Inspection on 17/07/06 for Woden Resource Centre

This inspection was carried out on 17th July 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Woden Resource Centre 17/11/05

Woden Resource Centre 21/07/05

Woden Resource Centre 10/01/05

Woden Resource Centre 03/08/04

Similar services:

Aston Court Nursing Home

Breme

Ravenhurst

Westmead

Ashcroft Hollow Nursing Home

Bricklehampton Hall Nursing Home

Briar Hill House

Radbrook Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Woden Resource Centre Vicarage Road Wednesfield Wolverhampton West Midlands WV11 1SF Lead Inspector Mr Ian Harris Key Unannounced Inspection 08:00 17th July 2006 17/07/06 08:30 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 Woden Resource Centre DS0000035904.V297415.R01.S.doc Version 5.2 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. Woden Resource Centre DS0000035904.V297415.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woden Resource Centre Address Vicarage Road Wednesfield Wolverhampton West Midlands WV11 1SF 01902-553494/8 01902-553496 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) www.wolverhampton.gov.uk Wolverhampton City Council Paul John Watling Care Home 26 Category(ies) of Dementia (7), Physical disability (19) registration, with number of places Woden Resource Centre DS0000035904.V297415.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Age range 50 Unit 3, 7 service users; unit 4, 7 service users; unit 5, 8 service users; unit 6, 4 service users 17th November 2005 Date of last inspection Brief Description of the Service: Woden Resource Centre provides a rehabilitation unit, a respite unit for physically frail older people. There are no facilities for permanent care. There is a day centre and domiciliary care office on the same site, neither, of which are the subject of this inspection. The centre accommodates both men and women over the age of 50 (respite, 65 and over). The centre was opened in February 2001 in a purpose-built, single-storey building, which was constructed in the early 1970’s. The building is a square, with a corridor enclosing an attractive and well-tended garden. The four units lead off the four corners and along one side of the square. There is a large, self-service restaurant. Woden is situated about half a mile from the centre of Wednesfield and two and a half miles from Wolverhampton city centre. There are 26 single rooms divided into 4. Each unit has its own lounge/dining and kitchen area. The centre is one of three resource centres in Wolverhampton, which are a joint project between Social Services and the City’s NHS Health Care Trust. Woden Resource Centre DS0000035904.V297415.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced key inspection and took place over 5. hours. During the inspection a tour of the premises took place and staff and care records were inspected. Also staff rotas and general records regarding the maintenance of the home were checked. 5 members of staff 6 residents were spoken to. It was noted that the fees are set following an individual financial assessment undertaken by he Social service department. On the day of inspection the atmosphere within the home was found to be warm, friendly and comfortable with contented residents. All the residents spoken to who could express themselves in a meaning full way expressed their satisfaction with the care they received and there were comments as follows “This place is marvellous” “The staff are very good” “ I don’t know what I do without a place like this.” “It’s very good here but there’s no place like home”. What the service does well: The Woden Community Resource Centre continues to provide a high standard of care. The Care Manager and staff are to be commended on their efforts to encourage the residents to maintain and regain their independence through detail programmes , which include social activities. The home has successfully developed good links with the community through the drop in centre and has made efforts to offer a multi-cultural service Observations during the inspection saw very attentive staff providing for the individual needs of the residents. A number of residents confirmed that the Staff are very good and supportive. The home provides very good information about their services and further general information about other services, the city and surrounding area and countryside, some of which have been translated into different languages. The home has a good staff- training programme, which all staff are involved in, this ensures that they are improving their knowledge and skills. Woden Resource Centre DS0000035904.V297415.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Woden Resource Centre DS0000035904.V297415.R01.S.doc Version 5.2 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 Woden Resource Centre DS0000035904.V297415.R01.S.doc Version 5.2 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): 3 and 6 There is a very good assessment procedure of residents needs in place and there is evidence that they are being followed. The home provides a good intermediate care and respite services that is successfully returning people to their homes. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: There is evidence on the 6 files that were inspected that all the residents undergo a full multi-disciplinary assessment prior to admission. Three residents relatives confirmed that they had been involved in the assessment process All the residents in the rehab unit have a detailed care plan, which is designed to help them regain and develop their independence. There is occupational therapy and Physiotherapy available within the centre. Woden Resource Centre DS0000035904.V297415.R01.S.doc Version 5.2 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, and 10 Each resident has a very good comprehensive, individual care plan that is reviewed on a monthly basis. The home has good contact with local G.P. s. local hospitals and paramedical services, which ensures that resident’s health needs are well met. The systems for the administration of medication are good with clear and comprehensive recording arrangements being in place to ensure resident’s medication needs are well met. