Inspection on 01/06/05 for Woodside Lodge

This inspection was carried out on 1st June 2005.

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 Lodge 09/07/08

Woodside Lodge 19/06/06

Woodside Lodge 14/10/05

Woodside Lodge 11/01/05

Woodside Lodge 01/06/04

Woodside Lodge 09/12/03

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Woodside Lodge 160 Burley Road Bransgore Christchurch Dorset BH23 8BD Lead Inspector Keith Hopkins Unannounced 1/06/05 11:00 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 Lodge H54 S11796 Woodside Lodge V225622 01.06.05.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Woodside Lodge Address 160 Burley Road Bransgore Christchurch Dorset BH23 8ED 01425 673030 01425 674773 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) Woodside Lodge Limited Mr David William Guy CRH 21 Category(ies) of DE(E) MD(E) OP registration, with number of places Woodside Lodge H54 S11796 Woodside Lodge V225622 01.06.05.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 11.01.05 Brief Description of the Service: Woodside Lodge is set in a semi-rural location on the edge of the village of Bransgore with limited access to local amenities. It provides residential care for up to 21 elderly residents, some of whom may have dementia or a mental disorder. The home is on ground and first floors and there is a lift between these. There are a variety of aids and adaptations to allow residents to move about more independently. Seventeen of the bedrooms are single, and two are doubles. Ten of the single bedrooms and both double bedrooms have en-suite facilities. There are three communal toilets and a two showers with toilets on the ground floor, and one toilet, one bathroom and one shower on the first floor. There are large gardens around the building. Woodside Lodge H54 S11796 Woodside Lodge V225622 01.06.05.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A little over four hours was spent visiting the home, during which time the opportunity was taken to look around the home, view records and policies and to talk to the manager and deputy manager. Most of the residents were seen, several were spoken with, and three residents were spoken with at greater length in private in their bedrooms. What the service does well: What has improved since the last inspection? What they could do better: Residents’ protection could be enhanced through a more robust staff recruitment process. Woodside Lodge H54 S11796 Woodside Lodge V225622 01.06.05.doc Version 1.30 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Woodside Lodge H54 S11796 Woodside Lodge V225622 01.06.05.doc Version 1.30 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 Lodge H54 S11796 Woodside Lodge V225622 01.06.05.doc Version 1.30 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 6. The admission process is well managed with an assessment of needs, including a comprehensive risk assessment, being done to ensure that identified needs can be met. EVIDENCE: Two initial assessments, made before the residents concerned were admitted to the home, were examined and contained a good level of detail. Any special needs were well documented. One of these assessments indicated that the resident concerned needed the assistance of one carer to undertake some personal tasks, this being confirmed by the resident in question. A second assessment indicated that the resident’s previous placement had been unable to meet her needs, necessitating the move to the more specialist service offered by Woodside Lodge. The home does not admit residents for intermediate care. Woodside Lodge H54 S11796 Woodside Lodge V225622 01.06.05.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and 10. Residents are well looked after in respect of their health and personal care needs, and have their privacy and dignity respected by staff. EVIDENCE: Care plans contain a good level of detail with a clear plan of action to meet assessed needs and are reviewed. Staff sign on a daily basis to confirm that duties required of them have been undertaken. The two plans examined also contained information regarding access to specialist health care staff, and a community psychiatric nurse is currently visiting the home to meet the needs of one resident. The manager said that no residents are currently able to deal with their own medication, and written risk assessments confirmed this to be the case. There is a procedure for the dispensing of medication. Medication was securely stored and associated records were up to date. Accident reporting procedures and documentation examined confirmed the accessing of a district nurse to attend to a recent injury to a resident. Woodside Lodge H54 S11796 Woodside Lodge V225622 01.06.05.doc Version 1.30 Page 10 The manager confirmed that residents have a choice of doctor from within two local practices. Observation during the inspection showed that staff have a good awareness of how to protect residents’ privacy and dignity. They were seen to knock on doors and await a response before entering and spoke to residents in a respectful way. Woodside Lodge H54 S11796 Woodside Lodge V225622 01.06.05.doc Version 1.30 Page 11 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) Outcomes for this group of standards were not inspected on this occasion. EVIDENCE: Woodside Lodge H54 S11796 Woodside Lodge V225622 01.06.05.doc Version 1.30 Page 12 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) 16. Arrangements for responding to residents’ and relatives’ concerns are satisfactory. EVIDENCE: The home has a complaints policy and procedure and a clear notice of how to make a complaint was on display in a public area of the home. The compliments/complaints book was examined and contained details of the most recent complaint made by a relative on 9th September 2004 and of the actions taken to resolve this. A compliment had been made on 24th August 2004 regarding the summer barbecue. One resident said he had no complaints but that he would tell someone if he had. Woodside Lodge H54 S11796 Woodside Lodge V225622 01.06.05.doc Version 1.30 Page 13 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) 19, 23 and 24. A comfortable clean and safe standard of accommodation is provided for residents with improvements to the décor continuing. EVIDENCE: The home is well maintained and suited to residents’ needs. It is decorated and furnished to a standard that creates a comfortable and homely ambience and there is a programme of redecoration and refurbishment in place. There is a lift between ground and first floors. There are two lounges and a dining room on the ground floor. Residents’ bedrooms looked homely, as they had been able to bring items of their own furniture and possessions with them. A married couple were pleased to show the inspector their room, which suited their needs. Woodside Lodge H54 S11796 Woodside Lodge V225622 01.06.05.doc Version 1.30 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission 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, 29, and 30. Staff at the home are well trained and supported and employed in sufficient numbers to meet residents’ needs. However recruitment practices are less robust than they need to be to ensure residents’ protection. EVIDENCE: Staff were observed during the inspection to be providing assistance to residents in a calm and unhurried manner. Further observation during the inspection confirmed that staff were able to spend time socialising with residents. The staff rota indicated there to be two care staff on duty each day supported by management, with further support from housekeeping and catering staff. There are two ‘waking’ members of staff on duty each night. Staff receive individual formal supervision. Three staff records examined indicated a recruitment process which included the obtaining of written references, although the manager was reminded of the need to ensure that all information, for example, copies of birth certificates, required by regulation is available for inspection. There had been a variety of courses undertaken by staff, including for example, food hygiene, manual handling and fire safety. Woodside Lodge H54 S11796 Woodside Lodge V225622 01.06.05.doc Version 1.30 Page 15 Woodside Lodge H54 S11796 Woodside Lodge V225622 01.06.05.doc Version 1.30 Page 16 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) 37. Confidentiality of record keeping is compromised through the current office provision. EVIDENCE: The small size of the office meant that some confidential records had to be examined in an area of the home accessible to residents. Woodside Lodge H54 S11796 Woodside Lodge V225622 01.06.05.doc Version 1.30 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 x COMPLAINTS AND PROTECTION 3 x x x 3 3 x x STAFFING Standard No Score 27 3 28 x 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x x x 2 x Woodside Lodge H54 S11796 Woodside Lodge V225622 01.06.05.doc Version 1.30 Page 18 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 29 Regulation 17 Requirement The registered person must retain a copy of a birth certificate for all persons employed at the home as per Schedule 2. Timescale for action 31/08/05 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 37 Good Practice Recommendations The home should improve current office provision. Woodside Lodge H54 S11796 Woodside Lodge V225622 01.06.05.doc Version 1.30 Page 19 Commission for Social Care Inspection 4th Floor Overline House Blechynden Terrace Southampton SO15 5GW 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 Lodge H54 S11796 Woodside Lodge V225622 01.06.05.doc Version 1.30 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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