Inspection on 02/06/05 for Woodside View

This inspection was carried out on 2nd June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Woodside View 10/07/07

Woodside View 13/06/06

Woodside View 23/01/06

Woodside View 24/08/04

Woodside View 29/04/04

Similar services:

Springfield House

The Shelley

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Woodlands Nursing Home (Caterham) 2 Highview Caterham Surrey CR3 6AY Lead Inspector Lesley Garrett Announced 02 June 2005 09:30 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Woodlands Nursing Home (Caterham) v218795 h09 h58 s13371 woodlands (caterham) v218795 020605 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Woodlands Nursing Home (Caterham) Address 2 Highview Caterham Surrey CR3 6AY 01883 346313 01883 341153 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Furzehill Medical Limited Selwyn, Coombe Park, Kingston, Surrey, KT2 7JB Mr Titus M Musee Care home with nursing (N) 26 Category(ies) of Old age, not falling within any other category registration, with number (OP), 26 of places Woodlands Nursing Home (Caterham) v218795 h09 h58 s13371 woodlands (caterham) v218795 020605 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 The age range of Service Users will be over 65 years. Date of last inspection 24 January 2005 Brief Description of the Service: Woodlands Care Home is a converted Edwardian Manor House providing accomodation and nursing care. The home provides a reasonable standard of accomodation for up to 26 older people. This comprises of 18 single rooms, 8 of which have en-suite facilities. The home has 4 double double rooms, one of which has en-suite facility. Residents have a choice of communal areas with a large main sitting room, a conservatory area and a dining room. The upstairs accomodation is accessed by apassenger lift. The top floor accomodates administration staff, the staff room and the homes laundry. The home also has a basement which houses the central heating boiler and futher laundry equipment. Woodlands Nursing Home (Caterham) v218795 h09 h58 s13371 woodlands (caterham) v218795 020605 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first announced inspection for the year 2005/2006 and was undertaken by one inspector and took five hours. The inspector will refer to the service users as residents throughout the report as the manager stated that they preferred this. The inspector spoke with trained staff, carers, residents, relatives, the administrator and the laundry assistant. The inspector found a relaxed unhurried atmosphere with both staff and residents willing to speak openly. The inspector would like to thank the manager and staff for their cooperation during the inspection. What the service does well: What has improved since the last inspection? The home has now employed an activity organiser who not only organises group activities but also provides one to one attention. Staffing numbers have improved and maintained with the manager always supernummery allowing him flexibility to organise all the other administrative duties. The manager has been able to reduce agency staff in the home as he has recruited his own work force that is becoming more reliable. Woodlands Nursing Home (Caterham) v218795 h09 h58 s13371 woodlands (caterham) v218795 020605 stage 4.doc Version 1.30 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. Woodlands Nursing Home (Caterham) v218795 h09 h58 s13371 woodlands (caterham) v218795 020605 stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Woodlands Nursing Home (Caterham) v218795 h09 h58 s13371 woodlands (caterham) v218795 020605 stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 & 5 Al residents have a pre-admission assessment and relatives/representatives are encouraged to visit prior to admission. EVIDENCE: The manager stated that all prospective residents have a pre-admission assessment prior to admission. The manager or his senior staff nurse does these assessments. The Surrey assessment form is used which is, the manager stated, comprehensive. This is then kept in the residents file after admission. The manager stated that families or representatives are encouraged to look around the home prior to admission and so they can see the room that was empty. Woodlands Nursing Home (Caterham) v218795 h09 h58 s13371 woodlands (caterham) v218795 020605 stage 4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9 & 11 The health needs of the residents are well met with evidence of good multi disciplinary working taking place on a regular basis. EVIDENCE: The home has developed a good system of paper work for their nursing notes. Risk assessments are carried out and all are reviewed on a monthly basis. Although the care plans themselves are not signed by the resident or service user the manager stated that they are all discussed and signed for on a separate sheet with a list of the topics covered in discussion. This form is then signed. The G.P. holds a surgery every other week but will also call in between if needed. Residents may keep their own doctor if they wish and infact her family