Inspection on 05/01/06 for Woodhill House HFE

This inspection was carried out on 5th January 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

Woodhill House HFE 24/07/08

Woodhill House HFE 05/09/07

Woodhill House HFE 28/06/06

Woodhill House HFE 02/08/05

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 Ms Jenny Hughes Unannounced Inspection 5th January 2006 1:00 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 Woodhill House HFE DS0000033118.V275495.R01.S.doc Version 5.1 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. Woodhill House HFE DS0000033118.V275495.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Woodhill House HFE Address 60 Woodhill Lane Morecambe Lancashire LA4 4NN 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) Tel: 01524 423588 Lancashire County Care Services Mrs Lucy Marie Mace Care Home 44 Category(ies) of Dementia (14), Old age, not falling within any registration, with number other category (30) of places Woodhill House HFE DS0000033118.V275495.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 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) 2nd August 2005 Date of last inspection 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 DS0000033118.V275495.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 2 and a half hours, and was one of the two inspections which must be made each year. Additional inspections may be made if necessary. The inspection was unannounced, in that the owners were not aware that the inspection was to take place. A tour of the home was made, and rooms were inspected at random. Staff and some records were viewed. The manager and three staff on duty were spoken to. What the service does well: What has improved since the last inspection? The manager is aware that there are always areas to improve on, and constantly tries to address ways in which the service can develop. Woodhill House HFE DS0000033118.V275495.R01.S.doc Version 5.1 Page 6 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 DS0000033118.V275495.R01.S.doc Version 5.1 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 Woodhill House HFE DS0000033118.V275495.R01.S.doc Version 5.1 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): These standards were not inspected at this visit. EVIDENCE: These standards were not inspected at this visit. Woodhill House HFE DS0000033118.V275495.R01.S.doc Version 5.1 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): 9 The medication at this home is well managed, promoting good health EVIDENCE: All medication is stored securely in dedicated lockable trolleys positioned in secure cupboards, which are in each unit of the home. Records showed that new medication received is checked, counted, and signed for by staff, and all medication returned to the pharmacy is listed and signed for. All staff involved with administering medication have attended medication awareness training. Medication records were available for all residents, and were seen to be clear and up to date, with photographs of residents identifying these records further. The manager stated that she regularly spot checks the records to ensure they are complete. Diary sheets are kept with the medication records, to note GP visits and other medical issues for each person. Woodhill House HFE DS0000033118.V275495.R01.S.doc Version 5.1 Page 10 A drug directory is kept for staff to refer to regarding information about each person’s medication. The manager confirmed that there is a good relationship with the local pharmacist, who is happy to give advice and guidance. A risk assessment would be carried out on any resident wishing to self medicate, and they would need to sign a disclaimer. There are no residents in the home who do this at present. Woodhill House HFE DS0000033118.V275495.R01.S.doc Version 5.1 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): These standards were not inspected at this visit. EVIDENCE: These standards were not inspected at this visit. Woodhill House HFE DS0000033118.V275495.R01.S.doc Version 5.1 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): These standards were not inspected at this visit. EVIDENCE: These standards were not inspected at this visit. Woodhill House HFE DS0000033118.V275495.R01.S.doc Version 5.1 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 and 26 The standard of the environment in this home is good, providing residents with a homely, comfortable and safe place to live. EVIDENCE: The recent refurbishment of the home has left it modern, bright, airy, and a very pleasant environment to live in. There are various safe garden areas for residents to sit in the good weather, with the back of the home overlooking the local cricket pitch. Some residents enjoy watching the summer matches. Corridors are light, with windows along the length, and large plants and strategically placed seating giving a homely feel to this building, which has its living units linked by these long corridors, and so is spread over a large area. The lounges in each unit are comfortable and welcoming. The bedrooms are also modern and bright, with new furniture and matching bedding and curtains. “My room’s lovely. Did you see my pictures? ”, said one Woodhill House HFE DS0000033118.V275495.R01.S.doc Version 5.1 Page 14 resident, confirming that personal possessions are welcomed, making these well decorated rooms more individual. The rooms were randomly viewed, and were full of photographs, ornaments, some had televisions, and other personal belongings of the residents. Any maintenance needed is recorded and passed onto head office for them to allocate the work out. The laundry area is away from the kitchen and dining area, and was clean and tidy. Staff spoken to were aware of the correct way to work to prevent and control infection. Fire and Environmental Health requirements are all met. Woodhill House HFE DS0000033118.V275495.R01.S.doc Version 5.1 Page 15 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 There is an enthusiastic and experienced workforce, who are not always allocated in sufficient numbers at all times in all areas of the home. EVIDENCE: The geography of the home needs to be taken into account when calculating staff numbers, 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. 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. These issues were also found at the last inspection. At this inspection this situation is ongoing, and since the last inspection there have been two complaints, which expressed concern over a lack of staff numbers. These were found to be due to the geography of the home, which, as stated previously, must be taken into consideration when staff numbers are calculated. Woodhill House HFE DS0000033118.V275495.R01.S.doc Version 5.1 Page 16 There needs to be three staff, not two, on waking watch at night, to ensure the whole of the home is safe for the dependent residents staying there. There also needs to be three care staff, not two, on duty in the dementia unit during the busiest periods of the day, i.e. mornings and evenings, to ensure the high needs of these people are catered for. Due to the high dependency of the referrals made to the home, and the geography of the home, staff numbers on the present planned rota must be further readdressed when the newly built part of the building for 9 more residents is accommodated. Woodhill House HFE DS0000033118.V275495.R01.S.doc Version 5.1 Page 17 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 The manager provides clear leadership, demonstrating an awareness of her role and responsibilities in the home. EVIDENCE: The manager has worked at the home for about 11 years, and has been employed by the organisation for about 15 years. She holds the Registered Managers Award, BTEC HNC in Social Care, and NVQ Level 4. She is keen to attend other training courses provided, and has attended courses on medication, dementia, functional mental health, moving and handling, health and safety, recruitment and selection, among others. She has very competently managed the home during its refurbishment and change of staff, trying to involve residents as much as possible. She clearly Woodhill House HFE DS0000033118.V275495.R01.S.doc Version 5.1 Page 18 makes herself accessible to staff, residents, and families alike, with people calling into her office through the day for guidance and advice. Woodhill House HFE DS0000033118.V275495.R01.S.doc Version 5.1 Page 19 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X X X X Woodhill House HFE DS0000033118.V275495.R01.S.doc Version 5.1 Page 20 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 OP27 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. Staff numbers must be increased to meet the needs of residents in the dementia unit, and also increased to meet the needs of residents overnight. Timescale for action 28/02/06 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 Woodhill House HFE DS0000033118.V275495.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, 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 DS0000033118.V275495.R01.S.doc Version 5.1 Page 22 - 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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