CARE HOMES FOR OLDER PEOPLE
Woodside Care Home Lincoln Road Skegness Lincs PE25 2SY Lead Inspector
Julie Western Key Unannounced Inspection 4th April 2007 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.V335519.R01.S.doc Version 5.2 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.V335519.R01.S.doc Version 5.2 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 Mr Stephen Wayne Booker Care Home 39 Category(ies) of Dementia - over 65 years of age (39), Old age, registration, with number not falling within any other category (39), of places Physical disability (1) Woodside Care Home DS0000045053.V335519.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Woodside Care Home is registered to provide accommodation and personal care to service users of both sexes in the following categories :Dementia over 65 years of age DE(E) 39 Old age, not falling within any other category OP 39 Physical Disability (PD) 1 The category PD applies to a service user under the age of 65 years The maximum number of services users accommodated at Woodside Care Home is 39 4th April 2006 2. 3. 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. Fees range from £335 to £415 with hairdressing an optional extra from £5.50. This and other information about the home including the latest inspection report is available from reception. Woodside Care Home DS0000045053.V335519.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This key inspection was unannounced, was carried out over three hours and took into account any previous information held by CSCI, including the home’s previous inspection reports, its service history, pre-inspection questionnaires completed by the manager and residents’ questionnaires sent to the home by the commission prior to the inspection.. The site inspection consisted of case tracking a sample of residents’ care and assessing how it was given. Some policies and procedures were examined and some records concerning the safety of the home were also seen. Three residents, three care and ancillary staff and five visitors were spoken with. The manager was present throughout the inspection and the owner for the latter part. What the service does well: What has improved since the last inspection?
Since the last inspection the home is now registered for people with dementia and therefore the home has been made more secure. There is now a secure garden with seats and sensory plants. The refurbishment of the building has continued with more bedrooms completely refurbished, giving residents a pleasant environment to live in. All policies and procedures are up to date, ensuring the welfare and safety of the residents. Woodside Care Home DS0000045053.V335519.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Woodside Care Home DS0000045053.V335519.R01.S.doc Version 5.2 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.V335519.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home clearly sets out what it intends to do for its residents and this information is freely available. Prospective residents are encouraged to take time before making the decision to move into the home on a permanent basis EVIDENCE: Admission records for the last two residents to be admitted were clear and comprehensive. Residents spoken with said they had seen a copy of the statement of purpose and owned a copy of the service user guide. Both were comprehensive and up to date. The manager said that he or a senior carer carried out pre-admission assessments, visiting residents in their own home or in a hospital or care
Woodside Care Home DS0000045053.V335519.R01.S.doc Version 5.2 Page 9 setting. The senior carer demonstrated a knowledge and awareness of the needs of older people including those with a dementia. Residents confirmed that they had visited the home for a day and one visitor said he and the prospective resident had stayed for a meal before permanent placement. The home does not provide intermediate care. Woodside Care Home DS0000045053.V335519.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s records give a clear picture of the health and personal care needs of residents. Staff members are trained in the safe handling of medication, ensuring that residents are safely cared for. EVIDENCE: Residents spoken with said they felt safe and well cared for. A visiting relative said ‘the staff are wonderful-they couldn’t do enough for us’ and compared the home very favourably with another his relative had stayed in. Residents said they were able to choose their key workers. The selected care plans were very comprehensive and split into three files, one of which was contained confidential information and was kept locked away. Health and personal care needs were well set out. Woodside Care Home DS0000045053.V335519.R01.S.doc Version 5.2 Page 11 Medication records were well documented and managed. The manager and staff spoken with confirmed that only trained staff members were able to administer medication. One resident said he managed his own medication and records seen demonstrated that this had been appropriately managed and risk-assessed. Three visiting health care professionals, two ‘falls advisors’ from the plc and one nurse from a local surgery, were all very complimentary about the standard of care. They found staff to be knowledgeable and polite. One said there had been a massive improvement in the standard of care and it was now one of the better homes in the area. 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.V335519.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Social activities are well promoted and create a variety of events and activities which residents are informed about. The residents exercise choice about which activities, if any, they wish to participate in and what meals they want to eat. EVIDENCE: Records regarding activities and entertainments for residents were individually recorded in care plans. An activities co-ordinator works in the home three days a week and is responsible for drawing up a monthly list of activities. There was a notice board displaying the month’s activities and recent photographs of various events and activities residents had participated in. On the day of the inspection residents were creating paintings of plated meals to be hung in the dining room; they all said they enjoyed doing this. Residents mentioned yesterday’s Easter entertainment and buffet at the home which many visitors, including the mayor of Skegness, attended.
