Care Home: Woodleigh

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What the care home does well A comprehensive brochure is available about the home so that people know what to expect during their stay. One person said that "my research for a home was extensive. Woodleigh satisfied all my requirements." People individual needs are recorded and updated following visits from health professionals so that they receive the care they need. The home has appointed a person using the service as Dignity Champion. Their role is to champion the views of all the people living in the home so that they can be assured they are listened to. Staff and people living in the home speak affectionately about each other staff were described by residents as "just the best", "champion", "a wonderful woman." The meals in the home were described as "excellent, better than the Ritz". People living in the home enjoy meal times and are served wholesome nutritious food so that they remain healthy. Staff in the home say that they feel supported by the management and received regular formal supervision, so that they are aware of what is expected of them. What has improved since the last inspection? The storage of medication trolleys has improved so that it does not go missing. An activities coordinator has been employed and people have access to regular activities so that they keep active. All staff have attended training relating to Adult Protection so that they know what to do should they suspect abuse and people are safeguarded. The home has developed an up to date record of individuals training and attendance at mandatory training has improved, so that people living in the home receive support from suitably qualified people. CARE HOMES FOR OLDER PEOPLE Woodleigh Callands Road Callands Warrington Cheshire WA5 9RJ Lead Inspector Ms Julie Porter Unannounced Inspection 04 June 2008 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Woodleigh DS0000037249.V361770.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Woodleigh DS0000037249.V361770.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodleigh Address Callands Road Callands Warrington Cheshire WA5 9RJ 01925 235237 01925 242571 mhall@warrington.gov.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Warrington Borough Council Mrs Marine Hall Care Home 39 Category(ies) of Dementia (12), Dementia - over 65 years of age registration, with number (12), Mental disorder, excluding learning of places disability or dementia (15), Mental Disorder, excluding learning disability or dementia - over 65 years of age (15), Old age, not falling within any other category (39), Physical disability (4), Physical disability over 65 years of age (4) Woodleigh DS0000037249.V361770.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 39 service users including:* * * * * * * Up to 39 service users in the category of OP (Old age, not falling within any other category) Up to 12 service users in the category of DE (Dementia under the age of 65 years) Up to 12 service users in the category of DE(E) (Dementia over 65 years) Up to 15 service users in the category of MD (Mental disorder under 65 the age of 65 years) Up to 15 service users in the category of MD(E) (Mental disorder over 65 years) Up to 4 service users in the category of PD (Physical disability under the age of 65 years) 2. 3. Up to 4 service users in the category of PD(E) Physical disability over 65 years) The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidance which may be issued through the Commission for Social Care Inspection 6th June 2007 Date of last inspection Brief Description of the Service: Woodleigh is a community support centre for older people and people with disabilities which is owned and managed by Warrington Borough Council. It is a single storey modern building located in the Callands area of Warrington and is close to local shops and amenities. The home has 39 places for people needing residential personal care and there is a 25 place day centre in the same building. The home also has close links with the local authoritys care at home service. There are 23 long term places, 14 short stay places for emergency admissions and respite stays, and two places for transitional care. All service users have single bedrooms, 18 of which have en-suite facilities. Woodleigh DS0000037249.V361770.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The overall quality rating for this service is 2 star. This means that the people who use the service experience good quality outcomes. This unannounced visit took place on 04 June 2008 and the findings were discussed with the Manager and her deputy at the visit. The visit lasted 6.0 hours in total and was carried out by one inspector. The visit was just one part of the inspection. Before then the manager was asked to complete a questionnaire to provide up to date information about services offered by the home. CSCI questionnaires were made available for people using the service and staff to find out their views. Other information received by CSCI since the service was last visited was also reviewed. During the visit various records and the premises were looked at. What the service does well: A comprehensive brochure is available about the home so that people know what to expect during their stay. One person said that “my research for a home was extensive. Woodleigh satisfied all my requirements.” People individual needs are recorded and updated following visits from health professionals so that they receive the care they need. The home has appointed a person using the service as Dignity Champion. Their role is to champion the views of all the people living in the home so that they can be assured they are listened to. Staff and people living in the home speak affectionately about each other staff were described by residents as “just the best”, “champion”, “a wonderful woman.” The meals in the home were described as “excellent, better than the Ritz”. People living in the home enjoy meal times and are served wholesome nutritious food so that they remain healthy. Staff in the home say that they feel supported by the management and received regular formal supervision, so that they are aware of what is expected of them. Woodleigh DS0000037249.V361770.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Woodleigh DS0000037249.V361770.