Care Home: Woodview Care Centre

Similar services:

• Byars Care Home
• St Marys Nursing Home
• Bramble Lodge
• Parkmanor Residential Home
• Thornham Grove
• Hunter`s Lodge
• London Road Neurological and Specialist Care Unit
• Carlton Care Home

What the care home does well The home has a welcoming and homely atmosphere. Staff interact with residents in a caring and friendly manner and assist them as needed. The staff are knowledgeable about the people they support and could tell us about their individual preferences. People said that residents needs were being met. Comments included, `the staff are very attentive` and `if you want anything they see to it`. The activities organisers provide a varied programme of stimulation that people said they enjoyed. The home has detailed policies and procedures to inform residents and instruct and guide staff. Staff are recruited robustly and receive essential training, this helps to protect the people living at the home. What has improved since the last inspection? Risk assessments contain better detail about potential risks associated with peoples care and how staff should manage them. This means that staff have clear guidance to any potential risks and how they can be minimised. People told us that usually there were enough staff on duty to meet their needs. The process for the investigation of complaints and any outcomes has been reviewed so that they are now recorded in detail. There have been a lot of improvements to the general environment of the home. This includes corridors and communal areas being redecorated with more planned for the future. What the care home could do better: Care plans must be regularly updated to reflect peoples changing needs so that staff have access to current information. Staff must receive specialist training to meet the needs of the people they support, such as for physical disabilities and conditions of old age. This requirement was outstanding for the last inspection. Other areas that would benefit from some attention included the following. The Statement of Purpose and the Service Users Guide should be amended so that it provides up to date information, such as our new contact details. It would also be beneficial to people thinking of using the service to have better details about the categories of people the home is registered to support. Peoples care plans should be written in a more individual way (person centred) so that they reflect how people prefer their care and support to be delivered. This will help staff to understand their role in supporting them. Peoples participation in the planning of their care should be recorded better so that the home can demonstrate that it has consulted people and they agree with the planned care. Consideration should be given to the content of recent legislation, such as the Mental Capacity Act and Deprivations of Liberties, which are designed to protect peoples rights and choices. The inclusion in the care planning process and appropriate training for staff should also be implemented.The activities programme should be more formalised so that people have advanced warning about what is taking place and demonstrates that the home has taken peoples preferences into account. The system for providing hot water throughout the home should be reviewed to make sure that it is fit for purpose and therefore people have access to constant hot water. Key inspection report Care homes for older people Name: Address: Woodview Care Centre 127 Lincoln Road Branston Lincs LN4 1NT     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: Dawn Podmore     Date: 2 0 0 7 2 0 0 9 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 27 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 27 Information about the care home Name of care home: Address: Woodview Care Centre 127 Lincoln Road Branston Lincs LN4 1NT 01522790604 01522793478 woodview@schealthcare.co.uk www.schealthcare.co.uk Exceler Healthcare Services Limited care home 63 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category physical disability Additional conditions: The maximum number of residents who can be accommodated is 63. The registered person may provide the following category of service only: Care home with nursing - Code N To residents of the following gender: Either Whose primary care needs on admission to the home are: Old age, not falling into any other category Code OP (maximum number of places 42) Physical disability - Code PD and Code PD(E) (maximum number of places 21) Date of last inspection Brief description of the care home Woodview Care Complex is located on the outskirts of Lincoln in the village of Branston. There are local services and facilities available within the village and transport links into the city of Lincoln. Accommodation is at ground level and is provided in two separate units, these are quite separate in purpose; both are managed by the same general manager and share some common facilities. There is car parking to the side and rear of the building. The gardens are well kept and can be easily Care Homes for Older People Page 4 of 27 Over 65 42 0 0 21 Brief description of the care home accessed by residents. Woodview The main entrance is to the front of the building. This unit offers accommodation for older people in 38 single rooms, 28 of which have ensuite facilities and two double bedrooms. There are also lounges and dining rooms. Greenwood A separate entrance at the rear of the building offers easy access to the unit. It offers accommodation in single rooms for 21 people with a physical disability. Communal rooms incude a lounge, dining room, activities room and a conservatory. At the time of the inspection the manager stated that weekly fees ranged from £351 £1711 