Inspection on 20/12/05 for Woodview House Nursing Home

This inspection was carried out on 20th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 House Nursing Home 16/04/07

Woodview House Nursing Home 16/08/05

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 West Midlands B63 1EE Lead Inspector Mrs Amanda Hennessy Unannounced Inspection 20th December 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 Woodview House Nursing Home DS0000004894.V274536.R01.S.doc Version 5.1 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. Woodview House Nursing Home DS0000004894.V274536.R01.S.doc Version 5.1 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 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) Shaw healthcare Limited 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 DS0000004894.V274536.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Service users to include up to 24 MD(E), 24 DE(E) and up to 1 DE Service users age must be 55 years or over Service user category of DE (51 years and over) will remain until such time that the identified service users placement is terminated 16th August 2005 Date of last inspection Brief Description of the Service: Woodview House is a 24-bedded home accommodating 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 are 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. Woodview House Nursing Home DS0000004894.V274536.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection. The inspection was undertaken between 09.30 and 14.30. The inspection included a tour of building, a review of records, talking to service users and staff. Care records were reviewed as part of the “case tracking” of three residents. Woodview House is privately owned by Shaw Homes, The home’s manager is Mrs Patricia Campkin. Three of the previous four requirements were found to have been addressed, four new requirements were made as a result of this inspection. What the service does well: What has improved since the last inspection? What they could do better: The home provides specialist care for people with dementia but should continue to take steps to become a centre of excellence for providing dementia care. The premises need to be updated to reflect the needs of people with dementia following the advise of a Dementia Care Specialist. Care plans need to accurately identify when “as required” medication is given to service users. Woodview House Nursing Home DS0000004894.V274536.R01.S.doc Version 5.1 Page 6 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 DS0000004894.V274536.R01.S.doc Version 5.1 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 Woodview House Nursing Home DS0000004894.V274536.R01.S.doc Version 5.1 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): EVIDENCE: These standards were reviewed at the previous inspection. Woodview House Nursing Home DS0000004894.V274536.R01.S.doc Version 5.1 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): 7,9 Care planning is generally satisfactory but needs further development to link service users medication with their needs to safeguard their well-being. EVIDENCE: All service users files have a plan of care and are person centred. Care plans are being developed to include service users social needs but there is a need to identify rationale for giving medication, which is identified to be given when required. Care plans are usually reviewed at least monthly or more frequently if clinically indicated. Relatives consistently identify that they are kept up to date with how their relative is doing. The home’s medication policies were reviewed and were found to be satisfactory. Medicines are administered by qualified nurses. Service users medication records were generally complete but some omissions for the administration of creams and ointments were seen. One service user’s medication record identified a need for application of betamethasone twice weekly but this was not identified within their plan of care and it was not evident that this had been administered as frequently as required. Woodview House Nursing Home DS0000004894.V274536.R01.S.doc Version 5.1 Page 10 Several service users are prescribed medication on an as required basis but there was no plan of care or written instructions that detailed the reasons that this should be given. The home has appropriate storage and administration of controlled drugs. The drugs fridge temperature is checked daily but records identify that the temperature is outside safe temperatures and requires immediate action. Woodview House Nursing Home DS0000004894.V274536.R01.S.doc Version 5.1 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, 14 Routines of daily living at Woodview are flexible and varied and suit service users preferences and capabilities. EVIDENCE: Daily routines are varied and flexible to meet service users needs, which has consistently been confirmed by relatives spoken to during inspections. 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 is recorded within their care records. Service users are able to take part in reminiscence therapy and have the opportunity to go into the home’s snoozelum which helps to calm and relax with the use of calming music, aromatherapy and rope lights. Social plans of care are now available for all service users. Woodview House Nursing Home DS0000004894.V274536.R01.S.doc Version 5.1 Page 12 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): EVIDENCE: These standards were reviewed at the previous inspection when they were found to be met. Woodview House Nursing Home DS0000004894.V274536.R01.S.doc Version 5.1 Page 13 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): 19,26 The home is pleasant, homely and well maintained with no offensive odours. The environment requires change to meet the needs of people with dementia. EVIDENCE: The home is clean, homely and free from any offensive odour. There is a large lounge/ dining room with smaller areas off the main lounge a small quiet lounge is also available. A small quiet lounge with conservatory is also available for residents with more challenging needs. A snoozelum is available with its calming music, use of aromatherapy and lights which help to relax service users. The home has a full nurse call system and a variety of aids and adaptations such as grab rail assisted baths and a wheel in shower available for dependent residents. The Manager is exploring ways that the environment of the home addresses the needs of service users with dementia who have limited comprehension and poor memory. An assessment of the premises by a person with a specialist knowledge of dementia will assist this process. The home has satisfactory infection control procedures to safeguard the service users. Woodview House Nursing Home DS0000004894.V274536.R01.S.doc Version 5.1 Page 14 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): 30 Staff are well trained and competent to meet and understand service users needs. EVIDENCE: Staff have good training opportunities. All new staff receive induction and foundation training to National Training Organisation specifications. All staff have a development plan and receive at least three training days each year. Woodview House Nursing Home DS0000004894.V274536.R01.S.doc Version 5.1 Page 15 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): 35,38 Service users financial interests are safeguarded. . The health safety and welfare of residents and staff is promoted and protected EVIDENCE: Secure facilities are available for the safe keeping of service users personal money and valuables. Written records are available for all transactions which detail the reason for the withdrawal and two signatures, receipts are available as proof of purchases. Regular external audits of service users personal money are undertaken. Procedures to protect service users include regular and required checks on the fire alarm, emergency lighting, fire extinguishers, nurse call points and hot water. The home has a Health and Safety Coordinator and who has received additional training to support her in this role. Woodview House Nursing Home DS0000004894.V274536.R01.S.doc Version 5.1 Page 16 The Health and Safety Coordinator ensures that staff attend required mandatory training and that all risk assessments are updated. Records identify that staff regularly attend mandatory training in fire safety, moving and handling, food hygiene, first aid, health and safety, infection control and protection of vulnerable adults. Maintenance records and contracts were reviewed and were found to be up to date. Woodview House Nursing Home DS0000004894.V274536.R01.S.doc Version 5.1 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 x 2 x x x x x x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x 3 x x 4 Woodview House Nursing Home DS0000004894.V274536.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? yes 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 OP9 Regulation 13(2) Requirement The opening date is recorded on short life medicines. Not met - requirement made following the inspection on the 17/12/04 The medication fridge must be maintained between 2 and 8oC. Care plans must be available for medicines that are administered on an “as required” basis. There must not be any gaps in the medication administration record. The reason for the non administration of medicines must be identified. An assessment of the premises and report of the assessment must be undertaken by a person with a specialist knowledge of dementia. The home must provide an action plan to meet the recommendations identified within the report. Timescale for action 21/12/05 2 3 4 OP9 OP9 OP9 13(2) 13(2) 13(2) 21/12/05 31/01/06 21/12/05 5 OP22 23 28/02/06 Woodview House Nursing Home DS0000004894.V274536.R01.S.doc Version 5.1 Page 19 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 OP22 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 DS0000004894.V274536.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands 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. 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