Inspection on 22/06/10 for Woodbine Manor Care Home

This is the latest available inspection report for this service, carried out on 22nd June 2010.

CQC found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 04/09/2010.

Key inspection report Care homes for older people Name: Address: Woodbine Manor Care Home 25 Upper Bognor Road Bognor Regis West Sussex PO21 1JA     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: Mick Gough     Date: 2 2 0 6 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 25 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 25 Information about the care home Name of care home: Address: Woodbine Manor Care Home 25 Upper Bognor Road Bognor Regis West Sussex PO21 1JA 01243841136 01243841136 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Elderet Ltd Name of registered manager (if applicable) Mrs Angela Barton Type of registration: Number of places registered: care home 29 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 to be accommodated is 29. The registered person may provide the following category/ies of service only: Care home only (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) Dementia DE Date of last inspection Brief description of the care home Woodbine Manor is a care home registered to accommodate up to twenty-nine persons in the category of OP. It is a large detached property with a purpose built extension to the rear located in a quiet residential area on the outskirts of Bognor. The home is arranged on two floors with main lounge, dining room, kitchen and laundry facilities included on the ground floor. A second lounge is situated on the first floor, which is Care Homes for Older People Page 4 of 25 Over 65 0 29 29 0 2 5 0 6 2 0 0 9 Brief description of the care home accessed by a lift. Bedrooms are located on both floors. There is a small parking area to the front of the establishment and a secluded garden to the rear. The home has been owned by Eldernet Ltd since November 2007 Care Homes for Older People Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The purpose of the visit was to assess the quality of service provided by Woodbine Manor Care Home and takes into account the accumulated evidence of the activity at the home since the last inspection, which was carried out in June 2009. The inspection took into account the homes Annual Quality Assurance Assessment (AQAA), which was sent to us when we asked for it. The AQAA is a self assessment tool that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. As part of the inspection process an unannounced visit to the home was carried out on the 22 June 2010. For this visit we involved 4 members of staff. Also the manager of the service assisted us throughout the visit. Other evidence for this report was obtained from reading and inspecting records; Care Homes for Older People Page 6 of 25 including pre admission assessments, plans of care, risk assessments, recruitment and training records, medication records and some of the homes policies and procedures. We were also able to speak with people who use the service, members of staff and to 2 visitors to the home. We spoke with 4 members of staff and they were all positive about the service provided at Woodbine Manor and comments included; woodbine provides a homely environment, all staff take the residents needs very seriously and they go above and beyond the call of duty to make sure that those they care for are comfortable and happy and the home provides excellent care for all its residents We spoke with a number of residents at the home and again all were positive about the home. Comments included; I did not want to move but now I am here I am very happy, everyone is friendly, the staff are good and they can not do enough for you and I have everything I need. We were also able to observe staff supporting service users in the home and to see the interaction between staff and users of the service. The home is registered to provide support for 29 residents and at the time of the visit there were 23 people living at the home. Care Homes for Older People Page 7 of 25 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 8 of 25 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 25 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. Potential new residents have a needs assessment undertaken prior to moving into the home and this allows the home, the resident and their relatives to see if the home can meet the individuals needs. The home does not provide intermediate care. Evidence: We looked at the homes Statement of Purpose and service user guide and this gave residents the information they needed to be able to make an informed decisions before deciding whether to move into the home. The homes completed AQAA told us that new service users are admitted only after an assessment has been carried out. At this visit the manager confirmed that herself or her deputy carries out an individual needs assessment prior to residents moving into the home and there is a clear admission process. Assessments were on file at the home and were looked at for the 3 residents; The needs assessments seen had information on medical history, mobility, medication, personal care needs, Care Homes for Older People Page 10 of 25 Evidence: communication, daily routines, sleep routines, leisure and interests. Assessments were made using a needs assessment form. Social Service assessments were also on file. We were told by the manager that potential new residents are able to visited the home before they move into the home. Intermediate care is not provided at the home. Care Homes for Older People Page 11 of 25 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. The health, personal and social care needs of residents are set out in an individual plan of care and residents and have access to all relevant health care professionals and their health care needs are met. The administration of medication is satisfactory and residents at the home are treated with dignity and respect and their personal care is given in private. Evidence: Care plans were inspected for 3 residents and care plans were broken down into sections and were easy to follow. Each care plan had information on the support needed and each resident had information regarding medication, mobility, nutritional requirements, relationships, social skills, activities, personal care, hygiene and health. We saw that care plans are reviewed on a monthly basis and the home recorded the reviews on each page of the care plan. However the reviews on care plans was simply a date of the review and the majority said no change. This was discussed with the manager and it was pointed out that monthly reviews would be more beneficial if they had more evaluation of how the care plan was working for the resident and this would Care Homes for Older People Page 12 of 25 Evidence: give information on residents progress of