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: Medication is administered by means of a Boot’s monitored dosage system. The system is working well. The home receives good support from the local pharmacist who carries out a three monthly audit. All Senior Care Staff are trained in the system before they are allowed to administer medication. The Woden Resource Centre DS0000035904.V297415.R01.S.doc Version 5.2 Page 10 home has comprehensive policies and procedures, which are an integral part of the homes staff induction programme. All residents have single rooms, which all fall below the new minimum standard for room size, however the residents spoken to did not seem to be concerned about this. No personal care interventions take place in communal areas. Observed practice on the day of inspection was appropriate and showed respect for the residents. Consultation with health care and social care professionals is carried out within the resident’s bedrooms. Observation made on the day of inspection saw good interaction between residents and staff and that residents were treated with respect and dignity. Visitors are able to meet residents in their bedrooms or a number of other waiting rooms. Residents spoken with were keen to inform the inspector that the staff are very caring, supportive and always willing help them with their care needs. Woden Resource Centre DS0000035904.V297415.R01.S.doc Version 5.2 Page 11 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 and 15 The home provides a good programme of social activities within the home, which are designed to meet the resident’s capabilities, which, the staff encourage the residents to pursue. However it was note that there have not been any outings this year. The Care Manager and staff encourage family and friends to maintain good contact with their relatives at the home. The meals in the home are good offering both choice and variety and also catering for special dietary needs. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: Residents and staff stated that the Residents are consulted regarding the dayto-day running of the home through unit meetings, reviews and by feedback from the care staff. The care staff, also identify interests that the service users wish to pursue. There is a programme of activities in each unit and residents have access to the day centre where a wide range of activities are available. The observations made, examination of menus and the comments received from the service users and their relatives confirmed that particular attention is Woden Resource Centre DS0000035904.V297415.R01.S.doc Version 5.2 Page 12 given to the service users’ individual preferences. All of the comments made by service users regarding the quality, quantity and variety of food provided are complimentary Woden Resource Centre DS0000035904.V297415.R01.S.doc Version 5.2 Page 13 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 and 17 The home has a satisfactory complaints system and there is evidence that residents’ and their families feel that their views are listened to and acted upon All residents are assisted to exercise their legal rights, either by family, staff or where appropriate by an advocate provided by Care Aware. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: The home has a very good comprehensive complaints procedure. The residents and relatives are made aware of the procedure through the statement of their terms and conditions of residence, the service users guide and, a copy is placed in every bedroom and in the reception hall. The home has a complaints file in which all complaints are recorded. It was noted that the home has not received any formal complaints since the last inspection and there is evidence that all minor complaints are dealt with appropriately and quickly. The home has good policies and procedures regarding Restraint, dealing with Aggressive Behaviour and Prevention of Abuse, which, includes a WhistleBlowing policy. These issues are also covered in internal and N.V.Q. training, which all care Staff are undergoing. It was noted that one Vulnerable Adult Procedure had been raised on a resident since the last inspection and has been dealt with appropriately. Woden Resource Centre DS0000035904.V297415.R01.S.doc Version 5.2 Page 14 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 and 26 The standard of the environment within the home is high and there is a rolling programme of maintenance providing the residents with a very attractive, comfortable, homely and safe place to live. The home was found to be clean tidy and free of unpleasant odour. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: The home has been established for many years and has undergone major alterations in order to improve accommodation for older people. There is a major phased maintenance programme underway to replace the widows and provide double- glazed throughout the home. The home is generally maintained to a high standard, as are the gardens and grounds and provides a very comfortable homely and safe atmosphere. It was noted that the heating and hot water systems in units 5 and 6 have been replaced. Also new carpets and furniture in these units have been provided. The programme of replacement windows continues with unit 5 and 6 completed. Woden Resource Centre DS0000035904.V297415.R01.S.doc Version 5.2 Page 15 It was noted that the ceilings in unit 3 and 4 were bowing and cracking badly and should be addressed. The home was found to be clean tidy and free from odour. The home has good policies and procedures regarding cleaning schedules, infection control and the staff have received training in food hygiene and Infection Control. All staff appeared to be conscious of the dangers of cross infection. Woden Resource Centre DS0000035904.V297415.R01.S.doc Version 5.2 Page 16 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, 29, and 30 The home is well staffed with adequate numbers and skill mix of staff. The staff have a very good understanding of the resident’s support needs. The home has good policies and procedures regarding the recruitment of staff, which is being followed. There is a excellent training programme in place that ensures staff are competent to do their job. The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: The inspection of staff rotas and discussions with residents indicated that the home is well staffed. There is a good balance within the staff group, which includes experience, mature and younger staff who are embarking on a new career. The home operates a very efficient recruitment procedure and the Local Authority is registered in order to complete the appropriate checks on staff. There was evidence within the home that all the checks are being carried out. The home has an excellent training programme and all staff at the home are committed to developing their knowledge and skills through training and have regular opportunities to do so through external and internal training activities. The home has a programme of N.V.Q. training which has exceeded the minimum standard required. Also the care staff have attended courses on Safe handling of medication, Risk assessment, Ageism, Moving and Handling, First Aid, Protection From Abuse, Infection Control, Dementia Care Studies, Health and safety at work and Fire prevention. Woden Resource Centre DS0000035904.V297415.R01.S.doc Version 5.2 Page 17 Woden Resource Centre DS0000035904.V297415.R01.S.doc Version 5.2 Page 18 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, 33, 35, and 38 The home is well managed, where service users interests and welfare is promoted. The home is operating a good system to assist residents with the safe handling and keeping of their personal finances and good records are being kept of all transactions made. All the general records that were inspected, were found to be well ordered and maintained. The home has good policies and procedures regarding Health and safety The quality outcome in this area is good. This judgment has been made using available evidence including a visit to this service. EVIDENCE: The Care Manager is qualified in both practice and management and has considerable experience in caring for older people in residential homes There Woden Resource Centre DS0000035904.V297415.R01.S.doc Version 5.2 Page 19 are clear lines of accountability within the home and is very supportive of both staff and residents. Observations made and discussions with residents and staff indicated that the Care Manager is very approachable and operates an open door policy. The staff and residents who could express themselves stated that they are happy to approach the Care Manager or staff with any problems they might have. The home has an internal audit system in place to monitor the quality of the service. There is evidence that staff meetings take place and the staff have supervision meetings however some of the supervision meetings are infrequent. Most of the records and administrative procedures within the home that was, inspected were found to be well ordered and maintained. However the residents case files could be improved by ensuring all information is kept on a single individual resident/ staff file, which is compartmentalized. The home has a good heath and safety policy and all staff are aware of their responsibilities regarding these issues and a number of staff have received training on these issues. All safety equipment is check and well maintained. Woden Resource Centre DS0000035904.V297415.R01.S.doc Version 5.2 Page 20 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 X X 3 X X 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 2 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 X 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 2 3 Woden Resource Centre DS0000035904.V297415.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? Yes 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 Regulation 23 (2) (b) Requirement The Registered person must ensure that the rotten external doors and windows are repaired or replacement (Timescale of 30/06/05 not met) Timescale for action 31/03/07 2 OP37 3 OP13 4 OP36 5 OP19 17 (a) The registered person must ensure that all information regarding residents is place on an individual case file. 16 (2) The registered person most (m) ensure that the resident have the opportunity of outings and trips. 18 ( c ) (i) The registered person must ensure that all staff have formal supervision meeting at least 6 times a year. 23 (2) (b) The registered person must ensure that the ceilings in lounges 3 and 4 are repaired. 01/09/06 01/09/06 01/09/06 01/04/07 Woden Resource Centre DS0000035904.V297415.R01.S.doc Version 5.2 Page 22 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 Woden Resource Centre DS0000035904.V297415.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Wolverhampton Area Office 2nd Floor St. Davids Court Union Street Wolverhampton WV1 3JE 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 Woden Resource Centre DS0000035904.V297415.R01.S.doc Version 5.2 Page 24 - 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. 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