Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Care Home: Woodstock Nursing Home

  • 35 North Upton Lane Barnwood Gloucester Glos GL4 3TD
  • Tel: 01452616291
  • Fax:

Woodstock Nursing Home is situated in a residential area of Barnwood, on the outskirts of Gloucester. The providers Mr & Mrs Barnes are involved on a day-to-day basis in the management of the home. The home is registered for older people. The accommodation is located on three floors with bedrooms on each floor. All bedrooms have en suite facilities. There are communal toilets and an assisted bathroom. On the ground floor there is a spacious dining room, three lounges and staff offices. Group social activities are usually held in the large lounge or dining room. The second lounge has a television. The third lounge is available for those who prefer a quiet room. The home has a large enclosed garden at the back which is accessible to all including those in wheelchairs. There is ample parking to the front of the home. Local bus stops, shops and other services are not far from the home. Current fees are eight hundred pounds per week and include Chiropody, basic toiletries and some outings. Hairdressing, newspapers and residents` own preferred toiletries and some outings are extra. The home makes information about the service, including the Commission`s inspection reports, available to service users and their representatives.

  • Latitude: 51.85599899292
    Longitude: -2.1989998817444
  • Manager: Mrs Millie Rosaleen Barnes
  • UK
  • Total Capacity: 28
  • Type: Care home with nursing
  • Provider: Mr John Barnes,Mrs Millie Rosaleen Barnes
  • Ownership: Private
  • Care Home ID: 18337
Residents Needs:
Dementia, Old age, not falling within any other category

Latest Inspection

This is the latest available inspection report for this service, carried out on 4th January 2010. CQC found this care home to be providing an Excellent service.

The inspector found no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

For extracts, read the latest CQC inspection for Woodstock Nursing Home.