lack of it as the case may be and could also provide evidence that residents were involved in the review process. Daily recording on care plans was carried out at the end of each shift and this provided evidence of care deliver to each individual. All care plans contained risk assessment forms and these detailed what if any risks had been identified. We saw that one care plan stated that the service user was prone to leaving the home unsupported and there was a risk assessment in place, which gave information on the risk and also provided information on how the risk could be minimised. The completed AQAA told us that the home has a good relationship with GPs, District Nurses and other outside experts, all of which they can contact for extra support and advice when required. We saw that service users are registered with 4 different GP surgeries and have a number of different GPs. Community nurses are provided by a central service and the manager informed us that they will visit the home as and when required. The home also uses the services of a continence nurse who provides advice and support. There is a visiting hearing and optician service, however some residents make there own arrangements. There are 2 visiting chiropodists who call at the home every 4 to 6 weeks. The manager informed us that any other relevant health care professionals are arranged through GP referral and the home keeps a record of any appointments or visits by any health care professionals. Residents said that staff were always very helpful and one commented I am well looked after here and another said they help me whenever I ask. We spoke to 2 visitors to the home who said that they felt that their relatives care needs were met by the home. The home has a policy for the receipt, storage, return and administration of medication and all staff at the home who are authorised to administer medication have undertaken training with regard to medication. The home uses a monitored dose system from a local pharmacy and the medication administration records sheets (MARS) were inspected and found to be up to date. There was guidance for staff with regard to any when required medication and this included a rationale for its use. The homes medication storage was looked at and this was suitable for its purpose and this included the storage arrangements for any controlled drugs. During the visit staff were seen to behave appropriately with residents and we observed staff interacting well with residents and using their preferred form of address. Staff were seen to knock on residents doors before entering and residents spoken to confirmed that staff treat them with dignity and respect. We spoke to a number of residents and comments included; I could not be better looked after, another said we are in safe hands and I am happy. We observed that the carers had Care Homes for Older People Page 13 of 25 Evidence: a quiet friendly way with the residents and there was a very good rapport between residents and staff. Care Homes for Older People Page 14 of 25 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 range of activities for residents, which meet their expectations and the religious and recreational interests of residents are provided for. Residents are able to maintain contact with family and friends and visitors are welcome at any time. Residents are supported to exercise choice and control over their lives as much as possible and are provided with a wholesome and balanced diet in pleasant surroundings at a time convenient to them. Evidence: The completed AQAA told us that the home provides a wide range of activities, and also have seasonal events. Activities at the home are arranged by one of the carers and she is backed up by the staff on duty each day. Activities include; bingo, trivia quiz, videos, games, skittles and knitting. A number of actives are provided by people outside the home and these includes visiting entertainers, remembrance sessions, music for health, arts and crafts and gardening. Residents told us that they were happy with the activities provided and said that they enjoyed events that are held in the garden. A visiting hairdresser calls on a regular basis. The home has a clear visitors policy and there are no set times, visitors sign in at the home and the visitors book is kept in the hallway, residents spoken to said that their Care Homes for Older People Page 15 of 25 Evidence: visitors were always made welcome and we had the opportunity to speak with 2 visitor to the home who confirmed that visiting times were flexible and they had never experienced any restrictions. In the kitchen the chef said she prepared meals from scratch and there was a good choice of fresh vegetables in view. There is a 4 week rotating menu and included recently suggestions from residents. The cook offers residents a choice in the mornings and she told us that residents can have what they like and this includes, cereals, toast and cooked breakfast. Lunch is the main meal of the day and staff go round the home and inform residents what the choices are. On the day of our visit lunch was braised steak, mashed potatoes and fresh vegetables. Cold drinks were also available for residents. Several residents told us that they had enjoyed their meals and one resident said, the food is always very good. Some residents chose to eat their meals in the dining room, while others ate in their rooms. Residents told us that they were happy with the times of meals breakfast, 0730 - 0930, Lunch 1230 and supper 1700. Supper was a snack type meal such as scrambled egg on toast or a choice of sandwiches. The cook told us that the kitchen is open 24 hours a day and staff can make residents a snack or drink at any time. Care Homes for Older People Page 16 of 25 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. There is a simple, clear and accessible complaints procedure, which includes timescales for the process and any complaints are logged and responded to appropriately. The homes policies and procedures help protect users of the service from any form of abuse Evidence: The home has a clear complaints procedure, which contains all of the required information and a copy is issued to all residents and relatives when they move into the home. The homes completed AQAA told us that the home had received 2 complaints since the last inspection and we saw that these had been responded to appropriately. Residents spoken to said if they had any complaints they would speak to a member of staff. Staff members spoken to were aware of the complaints procedure and said that they would support any service user to make a complaint if they wished to do so. The AQAA also informed us that there had been 2 adult protection referrals made and we saw that the home had co operated fully with the local authority to resolve these issues. We saw that all staff have received training on