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Inspection on 22/10/05 for Woodland Court Nursing Home

Also see our care home review for Woodland Court Nursing Home for more information

This inspection was carried out on 22nd October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home has a friendly supported staff team who care for the residents. Those residents asked said the staff had their best interests at heart and always treated them respectfully. The residents have access to a spacious lounge and dining area, which overlooks the garden. Individual residents rooms of a good size and the majority of rooms have en suite facilities. The residents are kept informed of events through posters and staff speaking with the residents and their relatives.

What has improved since the last inspection?

Requirements set at the last inspection had been met. Risk assessments to eliminate unnecessary risk to the residents had been completed. The resident`s contracts have been updated and now provide clearer information about the terms and conditions of occupancy and arrangements for serving notice in breach of contract. Complaints investigated since the last inspection had been responded to within 28 day period.

What the care home could do better:

The way medication which is no longer required for residents is managed must ensure that out of date medication and items no longer in use are disposed of in line with good practice recommendations to ensure residents receive the treatment that will benefit them.The risk assessments and care planning for the residents at risk of falling out of bed must be fully completed to ensure the use of bed guards as restraint to prevent falling is in the best interests of the residents they are being used for. Routine maintenance should include removing the rust from the base of one bath hoist and two commode frames to ensure that they do not pose an infection risk to the residents. Staff training for adult protection should continue to ensure that all staff are confident and able to respond to allegations of abuse in a way that protects the residents.

CARE HOMES FOR OLDER PEOPLE Woodland Court Nursing Home 56 Marldon Road Shiphay Torquay Devon TQ2 7EJ Lead Inspector Rachel Proctor Announced Inspection 22nd September 2005 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 Woodland Court Nursing Home DS0000028762.V262345.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. Woodland Court Nursing Home DS0000028762.V262345.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Woodland Court Nursing Home Address 56 Marldon Road Shiphay Torquay Devon TQ2 7EJ 01803 613162 01803 615192 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) Woodland Healthcare Ltd Mr John Robert Lyle Care Home 39 Category(ies) of Old age, not falling within any other category registration, with number (3), Physical disability (39), Physical disability of places over 65 years of age (39) Woodland Court Nursing Home DS0000028762.V262345.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Registered for max OP 3 Registered for max PD 39 Registered for max PD(E) 39 service users over the age of 65 Date of last inspection 14th December 2004 Brief Description of the Service: Woodland Court has been a nursing home for just over 14 years. The home is part of a group of homes providing personal and nursing care. It is sited in a residential area on the outskirts of Torquay with easy access to the Torbay ring road, which is half a mile away. This home provides personal and general nursing care to people over the age of retirement. It is registered to care for up to 39 people mainly in single room accommodation. There are 25 single rooms all with en-suite facilities and 7 double rooms, mostly with en-suite facilities. The present configuration has four of the double rooms used, as singles therefore there are 29 singles and 3 double rooms. The home has a shaft lift, centrally located, making access between the ground and first floor easy for the less able bodied Service Users. There is one large lounge with dining space on the ground floor at the rear of the building. The terrace immediately outside the lounge that looks over the garden that has disabled and wheel chair access. The home has recently been redecoration throughout the communal areas and some bedroom areas, which included fitting good quality carpets in the communal areas and passageways. Some of the bedrooms have also been re-carpeted as part of the homes redecoration program. Woodland Court Nursing Home DS0000028762.V262345.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The commission for social care inspection has introduced key standards to be inspected over each inspection year. Therefore, unless it is felt necessary by the inspector, some standards will not be inspected. To obtain a full picture of the home it is recommended that previous reports also be taken into consideration. This announced inspection took place on the 22nd of September 2005 between 9:30 am and 4:30pm. A tour of the home was completed with the registered manager. Some residents and staff were spoken to. Some records were viewed during the inspection. Two residents relatives spoken to advised that they were satisfied with the care and services provided. Two relatives comment cards were received prior to the inspection. Both indicated that they felt welcome at the home and are kept informed of important matters affecting their relative. Other comments made are incorporated into the report. What the service does well: What has improved since the last inspection? What they could do better: The way medication which is no longer required for residents is managed must ensure that out of date medication and items no longer in use are disposed of in line with good practice recommendations to ensure residents receive the treatment that will benefit them. Woodland Court Nursing Home DS0000028762.V262345.R01.S.doc Version 5.0 Page 6 The risk assessments and care planning for the residents at risk of falling out of bed must be fully completed to ensure the use of bed guards as restraint to prevent falling is in the best interests of the residents they are being used for. Routine maintenance should include removing the rust from the base of one bath hoist and two commode frames to ensure that they do not pose an infection risk to the residents. Staff training for adult protection should continue to ensure that all staff are confident and able to respond to allegations of abuse in a way that protects the residents. 