Random inspection report
Care homes for older people
Name: Address: Woodgreen Nursing Home 27 Wood Green Road Wednesbury West Midlands WS10 9AX zero star poor service 03/12/2009 The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Debby Railton Date: 1 9 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Woodgreen Nursing Home 27 Wood Green Road Wednesbury West Midlands WS10 9AX 01215560381 01215052772 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Jennifer Weston Type of registration: Number of places registered: Conditions of registration: Category(ies) : Woodgreen Care Home Ltd care home 40 Number of places (if applicable): Under 65 Over 65 40 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users to be accommodated is 40 The registered person may provide personal care (with nursing) and accommodation to service users of both sexes whose primary care needs on admission to the home are within the following categories: Older People (OP) 40 Date of last inspection Brief description of the care home Woodgreen Nursing Home is a privately registered care home providing nursing care for up to 40 elderly people. Situated opposite Brunswick Park on a main road between Walsall and the M5 motorway, it is within walking distance of Wednesbury town. There is car parking at the front of the home surrounded by mature garden borders. There
Care Homes for Older People Page 2 of 10 1 0 0 3 2 0 1 0 Brief description of the care home are two lounges, a conservatory and a large dining room which is split up be a fireplace all on the ground floor. The garden to the rear of the property is pleasantly landscaped with borders, patio and a small lawn. The Home has single and shared bedrooms, located on both ground and first floor, the majority of which have en-suite facilities. There is a staff call system throughout the home. There is a small passenger lift that enables people access between the ground and first floor. There are two adapted bathrooms that can be used by dependent people and also a number of toilets throughout the home. The home arranges for the chiropodist, dentist and optician to visit on a regular basis and arrange visits by the GP, as people need it. Ancillary services of catering, cleaning, laundry and maintenance are provided in-house. The mobile hairdresser visits regularly and an additional charge is made for this service. Information about the range of fees the service charges in not available in the service user guide. Readers of this report are asked to contact the home directly for this information. Care Homes for Older People Page 3 of 10 What we found:
The pharmacist inspection took three hours. Three peoples medicines were looked at, together with their Medicine Administration Record (MAR) charts and care plans. One nurse was spoken with and the manager was present throughout the inspection. The reason for the inspection was to check compliance with the Statutory Requirement Notice issued on 30th March 2010, due to poor and serious issues with the safe handling of medicines. The Notice required the service to 1. Make sure that the care home is conducted in a way that promotes and makes proper provision for the health and welfare of service users. And not withstanding the general requirement of (1) 2. Put in place effective systems to ensure that medication prescribed for service users is available for them in the Home in such quantities as required at all times required. 3. Ensure that medication is administered to service users as prescribed. In addition there were four requirements regarding the safe handling of medicines left at the last pharmacist inspection on 10th March 2010, three of which remained outstanding from a previous pharmacist inspection on 17th December 2009.. The statutory requirement notice and all four requirements surrounding medicines were fully met and no requirements were left following this inspection. The home had demonstrated that they had put safe systems in place to assess the nursing staffs competence in their handling of medicines, which had in turn improved the standard seen. All medicines were stored in a medicine trolley used to transport the medicines to the people in the home. This was clean and well organised, reducing the risk of potential errors as it was easy to find each persons medicines. Surplus medicines were kept in a newly installed metal cabinet. The home no longer carried vast stocks of medicines and only ordered and kept enough medicines to last the 28 day cycle. The home had installed a system to order prescriptions and check these for accuracy before they were dispensed. In turn the medicines and the Medicine Administration Record (MAR) charts were checked against a copy of the prescription for accuracy before they were administered. This had ensured that enough medicines were prescribed to last the 28 day cycle and any problems were addressed in a systematic way. The manager had installed a good auditing system to check that all the medicines had been administered correctly and records reflected practice. One error had been found during a routine check. This had been reported to the commission and all appropriate steps had been taken to ensure that no harm came to the person. Lessons had been learnt from the error and improved systems had been installed to prevent a similar error
Care Homes for Older People Page 4 of 10 happening again. All Controlled Drug balances were correct and records reflected practice. Storage complied with current regulations. What the care home does well: 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 2. Care Homes for Older People Page 5 of 10 Are there any outstanding requirements from the last inspection? Yes R No £ 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 7 14 The home must make sure that peoples assessments are kept up to date and reflect changes in their condition. Peoples needs change and this must be recorded. 31/03/2010 2 8 13 People using bed rails must have a comprehensive risk assessment in place before they are used. This will prevent the misuse of bed rails and also make sure that only those people who require bed rails have them on their beds. 29/01/2010 3 8 17 The home must make sure 31/03/2010 that it keeps regular monthly records of peoples weights. This will enable them to take action when unplanned weight loss or gain occurs. 4 29 19 The home must audit the 26/02/2010 staff recruitment and training files to make sure that all required information is there and is easily accessible for inspection. They must do this so that Care Homes for Older People Page 6 of 10 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action they are not in breach of the Care Homes Regulations 2001 and to protect the people living in the home. 5 33 24A The home must submit an improvement plan that shows how they will address the issues in this report. This will be required 6 38 17 The home must keep records 30/04/2010 of the hot water temperature. They must also record what action they have taken when temperatures are not within recommended limits. This will provide the home with a clear record of the action they have taken in order to maintain a consistent supply of hot water for people. 7 38 12 The home must make sure 12/12/2009 that all bed rails are fitted as per manufacturers instructions. The use of bed rails must also be suitably risk assessed for each individual prior to their use. This will reduce the risk to the people living in the home. 8 38 13 The home must make sure that there is a consistent supply of hot water throughout. 12/12/2009 05/03/2010 Care Homes for Older People Page 7 of 10 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action This will reduce the risk to the people living in the home. Care Homes for Older People Page 8 of 10 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, 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 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 Care Homes for Older People Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 10 of 10 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
