Inspection on 20/02/06 for Woodhorn Park

This inspection was carried out on 20th February 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 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

Woodhorn Park 04/06/07

Woodhorn Park 05/09/06

Woodhorn Park 12/09/05

Woodhorn Park 04/03/05

Woodhorn Park 23/09/04

Woodhorn Park 04/03/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Woodhorn Park Woodhorn Road Ashington Northumberland NE63 9AN Lead Inspector Jim Lamb Unannounced Inspection 20th February 2006 09:30 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 Woodhorn Park DS0000055019.V268414.R01.S.doc Version 5.0 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. Woodhorn Park DS0000055019.V268414.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Woodhorn Park Address Woodhorn Road Ashington Northumberland NE63 9AN 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) 01670 812 333 01670 812 666 woodhorn@barchester.com Barchester Healthcare Homes Limited Mrs Cynthia Ann Davidson Care Home 60 Category(ies) of Dementia - over 65 years of age (23), Old age, registration, with number not falling within any other category (37) of places Woodhorn Park DS0000055019.V268414.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th September 2005 Brief Description of the Service: Woodhorn Park is a residential care home providing personal care and accommodation for 60 service users. Barchester Health Care manages the home. The home is located in a residential area of Ashington, close to shops, post office and pubs. There is good transport links near-by. All bedrooms are single and have en-suite facilities and there is a passenger lift. Woodhorn Park DS0000055019.V268414.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes second annual unannounced inspection visit. The inspection took place over three hours and involved discussion with the homes registered manager, four care staff, seven service users and two service users relatives. Three service users care records were inspected together with other records relating to the running of the home. 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. Woodhorn Park DS0000055019.V268414.R01.S.doc Version 5.0 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 Woodhorn Park DS0000055019.V268414.R01.S.doc Version 5.0 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): 126 There are plans to provide information of the homes statement of purpose in a range of formats. Each service user is provided with a written copy of the homes contract/statement of terms and conditions. All prospective service users are invited to visit the home (test drive) prior to admission. The home does not provide intermediate care. Woodhorn Park DS0000055019.V268414.R01.S.doc Version 5.0 Page 8 EVIDENCE: Details of the extra charges and what these are for, are in the contract given to service users and are agreed prior to their admission. The homes Statement of Purpose and the Service Users Guide both contained the full range of information required. The providers have agreed to transfer information onto audiotape. Three service users’ files were checked and on each were a copy of a full needs assessment. The 3 service user plans checked by the inspector were comprehensive, and listed details of service user’s needs and actions taken by the staff to meet these needs. One of the care plans examined had not been evaluated appropriately, see standard 7. The service users interviewed said their needs were met and they were happy with the care offered to them. Three care plans were checked and staff members interviewed. These confirmed that a range of specialist services was provided to service users. Staff interviewed had had a range of relevant training and experience. All prospective service users are invited to visit the home to meet other service users and staff; overnight stays can also be arranged. Woodhorn Park DS0000055019.V268414.R01.S.doc Version 5.0 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 11 There is a clear care planning system in place to provide staff with the information they need to meet the service users needs. One of the care plan evaluations was not being maintained. The service users health care needs are being met with good support from health care professionals. The systems for the administration of medication are good. Appropriate systems are in place for death dying and palliative care. Woodhorn Park DS0000055019.V268414.R01.S.doc Version 5.0 Page 10 EVIDENCE: There is evidence of a comprehensive assessment in the service users’ care plans. There is also a comprehensive risk assessment of service users. There was evidence of advocacy arrangements, as well as family input. Each service user has an allocated key worker. Care plans are drawn up with service users. There is evidence that two of the plans inspected had been amended and reviewed on a regular basis. One of the care plans examined had not been evaluated monthly; there was a fourmonth gap between the last two evaluations. Service users’ all indicated that they are able to make decisions for themselves. The home manages the service users medication systems appropriately, the records inspected were found to be accurate. There are procedures in place for death dying and palliative care, and staff has received appropriate training in these areas. Woodhorn Park DS0000055019.V268414.R01.S.doc Version 5.0 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 The service users recreational and social interests are being met. All service users are supported to maintain contact with their relatives and friends. EVIDENCE: Each service user has a practical skills assessment carried out and this is reviewed and updated on a regular basis, all service users participate in this process. Validated intervention treatment programmes are accessed if a need does arise. The home employs an activities co-ordinator and records are maintained for each