Inspection on 16/08/05 for Woodview House Nursing Home

This inspection was carried out on 16th August 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

Woodview House Nursing Home 16/04/07

Woodview House Nursing Home 20/12/05

Woodview House Nursing Home 17/12/04

Woodview House Nursing Home 08/09/04

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

CARE HOMES FOR OLDER PEOPLE Woodview House Nursing Home Hagley Road Hayley Green Halesowen. B63 1EE Lead Inspector Amanda Hennessy Announced 16 August 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Woodview House Nursing Home E55 S4894 Woodview House V237380 160805 Stage4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Woodview House Nursing Home Address Hagley Road Hayley Green Halesowen West Midlands. B63 1EE 0121 585 6440 0121 585 0778 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Shaw Healthcare Ltd. Hazel Campkin Care Home 24 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (24), Mental Disorder, excluding learning of places disability or dementia - over 65 years of age (24) Woodview House Nursing Home E55 S4894 Woodview House V237380 160805 Stage4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The variation for a 51 year old male will only be for the lifetime of that identified service user.- This condition of registration is met. Date of last inspection 17/12/04 Brief Description of the Service: Woodview House is a 24 bedded home accomodating older people with Dementia/Mental Health disorder. The home provides two places for respite care. The home is built on one level, and offers pleasant gardens to the rear. It is situated off the main Hagley Road within a small housing estate, ample car parking spaces area available. All of the rooms are single occupancy (none are en-suite) and offer comfortable and pleasant accommodation. Woodview House has a large lounge and dining room with smaller quiet lounges, conservatory, activities room and an activities kitchen. The home provides regular therapeutic and recreational activities. Visitors are welcome at any reasonable time.The home’s brochure states it provides a safe, secure environment offering all meals, laundry services, personal care needs, and operates a named nurse system to oversee individuals care delivery. Woodview House Nursing Home E55 S4894 Woodview House V237380 160805 Stage4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection undertaken by two Inspectors. Total time spent at the home was 7.5 hours. The inspection included talking to visitors, service users and staff, a review of records and information (pre-inspection questionnaire) forwarded prior to the inspection. Care records were reviewed as part of the “case tracking” of four residents. Eight comments cards were received from service users and visitors prior to the inspection. Woodview House is privately owned by Shaw Homes. The home’s registered manager is Mrs Hazel (Patricia) Campkin. One of the previous two requirements was found to have been addressed, three new requirements were made as a result of this inspection. Inspectors would like to thank the Manager and her staff for their hospitality and assistance during the inspection. What the service does well: The home and its staff provide specialist care and support for residents who have dementia and may have challenging needs. All prospective residents have a comprehensive assessment of their needs with comprehensive plans of care which are centred around their individual needs. The home has sufficient staff with an appropriate skill mix of staff. Care staff supported by two Activity Therapists and a full complement of ancillary staff. The home and staff are managed, supported and supervised by an excellent manager who has consistently demonstrated an ability to develop her staff and services and facilities that are available for service users. Staff training and development is also a strength of the home and is fully supported by the registered proprietor and the manager. Recruitment and selection procedures are robust and safeguard the service users. The homes policies demonstrate an open ethos and a positive stance to complaints and the protection of vulnerable people. The home is clean free from any offensive odour, pleasantly decorated and well maintained with good quality furnishings and furniture. Visitors to the home say that they are always made welcome. Woodview House Nursing Home E55 S4894 Woodview House V237380 160805 Stage4.doc Version 1.40 Page 6 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 House Nursing Home E55 S4894 Woodview House V237380 160805 Stage4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Woodview House Nursing Home E55 S4894 Woodview House V237380 160805 Stage4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,3 The home provides appropriate information about facilities and services that are provided for service users. All prospective service users have a comprehensive assessment of their needs prior to their admission giving assurance that the home is suitable to meet their needs. EVIDENCE: The home has a detailed