Inspection on 14/02/06 for Woodside Resource Centre

This inspection was carried out on 14th February 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 Resource Centre 27/01/09

Woodside Resource Centre 08/02/07

Woodside Resource Centre 01/09/05

Woodside Resource Centre 03/11/04

Woodside Resource Centre 13/08/04

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

CARE HOMES FOR OLDER PEOPLE Woodside Resource Centre Cavendish Road Middlesbrough TS4 3DJ Lead Inspector Jackie Herring Unannounced Inspection 16th February 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 Resource Centre DS0000033593.V272397.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 Resource Centre DS0000033593.V272397.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Woodside Resource Centre Address Cavendish Road Middlesbrough TS4 3DJ 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) 01642 828146 01642 827418 manager.woodside@careuk.com manager.burroughs@careuk.com Care UK Community Partnerships Limited Mrs Karen Morrison Care Home 60 Category(ies) of Dementia - over 65 years of age (60) registration, with number of places Woodside Resource Centre DS0000033593.V272397.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home provides accommodation for people, 60 years and over, who have been diagnosed as suffering from a Dementia. The home provides 40 places, providing care with nursing and 20 places personal care, a total of 60 places. One named individual who is under the age category is allowed to reside in the home. 1st September 2005 Date of last inspection Brief Description of the Service: The Willows is a 60 bedded purpose built home which was registered in November 2002. It comprises of two distinct units; a 40 bedded nursing unit for individuals over the age of 60 who have dementia and a 20-bedded unit for personal care the same category of care. Within the 20-bedded unit, 5 of the beds provide a dedicated respite service. A number of the nursing beds are also dedicated for continuing health care. All of the 60 rooms are single with ensuite facilities and meet the room requirements. The home is situated in an urban setting within ready access to local transport, the local hospital a public house and a church. Woodside Resource Centre DS0000033593.V272397.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced inspection and was completed within one inspection day, six inspection hours in total. A number of records were examined, including resident’s assessments and care plans; staff personal files and training files and maintenance records. The medication system was examined and staff were involved in discussions about the home. Informal discussion and observation took place with the residents and a number of relatives were involved in discussion about the care provided at The Willows. The pre inspection questionnaire and self-assessment document was completed by the manager and data from it was also used within the report. What the service does well: What has improved since the last inspection? Since the last inspection, the home has addressed all of the issues identified in the last inspection report and there continues to be a commitment for continuous improvements. A number of carpets and chairs had been renewed and work was well underway with installing the partition to the large nursing units dining room. Woodside Resource Centre DS0000033593.V272397.R01.S.doc Version 5.1 Page 6 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 Resource Centre DS0000033593.V272397.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 Resource Centre DS0000033593.V272397.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 Resident’s needs are assessed prior to the moving into The Willows, ensuring that individual care needs can be met. EVIDENCE: During discussion with staff, it was confirmed that pre admission assessments were completed by key staff of the home prior to planned admission to The Willows. Details of these assessments are kept within the residents file and were made available during the inspection. It was also confirmed that a copy of the care management assessment was also obtained. There have been occasions when there have been emergency admissions to the home and staff said that they obtain the assessment information from the Social Workers as soon as possible. Woodside Resource Centre DS0000033593.V272397.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 The home plans well for and is good at meeting the health, personal and social care needs of the people who live there. EVIDENCE: During discussion with staff, it was confirmed that pre-admission assessments are completed for all planned admission to the home and these assessments form the basis for individual plans of care. Since the last inspection individual assessments, care plans and risk assessment had become computerised. A random sample of resident’s records were examined and found to be very personal and individualised with a good level of detail and very good interventions described in the individual care plans, which were very specific to individual needs. An example of this is, “Likes her bath on a Tuesday and Friday with supervision, X prefers to use the Malibu bath as she feels safest in this”. Staff confirmed that they thought the new system was very good and it was found to be very accessible and were enthusiastic and positive about it. There was clear evidence of GP, Consultant Psychiatrist or other health care professionals involvement when required. Examples of this included the monthly involvement of the dietician, which was detailed in two of the records examined and the involvement of the physiotherapist. Woodside Resource Centre DS0000033593.V272397.R01.S.doc Version 5.1 Page 10 The medication systems were examined in both of the units, which were in order and staff had received appropriate training and were very knowledgeable about the systems in place. Some additional good practise was described by staff which included the photograph of the resident being updated every six months to ensure that the likeness remained current. Woodside Resource Centre DS0000033593.V272397.