Inspection on 30/09/05 for Woodstock Nursing Home

This inspection was carried out on 30th September 2005.

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 27/03/07

Woodstock Nursing Home 22/03/06

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 Pat Edwards-Jackson Unannounced Inspection 30th September 2005 09:30 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 DS0000016655.V252985.R01.S.doc Version 5.0 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. DS0000016655.V252985.R01.S.doc Version 5.0 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) 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 DS0000016655.V252985.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th March 2005 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. DS0000016655.V252985.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 1 day (5.5 hrs) and was conducted by one inspector. The providers Mr & Mrs Barnes, Annie Tidy the patient care manager, six care staff, 2 cleaners, an activities coordinator, a cook and a kitchen assistant were working in the at the time of the inspection. A tour of the premises took place. A sample of bedrooms and all communal areas were seen. A sample of records relating to care, staff recruitment, the providers professional organisation Croner recent monitoring and review report, Control of Substances Hazardous to Health (COSHH), and a recent audit of staff training were all viewed. The home had 28 residents on the day of inspection. The home has no vacancies. The 29th place is in a double room, which is currently used for sole occupancy. There were 1:1 discussions with the majority of service users and one visiting relative. Observations of organised social activities also took place. The majority of standards were assessed at this inspection. What the service does well: What has improved since the last inspection? The manager has ensured that POVA checks now take place as a matter of course for all new staff. The service user guide is currently being updated. Chairs in the lounges have been replaced. The new chairs have inbuilt pressure relieving cushions and are aesthetically pleasing. A carpet shampooer has been purchased and cleaning staff report that it cleans up spillages effectively. DS0000016655.V252985.R01.S.doc Version 5.0 Page 6 A new waste disposal unit has been fitted in the kitchen. 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. DS0000016655.V252985.R01.S.doc Version 5.0 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 DS0000016655.V252985.R01.S.doc Version 5.0 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): 1; 2; 3; 4; 5; standard six is not applicable in this home Prospective service users needs are assessed prior to moving into the home – further assessment takes place following admission. Prospective service users and their relatives/supporters are able to visit the home prior to making a decision about admission. The service user guide clearly sets out the terms and conditions of service. EVIDENCE: It was evident from discussions with individual service users and a visiting relative that prospective residents are able to visit and ask lots of questions prior to admission. A copy of the service user guide was seen and found to be comprehensive and clearly sets out the terms and conditions of the service to be provided. Information provided by individual service users, about their care and support needs was accurately reflected in their care and support plans seen. DS0000016655.V252985.R01.S.doc Version 5.0 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; 10. The individual care plans detail health and social care needs and how these will be met. Service users health care needs are met by the home with the support of multi-disciplinary professionals. Service users are treated with respect and their need for privacy is upheld. EVIDENCE: A sample of individual care and support plans were seen – these contained detailed information setting out how health care needs are met both within the home on a day to day basis and via support from multi-disciplinary health care professionals. The sample of care plans seen recorded visits to (or from) GPs, community nurses, community psychiatric nurses and other health professionals. It was evident that the staff ensure residents right to refuse treatment is respected e.g. when residents are unable to comply with medical interventions, due to mental deterioration. Is clear that residents, their families and health care professionals are involved in such decisions. Care plans contained evidence of ‘in-house’ preventative support e.g. nutritional monitoring, skincare mobility needs. During the early afternoon staff shift handover, care staff reported on, individual residents care needs. DS0000016655.V252985.R01.S.doc Version 5.0 Page 10 For example whether a resident had been bathed, the condition of their skin and any specific areas of concern identified. This regular sharing of information ensures that care needs are closely monitored and the appropriate action taken. A tour of the premises confirmed that each resident has access to private facilities for toilet and washing – this maximises opportunities for privacy with personal care. The staff were observed to treat individual service users with respect and feedback from residents spoken with confirmed that they felt well respected and cared for. The visiting relative spoken with during the inspection also confirmed this. The management team ensure that areas of concern are quickly addressed as evidenced in the records seen and discussions with them. DS0000016655.V252985.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12; 13; 14; 15 The home caters for a group of people who have a range of needs, expectations and interests. Contact with friends, family and the local community is promoted and supported. Resident service users are encouraged and supported to maintain choice and control over their lives. A wholesome and appetising diet is provided and main meals are taken communally whilst breakfast is taken to individuals in their rooms. EVIDENCE: Social care needs including previous hobbies and interests were clearly identified in the individual care plans seen. A record is kept of resident’s level of engagement in social activities. A designated member of staff is responsible for organising social activities (which tend to have an important therapeutic purpose i.e. engaging people in group activity, maintaining manual dexterity, mental alertness etc). A flower arranging session was observed and the products of the session were later placed throughout the home. Some participants were also able to make an arrangement to display in their own room. Service users spoken with were very positive in their involvement in such activities. 