Care Home: Woodland Villa

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What the care home does well Woodland villa appeared homely and comfortable. The staff were welcoming and approachable. Appropriate interactions between staff, people living in the home and visitors were heard during the inspection. The management were open and responsive to our discussions. What the care home could do better: The safety of people must be the main priority of staff at the home. This must be achieved by all new staff receiving robust induction training and must include Infection Prevention and Control. Currently the induction is inadequate, consisting only of an introduction to the home this means that people are not being cared for by suitably trained staff and could put them at risk. Also existing staff must have up to date training in infection control to enable people living at the home to be cared for properly. The home must be kept clean and all areas maintained at all times. Random inspection report Care homes for older people Name: Address: Woodland Villa 93 Alma Road Plymouth Devon PL3 4HE two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Caroline Rowland-Lapwood Date: 1 0 0 6 2 0 0 9 Information about the care home Name of care home: Address: Woodland Villa 93 Alma Road Plymouth Devon PL3 4HE 01752669625 01752250123 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Denmax Ltd care home 53 Number of places (if applicable): Under 65 Over 65 19 34 old age, not falling within any other category physical disability Conditions of registration: 0 5 Old age, not falling within any other category (19) Physical Disability (5) Physical Disability over 65 years of age (34) There should be no more than a maximum of 5 (five) service users in the home at any one time between the ages of 50 years to 65 years. Date of last inspection Brief description of the care home Woodland Villa is a care home with nursing that is registered to provide personal care for up to 19 clients, and nursing care for up to 34 clients. It can therefore admit up to 53 clients over the age of 65 years old and of either gender. Registered nurses manage the nursing unit 24 hours a day and are supported by care support staff that Care Homes for Older People Page 2 of 8 Brief description of the care home have received training in providing care safely. Woodland Villa has been developed over several years from a row of large terrace houses that have been linked internally, and has been adapted to meet the demands placed upon it by the people living here, many being disabled through illness. It is on the outskirts of Plymouth city centre and is on the bus route to the city centre. There is access also to some local amenities. The home presently has a residential unit at one end and the nursing home takes up approximately two thirds of the property. There are separate entrances although ramping and passenger lifts have been provided to enable people access to all parts of the home. There are shared communal spaces of good proportions at each end of the building. These are attractively decorated and offer several separate areas, including a library, for people to sit in with each other or with their visitors. There is a small outdoor area that has some seating for people to use in times of good weather. The home has a car park available for visitors or there is on-street parking close by. Fees range from #288.00 to #468.00, (up to #520.00 for `continuing care), and are according to assessment of the person?s personal and nursing care needs. Additional charges include hairdressing, chiropody, toiletries, newspapers, magazines, journals etc, all charged at commercial rates. All charges? information was provided to the CSCI in April 2008. There is a copy of the homes Statement of Purpose and previous CSCI inspection reports in each entrance hall. Care Homes for Older People Page 3 of 8 What we found: We undertook an inspection on Wednesday Th June 2009 between 10:AM and 13:00 PM. Also present were Rachel Campbell Specialist Health Protection Nurse from South West Peninsula HP and Brenda Dale Consultant Nurse Infection Prevention and Control (Plymouth Care Trust). The reason for this random inspection was because of information received by the CQC which led us to believe that regulations may have been breached. The visit was arranged following concerns raised due to an increase in the number of cases of PVL in clients and anecdotally staff at the home. Concerns were raised about the capability of staff to manage and acknowledge PVL as an Infection Prevention and Control issue, creating the potential for further transmission of infection and potential outbreak situation. The following key areas were addressed which form the basis of Infection Prevention and Control; Organisation of infection control and management of specific infections Hand Hygiene Personal Protective Equipment Body Fluids Disposal of waste Environment (including laundry facilities) Kitchen This home has had a history of PVL in clients and staff and has received a great deal of input from Health Protection in collaboration with the Care Trust. The home is monitored monthly by phone by the HPU to ascertain new cases of PVL and assist in reducing risk. To date the information received at the HPU indicated there were no current problems, however it would seem communication within the home is perhaps not as effective as it could be. 3 cases were identified in May/June 2009 but not made known to HPU until clinicians attending the home raised concerns. Of the staff assumed to have PVL, one has now left. The other two are assumed to have PVL but this is yet to be established. The home has written to the staff to establish the reason for sickness and request confirmation of clearance in the individual and their family before return to work. The existence of chronic carriage of PVL in at least two people living at Woodland Villa increases the potential for re-occurrence. We looked at 46 staff files to clarify how many staff has had up to date training in infection control; only 8 members of staff had had training. We also spoke with two new members of staff they confirmed they had had no formal induction training to date and had no infection control training either. However they were able to describe how they would care for someone with an infection and had some basic knowledge. We inspected the building; most areas were very cluttered and not all were clean. The home in general was tired and in need of general maintenance and upgrade. What the care home does well: Woodland villa appeared homely and comfortable. The staff were welcoming and approachable. Appropriate interactions between staff, people living in the home and visitors were heard during the inspection. The management were open and responsive to our discussions. Care Homes for Older People Page 4 of 8 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 26 16 The home must be kept clean at all times This will ensure people live in a clean and safe environment. 30/06/2009 2 30 18 All staff must receive training 31/07/2009 appropriate to the work thety are to perform. This includes formal and comprehensive induction training and foundation training specifically training in relation to infection control. This will ensure people are well cared for by competent staff. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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