Inspection on 04/10/05 for Woodview Care Centre

This inspection was carried out on 4th October 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Woodview Care Centre 23/07/08

Woodview Care Centre 09/08/07

Woodview Care Centre 19/10/06

Woodview Care Centre 13/01/06

Woodview Care Centre 30/03/05

Woodview Care Centre 23/08/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Woodview Care Centre 127 Lincoln Road Branston Lincs LN4 1NT Lead Inspector Dawn Podmore Unannounced Inspection 4th October 2005 12:15 X10029.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 Woodview Care Centre DS0000002563.V256461.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 and Care Homes for Adults 18 – 65*. 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. Woodview Care Centre DS0000002563.V256461.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Woodview Care Centre Address 127 Lincoln Road Branston Lincs LN4 1NT 01522 790604 01522 793478 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) Exceler Healthcare Services Limited Care Home 63 Category(ies) of Old age, not falling within any other category registration, with number (42), Physical disability (21) of places Woodview Care Centre DS0000002563.V256461.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Twenty one residents - category PD (sex - both) to be accommodated in Greenwood Court. One service user under the category PD to be accommodated in the nursing unit on a named basis. The maximum number of services users to be accommodated is 63. Date of last inspection 30th March 2005 Brief Description of the Service: Woodview Care Complex is located on the outskirts of Lincoln in the village of Branston. Accommodation is at ground level and is provided in two separate units, these are quite separate in purpose; both are managed by the same general manager and share some common facilities. Woodview Accommodation for Older People: 38 single bedrooms, 28 bedrooms with ensuite facilities, 10 without ensuite facilities, two double bedrooms, two lounges, and two dining rooms. Greenwood Accommodation for people with a Physical Disability: 21 single bedrooms, 1 lounge, 1 smoke lounge, 1 quiet room, 1 activity room, conservatory and one dining area. There is car parking to the side of the building. The gardens are well kept and can be easily accessed by residents. Woodview Care Centre DS0000002563.V256461.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over 5 hours. The manager was unavailable but the Regional Manager Kaye Johnson and Diana Coy a service manager from another of the company’s homes assisted with the inspection. The main method of inspection used was called case tracking which involved selecting four residents and tracking the care they receive through the checking of their records, discussions with them and the care staff, and observation of care practices. A tour of the premises was conducted and care and staff records were examined. Fifteen residents, a relative and five members of staff were informally interviewed. What the service does well: 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. Woodview Care Centre DS0000002563.V256461.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Woodview Care Centre DS0000002563.V256461.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 People who use the service are admitted only after a full care needs assessment has been carried out. EVIDENCE: Records contained assessments carried out prior to the resident being admitted to the home. One resident confirmed that someone had visited him to see what care he needed and his family had looked round the home to make sure that they could care for him appropriately. The home does not provide intermediate care. Woodview Care Centre DS0000002563.V256461.R01.S.doc Version 5.0 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are 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 Shortfalls in care planning documentation means that staff may not be aware of peoples needs, which could lead to residents needs not being met. Residents felt that the staff respected them and maintained their privacy and dignity. EVIDENCE: Each resident has an individual plan, which contains information relating to his or her care needs. Some plans did not however provide sufficient guidance to staff to enable them to provide comprehensive care. It is important that care staff are given detailed information otherwise peoples needs may not be met. Information was difficult to find as the files contained old documentation that Woodview Care Centre DS0000002563.V256461.R01.S.doc Version 5.0 Page 9 was no longer relevant. It was recommended that out of date information be archived so that files in daily use contained only up to date information. Care plans had been regularly reviewed but some entries did not evaluate the effectiveness of the planned care and contained statements such as ‘plan remains valid’. Monthly reviews should contain meaningful evaluations that document any progress or deterioration towards planned goals or aims. Some additions to plans had not been dated or signed by the person making the changes; this must be done to provide an accurate history of events. Plans included risk assessments to monitor areas such as nutritional needs, the risk of developing pressure damage and manual handling. Residents’ health needs were being met. Visits by doctors, chiropodists and district nurses were recorded on their files. Observation and comments from residents demonstrated that staff respected residents’ privacy and dignity. They were seen knocking on people’s doors and speaking to them in a friendly, respectful manner. Woodview Care Centre DS0000002563.V256461.