Inspection on 05/09/06 for Woodhorn Park

This inspection was carried out on 5th September 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 20/02/06

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 Key Unannounced Inspection 5th September 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 DS0000055019.V296300.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. DS0000055019.V296300.R01.S.doc Version 5.2 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 www.barchester.com/oulton 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 DS0000055019.V296300.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th February 2006 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. Fees for the home range from £378.00 to £442.00. DS0000055019.V296300.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes first annual unannounced key inspection visit. The inspection took place during the morning and early afternoon and involved discussion with the manager, service users and staff. Three service users care records were inspected together with other records relating to the management of the home. Two staff files were also seen. What the service does well: What has improved since the last inspection? Progress on redecoration has continued, there are plans to refurbish the DE unit on the first floor using the Memory Lane design concept. In the grounds there are also plans to create an enclosed garden for service users, this will include flowerbeds, vegetable plot and a seating area. DS0000055019.V296300.R01.S.doc Version 5.2 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. DS0000055019.V296300.R01.S.doc Version 5.2 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 DS0000055019.V296300.R01.S.doc Version 5.2 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): 1,2,3. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. There is a good admission procedure in place to ensure that there is a proper assessment prior to people moving into the service. All prospective service users have enough information about the home before making a decision about where to live. 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 this includes fees charged. The homes Statement of Purpose and the Service Users Guide both contained the full range of information required. Work is in progress to have information available on audiotape for service users with sight problems. DS0000055019.V296300.R01.S.doc Version 5.2 Page 9 Three service users’ files were checked and each included a full needs assessment completed by the referring Care Manager. They contained a range of appropriate information. The service users are involved in drawing up both these initial assessments and the subsequent service user plans. The service users spoken to said their needs were met and they were happy with the care offered to them. Several said, “The staff are very good, kind and caring”. The care plans were checked and two staff interviewed, which confirmed that a range of specialist services was provided to service users. Staff interviewed had had a range of relevant training and experience. DS0000055019.V296300.R01.S.doc Version 5.2 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 the following standard(s): 7,8,9,10. Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to the service. Progress must be made on improving arrangements to ensure that the service users health, Personal and social care needs are identified. These shortfalls have a potential to place service users at risk. EVIDENCE: There are comprehensive assessments in the service users’ care plans. There is also a comprehensive risk assessment of service users. There are advocacy arrangements, as well as family input, to represent service users. Advocacy information is displayed. Each service user has an allocated key worker. Care plans need additional information to ensure that the staff team knows how to meet the needs of the service users. All aspects of health, personal and social care needs must be identified and planned. Plans must also be DS0000055019.V296300.R01.S.doc Version 5.2 Page 11 reviewed on a regular basis; two of the plans had not been evaluated for six months. The inspector provided written guidance and care plan examples. To ensure the needs of the service users are fully recorded it was agreed the manager would arrange a system for care records to be audited monthly. Annual reviews take place these involve the care managers, service users and their representatives. Several service users’ confirmed that they are able to make decisions for themselves, and that they are happy with all aspects of the care that they receive. Others said that they are always treated with dignity and respect. A visiting Senior Health Care professional spoken to said “ the staff provide a very good service to ensure that the health care needs of the service users are fully met and that communication between staff and her department were excellent”. The medication systems for ordering, administration and disposal are well managed. There was evidence that staff had received accredited medication training. DS0000055019.V296300.R01.S.doc Version 5.2 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 the following standard(s): 12,13,14,15. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. Social activities are well organised, and provide stimulation and interest for the service users. Meals are nutritious and balanced and offer a healthy and varied diet for service users. EVIDENCE: Service users are supported to live a normal life in the community. They are supported and encouraged to be in control of their own lives and enjoy their own interests. The service users enjoy regular outings and visiting entertainers often come to the home. The home also employs an activities co-ordinator, she takes responsibility for arranging activities and booking external entertainers. DS0000055019.V296300.R01.S.doc Version 5.2 Page 13 Two of the service users said “We enjoy the quizzes, they keep our minds active”. All service users are supported to maintain very close links with their families. They can choose who they want to see and when. Daily routines promote independence, choice and freedom of movement. Some service users are involved in housekeeping tasks. The menus are based on the known likes and dislikes of the service users. At least two hot meals are provided each day. Special diets are provided as and when needed. The kitchen was found to be well organised and clean and stock levels were good. Appropriate checks are carried out including fridge and food temperatures. The service users were very complimentary about the meals; they said that they were very good and that they were always provided with a choice. DS0000055019.V296300.R01.S.doc Version 5.2 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 the following standard(s): 16,18. