Inspection on 28/06/07 for Woodstock Residential Home

This inspection was carried out on 28th June 2007.

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

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

Other inspections for this house

Woodstock Residential Home 05/07/06

Woodstock Residential Home 12/12/05

Similar services:

The Shelley

Springfield House

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 Woodstock Residential Home 80 Woodstock Road Sittingbourne Kent ME10 4HN Lead Inspector Wendy Mills Unannounced Inspection 28th June 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Woodstock Residential Home DS0000065797.V340281.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 Residential Home DS0000065797.V340281.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodstock Residential Home Address 80 Woodstock Road Sittingbourne Kent ME10 4HN 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) 01795 420202 Nellsar Limited Mrs Gail Edey Care Home 60 Category(ies) of Dementia (23), Old age, not falling within any registration, with number other category (60) of places Woodstock Residential Home DS0000065797.V340281.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. That from time to time the service may admit service users under the age of 65 years to the Lodge (dementia unit) with the condition of dementia. 5th July 2006 Date of last inspection Brief Description of the Service: Woodstock Residential Home provides personal care and accommodation for up to sixty older people. It is owned by Nellsar Limited. The registered manager is Mrs Gail Edey. The home is located in a residential area in the village of Tunstall. It is approximately two miles from the town of Sittingbourne where there is a main line railway station. The premises are large, with good car parking facilities to the front and a wellmaintained, established garden to the rear. Residents’ accommodation is on two floors, accessed by either a passenger lift or a stair lift. There is a mixture of single and shared rooms. The home has is a good choice of communal areas available to residents both within the home and in the garden. The home employs care staff, working a roster, which gives 24-hour cover. There is an activities co-ordinator who works five days each week. Ancillary staff for catering, laundry, maintenance and domestic duties are also employed. Current fees range from £337 to £550.00 per week. Woodstock Residential Home DS0000065797.V340281.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report takes into account information gathered at this unannounced visit formed part of the inspection process by the Commission for Social Care Inspection (CSCI) in accordance with the Care Standards Act 2000. Other information, gathered since the last inspection from a variety of sources such as health and social care professionals, relatives and the home itself, has also been taken into account when compiling this report. During the unannounced visit, it was possible to speak to residents, relatives, health care professionals and staff. Some were spoken to in the communal areas. Others were spoken to in private. Documentation, including, care plans, staff files and health and safety records were examined and a tour of the home made. Direct and indirect observations were made throughout the visit. There are only thirty-eight residents in the home at present due to the current building work that is taking place. The home has made very significant progress in meeting and sometimes exceeding the National Minimum Standards for the care of older people since the last inspection. All requirements and recommendations made in the last CSCI report have been met. All comments received about the home were very positive. The residents, their relatives, visiting health care professionals, the staff and the registered manager are all thanks for the welcome they gave and for their assistance throughout this visit. What the service does well: The home provides good care for the residents and looks after their health very well. Health care professionals spoke very highly of the way the home co-operates with them and the care the staff give the residents. Activities in the home are excellent. There is an activities co-ordinator and there are opportunities every day for residents to take part in a wide range of pastimes. Care staff are very good at supporting residents in these activities. On the day of this visit several residents were going out to a tea dance. Woodstock Residential Home DS0000065797.V340281.R01.S.doc Version 5.2 Page 6 There is a pleasant, welcoming and relaxed atmosphere in the home. Currently there is some building work being carried out to provide more single rooms, a visitor’s area and a larger lift. The home has worked hard to maintain a homely and safe environment for the residents whilst this work is being carried out. Staff training is very good. Staff said that they get, “loads of training”. One said that she, “never had so much training” when working in other homes. Other staff were very positive about the way staff training had improved the care in the home, they said that, “Everything is done the proper way”. What has improved since the last inspection? Staffing levels at the home have improved. The organisational structure has been changed. There are now at least two team leaders with three care staff in