Inspection on 07/12/06 for Woodside House

This inspection was carried out on 7th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Woodside House 01/09/05

Woodside House 05/04/05

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 House Woodside Road Norwich Norfolk NR7 9XJ Lead Inspector Ruth Hannent Key Unannounced 7th December 2006 10:00 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 House DS0000032205.V324109.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 House DS0000032205.V324109.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodside House Address Woodside Road Norwich Norfolk NR7 9XJ 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) 01603 702002 01603 436643 www.barchester.com/oulton Barchester Healthcare Homes Limited Vacant 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 House DS0000032205.V324109.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Fourteen (14) Older People, not falling into any other category, may be accommodated. Thirty (30) Service Users under the age of 65 years who have dementia may be accommodated. Twelve (12) Service Users under the age of 65 years who have a physical disability may be accommodated. Total number accommodated not to exceed fifty-six (56). Date of last inspection 1st September 2005 Brief Description of the Service: Woodside House (owned by Barchester Healthcare) is a care home providing care with nursing 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 people with dementia and managed as the second unit. 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 homes bedrooms are single with en-suite facilities. There are two enclosed wellmaintained gardens with ample car parking at the front of the premises. Woodside House DS0000032205.V324109.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit was to enable a report to be formulated from evidence received since the last inspection that also includes intelligence received from any source, comments, compliments and complaints. The Commission had also received a pre inspection questionnaire and some of the information from this document has been included within this report. Throughout the day the Inspector was accompanied, by an Officer from the Immigration Department (Home Office) who was able to look closely at personnel files of the staff who are employed and have come from overseas to ensure all documents are correct and in place. 14 comment cards had been received n total from relatives, residents and one GP. Records were looked at that included care plans, building maintenance, medication administration charts and personnel files. Throughout the day a tour of building took place with some bedrooms seen. Three staff members were spoken to in detail. Four residents were able to assist with some questions asked and lots of observation helped in the writing of this report. The Acting Manager and Matron were both unavailable at this unannounced visit so a date was planned to return to complete the inspection on the 20th December. This created a slight delay in the completing of this report. What the service does well: The Home has designated staff to carry out designated tasks, such as, hostesses who make the drinks and ensure residents are hydrated, lay the tables and assist with meals. The activities staff who solely oversee the planning and development of the programme of activities, which allows carers and nurses to concentrate and offer the care required. The Barchester company ensure that all areas of health and safety for anyone involved with any of the Homes is paramount and records and training are very thorough with Woodside being no exception. Staff are supported well with their own development needs and the Home has different ways of helping individual staff with methods that help them learn with a new computer in place as another soured of learning. Woodside House DS0000032205.V324109.R01.S.doc Version 5.2 Page 6 The Home is very welcoming and has a good team of front line staff that make people feel at home. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Woodside House DS0000032205.V324109.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 House DS0000032205.V324109.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): Quality in this outcome area is (adequate). This judgement has been made using available evidence including a visit to this service. 3 The Home does not always ensure that the service it provides will meet the needs of each resident prior to admission. EVIDENCE: On arrival at the Home two care plans that had the assessment document inside were looked at. There was comprehensive information recorded with suitable titles on each sheet to prompt the questions when the senior staff member completes the paperwork. The nurse sharing this paperwork and discussing both the assessments and the care plans said the assessments of potential residents, are carried out by the Manager or the Matron of Woodside House. The documents were noted to not always been signed by the resident or relative making it difficult to know if the assessment is a true picture of need. (Recommendation x 2) Over the past inspections the assessments Woodside House DS0000032205.V324109.R01.S.doc Version 5.2 Page 9 have always been in place but a concern brought to the attention of the Commission by a family member is of a resident who was assessed incorrectly according to their need and the Home could not offer the correct palliative care required. Although a comprehensive assessment form is available the Home must ensure they have the ability to offer the care as stated on their registration certificate. (Requirement). Woodside House DS0000032205.V324109.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): Quality in this outcome area is (adequate). This judgement has been made using available evidence including a visit to this service. 