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. Complaints are handled properly to provide service users with confidence that their complaints and concerns will be listened to, taken seriously and acted upon. Procedures are in place to ensure service users are protected from abuse. EVIDENCE: There is a complaints procedure. It contains details of how to contact the CSCI to make a complaint, if complainants are not happy with the manager’s investigation and response. The service users said that they had been given copies of the procedure and that staff listened to their complaints/concerns and dealt with them fairly. A record of complaints is kept. Since the last inspection visit there have been no complaints received. DS0000055019.V296300.R01.S.doc Version 5.2 Page 15 The home has a Whistle Blowing policy and a copy of the Local Authorities Vulnerable Adults procedures. Protection of Vulnerable Adults training is on going for all staff. The Home keeps detailed financial records on behalf of the service users. Receipts of personal spending are kept. DS0000055019.V296300.R01.S.doc Version 5.2 Page 16 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): 19,20,21,22,23,24,25,26. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The home provides service users with safe, homely, clean and comfortable surroundings in which to live. EVIDENCE: The home was clean, well decorated and well maintained. The grounds were tidy, safe, attractive and accessible. The fire service and the environmental health department had made visits to the home. Requirements made by these organisations had been met. There is an appropriate amount of sitting, recreational and dining space providing enough rooms for a variety of activities to take place. DS0000055019.V296300.R01.S.doc Version 5.2 Page 17 Service users confirmed that they could see visitors in private in their own rooms. There are smoke-free sitting rooms and a designated smokers lounge. Furnishings and fittings were domestic in design and in very good condition. All bedroom, bathrooms and toilets doors have privacy locks. Room sizes exceed the minimum required. There is space on either side of beds when necessary, to enable access for carers and specialist equipment. Service users’ bedrooms have opening windows. The rooms were centrally heated and the heating level could be controlled within each bedroom. There was emergency lighting throughout the home. Water is stored at over 60°C. Valves at water outlets ensure water is provided close to 43°C to prevent scalding. The home was clean and free from offensive odours. The laundry facilities are well organised and COSHH information is displayed. The washing machines have the specified programme to meet disinfection standards. DS0000055019.V296300.R01.S.doc Version 5.2 Page 18 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): 27,28,29,30. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The deployment and trained number of staff available is now sufficient to meet the needs of the service users. The procedures for the recruitment of staff are robust in order to protect the service users. EVIDENCE: Staff levels on the day of the inspection met the agreed level. Samples of 4 weeks’ rotas showed the required numbers of staff were on duty inaddition to the manager: 8 staff between 8am and 10pm with 4 between 10pm and 8am. Staff said that staffing levels on the DE unit had improved and were now appropriate. Training needs of staff continue to be identified in supervision and appraisal sessions. The training programme meets The National Training Organisation requirements for the first six months. DS0000055019.V296300.R01.S.doc Version 5.2 Page 19 75 of the staff has achieved NVQ level 2 and 3. All staff receive paid training. The organisation has a rigorous staff recruitment and selection process to ensure that all appropriate checks and references are in place prior to employment. DS0000055019.V296300.R01.S.doc Version 5.2 Page 20 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): 31,33,35,38. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The home is well managed and the health, safety and welfare of the service users are promoted. EVIDENCE: The manager has eight years experience in senior management and the registered managers award. Those staff interviewed were clear about their responsibilities. Service users are told when inspections take place and they are shown inspection reports. DS0000055019.V296300.R01.S.doc Version 5.2 Page 21 Copies are available for relatives and others to see. The records inspected were found to be appropriately completed. These included the fire log book, accident records, personal allowance records and Health and Safey manual. There is a good quality assurance system in place, this is based on feedback from service users, relatives and professionals involved in the home. Monthly audits aso take place and there is an annual development plan. There are appropriate maintenance contracts for the home. Water storage tanks, gas and electrics are checked annually. DS0000055019.V296300.R01.S.doc Version 5.2 Page 22 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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X 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 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 DS0000055019.V296300.R01.S.doc Version 5.2 Page 23 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 OP7 Regulation 15 Requirement The service users care plans must be reviewed to ensure that they fully identify each individual’s health, personal and care social needs, plans must also be evaluated regularly. Timescale for action 01/11/06 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 DS0000055019.V296300.R01.S.doc Version 5.2 Page 24 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 DS0000055019.V296300.R01.S.doc Version 5.2 Page 25 - 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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