Care Home: Woodside Home

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What the care home does well Woodside Care Home is well managed by a manager who is qualified and very experienced and the Trust Board are committed to continual improvements to the facilities in the home. The staff work well together and are appropriately supervised and supported to ensure a good level of morale. People who live in the home say the staff are very friendly and always treat them with respect and dignity. The home provides good information about the service, which enables potential service users to decide if the home is right for them. They can also have trial visits before moving in. People who live in this home enjoy a good programme of stimulating activities that are appropriate for their age and lifestyles. The home is well maintained and is very clean with comfortable furniture. In addition, the grounds areattractively landscaped, all of which adds to the comfort and wellbeing of the residents. There is a good programme of training and development for staff, which equips them to meet residents` needs. The staff ensure that the residents health needs are promptly attended to by the G.P and the full range of healthcare professionals. The food provided is wholesome, varied and the residents are able to choose what they like to eat. Bedrooms are attractively furnished and people are able to bring personal possessions with them when they move in. The residents express a high level of satisfaction with their care, but they are aware of the procedures for raising any concerns they may have. The home carries out an annual audit of residents` views about the service and addresses any issues raised. What has improved since the last inspection? CARE HOMES FOR OLDER PEOPLE Woodside Home Woodside Home Baxendale Whetstone London N20 0EH Lead Inspector Tom McKervey Key Unannounced Inspection 09:00 28 August &18 September 2008 th th 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 Woodside Home DS0000010528.V370771.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. Woodside Home DS0000010528.V370771.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodside Home Address Woodside Home Baxendale Whetstone London N20 0EH 020 8445 1127 020 8343 8324 woodsidecarehome@bt.connect.com 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) The Trustees of The Woodside Home Jacqueline Valerie Gordon Care Home 49 Category(ies) of Old age, not falling within any other category registration, with number (49) of places Woodside Home DS0000010528.V370771.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Registered Person may provide the following categories of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: 2. Old Age, not falling within any other category - Code OP The maximum umber of service users who can be accommodated is: 49 13th June 2006 Date of last inspection Brief Description of the Service: Woodside Home is a care home registered to provide care and support for up to 49 older people, male and female. The home is run by a charitable trust and is managed through a board of trustees. A House Committee oversees the general running of the home. The home, which is purposed-built, has 49 single bedrooms, located on the ground, first and second floor. All the bedrooms have a wash basin, but there are plans to convert some bedrooms to provide en-suite facilities. There is a passenger lift, which provides access to all floors. There is a large communal lounge area and dining room on the ground floor. Additional lounge space is provided elsewhere in the building, and there is an attractive garden and lake within the grounds. Woodside Home is close to the shops, services and transport links of Whetstone, and is easily accessible by public transport. The fees charged for the service are £452 to £507 per week. Fees for respite care are £75 per day. Woodside Home DS0000010528.V370771.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 stars. This means the people who use this service experience excellent quality outcomes This unannounced inspection was completed in eight hours. However, the report was delayed until residents and staffs surveys were received, along with the home’s Annual Quality Assurance Audit, (AQAA), which is a selfassessment of the service by the manager. This document is required to be completed annually to provide information about how well outcomes are being met for people who live in the home. It also gives some numerical information about the service. Eighteen surveys were returned to us from people who live in the home and fourteen from staff. Reference is made to the AQAA and surveys in various sections of this report, as evidence of some of our findings. The inspection was carried out as part of the Commission’s inspection programme and to check compliance with the key standards. The manager was present throughout the inspection and two members of the Trust board who visited the home, were spoken to by the inspector. The inspection consisted of a tour of the premises, speaking to a large number of residents and some visitors. Several staff were also spoken to. All interviews were conducted independently of managers. The inspector read residents’ case files and staff records in addition to several documents pertaining to the running of the home. What the service does well: Woodside Care Home is well managed by a manager who is qualified and very experienced and the Trust Board are committed to continual improvements to the facilities in the home. The staff work well together and are appropriately supervised and supported to ensure a good level of morale. People who live in the home say the staff are very friendly and always treat them with respect and dignity. The home provides good information about the service, which enables potential service users to decide if the home is