Inspection on 26/07/06 for Wood House

This inspection was carried out on 26th 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

Wood House 12/01/06

Wood House 06/07/05

Wood House 21/02/05

Wood House 14/10/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Townley Road, 2-3

Orchard House Nursing Home

St Josephs Rest Home

Foxley Lane (121a)

Tudor Lodge

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

CARE HOMES FOR OLDER PEOPLE Wood House 7 Laurel Close London SW17 0HA Lead Inspector Louise Phillips Unannounced Inspection 26th July 2006 09:40a 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 Wood House DS0000010240.V307116.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. Wood House DS0000010240.V307116.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wood House Address 7 Laurel Close London SW17 0HA 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) 020 8672 4332 020 8767 5966 juliuss@servitehouses.org.uk Servite Houses Mr Julius Wasiu Seid Care Home 34 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (6), Old age, of places not falling within any other category (34) Wood House DS0000010240.V307116.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th January 2006 Brief Description of the Service: Wood House is a care home managed by Servite Houses, registered to provide personal care and accommodation for up to 34 older people, six of who may have a mental disorder. The home is situated in a road behind Tooting High Street, within walking distance of Tooting Broadway shopping centre and the public transport links served by the area. The main accommodation at Wood House is on the first floor that is accessed by a lift and stairs. The home is divided into four units (A, B, C and D), each with their own dining room/ lounge area, kitchenette, bathroom and toilet facilities. At the time of inspection the fees for the service were: • • For privately funded residents - £610.82 per week For residents funded by Wandsworth Local Authority - £473.28 per week Wood House DS0000010240.V307116.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day with time spent talking to six staff, seven residents and the friend of a resident. A tour of the premises was carried out and care records were inspected along with other relevant paperwork. Information has also been gained from the inspection record for the home. Questionnaires were sent to 21 health and social care professionals associated with the service. Responses were received from 4 of these and these are referred to in the report. What the service does well: 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. Wood House DS0000010240.V307116.R01.S.doc Version 5.2 Page 6 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 Wood House DS0000010240.V307116.R01.S.doc Version 5.2 Page 7 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 Quality in this outcome area is good. This judgement has been made as the residents are assessed appropriately prior to moving to the home. EVIDENCE: Since the last inspection a number of new residents have moved into Wood House. The files for these people contain comprehensive information relating to the assessment that had been carried out by their keyworker and a senior carer at the home. The assessment provided good details about the persons physical and medication needs, sleep pattern, spiritual needs and any mental health issues. Where needs were identified these were followed through to a care plan to ensure the need is met by the home. Standard 6 was not assessed as intermediate care is not provided by the home. Wood House DS0000010240.V307116.R01.S.doc Version 5.2 Page 8 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, 10 and 11 Quality in this outcome area is good. This judgement has been made as the feedback received from health and social care professionals indicates that resident’s needs are met. Good developments have also been made to care planning at the home. EVIDENCE: The last inspection for Wood house identified a number of areas where the home had to improve regarding care planning and risk assessments. The findings from this inspection indicate that good progress has been made in these areas and they are generally much improved. Examples of these were found in the care files on each unit, with care plans containing the actual needs of the resident, with these being reviewed regularly and kept up-to-date. Each care file also has an individualised ‘personal summary’ of the residents needs, detailing what the resident can do for themselves, what they enjoy doing and where they need support. Each resident has a document titled ‘essential things’ detailing such things as what they like to do throughout the day and their wishes regarding the event of their death whilst at the home and who they would like to be contacted. Wood House DS0000010240.V307116.R01.S.doc Version 5.2 Page 9 The recording in risk assessments has improved with clear details about supporting residents with their mobility and reducing the risk of falls. Some further work is needed in the information contained in the risk assessments. An example of this was found where the risk assessment for one resident detailed staff managing their verbal and physical aggression as giving the prescribed medication. The medication record chart for the resident contains several prescribed medicines and it is not clear which one the risk assessment refers to. Therefore the risk assessment needs to contain more specific information about which medication to give to enable staff to manage aggressive behaviours appropriately. Medication at Wood House is managed well, with appropriate record-keeping and monitoring systems in place to ensure that this is given correctly. All staff who give out medication have received training on how to do this safely. The health and social care professionals associated with Wood House are positive about the service, with the respondents indicating that they feel the home works in partnership with them and that the health and social care needs of the residents are met. The home maintains a record of all healthcare appointments of each resident and of visits by the doctor to the home. These indicate that residents health and medication needs are reviewed regularly and in a timely manner. Wood House DS0000010240.V307116.R01.S.doc Version 5.2 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 and 15 Quality in this outcome area is good. This judgement has been made as residents have the opportunity to be involved in activities both in and outside the home. Resident’s rights are respected in their daily lives, where the routines of the home are flexible, and the food caters for individual preferences. EVIDENCE: Professionals surveyed said that they felt that the home operates in the best interest of the residents, and that cultural, ethnic and disability issues are addressed by the service. On the day of inspection residents were seen going about their daily lives, one going out to the local shops to get their clothes repaired, another was receiving a visitor in the lounge area on their unit, whilst one other resident spoke about how they had just had their hair done by the visiting hairdresser. On the day five residents were taken out for a day trip to Eastbourne by