Inspection on 21/12/05 for Woodlands View Residential And Nursing Home

This inspection was carried out on 21st December 2005.

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

Woodlands View Residential And... 11/07/05

Woodlands View Residential And... 16/03/05

Woodlands View Residential And... 05/05/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Woodlands View Residential And Nursing Home Magpie Crescent Stevenage Hertfordshire SG2 9RZ Lead Inspector June Humphreys Unannounced Inspection 21st December 2005 & 27 January 2006 10:00 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 View Residential And Nursing Home DS0000019628.V273219.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 View Residential And Nursing Home DS0000019628.V273219.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Woodlands View Residential And Nursing Home Address Magpie Crescent Stevenage Hertfordshire SG2 9RZ 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) 01438 740230 01438 745967 bevanjo@bupa.com BUPA Care Homes Limited Ms Janette Bevan Care Home 120 Category(ies) of Dementia - over 65 years of age (30), Old age, registration, with number not falling within any other category (120), of places Physical disability over 65 years of age (6), Terminally ill over 65 years of age (6) Woodlands View Residential And Nursing Home DS0000019628.V273219.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. This home may accommodate 30 older people who require personal care. This home may accommodate 6 older people with physical disability who require nursing care. This home may accommodate 90 older people who require general nursing care. This home may accommodate 10 people (aged between 50-65 years) who require nursing care. This home may accommodate (in Wellfield House) 30 older people with dementia who require nursing care. 11th July 2005 Date of last inspection Brief Description of the Service: Woodlands View is a purpose built care home providing nursing and personal care and accommodation for 120 older people. It was first registered with Hertfordshire County Council Inspection Unit on 25th November 1994. It is owned by BUPA Nursing Homes Limited. It is situated on the eastern outskirts of Stevenage, enjoying the benefits of a rural and residential location and is opposite a large superstore, which can easily be accessed by wheelchair users. Woodlands View comprises of an administration unit, which also houses the main kitchen and laundry and four single storey units, each having accommodation for thirty service users in single bedrooms. The home provides personal and nursing care for older people. Lucas House and Astonury House accommodate 60 service users who have physical disabilities/illnesses and are in need of nursing care. Wellfield House accommodates 30 persons who have dementia who are in need of nursing care. Newton House accommodates 30 (OP) older people who require personal care. Each house has a large day area that is sub-divided into a lounge, dining area and smoking section and a well equipped kitchenette. Two houses now have small television room separated off from the main lounge so that the television does not annoy other residents. A small quiet lounge is provided separate from the main day area adjacent to the entrance to each house. All bathroom and toilet facilities are fully assisted, complete with all necessary aids to bathing. Woodlands View Residential And Nursing Home DS0000019628.V273219.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second unannounced inspection of this year, the previous one being undertaken on the 11th July 2005. To complete the inspcetion process further announced visit was undertaken on the 27th January 2006 to look at recruitment records of new staff. The service provides care for a large number of people with varied, complex needs. Three inspectors visited the service and spent time in all the four units. The care observed was of a high standard. The level of support provided is dependent on service users needs, and therefore different in each unit. This was a positive inspection with no outstanding requirements. What the service does well: On the day of the inspection the quality of the care was seen to be of a high standard, with every effort being made to meet the individual needs, of service users with varied and complex needs. Service users and relatives who took part in the inspection said that they were happy with the home, and that staff were helpful and caring. Staff appear to know service users preferences, and enable them to make appropriate choices and decisions about the service they receive. The care plans seen provided detailed information on personal and health care needs, and service users did appear to be consulted in the reviewing and updating of these plans wherever possible. There is a range of activities for service users to choose to join in; and regular opportunity for trips out. A good choice of hot and cold food is available, with specialist diets being catered for with ease. Woodlands View Residential And Nursing Home DS0000019628.V273219.R01.S.doc Version 5.0 Page 6 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. Woodlands View Residential And Nursing Home DS0000019628.V273219.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 View Residential And Nursing Home DS0000019628.V273219.