statement of purpose and service user guide or “Welcome booklet”. All new and prospective resident’s relatives are given a copy of the “Welcome booklet” which gives information about day to day life at Woodview House. Copies of both the statement of purpose and welcome booklet are available in the reception area of the home, alongside the most recent inspection report for the home. Reference to where the most recent inspection report can be located needs to be incorporated into the welcome booklet. Woodview House Nursing Home E55 S4894 Woodview House V237380 160805 Stage4.doc Version 1.40 Page 9 Care records of four newly admitted residents were reviewed. Each resident had had a comprehensive assessment of their needs before they had come to live in the home. Pre admission assessments of prospective needs are undertaken by either the Manager or a senior member of staff. Records seen identified that staff liaise with medical staff and relatives to ensure the assessment of need is comprehensive. Relatives of recently admitted residents said how much that they had valued advice and support had been offered to them by the Manager and her staff. Relatives also confirmed that they had been consulted by staff on their relatives needs and had had an opportunity to visit the home prior to their relative coming to live at Woodview. The Home Manager writes to the prospective resident confirming that the home is able to meet their needs should they wish to come and live at Woodview House. Woodview House Nursing Home E55 S4894 Woodview House V237380 160805 Stage4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,10 Service users have comprehensive care plans that explicitly identify their individual needs and how they will be met at the home. Service users are treated with respect and their right to privacy is upheld. EVIDENCE: All service users files seen contained a plan of care. Care plans seen were comprehensive, specific to that individual service user needs and were person centred. Care plans are drawn up following assessment of the service users and consultation with the service user (when ever possible) ready for their admission to the home. Care plans are reviewed at least monthly or more frequently if clinically indicated. Relatives confirmed that they are kept up to date with how their relative is doing. Woodview House Nursing Home E55 S4894 Woodview House V237380 160805 Stage4.doc Version 1.40 Page 11 To support their care plan, service users have appropriate care risk assessments including: the risk of pressure sores, nutrition, moving and lifting of residents, continence, falls and for the use of bedrails. Records seen show staff liaise with other specialist nurses and health professionals such as dentists, chiropodists and opticians for advice on residents health and well being. Residents are not always weighed regularly, one service users had been weighed bi monthly whilst another had been weighed in January, February and then had not been weighed until July. Records seen show that staff take appropriate action when service user’s weight and or health give reason for concern. Staff had sought the advice from a Dietician for two recently admitted residents who were reluctant to eat and had lost a considerable amount of weight prior to their admission to the home. Requirements made to ensure that the treatment room fridge temperature and the treatment room temperature are recorded daily have been met. A previous requirement that “short life” medicines should have a date of opening recorded has not been met. Liquid antibiotics which when opened should be used within one week of opening and eye drops that should be used within four weeks of opening had no opening date recorded. Sadly due to the level of dementia of the Woodview House residents, residents are unable to effectively communicate but observations made and discussions with visitors during this and previous inspections show that staff treat residents with respect. Staff have a comprehensive induction, that includes information on privacy and dignity of residents. Staff are also appropriately supervised on a day by day basis to ensure that the home’s values of privacy, dignity and respect are met by all staff. Five relatives were spoken to during the inspection, all had nothing but praise for the home, the staff and the care that their loved one / friends receive comments made were: “staff are fantastic and can’t do enough.” ”staff here spend time and are patient with my relative to ensure that they eat their meals”. Woodview House Nursing Home E55 S4894 Woodview House V237380 160805 Stage4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,15 Activities are available but to ensure that social care needs are met a social care plan must consistently be available for all service users. Food served is nutritious and well balanced and offers a healthy and varied diet for residents. EVIDENCE: Daily routines are varied and flexible to meet service users needs, which was confirmed by relatives spoken to during the inspection and comment cards forwarded directly to the Commission