Inspection on 15/11/05 for A Woodlands House

This inspection was carried out on 15th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

A Woodlands House 24/07/06

A Woodlands House 18/05/05

A Woodlands House 07/10/04

A Woodlands House 26/05/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

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 08/07/2008.

CARE HOMES FOR OLDER PEOPLE A Woodlands House 4 St Winefride`s Road Littlehampton West Sussex BN17 5NL Lead Inspector Mrs V Gay Unannounced Inspection 15th November 2005 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address A Woodlands House DS0000014852.V260705.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. A Woodlands House DS0000014852.V260705.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service A Woodlands House Address 4 St Winefride`s Road Littlehampton West Sussex BN17 5NL Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01903 725458 Mrs Oonagh Patricia Cacioppo Mr Gerard Bradford Hawkes Mrs Oonagh Patricia Cacioppo Care Home 14 Category(ies) of Dementia (14), Dementia - over 65 years of age registration, with number (14), Old age, not falling within any other of places category (4) A Woodlands House DS0000014852.V260705.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Only persons in the DE(E) (Dementia over 65 years) to be admitted to the home. 18th May 2005 Date of last inspection Brief Description of the Service: A Woodlands House is a home for older persons who suffer from dementia. It is registered to accommodate up to fourteen residents. Mrs O P Cacioppo and Mr G B Hawkes privately own the home, and Mrs Cacioppo is the registered manager involved in the day-to-day running of the business. A Woodlands House is detached and located in a residential area of Littlehampton West Sussex close to local amenities and the sea. The property is arranged on three floors. Accommodation comprises of ten single rooms and three double rooms, one of which is on the ground floor. A passenger lift serves the first floor. Only residents who can mange the stairs unaided should be accommodated on the second floor. There is a medium sized secluded garden to the rear of the building, with private parking to the front. Facilities include two lounges, comfortable seating in the entrance hall and dining room. A Woodlands House DS0000014852.V260705.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over four hours. The inspector toured the home, visiting all rooms and spoke with staff and residents to gain a sense of what it was like to live in the home. Due to the mental frailty of the majority of residents it was not always possible to engage in meaningful conversation. Six residents care plans and personal files were examined in an addition to a selection of statutory records. What the service does well: What has improved since the last inspection? Since the previous inspection locks have been fitted to all bedroom doors to promote privacy. A programme of upgrading and building improvements continues. The kitchen floor has been re-laid with safety impermeable floor covering. Unguarded radiators have been covered as required following a risk assessment to prevent accidents. An activities organiser has been employed part-time to broaden the scope of activities available to residents. A programme of planned entertainment is now displayed in the home. A Woodlands House DS0000014852.V260705.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. A Woodlands House DS0000014852.V260705.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection A Woodlands House DS0000014852.V260705.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,and 6 The Statement of Purpose and Service Users Guide is available to ensure residents and /or their representatives’ make an informed choice about the home. People using the service do not move in to A Woodlands House unless their care needs are assessed Intermediate care is not provided at A Woodlands House. EVIDENCE: The Inspector saw a sample of resident’s assessments of need and personal requirements. These contained details of their health, well being and social preferences. A daily entry of any changes in the resident’s health was recorded in the kardex file and contained GP and district nurses’ input. The care plans of two residents recently admitted to the home were examined. They were comprehensive and gave clear details of their individual needs and preferences. A Woodlands House DS0000014852.V260705.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,and10 Arrangements are in place to ensure that the health care needs of residents are identified and met. Residents said that staff were kind and treated them respectfully. No resident is able to manage his or her own medication. Residents remain in the home as long as their needs can be met. EVIDENCE: Individual files contained all relevant information, including risk assessments for moving and handling and any special dietary needs. Any significant event regarding the well -being of a resident had been recorded. The residents were very tidy in appearance wearing appropriate clothing with their nails and hair well groomed. They were alert and cheerful and seen to relate to the care staff in a warm affectionate manner. A resident said she liked to wear nice clothes, and described her clothing to the inspector. The medication records had been signed for the mornings prescribed medication. A Woodlands House DS0000014852.V260705.