any suspicion or evidence of abuse. This will help to make sure that the people who live at the home are safeguarded from abuse. Essential repairs and maintenance of the emergency lighting system have been completed so people who live and work at the home are safe. Repairs have been made to the shower in the first floor bathroom and the leak to the roof so people live in comfortable surroundings. Effective quality assurances processes have been introduced. These are based on seeking and acting on the views of the people who live at the home so they know that they are listened to and their views are taken seriously and acted upon. What the care home could do better: The manager and staff need to build on everything that has been achieved since our last inspection. This will help to make sure that the people who live at the home continue to be supported to live the lifestyle they choose and benefit from opportunities for personal development, education, leisure and social interaction at the home and in the local community. Key inspection report Care homes for adults (18-65 years) Name: Address: Woodlands Lodge And Cottage 95b Byrons Lane Macclesfield Cheshire SK11 7JS     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: David Jones     Date: 1 2 0 2 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Adults (18-65 years) Page 2 of 29 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial 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. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 29 Information about the care home Name of care home: Address: Woodlands Lodge And Cottage 95b Byrons Lane Macclesfield Cheshire SK11 7JS 01625610049 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: rw@rossendaletrust.org Rossendale Trust care home 16 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Additional conditions: The registered person may provide the following category of service only: Care home only - code PC to service users of the following gender. Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD - (maximum number of service users 16) Physical disability - Code PD (maximum number of service users 4). The maximum number of service users who can be accommodated is 16. Date of last inspection Brief description of the care home Woodlands Lodge and Cottage is registered to provide care for 16 people with a learning disability. The home is a detached house on the outskirts of Macclesfield town centre. It is in pleasant surroundings in a quiet residential cul-de-sac off the main road. It is run by the Rossendale Trust, a charitable organisation. The Rossendale Trust was established in 1973 and provides both residential and day care for adults with learning disabilities. The accommodation includes single and shared bedrooms on the ground and first Care Homes for Adults (18-65 years) Page 4 of 29 Over 65 0 0 16 4 2 5 0 9 2 0 0 9 Brief description of the care home floors. A number of these bedrooms are smaller than the sizes identified in the National Minimum Standards for Care Homes. However, as the home was registered and in use before 31 March 2002, the home does not have to meet this standard. Local amenities, in the village of Sutton and at other Rossendale Trust services, are a short drive away. Information regarding the fees for living in the home is available from the manager and will depend on the level of support needed. Care Homes for Adults (18-65 years) Page 5 of 29 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 Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is two stars. This means that people who live at Woodlands Lodge and Cottage experience good quality outcomes. This visit was unannounced. It took place over one day, taking 8 hours in total, and was done by one inspector. This report will say we when referring to our activities and findings, as it is written on behalf of the Care Quality Commission. Our visit was just one part of the inspection. Before the visit took place we asked the manager to complete a questionnaire that we call an annual quality assurance assessment or AQAA for short. It gives us information about how the home is meeting the needs of the people who live there and includes plans for future development. We looked at the information that we already had about the home and this, with the information from the AQAA, helped us to form our inspection plan. Care Homes for Adults (18-65 years) Page 6 of 29 We checked the records of two people who lived at the home to see what care they receive. We spoke with some of the people who live at the home and some of the staff who support and care for them and their views were taken into account. We looked at the communal areas of the home, including lounge, dining room and kitchen to see how the home was decorated, maintained and furnished. We also looked at some policies and procedures to check that these were up to date and provided suitable guidance for staff. Care Homes for Adults (18-65 years) Page 7 of 29 What the care home does well: What has improved since the last inspection? What they could do better: The manager and staff need to build on everything that has been achieved since our last inspection. This will help to make sure that the people who live at the home continue to be supported to live the lifestyle they choose and benefit from Care Homes for Adults (18-65 years) Page 8 of 29 opportunities for personal development, education, leisure and social interaction at the home and in the local community. 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 on page 4. 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 Adults (18-65 years) Page 9 of 29 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 29 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, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. 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 the person 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 thinking of moving to Woodlands Lodge and Cottage are given clear information and are invited to visit so they can make an informed choice about the homes suitability for them. They have their needs assessed so they can be confident that their needs will be met when they move in. Evidence: The information about what the home provides, how it works and who it is for is written in plain language so it is clear. The manager told us that it will be produced in a range of formats so people with differing communication skills and needs will be helped to understand what the home has to offer. Nobody new had moved into the home since our last visit. However, we could see that there were good procedures for introducing new people to the home. We could see that managers and staff are aware of the importance of providing people with sufficient information to make an informed decision about the home so they can be confident that it is suitable to meet their needs. This is because new people are always invited to visit the home before they move in so they can meet the staff and other Care Homes for Adults (18-65 years) Page 11 of 29 Evidence: people who live there and decide for themselves if it is where they would want to live. They have their needs assessed and are invited to a planning meeting where their needs, personal preferences and aims and objectives are discussed so they know that their needs will be met in a way they want and prefer. Care Homes for Adults (18-65 years) Page 12 of 29 Individual needs and choices 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 needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. 