each team during the day. One of the team leaders also acts as head of shift. This means that there are clear lines of responsibility. The care staff are supported by a number of ancillary staff, including a laundry assistant, cooks, cleaners and a maintenance person. A new format for the care plans has been introduced. The care plans are much easier to follow and include strengths assessments and life histories where appropriate. An activities co-ordinator has been appointed since the last inspection. This has improved the range of activities available and given more opportunity for outings. The storage of medicines has improved. Two new medicine trolleys and a medicines fridge have been purchased. Temperature control valves have been fitted to the hot water system. This means that water is now at a safe temperature and has reduced the risk of scalds. Additional moving and handling equipment has been purchased and all equipment has been serviced. Woodstock Residential Home DS0000065797.V340281.R01.S.doc Version 5.2 Page 7 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 Residential Home DS0000065797.V340281.R01.S.doc Version 5.2 Page 8 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 Residential Home DS0000065797.V340281.R01.S.doc Version 5.2 Page 9 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): 1&3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides the residents, their relatives and supporters, with the information they need. Appropriate pre-admission assessments are made. This means that only those residents whose needs can be met are admitted to the home. EVIDENCE: The Statement of Purpose and Service User Guide have been updated recently. They are easy to understand and contain appropriate information. The registered manager said that all residents are assessed prior to admission. Care plans have records of these assessments. Health care professionals confirmed that the home can meet the needs of the residents. Woodstock Residential Home DS0000065797.V340281.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 good. This judgement has been made using available evidence including a visit to this service. The home gives good care and promotes the health and well being of the residents. EVIDENCE: The format of the care plans has been recently changed to make them more comprehensive and easier to use. Examination of care plans showed that they contain relevant information such as the interests, likes and dislikes of the residents, life histories and strengths assessments, where appropriate, and details of health care needs. Risk assessments are in place. Staff are well trained and showed a good understanding of best care practice. Woodstock Residential Home DS0000065797.V340281.R01.S.doc Version 5.2 Page 11 Residents said that the staff are kind and give them the help they need. Relatives said that they had noticed how patient and understanding the staff are and that they were pleased with the care offered to their relatives. Visiting health care professionals praised the home and the way it communicates with them. They said that they are called out appropriately and that the home works hard to follow their advice. Staff are trained in moving and handling. All appropriate moving and handling equipment, such as hoists and sliding boards, is provided and regularly checked and serviced. Nutrition in the home is well managed. Residents are weighed regularly and any loss of appetite is noted and appropriate action taken. Medicines are stored safely and at the correct temperatures. There is a goodsized clinical room with locked cupboards and hand washing facility. Two new medicine trolleys and a lockable fridge have been purchased since the last inspection. Conversation with one of the team leaders showed that there are sound policies and procedures for the management and administration of medicines and that staff understand these. Records of the administration of medicines are very well maintained. Sometimes medication, or the way it is administered, is changed by the doctors. When this happens staff note these changes in the records by hand. It would be advisable for staff to ensure another member of staff trained in the administration of medicines countersigns these entries. Woodstock Residential Home DS0000065797.V340281.R01.S.doc Version 5.2 Page 12 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. There is a wide choice of activities and enough staff to support the residents to participate in them. Nutritional services are very good and mealtimes are enjoyable and social occasions. EVIDENCE: Since the last inspection an activities co-ordinator has been appointed. She organises a wide variety of activities. There are individual activities such a puzzles, small group work such as reminiscences, arts and crafts, and outings. The home has access to transport for outings. On the day of this visit several of the residents were going out to a tea dance. They said they were looking forward to this. Some residents prefer to spend time in their own rooms. Some said that they do not want to join in activities and were pleased that they are not “forced to Woodstock Residential Home DS0000065797.V340281.R01.S.doc Version 5.2 Page 13 so”. For those who do not want to join in there are large print library books, board games and newspapers. Some said that they like to watch television or just listen to