right for them. They can also have trial visits before moving in. People who live in this home enjoy a good programme of stimulating activities that are appropriate for their age and lifestyles. The home is well maintained and is very clean with comfortable furniture. In addition, the grounds are Woodside Home DS0000010528.V370771.R01.S.doc Version 5.2 Page 6 attractively landscaped, all of which adds to the comfort and wellbeing of the residents. There is a good programme of training and development for staff, which equips them to meet residents’ needs. The staff ensure that the residents health needs are promptly attended to by the G.P and the full range of healthcare professionals. The food provided is wholesome, varied and the residents are able to choose what they like to eat. Bedrooms are attractively furnished and people are able to bring personal possessions with them when they move in. The residents express a high level of satisfaction with their care, but they are aware of the procedures for raising any concerns they may have. The home carries out an annual audit of residents’ views about the service and addresses any issues raised. What has improved since the last inspection? What they could do better: We have made only one requirement in this report; that staff ensure that they always sign the record when they administer medication. This is necessary to ensure that residents have actually had their medication. We also recommend that checks are made at the end of each shift to ensure that all medication is signed for, so that mistakes are minimised. The home’s portable electrical appliances should be tested on an annual basis. Woodside Home DS0000010528.V370771.R01.S.doc Version 5.2 Page 7 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. Woodside Home DS0000010528.V370771.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 Woodside Home DS0000010528.V370771.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, 2 & 3 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including looking at residents’ records. A thorough assessment of needs is carried out before and at the time a person is admitted to the home. Residents and their relatives can be confident about the care that is provided, and they are welcome to visit the home prior to moving in. EVIDENCE: The Statement of Purpose and Service User Guide have been updated to show that men can now be admitted, whereas formerly, the home was exclusively for women. This document is also available in large print. At the time of this inspection, all the residents were women and there were thirty eight residents and eleven vacancies. The manager stated she was actively trying to attract male residents to come to live in the home. Woodside Home DS0000010528.V370771.R01.S.doc Version 5.2 Page 10 The residents are given a copy of the “Service User Guide/House Rules” when they are admitted. Copies of this document were seen in residents’ bedrooms. We examined the records of the last four residents admitted to the home. They were in draft form, until the first six-week trial period was completed. After this time, the trustees consider and approve the placement and a formal contract is offered. The contracts include the terms and conditions of the service and information about what is covered by the fees. Woodside home was purpose-built in 1962. It has a ramped access for wheelchair users and there is a parking area at the side of the property. There are spacious communal lounges on the ground floor, and several rooms are available for residents to receive visitors in private. The bedrooms are located on the first and second floors, which are serviced by a passenger lift. None of the bedrooms have en-suite facilities, but there are plans to convert some bedrooms to provide this. There are ample toilet and bathroom facilities on each floor. Bathrooms and toilets are appropriately fitted with special baths, rails and hoists to support people with mobility problems. Residents’ case files contained evidence that their needs had been assessed by senior staff from the home. In the surveys we sent to residents, they stated that they enjoyed living in the home. Many residents had initially come to the home for respite periods and then decided to move in permanently. A typical comment was; “I find this home is very comfortable. The carers are kind and helpful and I am very happy here”. The manager states in the AQAA that people are offered “guest days” for prospective service users and a named carer is allocated to spend time with them to enable the person to assess if they would like to live there. There were records showing that staff were being well trained to meet the residents needs, including health and safety topics, dementia care and control of infection. This was also confirmed in discussion with the staff. During the inspection, a prospective service user was being shown around the home. There was evidence in the case files, which was also confirmed in discussion with residents and visitors, that people had used trial visits before deciding to move in to the home. Woodside Home DS0000010528.V370771.R01.S.doc Version 5.2 Page 11 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 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including looking at residents’ care plans and health records. Residents can be confident that there is a plan of care that identifies their needs and that the staff provide personal care in a way that respects peoples’ dignity and privacy. Residents’ health and well being are protected by the safe administration of medicines. EVIDENCE: We sampled four care plans at random. The care plans covered a wide range of peoples’ needs, For example; mobility, nutrition, leisure interests and emotional wellbeing. The assessment process also included people’s ethnicity, religion and any disabilities. The care plans