Inspection on 27/03/07 for Woodstock Nursing Home

This inspection was carried out on 27th March 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Woodstock Nursing Home 22/03/06

Woodstock Nursing Home 30/09/05

Woodstock Nursing Home 14/03/05

Woodstock Nursing Home 07/10/04

Woodstock Nursing Home 16/03/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Woodstock Nursing Home 35 North Upton Lane Barnwood Gloucester Glos GL4 3TD Lead Inspector Mr Adam Parker Key Unannounced Inspection 09:30 27 & 28th March 2007 th 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 Woodstock Nursing Home DS0000016655.V337150.R01.S.doc Version 5.2 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. Woodstock Nursing Home DS0000016655.V337150.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodstock Nursing Home Address 35 North Upton Lane Barnwood Gloucester Glos GL4 3TD 01452 616291 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) annie@woodstocknursinghome.co.uk Mrs Millie Rosaleen Barnes Mr John Barnes Mrs Millie Rosaleen Barnes Care Home 29 Category(ies) of Dementia (2), Old age, not falling within any registration, with number other category (29), Physical disability (3) of places Woodstock Nursing Home DS0000016655.V337150.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22/03/06 Brief Description of the Service: Woodstock Nursing Home is situated in a residential area of Barnwood, on the outskirts of Gloucester. The providers Mr & Mrs Barnes are involved on a dayto-day basis in supporting the management of the home. The home is registered for 29 older people. The accommodation is located on three floors with bedrooms on each floor. All bedrooms have en suite facilities and twenty-one of these have their own shower facility. There is one assisted bathroom in the home and a large assisted toilet facility on the ground floor as well as several other toilets. Also on the ground floor is a spacious dining room adjacent to the kitchen, with a serving area; three lounges and staff office accommodation. Group social activities are usually held in the large lounge. The second lounge has a television. The third lounge is available for those who prefer a quiet room for reading. The home stands in its own grounds and the enclosed gardens at the rear are accessible to those with mobility needs. The home is close to local shops and services. Current fees are £650.00 per week. Hairdressing, chiropody, newspapers, resident’s own preferred toiletries and some outings are charged extra. The home makes information about the service, including CSCI reports available to service users and their representatives through a service user guide and statement of purpose available in the home. Woodstock Nursing Home DS0000016655.V337150.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit was carried out by one inspector over two days in March 2007. Four residents were spoken to during the inspection visit to gain their views on the service provided. The registered manager of the home was present for the both days of the inspection visit which consisted of a tour of the premises and examination of residents’ care files. In addition staff recruitment and training was looked at as well as documents relating to the management and safe running of the home. A sample of residents were selected for inspection against a number of outcome areas as a ‘case tracking’ exercise. Comment cards were received from residents, their relatives, staff working in the home and from General Practitioners (GP). The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. What the service does well: The home provides a range of appropriate information to prospective resident’s and their relatives prior to admission. Systems are in place for assessing residents’ needs prior to admission. A good care planning system is in place and the home works with health care professionals to ensure that service users’ health needs are met. Care is delivered in such a way as to uphold service users privacy and dignity. Medication practices ensure that residents medication needs are met and practice is monitored with an annual audit. A stimulating and variable programme of activities is provided both inside and outside of the home with visitors welcomed enabling residents to maintain contact with family and friends. The availability of the complaints procedure ensures that information is available should any complaint to be raised by residents or on their behalf by relatives. In addition staff are trained in how to deal with any potential abuse issues and relevant referrals have been made to other agencies including the local adult protection unit. A range of training is provided for staff and the home actively follows up on mandatory training updates. The staff group in the home have a good level of NVQ training ensuring they are skilled and competent to meet residents needs. Staff recruitment procedures are robust and in the interests of protecting residents. The home was well maintained and clean providing residents with a safe and comfortable environment. Woodstock Nursing Home DS0000016655.V337150.R01.S.doc Version 5.2 Page 6 The home is well managed and through this and quality audits, the home can demonstrate that it listens to the comments of residents and their relatives and can work towards providing positive outcomes. Maintenance and servicing of systems and equipment in the home coupled with staff training ensures safe working practices and residents safety. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Woodstock Nursing Home DS0000016655.V337150.R01.S.doc Version 5.2 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 Woodstock Nursing Home DS0000016655.V337150.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home’s admission procedure ensures that all service users are admitted to the home with appropriate information on the basis of a full assessment of their needs, so that they can receive the care that they require. EVIDENCE: The home makes initial assessments of prospective resident’s needs using an assessment form that makes reference to the relevant national minimum standard for care homes for older people. One resident had been in hospital where the pre admission assessment by the home had taken place and the home had obtained a discharge summary from the hospital. The home has a waiting list and only makes an assessment of a prospective resident when there is a bed to offer. Often the family of a prospective resident visits the home following an initial telephone enquiry and are shown copies of Woodstock Nursing Home DS0000016655.V337150.R01.S.doc Version 5.2 Page 9 an information brochure, service users guide and inspection report. Following this the prospective resident themselves may also visit the home if possible. Where funding is from a local authority the home always attempts to obtain a copy of any assessment or care plan although there have been occasions when these have not been available and the home has had to rely on its own assessment. Following initial assessment a discussion takes place between the patient care manager and the registered manager and a check is made to ensure the home has the necessary equipment to care for the resident and to check if any staff training is required. The registered manager cited examples of prospective residents who had not been admitted to the home following assessment usually where there were concerns about managing certain behaviours. The home does not provide intermediate care and so Standard 6 does not apply. Woodstock Nursing Home DS0000016655.V337150.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 & 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There is a good individualised care planning system in place which provides staff with information to meet residents’ needs. The home works well to meet residents’ health needs and liaises with health care professionals. Medication administration procedures in the home coupled with an audit of medication practice ensure that residents medication needs are met. Care is given in such a way as to promote the privacy and dignity of residents. EVIDENCE: Care plans were specific, individualised and gave clear instructions on how residents needs should be met. Examples were seen of relatives of residents signing care plans following liaison from the staff at the home. Care plans were Woodstock Nursing Home DS0000016655.V337150.R01.S.doc Version 5.2 Page 11 reviewed on a monthly basis. One resident had care plans for personal care and a for relieving anxiety levels which clearly linked with directions for giving medication prescribed on an ‘as required’ basis. There was recorded evidence of residents having input from health care professionals such as GPs, mental health nurses and chiropodists. One example showed how a resident had developed a cough, the GP had been contacted and this had resulted in a course of treatment by antibiotics being prescribed. The same resident had also been referred to a tissue viability nurse in respect of pressure area care. Another resident was having input from mental health services although it was unclear if there were Care Programme Approach arrangements in place in relation to this. The home should check if this applies and request copies of any relevant documentation. Risk assessments had been completed for pressure areas, moving and handling and falls and related care plans had been produced where the need indicated this. Pressure area risk assessments had been reviewed monthly and the score ‘on admission’ was specifically recorded. Nutritional risk assessments had been completed and the resident’s body mass index recorded. Nursing and care staff in the home have access to literature and information relating to care and nursing procedures and the safe use of equipment. Medication administration and storage arrangements were looked at. Where medication was stored in a refrigerator, records had been kept and these indicated that temperatures were within the correct range. Storage temperatures in the nurses office were being monitored and recorded. During the hot weather of July 2006 some temperatures had exceeded 25°C apart from this temperatures were being maintained at appropriate levels. Medication storage temperatures feature in the annual drug audit held in the home. It was noted that bottles of liquid medication had been dated on opening with a view to establishing the expiry date of the medication. The home has a homely remedies policy and this has been agreed by GPs. Some handwritten directions on medication administration records were not signed or dated. In addition there was one instance where discontinuation of treatment had been handwritten on the administration chart but this had not been signed or dated and another where the frequency of a dose had changed and no signature had been provided. This is