7, 8, 9 and 10 The Home is slowly beginning to develop the care plans to make them individual but have yet to reach a standard that will ensure person centred care is offered. Resident’s health care needs are met. The Home has a policy that is followed but needs to be more thorough in the recording practise. Residents are treated with respect and their privacy is upheld. EVIDENCE: The Home has just started to move the information from the old system of care plans (which is too clinical and not person centred) to a new format that should improve the knowledge gained on individual people and enable staff to work proactively with residents in a more person centred approach way. One Woodside House DS0000032205.V324109.R01.S.doc Version 5.2 Page 11 new care plan had just been completed by the nurse on duty and was shared with the inspector. From reading the information a much broader picture of need was beginning to show with a little more effort placed on the social needs to improve the care plan even further required. (Recommendation) The resident this care plan belonged to was seen and although communication was not easy it looked as if the care plan was relevant to that individual and beginning to show the individual persons needs. (It was still very limited in information on the person, their lifestyles, interests and family history). The Home is supported well by the local GP’s. On the day of the visit a doctor was visiting the residents. The nurse spoke to the GP in private and they then went to the resident and closed the door. All information on the person was recorded and a note on handover was written for all staff to be aware of the GP visit. One GP had returned a comment card to the Commission but no comments had been written. The two nurses spoken to all appeared competent with one who has just completed her adaptation in the last 6 months and was able to talk comprehensively about the health support she gives to residents. The medication round had been completed by the time the tour of the building took place but charts were looked at with spaces left on one day in the Elm group. The medication had been administered but not signed by the staff member on the day prior to the inspection with gaps all through the MAR charts for the a.m. administration. (Requirement). There are two nurse stations within the Home and each area has its own medication trolley. Both were locked and all medication was stored safely. Throughout the day it was noted how residents were spoken to and how each one was treated with respect, time according to need and dignity. Residents appeared in suitable, clean and matching clothing. Ladies wore make up and jewellery as they wished and all doors were knocked upon before staff entered. Residents spoke highly of the staff and felt they were treated well. Woodside House DS0000032205.V324109.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): Quality in this outcome area is (adequate). This judgement has been made using available evidence including a visit to this service. 12, 13, 14 and 15 The Home needs to work harder in ensuring that each resident has their recreational interests and social support included in their daily life. Contact and inclusion of the community, friends and families is encouraged. Residents are helped to exercise control over their lives. Residents are offered suitable meals that are offered in suitable surroundings. EVIDENCE: The Home needs to implement the new care plans to establish what lifestyle the residents would like to have. The present care plans are concentrated on health and personal care with little information on how residents should be able to exercise their choice on leisure, social and cultural interests. The Home does have designated activities staff and on the day of the visit card making was in progress for a small minority of residents and was certainly being Woodside House DS0000032205.V324109.R01.S.doc Version 5.2 Page 13 enjoyed. The majority of residents in one lounge were sitting watching the TV and when spoken to told of how they are pushed in front of the TV regardless of what is on and left. In Elm group many of the residents are left with no staff member while other residents are being assisted. The small lounge in Memory Lane had three residents sitting in individually moulded wheelchairs, none of them could move without assistance and were shouting at one another to be quiet. One person was shrieking and another gentleman was pacing the corridor and attempting to regularly open the fire doors. The Home has a designated activities person for this group but as so many of these residents have a high level of need it was evident that not all the residents were receiving the attention that they required. They all appeared clean and tidy and were seated in a comfortable environment but staff were busy elsewhere and unable to give the required attention. Dementia care training and awareness for staff is required to ensure staff, understand the importance of the wellbeing of each person. (Requirement). During the second visit to the Home the hairdresser was assisting residents with their hair. The interaction and recognition of each resident with this person is to be commended. She was aware of everyone’s needs and the three people having their hair done were treated individually. Families are welcomed and noted in the visitors signing in book were plenty of names of people coming and going. The reception staff are very welcoming and all visitors were noted to be greeted with a smile. One couple spoken to were very happy with the Home. They visit their relative regularly and are pleased with the improvement they have noticed since he moved from one residential home to Woodside. They are always welcomed and staff are happy to share relevant information. Comment cards from families received at the Commission also reflected on the way the Home greets them whenever they visit. Residents or the families handle the money with no interaction by the home. Information is available to direct people to an advocacy service and those residents who are able to make their own choice are encouraged to do so. One resident was actively encouraged to make a decision over how and what to do on the computer. Barchester work hard to ensure the meals in all their Homes are nutritious, well balanced and appeal to the residents. Choice was noted on the visit with menu’s placed on the dining tables to remind residents of what is available. Although a copy of the menu’s were not included as part of the pre inspection questionnaire on this occasion the standard of the meals has not changed since the last inspection and residents who were spoken to and those who had sent comment cards prior to the inspection all praised the meals. The Home is about to employ a new chef who hopefully will bring in even more ideas and offer a flexible service to meet the needs of each person by spending time getting to know the likes and dislikes of residents. Woodside House DS0000032205.V324109.R01.S.doc Version 5.2 Page 14 Woodside House DS0000032205.V324109.R01.S.doc Version 5.2 Page 15 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 (adequate). This judgement has been made using available evidence including a visit to this service. Since the last inspection relatives and friends were not confident that their complaints were listened to or acted upon appropriately. This has improved with the Acting Manager and needs to continue once the new Manager