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15 Meals provided offer variety and choice but some residents would prefer a more varied diet. EVIDENCE: The meal on the day of the visit was well presented and nutritionally balanced. Residents had been offered choices, which included meat pie, sausage and mash, pasta or omelettes. People in the physical disabled unit said that they were not entirely happy with the food provided. Comments included: ‘there is not much choice for vegetarians’, ‘diabetic puddings are boring, it’s always the same thing’, ‘I hate blancmange and we get it a lot for pudding at teatime’, ‘the sandwiches are sometimes dry and have the same fillings all the time, we Woodview Care Centre DS0000002563.V256461.R01.S.doc Version 5.0 Page 11 would like different things and sometimes a crusty bread roll’ and ‘we never get homemade cakes or interesting salads and the pasta always has the same white sauce’. Residents on the other units of the home said that they enjoyed the food and had no complaints. The cook said that he had met with the residents and alternative menus had been submitted to the company. A recommendation was made that the management team review the menus and discuss alternatives with the residents in the unit. Meals can be taken in the dining room or in the privacy of the residents’ bedroom. Woodview Care Centre DS0000002563.V256461.R01.S.doc Version 5.0 Page 12 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) 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 The home has satisfactory procedures for handling complaints. EVIDENCE: The home has a complaints procedure, which tells residents and relatives how to make a complaint and how it will be handled. A copy is made available to residents and forms part of the Service Users Guide. A complaints file contained details of 3 complaints had been received since the last inspection. Two had been appropriately documented, with copies of the letters sent to the complainants attached, and the third was currently being investigated. Residents and relatives who were spoken with said that they had no complaints with the exception of the menus previously discussed. One resident said that he was not complaining but that he was having some difficulty communicating with some members of staff, this was discussed with the Regional Manager. Woodview Care Centre DS0000002563.V256461.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) 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, 23 & 26 Residents living at the home live in a clean, comfortable and homely environment. EVIDENCE: The home is a purpose built premises set in its own grounds with well kept lawns and gardens. Accommodation is on the ground floor. Communal areas have a homey atmosphere and were seen to be clean and tidy. The six bedrooms inspected during this visit were all well maintained and furnished, including personal mementoes and small items of furniture. Residents said that Woodview Care Centre DS0000002563.V256461.R01.S.doc Version 5.0 Page 14 they were happy with their rooms and the facilities the home provided. Although the home was generally in good repair some corridors were in need of repainting. The Regional Manager confirmed that the company was aware of this and had already redecorated two of the corridors. Woodview Care Centre DS0000002563.V256461.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29 & 30 The procedures for recruitment of staff were robust and therefore offered protection for people living at the home. People are looked after by well trained staff. EVIDENCE: Examination of personnel records demonstrated that the home’s recruitment procedure had been followed. Files contained application forms, health checks, 2 satisfactory written references and a C.R.B. (Criminal Records Bureau) check. These had been obtained before staff were allowed work at the home to make sure that they were suitable to care for the residents. Records confirmed that training had been provided, this included; adult protection, manual handling, fire safety, care planning, basic food hygiene and health and safety. Woodview Care Centre DS0000002563.V256461.R01.S.doc Version 5.0 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) 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, 33 & 36 Although there is no currently registered manager there is sufficient leadership, guidance and direction to staff to ensure residents receive consistent quality care. Staff are being adequately supervised. The home uses a structured quality assurance system to ensure that it is operating efficiently and gaining the views of service users. Woodview Care Centre DS0000002563.V256461.R01.S.doc Version 5.0 Page 17 EVIDENCE: The home has not had a Registered Manager for the past year. The Company appointed Mrs Terri Page as the acting manager last November. Mrs Page is registered with the Commission as Manager at another Ashbourne home but transferred to Woodview following the resignation of the previous manager. An application to register a Manager of Woodview needs to be submitted as soon as possible. The company has introduced a quality audit system that requires the manager to monitor and review all areas of care and the service provided by the home. The file contained audit tools that had been used to check areas such as care delivery and health and safety. Residents meetings had been documented and the Regional Manager said that service user questionnaires were to be used to gain peoples views on the service the home provides. Records and staff comments showed that staff supervision and appraisal had taken place and minutes from staff meetings were seen. Woodview Care Centre DS0000002563.V256461.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 X 2 X 3 3 4 X 5 X 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X ENVIRONMENT Standard No Score 19 3 20 X 21 X 22 X 23 3 24 X 25 X 26 3 STAFFING Standard No Score 27 X 28 X 29 3 30 3 X MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 3 34 X 35 X 36 3 37 X 38 X Woodview Care Centre DS0000002563.V256461.R01.S.doc Version 5.0 Page 19 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA6OP7 Regulation 15(1) & (2)b&c 13(4) Requirement Care plans must be in sufficient detail to enable care staff to provide comprehensive care. They must included individual care needs, choices and preferences. Evaluations must be meaningful, reflecting any deterioration or progress towards identified goals/aims. Timescale for action 01/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA6OP7 YA17OP15 Good Practice Recommendations It was recommended that out of date information be archived so that files in daily use contained only current, up to date information. It is recommended that the management team review the menus and discuss alternatives with the residents in the physical disabilities unit. Woodview Care Centre DS0000002563.V256461.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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. 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