Inspection on 19/06/06 for Woodside Lodge

This inspection was carried out on 19th June 2006.

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 Lodge 09/07/08

Woodside Lodge 14/10/05

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 Beverley Rand Unannounced Inspection 19th June 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 Lodge DS0000011796.V290981.R01.S.doc Version 5.1 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.V290981.R01.S.doc Version 5.1 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.V290981.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th October 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 health 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 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. The weekly fees vary between £545 and £599, depending on individual needs. This information was given to the Commission on 26/04/06. Woodside Lodge DS0000011796.V290981.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over two days: the first day was unannounced and the second day was announced. The inspector spoke generally with five residents as the majority of residents are unable to fully discuss issues due to communication needs. The inspector also spoke with three visitors, three staff, the manager and the provider, toured the building and looked at records such as care plans and staff files. What the service does well: What has improved since the last inspection? What they could do better: One care plan looked at needed more detail with regard to one particular issue. Care plans are usually reviewed on a monthly basis, but the three looked at by the inspector had not been reviewed since April. Care plans should be reviewed monthly. Woodside Lodge DS0000011796.V290981.R01.S.doc Version 5.1 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 DS0000011796.V290981.R01.S.doc Version 5.1 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.V290981.R01.S.doc Version 5.1 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): 3 Standard 6 does not apply to this home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The manager ensures that new residents have an individual assessment and that the home can meet their needs. EVIDENCE: The manager visits potential new residents and spends about an hour with them, talking to them to assess their needs. She also seeks other information as appropriate from other professionals. The manager invites potential residents and their families to visit the home and look at the room available. A care management assessment for residents who are placed by the local authority is received before the person moves in. The information gathered is used to form a basic care plan which can be added to later. Woodside Lodge DS0000011796.V290981.R01.S.doc Version 5.1 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, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home ensures that health and personal care needs are met with dignity and respect, but one resident could benefit from a more detailed care plan to ensure consistency of care. EVIDENCE: Residents’ care plans included washing and dressing, using the toilet, eating and drinking, recreation, etc. and risk assessments were in place for the majority of identified risks. Care plans had been reviewed monthly but had not been reviewed since April. The manager said she had not had time to review the plans recently. One of the assessments identified a particular need which was not identified in the care plan. Staff told the inspector they responded to this need in different ways each time assistance was requested. The care plan must identify what action staff are to take, so that consistency is maintained, and the plan reviewed as necessary. Staff were aware of the content of care plans and said they also used daily reports to ensure new information was communicated. Health professionals such as GPs, community nurses, chiropodists and opticians visit the home when requested. Some residents are registered with a Woodside Lodge DS0000011796.V290981.R01.S.doc Version 5.1 Page 10 community dentist, others are visited by the ‘flying dentist’. District nurses visit the home on a regular basis to provide care for any residents with particular nursing needs. One of the residents said they had found the chiropodist particularly helpful in curing a problem they had had for many years. A visitor said that since their relative had moved in, health care issues had been sorted out, including dentures, and an optician had been in response to the resident not being able to see the television. Staff outlined the procedure for dispensing medication, which included signing the records after the resident had taken their medication. Procedures are in place regarding the administration and recording of medication, and these are kept in a place where staff can access them. There is a large photograph of each resident placed next to their individual medication administration record, to ensure that the medication is being given to the correct person. This is seen as good practice. One staff member has responsibility for ensuring repeat prescriptions are ordered, and has completed an advanced distance learning course about medication. The five staff who administer medication, have training, provided by an external trainer, which covers the administration of medication, the possible side effects, what to do if concerns are identified with particular medication and ‘homely remedies’. Those staff who do not have training do not administer medication although they can sign records as the second person. The inspector spoke with a staff member about how they would promote the privacy and dignity of residents. The staff member said they gave choices about personal care and would ensure doors were closed. The inspector spent time watching staff work with residents in a respectful way. Other examples of how staff respect residents are detailed in other sections of this report. Woodside Lodge DS0000011796.V290981.R01.S.doc Version 5.1 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 the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents enjoy a range of activities, and make individual choices and enjoy their meals with appropriate support. EVIDENCE: Posters advertising activities are