Woodside Care Home DS0000045053.V335519.R01.S.doc Version 5.2 Page 13 The new enclosed garden area is now being planted with sensory shrubs and flowers and one resident mentioned that a bird table had been requested. There are tables and seating areas and residents mentioned enjoying being able to sit out in the garden last week when the weather was warm. One resident said she preferred to stay in her room and visit her family at weekends; this was her choice. The most recent residents’ meeting on 29th March showed that residents’ opinions were sought regarding future events. Records showed that issues of diversity and equality were addressed, with residents being enabled to carry out their religious, cultural and spiritual beliefs. Menus were nutritious and balanced, with a choice for vegetarians and several choices of pudding. Residents were seen eating the meal and all said they enjoyed the food. One said ‘the food’s terrific – especially the buffets’. All staff spoken with had basic food hygiene certificates Woodside Care Home DS0000045053.V335519.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s complaints procedure is clear and gives residents and their relatives the confidence that comments and concerns will be listened to. EVIDENCE: Residents and their relatives said they had no wish to complain but knew how to make a complaint. A visitor spoken with said he felt that his relative was safe from harm. One resident described how the staff had assisted him in receiving financial assistance from various government bodies and from SSAFA, the armed forces association. A staff member spoken with had received in-house training in adult protection issues and training records confirmed this. The complaints log showed that there had been no complaints in the last twelve months. Woodside Care Home DS0000045053.V335519.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The completed parts of the building ensure that residents live in a comfortable and pleasant environment with both private and communal space adequate for their needs. There are a number of bedrooms and bathrooms that are presently being renovated and they are currently unsuitable for residents to live in. 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 owned by the owner of the home, has recently been laid to tarmac. Woodside Care Home DS0000045053.V335519.R01.S.doc Version 5.2 Page 16 Other recent improvements have included the fencing off of the dance centre to give a private parking area to the front of the building and another part has been fenced off to form a secure garden area for residents. The ongoing refurbishment of the home is continuing, with bedrooms on the first and second floor being completely rebuilt in many cases. The manager said that heating and wiring certificates will be issued on completion of the work, which should be within weeks. Those rooms already refurbished on the ground and first floor are of a good standard of decoration and show the influence of the residents living in them. There are locks to doors and security panels to some areas, particularly stairs. All residents and visitors spoken with mentioned the improvement in the home’s décor; one said ‘it’s very much improved’. Bathrooms are also being completely refurbished with new bathroom equipment. The remaining bedrooms and bathrooms to be completed are currently unsuitable for residents to live in; the owner and manager said they thought the work would be completed within the next three months. Woodside Care Home DS0000045053.V335519.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sound procedures for the recruitment of staff are in place, to ensure that residents are protected. Staff members are well trained and supported and there are sufficient staff numbers to meet the needs of current residents. EVIDENCE: The staff rota showed that staff numbers were sufficient for them to be able to perform their tasks. Residents and relatives confirmed that there were enough staff to attend to their needs. Staff records showed that the home had undertaken necessary recruitment checks and training records showed that staff had completed statutory training. The most recent staff member to be employed confirmed that she had given references, completed an application form and been interviewed. She was currently undergoing induction training and was shortly to commence the National Vocational Qualification [a nationally recognised award] at Level 2. . A visitor praised the staff group and said ‘they’re lovely and very thoughtful’ and described how his relative received a plant at Easter from her key worker.
Woodside Care Home DS0000045053.V335519.R01.S.doc Version 5.2 Page 18 Staff rotas showed that there were sufficient staff members on duty to meet the needs of the current residents and residents and visitors spoken with confirmed that staff had time to complete their tasks. Woodside Care Home DS0000045053.V335519.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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 made a very positive contribution to the running of this home. Staff and residents all said that he had an open-door policy and was accessible and approachable. Woodside Care Home DS0000045053.V335519.R01.S.doc Version 5.2 Page 20 All policies and procedures are updated and all master documents are laminated and stored appropriately; they are also in the process of being stored on computer. Staff records showed that they received regular supervision. The minutes of the last residents’ meeting demonstrated that residents are consulted about the running of the home and contribute to it. Residents have been asked to complete a questionnaire on activities to ascertain what their favourite activities were. Maintenance, fire servicing and environmental health records were up to date, along with policies on Health and safety, COSHH and water temperatures. The manager has developed a comprehensive risk assessment for the areas still undergoing renovation and including requirements for regular contractors and in-house maintenance personnel. Woodside Care Home DS0000045053.V335519.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/a 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 X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X X X X 3 Woodside Care Home DS0000045053.V335519.R01.S.doc Version 5.2 Page 22 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. Refer to Standard Good Practice Recommendations Woodside Care Home DS0000045053.V335519.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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