Inspection on 05/09/07 for Woodside Home for the Elderly

This inspection was carried out on 5th September 2007.

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 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 Home for the Elderly 20/08/08

Woodside Home for the Elderly 30/05/06

Woodside Home for the Elderly 14/02/06

Woodside Home for the Elderly 21/06/05

Woodside Home for the Elderly 11/12/04

Woodside Home for the Elderly 15/08/04

Similar services:

Chirnside House

Keer Sands Residential Home

Sunny Bank (P.R.S.) Ltd

Ruskin Lodge

Bushell House

Ashwood Court Unit 1

Clover House

Langrigg House

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

CARE HOMES FOR OLDER PEOPLE Woodside Home for the Elderly Burnley Road Padiham Burnley Lancashire BB12 8SD Lead Inspector Mrs Julie Playfer Unannounced Inspection 09:00 5 September 2007 th 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 Home for the Elderly DS0000035069.V344205.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 Home for the Elderly DS0000035069.V344205.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodside Home for the Elderly Address Burnley Road Padiham Burnley Lancashire BB12 8SD 01282 774457 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) Lancashire County Care Services Miss Pauline O`Neill Care Home 44 Category(ies) of Dementia - over 65 years of age (10), Learning registration, with number disability over 65 years of age (1), Mental of places Disorder, excluding learning disability or dementia - over 65 years of age (3), Old age, not falling within any other category (30) Woodside Home for the Elderly DS0000035069.V344205.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to take people in the following categories: OP- Older age not falling within any other category - 30 DE(E) Dementia over 65 years of age - 10 MD(E) Mental disorder, excluding learning disability or dementia over 65 years of age - 3 LD(E) Learning Disability over 65 years of age - 1 30th May 2006 Date of last inspection Brief Description of the Service: Woodside is registered to provide personal care and accommodation for a total of 43 people. The home is owned and operated by Lancashire County Care Services and was extensively refurbished in 2005. Woodside stands in its own grounds close to Padiham town centre. Public transport is accessible from Burnley Road. There are car-parking facilities at the front of the building. Accommodation is provided in 42 single rooms and 1 double room. 19 of the single rooms have an ensuite facility. The home comprises of four units, Alder, Beech, Cedar and Damson. Each unit is self-contained with lounges, dining rooms, bedrooms and bathroom facilities. There is a large conservatory on the ground floor and a designated smoking room. Beech unit provides care for older people with a dementia. The home has been decorated and furnished to a good standard throughout. At the time of the inspection the scale of charges was as follows: standard rate £342.50, higher rate £386.00, self-funding residents £392.00 and residents with a dementia £396.00. Additional charges were made for hairdressing, toiletries, magazines and newspapers. The registered manager made information available to prospective residents by means of a statement of purpose and service users guide. These documents were usually given to relatives and/or prospective residents on viewing the home or at the point of assessment. In addition, all residents accommodated in the home had been issued with a personal copy of the statement of purpose and service users guide. Woodside Home for the Elderly DS0000035069.V344205.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A key unannounced inspection, which included a visit to the home, was conducted at Woodside on 5th September 2007. At the time of the inspection, there were 42 people accommodated in the home, plus one person in hospital. The inspection comprised of spending time with the residents, looking round the home, looking at the residents’ care records and other documents and discussion with the staff and the registered person. As part of the inspection process the inspector used “case tracking” as a means of gathering information. This process allows to the inspector to focus on a small group of people living at the home. The inspector was also accompanied by an expert by experience. This person could understand and empathise with the needs of older people. The expert spent his time talking to the residents, staff and manager and looking round the home. The person’s views of life in the home on the day of the inspection are incorporated throughout the report. Prior to the inspection, the registered manager completed a questionnaire, which provided useful information and evidence for the inspection. Satisfaction questionnaires were sent to the home for the residents and their relatives. Five questionnaires were returned from relatives/visitors to the home. What the service does well: The admission procedures were well managed and involved a full assessment of peoples’ needs. This enabled the registered manager and prospective residents to determine whether or not their needs could be met within the home. The residents spoken to felt they received a good standard of care and the staff respected their rights to privacy and dignity. One resident described the staff as “all very good” and another person said, “It’s very good, everyone is very kind and it couldn’t be better”. Varied, nutritious and well-presented meals were served. All the residents spoken to said, the meals were “very good” and confirmed there was always plenty to eat, with a choice each mealtime. Visitors were welcome in the home at any time and the residents were supported to maintain good contact with their family and friends. All the relatives and visitors who completed a questionnaire expressed satisfaction with the overall care provided. One person commented, “At this moment in time, I cannot fault any aspect of the home or staff”. Woodside Home for the Elderly DS0000035069.V344205.R01.S.doc Version 5.2 Page 6 Residents were provided