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Woodleigh DS0000037249.V361770.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 6 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. Information is available and the needs of people are assessed before they stay so that they know that their needs can be met at the home. EVIDENCE: An up to date Woodleigh residential care home brochure was seen during the visit. The brochure informed people what the home could offer and what they could expect during their stay whether that was for a short time or in some cases longer. Information was referred to and sign posted about making a complaint or compliment and where interested parties could obtain a copy of the most recent inspection report. The brochure is also available in other formats for example Braille, audiotape, large print and other languages. Woodleigh DS0000037249.V361770.R01.S.doc Version 5.2 Page 9 There are specific criteria for obtaining a service at the home for permanent or respite care; a full needs assessment is undertaken by a qualified person before anybody can move into the home to check that they meet the criteria and their needs can be met there. On the day of the visit two senior staff were at the hospital visiting and assessing a persons’ needs who had been staying at the home so they could ensure that the home could continue to meet their needs upon discharge from hospital. The home does not offer intermediate care. Woodleigh DS0000037249.V361770.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. The health of people living in the home is monitored so that they get the care and the support they need. EVIDENCE: Two care plans were inspected and both contained information that would support staff in knowing how to meet the persons’ needs. Both plans identified the individuals’ needs in respect to their diet and any specialist equipment needed to support them. People staying in the home for short stays are encouraged to bring with them their own equipment. Permanent residents of the home are registered with the local doctor, opticians and dentist. Temporary residents to the home can either access their own regular doctor, or were this is not possible they are registered temporarily with the local doctor. A profile is kept for each person in the home and is updated following every visit from the doctor or district nurse. Woodleigh DS0000037249.V361770.R01.S.doc Version 5.2 Page 11 Risk assessments were seen on both care plans relevant to the needs of the individuals one in relation to moving and handling which had been reviewed in March 2008 and other for risk of fall which had been completed in May 2008 on admission to the home, and following a change in the persons’ circumstances. The home had a medication administration policy and training for senior staff who are involved with administering the medicines. People staying/living in the home can administer their own medicine subject to a risk assessment. On the day of the visit the medicine trolleys were stored in the medicine cupboard. The storage and medication records were inspected and with the exception of one missing signature for one dose they were being maintained appropriately. In discussion with staff and people staying in the home there appeared to be a genuine mutual affection, staff spoke fondly about each person discussed. People living in the home described staff as “champion”, one member of staff was described as “a wonderful woman”, we were told that staff at the home are “just the best”. The home has a Dignity Champion; this person uses the service for respite care, however he also visits the home one-day per week and observes staff practice and meets with people living in the home to discuss their feelings of the support they receive. His findings are then reported to the manager and deputy for them to act on. Woodleigh DS0000037249.V361770.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. People are encouraged to make decisions and remain in control for as long a possible so that they maintain their independence. EVIDENCE: Since the last inspection the home has recruited an activities coordinator, we spoke with her and she told us that work is still being compiled about the activities people really want to participate in, some of this can be trial and error. On the day of the visit a group was seen planting strawberries in pots and doing some other light gardening. The activity was well attended and people looked as though they were enjoying themselves. In the afternoon some intricate craft, card making was also well attended and appeared to be enjoyed. Records are kept in relation to attendance and people enjoyment of the sessions. Throughout the day people were seen coming and going and spending time with their friends and relatives. Three relatives were spoken with all were very Woodleigh DS0000037249.V361770.R01.S.doc Version 5.2 Page 13 complimentary about the home and the staff. They said that they could visit at any time and that they had been made to feel very welcome. People are encouraged to keep their own money and manage their finances for as long as possible. Small amounts of money can be kept in the safe; one persons record was inspected and was being managed appropriately. Permanent residents in the home live with their belongings around them, people who stay for respite care are encouraged to bring some personal items with them that help them feel more settled. Records are kept of any personal items brought into the home. Lunch was observed on the day and was unhurried and calm. People were offered choices and we spoke to the cook who was aware of each person’s dietary needs. Questionnaires returned were positive about the meals in the home, “ I have never had a meal that I disliked”, and another “Excellent, better than the Ritz.” Woodleigh DS0000037249.V361770.