Inspection on 21/08/08 for Woodland Court Residential Home

This inspection was carried out on 21st August 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Cornelia House 134 Portchester Road Fareham Hampshire PO16 8QP     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Ian Craig     Date: 2 1 0 8 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. the things that people have said are important to them: They reflect 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. 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Cornelia House 134 Portchester Road Fareham Hampshire PO16 8QP 01329 233603 01329 220942 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable): Type of registration: Number of places registered: Buckland Care Ltd care home 30 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 30. The registered person may provide the following category 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) 30 Dementia (DE) 19 0 0 Over 65 0 0 Date of last inspection Brief description of the care home Cornelia House provides care and accommodation for up to 30 older persons, including 19 who may have dementia. The building is set out over 3 floors which are served by a passenger lift. Each bedroom has an en suite toilet with a wash basin. Four bathrooms, each with specialist bathing facilities for those with mobilty needs are provided. There are 26 Care Homes for Older People Page 4 of 25 bedrooms,two of which are double rooms. There is a parking area at the front of the home. The home is staffed 24 hours a day. There is an activities programme for the residents. The homes weekly fees are 555.00 pounds. 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 inspection was unannounced and lasted for approximately 5 hours. Records, documents and policies and procedures were looked at. These included residents care records. Two residents were spoken to and asked for their views on living at the home. Survey forms were completed by 10 residents and by 3 residents relatives giving views on the service provided by the home. Discussions took place with the manager and 2 care staff were interviewed about their work at the home. Staff were observed interacting with the residents. Care Homes for Older People Page 6 of 25 A tour of the home took place. The Commission requires that care services complete an Annual Quality Assurance Assessment (AQAA). This was completed by the home and returned to the Commission. Information contained in the AQAA has been used for the purposes of this visit. 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 set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.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. By assessing potential residents needs, the home ensures that it accommodates those whose needs it can meet. Potential residents are able to make an informed choice about deciding whether or not to live at home. Evidence: The home has a Statement of Purpose, which gives details of the company who own the home, as well as information about the staff and management arrangements. A resident described how he/she was given a brochure before moving in and that his/her son came to have a look round the home to check its suitability. This person also states that he/she was made to feel welcome once admitted. The manager Care Homes for Older People Page 10 of 25 explained that a revised Service Users Guide is being devised. All of the residents, except one, state they received information about the home before they moved in. Records show that the home completes an assessment of need before someone moves into the home. The manager described how she assessed someones needs at a local hospital before the person moved in. Where someone is referred by social services for possible admission to the home, copies of care managers assessments and care plans, as well as hospital discharge reports, are obtained. This was confirmed from records and discussion with the manager. Referrals can also be made direct to the home for possible privately funded admission. Once the home has decided it can meet someones needs a letter is sent to the potential resident offering a place. Contracts are included with care records although it was noted that for someone admitted to the home one week before the inspection, that a contract had not yet been completed. Copies of contracts with social services are also held with care records. 8 of the 10 people who returned a survey state they have a contract, two state they have not. 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. Residents health and personal care needs are met although some improvements are needed so that care plans include details of how staff support people with dementia and personal care. The home promotes residents privacy and dignity. Evidence: Care records were looked at for 5 residents. Assessments of need using a score matrix are carried out and recorded. These are reviewed every 2 to 4 months. Care plans are structured in the following way: physical health, mental health, daily living, food and drink, leisure, personal values and dying wishes. Additional pro forma Care Homes for Older People Page 12 of 25 sheets are completed for the following: skin integrity assessment, skin, communication, sleeping, personal safety, personal hygiene, moving and handling assessment, environmental risks, risk of falls management. Daily running records are also completed showing how residents daily occurrences are dealt with. Care plan records include a Social History pro forma which the home will be completing in the near future. It was noted that information recorded in the care records needs to be expanded to show in greater detail what the persons needs are and how staff are to meet the needs. For instance, one