What the care home does well The home carry out a very comprehensive pre admission assessment. Staff want to provide care which is tailored to the individual so as much information as possible is gathered. The care team are well informed of the person`s needs and are therefore able to meet these as soon as the person arrives. Relatives and friends are valued by the home and seen as an integral part to someone`s care and well- being, so visitors are made to feel very welcome and supported when needed. The home is quick to identify concerns and worries and does this by operating an effective open door policy. Transparency and good communication is helping to protect people from harm and abuse. The internal and external facilities are both comfortable and practical and people are encouraged to personalise their own bedrooms. The home is kept very clean and safe. There is a great emphasis on staff training and support which benefits the people living in the home as staff know what they are doing and are well organised. The management of the home run the home for the benefit of those living there, so daily routines are flexible and there to suit the person, not the staff. The registered manager/provider demonstrates strong communication and leadership skills. There is a collective understanding in the home as to how people will be treated and cared for, which results in high standards being maintained. What has improved since the last inspection? The AQAA has told us about on going improvements across the service which is the result of a good quality assurance system, which is well considered and acted on where possible. Since the last full inspection the garden has been landscaped making it a safe and nice place for people to spend time in. What the care home could do better: At the time of this inspection care records were not always as up to date and as comprehensive as they could be. To be able to clearly demonstrate good assessment and care planning these need attention. There were arrangements in place to audit these records but the process was not identifying some shortfalls such as the safe moving and handling assessments. So this needs a review. A second main dish at lunchtime would help provide people with a daily choice in addition to the alternatives which can be cooked. Some staff need further support and guidance in coordinating and leading daily activities. This is so that what they provide is appropriate to people`s capabilities and needs.A change in how the seating is arranged in the main lounge may make it easier for some people to be socially integrated. Some alterations to the environment would help those who are confused and disorientated to function independently in the environment for as long as they are able. Key inspection report Care homes for older people Name: Address: Woodstock Nursing Home 35 North Upton Lane Barnwood Gloucester Glos GL4 3TD     The quality rating for this care home is:   three star excellent 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: Janice Patrick1     Date: 0 5 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 34 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) © 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 Older People Page 3 of 34 Information about the care home Name of care home: Address: Woodstock Nursing Home 35 North Upton Lane Barnwood Gloucester Glos GL4 3TD 01452616291 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): manager@woodstocknursinghome.co.uk www.woodstocknursinghome.co.uk Mr John Barnes,Mrs Millie Rosaleen Barnes Name of registered manager (if applicable) Mrs Millie Rosaleen Barnes Type of registration: Number of places registered: care home 28 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 service users who can be accommodated is: 28. The registered person may provide the following category of service only: Care Home with Nursing, to service users of either gender 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 Woodstock Nursing Home is situated in a residential area of Barnwood, on the outskirts of Gloucester. The providers Mr & Mrs Barnes are involved on a day-to-day basis in the management of the home. The home is registered for older people. Care Homes for Older People Page 4 of 34 Over 65 0 28 28 0 Brief description of the care home The accommodation is located on three floors with bedrooms on each floor. All bedrooms have en suite facilities. There are communal toilets and an assisted bathroom. On the ground floor there is a spacious dining room, three lounges and staff offices. Group social activities are usually held in the large lounge or dining room. The second lounge has a television. The third lounge is available for those who prefer a quiet room. The home has a large enclosed garden at the back which is accessible to all including those in wheelchairs. There is ample parking to the front of the home. Local bus stops, shops and other services are not far from the home. Current fees are eight hundred pounds per week and include Chiropody, basic toiletries and some outings. Hairdressing, newspapers and residents own preferred toiletries and some outings are extra. The home makes information about the service, including the Commissions inspection reports, available to service users and their representatives. Care Homes for Older People Page 5 of 34 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: three star excellent 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: Before we visited the service we considered all the information we had gathered since the last key inspection which was carried out on 27th March 2007. This included notifications from the home which inform us of any accidents, deaths and occurrences that effect service users. It also included any additional information we may have received from professionals, service users and members of the public. We considered the most recent information sent to us by the home called the Annual Quality Assurance Assessment, AQAA. This document is completed by the registered manager/provider and tells us what the home feels it does well, how they evidence this, what improvements have been made and those that are planned. Prior to our visit we forwarded questionnaires to the people who live in the home and to their relatives so that they could give us their views on the services and care provided. We received 11 of these back. We also sent questionnaires to staff asking Care Homes for Older People Page 6 of 34 them for their views on the service and we received 4 back. We received 1 survey back from a local doctor. One inspector then visited the home and spoke to the people who live there, the staff, the managers, one relative and visitors who were looking around the home. We spent two days in the home between the hours of 8.30am and 4.40pm and 9.45am and 1.30pm. Care Homes for Older People