depending on the residents assessed needs. Additional charges are made for services such as chiropody and hairdressing. Information about these costs as well as the day-to-day operation of the home, including a copy of the last inspection report is available in the reception area or the managers office. Care Homes for Older People Page 5 of 27 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: This key inspection visit was unannounced and took any previous information held by C.Q.C about the home into account. Throughout this report the terms we and us refers to the care Quality Commission (CQC). Before the the visit the provider had returned an Annual Quality Assurance Assessment (AQAA). This gave us information about their own assessment of how well they are meeting standards and their plans for improvement over the next twelve months. We also sent out surveys to residents and staff, 15 of which were returned in time to be included in this report. The main method of inspection used was called case tracking. This involved selecting 3 people and tracking the care they received. This was done by checking records, discussions with them and the staff who care for them, and observation of care practices. A partial tour of the home was also conducted, which included looking at Care Homes for Older People Page 6 of 27 some bedrooms, communal areas and bathing and toilet facilities. Other documentation concerning the operation of the home was also sampled. We spoke with 8 residents and 5 members of staff. They shared their views about how the home operated on a day to day basis and the care and facilities provided. The manager was present for most of the visit and the Regional Manager was also present. On the day of the visit 51 people were living at the home. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: Care plans must be regularly updated to reflect peoples changing needs so that staff have access to current information. Staff must receive specialist training to meet the needs of the people they support, such as for physical disabilities and conditions of old age. This requirement was outstanding for the last inspection. Other areas that would benefit from some attention included the following. The Statement of Purpose and the Service Users Guide should be amended so that it provides up to date information, such as our new contact details. It would also be beneficial to people thinking of using the service to have better details about the categories of people the home is registered to support. Peoples care plans should be written in a more individual way (person centred) so that they reflect how people prefer their care and support to be delivered. This will help staff to understand their role in supporting them. Peoples participation in the planning of their care should be recorded better so that the home can demonstrate that it has consulted people and they agree with the planned care. Consideration should be given to the content of recent legislation, such as the Mental Capacity Act and Deprivations of Liberties, which are designed to protect peoples rights and choices. The inclusion in the care planning process and appropriate training for staff should also be implemented. Care Homes for Older People Page 8 of 27 The activities programme should be more formalised so that people have advanced warning about what is taking place and demonstrates that the home has taken peoples preferences into account. The system for providing hot water throughout the home should be reviewed to make sure that it is fit for purpose and therefore people have access to constant hot water. 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 27 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 27 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 information available to people and a detailed assessment of their needs helps to ensure that the home can meet peoples needs before they come to live at the home. Evidence: The home provides people with various information to help them decide if it is the right place for them to live. This included the Statement of Purpose and a Service Users Guide. The information in the Statement of Purpose needed to be updated regarding our contact details so that people had access to up to date information. The section regarding the people the home is able to accommodate was not explicit. Although it said they catered for older people and had some places for people with a physical disability it did not state how many or the types of people staff were trained to support. A review of all information available prior to the visit to the home, and the content of peoples care records, showed that the home does not admit residents without a Care Homes for Older People Page 11 of 27 Evidence: comprehensive assessment of their needs being completed. The AQAA also says that people are encouraged to visit the home before making any decisions and trial stays could be arranged. The people we consulted told us that a satisfactory process had been followed regarding their admission and confirmed that they had received sufficient information about the home and the services it provided. The acting manager said that in the past the home had provided intermediate care for people needing rehabilitation, but currently this was not being provided. Care Homes for Older People Page 12 of 27 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. Peoples needs are being met by staff who have access to information about their health and care needs and respect peoples preferences. However care plans do not always fully reflect recent changes to the planned care, which may put residents at risk. Evidence: We looked at the care records of 3 people living a the