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. Woodland Court Nursing Home DS0000028762.V262345.R01.S.doc Version 5.0 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 Woodland Court Nursing Home DS0000028762.V262345.R01.S.doc Version 5.0 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): 2,3 The residents at Woodland Court can have confidence that they care needs will be assessed by staff team who are competent and capable. EVIDENCE: The home has its own contract/terms and conditions of residency. These had been revised since the last inspection and now include the period of notice required for trial or long stay placements. The manager explained how the NHS applicable amount is recorded as part of the contracting process. The manager continues to use comprehensive assessment process for all new residents admitted to the home. Four residents plans of care viewed included the fully completed initial assessments. Copies of the social services/hospital discharge assessments are also provided for these residents. The assessments cover the resident’s health, personal, and social care needs. The manager does not except emergency admissions to the home and pre-admission assessments are conducted for new residents where possible. The home does not provide intermediate care at present. Woodland Court Nursing Home DS0000028762.V262345.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, 10, The failure to document risk assessments for the residents using bed guards and the lack and stock control for some prescribed treatments, which residents no longer require could put them at risk. However the manager confirmed that both had been addressed prior to the completion of this draft report, which should ensure the residents are protected from risk. EVIDENCE: Four residents were case tracked this included looking at their plans of care. Each plan of care had been generated from a comprehensive assessment. The plans set out details of the actions staff needed to take to ensure the health, personal and social care needs of the resident were met. However one resident identified as having a low mood did not have a plan of care to address this. Another resident identified at risk of falling did not have a plan of caring place to reduce the risk of falls, bed guards were being used and a risk assessment for their use had not been included in the resident’s plan of care. All four residents care plans had been reviewed at least monthly or sooner where the resident’s care needs have changed. Although the plans of care had Woodland Court Nursing Home DS0000028762.V262345.R01.S.doc Version 5.0 Page 10 space for the residents to sign their care plan not all those seen had not been signed by the resident. The resident’s plans of care are stored in the treatment room. A notice advising the residents that they can have access to their care plans for any time was in place. The manager confirmed that only registered nurses assess the care needs of the residents. This was evidenced in the four care plans seen. A wound care planning system is in place, which is reviewed, and improvements and changes recorded as part of the evaluation. Pressure relieving equipment was seen being used for the residents who required this. This included airflow pressure relief mattresses and pressure relieving cushions. Although the residents psychological health is assessed as part of the assessment process the way regular and preventative, restorative care is provided had not been recorded. The residents spoken to in the lounge told the inspector they are encouraged to exercise and staff a system to walk to the toilet if they need help. A comprehensive nutritional risk assessment is in place. The assessment includes any special dietary requirements for the resident and the foods they like or dislike. GP visits the residents received had been recorded in the plan of care and changes recommended to the treatment had been recorded. The manager advised that where possible the residents continue with the same GP if they lived within the catchment area prior to their admission. Chiropody visits were recorded in the resident’s plans. The manager advised that hearing, sight tests and dentists are organised for the residents who required them. The NHS applicable amount is recorded as part of the residents contracts the indicated that the residents had received an NHS assessment of the care needs. The medication for the residents is stored in a locked cupboard in the treatment room. However the door to the treatment room was not locked at the time of the inspection and the drug fridge was unlocked. The inspector looked at the topical medication stored for the residents. Several out of date prescribed creams for residents who were no longer at the home were found in the cupboard. Other items were outside their inspiring date these included water for injection and phosphate enema. Woodland Court Nursing Home DS0000028762.V262345.R01.S.doc Version 5.0 Page 11 The drug fridge contained an anaphylactic shock pack, which inspired in 2003, Dacticourt cream, which expired in 2003, and water for injection, which expired in 2004. All the items identified as outside their expiry date were disposed of during the inspection by