adult protection and the home has a whistle blowing policy and the manager and staff spoken to were aware of their responsibilities in this area and knew what to do should they suspect any form of abuse had taken place Care Homes for Older People Page 17 of 25 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. Residents live in a safe and well-maintained environment and have access to comfortable indoor and outdoor facilities. Residents have the specialist equipment they require to maximise their independence and the home was clean, pleasant and hygienic. Evidence: We had a look around the home during the visit and all areas of the home were clean and tidy and furniture was in a good state of repair. A number of residents rooms had been re decorated and the hallways had been decorated and were bright and cheerful. The main passageway downstairs had a number of old photographs of Bognor Regis and we saw a number of service users admiring the photographs. The home has a laundry, which is situated on the ground floor of the home, this is equipped with 2 industrial washing machines and 2 tumble driers. The home does not employ dedicated staff to carry out laundry duties and care staff carry out laundry tasks with night care staff carrying out any ironing that is required. All residents had named laundry baskets where clean clothes were placed so that staff could deliver to their rooms. Laundry is collected by staff and brought down to the laundry in bags with any soiled items clearly identified. All staff have received training with regard to infection control and the home was clean and tidy with no offensive odours. Care Homes for Older People Page 18 of 25 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. The home has a mix of staff that has a range of skills and are employed in sufficient numbers to meet residents needs. The homes recruitment policy and practice supports and protects residents and they benefit from a staff team that has had sufficient training to meet their needs. Evidence: The homes staff rota showed that there are 4 care staff on duty between 0800 to 1400. From 1400 to 2000 there are 3 care staff on duty and an additional staff member comes in between 1700 to 1900 to help out with supper. Between 2000 and 0800 there are 2 awake staff members on duty. In addition the homes manager and her deputy work flexibly throughout the week to support staff as and when required. The home also employs 2 cooks, 2 kitchen assistants, 1 handyman and 4 cleaners. Residents spoken to said that staff were very good, one residents told us the staff are very kind and another residents told us that the staff are always around to help. The home employs a total of 19 care staff and the manager stated that 10 staff members already have NVQ level 2 and that there are 2 members of staff currently undertaking this training. The manager told us that the home would support staff to obtain National Vocational Qualifications. Recruitment records were seen for two members of staff and both files provided Care Homes for Older People Page 19 of 25 Evidence: evidence that robust recruitment procedures are carried out with files containing all of the required information including application form, 2 references, health declaration, Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks and also a contract of employment. Staff training records were looked at and the manager showed us a training matrix, which showed that training is provided in; first aid, food hygiene, moving and handling, fire, infection control, adult protection, medication, health and safety, dementia care, moving and handling and COSHH. The cook has also received training in nutrition and health. A suitable induction programme is in place for new staff and staff are expected to show that they are familiar with the homes procedures. Induction is based on skills for care induction standards and new staff complete an induction workbook. Staff spoken to confirmed that they received a thorough induction and that they are provided with appropriate training in order to carry out their care tasks. Care Homes for Older People Page 20 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home has a manager in place who is registered with the Care Quality Commission to over see the day to day management of the home. There is a quality assurance system in place and the health, safety and welfare of residents and staff are promoted and protected Evidence: The manager has been in post for the past 18 months and has completed the registered managers award and holds NVQ4 in care. She is registered with the Care Quality Commission and has proved her fitness to oversee the day to day running of the home. She provides support and guidance to residents and staff and ensures that records are completed and up to date. Residents and staff told us that the manager is approachable and is easy to talk to. The home has a quality assurance system in place and the home sends out questionnaires to residents, staff GPs and visitors to see how the home is meeting residents needs. There are regular staff meetings every month and residents meeting Care Homes for Older People Page 21 of 25 Evidence: are also held. The provider also carries out monthly regulation 26 visits to the home. The manager showed us the homes annual newsletter, which was sent out earlier this month and this gave information on the responses to the questionnaires and also outlined the action the home intended to take to address any issues or concerns that may have been raised. The home does not manage or hold any residents money. Any service user who requires any items such as toiletries, chiropody, newspapers or hairdressing, the home will purchase items on the residents behalf and then send an invoice to relatives. Receipts of any transactions are kept to provide a clear audit trail of any expenditure. There is an in date fire risk assessment for the building and regular health and safety monitoring takes place. The fire logbook was inspected and all appropriate testing and checks have been recorded. Appropriate certificates were in date for, fire alarms systems and equipment, private electrical equipment, passenger lift and fixed hoists. The manger confirmed that the home gas equipment had been recently serviced but was unable to find the homes gas safety certificate. She phoned the person who carried out the checks whilst we were at the home and the certificate will be forwarded to the home ASAP. Care Homes for Older People Page 22 of 25 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 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 24 of 25 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. © 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. Care Homes for Older People Page 25 of 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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