for Social Care Inspection. Unfortunately due to the nature of advanced dementia the service users ability to express choice is very limited and relates to simple choices such as personal activity and nutritional requirements. The home has two Activity Therapists who assist service users in a number of day to day activities as well as planning social events, games and crafts. Information about resident’s life history and preferred leisure interests is sought from relatives and was available in two of the four care records seen. The Activity Organisers support the residents with dressing practice. Residents also take part in reminiscence therapy and have the opportunity to go into the home’s snoozelum which helps to calm and relax residents with the use of calming music, aromatherapy and rope lights. There is a need to ensure that resident’s life history and the leisure interests is Woodview House Nursing Home E55 S4894 Woodview House V237380 160805 Stage4.doc Version 1.40 Page 13 combined within a social plan of care. Families spoken to say that they are encouraged and enjoy, taking part in the various social events that the home holds. The home actively supports ongoing contact with service user’s friends and relatives. The home had a steady flow of visitors throughout the day, all visitors spoken to said that they are always made welcome by staff. Relatives say that they are regularly updated in relation to any changes/incidents involving service users. There is a choice of areas that visitors can visit their relatives. A notice regarding visiting is on display and states that there is no restriction in relation to visiting times, visiting arrangements are also included in the Statement of Purpose and Service User Guide. The home also has a regular and active relatives and friends group, families all receive letters inviting them to attend the meeting, minutes of these meetings are recorded and are sent out to all families. The local Church of England Vicar visits the home every fortnight. The home has limited kitchen facilities available. Meals are prepared and cooked by an outside caterer and brought into the home on a “cook chill basis”. The home has recently changed its provider of meals, with staff feeling that meals and choices available are much improved. The home has a four weekly menu which offers choice and tasty and nutritious food with normal, soft, purred and diabetic diets available. Breakfast is served from 8.00am until approximately 10.30 am Lunch is served from 12.45 to 13.30. Evening meal is served between at 18.00. A milky drink with a light snack is available for supper between 20.00 and 21.00. Residents and their families are asked for the residents preferences whenever possible. On the day of the inspection there was: Beef bolognaise or gammon and pineapple with a choice of chips, pasta, mashed potato, or pomme noisettes with mixed vegetables, peas or diced swede and gravy. For pudding there was blackberry and apple crumble or butterscotch whip Staff were seen to offer discreet assistance to residents cutting up their food and feeding those residents who are totally dependent. Woodview House Nursing Home E55 S4894 Woodview House V237380 160805 Stage4.doc Version 1.40 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18 The home has appropriate policies and procedures to highlight concerns and complaints, to safeguard residents from abuse. EVIDENCE: The home has a detailed complaints procedure, which is displayed in the reception area of the home and is also in the service user guide. No complaints about the home have been received by the Commission for Social Care Inspection in the previous twelve months. Residents and their families spoken to said if they had any concerns they would not hesitate to discuss them with the Home Manager. The home also has appropriate policies for staff to highlight concerns whilst feeling safe to do so. The Adult Protection policy meets current guidance identified within the “No Secrets” legislation. The Manager has instigated two Protection of Vulnerable Adults investigation. The Chair person of the Adult Protection panel commended the Home Manager on her actions to safeguard her residents. The home also has appropriate policies to ensure that staff who are not suitable to work with vulnerable people do not do so by robust recruitment and selection procedures. A programme of Protection of Vulnerable Adults training has been identified and is ongoing for all staff. Woodview House Nursing Home E55 S4894 Woodview House V237380 160805 Stage4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 The home is pleasant, homely and generally well maintained with no offensive odours. A review of the environment of the home is required to ensure that the home meets the needs of people with dementia. EVIDENCE: A tour of the home was undertaken. The home has an ongoing refurbishment, plan and is clean, homely and welcoming. There is a large lounge/ dining room with smaller areas off the main lounge. A small quiet lounge with conservatory is also available for residents with more