home choosing people with different needs. They contained detailed information about what care and support people needed and their individual preferences and abilities. Although they were not all written in a person centred way some contained individual guidance as to how to support people. For example requires food cutting up, if fork is loaded and offered into left hand may feed herself. One plan had not been updated to include a change regarding the residents oral health, this could lead to them not receiving the additional care needed. Assessments for potential risk areas, such as manual handling, the use of bedsides Care Homes for Older People Page 13 of 27 Evidence: and risk of pressure damage, had been carried out. This information had then been used to formulate care plans to guide staff as to how to minimise these risks. A daily record of how people were progressing had been maintained and care plans had been evaluated regularly. However in one case although the daily records showed that nutritional supplements had been given this was not reflected in the monthly evaluation. Peoples capacity to made decisions about their daily lives had not been formally considered as part of their assessment. This is new legislation that is aimed at protecting peoples rights and choices. The acting manager said that she was attending a training session the next day which should help her address this issue. Records and peoples comments indicated that residents had access to outside health professionals such as doctors and specialist nurses. Peoples health care was being monitored and equipment such as pressure relieving mattresses were in use. Staff were knowledgeable about the people they supported and how they preferred their care delivering. Staff were observed speaking to people with respect and offering them choices. In discussion with staff we found that they had a good understanding about the people they supported and how to maintain their privacy and dignity. People told us that they were happy with the level of care and support they received. One person said, the staff are very attentive to residents, especially at night. A relative told us that staff supported the family as well as the residents. They said, they always have time to listen and advise us, care and welfare needs are well met. The home has satisfactory policies and procedures concerning the receipt, storage, administration and disposal of medications. Regular audits are undertaken by Boots the Chemist, the last one being on 7/7/09. Their report identified one issue regarding the recording of hand written additions to medication charts. The records we checked and a discussion with the nurse showed that this was now being carried out. Care Homes for Older People Page 14 of 27 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. The home provides a varied activities programme which people enjoy. However people unable to participate in the organised activities may not always be receiving regular stimulation. People receive a nutritious and varied diet that meets their individual preferences and health requirements. Evidence: The home employs two people to provide activities and stimulation for the residents, one for each unit. The activities programme for the week before was displayed on the notice board, but this had not been replaced with a new one. Therefore residents did not know what was happening that day. Records showed that various activities had taken place on a regular basis. These included arts and crafts, jigsaws, PAT dog sessions, games, exercises and chippy evenings. Other periodical activities had also been arranged including a visit to the air show, a disco, an outing to Skegness, a sunflower growing competition and an outing to the park. These were detailed in the homes newsletter which was given to residents and available in reception. Care Homes for Older People Page 15 of 27 Evidence: Both units have a designated activities room and there is a computer available for people to use in the physical disabled unit. Records showed that most people had received the opportunity to participate in the activities programme. However for people who did not wish or were unable to do the organised activities, records did not demonstrate that they had been offered appropriate alternative stimulation. People told us that they were happy with the activities that took place and said that they could choose not to join in if they preferred not to. A relative said, they are very friendly caring staff and the activities people try very hard. Another person told us that they were never bored as there was lots to do. People said that relatives could visit at anytime and that they were always made very welcome by the staff. At lunchtime the atmosphere in both dining rooms was calm and relaxed, with staff assisting some people as needed. Most people said that they enjoyed the menu offered and if they did not want one of the two main options they could ask for an alternative. Special diets were also available. People told us, the food is marvelous, cant fault it, splendid food and I havent got much of an appetite these days but this is really good. In the Physical disabled unit two people said that the food was sometimes not hot enough. We observed how lunch was served and the possibilities for some foods not being hot enough were discussed with the acting manager. Another resident said that they would like more pudding options for people with diabetes. Care Homes for Older People Page 16 of 27 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. Residents are protected by clear policies and procedures for handling complaints and allegations of abuse. Evidence: The home has a complaints procedure, this is