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 at Woodlands Lodge and Cottage are actively involved in developing their own care plans so the health and personal care they receive is based on their individual needs. Evidence: We looked at the care records of two people who lived at the home to check the arrangements made for their care and support. We could see managers and staff had worked hard since our last inspection and had redrafted each persons care plan following good practice guidelines. Care plans were based on the persons individual needs and showed their personal preferences, likes and dislikes so they would receive care and support in the way they wanted and preferred. All the people we spoke with told us that they were happy with the care and support they were given. We could see that each person was treated as an individual and managers and staff were responsive to their differing needs. People showed us their care records and we could see that they owned them and were Care Homes for Adults (18-65 years) Page 13 of 29 Evidence: familiar with them. This showed us that the home actively promotes peoples right to access information that the service holds about them. For example one person showed us their Person Centred Plan and when they opened it for us their face lit up with delight. We could see that the plan was valued by them and they were excited about the prospect of achieving their aims and objectives. We spoke with staff about Person Centred Care Planning and we could see that they were very enthusiastic about it and told us how it had helped them to provide care and support in a way people wanted and preferred. Staff told us that they were helping people to explore and take advantage of opportunities for socialising, recreation, education and leisure in the home and in the local community. Risk assessment is an important part of the homes care planning procedures so the people who live at the home are helped to make their own informed decisions and have the right to take risk in their daily lives. Each persons care file contained a range of risk assessments addressing potential hazards in and around the home and local community. We could see that risk assessments balanced choice and risk so people were supported to take an element of risk in the interests of living an independent life style. For example one of the people who lived at the home wanted to eat meals in their room but information in their assessment showed that they needed close supervision when eating because of a choking hazard. Their risk assessment weighed risks and benefits and identified safeguards so they could eat in the privacy of their room in safety. At the time of our visit the Rossendale Trust, the registered charity that runs the home, was in the process of developing policies and procedures on the Mental Capacity act and the Deprivation of Liberty safeguards. However, we could see that the people who lived at the home were able to make decisions about their lives and lifestyle and got the right type of help when needed. Care Homes for Adults (18-65 years) Page 14 of 29 Lifestyle 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 can take part in activities that are appropriate to their age and culture and 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 and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. 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 live at Woodlands Lodge and Cottage are supported to make choices about their lifestlye and are offered a range of actvities in the home and local community that meets their needs and expectations. Evidence: The atmosphere in the home was always warm and welcoming. In the morning it was quiet and relaxed but in late afternoons when most people came home from the day centre or college it was positively buzzing with activity. We could see that the people who lived at the home were involved in all domestic routines including cooking, cleaning, doing the laundry and shopping. One person who was peeling the potatoes told us that they loved cooking. Another person told us that they had chosen what to have for their evening meal by simply looking in the fridge. With the support of staff they decided to make stew and dumplings. We could see that the staff did things with people rather than for people. This provided a natural learning environment where Care Homes for Adults (18-65 years) Page 15 of 29 Evidence: people were able to develop and practice their culinary and housekeeping skills. The homes activity records show that people are supported and encouraged to enjoy a full and stimulating lifestyle. Individual hobbies and interests are supported and promoted and people have opportunities to take part in a range of social, educational and leisure activities in the home and local community. Records show that people living in the home are encouraged to maintain contact with family and friends. Visiting relatives told us that they were always made to feel welcome and involved. Meal times were relaxed social occasions and records of meals served show that a varied and nutritious diet is on offer. At the weekend the people who live at the Lodge and those who live at the Cottage come together for Sunday lunch. This was discussed and agreed by all at a recent Residents meeting. Care Homes for Adults (18-65 years) Page 16 of 29 Personal and healthcare support 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 receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people 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. If people are approaching the end of their life, the care home will respect their choices and help them to 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. The people who live at Woodlands Lodge and Cottage receive health and personal care that is based on their individual