considered a breach of regulation 13 (2) of the Care Homes Regulations 2001. However no requirement is made in this report because of the home’s annual medication audit completed by the patient care manager and involving all registered nurses employed by the home. This audit addressed the issue of using two staff signatures when staff have written on MAR charts to amend prescriptions or dosages. One registered nurse in her response to the audit had picked up the fact that alterations to the administration charts were not being signed. The drug audit is a valuable tool in monitoring medication storage and administration practice in the home. The home’s medication policy was Woodstock Nursing Home DS0000016655.V337150.R01.S.doc Version 5.2 Page 12 checked and stated that “handwritten entries by trained staff will carry two signatures”. All of the 11 responses received from GPs indicated that residents medication was appropriately managed in the home. Staff were observed treating residents with respect and up-holding their privacy. On this subject one resident confirmed that her privacy was respected and said about the home “I can see visitors in private to discuss private matters”. Another resident confirmed that staff knock on her bedroom door before entering. One relative of a resident commented “My mother is treated with affection, respect and dignity.” Woodstock Nursing Home DS0000016655.V337150.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Varied and stimulating activities are provided to occupy the residents and enhance their quality of life. The home plays an active role in encouraging residents’ involvement with family, friends and the local community, which provides a good degree of social contact. Depending on their ability, residents are able to maintain some choice and control over their lives. Residents’ dietary needs are well catered for taking into account choice and nutrition. EVIDENCE: As part of the assessment of residents, social interests and personal and family history is recorded. Social activity plans are drawn up and a record kept of activities that the resident takes part in. The home has an activities organiser Woodstock Nursing Home DS0000016655.V337150.R01.S.doc Version 5.2 Page 14 and a monthly programme of activities is compiled and posted in the home. Examples of activities in the home consist of physical exercises, musical entertainers and family tree work with individual residents. The home attempts to involve some residents in hobbies and interests from the past with one resident taking up a past interest in photography. The home also organises trips out of the home and these range from walks in the local park to a trip to Bristol Zoo, one resident stated how much she was looking forward to this. Some residents pursue their own social activities outside of the home attending Women’s institute, a ‘get together’ club, the black elders club as well as attending the local church. Residents who are visually impaired are supplied with talking books and a weekly version of the local paper on an audio tape. The home operates a policy of open visiting although prefers that visitors do not visit at mealtimes as this may distract residents. However one resident was receiving a visitor who had journeyed on the train to visit her and was staying for the day so a lunch was provided by the home. On all comment cards received from relatives of residents the indication was that they were welcomed into the home and one stated that they were “always greeted”. The home maintains a level of involvement with the local community with local churches and residents from another local care home visiting for a ‘sing-along’ session. A barbecue and garden party is held in the summer and there have been visits from local schools and from brownies and scouts. There were no residents in the home currently controlling their own finances. Relatives and representatives were helping residents with this or acting on their behalf. The home has information available on how to contact advocacy services who may act in their interests and has a policy on the use of advocates. Evidence was seen of residents bringing their own personal possessions into the home including items of furniture. The serving of lunch was observed in the main dining room. Some residents took their meals in other communal rooms or in their own rooms if this was their preference. It was noted that staff were wearing appropriate protective clothing while serving and assisting residents with eating which was carried out in a dignified manner with staff sitting with the residents. Drinks were on offer with one resident having their choice of sparkling water. Where meals were pureed they were presented in an attractive way with all the portions of the meal identifiable. The menu is changed every week for four weeks with breakfast, lunch and supper offered. Although there is no choice of main course offered for lunch, individual likes and dislikes can be catered for and this was confirmed by residents spoken to. Supper includes a choice of sandwiches of a cooked option. Vegetarian and special diets can be catered for if required. The house keeper ascertains any meal choices for the day and a record is kept of any alternatives from the menu provided. Woodstock Nursing Home DS0000016655.V337150.R01.S.doc Version 5.2 Page 15 One resident described the meals as “pretty good” noting that ingredients were “all home made with no tins or frozen”. Another resident confirmed that she was offered a choice if she did not like what was on the menu Woodstock Nursing Home DS0000016655.V337150.