gave guidance for staff about how to address identified needs in the assessment process. We noted that a 24 hour care plan is drawn up when the person is admitted. These plans record the person’s likes and dislikes and Woodside Home DS0000010528.V370771.R01.S.doc Version 5.2 Page 12 any risk factors, which enables staff to start providing appropriate care immediately. For example, one resident’s care plan states; “Speak slowly in a polite manner and give clear instructions”. The 24 hour care plan shows who the person’s key worker is. These were on display in residents’ rooms. The home’s training officer audits the care plans to ensure they have been reviewed on a monthly basis. This ensures that any changes in a resident’s needs are documented and appropriate changes are made to the care plan. In each resident’s file, there is a record of all their healthcare appointments; for example, the G.P, district nurse, dentist, optician etc. This format makes for easier recording and audit and is an improvement since the last inspection. We spoke to a district nurse who was treating some residents at the time of the inspection. The nurse confirmed that residents were being well cared for. One resident is visited in the home by a community psychiatric nurse who administers medication by injection. At the time of this inspection, no-one had any pressure ulcers, but the home is equipped with appropriate pressure-relieving equipment, should this become necessary. The residents who were spoken to, all stated that the staff make sure that their healthcare needs are attended to. They also said that the staff were very caring towards them if they needed support in their personal care, which was done with dignity and respect. We sat in at the staff handover between shifts. Each resident’s progress was discussed and any changes were well communicated to staff. The inspector observed residents who were being supported by care staff to mobilise. This was done patiently, using proper manual handling techniques and equipment such as hoists and walking frames. There were records to show that medicines were generally being administered safely, but there were a few gaps in staff signatures, which was brought to the attention of the staff. We recommended that checks should be made at the end of each shift to ensure that all medication is signed for. There has been a long standing problem in the home with storing medication at the correct temperature, because the room being used is often too warm. A portable air conditioning unit has been provided, which has addressed this problem satisfactorily. One resident administers their own medication, which they keep in a locked drawer in their room. This has been risk-assessed and since the last inspection, a procedure has been drawn up to ensure that safely selfmedication is carried out safely. Woodside Home DS0000010528.V370771.R01.S.doc Version 5.2 Page 13 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): All these standards were assessed. People who use this service experience excellent outcomes in this area. This judgement has been made using available evidence including observation and speaking to residents. Residents can be confident that the staff will support them to pursue their preferred lifestyles and interests from a range of activities. Meals are very well balanced, nutritional and cater for peoples’ varying dietary needs. EVIDENCE: When we arrived at the home, it was very busy and several residents were still eating breakfast. The atmosphere however, was very relaxed and there were several staff attending to the residents. There is a good range of stimulating activities in the home, which are appropriate to the age of the residents. The activity programme is posted on a resident notice board and includes quizzes, bingo, musical movement, art and craft sessions, sing-a-longs and monthly entertainments by outside performers. The majority of the residents join in these activities but some people told us they preferred to “do their own thing”, and there is no compulsion to attend. Woodside Home DS0000010528.V370771.R01.S.doc Version 5.2 Page 14 Several residents were seen reading books or newspapers and we spoke to some who enjoyed listening to the radio in their rooms. There are several quiet areas in the home where residents can sit by themselves or receive their visitors in private. The home has a well-equipped salon and a hairdresser attends twice a week. It is stated in the AQAA, that the home is looking at the possibility of a games room, a loop system for the lounge, and a wall-mounted wide screen TV. Staff support residents who wish to go out to church and ministers of religion visit the home regularly to provide services. At the time of the inspection, all the residents were Christian, but the manager confirmed that any resident’s religious needs could be met by the home. There is an open visiting policy and the visitors’ book showed that there were regular visits to the home by family and friends. The inspector spoke to four visitors during the inspection, all of whom spoke highly of the home and the quality of the service. The home has a team of catering staff who are managed by the housekeeping manager. All these staff have been trained in food hygiene. The inspector observed residents at breakfast and lunch during the inspection. The food was well cooked and attractively presented. The residents’ surveys confirmed that they were very satisfied with their meals. The dining room is spacious and can accommodate all the residents at one sitting. However, people can choose to eat by themselves and we spoke to one person who preferred to always eat in their room. The menus showed there was a choice of main meals. Special diets, eg diabetic and vegetarian, were provided as appropriate. There was a book in the dining room for people to request