Inspection on 05/04/05 for Woodside House

This inspection was carried out on 5th April 2005.

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 House 07/12/06

Woodside House 01/09/05

Woodside House 13/09/04

Woodside House 28/04/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Woodside Woodside Road Norwich Norfolk NR7 9XJ Lead Inspector Ruth Hannent Unannounced 5 April 2005 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 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 Version 1.10 Page 3 SERVICE INFORMATION Name of service Woodside House Address Woodside Road Norwich NR7 9XJ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 020 7352 5554 020 7352 2229 Barchester Healthcare Ms Vanessa Snow Care Home 56 Category(ies) of Dementia (30), Old age, not falling within any registration, with number other category (14), Physical disability (12) of places Woodside Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: Fourteen (14) Older People, not falling into any other category, may be accomodated Thirty (30) Service Users under the age of 65 years who have dementia may be accomodated Twelve (12) Service Users under the age of 65 years who have a physical disability may be accomodated Total number accomodated not to exceed fifty-six (56) Date of last inspection 13/09/04 Brief Description of the Service: Woodside House is a care home providing nursing care and accommodation for 56 service users. The home is separated into three units, Willow can accommodate 12 service users with a physical disability, Sycamore can accommodate 14 older people and these two units are managed as one, with Elm accommodating 30 older people with dementia and managed as the second unit.The company of Barchester Healthcare owns it.The home is situated on the outskirts of Norwich close to local shops and GP surgery. It was opened in 2002 and consists of a single storey building within its own grounds. All the home’s bedrooms are single with en-suite facilities. There are two enclosed well-maintained gardens with ample car parking at the front of the premises. Woodside Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 4 hours. The majority of the time was spent with the residents in the three groups with less time spent with the Manager looking at some records. The inspector spoke to 15 residents, 6 staff members (including the Manager) and 3 family members. Whilst walking the building the Inspector became involved with a group who were busy with craft work, a mealtime process and general discussion groups with residents, staff and families. The atmosphere throughout the home was relaxed, happy with people appearing absorbed and stimulated in different areas of the home. What the service does well: What has improved since the last inspection? What they could do better: Daily recording details need to give clearer information for the ongoing monitoring of care to ensure care plans are appropriate or if they need updating as changing needs occur. Each piece of paperwork that is completed with the resident, from the assessment, to the care plan and reviews should be signed by the resident or the residents family member/advocate. Woodside Version 1.10 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Woodside Version 1.10 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 Standards Statutory Requirements Identified During the Inspection Woodside Version 1.10 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 standard(s) 3 and 5 The Homes admission process is suitable for the admission assessment of potential residents but requires the signature of the person or their advocate to evidence that the person requiring a place in the Home is involved. EVIDENCE: The homes admission procedure paperwork was looked at for the last two people who had recently moved in to Woodside House. A clear assessment of need was seen and easily obtainable for all staff to read and follow. On speaking to one resident it was clear that all areas of her need had been discussed including her need to manage her own medication. (On walking the building it was noted a lockable unit had recently been provided in the residents room to store medication safely). Although clear records were seen it was noted that the resident had not signed the documents and to ensure all potential residents to Woodside House are actively involved in the assessment process it is recommended that where possible the person or persons advocate sign the assessment and care plan forms. A relative was spoken to who visits the home daily. She gave information on how involved she was in the admission process and with the introduction of her Woodside Version 1.10 Page 9 parents to Woodside House. This was the second home this family had been involved with a care home and were full of praise for the way the Woodside House had catered for the needs of their parents. Woodside Version 1.10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 and 10 Care plan information is adequate, suitable and meeting the needs of the individual residents but to ensure continuum of care is carried out the staff at Woodside House need to give clearer information when writing the daily records to ensure ongoing information of the needs of the resident is available for all the staff involved to offer a seamless service. EVIDENCE: Care plans were looked at of three residents that gave comprehensive details in a sectioned file format for clear reading. The care needs were descriptive and gave person centred details for each individual. A section for health needs were dated and signed with clear records of follow up appointments for Chiropody, Opticians and the Continence Advisor. Daily recording practise by staff showed records of ‘As Care Plan’ or ‘Seen as Care Plan’ which does not give information on how the day has been for the individual person. On discussion with the residents throughout the building, which included people from all three groups, the needs of the individual people were being met. One person made it very clear that she presents her needs monthly to the staff according to her busy lifestyle and therefore needs a very flexible service to meet that need. Woodside Version 1.10 Page 11 Woodside Version 1.10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13, 14 and 15 The Home needs to be commended in the effort and energy put into the promotion of activities for residents that are appropriate to their needs and choices. The meal served on the day of the inspection and future menu’s planned were seen as suitable and nutritious. EVIDENCE: Families and friends were seen coming and going throughout the day and one visitor was able to say how involved she had become in the home with all the activities and events that happen. One resident spoke of how active she is in the local Baptist Church and regularly attends services and meetings held at the church. Throughout the inspection the residents were involved in many activities throughout the home. On the walls in the corridors were many pictures, collages, and photographs of events that had taken place. Themed events and activities that were suitable for the three different groups accommodated were seen such as computer sessions, craftwork and reminiscence. Time spent in the craft room with 8 residents found a very happy relaxed atmosphere with each person managing the tasks at a level suitable for them. The local school visits weekly with planned activities as part of the curriculum. Currently the home and school are planning a joint puppet show with handmade puppets. 