Page 7 of 34 What the care home does well: What has improved since the last inspection? What they could do better: At the time of this inspection care records were not always as up to date and as comprehensive as they could be. To be able to clearly demonstrate good assessment and care planning these need attention. There were arrangements in place to audit these records but the process was not identifying some shortfalls such as the safe moving and handling assessments. So this needs a review. A second main dish at lunchtime would help provide people with a daily choice in addition to the alternatives which can be cooked. Some staff need further support and guidance in coordinating and leading daily activities. This is so that what they provide is appropriate to peoples capabilities and needs. Care Homes for Older People Page 8 of 34 A change in how the seating is arranged in the main lounge may make it easier for some people to be socially integrated. Some alterations to the environment would help those who are confused and disorientated to function independently in the environment for as long as they are able. 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 9 of 34 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 10 of 34 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from having their needs comprehensively assessed and from the effort that is made to get to know the person as an individual. The whole admission process is made more successful by people being made to feel welcome, having an opportunity to look around the home and by being provided with helpful information. Evidence: People are provided with the appropriate information to help them make a decision about living in the home. Each person who inquires about the home, initially by phone, are directed to the homes website. We were told during this inspection that the home have received very positive feedback from people who have used this. Information is also available within the home for visitors. During this inspection we spoke to two people who were visiting various care homes on behalf of a friend. We observed them being made welcome and being given information to read along with time to ask questions and to have a look around. These Care Homes for Older People Page 11 of 34 Evidence: visitors confirmed that they had been made to feel very welcome. The opportunity to look around the home and speak to a manager is also available at weekends and during the evening if this is easier for people. The AQAA tells us that there is a robust system in place for the assessment of peoples needs prior to admission. The home finds out all it can about the persons needs from various sources, such as the funding authority, hospital, social worker and family. This is so that it can be sure it can meet the identified needs. The home is also very keen to know as much as possible about the individual so if its appropriate, the family are very much involved. The homes aim is to deliver individualised care so peoples likes, dislikes, preferences, beliefs and cultural needs are all explored at this early stage. One visitor confirmed that they had been present when staff assessed their relative at home. They told us they found the process reassuring as things were explored in great depth and explained. They felt there had been a genuine interest in wanting to get to know their relative before they moved in. The home were in the process of gathering information about a person who was due to move in soon. Staff had already been given some details about the person and further information was to be shared in staff hand-overs up until the persons admission. One relative said in their questionnaire when I entered the home for the first time I knew straight away that it was the right place for my....... The atmosphere was most friendly and welcoming, even at the front door. We spoke to one person who said his son had found Woodstock for them. This person had moved in with his wife but she had since died. He said he remains very happy living in the home. Care Homes for Older People Page 12 of 34 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. Some shortfalls in record keeping could potentially put people at risk and this needs to be addressed. However, the evidence gathered would suggest that people are being well cared for and there are other robust systems in place to ensure people receive the right care. Evidence: We inspected the care files of seven people during this inspection, spoke to staff about the various aspects of these peoples care and made observations. Generally the assessments and care plans are updated regularly but there were examples of the main care planning either not reflecting the current care or the care plan not corresponding with the updated assessment. Peoples safe moving and handling assessments were not maintained well and the care planning relating to people with dementia was weak. One example of these shortfalls was seen in one persons daily records where staff had recorded that they were changing the persons pad. We presumed this to be a continence pad. There was no associated assessment, care plan or review of this Care Homes for Older People Page 13 of 34 Evidence: although staff were obviously carrying out some form of care related to a continence problem because they were recording this. A lack of care planning means that staff have no clear point of reference to guide them on how to meet this need and the home is unable to demonstrate that it is reviewing this care. Another example was of one person losing 1 kilogram in weight over a month. This is not alot of weight to lose however, the care plan review recorded no change. If staff continued to not acknowledge a loss of weight this potentially could lead to someone being nutritionally at risk. Information about peoples moving and handling within the care files did not always cross reference with what we were observing. On inspecting several moving and handling assessments we found that many had not been updated for several months, one had not been reviewed since 2005. In another persons care planning there was conflicting information about how often this person should be checked at night. This varied from 30 minutes to 1 to 2 hourly depending on what document you read. These checks were obviously in place because staff have considered there to be a degree of potential risk to this person, so the guidance needs to be clear. Records relating to peoples wound care were not always updated and they lacked a recorded rationale for changes made to the treatment. The AQAA tells us that care plans are audited so we asked to see the most recent care plan audit, which should have been picking up the shortfalls we were finding. The registered manager thought this had been done for December 2009 but this was not the case. Some changes are