music in their own rooms. Relatives said that they are made very welcome when they visit. They said that they are always offered a cup of tea or coffee. At present there is no private area for visitors but the registered manager said that, once the building work is finished there will be an area, other than their own rooms, where residents can meet with their visitors more privately. The home also works to keep telephone contact with those relatives who are unable to visit. Where residents or their relatives wish, their life stories are recorded in the care plans, this helps staff plan activities that are appropriate to each resident. This is especially helpful for those residents with mental fraility as staff can remind them of activities and choices that they may have made in the past. Residents said that they enjoy their meals very much and that they get plenty to eat and drink. The dining rooms are pleasant, light and airy. Residents can have a cooked breakfast if they wish. The main meal is taken at lunchtime. The menus are seasonal and a choice is always offered. Care staff were noted to give assistance discretely to those who need help with eating. The cooks said that when a new resident comes to the home, they go and talk to them about their likes and dislikes in respect of food. This information is then noted. They said that if any of the residents suffer from loss of appetite this is noted both by themselves and the care staff. In these situations they said that they would first offer a different choice and monitor the situation. Care staff said that medical advice is sought if loss of appetite is ongoing. On the day of this visit there was plenty of good quality produce in the home. Fresh fruit was available and plenty of drinks were offered to the residents throughout the day. Woodstock Residential Home DS0000065797.V340281.R01.S.doc Version 5.2 Page 14 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 good. This judgement has been made using available evidence including a visit to this service. The home listens to, and acts upon, the views and concerns of the residents, their supporters and staff. EVIDENCE: There are sound policies and procedures for managing any views, concerns or complaints expressed by residents, their supporters or staff. Residents and relatives said that they know how to complain but have not had cause to do so. Any day-to-day concerns are noted and acted upon immediately. There have been no formal complaints since the last inspection. Staff said that they have been trained in the Protection of Vulnerable Adults (POVA) and that they would have no hesitation in reporting any concerns directly to the manager. However, they said that they feel that the team working in the home is so good that it would be unlikely that this need would arise. They said that the manager has an open door policy and that she sometimes works alongside them. This means that there is good communication at all levels. Woodstock Residential Home DS0000065797.V340281.R01.S.doc Version 5.2 Page 15 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, 22, 24, 25 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment is clean, safe and welcoming. It provides the residents with a pleasant and homely place to live. EVIDENCE: Currently the home is undergoing some major renovation and improvement. Despite the building work, every effort has been made to keep the environment pleasant and homely. Builders are asked to stop any noisy work at meal times and the work area has been well screened off and made safe. The improvements will include more single rooms, a large passenger lift and a quiet area for residents to meet with friends and relatives. The manager said Woodstock Residential Home DS0000065797.V340281.R01.S.doc Version 5.2 Page 16 that the aim is to provide more accommodation in single rooms and to convert some of the existing double rooms to single rooms with en suite facilities. The home was clean and free from offensive odours on the day of this visit. The cleaning staff are commended for the effort they are putting in to keep the home clean at a time when building work is inevitably creating more dust than usual. A wash hand basin has been fitted in the laundry. Conversation with the laundry assistant showed that infection control has improved in this area. She was knowledgeable about infection control and laundry management. The bedrooms are homely and well decorated. Residents have been able to personalise their rooms. They said that their rooms are comfortable. One said, “They make me very comfortable here and I am happy to spend time in my room, I’ve got everything I need.” A tour of the home showed that there are two rooms with steps down into them. It is understood that there are plans to alter the rooms so that the floors are level with the main corridor. The steps down into the room are a trip hazard and it is strongly recommended that this work be done as soon as possible. Moving and handling equipment is provided and hoists have been serviced recently. Outside there are good-sized gardens at the rear of the home. Some of the garden is being landscaped at the moment and was not available to the residents at the time of this visit. However, there is still a large, safe and enclosed patio area that is easily accessible to the residents. This area has plenty of seating and shade. Adequate parking