challenging needs. To give residents additional quiet time staff take residents into the snoozelum with its calming music, use of aromatherapy and lights which help to relax residents who may be agitated. The home has a full nurse call system and a variety of aids and adaptations such as grab rails assisted baths and a wheel in shower available for dependent residents. Staff have worked very hard to create a lovely well maintained garden with its pots, shrubs, flowers and garden furniture. The home was found to be clean and free from any offensive odour throughout. Woodview House Nursing Home E55 S4894 Woodview House V237380 160805 Stage4.doc Version 1.40 Page 16 A need to explore the use of pictorial signs (for toilets and bathrooms etc) and colour was discussed with the Manager to ensure that the needs of people with dementia are met. Woodview House Nursing Home E55 S4894 Woodview House V237380 160805 Stage4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29 The home has sufficient and appropriately skilled staff to meet resident’s needs. The home has robust recruitment and selection to safeguard its residents. EVIDENCE: The home is staffed with the following: 07.00-14.30 1 trained nurse and 6 care staff 14.00-21.30 1 trained nurse and 5 care staff 21.15 -07.15 1 trained nurse and 3 care staff The Home Manager works 37.5 and is additional to care staff numbers, there are two Activity Organisers who work each day between 8.30 and 16.15, additional domestic, catering and laundry staff are also available through out the day. The home has twelve (with an additional three care staff awaiting confirmation of successfully completing their qualification) of the twenty seven care staff with National Vocational Qualification (NVQ) level two or above (44.4 ). This demonstrates a commitment by staff and the registered company for training and development towards the requirement of at least 50 of care staff with NVQ level 2 or above by 31 December 2005. Woodview House Nursing Home E55 S4894 Woodview House V237380 160805 Stage4.doc Version 1.40 Page 18 There is a low turnover of staff with just three staff leaving in the previous twelve months. The staff records of the new staff member appointed since the last inspection were reviewed and were found to meet the requirements of the regulations. Recruitment and selection procedures within the home have consistently been demonstrated as robust and safeguarding its residents. All new staff receive induction training and foundation training to National Training Organisation specifications as required. Woodview House Nursing Home E55 S4894 Woodview House V237380 160805 Stage4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Service users live in a home which is run and managed by an excellent manager who supports and guides her staff to ensure that the home is run in the best interest of residents. EVIDENCE: The Manager of Woodview is a Registered Mental Nurse, Registered Nurse Tutor and has attained her Registered Manager 4 qualification. Mrs Campkin has many years of relevant experience in the care of the elderly mentally ill. She continues to update her knowledge base and is currently undertaking a National Vocational Verifiers Qualification. Mrs Campkin consistently demonstrates that she has the skills and competence to manage Woodview. Families spoken identified that is well respected and ensures that care standards are high at Woodview House. Woodview House Nursing Home E55 S4894 Woodview House V237380 160805 Stage4.doc Version 1.40 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 x 4 x x x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 2 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 2 x x x x x x x STAFFING Standard No Score 27 4 28 2 29 4 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 4 4 x x x x x x x Woodview House Nursing Home E55 S4894 Woodview House V237380 160805 Stage4.doc Version 1.40 Page 21 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 9 Regulation 13(2) Requirement Timescale for action immediate 2. 1 5 3. 4. 8 7 15 15 The opening date is recorded on short life medicines. Not met - requirement made following the inspection on the 17/12/05 The service user guide includes 31/8/05 reference to where a copy of the most recent inspection report can be seen. Service users must be weighed 30/9/05 monthly or as clinically indicated. All residents must have a plan of 30/9/05 care for their social needs 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 22 Good Practice Recommendations The use of pictorial signs (for toilets and bathrooms etc) and colour for people with dementia is explored. Woodview House Nursing Home E55 S4894 Woodview House V237380 160805 Stage4.doc Version 1.40 Page 22 Commission for Social Care Inspection West Point Mucklow Office Park Mucklow Hill Halesowen. B62 8DA 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 Woodview House Nursing Home E55 S4894 Woodview House V237380 160805 Stage4.doc Version 1.40 Page 23 - 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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