Inspection on 21/09/05 for Woodside Care Home

This inspection was carried out on 21st September 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.

Other inspections for this house

Woodside Care Home 04/04/07

Woodside Care Home 04/04/06

Woodside Care Home 10/01/06

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 21st 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 Woodside Care Home DS0000045053.V251740.R02.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. Woodside Care Home DS0000045053.V251740.R02.S.doc Version 5.0 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 (1) Woodside Care Home DS0000045053.V251740.R02.S.doc Version 5.0 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 one named person who was identified in correspondence from 23rd February 2003. 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 (1) 13th January 2005 Date of last inspection Brief Description of the Service: Woodside is a care home providing personal care for 39 older people. 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.V251740.R02.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 5 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 and three of the care staff were spoken with. The owner and the newly appointed Manager who is due to commence in post on 3rd October 2005, were present throughout the inspection. What the service does well: 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. Woodside Care Home DS0000045053.V251740.R02.S.doc Version 5.0 Page 6 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.V251740.R02.S.doc Version 5.0 Page 7 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): The home clearly sets out what it intends to do for its residents and this information is freely available, although it needs some updating. 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 needs to be updated as some of the information is out of date and the service user guide is not written in an easily understandable format. The owner said that currently a senior carer carried out pre-admission assessments, visiting them in their own homes or in a hospital or care setting; she 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. The home did not confirm in writing that the home could meet the needs of prospective service users. Woodside Care Home DS0000045053.V251740.R02.S.doc Version 5.0 Page 8 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): The home’s records give a clear picture of the needs of residents but care plans need updating. 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 contained initial assessments including risk assessments and information on the needs of the individuals; they needed updating as some of the information was out of date. There was a medication policy and staff files contained certificates on medication training. Accident reports were not followed up with RIDDOR reports where applicable. The pharmacist visited on 15/9/05 and there was a list of recommendations, including training for 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. Woodside Care Home DS0000045053.V251740.R02.S.doc Version 5.0 Page 9 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): 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: Although this section was not fully inspected, current activities provided by the home include bingo, ‘sing-a-longs’, indoor skittles. Two residents spoken with said they did not want to have any organised activities and preferred to organise their own activities. The owner said that the activities organiser had recently been off sick. Residents were seen eating the mid-day meal and all spoken with said they enjoyed the food served at the home; two residents who were staying for one week’s respite care, said ‘the food has been lovely’. All said they had a choice for both the main meal and for tea. The mid-day meal was seen to be balanced and nutritious. All staff spoken with had basic food hygiene certificates and the cook had her intermediate certificate. Woodside Care Home DS0000045053.V251740.R02.S.doc Version 5.0 Page 10 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’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. Staff members need training on adult protection issues from an external trainer. EVIDENCE: Residents said they did not wish to complain but knew how to make a complaint. The home had received three complaints 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. Woodside Care Home DS0000045053.V251740.R02.S.doc Version 5.0 Page 11 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): The residents live in a comfortable environment with both private and communal space being on the whole suitable for their needs. Some upgrading is needed, particularly with regard to the bathrooms and redecoration is needed for some bedrooms. 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 with the owners of the dance school and the council regarding having this improved and 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. The standard of decoration internally 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. On the day of the inspection only 14 of the rooms were occupied; several of these needed redecoration or repairs to wallpaper, ceilings or carpets. The owner was aware that some refurbishment was needed to bring bedrooms up to date, particularly with regard to the boxing in of Woodside Care Home DS0000045053.V251740.R02.S.doc Version 5.0 Page 12 pipework and mirrors over wash hand basins. Bedrooms also needed some lockable storage space for medication, money or valuables and locks to doors needed to be able to be accessed by staff easily in an emergency. Bathrooms also neded some updating and the radiator covers in bathrooms were made of a thick wire, which could be hazardous. The building was light and warm and one resident said ‘I like my room – I chose it myself’. The home was free from odours throughout. Woodside Care Home DS0000045053.V251740.R02.S.doc Version 5.0 Page 13 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): Staff numbers are in sufficient quantity for them to be able to care for the residents. Staff members are suitably qualified and competent; they undergo an induction programme before commencing their duties. A training programme needs to be developed. EVIDENCE: The residents were positive about the care they received from the staff. Two said ‘they’re very good – really lovely’. The most recent staff member to be appointed confirmed that she had given two references, which were followed up, a CRB check and undertaken an induction programme before commencing work. Training records showed that statutory training was completed with recent specialist training being First Aid. Two staff members had achieved the National Vocational qualification at Level 2 and two were working towards it. Two staff members were commencing working towards Level 3. 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. There is a vacancy for a cleaner. There was no up to date training programme. Woodside Care Home DS0000045053.V251740.R02.S.doc Version 5.0 Page 14 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): The home is managed competently and the staff are supported and supervised in carrying out their respective roles. EVIDENCE: The new Manager commences in post on 3rd October; he will be attending an interview to become the Registered Manager of the home. Staff records and the home’s records were partly examined and needed some updating. Woodside Care Home DS0000045053.V251740.R02.S.doc Version 5.0 Page 15 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 2 x 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 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 3 2 3 3 2 x 2 STAFFING Standard No Score 27 3 28 3 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x x 2 3 2 Woodside Care Home DS0000045053.V251740.R02.S.doc Version 5.0 Page 16 Are there any outstanding requirements from the last inspection? See OP 26 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 4[1] Requirement The registered person must update the statement of purpose and the service user guide to reflect the current status of the home. The registered person must send a letter to acknowledge that they can meet the needs of the prospective service user. The registered person must ensure that care plans are updated regularly. The registered person must ensure that RIDDOR procedures are carried out. The registered person must carry out all recommendations as indicated by the pharmacist from his visit of 15/9/05. The registered person must ensure that all staff members receive training in adult protection issues from an external trainer. The registered person must redecorate/renovate bathrooms in constant use. The registered person must provide lockable space for DS0000045053.V251740.R02.S.doc Timescale for action 16/11/05 2 OP3 14[1][d] 16/11/05 3 4 5 OP7 OP8 OP9 15 17, RIDDOR 1985 13 16/11/05 16/11/05 16/11/05 6 OP18 13[6] 16/11/05 7 8 OP21 OP24 23 13, 23 16/11/05 16/11/05 Woodside Care Home Version 5.0 Page 17 9 10 11 12 OP26 OP30 OP36 OP38 13[3] 16[2][j] 18 18 12, 13 residents to keep valuables or medication. Locks to bedroom doors must be easily accessible to staff in an emergency. The registered person must provide a suitable flooring to the sluice room. The registered person must provide a staff training programme. The registered person must carry out 6-monthly supervision for all staff. The registered person must ensure that COSHH and RIDDOR procedures are carried out. 16/11/05 16/11/05 16/11/05 16/11/05 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 3 Refer to Standard 19 21 24 Good Practice Recommendations It is a recommendation that the safety bar at the top of the stairs is replaced with a proper gate to ensure that residents and staff do not trap their fingers. It is a recommendation that bathrooms are decorated to provide a homely atmosphere. It is a recommendation that bedroom mirrors are placed at a suitable height for residents to be able to see into them. Woodside Care Home DS0000045053.V251740.R02.S.doc Version 5.0 Page 18 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. Extracts may not be used or reproduced without the express permission of CSCI Woodside Care Home DS0000045053.V251740.R02.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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