the manager. The oral medications stored in a different cupboard were all within date and prescribed for the current residents. The controlled drug book had been completed as expected. The records of medication given to the residents had been signed and dated by the nurse administering the medication. The manager confirmed that only registered nurses administer the medication for the residents. He also advised that other staff were receive training for medication administration. The manager advised that the supply pharmacist was supportive and helpful and provided advice and support to the home staff in relation to medication. The manager confirmed that none of the current residents were able to self medicate. All the residents spoken to during the inspection told the inspector that the staff were friendly and helpful towards them. Staff observed speaking to the residents were doing so in a respectful friendly manner using the residents preferred title. Staff were seen knocking on residents bedroom doors before entering. Mail received for residents was being given to them unopened during the inspection. The laundry for residents is sorted individually to allow them to have their own clothes returned to them. The residents were wearing their own clothes during the inspection. One resident’s relative commented that the staff always kept their relative smartly dressed using the clothes they had provided. The induction programme example provided included instructions on how to treat the residents with respect at all times. A GP visited the resident during the inspection, this resident saw the GP in the privacy of their own room. Screening is provided in the shared rooms. However none of the shared rooms were being used at the time of the inspection. Woodland Court Nursing Home DS0000028762.V262345.R01.S.doc Version 5.0 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): 15 The lunchtime meals for the resident’s at Woodland Court are a social occasion for the residents and staff. The residents can have confidence that they will have freshly prepared food. EVIDENCE: The inspectors shared the lunchtime meal with two residents. These residents told the inspector that the food is always well presented and they enjoy the food provided. The meal was attractively presented for the residents; one resident who asked for a second helping was given this. Another resident who asked for a second cup of coffee was given this by the staff member assisting with the meals. The staff assisting the residents who required help to feed were doing so in a friendly discreet manner. The chef advised that purée foods are puréed separately to allow the residents to experience different tastes of the foods. The list of the resident’s special diets and preferences is available in the kitchen. The nutrition risk assessments completed for the residents included their personal preferences and choices of the food they like to eat. One residents relative commented that the food is always presently presented and their relative enjoyed the food. One comment card received from a relative Woodland Court Nursing Home DS0000028762.V262345.R01.S.doc Version 5.0 Page 13 indicated that they would like to see greater choice and variation of meals available for their relative. Woodland Court Nursing Home DS0000028762.V262345.R01.S.doc Version 5.0 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, The residents at Woodland Court can have confidence that any concerns they have will be dealt with in a sensitive way by the staff who care for them. All staff employed should receive adult protection training to ensure they fully understand how to deal with allegations of abuse to protect the residents. EVIDENCE: A record of the complaints received and the investigations and actions taken following these was recorded. The complaints had been investigated in line with the homes own complaints policy within the timescale they had set. The service users guide and statement of purpose contained copies of the complaints policy. The complaints policy is easily available to the relatives and residents at Woodland Court. The adult protection guide and video provided by social services had been provided for staff use. The manager advised that all staff had seen this however no record of the staff viewing the video had been recorded. The Woodland Healthcare group had designed there own adult protection training pack which is used to instruct staff. A senior member of the organisation advised its used in conjunction with external training. The manager uses a robust procedure when employing new staff to ensure the residents are protected from unsuitable staff. Three staff files were viewed during the inspection had a contract of employment, application form and copies of the proof of identity, which they had provided prior to their employment. However not all of the files contained copies of two references Woodland Court Nursing Home DS0000028762.V262345.R01.S.doc Version 5.0 Page 15 and evidence that the CRB check had been completed for the staff appointed since the last inspection. The manager advised that all three staff whose staff files the inspector viewed had had a CRB check completed and returned. Woodland Court Nursing Home DS0000028762.V262345.R01.S.doc Version 5.0 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, 21, 24, 26 The residents have a pleasant generally well-maintained environment to live in, which takes their personal preferences and choices for their own space into account. EVIDENCE: The home is situated close to the Torbay ring road. There is adequate parking close to the front entrance of the home, which has good wheelchair access. The plan to replace the carpets in all the bedrooms by Easter 2005 has not been completed. The manager advise the inspector that the new carpet in the lounge and another communal areas, was of poor quality and they