Inspection on 27/01/09 for Woodside Resource Centre

This inspection was carried out on 27th January 2009.

CSCI found this care home to be providing an Good service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Woodside Resource Centre 08/02/07

Woodside Resource Centre 14/02/06

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 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Woodside Resource Centre Cavendish Road Middlesbrough TS4 3DJ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Susan Lowther     Date: 2 7 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Woodside Resource Centre Cavendish Road Middlesbrough TS4 3DJ 01642828146 01642827418 manager.woodside@careuk.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Care UK Community Partnerships Ltd Name of registered manager (if applicable) Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 60 Number of places (if applicable): Under 65 Over 65 60 dementia Additional conditions: 0 The home provides 40 places, providing care with nursing and 20 places personal care, a total of 60 places. The home provides accommodation for people, 60 years and over, who have been diagnosed as suffering from a Dementia. Two named individuals who are under the age category are allowed to reside in the home. Date of last inspection Brief description of the care home 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. Care Homes for Older People Page 4 of 26 Brief description of the care home The home is situated in an urban setting within ready access to local transport, the local hospital a public house and a church. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This unannounced inspection took place on 27th January. Time was spent reviewing records, speaking to members of staff, the people who live in the home, visitors to the home and to the acting manager. The company supplied some information prior to the inspection on a form called an AQAA. This is an annual quality assurance assessment for the agency to provide information about their service. Information was also received from people who use the service and their relatives. Care Homes for Older People Page 6 of 26 The inspection focussed on key standard outcomes for people using the service and to check whether the recommendations from the previous inspection had been met. At the time of the inspection the weekly fees were 420 pounds per week plus the free nursing care component. This does not include the cost of hairdressing, chiropody, newspapers and personal toiletries. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 Care Homes for Older People Page 8 of 26 7535. Care Homes for Older People Page 9 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Assessment procedures are in place to ensure that the home can meet the needs of the people who live there. Evidence: People are only admitted after a full assessment of need is carried out by an appropriately trained person. This is usually the acting manager. This is to make sure that the home can meet the care needs of the people who go to live there. The family of one person who had recently gone to live in the home confirmed that they had looked around the home and had been supplied with all of the information they needed to make a decision about whether or not their relative would like to live there. All of the people who responded to the survey said that they had received enough information about the home before they went to live there. One person spoken with said, I was given a lot of information before I came to live here. The acting manager confirmed that people are invited to spend some time in the home and can sample the Care Homes for Older People Page 11 of 26 Evidence: food before they decide whether or not they want to live there. The home does not admit people for intermediate care therefore assessment of Standard 6 is not required. Care Homes for Older People Page 12 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health care needs of people are well managed by the home. Systems to administer medication are safe and people living at the home say that they are treated well and that the standard of care is good. Evidence: The acting manager said that all of the people who live in the home have care plans so that staff know how to look after people on an individual basis. Four were examined during the inspection. These were comprehensive and contained individual plans of care. This is to make sure that staff meet all of the needs of the people who live in the home. However some of these are computerised and people spoken with said that they are not always easily accessible. Consideration should be given as to how they can be more accessible to the people who live in the home and their relatives. People spoken to during the inspection said that they are happy with the care received and the level of information given. Records examined showed that people receive visits from other healthcare Care Homes for Older People Page 13 of 26 Evidence: professionals. These include district nurses, doctors, and care managers. The home has good access to occupational therapists for specialist advice and support. Medication is administered by qualified nurses or by staff who have been trained. The home has a comprehensive medication policy. Accurate records of all medicines received, administered and those leaving the home are maintained. However when medications are omitted and a code is used, then guidance must be available to confirm the meaning of the code. People spoken with said that staff always treat them with dignity and respect. One person said, Most of the staff are really polite. They always knock on my door and call me by my preferred name. Care Homes for Older People Page 14 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The activities are varied and provide recreation for most of the people who live in the home. Family and friends can visit at any time and are made to feel welcome. The meals are of a good standard. Evidence: Most of the people said that activities are suitable. The activities organiser spends time with people on an individual basis to find out what activities they would like to do. One to one and group activities take place . Regular activities include card and board games, bingo and music sessions. People who responded to the survey indicated that the activities are usually suitable. One person told the inspector, The staff really try. I am hard to entertain and they have tried to introduce me to different things. I would like to go out more often, but understand that there are other people and I need to wait my turn. One member of staff felt that more music would be beneficial for the people who live in the home. Relatives said that they could visit at any time and that they are always made welcome. One person said, The staff are always friendly and offer me a cup of tea when I come in. Care Homes for Older People Page 15 of 26 Evidence: The lunch looked nice. Staff who were helping people were doing this in a discreet and dignified manner. Evidence was seen in care plans to confirm that nutritional needs are assessed and other professionals consulted if required. People who responded to the survey confirmed that the food is good and a choice is available. Nutritional needs are assessed and specialist advice sought when needed. Care Homes for Older People Page 16 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People can be confident that their concerns and complaints are dealt with appropriately