Care Home: Woodthorpe Manor Care Home

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What the care home does well Effective pre admission needs assessments are performed prior to people moving into the home to ensure their needs can be identified and met. Medication is managed appropriately. People who use the service are afforded appropriate levels of privacy and dignity. Recreational activities are provided within the home and opportunities are available for people to interact within the broader community. People expressed satisfaction with the quality and variety of meals provided at the home. People said they feel safe at the home and are able to express their views and concerns to a receptive management team. People benefit from a well-maintained environment, which is comfortable, clean and safe throughout. A staff training programme is in place to ensure staff are competent in meeting the needs of people and staff recruitment practices are robust and protect people. The management structure is effective in supporting staff to promote the health and wellbeing of people at the home. What has improved since the last inspection? Risk assessments are now in place to promote the safety of people at the home. Quality assurance systems are in place to evidence that a quality service is being delivered in the best interests of people. What the care home could do better: The care plan reviews could benefit from being in more detail. Daily records could be recorded on a daily basis . Inspecting for better lives Key inspection report Care homes for older people Name: Address: Woodthorpe Manor Care Home Egerton Road Woodthorpe Nottingham NG5 4FF     The quality rating for this care home is:   three star excellent service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Steve Keeling     Date: 1 5 0 4 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 26 Information about the care home Name of care home: Address: Woodthorpe Manor Care Home Egerton Road Woodthorpe Nottingham NG5 4FF 01159206021 F/P01159206021 spatroo@woodthorpemanor.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Chabilill Beekarry,Mr Beelall Patroo care home 30 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category terminally ill Additional conditions: 1 registered nurse and 2 care staff on night duty 2 registered nurses and 4 care staff on day duty Date of last inspection Brief description of the care home Woodthorpe Manor is a care home providing personal care and nursing care accommodation for 28 older people. It is owned by Mr Beekary and Mr Patroo and managed by Mrs Florence Patroo. The home is located in Woodthorpe an inner city area of Nottingham, close to the local shops, pubs, general practitioners surgery and other amenities. It is easily accessible by major roads and a bus link into the city is available at the end of the road. Care Homes for Older People Page 4 of 26 Over 65 28 0 0 2 Brief description of the care home The home is an extended residential house, which consists of three-storeys. The home has two lounges, and a separate dining room. The home has 12 single rooms, of which 9 have en-suite facilities and 5 double rooms. There are two bathrooms, which are fitted with a bathing hoist and two shower facilities. There is a passenger lift. The grounds are well maintained and offer a relaxing environment. The current weekly fees which are discussed on the point range from 380 pounds to 480 pounds per week. Care Homes for Older People Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The focus of the inspection undertaken by the Care Quality Commission is upon outcomes for people who use the service and their views on the service provided. The process considers the providers capacity to meet regulatory requirements, minimum standards of practice, and focuses on aspects of service provision that needs further development. The main method of inspection used is called case tracking which involves selecting people who use the service and looking at the quality of care they receive by speaking to them, observation, reading their records and asking staff about their needs. The manager and members of staff were spoken with as part of the visit, records relating to medication management was also inspected to form an opinion about the quality of care provided. Care Homes for Older People Page 6 of 26 A partial tour of the building was undertaken which included peoples bedrooms and communal areas they frequent to make sure that the environment is homely and safe. A review of all the information we have received about the home since the last key inspection was performed on the 16th August 2006 was considered in planning this visit, which included the Annual Quality Assurance Assessment which was provided by the registered manager on the 03.04.2009 and six responses to the ten Have your Say pre inspection questionnaires which were distributed to people who reside at the home prior to the inspection process. What the care home does well: What has improved since the last inspection? 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 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Effective pre admission needs assessment are performed prior to people moving into the home to ensure their needs can be identified and met. Evidence: Information provided by the registered manager in the Annual Quality Assurances Assessment states Prior to admitting new service users, a detailed assessment is carried out in order to ensure that the home can meet the needs of the person. We also invite prospective service users to spend time in our home and have a meal (usually for a half-day or day) so they can experience the care provided before being admitted. We looked at the records of two people, each had an assessment of their needs. The assessment process was effective in providing the opportunity to identify peoples needs, in relation to promoting their health and wellbeing. The assessment process also uses information provided by other agencies, such as Adult Social Care and Care Homes for Older People Page 10 of 26 Evidence: Health, when available. Intermediate care is not provided at Woodthorpe Manor. Care Homes for Older People Page 11 of 26 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The healthcare needs of people who use the service are recorded and met. Medication is managed appropriately and people who use the service are afforded appropriate levels of privacy and dignity. Evidence: The Have your Say service users survey asked Do you receive the care and support you need, five respondents stated Always and one respondent stated Usually comments included I could not wish for any better care for my mum. We asked a person who uses the service if they felt their needs are being fully met. The response was I am very happy, at first I didnt want