were awaiting replacement by the company who supplied them. He also confirmed that all the carpets in the bedrooms would be replaced as part of the refurbishment plan. The inspector saw some new carpets had been fitted in resident’s bedrooms. Woodland Court Nursing Home DS0000028762.V262345.R01.S.doc Version 5.0 Page 17 Disabled access is provided, suitable for wheelchairs to the large garden at the rear of the home. There is also a paved terrace off the lounge that residents can use in good weather. However at the time of the inspection the flower borders have not been maintained. There were a variety of shrubs and the lawns had mowed providing a pleasant outdoor space for the residents use. A tour of the homes disabled bathrooms revealed a rusty base on the bath hoists in a ground floor bathroom and another ground floor bathroom not in use. At the time of the inspection 17 residents were being cared for, the available bathrooms were meeting their needs. Some of the sink taps in the resident’s bedrooms were missing a central cover. This allowed a small amount of stale water to collect inside the tap top. The manager advised that these were due to be replaced as part of the refurbishment plan. All but one of the resident’s bedrooms have en suite facilities. The bathrooms and toilets are clearly marked, close to resident’s bedrooms and a communal lounge. There are two disinfecting sluices, one on each floor where the residents are housed. The residents have access to, communal and private spaces through the provision of ramps and passenger lifts. The top floor of the home is used for the managers office and staff room this area is not used by any of the residents. A variety of hoists are available for residents with restricted mobility. The call bell system is available in each of the resident’s rooms. These were seen in use during the inspection, staff were responding to residents calls for help in a timely manner. One resident asked said that the majority of time the staff respond quickly to any calls for help although mealtimes they sometimes took a little longer to respond. Seven of the rooms provided are large enough to accommodate two residents. However the manager has chosen to use four of these rooms as single rooms at present. All the single rooms are above 10 square metres. None of the shared rooms were being used for two residents at the time of this inspection. The resident’s bedrooms have furniture that is of a good standard. Adjustable beds are provided for those residents who require them. These were seen in place during the inspection. Other beds in use in the home were of a divan style, which had been adjusted to allow hoist access. Two chairs were available in the residents bedrooms viewed during the inspection. All the residents’ bedrooms have been carpeted. Although some of these were stained. The manager advised that these carpets were due to be replaced as part of the refurbishment plan. The manager confirmed that none of the current residents are able to benefit from the provision of lock to the door to their room. He further advised that a risk assessment process was in place to assess whether residents would Woodland Court Nursing Home DS0000028762.V262345.R01.S.doc Version 5.0 Page 18 benefit from the provision of a lockable door to their room if this were requested. The home’s laundry is situated separately to the main home. It has a commercial and the domestics style dryer. One washing machine has a sanitary cycle. The laundry floor has an interminable surface that is easily cleanable; the walls have been repainted since the last inspection and are now easily cleanable. During the tour of the home the inspector saw two commodes and two toilet frames with small areas of rust. These rusted areas were not easily cleanable and could harbour infection. The manager advised that these would be repainted. The home was fresh and clean in all areas and free from odour during the inspection the relatives and residents spoken to advise that the home is always fresh and clean. Woodland Court Nursing Home DS0000028762.V262345.R01.S.doc Version 5.0 Page 19 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): 27,29,30 The residents had cared for by a caring staff team who have their best interests at heart. In order to ensure that this continues to be the case the homes recruitment procedures should be followed to protect the residents from unsuitable staff. EVIDENCE: At the time of the inspection 17 residents are being cared for. The manager advised that the staffing ratios he employed were one to five in the morning one to seven in the afternoon and one to 10 at night. The staffing rota provided indicated a registered nurse is on duty for all shifts. Registered nurses are supported by four healthcare assistants in the morning and two in the afternoon and one at night. One comment card received indicated that a relative did not feel there was sufficient staff numbers on duty. The manager advised that the staffing provided will be increased as the dependency of the residents changed or the occupancy levels increased. The staffing numbers provided at the time of the inspection appeared to be meeting the needs of the current residents. The residents spoken to during the inspection said that staff responded to their requests for assistants. Call bells were in use during the inspection these appeared to be being answered in a timely fashion. One resident commented that sometimes over the mealtime periods staff take a little bit longer to answer the call bells. Woodland Court Nursing Home DS0000028762.V262345.R01.S.doc Version 5.0 Page 20 Three staff files were reviewed during the inspection one of these did not have two references. Copies or evidence that the CRB checks for staff who had been appointed since the last inspection were not available for inspection. The manager confirmed that all the staff