particular alternatives to the menu. An inspection of the kitchen showed that there were ample supplies of food, including fresh fruit and vegetables, and that food was stored safely. Woodside Home DS0000010528.V370771.R01.S.doc Version 5.2 Page 15 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 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including observation and speaking to residents and staff. Residents can be confident that all staff know the importance of taking their views seriously, and of listening to and responding to any concerns. People can also feel safe and protected from abuse. EVIDENCE: There is a complaints procedure in place and a book for recording concerns and complaints by residents or their relatives. In the past year, four complaints were recorded, one of which was substantiated. All the complaints were of a minor nature but had been fully investigated and responded to promptly. In our surveys, all residents stated they were aware of the procedure for making any concerns known and they expressed confidence that these would be addressed. In addition, we spoke to many residents in small groups, and six people individually during the inspection. Residents said they felt safe and were very satisfied with the quality of the care they received. This included being treated with respect and dignity. Staff records showed that all staff had attended training in adult protection and abuse awareness. In discussion with staff in a group and individually, it was Woodside Home DS0000010528.V370771.R01.S.doc Version 5.2 Page 16 evident that they were aware of what constituted abuse and about their responsibility to report concerns by using the “whistle-blowing procedure”. The manager states in her AQAA, that she intends to provide a suggestion and complaints box for residents to express their views. Woodside Home DS0000010528.V370771.R01.S.doc Version 5.2 Page 17 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, 20, 24 & 26 People who use this service experience good outcomes in this area. This judgement has been made using available evidence including visiting all areas of the home. Residents can be confident that their home is appropriate for their particular lifestyle and needs and is homely, clean, safe and comfortable and well maintained. EVIDENCE: Woodside is a purpose-built home, located in an area that is well serviced by public transport. It is set back from a busy main road where there is a good range of shops, pubs and restaurants. We undertook a tour of the premises. The grounds and the building were very well maintained and the standard of décor was very good. The gardens, which contain a large pond, were particularly attractive, and provide a valuable asset Woodside Home DS0000010528.V370771.R01.S.doc Version 5.2 Page 18 to the home. There is a full-time maintenance person and an assistant who carry out the majority of repair and maintenance tasks. Residents, including wheelchair users, have full access to all areas of the home by use of stairs and a lift, and to the garden areas by gently sloping pathways. We visited sixteen bedrooms at random. They were comfortably furnished and contained residents’ personal items of furniture and mementoes. There are no en-suite facilities in the home but there is a washbasin in each bedroom. However, plans have been approved for new and improved facilities on the 3rd floor to include en-suite and some work has been already carried out. However, we were informed by two Trustees that further work on the project is on hold until finance becomes available. There are ample toilet and bathing facilities on each floor, containing assisted baths and other adaptations for people with mobility problems. The lounges have comfortable armchairs and there is a conservatory with armchairs and a sofa. All the people spoken to, said they were very pleased with their accommodation and how the home was furnished. Each bedroom has a call bell to summon help and fire extinguishers were sited at appropriate areas. The fire log showed that the alarms are tested weekly and fire drills are carried out regularly. The housekeeping manager is in charge of a team of cleaners who maintain a high standard of cleanliness in the home. At the time of the inspection, the home was very clean and attractive and there were no unpleasant odours. This was also confirmed by residents who returned our surveys. Following a long-standing problem with the water system, which indicated the presence of Legionella, the pipe-work has been completely renewed and the system is regularly monitored to resolve this problem. In the past year, the Board of Trustees has totally refurbished the kitchen, which is a much needed improvement. Woodside Home DS0000010528.V370771.R01.S.doc Version 5.2 Page 19 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): All these standards were assessed. People who use this service experience excellent outcomes in this area. This judgement has been made using available evidence including examining staff rotas and speaking to staff. Residents can be confident that they are cared for by a sufficient number of staff who are well trained to support their needs. They can also be assured that great care is taken when selecting staff so that their safety and welfare is safeguarded. EVIDENCE: At the time of the inspection, there were thirty-nine people living in the home and there were ten vacancies. The staff rotas showed that there were seven care staff on duty in the morning, five in the afternoon/evening, and four on waking night duty. In addition, there is a team of cleaning and catering staff, a full-time and a part-time administrators. In the surveys, residents said there were always staff available to attend to their needs, and staff told the inspector that they believed the staffing levels were sufficient. Staff were also asked to