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): 1and 3 The service provides a detailed guide. It is a good example, which explains the type of service available. Prospective service users, and relatives are encouraged to visit prior to admission. A comprehensive assessment is carried out prior to admission. Intermediate care is not offered as part of the service (Standard 6). EVIDENCE: Each service user has a file that contains an in-depth assessment which is carried out prior to admission. The assessments seen included physical and mental health, behaviour, as well as information relating to falls, pressure sores and diet. Part of the assessment process involves the completion of the BASOLL (Behavioural assessment scale of later life) this appeared very useful with regard to service users with dementia. It assesses levels of detoriation, and aggression, and then gives a numerical score to provide a measure of their dependence. Woodlands View Residential And Nursing Home DS0000019628.V273219.R01.S.doc Version 5.0 Page 9 The care plans are very detailed with regard to medical needs, and provide clear guidance of levels of intervention required. Fuller social information would be of benefit, particular for people suffering with dementia, as often people lose their ability to express their preferences. Service users had signed the care plans seen, the inspectors were advised that where this was not possible it was recorded and a relative had been consulted and asked to sign. The service employs a range of different staff, with sufficient nurses to meet the nursing needs of service users. Training profiles looked at showed that a good standard of training is offered to all staff employed. Woodlands View Residential And Nursing Home DS0000019628.V273219.R01.S.doc Version 5.0 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 and 10 The individual needs of service users are clearly identified and set out in the care plan. Risk assessments regarding medication appear comprehensive, and are useful working documents. There were no concerns relating to the administration of medication on the day of the inspection. Service users spoken to appeared satisfied, and pleased with the service they received. EVIDENCE: Eight care plans were looked at in detail on the day of the inspection. These were a random sample of service users from all four units. The care plans were clear and information could be easily tracked from care plan, risk assessment and case notes. A good example was seen where a persons needs had changed. The care plan had been reviewed and updated. Proffessional involvement had been recorded and dates of new referrals to outside professionals were also apparent. Service users spoken to said that their opinions had been sought, and they were pleased when nursing staff offered professional guidance. Monitoring of the possibility of pressure sores was good. The wound care was evident and well recorded. Woodlands View Residential And Nursing Home DS0000019628.V273219.R01.S.doc Version 5.0 Page 11 The staff work alongside many other outside professionals who provide specialist support to service users. On the day of inspection a visiting practitioner was observed interviewing a service user in the main lounge area. This was felt to lack the privacy that should have been afforded to the person and such consultations should be conducted in private eg the service users bedroom. The previous requirement with regard to the storage temperature of medication has now been met. An air conditioning unit has been purchased, and room temperatures are now checked and recorded. Woodlands View Residential And Nursing Home DS0000019628.V273219.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): 12,13, 14 and 15 Service users are wherever possible involved in making choices about their lifestyle. Cultural and religious preferences are respected, and where related activities are not available on the unit, care staff provide support to access community groups and facilities. EVIDENCE: The inspectors observed a range of activities being offered on all four units on the day of the inspection. The Company (BUPA) employs an activity cocoordinator. A weekly programme of activities was on display, as well as adhoc activities that had been organised over the festive season. An example of this was that a visiting pantomime had been organised to come in. There is a mini –bus which service users are able to use when they go out in small groups. Care plans recorded activities that service users enjoyed, and case notes recorded if the person had enjoyed the activity on the day when they participated. This was particularly well recorded on the dementia unit, where it was obviously significantly more important. A member of the care team made a very insightful comment “He always liked to do that, but now he doesn’t seem to enjoy it anymore”. She recorded this on his notes, so a change could then be made to the service users activity programme. Woodlands View Residential And Nursing Home DS0000019628.V273219.R01.S.doc Version 5.0 Page 13 Relatives can visit service users at anytime, and several visitors were seen in the different units during the inspection. Two relatives were spoken to, and said “staff were approachable and supportive.” The home has a varied menu offering a cooked breakfast daily to service users who wish to enjoy this option. The food appears to be of a high standard; with specialist dietary needs being noted in individual care plans. Woodlands View Residential And Nursing Home DS0000019628.V273219.