care plan states that the person needs all help with personal care. This needs to be expanded to show the actions staff are taking, rather than a generalised statement. Care plans refer to mental health and dementia needs but do not give a plan of how the need is to be met. For instance, records show that one person is forgetful, confused and does not where he/she is. There is no recorded guidance for staff to follow in meeting these needs. The inspector also suggested the use of notice boards and signs in private and communal areas to help those with symptoms of disorientation, confusion and memory loss. Residents state that their care needs are met and that the staff are kind and helpful. This includes the people who were interviewed on the day of the visit and the survey forms where 8 of the 10 respondents state their care needs are always met and the remaining two being usually or sometimes met. Care staff described their work with the residents and confirmed their view that care needs are met. Each of the 10 people who returned a survey state that staff always listen and act on what they say. Privacy screens are provided in shared rooms. Records show that the residents preferred form of address is used. There is a telephone for residents to use which is located in the hall. Records show that residents have regular appointments with the district nursing team, community mental health team, opticians and general practitioners. 8 of the 10 people who returned a survey state that they receive medical support as needed. Medication procedures were looked at. Staff attend a Safe Handling of Medicines course. This was confirmed from training records, plus discussions with the manager and 2 staff. Medication records and stocks show that medication is administered as prescribed and that staff record a signature each time this occurs. Care Homes for Older People Page 13 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. Residents benefit from a range of activities, which the home intends to improve further. Residents are able to choose how they spend their time. A nutritious diet is provided. Evidence: The home has an activities programme. It was noted that the number of activities has increased since July 2008. This was apparent from the written programme plus discussions with the manager and the staff. These activities include entertainment by performing musicians. A relative of a resident states that his/her spouse enjoys the music entertainment. The activities programme also includes excercise classes and games. One resident states that activities are provided but that he/she would like to go on outings. Two people said that they choose to not join in with the activities and Care Homes for Older People Page 14 of 25 another person stated he/she is not aware that any take place. One person described how he/she is able to spend his/her time as he/she wishes and that he/she likes to stay in his/her room listening to music and reading. A notice board in the hall shows that exercise activities take place every 2 weeks and that a mobile library visits the home. There is also a notice of the next residents meeting. The manager explained that whilst the activities programme has been expanded the home intends to improve it further. Two residents described how they are able to get up in the mornings at their preferred time and that they like to have their meals in their rooms rather than in the dining room. 7 of 10 residents who completed a survey state that they always like the meals and the remaining three residents state they usually like the food. Two residents spoken to on the day of the visit stated that the food is good and that there is a choice, especially for the early evening meal. Meals are said to include roast dinners and fresh vegetables. Care Homes for Older People Page 15 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. The home deals with any complaints and takes steps to safeguard the people in its care. Evidence: The complaints procedure is displayed on the wall in the home. 7 of the 10 residents who completed a survey state that they know what to do if they have a complaint. The remaining 3 state they do not know what to do, indicating that some of the residents may need to be reminded of the complaints procedure. The three residents relatives who returned surveys confirmed that they know what to do if they have a complaint. There is a recording format should a complaint be made. No complaints have been received by the service. Discussions with the staff and manager confirmed an awareness of the procedures for dealing with suspected abuse and the role of the local authority. Training records and interviews with staff confirm that staff receive training in procedures for safeguarding vulnerable people. The home has policies and procedures for dealing with suspected abuse. Care Homes for Older People Page 16 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 benefit from a clean and well maintained home that promotes their dignity. Evidence: A sample of residents bedrooms were seen as well as the communal areas. There are 26 bedrooms each of which has an en suite toilet with a wash basin. Two bedrooms are double and the remaining single. Bedrooms contain numerous items belonging to residents, such as books, ornaments, CD players, televisions, and radios. A resident described how he/she prefers to use his/her room rather than the communal areas. This person also stated that the new owners have addressed a number of minor repairs that were needed. Bedrooms are decorated in a variety of colours and residents are able to choose colour schemes if their room is redecorated. The manager stated that one room was redecorated in a colour chosen by the resident before he/she moved in. Bedrooms and communal areas have call points so that residents can call for assistance. There are 4 communal bathrooms consisting of two walk in showers and two bathrooms with specialist baths for those with mobility needs. Care Homes for Older People Page 17 of 25 The home has a passenger lift which serves the first and second floors. Communal areas consist of a lounge, conservatory and dining room. Residents were observed using these areas. One person stated that there is not enough space in the dining room. Each of the 10 surveys returned by residents state that the the home is always fresh and clean. Two of the three surveys returned by relatives of residents also stated this, and one stated the home is usually fresh and clean. The home was found to be clean and free from any unpleasant odours. Staff receive training in infection control. 