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home has a clear complaints procedure and information about this is available to service users and their representatives should they wish to make a complaint. The home gives a high priority to protecting residents from abuse through referrals and staff training. EVIDENCE: The home has a complaints procedure available in the home for residents or their relatives. The complaints procedure is also sent to residents relatives with other information about the home. Out of 19 comment cards received from relatives of residents, the majority indicated that they were aware of the complaints procedure. Out of the four surveys received from residents of the home all indicated that they knew who to speak to if they were not happy and all indicated that they knew how to make a complaint. The home intends to deal with concerns or complaints promptly and encourages comments from residents and their relatives using a questionnaire as part of an audit. The home has demonstrated how it has worked with other agencies including the local authority adult protection unit in protecting a resident from a Woodstock Nursing Home DS0000016655.V337150.R01.S.doc Version 5.2 Page 17 potentially abusive situation. This has resulted in a plan of management with appropriate safeguards put in place. The home has also demonstrated that in the past it has taken the appropriate action to safeguard residents with appropriate referrals and liaison with other agencies. Staff in the home have attended training on adult protection and also training in managing aggression and challenging behaviour. The training is subject to an audit to monitor how many staff are attending.The home has a whistle blowing policy and a policy on adult protection. The registered manager has attended a conference on adult abuse and is a member of the local authority adult protection unit management committee. Woodstock Nursing Home DS0000016655.V337150.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,24 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have the benefit of living in a well maintained and clean environment with personalised individual rooms. EVIDENCE: A tour of the premises was conducted. All areas of the home inspected were found to be clean and well maintained with appropriate and attractive decoration. There are three communal rooms available for residents throughout the home. At the time of the inspection visit, major building work was being undertaken in the home to make single rooms out of two double rooms. This was being well managed where it had an impact on residents. Outside there were accessible well maintained gardens although due to the building work one area was temporarily cordoned off. Woodstock Nursing Home DS0000016655.V337150.R01.S.doc Version 5.2 Page 19 Individual residents rooms were looked at, many of these contained personal items including items of furniture. Two residents confirmed that as well as daily cleaning, their rooms were given a more thorough clean on a monthly basis. The home was clean and free from offensive odours with handwashing facilities provided in appropriate locations. The laundry was clean and well organised with hand-washing facilities available and washable floor and wall surfaces. As part of the building work, a boiler had recently been removed and the area was due to be attended to. Woodstock Nursing Home DS0000016655.V337150.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 & 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents needs are met by the numbers and skill mix of staff. The level of staff NVQ training should ensure that residents are in safe hands. Residents are protected through robust recruitment procedures. Induction and other training should ensure that staff are trained and competent to meet residents’ needs. EVIDENCE: Staffing levels for the second day of the inspection visit consisted of one registered nurse for the morning, afternoon and night shift with six carers in the morning, three carers from 2pm to 5pm and four after five. In addition the patient care manager normally works Monday to Friday as extra to the nursing and care staff. During the inspection visit she was working nights to cover leave. The home also employs a house keeper, cleaning and catering staff. The registered manager gave an example of where extra staff had been used in the past in relation to one residents’ needs. Out of 19 comment cards received from relatives of residents, the majority indicated that in their opinion there were always sufficient numbers of staff on duty. Out of 4 surveys received Woodstock Nursing Home DS0000016655.V337150.R01.S.doc Version 5.2 Page 21 from residents of the home, 3 indicated that there were always staff available when they needed them and 1 indicated that they were usually available. The home employs 20 care staff and 11 of these have an NVQ level 2 or level 3. There are also five care staff who are currently working towards an NVQ level 2. The home’s two team leaders also have an NVQ 2 in team leading. Cleaning staff have also achieved an NVQ level 1 in cleaning and are currently undertaking a level 2. Records for recently recruited members of staff were examined as well as one in the process of recruitment. All the required information and documentation had been obtained including an employment history against which any gaps in employment would be explored with the applicant. Checks against the Protection of Vulnerable Adults list were being made as well as with the Criminal Records Bureau. The home provides induction training to all new staff and uses a booklet to record progress with the training which is clearly linked to national specifications in terms of the Common Induction Standards. Induction training is also provided for care staff in ‘end of life’ care before they undertake this. Staff have also received training in managing aggression and challenging behaviour and in dementia care. Woodstock Nursing Home DS0000016655.V337150.