with clean and nicely decorated bedrooms that were maintained to a high standard. All the residents spoken to said, they felt the home was kept clean and was comfortable. All the staff had achieved NVQ level 2 or above, this meant the staff had received the necessary training to enable them to carry out their caring role effectively. Good arrangements were in place for the supervision of staff, which ensured staff were given the opportunity to discuss their work and future training needs. The expert by experience concluded, “My overall opinion of Woodside is of a clean, well run modern home, with caring dedicated staff and an enthusiastic manager”. What has improved since the last inspection? What they could do better: The registered manager must ensure the care plans cover the residents’ healthcare needs and include clear guidance for staff. This is to make sure the staff know the best way to meet these needs. The residents should also be more involved in the care planning process, so that staff are aware of their preferences and the residents have some input into the delivery of their care. In order to minimise the potential for errors and safeguard the residents, improvements must be made to management of medication in the home. Woodside Home for the Elderly DS0000035069.V344205.R01.S.doc Version 5.2 Page 7 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 Home for the Elderly DS0000035069.V344205.R01.S.doc Version 5.2 Page 8 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 Home for the Elderly DS0000035069.V344205.R01.S.doc Version 5.2 Page 9 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): 1, 2, 3, 4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission procedure was well managed. The people living in the home had their needs properly assessed and they were provided with appropriate written information to enable them to make an informed choice about where to live. EVIDENCE: Written information was available for the people who live in the home in the form of a statement of purpose and service users guide. The guide was available in each of the residents’ bedrooms. Both documents provided useful information about the services and facilities available in the home. Since the last inspection, a leaflet had been produced which provided an overview and photographs of the interior and exterior of the home. All residents were issued with a statement of terms and conditions of residence and an individual service agreement. It was noted the statement of terms and conditions had been signed by the residents and/or their representative and Woodside Home for the Elderly DS0000035069.V344205.R01.S.doc Version 5.2 Page 10 the individual service agreement included information about the current level and payment of fees. The ‘case tracking’ process demonstrated the residents had their needs assessed prior to admission to the home by a social worker and/or the registered manager/senior staff. Copies of the preadmission assessments were seen on the residents’ files. The registered manager had also informed the residents in writing that, having regard to the assessment, their needs could be met within the home. Prospective residents were actively encouraged to spend some time in the home prior to making the decision to move in. This gave them the opportunity to meet the other residents and staff and experience life in the home. Woodside Home for the Elderly DS0000035069.V344205.R01.S.doc Version 5.2 Page 11 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 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The personal care received by the residents was based on their individual needs. However, there was insufficient information about the residents’ healthcare needs. Some aspects of the management of medication had the potential for error. EVIDENCE: From the case files seen it was evident that each resident had a care plan based on their assessment of needs. At the time of the inspection, the registered manager was in the process of implementing a new computerised care planning process, known as “Saturn”. This meant that not all files had been updated and one of the files seen had a different care planning format. The “Saturn” plans provided the staff with information about the residents’ personal, physical and social needs and were supported by risk assessments. However, whilst the care plans were kept on each unit for ease of reference, the staff spoken to during the visit said the new format was time consuming, confusing and difficult to follow. Woodside Home for the Elderly DS0000035069.V344205.R01.S.doc Version 5.2 Page 12 None of the residents spoken to by the inspector or expert by experience could recall seeing their care plan or being involved in the care planning process. However, the visitors who completed a questionnaire said they were always kept up to date with important issues affecting their relatives. The care plans were supported by records of personal care, which provided information on changing needs and any recurring difficulties. All records seen described the residents’ needs in respectful terms. The residents’ preferences about how they wished their care to be provided were sought, wherever possible. Risk assessments in respect to moving and handling, pressure sores and nutrition had been incorporated, where necessary, into the care plan documentation. The assessments included management strategies to manage, reduce or eliminate an identified risk. Since the last inspection, a monthly record had been made of the residents’ weight, which enabled the staff to identify risks as a result of any significant fluctuations in weight. Healthcare needs were appropriately assessed, however, this information had not been transferred to the care plans and there was no guidance seen in the care plans to inform staff on how best to meet these needs. There was evidence in the records of personal care to indicate the residents had access to NHS services and advice from specialist services had been sought as necessary, for instance the District Nursing Team and the Continence Service. The expert by experience