needed to what the audit is focusing on to ensure it identifies shortfalls in the future. Despite these shortfalls we did observe staff being kind to people and attending to their needs. One visitor said that the home was excellent in meeting their relatives needs. We could see that one persons chest infection had been responded to quickly and a doctor had been involved and anti biotics prescribed. This person needed support to ensure they drank enough fluid during this time and a member of staff had been specifically allocated to do this with good results. One persons records told us that with individual attention one persons walking had improved. The way the notes were written told us that staff were genuinely motivated to help this person gain more independence. Care Homes for Older People Page 14 of 34 Evidence: There were various specialised mattresses and cushions in place for the care of and prevention of pressure sores. Staff had made particular observations about one persons skin. These were discussed in the main staff handover and guidance and some teaching was given by the registered manager on the subject. This told us that staff are using their powers of observation and correctly reporting these back to the qualified nurses. Although this person was on a pressure relief mattress, which had been supplied by the health authority, the home were going to request a review. This let us know that staff are happy to reviews situations with external health care professionals and ensure equipment is altered needed. The AQAA tells us that the home has improved the standard of care and support people get to maintain their oral hygiene. We were told that many require support with this so its profile within the home has been raised over several months. It has been a topic of discussion in staff hand-overs and oral care has improved overall. This improved practice not only ensures the good health of someones mouth but also helps to maintain their comfort and dignity. It again tells us that the home is willing to look at areas of care and improve them. The AQAA tells us that as a result of feedback from people who use the service, the Key worker system has been strengthened and the named nurse role has been made clearer. Both these systems mean that each member of staff has certain responsibilities connected to a specific persons care and welfare. It means that relatives or representatives have a specific point of contact. One visitor said she knew who her relatives key worker was and the arrangement works well. This system helps the home with personalisation of care and helps toward ensuring peoples equality and diversity. We inspected some aspects of the medication system. Medicines prescribed to be given on a when required basis had no associated care plans. These are needed so that staff have clear guidance on when this medication should be used. This would help to ensure that the medication is administered is correctly and for the right reasons. We inspected several medication administration records, all had been completed well with no gaps indicating that people were getting their medication when it is prescribed. We observed the practices of one qualified nurse whilst administering some medicines and these were seen to be following safe practice. We did not inspect the medication stock in any great detail but did note that the stock of controlled medicine was being recorded and checked appropriately. In the returned questionnaires under what does the home do well people have made comments such as, keeps mum tidy and clean, high standard of personal care and Care Homes for Older People Page 15 of 34 Evidence: keeps relatives well informed, quick to notice health issues and arrange medical attention, everything, treats people with respect and dignity and always involves relatives with treatment plans, all aspects of my ...... care is relayed to me and explained, staff are always kind, thanks to the management and carers for their excellent care and dedication, residents are treated as individuals, the more I hear about other homes, the more I realise how lucky my ..... is to be living at Woodstock. One local doctor commented, my partners and I have no concerns about the care, support and attention that is shown to our patients at Woodstock and the reports we hear from family and carers is always positive. The homes last annual service review (2009) report identified that the home was caring for a high number of people who have dementia. This has been subsequently discussed with the registered manager and steps have been taken by the home to alter its registration category to care for people with dementia. Care Homes for Older People Page 16 of 34 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Activities are provided according to peoples preferences but some basic shortfalls in knowledge and current arrangements mean that some people may not be getting the support they need to fully benefit from these. The same goes for how some people are supported to make choices about what they eat, although clearly what is cooked is enjoyed. Evidence: The AQAA tells us in many ways how peoples choices and preferences are supported. It tells us that work starts on identifying these when information is gathered during the pre admission stage. The care planning we saw did, in many cases, identify and incorporate peoples preferences and preferred routines. The AQAA tells us that more specific care plans are needed in association with peoples activities. Currently the activities coordinator was keeping good records despite this. The home has a dedicated activities coordinator who coordinates activities in the mornings. The AQAA tells us that there are now activities provided in the afternoons and evenings, which are provided by the care staff. There is an activities book which records reminiscence, poetry, arts and crafts as well as sing-a-longs. During the afternoon of our visit we observed the care staff taking leading the afternoon Care Homes for Older People Page 17 of 34 Evidence: activities. What we observed told us that these staff lacked the correct skills to engage, mainly confused people, in a social activity. This was reported back to the registered manager at the time who agreed. This tells us that staff require more support and direction in providing activities that meet peoples capabilities. The AQAA tells us that people are encouraged to socialise and join in organised activities in the lounge, but if they do not wish to do this then they do not have to. Some people prefer to remain in their bedrooms and staff ensure that they visit these people on a one to one basis. The AQAA tells us that purposeful activity is essential for health, survival and wellbeing. One relative commented that their relative is encouraged to socialise. In the morning session we saw some people