G.P visits one resident on respite care. The home also has a NHS chiropodist that calls every three months and on demand. The manager also stated that this chiropodist would also do training sessions about care of feet and how to cut nails. The community opticians will visit twice a year and there is also a community dentist who will visit when requested. Woodlands Nursing Home (Caterham) v218795 h09 h58 s13371 woodlands (caterham) v218795 020605 stage 4.doc Version 1.30 Page 10 The inspector did not go into detail with the medication but on looking at the MAR sheet it was noted that if a resident refuses a medication for any reason it was not noted on the back of the MAR sheet and this was a recommendation. The inspector spoke with the manager and trained nurses about the wishes of the services users at death and they all told her that this was a subject that had not been addressed formally. The inspector suggested that discussions should take place around death and dying and also their wishes if the resident has a medical emergency. Woodlands Nursing Home (Caterham) v218795 h09 h58 s13371 woodlands (caterham) v218795 020605 stage 4.doc Version 1.30 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13 & 15 The home now has planned activities and has recruited both an activities organiser and chef since the last inspection. EVIDENCE: The home has recruited an activity organiser since the last inspection and she stated that they now have a planned weekly events calendar. The organiser said that she is adaptable and can change the activity as to the resident’s wishes. There is one to one activity for the residents that do not like to leave their room and also group activity. The activity organiser was helping a resident to make a cup of tea and to do some toast when the inspector arrived. The resident stated that she was planning to go home and wished to maintain her independence. There is a church service every two weeks and the hairdresser also visits on a two-week rota. The manager stated that he had tea parties that the relatives and residents are invited to and these usually took place twice a year. This allows time for general discussions and the chance for relatives to meet one another. The manager stated these were normally well attended. One resident was happy to speak to the inspector about life in the home and sat in his armchair playing an electric piano while the resident sitting next to him sang along. He told the inspector he was happy here and enjoyed his music and playing cards and the staff was seen to sit with him and play. Woodlands Nursing Home (Caterham) v218795 h09 h58 s13371 woodlands (caterham) v218795 020605 stage 4.doc Version 1.30 Page 12 The inspector saw two relatives during the inspection one visiting his Mother told the inspector he felt she had settled in well but it was not like her own home. Another granddaughter was visiting and bringing some lunch for her grandmother as a special treat as she is Chinese and enjoys their cooking occasionally. The chef has been with the home since December 2004 and showed the inspector the four-week rota. Every Sunday the residents are treated to a full English breakfast if they would like and the chef stated a few took up this offer. All food is freshly prepared and a kitchen assistant assists the chef Woodlands Nursing Home (Caterham) v218795 h09 h58 s13371 woodlands (caterham) v218795 020605 stage 4.doc Version 1.30 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 standard(s) 16 & 18 The home has a satisfactory complaints system with some evidence that residents feel that their views are listened to and acted upon. EVIDENCE: The home has a complaints policy, which is displayed on the wall in reception and is contained in the service user guide, which is in every bedroom. The manager stated that he has commenced a complaints book which al staff are encouraged to fill in if they have a complaint made to them. This allows the manager to quickly see what the complaint is and what has been done about it. There have been no recent complaints. The manager showed the inspector the recent Surrey multi agency abuse folder. He stated that staff had recently attended a course and more staff was about to attend another session. This is also covered in NVQ training, which most staff had now completed. Woodlands Nursing Home (Caterham) v218795 h09 h58 s13371 woodlands (caterham) v218795 020605 stage 4.doc Version 1.30 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 standard(s) 19, 24 & 26 The standard of the décor in some of the communal areas and bedrooms are poor with little evidence of improvement through maintenance or future planning. EVIDENCE: The inspector visited a number of the resident’s bedrooms and saw that quite a few needed decorating and in some cases new furniture to make the rooms more homely. In one room a windowpane was missing and waiting to be replaced the hole was covered with cardboard. Wallpaper was peeling off the walls and in some of the corridors light bulbs needed replacing to improve the brightness on the first floor. The manager