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. Robust processes and training are in place to ensure that people living in the home are safeguarded. EVIDENCE: People living in the home and their relatives are encouraged in a variety of ways to discuss any aspect of their care/stay that they are unhappy with. People can use the opportunity to discuss with staff and records are made in each “bungalow”, the home also has a dignity champion who as well as using the service himself for respite visits once a week to meet with people living in the home and the manager. The manager operates an open door policy and relatives were seen and heard speaking with her on the day of the visit. Warrington Borough Council feedback, comments and complaints form readily available in the foyer of the home. The complaint record was inspected and recorded three formal complaints, all had been dealt with in accordance to the Warrington Borough Councils policy. Information received from the manager states that all staff have completed adult protection training. Protection and abuse were discussed with staff who answered confidently about the action they would take should they suspect any abuse. One referral has been made to the local authorities protection team in accordance with the Department of Health guidance. Woodleigh DS0000037249.V361770.R01.S.doc Version 5.2 Page 15 Woodleigh DS0000037249.V361770.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. The home is well maintained so the people who stay there live in safe, clean comfortable surroundings. EVIDENCE: The home has five living areas each containing a lounge/dining room with a fitted kitchenette, bedrooms (some of which are en-suite), bathroom and toilets. The ‘Mall’ area provides communal sitting space through the centre of the building. Smoking is not allowed in the building. There is an ongoing plan of maintenance and renewal of the fabric of the building to maintain standards. All areas are kept clean and well maintained. Woodleigh DS0000037249.V361770.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, and 30 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. Thorough recruitment procedures are followed and staff receive training to make sure they can keep the people who staying in the home safe. EVIDENCE: As the service offers some respite care the number of staff on duty are dependent on the level of support needed by individuals coming into the home. Staffing levels are monitored and reviewed by the senior staff and the manager. The information provided by the manager before the visit showed that 12 care staff have achieve National Vocational Qualification (NVQ) at level 2 or above in care. This is the same as last year and therefore no improvement has been made in this area. Warrington Borough Council operates a thorough process in respect of recruitment, which includes application forms, references, Criminal Record Bureau (CRB) disclosure and a medical prior to staff starting work. Records are held centrally. Woodleigh DS0000037249.V361770.R01.S.doc Version 5.2 Page 18 Each member of staff has a training plan and the information regarding the whole staff group has been compiled into a training matrix for the service, this provides information who has completed training and when training is next due. Significant improvements have been made in staff achieving mandatory training. Information was displayed on the notice board of coming training events and staff on the whole spoke positively about the training. Some staff felt that they have had too much training and others were glad of the opportunity for continued learning. Information was seen one member of staffs’ file to confirm that they had completed induction training within four months of starting employment. Woodleigh DS0000037249.V361770.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38 People who use services experience good care in this outcome area. We have made this judgement using available evidence, including a visit to the service. The manager is competent, skilled and adopts and open inclusive atmosphere in running the home so that the people using the service feel valued. EVIDENCE: The manager of the home is qualified and registered with the Commission for Social Care inspection. During the visit she was seen around the home speaking with people who stay there and staff. People who stay at the home who were spoken with said they knew who the manager was and said that they see her a lot. Since the last inspection a deputy manager has taken up her post. Both the manager and the deputy support people living in the home either individually or with the use of the dignity champion in affecting the way the home is run. Woodleigh DS0000037249.V361770.R01.S.doc Version 5.2 Page 20 An example of this was seen in the development of mealtime standards for staff to follow. Staff contribute to this process either in supervision or at staff meetings. Monthly visits, to check how the home is being run and to comply with regulation 26 of the Care Homes Regulations, are carried out by staff from the contract and policy department of Warrington Borough Council. Copies of their reports were available in the home. People who live and stay at the home are encouraged to manage their own finances for a long a possible. Lockable storage is available in their bedrooms to store valuables and a small amount of money can be deposited in the home’s safe. Staff manage the finance of one of the permanent residents. The arrangements for this were checked and found to be satisfactory. We spoke with staff who told us that they enjoy working in the home and that the management are very supportive. Staff said that guidance and support was available at any time from any senior staff on duty. Five staff files were inspected and demonstrated that the home is operating a formal supervision process and all five staff had received supervision within the last eight weeks. Information was provided before the visit regarding the service contracts for equipment in the home. A sample was inspected and found to be in order. Fire alarms were being tested weekly and the last fire drill to take place was April 2008. Woodleigh DS0000037249.V361770.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Woodleigh DS0000037249.V361770.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP28 Good Practice Recommendations A minimum ratio of 50 trained members of the care staff at NVQ level 2 should be achieved. Woodleigh DS0000037249.V361770.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection North West Region CSCI Preston Unit 1 Tustin Court Port Way Preston, PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Woodleigh DS0000037249.V361770.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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