staff from the home. Residents also spoke about recent trips to some London parks and how they were looking forward to the forthcoming trip to Brighton. Residents were seen being addressed by their preferred name, which was also recorded in their care file. Wood House DS0000010240.V307116.R01.S.doc Version 5.2 Page 11 One resident who had recently moved to the service spoke about how a nun visits the home to give holy communion and how they would like to be visited by a priest for confession. The deputy manager stated that they are in the process of arranging this for the resident. The inspector visited the units just after the lunch had finished being served. Residents spoke about how they enjoyed the food, with comments such as: “…I enjoyed the dinner, it was really nice…” and “…the food is very good…”. One staff member spoke at length about how they encourage a resident to eat who refuses their meals, discussing different methods such as putting soup in a teacup, sitting with the resident and patting them on the arm whilst they eat. Unfortunately the care plan for the resident only said that they refuse to eat but not how staff can encourage this (as described above by the carer) other than for staff to inform the doctor. Wood House DS0000010240.V307116.R01.S.doc Version 5.2 Page 12 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 18 Quality in this outcome area is good. This judgement has been made as residents feel confident to raise areas of concern they have and systems are in place to reduce the risk to residents. EVIDENCE: The service has the Servite Houses complaints procedure that is provided in the Service Users Guide and Statement of Purpose for the home. All the residents said that they knew who to speak to if there was something they were not happy about and that they know how to make a complaint. The complaints book at the service records that three complaints have been received since the last inspection. Since the last inspection the CSCI has been notified of two incidents, one in May and the other in July 2006 – both have been managed by the service appropriately. Staff records indicate that they have received recent training in abuse awareness, so to minimise the risk to residents. There are also policies and procedures in place regarding abuse awareness and what to do in the event of this. Wood House DS0000010240.V307116.R01.S.doc Version 5.2 Page 13 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, 20 and 26 Quality in this outcome area is good. This judgement has been made as the staff and residents make the environment welcoming. The home is modern and comfortable for the residents. EVIDENCE: Wood House is bright and welcoming throughout, cleaned to a good standard in all areas. Since the last inspection good developments have been made and the home now has a dedicated outside seating area for the residents use. One resident gave permission for the inspector to look in their room. The bedroom was clean and included appropriate furnishings. The resident stated that they like their room, but that it can get very hot in the mornings, and it was observed that the fan on their bedside table was dirty and in need of cleaning. Wood House DS0000010240.V307116.R01.S.doc Version 5.2 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, 29 and 30 Quality in this outcome area is good. This judgement has been made as staff have training for their role and appropriate recruitment checks are carried out to minimise the risks to residents. EVIDENCE: The home holds recruitment information on each member of staff. Three staff files were examined and found to contain relevant information such as proof of identification, correspondence relating to offer of job, two references and a record of the interview of staff. Records indicate that new staff are supported through an induction and probationary period and all staff receive ongoing support through supervision. Staff files also contain records of recent annual staff appraisals and copies of certificates of training courses undertaken. These include medication training, health and safety and first aid. On the day of inspection staff at the home were attending manual handling training at Wood House. The previous inspection required that staff receive training from an external provider to enable the mental health needs of the residents to be adequately met. This has not occurred and the requirement has been restated. Wood House DS0000010240.V307116.R01.S.doc Version 5.2 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 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, 37 and 38 Quality in this outcome area is good. This judgement has been made as developments ensure the service works in the interests and safety of the residents. EVIDENCE: Developments since the last inspection demonstrate that there is a committed management team at Wood house who have developed the service. Staff work within the policies and procedures developed by Servite Houses which cover a number of areas such as employment matters, care practices and managing residents monies. There are records to demonstrate that health and safety checks are carried out on the fire system and equipment, electrical installation, water chlorination, gas safety and Portable Appliance Testing, etc. Wood House DS0000010240.V307116.R01.S.doc Version 5.2 Page 16 Health and safety risk assessments are carried out for different areas around the home eg. staff room, office equipment to ensure a safe working environment. Senior staff do a monthly health and safety check of the whole house for such things as lights working, furniture, toilets and the temperature of water from each tap. As stated earlier in the report, since the last inspection improvements have been made to the record-keeping in the care records and risk assessments. Records indicate that there are frequent resident and staff meetings, along with twice-yearly meetings with the relatives of residents at the home. Wood House DS0000010240.V307116.R01.S.doc Version 5.2 Page 17 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 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 3 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 X 18 3 3 3 X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 3 3 Wood House DS0000010240.V307116.R01.S.doc Version 5.2 Page 18 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 OP8 Regulation 13(4) Requirement The Registered Persons must ensure that the risk assessments contain specific information when referring to giving prescribed medication to a resident. The Registered Persons must ensure that staff at the home receive appropriate training from an external provider to enable the mental health needs of residents to be adequately met. (Previous timescale not met) Timescale for action 31/10/06 2. OP30 13(6), 18(1) 31/10/06 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 Wood House DS0000010240.V307116.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection SW London Area Office Ground Floor 41-47 Hartfield Road Wimbledon London SW19 3RG 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 Wood House DS0000010240.V307116.R01.S.doc Version 5.2 Page 20 - 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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