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 provides sufficient numbers of well trained staff to meet residents needs. Recruitment procedures protect residents. Evidence: The home aims to provide at least 4 care staff from 8am to 8 pm each day, including weekends. In addition to this, the manager works from 8am to 5 or 6 pm Monday to Friday. The following staff are also on duty each day: a cook until 5.30pm, a kitchen assistant, two cleaners and a laundry assistant. Nighttime staff consists of two waking staff. The staff rota and discussions with the staff and manager confirmed that these staffing levels are maintained. Care staff state that the staffing levels are sufficient to meet residents needs, that there has been an improvement in the numbers of care staff employed and that the home is currently recruiting more staff. This has led to a reduction in the use of agency staff which the care staff state helps provide a continuity of care for the residents. The manager also stated that the home is recruiting more staff including a senior carer. Residents state that there are enough staff with one exception, who stated, Could do Care Homes for Older People Page 19 of 25 with more staff. Residents describe the staff as kind and helpful. One person stated, When I ask for them, they are always there for me. Discussions with staff, the manager, and records, show that newly appointed staff have an induction which is recorded, and that regular supervision and performance appraisals take place. There is a staff training programme. Staff training records, the AQAA and discussions with staff confirm that staff have access to a variety of training courses. 13 of the 18 care staff have the National Vocational Qualification level 2 or above in care, or are studying it. Training records also show that staff have attended training in adult protection, understanding dementia, challenging behaviour, infection control, first aid, health and safety, pressure care management, moving and handling, food hygiene and fire safety. Recruitment procedures were looked at for 4 staff who have recently started work at the home. Appropriate checks are carried out including criminal record burea and protection of vulnerable adults checks. Two written references are obtained before the person starts work. Records show that prospective staff are assessed at an interview and that medical questionnaires are completed. 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 is well managed and run in the best interests of the residents. Measures are taken to ensure the health and safety of the residents with two minor exceptions. Evidence: The manager has been in post since April 2008 but has not yet applied for registration with the Commission. She has worked at the home for 15 years and is currently studying the NVQ level 4 in care. Care Homes for Older People Page 21 of 25 Surveys are available for residents and visitors to complete. These allow for feedback to be given on the standard of care and the activities provided. A monthly audit checklist is carried out. Reports are completed when a representative from the company that owns the home carries out monthly visits. The manager explained that an annual development plan will be devised in the near future. The home keeps some of the the residents cash for safekeeping. Records are maintained of the amounts depositted and withdrawn plus a corresponding balance. Receipts are kept when purchases are made on behalf of residents. It was noted that residents mail was not securely stored. Staff receive training in moving and handling, infection control, food hygiene and first aid. This was confirmed by records and by staff themselves. Window restrictors are fitted to first and second floor windows to prevent falls. Radiators are covered to prevent possible burns to residents. Hot water outlets are controlled to prevent possible scalds to residents. It was noted that an air freshener with safety warning of possible damage if it is sprayed in eyes was left in a toilet. 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 1 35 13 Arrangements must be made so that residents mail is safe and secure. So that the risk of theft is minimised. 14/10/2008 2 38 13 Air fresheners which have a 14/10/2008 warning of risk of damage to eyes must be locked away when not in use. So that those with dementia are protected from possible injury. 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 14 8 Notice boards, signs, calendars and other visual aids should be considered to help those who have short term memory loss, confusion and disorientation. Care Homes for Older People Page 24 of 25 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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 © (2008) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. 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. 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