to come into a home but now I realise it was for the best for me, the home is very nice and the staff are lovely. The manager stated within the Annual Quality Assurance Assessment We have an excellent working relationship with external professionals. This ensures that we are able to ensure that health and personal care needs of our service users are very well Care Homes for Older People Page 12 of 26 Evidence: cared for. We continually review and update our care plans to incorporate changes in legislation. The existing care planning and risk assessments contained sufficient information for staff to carry out the tasks required to meet peoples needs. Staff confirmed that they have access to the care plans at all times for guidance and reference. The care plans are reviewed on a monthly basis but the review process would benefit from being in more detail. The manager stated and records showed that the current care planning process is being updating to ensure they are person centred. The manager stated that the reviewed care planning documentation would be in place for all people at the home within two months. The Have your Say service users survey asked, Do you receive the medical support you need, all six respondents stated Always. Records showed and people confirmed that they have access to external professionals such as Doctors, Social Workers, Community Dietitians, Tissue Viability Nurses, Dentists, Opticians and Chiropodists. A person stated I only have to ask to see my doctor and its arranged, doctors comes to the home on a regular basis. We asked a person living at the service if they get their medication on time. The response was yes, always on time. Medication is only administered by the qualified nurses. We observed a medication round and it was evident that medication was administered appropriately by the qualified nurse, appropriate medication storage facilities are available and medication administration records were filled out correctly. The Have your Say service users survey asked, Do staff listen and act on what you say, all respondents stated always. All people spoken with, which included peoples relatives, with were very complimentary about the staff at the home, comments included I am very happy and my relative has only been here for a short time but its an home from home, people are well care for, I cannot fault them, yes very impressed and the care given to mum is excellent we have no qualms whatsoever. We observed interactions between staff and people who use the service throughout the day and at meal times, people were being assisted to have their meals in a kind, considerate and un-rushed manner, offering assistance when required. All observed Care Homes for Older People Page 13 of 26 Evidence: interactions promoted peoples respect and dignity. Care Homes for Older People Page 14 of 26 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Recreational activities are provided within the home and opportunities are available for people to interact within the broader community. People expressed satisfaction with the quality and variety of meals provided. Evidence: The manager stated within the Annual Quality Assurance Assessment We hold monthly religious services. We organise outings such as boat trips and Christmas shopping trips but only a few of our service users are able to participate in these activities. We provide entertainment by professional external performers. (These are not appreciated by some of our service users who prefer peace and quiet therefore alternative activities are offered during these times. Our in-house physiotherapist does an excellent job in providing physical stimulation and our service users appreciate and look forward to the time they spend with her. We discussed the social activities provision with people at the home who confirmed that they include dominoes, guest entertainers, religious interventions, boat trips, and shopping trips. Special events such as Christmas and Easter are celebrated together with peoples birthdays. People also stated that staff respect their wishes if we dont wish to participate, one person said sometimes I just like to read which I have Care Homes for Older People Page 15 of 26 Evidence: always enjoyed. The manager stated that an open door policy in relation to relatives and friends visiting the home is encouraged. People who use the service and relatives visiting people on the day of the inspection confirmed that visitors are made very welcome by all the staff at the home and they are offered drinks when they arrive. The service users survey asked Do you like the meals provided, One respondent stated Always, three respondents stated Usually and one respondent stated Sometimes. Comments included I like the food but sometimes the portions are rather large. A person who uses the service said the food very good indeed, plenty of choice and drinks are available, we are drinking tea all day which is nice. All relatives spoken with stated that when they had seen meals being provided they always looked very nice and well presented. We observed the lunchtime meal session. Staff were assisting people in a kind unrushed and considerate manner. Promoting respect and dignity at all times. A menu was on display in dining room which showed that the lunchtime meal choice was oxtail soup followed by Spanish chicken or fish pie followed by a choice of three puddings. We spoke to Chef who confirmed that previsions are always available and fresh fruit and veg is obtained from a local green grocer. The Chef also confirmed that she is made aware of any specialist diets on peoples arrival to the home and a list is maintained in the kitchen area to identify specialist dietary needs. Care Homes for Older People Page 16 of 26 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People feel safe at the home and feel confident in expressing their views and concerns. Evidence: A complaints procedure is displayed in the foyer of the home and the procedure is also supplied in the service user guide which is provided to people at the home and their relatives on admission. The Commission has not received any complaints about the service since the last inspection took place. We examined the homes complaints book, which showed that complaints are documented, and referrals to social services Safeguarding Adult services are made when required. The Have your Say pre inspection questionnaire asked people Do you know how to make a complaint all six respondents stated Yes. We asked a person who uses the service if she felt confident in highlighting any concerns or complaints, her response was I feel that complaints would be dealt with, they [care staff] are good and kind, I feel very safe in the home which is very important for me. Relatives of people who use the service were asked Do you know how