stated that some decorating had taken place but with only one maintenance man and all the other routine checks that he needed to do time was limited. One assisted bathroom had a heated towel rail which was very hot it was difficult to cover as the purpose of it was to hang towels on to it therefore the maintenance man was going to remove it and this could cause a burn to a resident or member of staff. Woodlands Nursing Home (Caterham) v218795 h09 h58 s13371 woodlands (caterham) v218795 020605 stage 4.doc Version 1.30 Page 15 The bedrooms had been personalised by the residents with pictures, photographs and ornaments on display. The home was clean with no offensive odours. Woodlands Nursing Home (Caterham) v218795 h09 h58 s13371 woodlands (caterham) v218795 020605 stage 4.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29 & 30 Staffing numbers have been maintained at a reasonable level resulting in less agency use. EVIDENCE: The manager told the inspector that staffing had improved and he required less agency staff ad that this improved the quality of care delivered to the residents. The manager is always supernummery and the inspector agreed this was a good policy to adhere to. Apart from the manager there are always two trained nurses on in the morning and the inspector agreed that this was necessary due to the size of the home and the layout. The trained staffs are supported by carers on each shift and most have level 2 NVQ. The manager had introduced a policy where all staff now works a variety of day and night shifts on a rota basis. The manager stated this had improved working relationships between the staff, as each understood the different duties required for each shift. There was now no blame culture between day and night staff. The staff files are very untidy and the inspector told the manager these needed to be tided up so that documents could be found easily. The manager and administrator explained this was a job they had planned and that they would now start to organise this. One staff members CRB had not yet been returned and are therefore always working under supervision. Staff had undergone a variety of training relevant to their roles and the carers told the inspector that this was enjoyable. Most staff the inspector spoke with Woodlands Nursing Home (Caterham) v218795 h09 h58 s13371 woodlands (caterham) v218795 020605 stage 4.doc Version 1.30 Page 17 had completed NVQ level 2 and one told the inspector she was organising level 3. Another two carers were about to leave to commence an adaptation course they were both trained nurses in India. Woodlands Nursing Home (Caterham) v218795 h09 h58 s13371 woodlands (caterham) v218795 020605 stage 4.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 & 38 The manager is fit to be in charge and is supported by his staff. EVIDENCE: The manager is a RGN and RMN with a management qualification. He has worked hard to improve the resident’s life by completing all requirements from the last inspection and building staff moral. He holds a coffee morning weekly for the staff to attend which is a general discussion group where, the manager stated. Problems can also be aired. The maintenance man does the water temperature checks and all taps have thermostatic valves. Except for one hot surface all radiators are covered. The fire alarms are tested weekly and fire training happens twice a year and the manager showed the inspector all the records. The fire officer has recently visited but the report was not yet available. The manager also holds fire drills monthly and he has devised a fire quiz for the staff to complete. Woodlands Nursing Home (Caterham) v218795 h09 h58 s13371 woodlands (caterham) v218795 020605 stage 4.doc Version 1.30 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 2 10 x 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 2 COMPLAINTS AND PROTECTION 2 x x x x 2 x 2 STAFFING Standard No Score 27 3 28 x 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x x x x x x 2 Woodlands Nursing Home (Caterham) v218795 h09 h58 s13371 woodlands (caterham) v218795 020605 stage 4.doc Version 1.30 Page 20 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. 3. Standard 29 38 9 Regulation 19 & Sch 2 13(4)(a) 13(2) Requirement All employees have a CRB prior to employment. All radiators or hot surfaces should be covered When a medicine is not administered to a resident the reason should be written in the back of the MAR chart. Service user plan to contain information about their wishes at death or if they have a medical emergency which could result in hospital admission The provider when he visits the home must, with consent, talk with service users, representatives and the staff. Timescale for action 16/06/05 16/06/05 16/06/05 4. 11 15 30/06/05 5. 33 26 30/06/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Woodlands Nursing Home (Caterham) v218795 h09 h58 s13371 woodlands (caterham) v218795 020605 stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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. 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