needs so their needs are met in a way they want and prefer. The principles of respect, dignity and privacy are put into practice. Evidence: Personal health care needs including specialist needs and dietary requirements are clearly recorded in each persons care record. Care records include a health action plan. They provide an overview of the persons health care needs and act as an indicator of change in health requirements. Care plans show that all people living at the home are registered with a local doctor and other health care specialists visit from time to time. This helps to make sure that people stay healthy and their specialist health care needs are met. We observed staff talking and interacting with people who live at the home. We could see that each persons right to privacy was respected and the support they got from workers was given in a way that maintained their dignity. All staff we spoke with were aware of the differing needs of the people who live at the Care Homes for Adults (18-65 years) Page 17 of 29 Evidence: home. They showed us that each persons file was kept up to date and was reviewed and revised when their needs or circumstances changed. This showed us that staff were given sufficient information to meet each persons needs in a consistent and appropriate way so continuity of care was given. The home has a policy on the management, safekeeping and safe storage and safe administration of medication. Records show that all staff involved in handling medicines have received training so they know how to do this safely. A medication check showed that people receive their medicines as their doctor prescribed them so their health care needs were met. Nobody living at the home currently looks after their own medicines. However, the manager told us that assessments will be carried out to see if any of the people who live at the home can take part in managing their own medication so their independence is promoted. Care Homes for Adults (18-65 years) Page 18 of 29 Concerns, 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. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. 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. People who live at Woodlands Lodge and Cottage are able to express their concerns and have access to an effective complaints procedure. They are safeguarded from abuse and have their rights protected. Evidence: People who live at the home and their relatives are satisfied with the quality of care, facilities and services provided. All people responding to our survey told us that they know how to make a complaint and managers and staff treat them well and listen and act on what they say. People who live at the home are given a complaints procedure but some of them are unable to read it. The manager told us that an easy read version of the complaints procedure is being developed with illustrations and pictures so more people will be helped to understand it. The manager showed us that each persons Person Centred Plan was being revised to show how they express happiness, contentment, displeasure and pain. This will help to make sure that all people can express their concerns and have them taken seriously and acted upon. The complaints records show that only one complaint had been received since our last inspection. Records show that the concern raised was acted on and taken seriously. Information provided by the manager showed that all staff had completed training on safeguarding vulnerable adults since our last inspection. Staff have access to written policies and procedures for responding to suspicion or evidence of abuse including a whistle blowing policy so they know that they can report poor practice. Records and Care Homes for Adults (18-65 years) Page 19 of 29 Evidence: information provided by the manager showed that there had been no safeguarding referrals to the local authority since our last inspection of Woodlands Lodge and Cottage. Care Homes for Adults (18-65 years) Page 20 of 29 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, comfortable, 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. People have enough privacy when using toilets and bathrooms. 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 home is clean, tidy and well maintained so people live in comfortable, clean surroundings that meet their needs. Evidence: Woodlands Lodge and Cottage is a detached building on the outskirts of Macclesfield town centre. It is in pleasant surroundings in a quiet residential cul de sac off the main road. Although registered to provide care for 16 adults the home is divided into two separate houses, The Lodge and The Cottage. Both these house are in keeping with other domestic house in the area. This helps to provide an ordinary life in the community for the people who live at the home. One of the people who lived at the home showed us around the communal areas of the home and the gardens. We could see that people were comfortable in their surroundings and they told us that they were happy there. The home was clean, comfortable and well maintained. Arrangements had been made to address the issues we raised at our last inspection and the manager wrote to us after our visit to confirm all required work had been completed. We looked at the maintenance records and could see that the fire alarm emergency lighting and fire extinguishers were serviced and tested on a regular basis so the Care Homes for Adults (18-65 years) Page 21 of 29 Evidence: people who live and work at the home are safe. We noticed that some of the radiators were not guarded and we discussed this with the manager to see if the risks associated with unprotected heated surfaces were being managed. The manager undertook a risk assessment and found that radiator guards were needed on several radiators throughout the home to make sure that people are safe. The manager gave us written assurances that this work would be completed before the end of March 2010. This shows us that the home is managed in the best interests of the people who live there. Care Homes for Adults (18-65 years) Page 22 of 29 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, qualified 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. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. 