1 Woodside Version 1.10 Page 13 resident has asked not to be sent to her day centre any more as she prefers the activities offered within the Home and this is to be discussed fully in her planned review and was noted in her records. During the mealtime it was seen that residents were offered choice. The meal appeared wholesome and attractive with fresh vegetables, lasagne or fish on offer. Residents who needed help with their meals had a staff member sat along side them and gentle, encouraging conversations were heard that would ensure residents who were unable to manage the utensils themselves could enjoy their meal. 6 residents were spoken to in different dining areas and each one was full of praise for the food they receive at Woodside House. . Woodside Version 1.10 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These Standards were not inspected on this occasion. EVIDENCE: Woodside Version 1.10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 20, 21,23,24,25 and 26 The Home offers a clean comfortable and well decorated environment that offers plenty of space for movement inside and out. The entrances in and out of the indoor atrium need to be changed for safe movement to and from the area. EVIDENCE: Woodside House is a large ground floor home with décor that is bright and well maintained. The lounges and dining room areas are furnished with suitable chairs, furniture and lighting. The space within the communal areas were seen, allowing free movement for residents with wheelchairs or walking aids. Each bedroom has its own en-suite that has a shower facility if required. Beds can be raised and lowered as required and some residents have their own bed linen as choice. The three care units are met in the middle by a large atrium that is used for communal use with a water feature, garden beds, tables and chairs. These communal areas are clean, odour free and offer visual and tactile stimulation. One area of concern was discussed regarding the raised thresholds Woodside Version 1.10 Page 16 on entering and leaving the atrium that is a hazard for people with mobility aids. One resident was happy to show her room. She explained the decorations and ornaments around the bedroom were her own. Another resident, who had recently moved in to the home had a welcome sign and pack within her room. She told the Inspector she was very pleased with her en-suite bedroom and very happy to be living at Woodside. Woodside Version 1.10 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29and 30 The procedures for the recruitment of staff was seen as clear and able to safeguard protect the people who live at Woodside House. Staffing levels were good with plenty of staff were deployed to ensure the needs of the individual people were met. EVIDENCE: Throughout the home staff were seen to be working calmly and efficiently. The care staff were supported by senior staff and nurses and during the inspection a practise nurse from the local surgery was involved in the health care needs of residents. The time spent with the people who live at Woodside House by the Inspector (3hours) gave a clear picture of the tasks carried out by the staff and the ability to do those tasks appropriately such as assisting to take people to the toilet, helping with meals and leading with activities. Conversations heard while these tasks were in progress showed clear options of choice, involvement and empowerment being offered to residents, from the person who was unwell in bed to the group involved in activities. 2 staff files were seen as part of the recruitment procedure check. Both files showed CRB’s with no problems found, 2 references that stated the candidates were suitable for the job, medical forms to prove fitness and recent training certificates such as food hygiene and health and safety. On talking to the most recently employed staff member the Inspector was given a clear picture of the induction process which included fire training and a video on health and safety. The staff member felt well supported and knew who to ask for support if she was unsure of what to do. Woodside Version 1.10 Page 18 The Manager has a rolling programme of training planned for the staff and is at present concentrating on developing the staff skills in the group for people with dementia. Woodside Version 1.10 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 and 35 Ongoing monitoring of the service is evident in the way the Manager talks to residents and the evaluation forms available. The personal money of each resident is not held by the Home and therefore is safeguarded in the interest of the resident. EVIDENCE: Within the rooms of residents was a recent newsletter which held a quality assurance questionnaire. The staff encourage the people who live at Woodside and their families and friends to fill in these forms. Each month the questionnaire will have a different focus. This month was food and last month activities. The Inspector spoke to some of the residents who enjoy filling in the forms and do think they are listened to and acted upon. The newsletter keeps them informed of the progress of quality assurance and any changes that may be taking place. The Manager told the Inspector how meetings are planned by the Home with the local GP practise to improve the health care service ensuring the correct medical support is available and appropriate. Woodside Version 1.10 Page 20 The Home does not take responsibility for any of the resident’s personal money. Families are informed and are billed for any expenses such as the hairdresser or chiropodist at the end of the month. Woodside Version 1.10 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 2 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 4 15 3 COMPLAINTS AND PROTECTION x 3 3 x 3 3 2 x STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x x x x 3 x 3 x x x Woodside Version 1.10 Page 22 no 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 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. 1. 2. 3. Refer to Standard 7 7 20 Good Practice Recommendations it is recommended that residents or their representative sign their asessment and care plan/review forms It is recommended that staff write clear daily records of each resident to enable person centred care. Not Care plan Met or As Care Plan. It is recommended that the raised thresholds leading to the atrium are made safe for all residents. Woodside Version 1.10 Page 23 Commission for Social Care Inspection 3rd Floor, Cavell House St Crispins Road Norwich NR3 1YF 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 Version 1.10 Page 24 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!