Inspection on 04/04/06 for Woodside Care Home

This inspection was carried out on 4th April 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 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 10/01/06

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 4th April 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.V288451.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.V288451.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.V288451.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 number 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) 10th January 2006 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.V288451.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over 5 hours. On the day of the inspection 13 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, procedures and records concerning the safety of the home were also viewed. Five of the residents, three care staff and four visitors were spoken with. The Manager, who is as yet unregistered, was present throughout the inspection and the owner was also present for the latter part. What the service does well: What has improved since the last inspection? The Manager and the Senior Care Liaison Officer have continued to work hard on developing new policies and procedures and the home now has a comprehensive initial assessment form and transfer form which the local hospital staff have praised. Documents are now filed tidily in the office, so that staff can find them and master copies are laminated. Alterations and improvements to the building have continued at a great pace, with two lounges and the dining room now completely refurbished and several bedrooms are currently being upgraded to include en-suite facilities. There is now a programme of activities, albeit limited. Woodside Care Home DS0000045053.V288451.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.V288451.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.V288451.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): 1,2,3,4,5 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 completed. The Manager or a senior carer currently carry 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 and had stayed for lunch on one occasion, before permanent placement and the owner confirmed that there was a six-week trial period. Woodside Care Home DS0000045053.V288451.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): 7,8,9,10 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 very comprehensive and contained initial assessments including risk assessments and information on the needs of the individuals. The Manager and staff spoken with confirmed that only trained staff members were able to administer medication and the pharmacist, who visits regularly, his most recent inspection visit being 10 January, also assists with the training of staff. Residents said they felt safe and well looked after; one said ‘I have nothing but admiration for the staff here’ and another compared the home favourably with another home she had lived in. 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.V288451.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): 12,13,14,15 The home’s list of activities and events is not extensive enough to suit the needs of all the residents. The residents can exercise choice about which current activities, if any, they wish to participate in and what meals they want to eat. EVIDENCE: The activities co-ordinator has now developed a list of activities; these are basic and not suited to all of the residents. Residents and visitors said that there were not as many activities as there had been previously and one resident said she would like to go out more. The Manager said that once the alterations to the building had been completed, this would be addressed. Current activities provided within the home include bingo, ‘sing-a-longs’ and indoor skittles. One resident spoken with said she did not want to have any organised activities, preferring to organise her own. Residents were seen eating the mid-day meal and all spoken with said they enjoyed the food served at the home. Menus had been reviewed since the last inspection and showed a choice; there were several choices of pudding on the day of the inspection. All staff spoken with had basic food hygiene certificates. Woodside Care Home DS0000045053.V288451.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): 16,18 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 and their relatives said they did not wish to complain but knew how to make a complaint. The home had received one in the last twelve months and this had been resolved within the given timescales. 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 received in-house training on adult protection issues. Woodside Care Home DS0000045053.V288451.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): 19,23,24,26 The residents currently live in an environment where, due to the work in progress, access to parts of the building is restricted. Where refurbishment has been completed, residents live in a very comfortable environment but there is still much work to be completed on bathrooms, corridors and the first floor rooms. EVIDENCE: The home is set in a quiet residential area with a dance centre adjoining the building. The driveway is shared with some apartments, which have recently been purchased by the owner, and the dance centre. The driveway is potholed and the approach to the home is marred by a collection of rubbish outside the apartments. There is currently nowhere for residents to sit out in good weather and in discussions, the owner said there were plans to fence off a part of the grounds for use as an enclosed garden for the home. The home generally has a lot of communal space; on the ground floor there are two large lounges and a large dining room, all of which have been completely refurbished. Work is continuing with the ongoing refurbishment of the home and the Manager is now admitting residents as the bedrooms become ready for use. A resident Woodside Care Home DS0000045053.V288451.R01.S.doc Version 5.1 Page 13 said ‘the environment’s improved 100 per cent’ and her visitor concurred with this. The bedrooms currently being refurbished are separated from those in use, which keeps residents safe from the ongoing work. There will eventually be 9 refurbished rooms with en-suite facilities. Bathrooms are also still being brought up to standard. Locks to doors are currently lockable by individual keys and the Manager is arranging to have each lock replaced with new locks as bedrooms are brought up to standard. Meanwhile none of the current residents has a key. Those radiator covers in bathrooms, which were identified as being hazardous in the last report, have been replaced with new covers. The building was warm and spacious; a visitor said that her mother could walk around safely without feeling claustrophobic. The home was free from odours throughout. Woodside Care Home DS0000045053.V288451.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): 27,28,29,30 Sound procedures for the recruitment of staff are in place. Staff members are well trained and supported and there are sufficient staff numbers to meet the needs of current residents. EVIDENCE: Staff files showed that the home had undertaken all necessary recruitment checks and training records showed that the home had completed all statutory training with each staff member having a training record. Seven members of staff were working towards National Vocation Qualification at Level 2 and three were working towards Level 3. Recent training had included Adult Protection, Medication, COSHH, moving and handling and a 6-week course on Alzheimer’s disease and a ‘distance learning’ course on dementia. All new staff had a ‘probationary period record’. Staff rotas showed that there were sufficient staff members on duty to meet the needs of the current residents and service users and visitors spoken with confirmed that there were enough staff to complete their tasks. Woodside Care Home DS0000045053.V288451.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): 31,33,38 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 continues to make a very positive contribution to the running of this home since his appointment in October 05. He is applying to become the registered Manager. He has updated more policies and procedures since the last inspection and all master documents are laminated and stored tidily. Visitors to the home said ‘great improvements have been made’ and praised the Manager in particular, saying that the improvements were ‘down to him– communication is much better’. Staff records showed that they received regular supervision. The home’s maintenance, fire, servicing and environmental health records were up to date, along with policies on Health and Safety, COSHH and water temperatures. Woodside Care Home DS0000045053.V288451.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 3 3 3 3 3 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 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X 3 3 X 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 3 X 3 X X X X X Woodside Care Home DS0000045053.V288451.R01.S.doc Version 5.1 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 OP12 Regulation 16[2](m) (n) Requirement The registered provider must widen the range of activities to include visits and events outside the home according to residents’ wishes. The registered person must repair the potholes in the driveway. The registered person must develop a safe, enclosed garden area for residents to sit out in good weather. Timescale for action 30/05/06 2 OP19 23[2](b) 30/05/06 3 OP19 13[4](c) 30/05/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Woodside Care Home DS0000045053.V288451.R01.S.doc Version 5.1 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.V288451.R01.S.doc Version 5.1 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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