1:1 conversations with service users confirmed that they enjoy a range of experiences within the home. Some of those spoken with had been able to continue with hobbies and interests, which they enjoyed prior to admission. DS0000016655.V252985.R01.S.doc Version 5.0 Page 12 For example one person had previously been keen on sewing, having been a professional seamstress prior to retirement. She continues to do her own clothing alterations and valued the opportunity to retain this control over her life. For some people in spite of their reduced mobility, which had often been the primary reason for moving to the home they still enjoyed planning their time and enjoyed entertaining guests in the privacy of their own rooms, reading or watching TV. Visits from friends and family were very important to several of those spoken with. Residents were able to comment on their ability to decide whether to participate in the more communal activities of the home. For example whilst one person was happy to take her meals with the main group she was happiest entertaining herself in the privacy of her own room for most of the day. Social events outside the home are also arranged by the home and one visiting relative was able to comment on the careful planning which went in to these trips. For example she was impressed that mobility and access needs had been taken into account by staff when selecting venues or destinations. This added to the positive experience residents had when they went out into the community. DS0000016655.V252985.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 The home has a system for handling complaints and service users, their friends and families can be confident that concerns will be appropriately addressed. Systems are in place to protect service users from abuse. EVIDENCE: The service user guide contains information about making complaints and how they will be handled. Contact information is also available regarding advocacy services, which service users may access if needed. Individual service users spoken with were confident that if they had any concerns these, would be followed up by the management team. As one person commented ‘this is a good home and I would say if things weren’t right’. A visiting relative commented on the strong management of the home, which she felt ensured high standards were maintained. Attendance at the staff handover meeting and a conversation with the manager/provider confirmed the following; An ‘open approach’ to challenging practice within the staff team is promoted and supported by the management team. This ensures that any concerns related to inappropriate practice, for whatever reason) are addressed and appropriate action taken. DS0000016655.V252985.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19; 20; 21; 22; 23; 24; 25; 26 The home is well maintained, clean (with no persistent odours), safe and comfortable. Specialist equipment is available to maximise independence. Individual bedrooms are arranged to suit individual resident needs. EVIDENCE: Mr Barnes (provider) was on site during this inspection undertaking regular maintenance work – this ensures that repairs are made within a reasonable timescale. A tour of the premises confirmed that some redecoration and refurbishment has taken place. The home was clean and no persistent odours were noted during the inspection. A conversation with the two cleaners on duty confirmed that they take their role seriously and are proud that their efforts were evident. The cleaners welcomed the recent purchase of a new carpet shampooer, which cleans both hard and soft surfaces equally effectively. They described the rolling programme of carpet shampooing, which takes place throughout the home. Given the high level of needs amongst the people living in the home the level of cleanliness was pleasing to see. The COSHH file was seen and was in good order. A Croner Monitoring DS0000016655.V252985.R01.S.doc Version 5.0 Page 15 and Review report (July this year) detailed the annual quality assurance audit of the service. Individual bedrooms seen contained a varying degree of personalisation. Discussions with individual service users and a visiting relative confirmed that the arrangement of furniture and personalisation (e.g. photographs, ornaments, books etc) very much reflected individual needs and preferences. For example one person had brought a ‘glowing fire’ from home, which was entirely safe and gave a ‘homely feel’ to her room. Whilst other residents, appeared to prefer having minimal ornamentation in their rooms. DS0000016655.V252985.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27; 28; 29; 30 The skills mix and number of staff meets the needs of the current resident group. Systems are in place to ensure the people living at Woodstock are in safe hands. The home has recruitment policies and practices, which protect service users. The staff are trained and the level of supervision ensures their competence is kept under review. EVIDENCE: The home currently caters for a number of residents who have significant support needs. Observations during the inspection, feedback from service users and the sample of care and support plans seen confirmed that the people living in the home receive the care and support they need. The management team are aware of the need to keep the global needs of the resident group under review to ensure this balance is maintained. The clear management; supervision arrangements and formal handover periods at the beginning of each shift change ensure that all staff are up to date and any concerns raised. All are regarded as important factors in ensuring service users are in safe hands. Since the previous inspection the providers have ensured that all new staff have the required POVA check as a condition of their employment in the home. The sample of staff files seen all contained the appropriate recruitment information e.g. references, evidence of CRB/POVA checks etc. There was evidence of an audit of staff training undertaken in July this year. DS0000016655.V252985.R01.S.doc Version 5.0 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31; 32; 33; 36; 37; 38 The home is well managed; the management team have a clear vision for the home. This ensures the home is run in the best interests of those living here. Staff are appropriately supervised. Records are well maintained. Systems are in place to ensure the health, safety and welfare of all who work and live in the home EVIDENCE: Discussions with service users, staff and the management team confirmed that there is clear management of the home (as evidenced throughout this report). An open approach is encouraged amongst the staff team to ensure that problems can be quickly identified and dealt with whenever they arise. The interaction between the staff team during the shift handover demonstrated an openness and willingness to learn to ensure the people living in the home receive a good service. DS0000016655.V252985.R01.S.doc Version 5.0 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 4 3 x 3 3 3 DS0000016655.V252985.R01.S.doc Version 5.0 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations DS0000016655.V252985.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 DS0000016655.V252985.R01.S.doc Version 5.0 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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