displayed in the home and included in the Service User Guide, this is given to people when they come to live at the home. The details for contacting us needed to be updated, the acting manager said that this was currently being addressed. The AQAA said that the home had received 4 complaints over the last year. Records showed that these had been appropriately addressed and recorded. People said that they knew how to make a complaint and would be comfortable highlighting any issues. The home has procedures concerning the protection of vulnerable adults. Three alerts have been made since the last inspection. These had been investigated and any areas needing attention had been addressed appropriately by the home. Staff demonstrated a satisfactory knowledge of what to do if they suspected abuse could be occurring and confirmed that they had received training in this subject. Care Homes for Older People Page 17 of 27 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 live in a well maintained, comfortable and homely environment, which offers a satisfactory standard of decor and furnishing. Evidence: We took a partial tour of the home looking at the bedrooms of the people being case tracked, communal areas and bathing facilities. The general atmosphere of the home was welcoming and homely. Bedrooms had been personalised by the resident or their relatives with photographs, mementos and small items of furniture. Improvements to the home over the last year included Greenwood unit being redecorated and new carpets fitted. It looked bright and airy and people told us that they had been involved in choosing the colour scheme. A separate entrance for Greenwood has also been built so that people can access the unit without having to walk right through the building. This provides easy access for people in the unit and added privacy for people living in Woodview. Other areas addressed included, redecoration of some of the residents rooms, doors had been painted, a new staff room has been provided and a new sluice was being fitted on the day of the visit. One area that still needs attention is the corridor carpets in the Woodview unit as Care Homes for Older People Page 18 of 27 Evidence: some areas have stains on them. The manager said that future improvements were planned including the redecoration of the lounge and dining area in Woodview, which is scheduled to begin in two weeks time. People told us that they were happy with their rooms. In surveys four people said that the home was always fresh and clean and five said that it usually was. The gardens were well maintained and seating was available. Ramps are in place to enable easy access to all areas. Separate staff are employed to maintain the cleanliness of the home and do the laundry. There were no unpleasant odours detected during the visit and it looked clean and tidy. Care Homes for Older People Page 19 of 27 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents are safeguarded by the homes robust recruitment procedure, which helps to ensure that staff are suitable to work with vulnerable people. They receive care from staff who are knowledgeable about the people they support, but shortfalls in specialist training could lead to peoples needs not being fully met. Evidence: Records and observations on the day showed that although they were a carer below the planned staff for the morning peoples needs were still met. In a survey one person said that sometimes their relative had to wait a long time between getting up and being helped to get dressed but otherwise comments were positive. They told us, the general care and understanding from all the staff is excellent, generally very attentive to residents, they are very good, couldnt improve and if you want anything they see to it. Most of the staff consulted said that they felt that the current staffing levels were satisfactory if everyone turned up. In surveys one person said that there was always enough staff on duty and the other four said that there usually was. Observation showed that staff supported people in a calm and relaxed manner and had time to talk to them. Care Homes for Older People Page 20 of 27 Evidence: We checked the files of 2 new staff and these showed that their recruitment had been carried out correctly with essential checks, such as written references and C.R.B. (Criminal Records Bureau) checks, being undertaken. Records and staff comments confirmed this process and demonstrated that new staff received a satisfactory induction to the home. They told us that this had included working with an experienced person and basic training. One said that she felt that it would be beneficial for carers new to the job to be given training in care of the dying and bereavement as part of their induction, as this was a difficult subject for them to deal with. The home has a training programme which includes essential subjects such as manual handling, protection of vulnerable adults from abuse, fire safety, medications and infection control. Although it was required at the last inspection that the company provide specialist training to meet the needs of the people who lived at the home records and staff comments did not demonstrate that this training had taken place. No training had been given regarding the Mental Capacity Act and Deprivation of Liberties, which is new legislation aimed at protecting people rights and choices. The manager said that she was attending a training session the following day and then training for all staff would be commenced. The company encourage staff to complete an N.V.Q (National Vocational Qualification) in care. Information provided showed that out of 44 permanent care staff 23 have attained an NVQ. The manager said that another 