Inspection on 10/01/06 for Woodside Care Home

This inspection was carried out on 10th January 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Woodside Care Home 04/04/07

Woodside Care Home 04/04/06

Woodside Care Home 21/09/05

Woodside Care Home 13/01/05

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Woodside Care Home Lincoln Road Skegness Lincs PE25 2SY Lead Inspector Julie Western Unannounced Inspection 10th January 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 Woodside Care Home DS0000045053.V277662.R01.S.doc Version 5.1 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. Woodside Care Home DS0000045053.V277662.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Woodside Care Home Address Lincoln Road Skegness Lincs PE25 2SY 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) 01754 768109 01754 767810 Kodali Enterprise Limited Care Home 39 Category(ies) of Dementia - over 65 years of age (2), Old age, registration, with number not falling within any other category (37), of places Physical disability (2) Woodside Care Home DS0000045053.V277662.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The Category DE(E) applies to the people named in the notices of proposal to register dated 29th November 2004 and 11th March 2005. The category PD applies to service users named in the notices of proposal dated 18 July 2005 and 10 March 2005. The maximum numer of service users to be accommodated is 39. The Home is registered to provide personal care for service users of both sexes whose primary needs fall within the following categories:Old age, not falling within any other category (OP) (37) Dementia - Over 65 years of age (DE[E]) (2) Physical Disability - Under 65 years of age (2) 21st September 2005 Date of last inspection Brief Description of the Service: Woodside is a care home providing personal care for 39 older people, situated in the seaside town of Skegness and a short walk away from local facilities and shops. It is owned by Kodali Enterprise Ltd and has been registered since October 2004. Dr Kodali is the Responsible Individual for the company and has been the owner of the home since 1997. The building is on 3 levels with the second floor being a self-contained flat for staff. The home has 35 single bedrooms with 15 having en suite facilities and 2 double rooms. A passenger lift gives access to all floors. There is a small garden area to the front of the home and parking for up to 10 cars. The home is registered for older people requiring personal care only. One bed is registered for Physical disability 55 years and over and one bed is registered for the Category DE (E) - Dementia. Both of these beds are on a named service user basis. Woodside Care Home DS0000045053.V277662.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 5 ½ hours. On the day of the inspection 14 residents were being accommodated. A tour of the building took place and care records were inspected. The main method of inspection used was called ‘case-tracking’; this involved selecting three residents and tracking the care they received through the checking of their records, discussion with the residents and care staff and observation of practices. Some policies and procedures were examined and records concerning the safety of the home were also seen. Three of the fourteen residents, three of the care staff and five visitors were spoken with. The Manager, who is as yet unregistered, was present throughout the inspection ad the owner was present for the latter part. What the service does well: What has improved since the last inspection? A comment card sent to CSCI read ‘since the new Manager has taken over, the standard of care and proficiency has excelled and is continuing to do so. From an average care home it has become a high standard one’. The Manager and the Senior Care Liaison Officer have spent much time on ensuring that policies and procedures are up to date and, although there is still some work to do, there is a considerable improvement, with such policies as the medication policy having been replaced. Care plans have been completely revised and are now comprehensive and easy to read. Improvements continue to be made to the environment and these include a new fixed wiring certificate, an overhaul of the fire alarm system, repairs to one of the toilets and the re-decoration of four toilets, a new television in one of the lounges, a new floor to the sluice room, the refurbishment of two bedrooms, improvements to the kitchen and the clearing out of much old furniture. The staff group have now received training in dementia, COSHH, medication and care planning. Woodside Care Home DS0000045053.V277662.R01.S.doc Version 5.1 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. Woodside Care Home DS0000045053.V277662.R01.S.doc Version 5.1 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 Woodside Care Home DS0000045053.V277662.R01.S.doc Version 5.1 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): 1-5 The home clearly sets out what it intends to do for its residents and this information is freely available; updating is nearly complete. Prospective residents are encouraged to take time before making the decision to move into the home on a permanent basis. EVIDENCE: There is a statement of purpose that tells the service user and their relatives what they can expect from the service; this and the service user guide are now nearing completion and the Manager will forward copies to the office upon completion. The Manager or a senior carer currently carried out pre-admission assessments, visiting them in their own homes or in a hospital or care setting; the senior carer demonstrated a knowledge and awareness of the needs of older people including those with a dementia. The statement of terms and conditions, called the residents’ contract, contained all relevant information. Residents spoken with confirmed that they had visited the home for a day, usually with one relative, and had lunch, before permanent placement and the owner confirmed that there was a six-week trial period. Woodside Care Home DS0000045053.V277662.R01.S.doc Version 5.1 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): 7,8,10 The home’s records give a clear picture of the needs of residents. Staff members are trained in the safe handling of medication, ensuring that residents are safely cared for. EVIDENCE: The three care plans looked at in depth were comprehensive and contained initial assessments including risk assessments and information on the needs of the individuals. The pharmacist was visiting on the day of the inspection and confirmed that all previous recommendations had been met and that the medication arrangements in the home were satisfactory. He discussed giving training sessions to staff on MAR sheets and administration of medication. The Manager and staff spoken with confirmed that only trained staff members were able to administer medication. Residents said they felt safe and well looked after; one said ‘they’re all good to you here’ and another compared the home favourably to another home she had been to. The staff team were observed carrying out their duties with kindness and sensitivity towards the residents, especially when attending to their personal needs. A visiting health care support worker said that the standard of care at the home was good and staff members were helpful, pleasant and knowledgeable about the needs of her patients. Woodside Care Home DS0000045053.V277662.R01.S.doc Version 5.1 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): 12-15 The home would benefit from having a designated member of staff responsible for the co-ordination of activities to inform residents and visitors of events. The residents exercise choice about which activities, if any, they wish to participate in and what meals they want to eat. EVIDENCE: The Manager said that the current activities co-ordinator is on sick leave. Residents and visitors said that there were not as many activities as there had been previously and staff said that they currently took residents out in their own time. Current activities provided within the home include bingo, ‘sing-alongs’ and indoor skittles, but only when time allowed. Relatives described how they had been invited to the Christmas parties and for Christmas dinner at the home. Two residents spoken with said they did not want to have any organised activities and preferred to organise their own activities. Residents were seen eating the mid-day meal and all spoken with said they enjoyed the food served at the home; a visitor said the food’s brilliant’. All said they had a choice for both the main meal and for tea. Menus did not show that there was an alternative to the main course and one resident said that there was not much variety with salads; the Manager said that menus were being reviewed currently. All staff spoken with had basic food hygiene certificates and the cook had the intermediate certificate in food hygiene. Woodside Care Home DS0000045053.V277662.R01.S.doc Version 5.1 Page 11 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, 17 The home’s complaints procedure is clear and gives residents and their relatives the confidence that comments and concerns will be listened to; there is a robust adult protection procedure. EVIDENCE: Residents said they did not wish to complain but knew how to make a complaint. The home had received one complaint in the last twelve months. There was a clear adult protection policy, which was linked to the Local Authority Adult Protection Procedures and a whistle blowing policy. Staff members spoken with had only received in-house training on adult protection issues and the Manager said that training was planned in the coming year. Woodside Care Home DS0000045053.V277662.R01.S.doc Version 5.1 Page 12 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 live in a comfortable environment with both private and communal space being on the whole suitable for their needs. Work is still continuing on the upgrading of the home. EVIDENCE: The home is set in a quiet residential area with a dance centre adjoining the building. The driveway, which is shared with some apartments and the dance school, is potholed and the owner is currently in talks regarding the removal of a pile of junk belonging to the apartments just in front of the property. The small garden area needs some seating and flowerbeds or tubs to make it more attractive for residents who wish to sit out in good weather