and that safeguards are in place to protect them from abuse. Evidence: Information about complaints, how and who to make them to, is made available to the people who live in the home and their families through information displayed in the entrance to the home and in the Service Users Guide. There have been eight complaints recorded since the last inspection. All of these were investigated by the home. All of the people who returned surveys confirmed that they know how to make a complaint. The home had a comprehensive adult protection procedure. This gives staff the support they need to make a referral should this be required. The staff spoken to during the inspection were asked about abuse and what they would do if they saw or heard anything inappropriate. All said that they would tell someone, for example the manager, or make a referral themselves if this was more appropriate. Training is provided for all staff in adult protection. Care Homes for Older People Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is clean and well maintained. It is decorated and furnished to a good standard and provides a homely environment for the people who live there. Evidence: During a tour of the building the inspector saw that many of the rooms are decorated to the persons own taste and there was evidence to confirm that people can take in some personal items when they go to live there. This includes pieces of furniture as well as photographs and ornaments. In the main a good standard of decor and furniture is provided throughout the home. However several chairs had foam exposed and were unacceptable. The acting manager took immediate steps to make interim repairs and new ones were ordered. Since the inspection the acting manager has informed the CSCI that the new chairs are now in use. The last inspection report recommended replacing the corridor carpet in the nursing unit. The acting manager confirmed that this had been done. The last report also recommended that one of the shower rooms needed attention as there was a smell of damp and the door was broken. It was confirmed that this work had also been done. The acting manager confirmed on the AQAA that there is a rolling programme of redecoration and refurbishment. There was a range of equipment seen around the home to support people with bathing Care Homes for Older People Page 18 of 26 Evidence: and mobility. The inspector found the building to be clean, tidy and free from offensive odours. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are appropriately recruited, trained and in sufficient numbers to meet the needs of the people who live in the home. Evidence: From the rota supplied at the inspection there was sufficient care staff on duty to meet the assessed care needs of the people who were using the service. A recent anonymous complaint was made to the CSCI regarding staffing, stating that there were insufficient staff on duty to meet the assessed needs of the people who live in the home. Some staff spoken with also indicated this. However the number of staff rostered were considered to be sufficient. Staff were seen to be able to spend time with people both a the start of the inspection and at various times throughout the day. In discussion with the acting manager, it was felt that this was a management issue with regard to task allocation. Most of the staff who returned surveys returned said that there were usually or always sufficient staff on duty. Only one indicated that there had been a problem over the previous few weeks. One person who lives in the home responded that the staff were always available when needed. People spoken with during the inspection confirmed that the staff are generally available when needed. The home had staff files in place, which provided evidence that the appointment of a new staff member is in the main made through proper recruitment processes. This Care Homes for Older People Page 20 of 26 Evidence: includes the vetting of staff through the use of references, POVA first checks and Criminal Record Bureau (CRB) checks. There is a commitment at the home to having a trained workforce with most of the staff having an NVQ at level 2 or above. As well as mandatory training, recent training has also taken place in adult protection and health and safety. Most of the staff who returned surveys felt that they have the right skills and knowledge to meet the needs of the people who live in the home. One did feel that the induction could have been more comprehensive. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The acting manager has the qualifications and experience needed to run the care home. Policies and procedures are in place to safeguard the health, safety and well being of the people who live there. Evidence: The acting manager is a qualified nurse and has completed an appropriate management course. He has previously managed a home in another area, but he is aware that he must apply to the CSCI to be the registered manager of Woodside. He told the inspector that he operates an open door policy and that staff, the people who live in the home and visitors can speak to him at any time. Regular meetings are held and there are a number of systems in place to consult with people living at the home. Relatives and the people who live in the home can approach the staff at any time. Care Homes for Older People Page 22 of 26 Evidence: The area manager completes a regulation 26 visit monthly. This is an audit which covers all aspects of the environment and the care delivered. The acting manager said that during this audit staff, the people who live in the home and visitors are consulted about their views. Any suggestions made are considered and improvements made where possible. The acting manager also carries out regular audits covering all environmental and care aspects which may result in improvements being made. Personal finances are kept in the home for people who request this. Signatures are obtained and receipts are kept to ensure peoples financial interests are safeguarded. The company also carry out a regular audit with regard to personal finances. There was evidence in staff files to show that supervision was taking place and that the staff were being appraised. Staff confirmed that supervision takes place on a regular basis. The staff who returned surveys confirmed that they usually receive the right support. The acting manager confirmed that all equipment in the home is regularly checked. The maintenance certificates that were seen at this inspection were found to be in order. Health and Safety checks are carried out regularly to safeguard people living and working at the home. Care Homes for Older People Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 31 9 The acting manager must make an application to be registered with the CSCI. To meet the Regulations and ensure that he is fit to manage the home. 01/06/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 7 It is recommended that the process for accessing computerised records is reviewed on a regular basis and that people are advised about how this can be done. Where codes are used to identify why a medication is omitted, clear information should be available to explain the meaning of the code. Staffing levels should be kept under regular review to make sure that are in sufficient numbers to meet the changing needs of the people who live in the home. 2 9 3 27 Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 26 of 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!