noted that local opticians, dentists and doctors were on call as required and the manager and staff had a “good rapport” with these services. The residents spoken to felt the staff respected their rights to privacy and dignity and all made complimentary remarks about the staff, for instance one person said the staff were “very good, nothing is too much trouble”. The staff were observed to interact with the residents in a positive manner and they referred to the residents in their preferred term of address. The expert by experience noted that the residents had access to a public telephone, some had their own landlines and some had their own mobiles, but none of the current residents had computer or internet access. Policies and procedures were in place to cover all aspects of the management of medicines. The home operated a monitored dosage system for the administration of medication, which was dispensed into individual blister packs by a local pharmacist. Appropriate records were maintained for the medicines received, administered and leaving the home. Since the last inspection, a protocol had been devised for the administration of medication prescribed “as necessary”. However, it was noted there were some omissions where staff had not signed the medication administration chart to indicate medication had been given and not all medication had been given in line with the prescribers’ instructions. There were also several instants where medication was given to Woodside Home for the Elderly DS0000035069.V344205.R01.S.doc Version 5.2 Page 13 residents covertly, however, individual specific protocols were not seen in relation to this. One relative who completed a questionnaire, highlighted a concern about the administration of medication. This was discussed with the registered manager and the inspector was assured that improvements will be made to alleviate the concerns. Woodside Home for the Elderly DS0000035069.V344205.R01.S.doc Version 5.2 Page 14 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 and 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents were supported to live a full and stimulating lifestyle and maintain good relationships with their families. EVIDENCE: The residents said the routines were flexible and they were able to get up and go to bed at a time of their choosing. Breakfast and supper was served to meet the preferences of the residents. The residents’ interests were documented in the assessment and care plans and a new “getting to know you” document had been introduced about their preferences for activities. A broad range of activities were planned and implemented by the staff. Records were maintained of activities arranged in each of the four units. Since the last inspection, a new programme of activities had been arranged. The activities were arranged on each unit and everyone was invited to participate throughout the home. This meant the residents were supported and encouraged to mix within the whole home rather than just within their own unit. On the day of the visit, the inspector observed residents on Beech Unit playing dominoes with residents from Alder Unit. All the residents spoken to enjoyed the activities and meeting other people. On the Woodside Home for the Elderly DS0000035069.V344205.R01.S.doc Version 5.2 Page 15 day of visit there were three activities arranged throughout the day and details of the events were clearly displayed on each unit and in the hallway. Activities were also arranged on a regular basis outside the home and included walks, shopping and bus trips in the local area. Several residents also used the local shops and community facilities independently. The residents were consulted about the activities provided in the home as part of daily discussion and at the residents’ meetings. Visitors were welcome at the home and there were no restrictions placed on visiting times. The residents were able to entertain their guests in any area of their choice, including their bedrooms. All the relatives/visitors who completed a questionnaire were satisfied with the overall quality of care. Comments included, “I have found every member of staff lovely, efficient people, very warm and caring, besides their excellent experience and skill”. The residents were supported to continue with their chosen form of religion and various representatives from local churches visited the home on a regular basis. Residents spoken to described the meals as “very good” and “lovely”. They also said there was always plenty to eat and the food was a good quality. There was a choice of food at every mealtime and residents were asked what option they preferred. The meal looked appetising on the day of inspection and was well presented. Drinks and snacks were served at set times throughout the day and other times on request. The expert by experience joined the residents for lunch, he described the meal time as such: “the food was good and well-cooked, there was a choice of menu, which I saw displayed in several parts of the home. I saw that residents with feeding difficulties were helped. I was shown that the home has a six week rotating menu, which altered during the summer and winter. The residents said the food was good, varied and ample, there was only one detractor who thought that more salt and sugar could be used in the preparation, extra condiments were provided on the table”. Woodside Home for the Elderly DS0000035069.V344205.R01.S.doc Version 5.2 Page 16 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): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were able to express their views and had access to a clear complaints procedure. Policies and procedures were in place to respond effectively to any allegations or suspicions of abuse. EVIDENCE: Both informal and formal arrangements were in place to ensure the registered manager and staff listened to and acted on the views and concerns of residents. This was achieved during daily conversation, one to one discussion, satisfaction questionnaires and residents’ meetings. The residents spoken to said, they felt comfortable expressing their views