and residents could not sit out in the garden without supervision, as the garden is not enclosed. The standard of decoration in the areas used by residents is adequate and affords residents a degree of privacy and comfort. There are several lounges to choose from and the home generally has a lot of communal space. The Manager is continuing with the ongoing refurbishment of the bedrooms and is not admitting further residents until each room is completely refurbished. Bathrooms are also still being brought up to standard. Locks to doors are Woodside Care Home DS0000045053.V277662.R01.S.doc Version 5.1 Page 13 currently lockable by individual keys; this would be a dangerous practice in a fire and the home’s risk assessment should reflect this. The home should consider the gradual replacement of locks with those more suitable for the residents. The radiator covers in bathrooms were made of a thick wire, which could be hazardous and one radiator in a hall was uncovered and was too hot; the Manager made arrangements to have this turned off immediately and said that the plumbers were arriving in three days’ time to completely renew the home’s heating system. The building was warm and spacious; one resident said ‘I like my room – I chose it myself’ and a visitor said that her mother could walk around safely without feeling claustrophobic. The home was free from odours throughout. Woodside Care Home DS0000045053.V277662.R01.S.doc Version 5.1 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): These standards were not inspected. EVIDENCE: Although these standards were not fully inspected, the staff rota showed that there were enough staff numbers according to the staffing matrix and shifts were staggered to accommodate the needs of residents; residents and staff thought there were enough staff members on duty to complete their tasks. Woodside Care Home DS0000045053.V277662.R01.S.doc Version 5.1 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): 32, 33, 35 The home is managed competently and staff members are supported in carrying out their respective roles. Residents and their relatives are consulted regularly about the running of the home. EVIDENCE: The Manager of the home has been in post for 10 weeks and has made many positive changes; he is applying to become the registered Manager. Finances belonging to residents were checked and found to balance. Two residents managed their own finances and another had his pension collected by the home; all the rest went straight into the bank. There were records of accounts and receipts for items bought on behalf of residents. The policies and procedures manual is still being collated, but the majority are in place. Woodside Care Home DS0000045053.V277662.R01.S.doc Version 5.1 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 2 3 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 X 2 2 3 X X 3 X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 3 X 3 X X X Woodside Care Home DS0000045053.V277662.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? yes 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 OP1 Regulation 41 Requirement The registered person must update the statement of purpose and the service user guide to reflect the current status of the home. This requirement is partly completed; the registered person is required to send copies of the statement of purpose and service user’s guide to CSCI on completion Timescale for action 07/03/06 2. OP12 16[2] 3. OP15 16[2](i) 4. OP18 13[6] The registered person must 07/03/06 arrange for regular, programmed activities to be held in and outside the home The registered person must 07/03/06 provide menus showing an alternative choice to the main meal The registered person must 07/03/06 ensure that all staff members receive training in adult protection issues from an external trainer. This requirement is outstanding from the previous inspection and the Manager has planned training for the coming year. Woodside Care Home DS0000045053.V277662.R01.S.doc Version 5.1 Page 18 5. 6. OP19 OP20 13[4](a) 23[2](o) The registered person must 07/03/06 ensure that the water heating system is safe The registered person must 07/03/06 ensure that outdoor space is safe and suitable for use by service users. Plans for utilising the outdoor space should be forwarded to CSCI. The registered person must redecorate/renovate bathrooms in constant use. This requirement is still partially outstanding from the previous inspection The registered person must provide lockable space for residents to keep valuables or medication. Locks to bedroom doors must be easily accessible to staff in an emergency. This requirement is still partially outstanding from the previous inspection 07/03/06 7. OP21 23 8. OP24 13, 23 07/03/06 9. OP36 18 The registered person must carry 07/03/06 out 6-monthly supervision for all staff. This requirement is still partially outstanding from the previous inspection 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 Woodside Care Home DS0000045053.V277662.R01.S.doc Version 5.1 Page 19 Woodside Care Home DS0000045053.V277662.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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. 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