Inspection on 14/10/05 for Woodside Lodge

This inspection was carried out on 14th October 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 01/06/05

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 8DB Lead Inspector Keith Hopkins Unannounced Inspection 14th October 2005 06:45 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 Lodge DS0000011796.V262794.R01.S.doc Version 5.0 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 Lodge DS0000011796.V262794.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Woodside Lodge Address 160 Burley Road Bransgore Christchurch Dorset BH23 8DB 01425 673030 01425 674773 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) Woodside Lodge Limited Care Home 21 Category(ies) of Dementia - over 65 years of age (21), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (21), Old age, not falling within any other category (21) Woodside Lodge DS0000011796.V262794.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st June 2005 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 DS0000011796.V262794.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspectors spent a little under six hours visiting the home, during which time the opportunity was taken to look around the home, view records and policies and to talk to one of the owners and the deputy manager. Five members of staff were spoken with, two privately and three as the inspectors toured the building. Most of the residents were seen using the communal areas. Although the majority of residents have dementia the inspectors were able to undertake limited conversations with several people. The inspectors were also able to speak at length with a visiting relative. The home has had its two statutory inspections this year and all core standards have been inspected. This report should therefore be read in conjunction with the previous report for details of those standards not covered during this inspection. During the inspection the inspectors looked at a number of core and other standards and also investigated a number of concerns that had been brought to the attention of the commission by an agency member of staff who had worked a shift at the home. These concerns centred around care practices, staff training and environmental standards, details of which are referred to in the body of the report under the appropriate standards. It is understood that these concerns were brought to the attention of the home’s manager at the time who informed the complainant that he was leaving the home two days later. At the time of the inspection the manager had left. During the inspection the inspectors were informed that the deputy manager intended to submit an application for registration as manager to the commission. The inspectors were unable to substantiate the majority of concerns although some actions were required to be taken by the home and are detailed in this report. What the service does well: The home provides an open welcoming atmosphere to visitors who appreciate the service offered to their relatives. A wide range of stimulating internal activities is enjoyed by residents who are cared for by a dedicated staff team. The home has a well trained and motivated staff group recruited through a sound procedure, and residents benefit from good links with health care professionals. Woodside Lodge DS0000011796.V262794.R01.S.doc Version 5.0 Page 6 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. Woodside Lodge DS0000011796.V262794.R01.S.doc Version 5.0 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 Lodge DS0000011796.V262794.R01.S.doc Version 5.0 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 the following standard(s): Outcomes for this group of standards were not inspected on this occasion as they were inspected on the previous inspection. EVIDENCE: Woodside Lodge DS0000011796.V262794.R01.S.doc Version 5.0 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 the following standard(s): 7, 8, and 10. Residents have their privacy and dignity respected by staff. Whilst health and personal care needs are addressed, more detail is needed in care plans of individual needs and wishes and in daily recordings of care given to demonstrate the meeting of such needs and wishes. EVIDENCE: The inspectors examined five care plans, relating to the five residents who were up and in the lounge at the start of the inspection at 6:45am. Staff interviewed said that there were four or five residents who went to bed early and who were usually awake and wanting to get up early. This usually meant giving personal assistance to these residents from about 5:45am. The care plans examined did not contain details of individual wishes regarding times of getting up. Issues had been raised by the complainant around residents’ personal hygiene needs and the inspectors were informed that some residents were fully washed and some not in the morning, this being dependent upon individual residents’ needs and requests. Woodside Lodge DS0000011796.V262794.R01.S.doc Version 5.0 Page 10 Each of the plans contained an initial assessment of care needs together with a risk assessment, and a plan of action to meet these needs. It was pointed out to the deputy manager that a greater degree of detail in the care plans would enable the home to better demonstrate that residents’ choices regarding times of rising were respected. The inspectors pointed out to the owner and deputy manager that there were some ‘gaps’ in records needing to be kept to demonstrate that residents’ personal care needs were being adequately met, for example, those relating to when residents were washed and bathed. Plans are reviewed on a regular monthly basis by the deputy manager and are updated as necessary. It was explained to the inspectors that one resident was currently prone to falling out of bed and that particular arrangements were in place to address this issue. The home is also awaiting delivery of a hydraulically operated bed. The fact that this resident was sleeping on a temporary basis on a mattress on the floor had been of concern to the complainant, although