Inspection on 02/08/05 for Woodhill House HFE

This inspection was carried out on 2nd August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Woodhill House HFE 24/07/08

Woodhill House HFE 05/09/07

Woodhill House HFE 28/06/06

Woodhill House HFE 05/01/06

Woodhill House HFE 24/01/05

Woodhill House HFE 09/08/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Woodhill House HFE 60 Woodhill Lane Morecambe Lancashire LA4 4NN Lead Inspector Jenny Hughes Announced 2 August 2005 10:00 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Woodhill House HFE F57-F09 S33118 Woodhill House V187455 020805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Woodhill House HFE Address 60 Woodhill Lane Morecambe Lancashire LA4 4NN 01524 423588 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Lancashire County Care Services Mrs Lucy Marie Mace Care Home 44 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Dementia (14) Woodhill House HFE F57-F09 S33118 Woodhill House V187455 020805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1) The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 2) The service is registered to accommodate a maximum of 44 service users to include up to 30 service users in the category OP (older persons 65 & over) and up to 14 service users in the category DE (dementia). Date of last inspection 24th January 2005 Brief Description of the Service: Woodhill House is a purpose built two storey home, located a short distance from the centre of Morecambe, with its shops and the seafront. It is at the end of a quiet cul-de-sac, overlooking the local cricket ground. There is space to park cars both at the front of the building, and in the car park provided at the side of the home. An attractive central courtyard provides seating and tables for residents, and other smaller outdoor areas provide the same. The home provides personal care for older people, including people with dementia, and is equipped to suit the needs of its residents. For example, there is a passenger lift to the upper floor, grab rails, raised toilet seats, assisted baths, and ramps for easy access. All of the rooms are single rooms, and toilets and bathrooms are conveniently situated. There is ample communal space, with dining and lounge areas in each section of the home, some overlooking the cricket ground through the large windows. There is also a large recreation lounge for all to use. A designated area is provided for people with dementia, with sufficient communal areas within this, and access to outside space. Staffing is provided over 24 hours, every day of the year. Woodhill House HFE F57-F09 S33118 Woodhill House V187455 020805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 6 hours, and was one of two inspections which must be made each year. Additional inspections may be made if necessary. The inspection was announced, in that the owner was aware that the inspection was to take place. The registered manager was interviewed, and five staff and eight residents were spoken to. Surveys were sent out to residents, relatives, and to G.P’s involved with the home, and all of their views were also taken into account. Staff and care records were inspected, and policies and procedures were viewed. What the service does well: Experienced staff make sure the residents care comes first, and try to ensure new residents are made to feel at home as soon as possible. “I like it here”, said one new resident, ”There’s lots of space. Everyone came to meet me when I arrived here, even the cook” Assessments and care plans are clear and detailed, for staff to understand how best to look after each individual. They show all areas of need, alongside their likes and dislikes and preferred daily routines. Daily records are detailed and complete. Visitors are welcome at any time, with plenty of communal space available to have private chats. The manager likes to always make herself available to families visiting. Meals are home-cooked, varied, with well-balanced choices. They are well presented, with meal times being pleasant and unrushed. Some activities are encouraged, with visiting families welcome to join in. The décor of the home is clean, bright and fresh, with residents enjoying their newly decorated spaces. “I love my room. I’ve got all my things in it and like to sit in there and watch my television”. Woodhill House HFE F57-F09 S33118 Woodhill House V187455 020805 Stage 4.doc Version 1.40 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. Woodhill House HFE F57-F09 S33118 Woodhill House V187455 020805 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Woodhill House HFE F57-F09 S33118 Woodhill House V187455 020805 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 The home has a comprehensive assessment that is carried out for all residents. This means that a service is provided that is tailored to the individual’s needs and preferences. EVIDENCE: Individual records are kept for each of the residents, with a set procedure for admitting someone to the home. Three selected files showed assessments had been received from social services. These are needed so that the manager can confirm that the staff in the home are able to give the appropriate care, before it is decided that the home is the right place for the person to be admitted to. The manager then makes a more detailed assessment, which covers all daily routines and choices. Due to the closure of some of the homes belonging to the DSO, social work staff had carried out new assessments, before each resident was moved to the best home for them, which was identified by the assessment. Woodhill House HFE F57-F09 S33118 Woodhill House V187455 020805 Stage 4.doc Version 1.40 Page 9 Some of these individuals were moved to Woodhill House, where some were placed in the area designated for people with dementia, as directed by the assessment. All of the people moved from closed homes had a ‘Personal Moving Plan’, identifying dates, contacts and a brief outline of individual needs. This was held in their records, and used to try and make the move as easy as possible for the resident and staff. A formal review to check how each new resident was settling in was done every one to two weeks, with staff spoken to very aware of the need to develop relationships with these new residents, and make them feel at home. One new resident said, “I didn’t know the staff you know. But I’m getting to know them now. That’s the one” (pointing at a member of staff) “who puts me to bed. She’s nice. And this one”, (a member of staff approached, smiling) “I’ve got to know her now, she’s always talking to me”. Another new resident said, “It’s alright. They’re trying their best but I liked the other place better.” Staff and the manager commented that preferred individual ‘ways’ that the residents liked things done would take time to become familiar with, and the records noted any action needed by staff which would help the new resident settle in better. Woodhill House HFE F57-F09 S33118 Woodhill House V187455 020805 Stage 4.