displayed on a board in the hallway, and include visiting singers and trips out to see stage productions, such as the local old time music hall. Activities which are available for residents to enjoy within the home include movement to music, painting, collage, knitting, work with clay and board games. A hairdresser visits the home, as does someone who paints nails. The inspector spoke with a resident who had recently had her finger nails manicured. Staff told the inspector that a few residents liked to get up early, and that this was in their care plans. Staff also said that they monitored residents through the day, as people who got up early may like a rest at some point in the day. The second day of the inspection started earlier than the first day, and the inspector saw that some residents were still in bed. The manager told the inspector that visitors were welcome at any time, although people were asked to visit after 11am, until about 9pm, due to residents getting up and going to bed. The inspector spoke with three visitors who all said they were made welcome in the home and offered drinks. One visitor said they often got a lift home with staff. Woodside Lodge DS0000011796.V290981.R01.S.doc Version 5.1 Page 12 The home has a supply of leaflets about how to contact an advocacy service, which are kept on a hall table so that residents and visitors can see them. Residents can bring personal items with them, and evidence of this was seen in bedrooms. It is also possible for residents to have pets: one person has a dog and another has a budgie, and staff support residents with keeping their pets. Three residents who were asked said they liked the food. The inspector saw staff offering plenty of drinks. Staff supported with feeding appropriately, for example, one resident had eaten some of their meal, but was tiring, and so a staff member assisted by spooning food onto the spoon the resident was using, so that the resident could maintain independence. One staff member told the inspector that residents can vary in their needs on a daily basis, and so they re-assessed their needs as necessary, to ensure that they retained as much independence as possible. The menu for two weeks is displayed in the hallway. The home employs two cooks, and the manager was seen to be involving them in an important discussion regarding food suppliers. The menu is varied, and based on residents’ likes and dislikes. Alternatives are available, although morning coffee and afternoon tea is routinely served, but one resident who was asked said they would like coffee in the afternoon. The manager agreed to review this practice to enable residents to have a choice. Records are kept showing who has eaten what, and the manager said this would be monitored if a resident’s eating habits changed. Both cooks have attended a course, ‘Food for Thought’ which identified the nutrition needs of older people, and a senior carer has had similar training. One resident who was asked said they liked their lunch. A visitor said that their relative liked sweet foods such as cakes, and that the home made these using an artificial sweetener. The manager confirmed that this was so that residents did not feel they were missing out with regard to what the other residents were eating. Woodside Lodge DS0000011796.V290981.R01.S.doc Version 5.1 Page 13 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 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home ensures that residents are protected and that complaints are listened to and acted upon. EVIDENCE: The complaints procedure was displayed in the hall as well as in the small lounge, and the latter was more detailed, including the timescales. The home aims to acknowledge a complaint within 3 days and formally respond within three weeks. A complaints log is kept and there have been no complaints since July 2005. The book details the date the home responded, the action taken and whether the complainant was happy with the outcome. The home also receives thank you cards and letters. Two visitors who were asked said they would feel able to complain if they needed to. The home has the relevant policies and procedures regarding safeguarding vulnerable adults, and the manager told the inspector she would include the local authority adult services if there was an allegation or suspicion of abuse. All staff who spoke with the inspector were clear what they would do if they had any suspicions, and were aware of the role of the local authority adult services. Woodside Lodge DS0000011796.V290981.R01.S.doc Version 5.1 Page 14 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): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. A comfortable, clean and safe standard of accommodation is provided for residents. 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, which has included decorating bedrooms and buying new chairs. There is a lift between ground and first floors. There are two lounges and a dining room on the ground floor. One resident told the inspector she liked the small lounge as she could see what was going on at the front of the house. A resident said he could spend time in his room if he wished, where he could spend time watching wildlife in the garden. A visitor said the home was, ‘nicely laid out’ and was always clean. Residents’ bedrooms looked homely, as they had been able to bring items of their own furniture and possessions with them. The home has a large garden, and a secure patio area, with pots of summer bedding, where residents can sit. Woodside Lodge DS0000011796.V290981.R01.S.doc Version 5.1 Page 15 The home has a laundry with washing machines which have a sluice wash. Staff have had training regarding infection control and were clear about procedures to follow to reduce the risk of cross infection, for example, using disposable gloves and aprons. Woodside Lodge DS0000011796.V290981.R01.S.doc Version 5.1 Page 16 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): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home ensures that staff are employed in adequate numbers, are safe and well trained to meet the needs of residents. EVIDENCE: One resident who was asked said the staff were nice and all three visitors said their relative was well cared for. Two of the relatives said that staff ‘kept up the appearance’ of the resident, i.e. ensuring she was wearing her make up, and that the resident was, ‘beautifully looked after’. They also said staff knew what they were doing, spent time with residents, talking to them and giving them confidence to take another step when walking. Staff were seen to be, ‘friendly’ by the visitors and worked in a way that was best for residents, not best for staff. The inspector saw a resident touching the face of a staff member, saying, ‘you’re always smiling’. A board in the hallway details which staff are on duty that day. The home employs care staff, two cooks and a cleaner and the rota generally showed two or three staff plus the manager, as well as ancillary staff. The two night staff are on waking duty. One staff member has achieved the National Vocational Award level 3. The majority of other staff have been recruited from abroad and have achieved a diploma in nursing, in their country. One staff member trained as a doctor in their country. The manager said that the nursing diplomas included care skills. The provider said that the government will only issue work visas to staff whose Woodside Lodge DS0000011796.V290981.R01.S.doc Version 5.1 Page 17 qualifications are equal to NVQ3. Although there is not a recognised equivalent to the NVQ, the inspector found the staff to be knowledgeable and well trained, as described in other areas of this report. The recruitment process is partly undertaken by a management company, using a particular agency which specialises in recruiting people from abroad. The registered provider and the management company undertake interviews, and apply for the Criminal Records Bureau, (CRB) check, Protection of Vulnerable Adults, (POVAFirst) check and two references. The manager will see prospective new staff after the interview but felt that her view would be listened to, should her view be different to the interviewers. The inspector looked at two staff files and found that staff were working before a CRB check was returned. The manager said that a POVAFirst check was done before the staff began working at the home and that they were supervised. The manager telephoned the management company and was given the dates of the POVAFirst checks, which did show that these checks had been in place before the staff began work. The inspector advised the manager and provider that a record of the return date for the check should be kept on the staff files to provide evidence that the recruitment procedures had been followed. The manager was able to demonstrate that there is a training programme in place which includes topics such as food hygiene, abuse awareness, medication management, infection control, moving and handling, dementia and challenging behaviour and Food for Thought. All staff have fire training every six months. New staff undertake an induction course over a period of two weeks which meets the induction standards suggested by the national training organisation, Skills for Care. Woodside Lodge DS0000011796.V290981.R01.S.doc Version 5.1 Page 18 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, 36 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The manager has the skills and experience to manage the home effectively. Residents and their families are encouraged to give their views regarding the management of the home. EVIDENCE: The manager has completed the Registered Manager’s Award and the National Vocational Award in Management, level 4, and is awaiting the certificates. The manager continues her development through additional courses and updating core training such as being a designated first aider. She is currently studying a twelve week course regarding personal development and supervision. A quality assurance questionnaire is undertaken each year and the results are displayed in the small lounge. The inspector was shown the most recent results which were positive. Relatives are made aware that they can speak to the Woodside Lodge DS0000011796.V290981.R01.S.doc Version 5.1 Page 19 manager at any time, and are invited to parties at the home. The management company conducts annual audits in relation to ongoing maintenance work. The home looks after small amounts of money for some residents and the inspector looked at the records for two residents. One record showed the resident had less money than what they actually had and the manager said this was an error in the recording. The other record was satisfactory. Staff said they receive supervision and they could discuss different issues which included training. Some staff said they had supervision every two months but one said they had had two sessions since January. The manager said that she had been working as a care worker for a lot of the time and had got behind with supervision for three or four staff, but she also said that she had informal ‘chats’ with staff in the course of a normal day. All staff should receive formal supervision a minimum of six times a year, however, staff who spoke with the inspector were clear with regard to their role, accessed training and were seen to work with residents appropriately. The Environmental Health Officer visited in March and identified that the home had good systems in place for ensuring the safety of food provided. Maintenance certificates were available for equipment such as hoists and the lifts. Fire equipment is tested routinely, both by staff ‘in-house’ and by an external company, who attend to any maintenance issues. Woodside Lodge DS0000011796.V290981.R01.S.doc Version 5.1 Page 20 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 3 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Woodside Lodge DS0000011796.V290981.R01.S.doc Version 5.1 Page 21 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. 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 Refer to Standard OP7 Good Practice Recommendations The care plan discussed during the inspection should reflect all of the resident’s particular needs, and all care plans should be reviewed every month. Woodside Lodge DS0000011796.V290981.R01.S.doc Version 5.1 Page 22 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.V290981.R01.S.doc Version 5.1 Page 23 - 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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