being provided with various activities. One person had been given pictorial history cards, but when we approached them, their glasses had fallen on to their chest and they were quite confused about why they had the cards. We noticed that the layout of the room did not encourage small group interaction. One relative makes comment in their returned questionnaire that they do not like the chairs around the edges of the room and they feel this does not help people to interact. We commented on this the seating arrangements, which we were told would be looked at again following this inspection. This would certainly help people to do this particularly those who are confused and who require alot of support to do this. We noticed that the men sat up one end of the room and none were engaged in what was going on. We spoke to one man who said he had really enjoyed the Christmas entertainment. He told us that the staff had put on a pantomime. The activities coordinator and some staff have completed a special training in coordinating group activities using various mediums to stimulate people, other than verbal interaction, but she said she was not actively using this at the moment. The activity coordinators time appeared to be spread thinly between people who were sometimes carrying out activities in isolation. One person commented in their questionnaire that more stimulation is needed for people with severe dementia, where as activities for others seems well catered for. Another person commented that there needs to be more outings. One person walked around the garden several times during our visit. We noticed that staff were observing them and making sure that they were appropriately dressed as it was very cold. One person sitting opposite the doors to the garden was quite cold so we asked for a blanket to cover their legs. We were told that the ill fitting doors were Care Homes for Older People Page 18 of 34 Evidence: about to be replaced. The AQAA tells us that the home has many links with the immediate community and arrangements can be made to support peoples differing faiths. A local coffee morning is attended fortnightly by some living in the home. The AQAA also tells us that peoples individual diversity and equality needs are supported and the home currently has arrangements in place to help support a person to socially mix with people from their country of birth. The AQAA tells us that in response to the views of those living in the home there were specific outings to the Cotswold Widelife Park and the seaside in 2009. It explains that specialist transport is booked for outings so that people in wheelchairs can be accommodated. We looked at the arrangements for food and how people have their specific dietary needs met. We also explored how people are provided with opportunities to make a choice about what they eat. The cook explained that one option is cooked at lunchtime. She told us that she was aware of peoples likes and dislikes so alternatives are then provided. The AQAA tells us that peoples preferences are frequently asked about however, one main dish does not provide a choice. There are also many people who would find it difficult to initiate and verbally express a preference for something other than what was on offer for that day. The management need to improve on this not only to provide better choice generally but particularly because of the numbers of people with dementia at the home. We saw that one person requires a very specific diet, which is cooked separately. We noticed that many trays go up to bedrooms for breakfast. The arrangements for this were not ideal in as much as the covered bowl of porridge was parked under an open window so the porridge was chilling before it reached the person. The kitchen was very tidy and records were being maintained. It has been awarded 5 stars by the Food Safety Officer, which means it has very high standards in cleanliness and record keeping. We spoke to one person who said they do not know what the food is from day to day but when it arrives its good. Comments in the questionnaires included the staff are very good at being flexible with his food,the food is enjoyed by my ...... and nutritious home cooked meals with fresh vegetables. Care Homes for Older People Page 19 of 34 Evidence: We were informed that the cook would be aware of who is losing weight so that she can adjust how she prepares that persons food. After ascertaining who had lost weight recently and on asking the cook, she clearly had not been kept up to date. This was rectified during this inspection by reviewing how the information flowed between care staff and the kitchen. Care Homes for Older People Page 20 of 34 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Arrangements are in place to enable people to make a complaint and have it listened to and acted on. There are also arrangements in place to help protect people from abuse and harm. Evidence: The AQAA tells us that the home has a clear and simple complaints procedure and that each person has this in their welcome pack on arrival at the home. It is also within the service user guide which is held with other information in a small lounge. We did notice that it is not prominently displayed in the home. Despite this only one returned questionnaire indicated that the person did not know how to make a complaint. The AQAA tells us that the service has not had any complaints in the last 12 months and we have not received any either. The AQAA explains that the registered manager gets to know each person and their family personally so that any worries and concerns get to be spoken about and resolved quickly. The feedback from relatives so far in this report indicates that there is very much an open door policy operating. During this inspection the registered manager became aware that one relative had passed on information to staff (about their relatives clothing) which had not then been fed back to the registered manager. This led to the relative being irritated that certain arrangements had not been made which they thought had been agreed on. The registered manager explained that it was this kind of shortfall in communication that can cause people to complain and which she works hard to avoid. We witnessed this Care Homes for Older People Page 21 of 34 Evidence: complaint then being dealt with swiftly and the staff were made aware that they must follow things through correctly. We inspected the arrangements for safeguarding people from harm and abuse. There had been a review of when staff members last received training on this. We could see that some staff had already received either their first training on the subject or an update. Staff will have also covered the topic with their dementia awareness training. We spoke to two domestic staff who had last completed training on the protection of vulnerable