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 and 10 The health and personal care needs are well met in this home. Residents benefit from the support of healthcare professionals. EVIDENCE: Individual care plans are available, identifying the areas of need for each person, and with clear instructions for staff on what they must do to meet that need. Any risk was clearly identified, followed by what action to take to manage it. Some residents were aware they had, “something written down for the staff so they know about me” as one resident commented, and family members were all aware of the care plans and records kept. Reviews of the care plans were carried out monthly, or as needed. Full detail was recorded on physical needs, nutritional needs, and psychological needs. Discussion with staff confirmed that they were aware of the individual needs, and specialist needs, of the residents, and records of visits by health professionals were kept on the files. Staff spoken to commented “Care Plans for the residents, and the daily records we make, are readily available for us to look at to make sure each person is looked after properly”. Woodhill House HFE F57-F09 S33118 Woodhill House V187455 020805 Stage 4.doc Version 1.40 Page 11 One GP, who has been visiting the home’s residents for a number of years, stated, “I continue to be pleased with the general level of care and communication there”. Most residents were sitting in the lounges, or taking a walk around the corridors. One resident took advantage of a break in the weather to sit outside in one of the patio areas, with a visiting relative, where they both enjoyed a cup of tea in the sun, watching a grandchild play in the open space. Another resident was becoming anxious about her dress, and a staff member suggested that they both call at her room where she would help her with it. Staff were seen to be patient, friendly and efficient in carrying out their work. “They’re good girls”, commented one resident. Woodhill House HFE F57-F09 S33118 Woodhill House V187455 020805 Stage 4.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15 Residents experience a good quality of life in this area. Meals were nutritious, and mealtimes relaxed, which encourages residents to enjoy food and mealtimes. There are some activities, and some residents are motivated and stimulated by joining in. EVIDENCE: The individual care plans contain information on the past interests and hobbies of the residents, and their likes and dislikes. Residents are encouraged to suggest things they would like to do. One resident said that she liked to play cards in the home she had come from. Staff were aware of this, and tried to make sure she was able to carry on with this, either with other residents or staff. “I just like a good read”, one resident confirmed, showing her renewed library book. Staff spoken to said that “We try and spend time with each individual, to encourage them to do something, even just a chat, discussing what’s in the paper, or helping with mail, or a short walk, is beneficial. Anything like that is recorded, then we can make sure everyone is involved in doing something, Woodhill House HFE F57-F09 S33118 Woodhill House V187455 020805 Stage 4.doc Version 1.40 Page 13 although there are always people who are just happy not joining in, and like to watch, that’s up to them, isn’t it?”. Some residents in the part of the home for people with dementia were playing dominoes with a staff member. A pair of Maracas was ready and waiting to be used in the next music session. Another staff member moved around and chatted with the residents who were not playing. Visitors are welcomed at all times, with a full visitors book recording all callers to the home. Regular communication is encouraged, and the manager said that she was also trying to familiarise herself with the relatives of the new residents, as well as the staff, so that they would feel happy and comfortable to visit and speak to her at any time. One resident confirmed, “My daughter visits a lot. She can come at any time you know. The girls always ask if she wants a cup of tea.” Meals are served to small groups of residents in the individual, clean, light, and modern dining areas adjoining the different lounge areas. Meals are transported from the main kitchen to these dining areas in heated trolleys, where they are served piping hot and fresh to the residents from the minikitchens based there. The cook visits the residents to make sure they like what is on the menu, and a record of any special diets are kept in the kitchen. The lunch this day was Lancashire stew or fish and chips, followed by gateau or an iced bun, with seconds being offered if anyone wanted more. Staff calmly assisted at the mealtime, which was quiet and relaxed. Woodhill House HFE F57-F09 S33118 Woodhill House V187455 020805 Stage 4.doc Version 1.40 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 Residents are confident their concerns will be listened to and acted upon. Staff have an understanding of Adult Protection issues, which protect residents from abuse. EVIDENCE: There is a complaints procedure in place, with a complaints book to record any complaints, which may come to the manager’s attention. The home’s complaints book has no records of a complaint. One complaint about the home was received directly by the Commission for Social Care Inspection. The issues in this complaint had already been addressed by the home, and the investigation carried out therefore had a satisfactory outcome. Residents knew to tell the staff or the manager if they were not happy about something, “You just tell the girls don’t you? Any of them really.” Staff spoken to knew about the Adult Protection procedure, and what to do if they had any concerns. They said they would always act if they thought a resident was at risk. Also if it was a member of staff causing concern they would inform the manager. All staff attend abuse awareness training. Woodhill House HFE F57-F09 S33118 Woodhill