and were aware of whom to speak to in the event of a concern. A copy of the complaints procedure was included in the service users guide, which was available in each of the bedrooms and on display in each unit and in reception. The procedure contained the necessary information should a resident or their representative wish to raise a complaint with the home or direct to the Commission. Since the last inspection, the procedure had been updated to include the new contact address of the Commission. According to the information supplied prior to the inspection, the manager had received three complaints in the last 12 months. All the complaints had been resolved within 28 days and two of the complaints were upheld. A record had been made of the complaints and the associated investigation and outcome. Woodside Home for the Elderly DS0000035069.V344205.R01.S.doc Version 5.2 Page 17 The registered manager had access to a revised version of “No Secrets in Lancashire” (The Joint Strategy for the Safeguarding of Vulnerable Adults), along with a specific procedure setting out the required response in the event of any allegation, suspicion or evidence of abuse. These issues were incorporated into the induction training and staff received specific training as part of their mandatory training programme. Staff spoken to were aware of the procedure and whom to refer any incident to as well as the various agencies involved. Woodside Home for the Elderly DS0000035069.V344205.R01.S.doc Version 5.2 Page 18 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, 20, 21, 22, 23, 24, 25 and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The residents were provided with an attractive, clean, comfortable and well maintained environment. EVIDENCE: Woodside is a purpose built two storey building, which was extensively refurbished in 2005. The accommodation within the home is split into four separate units. Each unit is self-contained and provides lounges and dining areas along with bedrooms and bathrooms. The home has been refurbished and decorated to a high standard throughout. All the residents spoken to liked the layout of the home. Integration between the Units was actively encouraged and residents enjoyed free movement around the home. The residents living on Beech Unit were supported by staff, when they wished to visit other areas of the home. Woodside Home for the Elderly DS0000035069.V344205.R01.S.doc Version 5.2 Page 19 The grounds of the home were extensive and there were several sitting areas for the use of residents. Garden furniture was available on the patio outside the main conservatory. Beech Unit had a large enclosed garden, which residents were able to freely access at any time. The conservatory on Beech Unit added considerably to the communal space and provided the residents with a choice of where to sit and spend time. In addition to the communal space provided on each unit the residents had access to a large conservatory on the ground floor. There was an assisted bath and shower on each unit and nineteen of the single rooms had an ensuite facility. Residents were provided with appropriate aids and adaptations to assist their mobility and independence, these included three Oxford hoists, a stand aid hoist, grab rails in toilets and bathrooms and raised toilet seats. There was a call facility in every room. The doors to residents’ bedrooms had been fitted with appropriate locks and residents had been issued with keys. It was evident from a partial tour of the premises that residents had bought in their own belongings and had personalised their rooms in accordance with their own tastes and preferences. All residents spoken to were pleased with the size and standard of furnishing and décor in their bedrooms. The residents spoken to described their rooms as “very nice” and “lovely”. Radiators had a guaranteed low temperature surface and preset valves had been fitted to all water outlets to minimise the risks of scalding. All the residents said there was plenty of hot water and the home was maintained at a comfortable temperature. There was a good standard of cleanliness throughout the home. A small laundry was located on three units with a main laundry on the ground floor. Since the last inspection, new sluicing facilities had been provided. The expert by experience observed that, “the home was bright, clean and tidy and the residents had personal items in their room”. Woodside Home for the Elderly DS0000035069.V344205.R01.S.doc Version 5.2 Page 20 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff were provided with appropriate training and were deployed in sufficient numbers to meet the needs of the residents. The residents were protected by the recruitment policies and practices. EVIDENCE: The registered manager maintained a staff rota, which indicated, which staff were on duty and how many hours they had worked. All staff providing personal care were aged over 18 and all staff left in charge of the building were aged over 21. There were sufficient staff available to support the needs, activities and aspirations of individual residents. Lancashire County Care Services operated a recruitment and selection procedure, which was underpinned by an Equal Opportunities Policy. The files of two members of staff, who had recently commenced working in the home, were seen during the inspection. It was evident from viewing these files that the procedure had been appropriately followed and all relevant checks had been carried out. All new employees undertook an in house induction programme and a “Skills for Care” induction. The latter provided underpinning knowledge for NVQ level 2. At the time of the inspection, the equivalent of 100 of the care staff were Woodside Home for the Elderly DS0000035069.V344205.R01.S.doc Version 5.2 Page 21 trained to NVQ level 2 or above. Staff members spoken to confirmed there were many training courses available, all of which were useful and informative. The residents had a good relationship with the staff. As such, the residents were observed throughout the inspection conversing freely with the staff and