adults in 2007, so they were attending an update soon after this inspection. They were able to describe what constituted abuse and what to do if they were told about it or witnessed it. They did however need a broader understanding of the wider protocols now in place, which they should get from their update training. The home has a safeguarding adults policy with procedures which was last reviewed in 2009. We know that the registered manager is a member of an external safeguarding committee and she often advices other care providers on what to have in place to ensure people are protected. The subject is openly discussed within the home and their are systems in place to ensure that peoples safety and well being is paramount Care Homes for Older People Page 22 of 34 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from living in a home that is clean and well maintained but some alterations are needed to help meet the needs of those that get confused and disorientated. Evidence: The AQAA tells us that there is a rolling programme of redecoration. We were informed that day to day maintenance issues are dealt with by the maintenance team The registered managers husband (who is a joint proprietor) is also on call each day for urgent issues. After seeking the views of people in the home, the garden was completely landscaped and now offers a protected and safe space for all to use. One comment in a questionnaire, under what the home could do better said take the residents outside into the lovely garden more often, not just in the summer. The home tell us that they also need to respect the individual wishes of those in their care. The AQAA tells us that some bedrooms and corridors have been decorated in the last 12 months. The dining room has been completely refurbished to include new furniture. One lounge has also been decorated. During this inspection some recommendations were made in relation to the environment that may benefit those with dementia. One person commented in their questionnaire that there needed to be signs on bedroom doors. Care Homes for Older People Page 23 of 34 Evidence: The home looked clean and smelt fresh. When we spoke to the domestic staff it was very clear that they have very organised systems in place for both cleaning and the prevention of infection. We were shown a typical cleaning schedule. These staff were able to talk about their job in a knowledgeable way. All staff have received training in infection control but some have done more advanced study on the subject and others are currently undertaking this. We walked around the premises noting that one bedroom had a ill fitting window which was making the room cold. This was going to be dealt with straight after this inspection. Other rooms were well furnished, clean and some had been personalised with privately owned pictures and objects. We also noted various adaptations and specialised equipment in place. The home was generally warm but in the afternoon it went distinctly chilly and one persons hands were quite cold to the touch. After reporting this to the registered manager the heating was found to have cut out so it was quickly turned up. Care Homes for Older People Page 24 of 34 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. People really benefit from being cared for by people who are well trained and motivated to learn. Extra care must be taken to make sure the information collected during the recruitment process is robust so that people are protected. Evidence: The AQAA tells us about the homes staffing levels and explains that an agreement had been made to increase the staffing in the afternoons by one carer. It tells us that there is a clear shift pattern and that each shift overlaps to allow for staff hand-overs. The fact that staff have dedicated time for this is good practice and allows for staff to receive information about people in the home before they start their shift. We sat in on one of these hand-overs and eleven staff were present and able to discuss their observations, concerns and receive some teaching and general guidance. The AQAA tells us that the registered manager and office manager are extra to the care staff and nurses on duty, unless there is last minute sickness which can then be easily covered. The majority of the staff hold the national vocational qualification (NVQ) in care or domestic work. Others are currently studying for this. All new staff participate in induction training which invariably leads onto study for the NVQ. The home has two internal NVQ assessors who are able to help staff as well as the support of external assessors from the adopted college. It was quite obvious that Care Homes for Older People Page 25 of 34 Evidence: there is a great emphasis on staff education and the registered manager recognises the importance of this if the home is to maintain good and up to date practice. The training programme is a mixture of in house training and training from external trainers. Nurses are given opportunities to maintain their professional portfolio. Returned staff questionnaires confirmed this with comments such as Ive done NVQs and have learnt alot from them, I enjoy my work here and have learnt alot and all the training I have done at Woodstock has helped me to enhance my role. All staff are currently working their way through accredited training in dementia care which includes the management of challenging behaviour. One registered nurse is a dementia link worker and is currently supporting team leaders who will also become link workers. The home currently has five dementia link workers. These staff members will have specific links with outside agencies who are involved in a national programme of improving dementia awareness and care in care homes. The office manager has completed a three day course in dementia care. We inspected the personnel files of four staff members. Application forms were seen for all applicants and each one gave a clear employment history with no unexplained gaps. All had clearances against the Protection of Vulnerable Adults (POVA) list and from the Criminal Records Bureau (CRB) before employment. Apart from one person who had not initially been checked against POVA. This was going to be followed up by the registered manager who had not realised this had been the case. All had two references but two peoples references were not robust enough so these were also going to be followed up after this inspection. The home must take more care to ensure it has robust information in place before it starts a staff member in the home. Care Homes for Older People Page 26 of 34 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Apart from some shortfalls, which the management team were keen to look at immediately, it is quite clear that this home is run for the benefit of those who live there. It wants to improve the standard of