House V187455 020805 Stage 4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not inspected at this visit. EVIDENCE: These standards were not inspected at this visit. Woodhill House HFE F57-F09 S33118 Woodhill House V187455 020805 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30 The home operates a good recruitment policy, which ensures that only people who are suitable for this type of work are offered an appointment. Training is provided and this means that residents are provided with appropriate care and attention. There is an enthusiastic and experienced workforce, who need to be allocated in sufficient numbers at all times in all areas of the home. EVIDENCE: No new staff had been recruited since the last inspection, when files showed that the necessary recruitment checks are carried out to ensure the protection of residents. References and Criminal Records Bureau checks are available. All new staff are required to have full induction training, so that they are clear on what is expected of them when they are carrying out their work. All the areas covered in the induction are signed by the manager and staff to show it has been completed. The staff group is made up of generally long-term and experienced care staff, some of whom have been transferred from the DSO homes which have closed. Staff spoken to stated “ We have had good support from the manager through the changes, and we all get on. It’s been very busy though, making sure everyone settles in, that includes residents and staff”. Training is ongoing, with staff undertaking National Vocational Qualifications Level 2 and 3 in care, medication awareness and infection control. All staff Woodhill House HFE F57-F09 S33118 Woodhill House V187455 020805 Stage 4.doc Version 1.40 Page 17 attend moving and handling, food hygiene and first aid training. Staff have attended Dementia Awareness training, to help guide them in the best way to care for the people in the area of the home designated for people with dementia. One staff member is qualified to train other staff in this subject The rota showed which shifts the care staff were working each day. The manager stated that the numbers of staff required in the home have been calculated according to the level of need of the individuals. However, the geography of the home needs to be taken into account, as the various lounges and dining areas spread around the home can cause staff to be moved away from a group of residents in one part of the home, to another, so leaving the first group unsupervised for a while. Relatives comments have been “It is sometimes difficult to find a member of staff to speak to”, and “There did not seem to be anyone about”. Staff spoken to confirmed that they are concerned that they are at times concentrated in one area of the home, carrying out a task, so leaving the other part of the home understaffed. A resident commented, “They always seem so busy”. The dementia unit is staffed separately, with two staff always on duty. However there are periods of the day when demands are high, such as mornings, mealtimes, and bedtimes, when, due to the unit being over two floors, a higher staffing level is needed to make sure residents are always monitored and safe. Woodhill House HFE F57-F09 S33118 Woodhill House V187455 020805 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35, and 38 The systems for consulting with residents and their families are generally good, with a variety of evidence that shows that resident’s views are both sought and acted upon. Systems and practices in the home promote and safeguard the health, safety and welfare of the people using the service. EVIDENCE: There are systems used in the home to regularly audit and monitor standards, and to get feedback from residents and their families on their level of satisfaction with the service. A survey is usually sent from Head Office every 6 months for residents or their families to complete, to try and find out if people are satisfied with how they are being looked after. Any problems, which are highlighted, can then be dealt with. The last survey was in June 2004, since when there have been many changes to what services are provided, and the decision was made to not send Woodhill House HFE F57-F09 S33118 Woodhill House V187455 020805 Stage 4.doc Version 1.40 Page 19 the survey for a short period of time, and inform residents and their families of the progress of the changes through newsletters. The manager confirmed she encourages families to contact her as much as she can. Staff meetings have been on hold due to the changes, although the manager met with all of the new staff from the closed homes so that they could familiarise themselves and feel more comfortable with the situation. Staff always pass on information during the daily handover sessions, and the manager encourages any comments they wish to make. Resident meetings are planned every 3 months, when issues such as preferred activities, or choice of meals may be talked about. One resident was looking forward to the meeting, so that she could put her point of view with everyone there. Clear records are kept of anything to do with resident’s finances, and a safe is available if anyone needs it. Records and staff confirmed the regular fire training for staff, with a recent visit from the fire officer to check the safety standards in the home. All maintenance and servicing checks of equipment were correct. Woodhill House HFE F57-F09 S33118 Woodhill House V187455 020805 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION x x x x x x x x STAFFING Standard No Score 27 2 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 4 x x 3 x 3 x x 3 Woodhill House HFE F57-F09 S33118 Woodhill House V187455 020805 Stage 4.doc Version 1.40 Page 21 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 27 Regulation 18 Requirement The manager must ensure suitable persons are working at the care home, in all areas of it, and in such numbers, as are appropriate for the health and welfare of its residents Timescale for action 15th October 2005 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Woodhill House HFE F57-F09 S33118 Woodhill House V187455 020805 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection North Lancs Area Office Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Woodhill House HFE F57-F09 S33118 Woodhill House V187455 020805 Stage 4.doc Version 1.40 Page 23 - 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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