to make a Care Homes for Older People Page 17 of 26 Evidence: complaint about the care provided by the home, the respondents stated We have never made a complaint, we have every confidence that the manager would address any issue we have, she is very approachable, and the care is excellent. Records showed, and staff confirmed, that training in Safeguarding Adults has been provided. We spoke to a member staff to determine her level of understanding in this area. The member of staff demonstrated a good level knowledge of Safeguarding Adults procedures. In addition the member of staff said that the revised Nottinghamshire Safeguarding Adults policy is available at the home if further guidance is required. Care Homes for Older People Page 18 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from a well-maintained environment, which is safe, comfortable, clean and fresh throughout. Evidence: The Have your Say pre inspection questionnaire asked people is the home fresh and clean. All six respondents stated, Yes and a person commented that the cleanliness is very good. We asked people if they are satisfied with the standard cleanliness in the home, they all said they were and confirmed that their bedrooms are cleaned on a regular basis, as are the communal areas in the home. We did a partial tour of the building, which included peoples bedrooms and communal areas. All areas were safe, well maintained, exceptionally clean, fresh and warm, peoples bedrooms were homely and personalised. Staff said that gloves and aprons are worn at all times when providing personal care to promote infection control; we observed that gloves and aprons were available in bathroom areas and staff were using them appropriately. Care Homes for Older People Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staffing levels are sufficient in meeting the needs of people at the home. A staff training programme is in place to ensure staff are competent in meeting the needs of people at the service. Recruitment practices are robust and protect people from those that may be unsuitable to work with vulnerable adults. Evidence: On the day of the visit, twenty four people were in residency at the home, being supported the registered manager, an administration officer, a qualified nurse, four care staff the chef and a kitchen assistant, a handyman and a laundry assistant. The Have your Say pre inspection questionnaire asked people Are staff available when you need them, one respondent stated Always and five respondents stated Usually. We asked as person who uses the service if the staff are available when needed, the response was yes, they [care staff] are always available, always someone buzzing about, they are all lovely people. We asked visitors to the home if they thought the staff were confident and competent in performing their duties, the response was The staff are very friendly and chatty, they always inform us of any developments and the care they give is very good. Care Homes for Older People Page 20 of 26 Evidence: Staff files showed that recruitment processes are effective in promoting safety. Staff files contained, Protection of Vulnerable Adult checks, Criminal Record Bureau Checks, an application form and two written references. Records showed and staff confirmed that an induction process is provided when they commence employment to promote the health and well being of people at the home. The manager confirmed that the induction has been recently amended and now utilises the Skills for Care common induction standards. Records showed, and staff confirmed that training is provided to ensure staff can perform their duties in a safe and competent manner. It was established that some refresher training in relation to Health and Safety had not been performed on an annual basis but through discussions with the manager it was established that refresher training was booked for April 2009. Care Homes for Older People Page 21 of 26 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management structure is effective in supporting staff to promote the health and wellbeing of people at the home. Evidence: The service users survey asked Is there anything else that you would like to tell us. Comments included Woodthorpe Manor is a wonderful home for my mum. The staff are very caring and provide her with the best possible care and We [the family] are very happy with the excellent care mum receives. The manager is a registered nurse and has attained a postgraduate management degree and the national vocational qualification managers award. She has been the manager of the home since 1997 and therefore has the required knowledge and skills to perform her duties effectively. Information provided within the Annual Quality Assurenec assessemnt states Our Business and Financial Plans have been updated following the end of our financial year in September 2008 and cover the next 3 years. Care Homes for Older People Page 22 of 26 Evidence: We have continued to improve the skills of our management and senior staff mainly through external training courses eg Mental Capacity; Deprivation of Liberty; Person Centred Care Planning and Health & Safety. People who use the service, their relatives and staff employed at the home praised the manager and felt confident in her abilities in providing and safe and efficiently run service. A relative of a person who uses the service said we visited several home before deciding on this one, its a friendly atmosphere, the staff are lovely, and the care is excellent. Formal quality assurance systems are in place such as residents and relatives meetings. In addition, annual quality assurance questionnaires are distributed to ensure that the views of people who use the service are obtained to identify any potential shortfall in service provision. Secure facilities are available for people to store their spending money and valuables but peoples spending money is managed by the staff at the home. Records showed and staff confirmed that staff supervision and annual appraisals are performed and staff stated that the manager is very supportive and they feel valued. Care Homes for Older People Page 23 of 26 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 24 of 26 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, Care Homes 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 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 1 2 7 7 The monthly review process for the care plans would benefit from being in more detail. To ensure good practice, the daily records should be completed on a daily basis. Care Homes for Older People Page 25 of 26 Helpline: Telephone: 03000 616161 or Textphone: or 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) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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