Inspection on 18/05/05 for A Woodlands House

This inspection was carried out on 18th May 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 15/11/05

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 Winefrides Road Littlehampton West Sussex BN17 5NL Lead Inspector Veronica Gay Announced 18 May 2005, 09:30 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 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 H60-H11 S14852 A Woodlands House V220599 180505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service A woodlands House Address 4 St Winefrides Road, Littlehampton, West Sussex, BN17 5NL Telephone number Fax number Email 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 opc@woodlandshome.plus.com Mrs Oonagh Patricia Cacioppo Mr Gerard Bradford Hawkes Mrs Oonagh Patricia Cacioppo Care Home (CRH) 14 Category(ies) of Dementia (DE), (14) registration, with number Dementia over 65 years of age (DE(E)), (14) of places Old age, not falling within any other category (OP), (4) A Woodlands House H60-H11 S14852 A Woodlands House V220599 180505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1 Only persons in the DE(E) (Dementia over 65) to be admitted to the home. Date of last inspection 7 October 2005 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 located in a residential area of Littlehampton West Sussex close to local amanities 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 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 H60-H11 S14852 A Woodlands House V220599 180505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 7 hours, including reviewing the pre-inspection questionnaire with the manager. Prior to the inspection the inspector read the last inspection report and examined the file. 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. The inspector sat in on a handover meeting when information about resident’s well being were discussed with a member of staff coming on duty. Six residents care plans and personal files were examined in an addition to a selection of statutory records. Questionnaires were sent to relatives and other interested parties prior to the inspection, however none have been returned in time to inform this inspection. What the service does well: What has improved since the last inspection? A patio area has been upgraded to allow the residents to wander freely in the garden. Staff have received training in First Aid and medication procedures to enable them to develop their skills. National Vocational Qualification training continues and staff said they are gaining confidence and understanding regarding the need of the residents. Supervision has now been implemented for all staff. A requirement made at the previous inspection in respect of admission details had been done. A Woodlands House H60-H11 S14852 A Woodlands House V220599 180505 Stage 4.doc Version 1.20 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. A Woodlands House H60-H11 S14852 A Woodlands House V220599 180505 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection A Woodlands House H60-H11 S14852 A Woodlands House V220599 180505 Stage 4.doc Version 1.20 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 standard(s) 1,3 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 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. Some entries seen could be expanded to demonstrate the actual care provided on a daily basis and this was discussed with the manager. A Woodlands House H60-H11 S14852 A Woodlands House V220599 180505 Stage 4.doc Version 1.20 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 standard(s) 7,8, Arrangements are in place to ensure that the health care needs of residents are identified and met. Resident’s health care needs are fully 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. This was particularly evident for one resident who told the inspector she had fallen the previous day. The accident book and daily record sheet, together with the action taken including the nurse and GP visit had been recorded. Residents said that they felt well cared for and comfortable. The residents were very tidy in appearance wearing appropriate clothing with their nails and hair well groomed. The gentleman were shaved and smartly dressed. A resident said she liked to wear nice clothes. Residents said how much they enjoyed an entertainer who was visiting the home at the time of the inspection. One resident said she would like more entertainment. A Woodlands House H60-H11 S14852 A Woodlands House V220599 180505 Stage 4.doc Version 1.20 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 standard(s) 14,15 Residents are helped to make their own choice as far as possible taking into account their mental frailty. Fitting locks on resident’s doors could develop this still further. The mealtimes are well managed and the food is well presented and varied. EVIDENCE: Due to the practice and layout of the home residents spend the majority of their time in one of the two lounges or the hallway. They do not go to their rooms unless escorted by a member of staff, which gives the impression that the environment is somewhat controlled. The manager explained that this was for safety reasons and that the situation had been risk assessed. Residents said that they enjoyed sitting in the lounge listening to music. Another resident said she enjoyed reading. Due to the weather being warm at the time of inspection residents were invited to join staff in the garden, which is attractively presented, and secure. They were served cold drinks, which they said they enjoyed. Meals were varied, containing a good selection of vegetables. All the residents were spoken with and those able to express an opinion said they really enjoyed the food. One resident said, “ the food is always good and there is plenty of it”. The mealtime was relaxed and two staff members were seen to attend to the resident’s individual needs in a sensitive manner. All residents seemed to enjoy their food, and the company of others. A Woodlands House H60-H11 S14852 A Woodlands