is in post. Residents are protected from abuse mainly but areas of potential neglect through ignorance, needs to be improved. EVIDENCE: Out of ten comment cards received from families five mentioned the problems of complaining and the difficulty they had in getting any positive action from previous Management. The Home does have a comprehensive complaints procedure but when a complaint is made one comment stated ‘If I make a complaint I will be asked to move my relative’ and others talked of defensive responses and lack of understanding. The Acting Manager who has been covering the Home for three months has greatly improved the relationship with the relatives and has dealt with many of the concerns in a proactive and professional way, which has also been reflected in the comments received at the Commission by the families. A further concern they share is that they hope issues in the future (when the new Manager arrives in January) will be treated and dealt with appropriately as they have over the last few weeks. (Recommendation) Woodside House DS0000032205.V324109.R01.S.doc Version 5.2 Page 16 The Home has a clear policy in checking all staff on the POVA register and also obtaining CRB clearance before leaving the person unsupervised. There is a whistle blowing policy and throughout observation, staff care for the residents in the correct manner when dealing with them personally and their conversations are appropriate. The one concern is the lack of understanding of the needs of residents for social stimulation or the awareness of being left alone in an area that the person may not recognise or placed in front of a television that may not be a programme that the person likes, sitting in their wheelchair that should only be used to move that person from area to area. This practise may be seen as bordering on abuse and needs to be looked at fully to ensure well-being is in place for all residents. (Requirement) Woodside House DS0000032205.V324109.R01.S.doc Version 5.2 Page 17 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): Quality in this outcome area is (good). This judgement has been made using available evidence including a visit to this service. 19 and 26 Resident’s do live in a well-maintained and safe environment. The Home is clean, pleasant and hygienic. EVIDENCE: The Maintenance Officer was able to share the documentation held of all the maintenance carried out at regular intervals. The servicing of all equipment is kept on record and noted on specialist equipment were date stickers that showed services were all within the last six months. Fire records were all current and the alarms are checked weekly with records seen. The Home has some areas that are looking a little tired. In some bedrooms the walls are damaged, one light switch was broken and knobs were missing off furniture handles. The corridors are all in the process of being freshly painted and were Woodside House DS0000032205.V324109.R01.S.doc Version 5.2 Page 18 looking much brighter and cleaner. The Atrium has a much improved threshold that allows free access to all residents and the grounds outside were neat and tidy. The layout of the Home has not changed since the last inspection and all rooms and communal areas are suitable and of a good size. The laundry has adequate machines to manage the washing required. All items for washing are placed in suitable coloured linen bags and ready for the washing cycle required for that load. The staff member who works in the laundry, was spoken to by the Inspector. She has worked in the Home for a year and is up to date with all her training including POVA, moving and handling and infection control. The COSHH sheets are available and were shown, with a clear understanding of the chemicals in use at this time. The Home had no unpleasant odours and most of the areas appeared clean and hygienic. Woodside House DS0000032205.V324109.R01.S.doc Version 5.2 Page 19 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): Quality in this outcome area is (adequate). This judgement has been made using available evidence including a visit to this service. 27, 28, 29 and 30 The home has a good number of staff but it is not always apparent that the skills are in place to carry out the job efficiently and effectively for the individual residents. The Home has a good proportion of staff who are NVQ qualified. The recruitment of staff is carried out thoroughly with all documents in place as stated in Schedule 2 of the Care Homes For Older People. Staff are trained to do their job and competent in most areas but need to understand person centred care. EVIDENCE: Copies of the rotas were sent with the pre inspection questionnaire and on the day of the inspection adequate staff appeared to be on duty with a designated nurse and many carers. How those staff members are deployed is not always in the best interests of the residents especially in Elm group. The Home is in the middle of re thinking the way the staff team work within this area and how to best meet the needs of residents in this part of the service. Woodside House DS0000032205.V324109.R01.S.doc Version 5.2 Page 20 The Home is very good at ensuring there is sufficient staff to keep the Home clean and assist with meals. Therefore it was disappointing to note that the fridge in Elm kitchen was dirty with items stuck to the back of the fridge and the recording of the temperatures was spasmodic. (The hooked thermometer was also stuck against the back plate of the fridge). The pre inspection questionnaire stated that over half the care staff are NVQ trained and this should ensure that residents are cared for correctly and safely. Throughout this inspection the Inspector, was accompanied by an official from the Immigration Office, who assisted with the checking of personnel files. Woodside House has a large number of staff from overseas and this officer assisted with the checking of documents held within the home to ensure all relevant paperwork was on the file. The administration staff were very supportive in trying to ensure all the correct paperwork is in place. As far as the Commission is concerned the paperwork required as stated in Schedule 2 of the Regulations is in place. The correct papers for staff from overseas did cause some concern and a future training day has been planned to ensure administration staff are aware of what to look for on papers of staff from other countries. Barchester have made available a training computer for staff to be able to train and develop their knowledge. On talking to staff all were able to recall training that has taken place over the last year that include fire awareness, first aid, moving and