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Inspection on 09/12/05 for Woodlands Nursing Home

Also see our care home review for Woodlands Nursing Home for more information

This inspection was carried out on 9th December 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 is maintained to a comfortable standard. Residents reported overall satisfaction with the quality of life in the home and particular praise was given to meals provided. Residents confirmed that they were given adequate choice and that special diets were catered for. Staffing arrangements were in place to assist residents with their eating where required. The home provided a range of entertainment and outings which were satisfactory for the majority of residents.

What has improved since the last inspection?

Occupancy levels had increased since the last inspection and staff reported that staffing levels had increased in line with these increases. The home benefited from the services of adaptation nurses.

CARE HOMES FOR OLDER PEOPLE Woodlands Nursing Home Wardgate Way Holme Hall Chesterfield Derbyshire S40 4SL Lead Inspector Eileen McHale Unannounced Inspection 9th December 2005 03:00 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 Woodlands Nursing Home DS0000002099.V272816.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. Woodlands Nursing Home DS0000002099.V272816.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Woodlands Nursing Home Address Wardgate Way Holme Hall Chesterfield Derbyshire S40 4SL 01246 231191 01246 231193 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) Midland Healthcare Ltd Mrs B Tinsley Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (50) of places Woodlands Nursing Home DS0000002099.V272816.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. To allow one Service User (PD) to be accommodated for the period of their stay, as named in the notice of proposal dated 4 May 2005. 26th August 2005 Date of last inspection Brief Description of the Service: The Woodlands is a purpose built two-storey home, which provides residential and nursing care for up to 50 elderly service users. The home is situated on a housing estate and shops and community facilities are close by. The home has a large car park for visitors and is situated in lawned grounds. The home provides forty-four single and three shared rooms. Three rooms have en-suite facilities. Woodlands Nursing Home DS0000002099.V272816.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. At the time of the inspection the manager was not on duty and the home’s Administrator was also leaving the premises to begin annual leave. The nurse in charge of the home in the absence of the manager was actively involved in the care of residents. There being no-one available to assist the inspector in accessing records other than day to day records used by nurses and care staff, the focus of the inspection was, discussion and responses from service users, visitors and staff members. What the service does well: What has improved since the last inspection? What they could do better: Staff members were aware of procedures to ensure the protection of vulnerable adults but training had not been provided for all staff. Woodlands Nursing Home DS0000002099.V272816.R01.S.doc Version 5.0 Page 6 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. Woodlands Nursing Home DS0000002099.V272816.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 Woodlands Nursing Home DS0000002099.V272816.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): EVIDENCE: These standards were not addressed on this occasion. Woodlands Nursing Home DS0000002099.V272816.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): 9 Appropriate systems, including training for staff are in place for the management of medication EVIDENCE: Staff members indicated that nursing or senior care staff administered medication according to whether residents were receiving nursing or personal care only. Senior care staff had completed the supplying pharmacist’s training course and checks were carried out by the supplying pharmacy on arrangements for the storage and administration of medication. The home had the Monitored Dosage System of medication, which was stored in trolleys, which could be secured to the wall. The home had a treatment room. All controlled drugs were stored in a controlled drug cabinet to which the registered nurses had access. Records of controlled drug administration were appropriately recorded. The home had a medication refrigerator and records were retained of temperatures. Woodlands Nursing Home DS0000002099.V272816.R01.S.doc Version 5.0 Page 10 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, 15 Within their daily lives, residents are offered choice of meals and activities . EVIDENCE: Discussion took place with 4 residents and comments were received from others on their experience of daily life in the home. They confirmed that a number of activities were available in the home which included outings, entertainment, bingo and games such as dominoes. Information on activities was on display in the home. As was to be expected, residents’ experiences of activities were varied. Some acknowledged that they were not well enough to go out but enjoyed entertainment. One resident said that she sat around quite a lot and would like to have more to do. This resident had been brought magazines to read but didn’t have the equipment in the home to carry out her preferred activity of knitting. Television was as in most homes an issue for