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 & 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed with a variety of quality assurance audits in operation to ensure that the home is run in the interests of residents. The home has arrangements for ensuring that residents’ financial interests are safeguarded. Good maintenance of services and equipment and training in safe working practices ensure residents’ safety. EVIDENCE: Woodstock Nursing Home DS0000016655.V337150.R01.S.doc Version 5.2 Page 23 The registered Manger is also one of the registered providers of the home. She has been running and managing the home for 21 years and is a registered first level general nurse with years of experience working in the health service including management roles. The registered Manager is actively involved in a number of local groups and committees concerned with the care homes and the care of older people. She has achieved the registered managers award and has an additional qualification in nursing the elderly. One of the major strengths of this service is it’s quality assurance audits. The home uses a variety of quality audits, these include audits of training, medication, catering, and infection control as well as a health and safety audit carried out by an external consultant. Surveys are also carried out of resident and relative satisfaction and staff satisfaction. The results of audits and surveys inform the annual quality assurance programme for the home and become “an action plan for quality improvement”. The document relating to the programme states “The programme measures standards within the home against national guidelines, Service standards, policies and procedures, regulatory requirements and best practice in key areas.” The resident and relative audit includes questions on laundry service, mealtimes, activities, personal care and management and invites a response to the question “what would you change?” The home keeps a certain amount of money for residents needs and ensures that residents have access to money at all times. Money is held securely and is used for such things as paying the hairdresser with appropriate records kept. The home is not involved in paying any resident’s money into bank accounts and generally all finances are handled with the support of relatives. Valuables are sometimes held on a short term basis on behalf of residents. One resident has a secure facility in their room for storage of valuables. One of the registered providers carries out some of the maintenance work in the home and has been trained to undertake portable electrical appliance testing. The home has ensured the servicing and maintenance of electrical systems as well as hoists and the lift. There has been some recent replacement of heating boilers in the home as a result of the building work. Regular checks are made on hot water temperatures and recorded along with a number of other safety checks. Annual work in relation to the potential risk of Legionella is due to be carried out following completion of the current building work. This involves tests of samples of water from the home being carried out by a specialist consultant. The home has taken measures with regard to the security of the building and this has also been the subject of a risk assessment exercise. Staff have received training in infection control, fire safety and moving and handling. This training is subject to audit to ensure that all staff receive the required updates. Woodstock Nursing Home DS0000016655.V337150.R01.S.doc Version 5.2 Page 24 Fire drills are held to test the response of staff and a record of these is kept with the last recorded fire drill being in February 2007 where 11 staff were involved. Woodstock Nursing Home DS0000016655.V337150.R01.S.doc Version 5.2 Page 25 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 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 4 3 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X X 3 Woodstock Nursing Home DS0000016655.V337150.R01.S.doc Version 5.2 Page 26 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. Standard Regulation Requirement Timescale for action No requirements 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 home should check if the resident who is receiving input from mental health services is subject to Care Programme Approach arrangements and if so request a copy of any documentation. Woodstock Nursing Home DS0000016655.V337150.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Woodstock Nursing Home DS0000016655.V337150.R01.S.doc Version 5.2 Page 28 - 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. 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