activity that has taken place and a list of service users that were involved. There was evidence that each service user has the opportunity to participate in community-based activities including; visits to local shops and pubs. The home has access to a mini bus and outings are arranged. Woodhorn Park DS0000055019.V268414.R01.S.doc Version 5.0 Page 12 All service users are supported to maintain very close links with their families. All are able to choose who they want to see and when. There was evidence that daily routines promote independence, choice and freedom of movement. The Home’s menus were not inspected during this visit however; The service users said that the food was very good. Woodhorn Park DS0000055019.V268414.R01.S.doc Version 5.0 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 18 The staff had good knowledge training and understanding of Adult Protection to protect service users from abuse. The service users were confident that their concerns will be listened to and acted upon. Woodhorn Park DS0000055019.V268414.R01.S.doc Version 5.0 Page 14 EVIDENCE: The home does have a complaints procedure; it does contain details of how to contact the CSCI to make a complaint, and is written in a way to ensure that service users fully understand its contents. Three service users interviewed confirmed that they had been given copies of the procedure and that staff listened to their concerns and dealt with them fairly. The home does keep a record of complaints. Since the last inspection visit there have been three very minor complaints received, the manager resolved these immediately. The home has a Whistle Blowing policy procedure as well as, the Local Authorities Vulnerable Adults procedures. POVA training is on going for all staff employed. The home also has a copy of the D.H. “NO SECRETS” for further information. The Home maintains detailed financial records on behalf of the service users; the cash balance held for three service users was checked, all were found to be correct. There was evidence of personal spending and receipts are kept. Woodhorn Park DS0000055019.V268414.R01.S.doc Version 5.0 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 the following standard(s): These standards were not inspected during this inspection visit. EVIDENCE: All standards were previously met. Woodhorn Park DS0000055019.V268414.R01.S.doc Version 5.0 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 30 The staffing levels on the first floor DE unit are not sufficient to meet the collective and holistic needs of the service users, (now rectified) The home has an enthusiastic and well-trained workforce that works positively to meet the needs of the service users. Woodhorn Park DS0000055019.V268414.R01.S.doc Version 5.0 Page 17 EVIDENCE: Staff levels on the day of the inspection did not quite meet the agreed level on the DE unit first floor. There should be 3 staff between 8am and 9pm. The manager contacted the Regional Director, and he immediately agreed to increase staffing levels on this unit and without compromising the staffing levels on other units within the home. Any trainees working in the home must be excluded from the homes staffing levels. All the staff were over 18 years of age and those left in charge were at least 21. Training needs of staff are identified via supervision and appraisal sessions 75 of the staff have achieved NVQ 2/3 training. The training programme has been reviewed to ensure it meets The National Training Organisation requirements for the first six months. Staff interviewed confirmed they receive three days paid training. Woodhorn Park DS0000055019.V268414.R01.S.doc Version 5.0 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 35 37 The manager is supported well by her senior staff in providing clear leadership within the home. Service users are protected from financial abuse. The homes record keeping contributes to safeguarding the interests of the service users. Woodhorn Park DS0000055019.V268414.R01.S.doc Version 5.0 Page 19 EVIDENCE: The registered manager has many years experience in senior management, in the last year all of the staff team have attended several courses to keep themselves up to date. The registered manager has recently completed the registered managers award. Staff interviewed were clear about the their responsibilities. The service users interviewed spoke positively about the manager, the staff and the care that they receive. Service users are informed when inspections take place and have access to inspection reports. Copies are available for relatives/others to see The organisation has continued to develop a range of policies and procedures which have been linked to the National Minimum Standards. The records inspected were found to be appropriately completed, these included the fire log book, accident records, staff CRB records and personal allowance records. Finance records have previously been forwarded to the CSCI to verify that the home is viable. Woodhorn Park DS0000055019.V268414.R01.S.doc Version 5.0 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 3 3 X X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 2 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X 3 X Woodhorn Park DS0000055019.V268414.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? No 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 DE unit first floor; There must be three staff on duty at all times between 8am and 9pm. Timescale for action 21/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard Op7 Good Practice Recommendations All service users care plans must be evaluated within the stated timescales. Woodhorn Park DS0000055019.V268414.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Woodhorn Park DS0000055019.V268414.R01.S.doc Version 5.0 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. 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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