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,and15. Residents are helped to make their own choice as far as possible taking into account their own mental frailty. Residents said their families were made to feel welcome when they visited. The mealtimes are well managed and the food is well presented and varied. EVIDENCE: The main meal of the day was roast beef and Yorkshire pudding accompanied by a selection of vegetables. The meals appeared appetising and were generous in quantity. One resident said that pears in chocolate sauce which was served as dessert was her favourite dish. Alternatives to the main meal were being provided as appropriate. Each dish was covered when being transported from the kitchen to the dining room to prevent contamination. The atmosphere was relaxed and residents were happy talking to each other over lunch. There is a range of activities for those who wish to participate, and residents are encouraged to maintain contact with all their family wherever possible. All residents seemed to enjoy their food, and the company of others. A Woodlands House DS0000014852.V260705.R01.S.doc Version 5.0 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,17,and18. Residents are listened to and given time and attention when they are worried or concerned. Regular training sessions for staff, plus policies and procedures regarding abuse, ensure that, as far as is possible, the people who live at A Woodlands House are protected from bad practice. EVIDENCE: The procedures for the recruitment of staff are thorough and provide the necessary safeguards to offer protection to the residents living in the home. The Commission has received no complaints since the previous inspection. The registered providers or the deputy manager promptly deal with any sign of dissatisfaction. Staff members are participating in training leading to a National Vocational Qualification level 2 or 3 and are therefore aware of what constitutes bad practice. A copy of the West Sussex County Council Multi Disciplinary Adult protection Policy was on view in the home All care staff has a Criminal Records Bureau enhanced check to ensure they are suitable to work with vulnerable people. A Woodlands House DS0000014852.V260705.R01.S.doc Version 5.0 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,23,25,and 26. Residents live in a safe, clean and well-maintained environment. Due to the layout of the building, for safety purposes the residents spend the majority of their day in the communal areas of the home. EVIDENCE: The inspector toured the building. All areas of the home used by residents are spotlessly clean, nicely decorated and furnished in a manner that appears “homely”. All residents have comfortable clean rooms, which have been personalised with many of their own possessions. Risk assessments have been undertaken to ensure the safety of residents and to enable them to enjoy a fulfilled life. The deputy manager confirmed that all staff receives regular fire training to ensure that they know what action to take in the event of a fire. The radiators have been risk assessed and the majority are now guarded and hot water temperatures monitored to safe guard residents from burns. Hoists and specialised equipment is available although currently not in use as the residents are all mobile. A Woodlands House DS0000014852.V260705.R01.S.doc Version 5.0 Page 13 A Woodlands House DS0000014852.V260705.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 and 30 Adequate staffing is provided to meet the needs of the residents. Staff members are trained and competent to do their jobs. 50 of the care staff are now trained to National Vocational Qualification level 2 or 3 and have therefore exceeded this standard. There are robust recruitment procedures in place. EVIDENCE: The inspector saw the staffing rota and asked staff if they thought there were sufficient staff members on duty to help the residents at all times with their individual needs. The deputy manager said that extra staff are always available at peak times or if a resident required extra care. Staff members spoken with were able to demonstrate a clear understanding of the resident’s needs. They were committed to their work and were pleased to be included in the daily decision making of the home. Care staff undertake cooking duties, which they said they enjoyed doing. The programme for staff training was available and showed that all mandatory training is provided together with National Vocational Qualification courses. Several of the staff is qualified health care workers from abroad and they have a range of skills. The staffing records showed that the staff group are fairly consistent and some have worked at the home since it first opened in 1990. The manager said that she was on duty most days and when she was not her deputy was in charge. A Woodlands House DS0000014852.V260705.R01.S.doc Version 5.0 Page 15 At the time of this unannounced inspection both registered providers were present supported by a deputy manager, three care staff and a cleaner. A Woodlands House DS0000014852.V260705.R01.S.doc Version 5.0 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,35,36. The registered providers have owned and run the home for several years and are therefore experienced in caring for this client group. The deputy manager is currently undertaking National Vocational Qualification level 4 in Care Management and has also many years nursing experience. A health and safety policy is operational in the home. EVIDENCE: The manager confirmed that she had a good rapport with each of the resident’s relatives. Questionnaires are sent out as part of the Quality Assurance policy. No resident is able to look after his or her own money; this is usually undertaken by a family member or solicitor acting on their behalf. Records showed that staff meetings and supervision is arranged to ensure staff have a clear understanding of their role and the expectations of the registering authority. A programme of training, which includes health and safety, moving and handling, and food hygiene, is ongoing for all staff. An external consultant A Woodlands House DS0000014852.V260705.R01.S.doc Version 5.0 Page 17 provides this training and a record of the programme arranged for 2005/06 was available to the inspector, Staff members were very pleasant and helpful during the inspection. A Woodlands House DS0000014852.V260705.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 X X X 3 X 3 3 STAFFING Standard No Score 27 3 28 4 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X X A Woodlands House DS0000014852.V260705.R01.S.doc Version 5.0 Page 19 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations A Woodlands House DS0000014852.V260705.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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