facilities are provided to the front of the building. Woodstock Residential Home DS0000065797.V340281.R01.S.doc Version 5.2 Page 17 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 good. This judgement has been made using available evidence including a visit to this service. Staffing levels, staff training, staff morale and recruitment practices are all good. This means that a well-informed and cheerful staff team care for the residents. EVIDENCE: Since the last inspection a new organisational structure has been introduced. Care staff work in two teams on each the day shifts. One team cares for the residential part of the home and the other team cares for the residents with failing mental capacity. One of the team leaders acts as head of shift. This person holds the keys, takes the lead on any matters that arise, for example, a doctor’s visit, and takes the lead on the administration of medication. This means that there are clear lines of accountability and staff know exactly who to report to. Staff said that this encouraged good team working and saw this as one of the strengths of the home. Inspection of staff files showed that all appropriate checks, including Criminal Records Bureau (CRB), written references and telephone checks. Woodstock Residential Home DS0000065797.V340281.R01.S.doc Version 5.2 Page 18 There is a training matrix and staff files contain very good evidence of a high level of training. Both statutory and specialist training have been undertaken. The home aims to have one hundred percent of staff trained at National Vocational Qualification (NVQ) level II or above by 2008. Several staff hold NVQ at level II and/or III. The rest of the staff are either doing the NVQ at present or are booked to begin very soon. The registered manager has recently completed a four-day course in dementia care. It is planned that care staff will also attend this course. All staff are working to achieve the certificate in dementia care. Staff said, “There is loads of training”. One said that the training in the home is the best she has ever experienced in all the years she has worked in care. One member of staff said that the amount of training means that staff learn to provide care in line with best practice. She said, “Everything is done the proper way here and we take a pride in that”. Staff said that they love their jobs and enjoy working in the home. Some said it was much better than other homes they had worked in. Conversation with some of the staff showed that they are knowledgeable and enthusiastic. Residents and relatives said that the staff are very kind, friendly and caring. Woodstock Residential Home DS0000065797.V340281.R01.S.doc Version 5.2 Page 19 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, 32, 33, 35, 36 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and run in the best interests of the residents. EVIDENCE: The registered manager, Mrs Gail Edey, has managed the home for the past eighteen months. Since taking on the role as manager she has worked very hard to improve the home. She has ensured that all the requirement and recommendations made at the last inspection were met. She is commended for her diligence and the progress she has made. Woodstock Residential Home DS0000065797.V340281.R01.S.doc Version 5.2 Page 20 Mrs Edey holds the NVQ level IV in Management and Care and has many years experience working in care. She previously managed another home in the area. She has maintained her continuous professional development and has recently attended a four-day course in dementia care. Staff spoke very highly of Mrs Edey. They said she, “has an open door,” is “very easy to talk to”, and “communicates well”. The area manager visits the home regularly. Quality assurance questionnaires are sent to residents and relatives and the result of these are considered and acted upon appropriately. There are sound policies and procedures for the safekeeping of residents’ monies. Communication in the home is good. Records show that there is regular, individual supervision for staff and staff meetings. Visiting healthcare professionals say that the home maintains good relationships with them. No health and safety hazards were noted during a tour of the home. Woodstock Residential Home DS0000065797.V340281.R01.S.doc Version 5.2 Page 21 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 3 X 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 3 3 X 3 X X 3 Woodstock Residential Home DS0000065797.V340281.R01.S.doc Version 5.2 Page 22 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. 1. Refer to Standard OP8 Good Practice Recommendations The registered manager should ensure that visiting staff correctly label any equipment, for example, sharps boxes, for they (ie. Visiting staff, not the home’s own staff) are responsible, is correctly labelled. Staff administering medicines should ensure that any hand written alterations on the MAR sheets are countersigned by another member of staff who is trained in the administration of medicines The two bedrooms with steps down into them should be altered as soon as possible to make the floor in the rooms level with the floor in the corridors. 2. OP9 3 OP23 Woodstock Residential Home DS0000065797.V340281.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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. 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