3 staff are due to start the award in August. Staff said that they felt well trained and supported and they demonstrated a very good knowledge of the people they were caring for. When asked what the home did well one person said, good team work, good staff and good care given. Care Homes for Older People Page 21 of 27 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. Good leadership and guidance is provided to staff to ensure that care is delivered in a consistent manner. The home is managed in the best interest of the residents. There are systems in place to make sure that the health, safety and welfare needs of the residents are met. Evidence: The home does not currently have a Registered Manager. However Mrs Julia Burk, who was the deputy manager, has been appointed by the Company to oversee the day to day operation of the home. She told us that she would be applying to be the Registered Manager shortly. Staff told us, we have a good manager, Julia is a very approachable and informative manager, she is an assert to Woodview, and there have been marked improvements in the home since the new manager. Comments from residents and relatives indicated that in the main they felt that the home was well run. They praised the support provided and said that the manager and staff were approachable and listened to them. When asked what the home did well Care Homes for Older People Page 22 of 27 Evidence: they told us, when there is enough staff all aspects of my care is done well and staff are always polite and kind. When we asked what could be improved most people said nothing but others suggested areas of improvement. These included, more activities, the food, it would be good to have some younger ones (staff) and food could be bought from local traders giving a better quality In the main staff said that things had improved over the last year. One said that Woodview was a very friendly place that gave people a warm welcome. Others said that they received good information about the people they supported and that they enjoyed working at the home. Staff also highlighted areas that could be improved. One person said communication, but went on to say that the new manager had already begun to address this area. Others said, food, more equipment, more encouragement and recognition for staff from the Company and plan better for when staff are on leave to ensure better cover. One person highlighted that the water was not always warm enough for people to wash and so staff on occasion had to carry water from the kitchen. The home has a quality assurance system so that they can gain the views of the people who use the service. The AQAA said that this included surveys and meetings. People said that they were asked their opinion and included in decisions about the running of the home, such as colour schemes. We saw the report from a recent visit by the Lincoln County Council quality monitoring team which contained no recommendations for improvement. This helped to demonstrate that they the home was operating satisfactorily. There is a system in place for residents monies to be held in safe keeping by the home. This includes keeping a running total of all transactions and obtaining receipts and two signatures. The home has health and safety polices and procedures to guide and instruct staff. There is also a programme in place to service and maintain equipment in the home on a regular basis. Information provided in the AQAA demonstrated that regular checks on equipment, such as fire equipment and hoists, had taken place as scheduled. The company had also recently carried out a Health & safety audit which indicated that overall the home was practicing safe procedures. Any areas identified as needing attention had been included in an action plan with timescales. Care Homes for Older People Page 23 of 27 Are there any outstanding requirements from the last inspection? Yes R No £ 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 1 30 18 Staff must receive specific 04/01/2010 training to meet the needs of the people they support. This requirement has not been fully met so a new timescale has been set. Care Homes for Older People Page 24 of 27 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 Care plans must be regularly 31/08/2009 updated to reflect changes in peoples care needs. This will help to ensure that staff are aware of peoples new needs and their role in supporting people 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 7 Care plans should include reference to the Mental Capacity Act, 2007 and the effects it has on residents lives. This is to help to make sure that their rights and choices are protected. Care plans should be more person centred so that they fully reflect how people prefer their care to be delivered. It is strongly recommended that peoples participation in the planning of their care is better recorded so that there is clear evidence of their involvement. Appropriate stimulation should be provided for those people who do not wish to join in organised activities or are unable to do so. 2 3 7 7 4 12 Care Homes for Older People Page 25 of 27 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 5 30 Staff should have appropriate training about assessment and recording in relation to the Mental Capacity Act 2007. This will give them a better understanding of their role in supporting people appropriately. It is strongly recommended that the system for heating the water is reviewed to ensure that it is suitable for purpose. This will help to ensure that hot water is available at all times. 6 38 Care Homes for Older People Page 26 of 27 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 27 of 27 - 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!