a risk assessment covering this was in place, and there was evidence of consultation with other health professionals about this temporary arrangement. The plans also contained information regarding access to specialist health care staff, such as the community psychiatric nurse. The inspectors noted that accident and reporting procedures confirmed the accessing of a district nurse to attend to the health care needs of a resident who had sustained a minor injury. The nurse is currently visiting on a regular weekly basis to dress a wound. Documentation examined indicated that there were currently two residents who had accountable injuries as a result of falls, this fact being confirmed by the deputy manager. Two of the residents spoken with said that the staff ‘treat us well’ and during the inspection staff were observed interacting with residents in a respectful manner. Staff were seen to knock on bedroom doors and await a response before entering. All residents seen were dressed appropriately in clean clothing and were tidily groomed. There were no discernable odours. Staff were observed to be responding to residents’ immediately expressed needs, supervising those residents in the lounge on occasion, whilst assisting other residents to get up. The inspectors discussed the management of incontinence with the deputy manager, as issues had been raised by the complainant around the inappropriate use of aids. The deputy manager confirmed the appropriate use of aids as a part of the process of managing incontinence. The inspectors did not observe any soiled items left in yellow bags around the building, and staff were able to explain the procedure for dealing with these. Woodside Lodge DS0000011796.V262794.R01.S.doc Version 5.0 Page 11 Woodside Lodge DS0000011796.V262794.R01.S.doc Version 5.0 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 the following standard(s): 12, 13, 14 and 15. Residents enjoy varied lifestyles and undertake activities of their choice. The provision of a wide range of opportunities for stimulation, through sound links with the local community, is appreciated by residents. Visitors appreciate the welcoming atmosphere. EVIDENCE: The home’s noticeboard detailed the various activities planned for the future, together with those occurring on a regular basis. A visitor to the home confirmed the nature of the reminiscence opportunities available to his relative. There are two entertainers who visit regularly and residents who wish to, take part in an exercise class. Forthcoming events included bonfire night celebrations and the xmas party. Residents’ wishes not to partake are respected and one resident’s care plan said that he was not to be ‘pestered’ to take part in activities but could be encouraged. One resident said that he took part in some of the activities provided and a visitor also confirmed to the inspectors that he was aware of the activities undertaken by his relative who lived at the home. Woodside Lodge DS0000011796.V262794.R01.S.doc Version 5.0 Page 13 Visitors to the home are welcomed, the inspectors observing this during the inspection, and are offered drinks and a meal if they wish. A visitor said that he had, with his relative, been taken out by staff of the home to attend a recent function at the village hall, which had been much enjoyed. He also confirmed how welcoming the home was and said that he visited every day and was provided with a lunch. Residents’ everyday choices are respected and the inspectors saw evidence of this in the way that staff sought residents’ views as to whether, for example, they wished to spend time socialising in the lounge or preferred the privacy of their bedroom. When asked about residents’ choices regarding times of going to bed and getting up staff said that they knew who generally wanted to get up early but that they always asked at the time. Menus are displayed on a noticeboard and provided for a varied and balanced diet. One resident said that the food ‘was nice’ and that he ‘liked it’. The inspectors observed that those residents who were up early had been provided with breakfast. The menu stated that alternative meals are available on request. The complainant had stated that food was heated up under the grill and that no food probe was available. The inspectors were informed that a meal for night staff was left for them if they wished to have this but that no meals for residents were re-heated. A food probe was available in the kitchen to check that food had been adequately prepared and heated. Woodside Lodge DS0000011796.V262794.R01.S.doc Version 5.0 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 the following standard(s): 16 and 18. Arrangements for responding to residents’ and relatives’ concerns are satisfactory, and residents are protected through an adult protection policy and procedure known and understood by staff. 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 commission has received one complaint since the previous inspection details of which are included in this report. The home also has a policy and procedure relating to adult protection. Staff have been trained in this and when interviewed confirmed their understanding of what to do in the case of suspected abuse. One member of staff said, for example, that she would report it if she witnessed or suspected abusive practices and she was also clearly aware that she could also report anything directly to the commission. Woodside Lodge DS0000011796.V262794.R01.S.doc Version 5.0 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 the following standard(s): 26. Residents enjoy comfortable private and communal surroundings, which are kept clean and hygienic. EVIDENCE: The inspectors observed residents making use of the communal areas including the dining room and main lounge, which were decorated and furnished to a standard that creates a homely ambiance. Suitable chairs and furniture were available which were clean. Issues had been raised by the complainant regarding odours around the building and a comment made that there was no washing up powder in the laundry. There were no undue odours around the building in either the lounge and dining areas, or toilets and bathrooms. Woodside Lodge DS0000011796.V262794.R01.S.doc Version 5.0 Page 16 Washing up powder was available in the laundry. The home’s laundry is fitted with washing machines capable of disinfecting items of clothing, and with an automatic detergent feed which had adequate detergent in it. The home’s kitchen was inspected and was clean and tidy. The owner informed the inspectors that there were contractual arrangements in place to ensure cleanliness . The inspectors noted that a record was kept of the fridge and freezer temperatures. Woodside Lodge DS0000011796.V262794.