employed had had a CRB check completed and returned. Photographs of the staff were available. Copies of the staff contracts they had received were on file. The result of an audit of the staff files was available for inspection. The pre-inspection questionnaire identified the number of staff and the number of Health Care Assistants who had completed an NVQ qualification in care. The manager confirmed that the organisation continues to support staff to complete NVQ qualifications. Two healthcare assistants already have NVQ level 3 and three healthcare assistants already have NVQ level 2. The manager provided a training matrix with a list of staff and the courses they had attended. This indicated that all staff had received manual handling training and the majority had received fire training in April this year. A number of staff had also completed training courses for food hygiene, COSHH regulations and adult protection this was recorded on the training matrix. The manager confirmed that other training was planned for tissue viability, infection control, medication management and nutrition. The manager confirmed that the induction programme in use at home follows TOPSS guidelines for content. Examples of these were available for inspection. The manager confirmed that all new staff complete induction programme. Woodland Court Nursing Home DS0000028762.V262345.R01.S.doc Version 5.0 Page 21 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): 33,35,37,38 The manager endeavours to ensure that the home is run in the best interests of the residents. However some record keeping does not reflect the good practice seen to be taking place; this may put the residents at risk. EVIDENCE: The manager advised that a quality assurance audit was completed for 2004/2005; he went on to say that he was awaiting the return of the questionnaires from this year before providing a report. An audit of staff files and training completed recently was provided on a matrix chart for inspection. Three relatives spoken to during the inspection said they were satisfied with the care and the facilities provided at Woodland Court. The manager confirmed that the home does not manage any of the residents finances or pocket money. The pre-inspection questionnaire indicated that two of the current resident’s are able to manage their own affairs. The manager Woodland Court Nursing Home DS0000028762.V262345.R01.S.doc Version 5.0 Page 22 advised that lockable space or lockable box had been provided for the residents. The manager advised the home could provide short-term safekeeping for valuables if necessary. The majority of the records provided for inspection had been completed as expected. The inspectors saw the fire logbook, a record of water checks, yearly electrical appliance tests, residents care plans and staff files. However some attention to detail in providing care planning where risks had been identified and providing two references for staff needs to be addressed for the home to fully meet the record-keeping standard. The information provided in the pre-inspection questionnaire evidence that regular maintenance is carried out on the hoists, passenger lift and emergency call system. No changes have been made to the policies and procedures for the home since the last inspection. The systems in place for training staff, risk assessing and maintaining the environment ensures that the health and safety and welfare of the staff and residents is considered. The maintenance records included environmental risk assessments. The system for recording accidents and injuries to residents and staff is in place. The manager has informed the commission of events such as the death of a resident required by section 37 of the Care Home Regulations 2001. The induction programme introduced follows the Training Organisations for the Personal Social Services guidelines. Examples of these were provided during the inspection. Woodland Court Nursing Home DS0000028762.V262345.R01.S.doc Version 5.0 Page 23 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 3 3 x X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 2 3 X 2 X X 3 X 2 STAFFING Standard No Score 27 3 28 X 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X 2 3 Woodland Court Nursing Home DS0000028762.V262345.R01.S.doc Version 5.0 Page 24 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 OP9 Regulation 13(2) Requirement Medication which has passed its expiry date or are no longer required by residents must be disposed of in line with good practice procedures. (Actioned prior to completion of the draft report) Risk assessments for the use of restraint (bed guards) must be completed for all service users who use them (Actioned prior to completion of the draft report) Timescale for action 23/09/05 2 OP7 13(7) 22/10/05 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 2 Refer to Standard OP18 OP21 Good Practice Recommendations The manager should continue to provide training updates to include vulnerable adults training for all grades of staff (carried forward from the last inspection) Rusting sections on the base of one bath hoist and two portable commodes should be cleaned/painted to ensure they are easily cleanable. DS0000028762.V262345.R01.S.doc Version 5.0 Page 25 Woodland Court Nursing Home 3 4 5 OP26 OP29 OP37 As above: -Rusting sections on the base of one bath hoist and two portable commodes should be cleaned/painted to ensure they are easily cleanable. All the information listed in schedule 4 should be available in staff files. All records for inspection should be clearly recorded and kept up-to-date. Woodland Court Nursing Home DS0000028762.V262345.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Woodland Court Nursing Home DS0000028762.V262345.R01.S.doc Version 5.0 Page 27 - 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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