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 and 18 BUPA has a comprehensive complaints policy, which is followed within the home. The manager actively encourages service users, and their relatives to make complaints when necessary. Adult protection is part of the mandatory training offered to staff working in the home. EVIDENCE: There is a copy of the complaints procedure on display in each unit. Staff had an awareness of the whistle blowing procedure and knew how to report any concerns about service users welfare. Staff spoken to confirmed that training relating to adult abuse had been provided. Complaints records were viewed on the day of inspection. They are corporate documents, which adequately record the complaint made; and subsequent information relating to the investigation. No complaints had been received since the last inspection, but several compliments had been recorded. Woodlands View Residential And Nursing Home DS0000019628.V273219.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): 19,23, 25 and 26. Woodlands View is a purpose built care home providing both residential and nursing care. Every effort has been made to try to provide a “homely atmosphere”. EVIDENCE: Each unit has been decorated with domestic style fixtures and fittings. This is a difficult task as at times service users require a high level of nursing care, and associated equipment is located in their own personal space i.e. bedroom. Bedrooms were personalised, reflecting individual style. Communal areas were seen to be well maintained, comfortably furnished and odour free. A maintenance programme is in place and refurbishment is therefore on going. Woodlands View Residential And Nursing Home DS0000019628.V273219.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): 27,28,29 and 30 The policies and procedures relating to recruitment meet the requirements of the National Minimum Standards, and Care Homes Regulations. EVIDENCE: Recruitment files were looked at as part of the inspection process. A separate visit was made by an inspector to look at CRB checks, references and recording of information relating to the employment of staff. The information seen was well documented, staff files being well organised and in an easily readable format. The staff team appears to be fully committed to offering a service of a high standard. There is a range of training being offered to increase and develop knowledge, with a view to the continued improvement. There is a stable staff team in place with few vacancies. Supervision is offered regularly, as well as on the job coaching. New staff are fully inducted and do not work unsupervised until confident. Care staff are offered NVQ level 2 training, and several managers were in the process of completing their NVQ level 4 training. Woodlands View Residential And Nursing Home DS0000019628.V273219.R01.S.doc Version 5.0 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33,35 and 38 The registered manager is committed to providing a service, which meets individual need. She is available to provide support and guidance to the staff team. EVIDENCE: The manager has been in post over a lengthy period of time offering stability and leadership to the staff, and consistency to service users. Her management style is open and positive, and staff felt able to speak to her if there were any concerns with their own line manager. Records are maintained for the effective management of the home. Health and safety procedures within the home appear to be effective and is regularly reviewed. An audit of the service is in place which provides sufficient evidence to produce a quality assurance report relating to the overall performance of the service. Woodlands View Residential And Nursing Home DS0000019628.V273219.R01.S.doc Version 5.0 Page 18 Robust accounting procedures are in place to safe guard service users finances. All invoices are computerised and the records sampled were clear and accurate. Woodlands View Residential And Nursing Home DS0000019628.V273219.R01.S.doc Version 5.0 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 4 x 4 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 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 x x x 3 x 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 x 4 2 x 3 x x 3 Woodlands View Residential And Nursing Home DS0000019628.V273219.R01.S.doc Version 5.0 Page 20 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. Standard Regulation Requirement Timescale for action 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 OP33 Good Practice Recommendations An audit process is in place. The registered manager is required to produce a yearly quality assurance report for the CSCI. Woodlands View Residential And Nursing Home DS0000019628.V273219.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Hertfordshire Area Office Mercury House 1 Broadwater Road Welwyn Garden City Hertfordshire AL7 3BQ 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 View Residential And Nursing Home DS0000019628.V273219.R01.S.doc Version 5.0 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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