some residents. Not all residents can see the screen easily and there is a difficulty in providing in a large lounge enough sound for residents who are watching a programme without making it impossible for other residents to chat to their neighbours. This can sometimes be resolved in part by the arrangement of furniture. Residents confirmed that friends and relative were made welcome as visitors to the home. People from the local church visited the home from time to time. Woodlands Nursing Home DS0000002099.V272816.R01.S.doc Version 5.0 Page 11 Residents confirmed high levels of satisfaction with meals provided in the home, which they said, offered choice and were very wholesome. A range of diets was available including a vegetarian option, which was confirmed to be of a good standard. The menu and food seen at the time of the inspection confirmed that choice was available and teas on that day were made up as individual plates with the residents’ names on them. The inspector noted that residents with higher needs were assisted to eat and that staffing levels were committed to enable that assistance. Woodlands Nursing Home DS0000002099.V272816.R01.S.doc Version 5.0 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): The home has not ensured that all staff are trained in adult protection in order to ensure the safety of service users. EVIDENCE: At the time of the inspection records of complaints were not available but the manager reported withinthe pre-inspection questionnaire that no complaints had been received in the past 12 months.. Staff members spoken to by the inspector had not received training in adult protection but indicated that some nursing staff had received some training and that the home had in place adult protection procedures. Woodlands Nursing Home DS0000002099.V272816.R01.S.doc Version 5.0 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): 19,26 Residents benefit from well maintained and accessible private and communal facilities. EVIDENCE: The home is maintained to a good standard. Accommodation was arranged to provide two units for residents, the smaller unit providing mainly for service users with higher staffing needs. The home provides a range of lounge and dining areas, which are clean and comfortable. Residents had the opportunity to personalise their rooms and were provided with over bed lighting in addition to central lighting in their rooms. There was an alarm call system in place. The home provided accessible baths, showers and toilets. Some rooms had locks on doors. The home was maintained to a clean condition . both residents personal laundry and the home’s laundry was maintained to a good standard. Woodlands Nursing Home DS0000002099.V272816.R01.S.doc Version 5.0 Page 14 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 Residents in the home benefit from good levels of staff training. EVIDENCE: Staff were not available at the time of the inspection to assist the inspector in viewing records of recruitment and selection, staffing rotas and training records. The staffing rota and training records had been inspected as part of the previous inspection and sample rotas were included within the preinspection questionnaire. Within the pre-inspection questionnaire, records indicated that all staff had completed CRB checks and records were retained of nurse professional registration identification numbers and their expiry dates. Staff reported that as resident numbers had increased so had staffing levels. It was reported also that the home employed 4 qualified nurses and that 3 adaptation nurses were also employed in the home ensuring that there was an adaptation nurse on each shift. In general staff working in the home indicated that they received mandatory training although the inspector found that food hygiene training had not been completed by all care staff. At the time of the last inspection a high proportion of care staff had NVQ qualifications and staff reports on this occasion suggested that this was still the case. Woodlands Nursing Home DS0000002099.V272816.R01.S.doc Version 5.0 Page 15 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): EVIDENCE: This section was not inspected on this occasion as the inspector was unable to access the relevant records. The pre-inspection questionnaire provided no information on maintenance checks other than the checks to fire equipment. Woodlands Nursing Home DS0000002099.V272816.R01.S.doc Version 5.0 Page 16 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 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 2 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x x x x x Woodlands Nursing Home DS0000002099.V272816.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP18 Regulation 13(6) Requirement The registered manager must ensure that all staff receive training on the protection of vulnerable adults. Timescale for action 31/05/06 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. 2. Refer to Standard OP12 OP27 Good Practice Recommendations The manager should ensure that new residents have the opportunity to discuss their preferences for activities with the activities organiser. The registered manager should ensure that care staff maintain all mandatory training within required timescales.. Woodlands Nursing Home DS0000002099.V272816.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Woodlands Nursing Home DS0000002099.V272816.R01.S.doc Version 5.0 Page 19 - 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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