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. Staff are trained and have gone through thorough recruitment processes so they are suitable and have the right skills to work with the people who live at the home. Evidence: Our observations and discussions with people who live at the home and two visiting relatives showed us that there were enough staff on duty to meet the needs of people who live there. Staffing rotas take account of the changing needs of people so more staff are employed at times of higher demand. All the people we spoke with were complimentary about the staff and the standard of care provided. Two visiting relatives told us they that they could only describe the staff as excellent. We could see that staff were skilled and experienced. They carried out their work in good humour with sensitivity and understanding of the needs of the people who live at the home. They were very good at helping people express their needs and make choices. For example one person told us that they decided what to have for dinner by looking in the fridge with one of the staff. They said that they could see that the ingredients to make stew and dumplings were available so they decided that would be a good idea, much to the approval of the other people who lived at the home. This showed us that staff did things with people rather for people. This provided an environment were people could learn and practice new skills so their Care Homes for Adults (18-65 years) Page 23 of 29 Evidence: independence was promoted. We checked the recruitment records of one new staff member and we discussed recruitment procedures with the manager and some staff. Records show that the homes recruitment procedures are thorough so staff are suitable and have the right skills and knowledge to work with people who live at the home. We talked with the manager and two support workers about training opportunities and we looked at the staff training records. We could see that there was a comprehensive staff training and development programme with opportunities for training in a range of relevant topics. These included dementia, diabetes awareness, risk assessment, safeguarding adults, fire safety, first aid, moving and handling, food hygiene awareness, infection control, administration recording and safe handling of medication, nutrition, consent and capacity and health and safety. All new staff complete an induction training programme which is based on the Skills for Care common induction standards so they have the skills they need to do their jobs effectively and competently. Equality and diversity is incorporated in the induction training and is promoted through person centred care planning so people receive care and support that meets their needs and expectations. The information kept about staff training showed that eleven of the 25 staff have achieved a national vocational qualification (NVQ) in care at level 2 or above and others were due to register for the qualification. This shows that the home is on target to meet the national minimum standard of at least 50 percent of staff achieving an NVQ in care at level 2 or above. These are nationally recognised qualifications for staff working in care and show they have been assessed as competent to provide good quality care. All staff spoke highly of the manager, telling us that she is a good leader who had a clear sense of direction. Individual structured staff supervision sessions take place regularly and staff say they find them useful for their development and learning by reflecting on their practice. This showed us that the staff have opportunity to discuss care practice and personal development needs so they are well supported. Care Homes for Adults (18-65 years) Page 24 of 29 Conduct and management of the 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 have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because 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. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. 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. Woodlands Lodge and Cottage is managed in the best interests of the people who live there so they experience good quality outcomes. Evidence: There has been a change of manager since our last visit. The new manager is an experienced care professional who has developed her skills and knowledge through continuous learning and personal development including recently completing an NVQ level 4 in Leadership and Management in Social Care. Information provided by the local authority contracts monitoring officers, the people who live at the home, relatives and staff show us that the new manager is person centred and has a clear understanding of what needs to be done to make sure the home is run in the best interests of the people who live there. The atmosphere in the home was positive and progressive throughout the inspection. We could see that much had been achieved since our last visit to the home. The staff presented as a cohesive team that benefited from shared aims and objectives. All staff were familiar with concepts of equality and diversity and told us how they recognised and met each Care Homes for Adults (18-65 years) Page 25 of 29 Evidence: persons needs through person centred care planning. This had positive outcomes for the people who lived at the home because they were being supported to develop their own care plans and were being helped to explore and take advantage of opportunities for socialising, leisure, recreation, and education in the home and local community. The home had introduced effective quality assurances processes since our last visit there. These were based on seeking and acting on the views of the people who live at the home and their relatives and other representatives including visiting health and social care professionals. This shows us that the home is run in the best interests of the people who live there. We looked at records made for helping people look after their money and we could see that people were safeguarded because staff follow clear accounting and financial procedures and understand the way things need to be done to promote independence, choice an control. For example each person has a lockable space in their rooms so they take part in looking after their own money. We could see that the health and safety of people who live and work at the home is promoted. There is a health and safety policy which sets out the responsibilities of managers and staff so they know what to do to ensure the safety of all people who live, work or visit the home. The manager and other senior staff carry out risk assessments so hazards are identified and where appropriate risk management plans are put in place so people are safe. Care Homes for Adults (18-65 years) Page 26 of 29 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 Adults (18-65 years) Page 27 of 29 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 Care Homes for Adults (18-65 years) Page 28 of 29 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. Copyright © (2009) Care Quality Commission (CQC). 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