complete surveys, which were independent of the management. These confirmed staffs’ views about the satisfactory staffing levels. These were typical comments: “The covering of shifts is very good”. “There is good team work”. “Support for residents and staff is very good”. Woodside Home DS0000010528.V370771.R01.S.doc Version 5.2 Page 20 Staff also indicated in the surveys and in discussion with the inspector that they were well trained and supported by their line managers. There were records to show that all staff undergo a period of induction when they start working at the home. The induction is in accordance with the Skills for Care induction standards. This includes mandatory health and safety subjects such as fire safety and food hygiene. Refresher training in these courses was also provided. Other courses included dementia care and the protection of vulnerable adults. The staff records show that the majority of staff have attained National Vocational Qualifications at level 2 & 3. A full-time training officer is employed who is also a National Vocational Qualification assessor, who is supported by a part-time trainer as well. A member of staff stated in a survey; “My NVQ helps me to understand the needs of different people. Training is always available”. The records of four new staff were examined. These showed that proper recruitment procedures had been carried out. The files included references and proof of identity, and showed that the staff had been cleared by the Criminal Records Bureau. Recruitment is carried out under the home’s equal opportunities policy. This was confirmed by staff in discussion. A staff member stated in a survey; “The home treats us all the same”. Woodside Home DS0000010528.V370771.R01.S.doc Version 5.2 Page 21 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 People who use this service experience excellent outcomes in this area. This judgement has been made using available evidence including examining records and speaking to the manager, staff and residents. Residents can be confident that the registered manager has the required qualifications and experience and is highly competent to run the home in their best interests. The manager provides clear leadership for staff who receive regular supervision to support them in their role. There are good systems in place to safeguard residents’ health and safety. EVIDENCE: The manager has been in post since April 2006. She had previous experience of running a care home and has attained the National Vocational Qualification level 4 in management. The manager has also been registered by the Woodside Home DS0000010528.V370771.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection. A new deputy manager has been appointed to support the manager and will be starting in September 08. Prior to the current manager’s appointment there was a history of difficult inter-staff and management relationships in this home. The measures taken by the manager have significantly improved the ethos in the home, which has been maintained to the present. This was confirmed by all the residents and staff who were spoken to during the inspection. Staff told the inspector; “Our manager is very competent and gives us good guidance. She is very approachable and listens to us”. In discussion with the staff, they said there was an excellent team spirit and the atmosphere was very relaxed., A copy of the home’s last inspection report was available in the entrance lobby, which demonstrates openness and provides good information about the service to residents and visitors. Meetings are held with residents and relatives on a regular basis to inform them about service developments. Members of the Trust Board carry out monthly, unannounced visits to the home to monitor the service. This includes talking to residents and staff to seek their views. The reports of these visits are available for inspection. In May this year, the home conducted a survey of the residents to ascertain their views about the service. The inspector noted that the feedback was very positive. Any negative comments were addressed by the manager. Staff meetings are held monthly, the minutes of which were seen. Staff said they appreciated these meetings and also the one-to-one supervision, which gave them an opportunity to express their views and suggest improvements. The inspector saw certificates of safety for fire, gas, water and electrical installations and there was a current employer’s liability insurance certificate on display. It was just over a year since the portable appliances had been tested. It is recommended that these are tested annually to safeguard residents and staff. All cleaning materials were stored safely and health and safety notices were prominently displayed where appropriate. Woodside Home DS0000010528.V370771.R01.S.doc Version 5.2 Page 23 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 3 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X X 3 3 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 3 3 X 3 3 X 3 Woodside Home DS0000010528.V370771.R01.S.doc Version 5.2 Page 24 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 OP9 Regulation 13(2) Requirement Staff must sign for all medication that is administered. Timescale for action 30/09/08 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 OP38 Good Practice Recommendations Portable electrical appliances should be tested in an annual basis to ensure the health and safety of residents and staff. Woodside Home DS0000010528.V370771.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG 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. Extracts may not be used or reproduced without the express permission of CSCI Woodside Home DS0000010528.V370771.R01.S.doc Version 5.2 Page 26 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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