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29 and 30. Residents are supported by staff, recruited through a sound and robust procedure, who receive training to enhance their skills. EVIDENCE: Records relating to three staff members were examined and indicated a sound recruitment process which included the obtaining of written references and of Criminal Records Bureau disclosures being obtained. There had been a variety of courses undertaken by staff including, for example, basic food hygiene, infection control, first aid, medication, dementia, and abuse. Attendance on these various courses was confirmed directly by staff when interviewed. Issues had been raised by the complainant around poor manual handling practices, although the inspectors were informed that eight of the current ten care staff have been trained in moving and handling and that day to day practice was monitored by the deputy manager. Staff had also been trained by an external trainer in the use of the hoist and other aids. The owner confirmed that there were two bedrooms whose size and shape prevented the use of a hoist, which was an issue for the complainant. The inspectors saw a written instruction that bedrooms 1 and 10 were ‘not to be used for clients needing a hoist’. The complainant had stated that carers had poor language skills and were unable to communicate with residents. Although the inspectors had some little initial difficulty in attuning to accent, this did not prevent subsequent communication with staff, who were also observed to be communicating adequately with residents. A number of staff currently employed do not have English as a first Woodside Lodge DS0000011796.V262794.R01.S.doc Version 5.0 Page 18 language and confirmed to the inspectors that additional training in English had been provided for them. The owner confirmed this fact. Staff were observed during the inspection to be providing assistance to residents in a calm and unhurried manner and were able to spend time socialising and talking with residents. Woodside Lodge DS0000011796.V262794.R01.S.doc Version 5.0 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. The provider has made the necessary arrangements for the interim management of the home. The acting manager has the knowledge and skills to manage the home and needs to address the requirements raised. EVIDENCE: The inspectors were informed that the manager had left the home the previous day and that arrangements were in hand for an application for registration for a new manager to be made. It is anticipated that the deputy manager, who is currently managing the home with additional support from one of the owners, will be applying for registration as manager. Given that the majority of residents have dementia there was limited direct comment on the services offered although two residents were satisfied. The home undertook a survey of visiting relatives by way of a questionnaire on the Woodside Lodge DS0000011796.V262794.R01.S.doc Version 5.0 Page 20 3rd August 2005. Of 21 questionnaires dispensed there were 10 responses, which indicated overall satisfaction with the service offered. The home has no need to involve itself in residents’ personal financial affairs, which are dealt with by relatives or representatives. Any items purchased by the home for residents over and above those provided for within the terms of the contract were billed to relatives or representatives. The inspectors were informed that a safe was available in the event that any valuable items were deposited for safekeeping. No immediate obvious hazards to health and safety were observed by the inspectors during the inspection. The inspectors examined various maintenance certificates. It was noted, for example, that hoists had been serviced on the 5th May 2005, and that the lift had been serviced on 12th September 2005. Gas and electrical safety certificates were current. The inspectors noted that an environmental health officer had visited the home on the 3rd March 2005 to undertake a food hygiene inspection. The subsequent report noted that there were good systems in place, including that relating to stock control and that adequate cooking temperatures were achieved. There is a contract in place for the collection of clinical waste and when interviewed staff confirmed the arrangements for dealing with soiled linen and other items. Woodside Lodge DS0000011796.V262794.R01.S.doc Version 5.0 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Woodside Lodge DS0000011796.V262794.R01.S.doc Version 5.0 Page 22 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 OP77 Regulation 15 Requirement The provider must ensure that care plans are comprehensive and contain full details of needs and wishes. Residents should not be got up early unless this is requested and recorded. The provider must ensure that staff record full details of personal care given to residents. This must include details as to washing and bathing. The provider must submit an application for registration of a manager. Timescale for action 31/12/05 2. OP88 12 31/12/05 3. OP3131 8 31/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Woodside Lodge DS0000011796.V262794.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 DS0000011796.V262794.R01.S.doc Version 5.0 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. 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