participating in a shared humour. Woodside Home for the Elderly DS0000035069.V344205.R01.S.doc Version 5.2 Page 22 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, 32, 33, 35, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Management and administration practices were effective in ensuring the home was run in the best interests of the residents. EVIDENCE: The registered manager held the Registered Manager’s Award as well as other relevant qualifications such as NVQ level 4 in Management and an HNC in Social Care. The registered manager had also undertaken periodic training to update her knowledge and skills, which included care planning, first aid and budget training. The registered manager had a sound understanding and knowledge about the best ways to care for older people and this was communicated to the staff by means of daily interactions, formal supervisions and staff meetings. Woodside Home for the Elderly DS0000035069.V344205.R01.S.doc Version 5.2 Page 23 The expert by experience said “the manager came across as being very outgoing and had great concern for the residents”. The overall atmosphere was open and friendly. Positive interactions were observed between the staff and the residents, with many of the staff sitting with residents for a chat or playing table top games. All the residents spoken to said the staff were “lovely” and “very nice”. Arrangements were in place for the supervision of staff, with each member of the management team being delegated the responsibility of supervising a group of staff. The supervision format covered the elements listed in the National Minimum Standards. All staff also had an annual appraisal of their work performance, which identified ant future training needs. Since the last inspection, the quality assurance process had been developed, with the introduction a new concept of known as “Consultation Week” for the residents. A notice was displayed in the home, informing the residents about the consultation. Five topics were chosen for discussion, with three questions on each topic. The topics included activities and mealtimes. A quarter of the residents received a questionnaire each quarter to ensure all residents completed a questionnaire once a year. The results from the first quarter had been collated and a summary of the results had been displayed for the residents. The views of the relatives had also been sought and it was planned to consult the relatives as part of future consultation weeks. Residents’ and staff meetings were held on a regular basis and from the minutes seen it was evident both the staff and residents were encouraged to express their views about life in the home. The registered manager had also developed a business plan for the home, which highlighted the planned developments for the forthcoming year and the organisation had been awarded an Investors in People Award in June 2007. Appropriate arrangements were in place for handling money, which had been deposited with the home by or on behalf of a resident. A random check of monies was found to be correct. Records were maintained centrally, in respect to the amount of fees charged and received. There was a set of health and safety procedures available, which included the safe storage of hazardous substances. Staff received health and safety training, which included moving and handling, food hygiene, first aid and fire safety. Documentation seen during the inspection and information supplied by the registered manager indicated the electrical, gas and fire systems were serviced at regular intervals. However, the gas and electrical safety certificates were not available on the day of inspection. The fire log demonstrated the staff and residents were involved in fire drills and staff had received instruction about the fire procures during their induction. Risk assessments had been completed in respect to safe working practice topics. Arrangements were in Woodside Home for the Elderly DS0000035069.V344205.R01.S.doc Version 5.2 Page 24 place to record accidents and incidents in the home and the Commission had been notified as appropriate of any significant event in the home. Woodside Home for the Elderly DS0000035069.V344205.R01.S.doc Version 5.2 Page 25 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 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 3 3 3 4 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X 3 Woodside Home for the Elderly DS0000035069.V344205.R01.S.doc Version 5.2 Page 26 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 OP8 Regulation 15 Requirement The service user plans must include all health care needs and provide clear guidance to staff of how these needs are to be met. (Previous timescales of 15/08/05, 30/04/05 and 01/08/06 - not met). All prescribed medication must be administered in line with the prescriber’s instructions. (Previous timescale of 30/05/06 – not met). The medication administration record must be signed contemporaneously to avoid omissions on the records. An appropriate key must be used whenever the resident does not take medication. (Previous timescale of 30/05/06 – not met). Timescale for action 20/10/07 2. OP9 13 (2) 05/09/07 3. OP9 13 (2) 05/09/07 Woodside Home for the Elderly DS0000035069.V344205.R01.S.doc Version 5.2 Page 27 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 Refer to Standard OP7 OP9 Good Practice Recommendations A system should be devised for involving the residents in the care planning process to ensure they have a formal input to the delivery of their care. An individual specific protocol must be devised and implemented in line with the Royal Pharmaceutical Society Guidelines in relation to the administration of covert medication. This is to ensure all staff follow the same procedure in a safe and consistent manner. Woodside Home for the Elderly DS0000035069.V344205.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 © 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 Home for the Elderly DS0000035069.V344205.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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