House V220599 180505 Stage 4.doc Version 1.20 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 standard(s) 18 There is a clear procedure for responding to any suspicion of abuse or allegation made which affects the residents. EVIDENCE: There have been no complaints received by the Commission for Social Care Inspection or at the home since the previous inspection. The manager said that she has regular contact with the residents families and is always available should they have any concerns. Samples of questionnaires provided by the home indicated that the relative/or representatives were satisfied about the care provided. Where comments or suggestions were made the manager said she would do her best to accommodate them. Staff members were spoken with in private and they were able to demonstrate a clear understanding about the protection and rights of vulnerable people. One member of staff said” Resident must be treated with dignity…and shown patience at all times” A copy of the West Sussex County Council Multi Disciplinary Adult protection Policy was on view in the home All staff have a Criminal Records Bureau enhanced check to ensure they are suitable to work with vulnerable people. A Woodlands House H60-H11 S14852 A Woodlands House V220599 180505 Stage 4.doc Version 1.20 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 standard(s) 24,26 All residents have comfortable clean rooms, which have been personalised with many of their own possessions. Residents do not have keys to their rooms, which limits the choice available to residents should they wish to lock their bedroom doors. Four bedrooms were without call bells, therefore staff or residents would not be able to summons help if they needed to. EVIDENCE: The inspector made a tour of the building and found all areas to be nicely decorated and furnished in a homely manner. There were no unpleasant odours present and everywhere was spotlessly clean. It was agreed that a risk assessment would be carried out and appropriate action taken in respect of the two unguarded radiators, which were hot to touch on the day of inspection. The manager explained that hot water temperatures are controlled at source. The manager dealt with this issue immediately to ensure residents were protected from burns. A Woodlands House H60-H11 S14852 A Woodlands House V220599 180505 Stage 4.doc Version 1.20 Page 13 Call bells were missing from five bedrooms. The manager explained that residents were not able to use them. Call bells should be replaced to enable staff to summons help if they require it. The manager confirmed in writing the next day that an electrician had been contacted and call bells had been replaced and were now working in all bedrooms. Resident’s rooms do not have locks on the doors. The manager provided evidence that the situation had been risk assessed and relatives informed. A Woodlands House H60-H11 S14852 A Woodlands House V220599 180505 Stage 4.doc Version 1.20 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 28,29 The procedures for the recruitment of staff are thorough and provide the necessary safeguards to offer the protection to the residents living in the home. Adequate staffing is provided to meet the needs of the current residents. EVIDENCE: The inspector saw the rotas and residents said staff were always available to help them. 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 she deputy was in charge. Criminal Records Bureau enhanced checks have been obtained to ensure that staff members are safe to work with vulnerable people. National Vocational Qualification training in levels 2 and 3 are on going in the home. A member of staff said she had the opportunity to attend training in various relevant topics. Staff on duty were helpful and friendly towards the residents. A Woodlands House H60-H11 S14852 A Woodlands House V220599 180505 Stage 4.doc Version 1.20 Page 15 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,35,36 The home is run in the best interests of residents and since the previous inspection supervision has now been implemented. Resident’s financial interests are safeguarded. 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 and samples were shown to the inspector. It was noted that where a relative had made a suggestion the manager had done her best to address it. No resident is able to look after his or her own money. Records showed that this is usually undertaken by a family member or solicitor acting on their behalf. Staff members on duty confirmed that they received supervision from the manager, which they thought was helpful. Records supported this practice. A Woodlands House H60-H11 S14852 A Woodlands House V220599 180505 Stage 4.doc Version 1.20 Page 16 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 2 15 3 COMPLAINTS AND PROTECTION x x x 2 x 2 2 3 STAFFING Standard No Score 27 x 28 3 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 x x 3 x 3 3 x x A Woodlands House H60-H11 S14852 A Woodlands House V220599 180505 Stage 4.doc Version 1.20 Page 17 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. 1. Standard 25 Regulation 13 Requirement The registered person shall ensure all parts of the home to which residents have access are so far as possibly free from hazzards to their safety. Two radiators were found to be excessively hot on the day of inspection Timescale for action 30 June 2005 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 14 Good Practice Recommendations The toileting arrangements in the home should be reviewed and better use should be made of the other facilities in the home. A Woodlands House H60-H11 S14852 A Woodlands House V220599 180505 Stage 4.doc Version 1.20 Page 18 Commission for Social Care Inspection 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. Extracts may not be used or reproduced without the express permission of CSCI A Woodlands House H60-H11 S14852 A Woodlands House V220599 180505 Stage 4.doc Version 1.20 Page 19 - 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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