Care Home: Woodlands Lodge Care Home

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What the care home does well Woodlands Lodge was clean and fresh smelling. Staff were knowledgeable about individual people`s needs and personalities. We observed good interaction between staff and people living at the home. Staff took each opportunity to maintain people`s independence and enable them to exercise choice. The manager encourages staff to train and extend their knowledge and skills. What has improved since the last inspection? This was the first inspection since the home was re-registered. What the care home could do better: Continue to redecorate the home and replace tired and worn furnishings and carpets as agreed within the action plan. Key inspection report Care homes for older people Name: Address: Woodlands Lodge Care Home 106 Hawshaw Lane Hoyland Barnsley S Yorkshire S74 0HH     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: Ian Hall     Date: 1 9 0 1 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 Older People Page 2 of 26 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 Older People 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) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Woodlands Lodge Care Home 106 Hawshaw Lane Hoyland Barnsley S Yorkshire S74 0HH 0 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Woodlands Lodge Care Home Name of registered manager (if applicable) Mr Devasoonderen Mootyen Type of registration: Number of places registered: care home 36 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: The maximum number of users who can be accommodated is 36 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: Old age not falling within any other category Code OP, Dementia Code DE Date of last inspection Brief description of the care home Woodlands Lodge is registered to provide personal care for 36 older persons. The home is a stone built residence with a purpose built two storey extension. All rooms are single occupancy, four have en-suite facilities. The home stands in its own grounds with mature trees and shrubs; there are seating areas for residents and their visitors. Care Homes for Older People Page 4 of 26 Over 65 0 27 9 0 Brief description of the care home There is a large car park to the rear of the building. Woodlands Lodge is in the village of Hoyland. It is within walking distance of all local amenities, which include the Church of England church next door, a variety of shops, supermarket, chemist, post office, hairdressers, community centre, leisure centre, village pubs and clubs. The home is on the main bus route and is close to the M1 motorway at junction 36. The manager told us the fees ranged from £351.50 to £381.50. People using the service had to pay additional costs for chiropody, newspapers and hairdressing. Care Homes for Older People Page 5 of 26 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 Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 stars. This means that the people who use this service experience good quality outcomes. This was the first inspection of Woodlands Lodge since its re-registration on 18th September 2009. The unannounced site visit undertaken as part of the inspection began at 08:30 and concluded at 14:30 on the 19th January 2010. the inspection was conducted by the link inspector Mr I Hall. The site visit included a tour of the building, reading records, discussions with staff and people who use the service and observation of meals provided. We also met with the manager and other members of staff. Care Homes for Older People Page 6 of 26 In addition the the inspection took account of information received about the service. This included records of telephone conversations with staff, events notified to CQC and records of management visits to the home. Prior to the site visit the home carried out a self assessment of the service. This is called the annual quality assurance assessment (AQAA). People spoken with were happy to assist with the inspection. Comments were positive when describing the care and motivation of the staff; these included: I like it at this home, I feel safe, They are good to me, and Its lovely here, the staff are smashing. At the end of the site visit verbal feedback was given to the manager. Care Homes for Older People Page 7 of 26 What the care home does well: What has improved since the last inspection? 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 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 Older People Page 8 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 26 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 and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. 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 them 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. The service provides people with detailed information to enable them to choose whether the home is the one for them. Detailed assessments ensure that peoples needs could be met prior to offering them a place. Evidence: An information pack was available that provided details of the standard of care and services available at Woodlands Lodge. This includes useful information about staff, their qualifications, visiting the home, choosing meals, the laundry service and how to raise concerns. We checked three case files. Each contained a detailed needs assessment; this included such things as daily living, personal care, health care, social interests and areas of risk as appropriate. Whenever the need for specialist caring equipment had been identified this had been obtained prior to the person moving into the home. Care Homes for Older People Page 10 of 26 Evidence: The assessment formed the basis of the initial care plan. People said they had been able to discuss their wishes and the type of help they needed before they made the decision to live at Woodland Lodge. Whenever possible people had been encouraged to visit and spend time at the home so they could meet members of staff and other people living at thee home. This was confirmed by written entries within the case files. Copies of contracts, social work referrals and assessments were available and kept in the case file. Care Homes for Older People Page 11 of 26 Health and personal care 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 health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they 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. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them 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. Clear information is provided to guide staff meeting peoples needs. Staff ensure that people are able to access health services as they need them. Staff attitude and approach to care is based on respect for the person, this helps safeguard and promote peoples rights and dignity. Staff work to the homes policies and procedures for the administration of medication, this promote the wellbeing of people who live at the home. Evidence: Three peoples care records were examined. Peoples care needs had been assessed. A range of recognised assessment documents had been used to measure peoples needs. These included mobility, mental ability, state of nutrition, and areas of risk such as falls. This enables staff to plan the help and support people need. There were care plans to tell staff how to meet these needs. These had been reviewed regularly. Most people we spoke to knew about their care plan. Relatives said they were kept informed whenever possible. Care plans detailed peoples religious and cultural needs and the gender of staff they wanted to support them with their personal care. Pen Care Homes for Older People Page 12 of 26 Evidence: portraits of the person, their lives and interests provide staff with background information to improve the care and service provided. Daily entries were made of care provided. This enables staff to review peoples health and wellbeing and change plans of care as necessary. There were records of visits by the GP, community nurse, dentist, opticians and chiropodist. All people were registered with a family doctor; there were good relationships with the doctors and district nurses. There were wheelchairs, aids and equipment provided to meet peoples moving and handling needs. Medication administration was seen to follow recommended guidance. Time was spent with each person and encouragement given to help them take their medication. People living at the home said that Staff were caring and helpful and that Nothing was too much trouble. People said that staff promoted their privacy and dignity. We saw staff knocking upon bedroom doors and waiting to be invited to enter. We observed interactions between staff and people living at the home. These were warm relationships with each person showing respect for the other. Care Homes for Older People Page 13 of 26 Daily life and social activities 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 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. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. 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. Suitable activities were provided to keep people stimulated. Visits from friends and relatives were encouraged so people kept in touch with people who were important to them. There was a good catering service, which met peoples nutritional needs and food preference. People who live at the home were encouraged to eat a healthy and varied diet. Evidence: Three care files were checked. These show that people were involved in a range of social activities. people were reading, listening to music and watching television. No one currently leaves the home unless accompanied by members of staff or their family. A dedicated member of staff was employed to organise activities that stimulate people and encourage social interaction. Entertainers visit the home for peoples enjoyment. People said they were able to go to bed and rise as they chose. Peoples comments included, The foods good here, Dads needs are well catered for, Care Homes for Older People Page 14 of 26 Evidence: As a visitor Im always asked if I want a drink which is nice and welcoming, mum says the meals are very nice and I think thats all that matters. We saw the cook preparing and baking cakes and buns. She said these were made fresh each day. People said they enjoyed them with their cups of tea and there was always plenty to eat. A list of birthdays had been provided for the cook who said she prepared teas for peoples birthdays. The meals provided were appealing and smelled appetising. People said they enjoy their meals. They can choose other meals if they dont like the meal provided. People were seen and heard to make choices at dinnertime. Staff were seen to help and encourage people with their drinks and meals. Mealtimes were unhurried with extra portions provided as required. Peoples personal likes and dislikes were documented and known by staff. Special diets were available as needed. Staff said they sought the dietitians advice when necessary. Drinks and snacks were available through both the day and night times. Care Homes for Older People Page 15 of 26 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. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. 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 complaints procedure enables people to raise any concerns. Concerns and complaints received were dealt with promptly and changes made to improve peoples live. Staff had been trained in the recognition and reporting of abuse, with relevant checks made prior to them starting work, this reduced the risk of harm to vulnerable people. Evidence: Visiting relatives and some people living at the home were able to describe how they would raise concerns with staff. They said that any matters they raise however trivial were dealt with promptly by staff and they were satisfied with the outcome. The complaints procedure was available for people living at the home, their relatives and staff. Their comments included, My mums been here for over a year now and Ive never had any complaints. There had been no adult safeguarding concerns raised at the home. The manager said he hadnt received any complaints. The manager said access to Age Concern advocacy services would be provided should a person have either no next of kin or advocate to act on their behalf. Care Homes for Older People Page 16 of 26 Evidence: Staff had been provided with training in adult safeguarding procedures to ensure people were safe, and to inform staff what to do if an allegation should be made. The inspectors discussions with staff confirmed that they felt confident and able to respond to concerns or complaints effectively. Care Homes for Older People Page 17 of 26 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, 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. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home was clean, tidy and generally well maintained ensuring that people live in pleasant surroundings. The bedrooms were clean and reflected personal choice. Redecoration and refurbishment of the home has improved the environment. Evidence: We saw that the home was clean and smelt fresh. A range of colours had been used to individualise and improve the appearance of bedrooms. A number of families had assisted with personalisation of bedrooms with favorite items and memorabilia. Bedrooms were lockable with keys available for those who wished to exercise the choice to lock their own door. Work in progress at the time of inspection included redecoration of the lounge, corridors and bedroom areas within the EMI wing. New carpeting and furniture had been provided in some bedrooms. Additional items of carpets and items of furniture were identified that needed early replacement and updating. The homes management had submitted an action plan detailing a schedule of work to address the worn and tired furnishings, decor and carpeting within the home. Bedrooms visited had been furnished reflecting the interests and personality of the person who lives there. Many people had brought treasured possessions and Care Homes for Older People Page 18 of 26 Evidence: memorabilia from their own home. Visitors comments included; Its clean and homely here and Im very happy with the cleanliness. People living at the home had a sheltered outside designated smoking area. Appropriate seating had been provided in the enclosed garden area for people wishing to sit outside whenever the weather permitted. Staff confirmed that they were provided with protective clothing if they needed it and that equipment was in working order, being serviced as required. Care Homes for Older People Page 19 of 26 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 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 to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. 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. Staffing levels were maintained to meet peoples care and social needs. Staff had received training to meet peoples general and specific care needs. Appropriate support and guidance was provided to new staff, enabling them to safely care for people who lived at the home. Staff files included the required information. The home operated a recruitment policy that promoted peoples protection. Evidence: We met with five members of staff including the manager during the course of the inspection. We saw staff working with people and noted there was an atmosphere of mutual respect; their conversations were relaxed and friendly. The staff group were well motivated and enthusiastic about their work. They confirmed they were supported by the manager and encouraged to train and update their skills. Staff confirmed that they had needed to provide two satisfactory written references and a Criminal Records Bureau check before commencing employment. Personnel files sampled confirmed that the home follows the company staff recruitment and induction procedures. Records of staff supervision and training needs were seen. We saw the staff training and development plan. Training courses completed and planned were seen. Staff Care Homes for Older People Page 20 of 26 Evidence: stated that they had received health and safety, moving and handling, first aid and dementia care training. Many staff had achieved National Vocational Qualifications; the remaining staff were working to achieve the award. Skills for prevention of infection, fire and health and safety were updated each year. This ensures that staff were trained to meet peoples care needs safely. Care Homes for Older People Page 21 of 26 Management and administration 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 led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate 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. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. 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 managed in the best interests of people. Evidence: We saw there was always a senior member of staff on duty at the home with advice and support readily available. Responsibilities for the day to day operation of Woodlands Lodge were shared between senior members of the team. People said: I feel the home is well run, they organise events for residents, they were especially good over Christmas, The managers very good, I can ask for anything and know itll be provided, Its 100 better since VJ took over, hes given the people here a voice, Ive every confidence in him, Theyve changed my dads life, hes improved no end since he came to live here. Staff said the manager was approachable, very professional and they felt confident in him. Care Homes for Older People Page 22 of 26 Evidence: Management use a quality assurance system to measure standards of care and service provided. Questionnaires had been used to seek the views of people and relatives. Regular meetings were held for staff and people who live at the home. These give people a voice and a chance to say how the home should be run. People felt that their views and opinions were taken into account by staff. The manager handles money on behalf of some people, account sheets with receipts were kept; a second person witnessed each transaction. Policies and procedures met the required standards. Records were up to date and well ordered to ensure the best interests of people. No fire exits were obstructed and hazardous substances were securely stored. Statutory servicing and checks of equipment were complete. Risk assessments had been completed and reviewed to maintain a safe environment. Care Homes for Older People Page 23 of 26 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 Older People Page 24 of 26 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 1 19 Continue to update and renew tired and worn decorations, carpets and furnishings to ensure people live in a homely and comfortable environment. Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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