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 Residents’ daily lives are generally enhanced by the social activities provided by the home. EVIDENCE: The self assessment document completed by the manager detailed a weekly programme of activities and stated that activities within the residents unit were done with great success however within the nursing unit, activities tend to be one-one rather that group based activities due to the different needs of the residents. Dedicated staff are employed to co-ordinate and deliver activities and it was confirmed through discussion with the manager that these staff have undertaken specific training for this function, such as chair based activities and communication activities for families to be involved in. Visitors spoke very highly about the welcome they received when visiting and there were clearly very good staff/relative relationships. They said, “it is very welcoming and the family also receives attention”. Informal discussion took place with other relatives who said, “It’s very good, she is well cared for and they always check on her”. Woodside Resource Centre DS0000033593.V272397.R01.S.doc Version 5.1 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 the following standard(s): None of these standards were examined during this inspection. EVIDENCE: Woodside Resource Centre DS0000033593.V272397.R01.S.doc Version 5.1 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 the following standard(s): 19, 20, 26 The Willows is clean and warm offering residents a homely environment in which to live. However a small number of areas are in need of refurbishment, which will enhance the environment for the benefit of the residents. EVIDENCE: Both units were visited during the inspection and in the main observed to be clean and well maintained. There had been a previous leak within one of the wings of the nursing unit, which had caused some stale odour around this area. This was in the process of being addressed and new carpets had been ordered for one lounge and two bedrooms. It was confirmed by the manager that refurbishment was an ongoing process and some carpets and chairs had been replaced since the last inspection. A number of chairs were stained despite having been deep cleaned fairly recently. Woodside Resource Centre DS0000033593.V272397.R01.S.doc Version 5.1 Page 14 The planned work to install a partition had commenced and the wall had been constructed and a ceiling window installed. Although this work had not been completed there was an immediate sense of improvement to the environment and through discussion with staff, it was thought that this would have a definite improvement to the mealtimes for residents and also the staff. During discussion with staff, they said that the it was not just the partitioning of the dining room that would have benefits but the planned changes to operate two distinct units within the 40 bedded nursing unit would be hugely beneficial. Woodside Resource Centre DS0000033593.V272397.R01.S.doc Version 5.1 Page 15 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 Very good procedures are in place for the recruitment and selection of staff and care is provided to the residents by a very well trained, competent and dedicated team of staff. EVIDENCE: It was confirmed through the self-assessment completed by the manager that staffing levels are continuously kept under review and are assessed depending upon occupancy and dependency. Several relatives were involved in a discussion during the inspection and they stated that there had always been sufficient staff on duty to meet the needs of their loved one and that staff were always visible. They said, “there was always two staff to assist and we believe the home is well staffed and residents needs are attended to straight away”, “Our loved one blossomed after moving into The Willows”. Four staff files were examined and contained all of the required information such as employment history and appropriate references. Nursing and Midwifery Council checks are carried out in respect of Qualified Nurses; details of this were contained within the individual staff files. Confirmation of enhanced Criminal Records Bureau checks was also contained within the files. The pre inspection questionnaire detailed that 70 of care workers were trained to NVQ level 2 with all other care workers underway with their qualifications. Training records were looked at and contained details of all mandatory training as well as client specific training. Woodside Resource Centre DS0000033593.V272397.R01.S.doc Version 5.1 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 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): 33, 35, 38 Effective systems are generally in place to safeguard residents personal allowance and there is a good range of quality assurance systems in place. Robust systems are in place for maintenance and health and safety ensuring the protection of residents. EVIDENCE: Regulation 26 visits take place on a monthly basis and a copy of the report is forwarded to CSCI. Additional quality assurance systems were discussed with the manager who said that internal audits are completed and there is involvement from clinical governance, infection control and health and safety. A recent survey had been conducted with relatives and the manager was in the process of collating the data, which would be made available in late February or early March 2006. Woodside Resource Centre DS0000033593.V272397.R01.S.doc Version 5.1 Page 17 The resident’s personal allowances discussed with the home’s administrator and were examined during the inspection. The system was found to be in order and was well recorded. A random sample of maintenance records were examined including the weekly fire checks and checks on water temperatures, which contained the required information. The pre inspection record confirmed that all planned maintenance was up to date and that staff receive the required health and safety training, food hygiene, first aid and moving and handling amongst others. Woodside Resource Centre DS0000033593.V272397.R01.S.doc Version 5.1 Page 18 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 3 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 2 3 X X X X X X STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 3 Woodside Resource Centre DS0000033593.V272397.R01.S.doc Version 5.1 Page 19 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 OP19 Regulation 23 Requirement A number of carpets must be cleaned or replaced. A number of the standard lounge chairs must be cleaned or replaced. Timescale for action 31/05/06 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 Resource Centre DS0000033593.V272397.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Resource Centre DS0000033593.V272397.R01.S.doc Version 5.1 Page 21 - 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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