Care Home: Woodthorpe View Care Home

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What the care home does well Anyone new wanting to come to the home, or their relatives, are involved in completing an assessment of their needs to establish if they can be met in the home. This information is then shared with staff so they know what they are expected to do. One person told us, "I had been here for respite care previously so they already knew me." People have their healthcare needs met, and are able to have medical support when they need it. One person said, I am told to use my hearing aid as it helps me, staff come and put it in, they are so quick at it". Staff make sure they see people take their medication. Visitors are welcome to come and see their friends and relatives in the home and they are able to take people out. One resident is taken to the local pub regularly. People are able to make choices about their daily routines. One person told us, "I like to go to bed between 11 and 11.30 p.m. and then get up when I`m ready." People are given information about how to complain if they are not happy about anything. One person said, "I go and say if something is not right, if I have a complaint I say so." Staff know how to protect people in the event of any allegation and people told us they feel safe in the home. The home is kept clean and homely, and there are suitable arrangements for the disposal of waste products. Residents spoke of repairs being carried out promptly. There are sufficient and suitably trained staff on duty who have been through the required recruitment checks. One person told us, "They don`t have to come to me very often, but when they do, they come very quickly" The required health and safety checks and tests to the building and equipment are carried out as required. What has improved since the last inspection? People are happy with the food they receive and now have a choice at each meal, which residents like. What the care home could do better: There must be care plans for all needs identified, and they should assess people`s mental capacity and recognise any deprivation of liberty taking place. One person said, "I know what I can do for myself, I talked about this with the manager." There should be sufficient and varied activities provided in line with the wishes of residents. One person commented on our survey form that more activities would be welcomed. People must have opportunities to comment on how the home is run, and of their experiences in living there to make sure their best interests are taken into account.The provider is required to complete an annual assessment (called the Annual Quality Assurance Assessment) for us about the home, and this needs to include more detail and express the views of people living in the home. Key inspection report Care homes for older people Name: Address: Woodthorpe View Care Home 53 Woodthorpe Drive Woodthorpe, Arnold Nottingham NG5 4GY     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Stephen Benson     Date: 1 4 1 2 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. Care Homes for Older People Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC 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 27 Information about the care home Name of care home: Address: Woodthorpe View Care Home 53 Woodthorpe Drive Woodthorpe, Arnold Nottingham NG5 4GY 01159624556 01159532853 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mrs Rhoda Emaline Ellis,Mr Michael Ellis care home 28 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Woodthorpe View is a large converted residential house on two storeys with a modern extension. It provides care for up to 28 older people. The home is in a residential area Nottingham and is close to local shops, park and other amenities. The home has a large sitting room with a range of comfortable armchairs, and a dining room with small tables so that service users can sit together to eat. There is an all season conservatory leading off the dining room. This looks out on to a patio area, which has seating and can be accessed via a patio door. There are twenty-eight single bedrooms, twenty-one of them with en- suite facilities. The bedrooms are well decorated and furnished and service users can personalise them with their own belongings. There are bathrooms on each floor with adapted baths and shower, 4 toilets on the ground floor and 2 on the second. There is a lift between the two floors, which is large enough for a wheelchair. All access within the home is level. The home has a number of pets including small dogs, a cat and birds. There is a parking area to the side of the home. The manager Care Homes for Older People Page 4 of 27 Over 65 28 0 0 9 1 2 2 0 0 8 Brief description of the care home said on 14/12/09 that there is one fixed fee of £366 per week. hairdressing and chiropody in addition to the fee. Residents pay for any Care Homes for Older People Page 5 of 27 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: two star good 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 inspections undertaken by the Care Quality Commission is upon outcomes for people accommodated and their views on the service provided. This process considers the providers capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. This was our first visit to the home since 1st April 2009. This inspection involved one inspector; it was unannounced and took place in the daytime, including lunchtime.. Prior to the visit an analysis of the home was undertaken from information gathered over the last year including that from the Annual Quality Assurance Assessment they completed. We sent survey forms entitled Have your say about... to a sample of 10 people and 6 of these were returned. The main method of inspection used is called case tracking which involves looking at Care Homes for Older People Page 6 of 27 the quality of the care received by a number of people living at the home. We also use evidence from our observations; we speak with them about their experience of living at the home; we look at records and talk with staff about their understanding of the peoples needs who they support. The premises were not inspected in detail but various areas of the home were visited as part of the inspection. Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: There must be care plans for all needs identified, and they should assess peoples mental capacity and recognise any deprivation of liberty taking place. One person said, I know what I can do for myself, I talked about this with the manager. There should be sufficient and varied activities provided in line with the wishes of residents. One person commented on our survey form that more activities would be welcomed. People must have opportunities to comment on how the home is run, and of their experiences in living there to make sure their best interests are taken into account. Care Homes for Older People Page 8 of 27 The provider is required to complete an annual assessment (called the Annual Quality Assurance Assessment) for us about the home, and this needs to include more detail and express the views of people living in the home. 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 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 9 of 27 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 10 of 27 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. People are assessed prior to moving into the home to ensure their needs can be met. Evidence: The home has started to use a new care planning system which includes pre admission assessments for both respite and long term care placements. There have been two recent assessments using the new documentation, one person has moved into the home and one is due to come when discharged from hospital. Relatives have been involved in the completion of the assessment forms and there was also an assessment from the Local Authority. The manager and care manager said they always assess any prospective new resident and find the new assessment forms helpful. Staff said they always read assessment reports prior to the person moving into the Care Homes for Older People Page 11 of 27 Evidence: home. In our survey forms people who could remember said they had received enough information about the home before they moved in. One person told us, I had been here for respite care previously so they already knew me. Care Homes for Older People Page 12 of 27 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. Peoples mental capacity is not being properly asessed, but their health care needs are being met and they are given their medication safely. Evidence: All staff have been trained in how to complete and use the new care planning system. The care manager has started completing the new care plans, and plans to have them all completed within the next two months. Plans seen did not have any reference to the Mental Capacity Act or Deprivation of Liberty and the care manager said she will be including these. Staff said they think the new care plans are a big improvement, and are now having more involvement with them. In our survey forms four people said they always receive the care and support they need, three people said they usually and one person said they sometimes do. One person said, I know what I can do for myself I talked about this with the manager. I Care Homes for Older People Page 13 of 27 Evidence: know they have got records on me, but I m not bothered to see them, I am sure I could if I wanted to. There is a section in the care plans to record any healthcare treatment received and the daily notes showed staff were monitoring peoples health. There is a rota to make sure everyone has a shower regularly, and one person said, I have a regular day for a shower, if I wanted more I could have them. Another person told us, I am told to use my hearing aid as it helps me, staff come and put it in, they are so quick at it. In our survey forms five people said they always receive the medical support they need, and two said they usually do. There were details of what medication people take in the care plans and staff said only trained staff give out medication. Staff said they always observe people taking their medication. The home has not joined in with the dignity challenge initiative and has not appointed a dignity champion, however after discussion, the care manager agreed to put a member of staff forward for the role and introducing this into the home. A resident said, They treat me respectfully, I dont think I do them! Care Homes for Older People Page 14 of 27 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. Some people would like more frequent activities. There are opportunities for people to exercise choice in their lives and they are provided with a wholesome diet, but the catering arrangements dont always suit their wishes. Evidence: There is not a clear activities programme in the home and not all activities, particularly individual ones are recorded, so it is not possible to see when people have taken part in anything. There are monthly motivation classes. Staff were seen spending time with people in the lounge, one was helping someone write some Christmas cards, and another was talking about a forthcoming hospital appointment. Staff said they thought the activities are a bit hit and miss, but that people had liked playing bingo a couple of weeks ago, and those that join in do enjoy them. In our survey forms two people said there always are activities arranged they can take part in, one said there usually is and three said there sometimes are. One person commented that more activities would be welcomed. Care Homes for Older People Page 15 of 27 Evidence: Comments made by residents included, I have nothing to do but that pleases me, I like to think and recall things about my life and There is nothing to do Im bored. Families and friends are welcome to visit and can take resident out if they wish. One resident likes to go to the local pub a couple of times a week, so staff take him. Staff said people are able to make their own choices about how they spend their time and what they do. One person wrote on our survey There is a freedom e.g. when go to bed, there are no set rules. Another resident told us, I like to go to bed between 11 and 11.30 p.m. and then get up when Im ready. Another resident spoke of having a later breakfast when she was not ready for the normal breakfast time. Staff were seen asking people what they wanted for lunch, with a choice of pork or fishcakes. Staff said the choice of meals has been introduced since our last visit when this was suggested, and it is a lot better, and the residents like it. Staff were also heard discussing with people the choice of meal for Christmas day. In our survey forms four people said they always like the meals in the home, three people said they usually do and one person said they sometimes do. Comments were made that tea is often sandwiches and they would like a hot tea more often. It was also said that sometimes supper doesnt arrive until 10.00 p.m. which is too late. Care Homes for Older People Page 16 of 27 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. There are systems in place for people to raise any concerns and staff know how to safeguard people. Evidence: There is a complaints