handling, food hygiene and infection control. The Home also has a printed version of all training that has taken place. The Computer also will highlight staff who are due to be updated in statutory training. The most recent training has been on POVA. The monitoring of the learning needs to be seen in practise to ensure the staff have the ability and do carry out the best practise at all times. (Recommendation) With the Manager and Matron both out of the building certificates were not seen but past inspections have shown that this Home has always offered good training to all staff. (Is this seen in practise?). Woodside House DS0000032205.V324109.R01.S.doc Version 5.2 Page 21 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): Quality in this outcome area is (adequate). This judgement has been made using available evidence including a visit to this service. The Home is about to start a new Manager with an acting Manager covering the last three months. With the Management being unpredictable at present and the period since the last inspection has not been good this rating can only be adequate. The Home is run in the best interests of residents but is yet to produce the evidence for quality assurance. Resident’s financial interests are safeguarded. The health, safety and welfare of residents and staff is promoted and protected. EVIDENCE: Woodside House DS0000032205.V324109.R01.S.doc Version 5.2 Page 22 The Home over the past few months has been overseen by one of the Operational Managers within the Barchester Company. This person is very experienced and has brought much of that experience into play in changing and improving the care in a short space of time. The Home is about to employ a new Manager from the beginning of January who will hopefully carry on the good work that has started. Although Woodside House has not produced any quality assurance documentation to date the company of Barchester are working with the Managers of their Homes on training and understanding of what is good monitoring of quality and what documentation to use to collect the data. The only format received at the Commission that gives quality feedback is in the form of a regulation 26 document that is sent periodically with some information on how the company representative sees the service on an unannounced visit. These forms should be with the Commission monthly but are usually three monthly. (Recommendation). The administrator of the Home manages the spending of resident’s money by sending out monthly bills to the families. The hairdresser, chiropodist and papers are recorded and families then pay the bill. One resident who has no family support has an account in the Home with all receipts and all transactions signed by two people (seen) to ensure a clear audit rail is as safe as possible. The Home has in place all the training for staff within health and safety areas. The equipment for transferring residents is in place and staff are trained and competent in using the equipment. The Home has a designated training officer in moving and handling who will ensure all new staff are competent with the equipment. The Maintenance Officer has records (seen) of all equipment and machinery that is used which is serviced and maintained to a high standard. Dates on the pre inspection questionnaire are all current (seen). The water temperatures and fire records were noted to be in order and being recorded weekly. The Home is secure and the main doors have security key pads with codes issued to staff and regular expected visitors only. The Home has documented risk assessments for any working practise carried out within the building and these are checked by the Company’s health and safety officer who visits regularly, updates documents and checks the record keeping. This is also noted on the Regulation 26 visits that are seen at the Commission. The Commission has also received over the period since the last inspection a number of notifications under Regulation 37 that inform of death or serious occurrences. Woodside House DS0000032205.V324109.R01.S.doc Version 5.2 Page 23 The Home has an accident procedure and all injuries are recorded on relevant accident forms. (seen). Copies of RIDDOR forms are also held by the Home for serious injuries and admissions to hospital. The Home works hard to ensure the health and safety of all people working, living or visiting are safe. Woodside House DS0000032205.V324109.R01.S.doc Version 5.2 Page 24 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 2 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 2 17 x 18 2 3 x x x x x x 3 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 3 x x 3 x 3 Woodside House DS0000032205.V324109.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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 OP3 Regulation 14.1 Requirement Timescale for action 01/01/07 2 OP9 13.2 3 OP12 18.1 (a) 4 OP18 19.5 (b) The Home must ensure that only residents who have had an assessment and s sure the service provided can meet the needs should a person be offered accommodation. The Home must ensure that all 21/12/06 medication administration is signed for at the point of administration. The Home must ensure that all 01/03/07 staff are suitably competent and experienced to offer the correct care support to residents. The Home must ensure that staff 01/03/07 have the skills to prevent potential abuse of residents through ignorance. 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 Good Practice Recommendations DS0000032205.V324109.R01.S.doc Version 5.2 Page 26 Woodside House 1. 2. Standard OP7 OP3 OP7 3 4 5 OP16 OP30 OP33 It is recommended that residents or their representative sign their assessment and care plan/review forms. (Second time this recommendation has been made) It is recommended that the social care of residents is placed with equal importance as the personal and health care to ensure the whole person is assisted with their full needs. It is recommended that the Home continues to address concerns and complaints in the same positive manner as has been managed by the acting Manager. It is recommended that some form of monitoring of the training undertaken by staff is in place to ensure learning is then put into practise. It is recommended that the Regulation 26 visits are recorded and sent as soon as completed on a monthly basis. Woodside House DS0000032205.V324109.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Norfolk Area Office 3rd Floor Cavell House St. Crispins Road Norwich NR3 1YF 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 House DS0000032205.V324109.R01.S.doc Version 5.2 Page 28 - 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!