service it provides and generally their are robust arrangements in place to achieve this. Evidence: This home is an established business and has been managed and owned by the registered manager and her husband for 23 years. There is public liability insurance in place and the homes registration certificate is displayed. Both the registered manager and the office manager, who was employed in November 2009, hold the registered managers award and the registered manager is also a registered nurse. The AQAA explains to us how the home is managed and it is clear that staff have a clear sense of leadership and direction. The registered manager expects people to Care Homes for Older People Page 27 of 34 Evidence: receive a very high standard of care and service and the homes working systems support this. If this is not maintained the registered manager takes appropriate action to ensure it is. There is a quality assurance system in place but better use of some additional internal audits may help the home avoid some of the shortfalls identified in this inspection. There is however a genuine desire to ensure these are addressed. The views obtained from people are obviously considered and acted upon to improve the service. There are arrangements in place to safeguard peoples monies and the registered manager is aware of what she needs to do to protect people from financial abuse. The management are aware of who holds power of attorney and liaises with appointed solicitors in some cases. The registered manager does not act as an appointee. Individual amounts of money were not inspected during this inspection as we considered the arrangements in place to be robust. All staff are up to date in safe manual handling practices, this is despite the shortfall in record keeping and assessments discussed in the Health and Personal Care outcome of this report. The registered manager is the moving and handling trainer for the home and staff receive updates in both the practical and theoretical aspects of safe handling. The significance of making sure someones moving and handling assessment is up to date obviously needs to be made clearer to staff responsible for this. The registered manager told us that she delivers some of the fire training. During discussions about evacuation arrangements it became apparent that a degree of update in respect of the current fire regulations was needed. We did not see any individual risk assessments for evacuation either. We therefore asked the registered manager to arrange a review of this with the fire service. The AQAA tells us there are updated policies in place relating to health and safety. We did not observe any obvious poor practices or environmental risks whilst we were in the home. Regular health and safety checks are carried out and recorded. All staff have attended first aid training and there are first aid boxes around the home. The home has appropriate arrangements in place for the disposal of waste. The home has contracts in place with various external contractors for the appropriate checking and maintenance of equipment and other domestic appliances. Care Homes for Older People Page 28 of 34 Evidence: At the time of this inspection there were no people referred under the Deprivation of Liberty Safeguards (DOLs) and no one was having their liberty denied. All registered nurses have completed training on the Mental Capacity Act and DOLs. Information on this is being given to other staff, along with examples and scenarios so that they have some understanding and awareness of both subjects. Care Homes for Older People Page 29 of 34 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 30 of 34 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 1 7 15 You must make sure that a persons needs/capabilities are fully assessed, reviewed and that a comprehensive care plan is in place where support is required. This is so that peoples current needs are fully identified. It is so that staff receive full guidance on the current care required. So that this care is delivered consistently and in the agreed way. It will also help the home demonstrate a full audit trail of review and care. 30/04/2010 2 9 13 You must ensure there are written care plans giving guidance to staff as to when a medicine which has been prescribed as when required is to be used. This will help to make sure that the medicine is used for 19/04/2010 Care Homes for Older People Page 31 of 34 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 the reasons that it has been prescribed. It will help to avoid any misuse of the medicine and therefore protect people from harm. 3 15 12 Increase the choice of food 30/04/2010 at lunchtime and make arrangements for those that cannot verbally express a choice or preference to have the opportunity to do so. This is so that everyone, whatever their capabilities have a choice of meal. 4 29 19 Ensure that the information 30/04/2010 gathered during the recruitment process is robust and complete. This is with particular reference to POVA (now, Independent Safeguarding Authority, First Adult, ISA) checks and potential staff members references. This is so that everything has been done to help protect people from harm and abuse. 5 38 13 You must ensure that peoples moving and handling needs are properly assessed and reviewed. 19/04/2010 Care Homes for Older People Page 32 of 34 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 This is so that staff are given the correct and safe guidance on how someone is to be moved. 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 12 Improve staff skills so that people who require support to enjoy social interaction and activities are provided with the right opportunities. Review the care planning audit so that it picks up the appropriate information so that any shortfalls are easily identified. 2 33 Care Homes for Older People Page 33 of 34 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). 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. Care Homes for Older People Page 34 of 34 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!

The Provider has not yet updated their profile and added details of the services and facilities they offer. If you are the provider and would like to do this, please click the "Do you run this home" button under the Description tab.

The Provider has not yet updated their profile and added details of the services and facilities they offer. If you are the provider and would like to do this, please click the "Do you run this home" button under the Description tab.

Promote this care home

Click here for links and widgets to increase enquiries and referrals for this care home.

  • Widgets to embed inspection reports into your website
  • Formated links to this care home profile
  • Links to the latest inspection report
  • Widget to add iPaper version of SoP to your website