procedure in the home and a book to record any complaints made. There was one entry which concerned a misunderstanding between a member of staff and a relative, which was satisfactory resolved. Staff were aware of the complaints procedure, and knew what to do if they had a complaint made to them. In our survey forms everyone said they knew how to make a complaint and had someone they could talk to. One resident told us, I go and say if something is not right, if I have a complaint I say so. The care manager said all staff will be attending safeguarding adults training next month, including those who have done so previously to make sure everyone is clear about the correct procedures to follow in the event of any abuse. Staff spoken with were aware of the procedures, and of the homes whistleblowing policy. One resident said when asked if she felt safe in the home,Yes, but I cant have the Care Homes for Older People Page 17 of 27 Evidence: Windows open at night for safety. Care Homes for Older People Page 18 of 27 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 live in a comfortable and well maintained environment that provides a homely atmosphere. Evidence: There were some Christmas decorations up around the home and more were being put up. Staff said they thought the home looked nice and homely, and if anything needs repairing it is sorted out quickly. One person told us she had an airlock in her heating and they sorted it straight away when I told them. In our survey forms everyone said that the home is kept fresh and clean. One relative commented, My mother smokes and they dont have a sheltered area and I think it would be good if there was as when winter comes she will get wet and cold. There is protective clothing available for staff to use when providing personal care or handling food, however there was only one colour apron. The care manager said they used to have white and blue aprons, and arranged to order a second colour. Care Homes for Older People Page 19 of 27 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. People are cared and supported by sufficient staff who have been suitably trained to meet their needs. Evidence: Staff said there are enough staff on duty for them to meet the needs of the residents. If someone is off work this is covered within the staff team. in our survey forms everyone said the staff are available when they need them. One person told us, They dont have to come to me very often, but when they do they come very quickly and also said when a member of staff had promptly responded to her pressing the call bell, Its not because you are here, its always like that, night or day. We have got very good night staff as well. All care staff, except two, have now gained a professional qualification and both of them are currently working towards one. One member of staff said she had just passed a higher level qualification. There has been one new member of staff appointed in the last six months and her file showed that the correct recruitment procedures have been followed. The member of staff is working through the Skills for Care Common Induction Standards. It was stated on the assessment they completed that all staff who have started work in the Care Homes for Older People Page 20 of 27 Evidence: home in the last 12 months had satisfactory pre employment checks carried out. There were copies of staff training certificates in their files, but there was not a record kept to clearly show what training staff have done and when they are due further training. The care manager agreed that a training matrix would help in this and will prepare one. Care Homes for Older People Page 21 of 27 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are suitable arrangements for the management of the home, but more could be done to include the views of people living there. Evidence: The running of the home is shared between the provider/manager and the care manager. Both have worked in the home for a number of years. Staff commented that the management of the home has got tighter over the last year, which they think is better, and they have clear direction as to what they should be doing. There is not a system in place for seeking the views of residents and other interested parities on how the home is run and enable them to make suggestions for changes or improvements. We asked the provider to complete an assessment and return this to us. The Care Homes for Older People Page 22 of 27 Evidence: information contained in this was brief, and did not give sufficient detail about the service and the views of the people living there. The home does not handle any money belonging to residents as relatives are asked to do this. We were told in the assessment they completed that equipment is serviced or tested as recommended by the manufacturer or other regulatory body. Dates were provided showing this to be the case. Staff said they did not have any concerns about health and safety within the home. Care Homes for Older People Page 23 of 27 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 27 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 1 7 15 Complete all care plans and 01/02/2010 include information concerning peoples mental capacity and any deprivation of liberty imposed. This will ensure that people receive the care and support they require and that they make the decisions they are able to. 2 12 16 Ensure there are sufficient opportunities for people to participate in group and individual activities This will ensure that people have opportunities to spend time doing things they find enjoyable and stimulating. 01/02/2010 3 33 17 People living in the home must have opportunities to express their views on how the home is run. 01/03/2010 Care Homes for Older People Page 25 of 27 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 This will ensure that people can have a say in the running of the home. 4 33 17 The Annual Quality Assurance Assessment (AQAA) must be fully completed and include the views of people living in the home. This will ensure that people living in the home are able to contribute to how the home is run. 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 01/04/2010 1 2 3 10 15 30 Introduce the dignity challenge into the home. Review current arrangements for tea and supper to ensure it is in line with residents wishes. Prepare a staff training matrix to show what training has been done and when further training is required. Care Homes for Older People Page 26 of 27 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). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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