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HomeMy WebLinkAboutCharles House Yorktown 2016-10-20Community Advisory Committee Quarterly/Annual Visitation Report County ORANGE Facility Type Family Care Home Facility Name: Charles House Yorktown 303 Yorktown Dr, Chapel Hill NC 27516 Census: 5 / 6 Visit Date and day of the week Thursday October 20, 2016 Time spent in facility 50 minutes Arrival time 3:15 PM Name of person(s) with whom exit interview was held: Judy Woodall, Charles House RN, and Brittany Munn- household coordinator Interview was held in person: Yes follow up questions were directed to Amanda Blake, Charles House, who directs the family care homes. Committee members present: Yvonne Mendenhall, Jack Vogt, Will Lang Number of residents who received personal visits from committee members : 2 Report completed by: Yvonne Mendenhall Resident Rights information is clearly posted? Yes Ombudsman contact information is correct and clearly posted: Yes The most recent survey was readily accessible (Required for NHs only – record date of most recent survey posted) : NA Staffing information clearly posted? Yes Resident Profile Yes No N/A Comments/Other Observations (please number comments) 1. Do the residents appear neat, clean and odor free? Yes 1-5) The residents were very clean and appeared well cared for. We observed them interacting with staff on several levels—personal care, opinions, friendly discussion. They interacted as possible with our committee. The staff interactions we observed were appropriate and high quality with staff meeting the residents at their function level. 2. Did residents say they receive assistance with personal care activities? (i.e. brushing their teeth, combing their hair, inserting dentures or cleaning their eyeglasses) Yes 3. Did you see or hear residents being encouraged to participate in their care by staff members? Yes 4. Were residents interacting with staff, other residents & visitors? Yes 5. Did staff respond to or interact with residents who had difficulty communicating or making their needs known verbally? Yes 5a. Did staff members wear nametags that are easily read by residents and visitors? Yes 6. Did you observe restraints in use? No 7. If so, did you ask staff about the facility’s restraint policies? (note: Do not ask about confidential information without consent) NA Resident Living Accommodations Yes No N/A Comments/Other Observations (please number comments) 8. Did residents describe their living environment as homelike? NA 8. The residents on site at our visit are living with dementia and describing their environment was not likely, however, they were smiling, friendly and appeared comfortable, secure and relaxed. 11. Yorktown is very quiet. 13. Buttons in the bathrooms and bells available for those that want/need them. Unfortunately, most residents are no longer capable of using the bells to get help. Yorktown has bed and chair alarms for those that need them. 9. Did you notice unpleasant odors? No 10. Did you see items that could cause harm or be hazardous? No 10a. Were unattended med carts locked? Yes 10b. Were bathrooms clean, odor-free and free from hazards? Yes 10c. Were rooms containing hazardous materials locked? Yes 11. Did residents feel their living areas were kept at a reasonable noise level? Yes 12. Does the facility accommodate smokers? No 12a. Where? (Outside / inside / both) NA 13. Were residents able to reach their call bells with ease? NA 14. Did staff answer call bells in a timely & courteous manner? NA 14a. If no, did you share this with the administrative staff? NA Resident Services Yes No N/A Comments/Other Observations (please number comments) 15. Were residents asked their preferences or opinions about the activities planned for them at the facility? Yes 15 + 15b. Staff reported they observe residents’ interest in activities and build activity programs around what the individuals enjoy. Two or three activities are offered each day including music, visits, exercise. Several of the residents attend the Charles House on various schedules during the week. (See #20) 17. With only 6 residents, person- centered care is the focus for care. We observed snacks that appear to be available during the day. 17a,b,c. Dining is family style in the comfortable and attractive open dining/family room. If a resident does not want to join a meal at the table they are welcome to eat when/wherever they'd like, usually the choice is in a recliner. Residents are given choices, they may go offsite with proper supervision, or alone if they are able. 19. Visitors are welcome and encouraged, including inviting girl scout troops (etc.) to meet at the house, neighborhood children and pets to visit. UNC Students share activities. 20. Family meetings semi-annually and a "ladies circle" monthly to discuss the month’s activities and their monthly dinner (ordered in). 15a. Was a current activity calendar posted in the facility? Yes 15b. Were activities scheduled to occur at the time of your visit actually occurring? NA 16. Do residents have the opportunity to purchase personal items of their choice using their monthly needs funds? NA 16a. Can residents access their monthly needs funds at their convenience? (#16 and 16a pertain only to residents on Medicaid/Special Assistance. NHs $30 per month. ACHs $66 minus medication co-pay and full cost OTC drugs) NA 17. Are residents asked their preferences about meal & snack choices? (Adult Care Home residents should receive snacks 3X per day. Nursing Home residents should be offered snacks at bedtime.) Yes 17a. Are they given a choice about where they prefer to dine? Yes 17b. Did residents express positive opinions regarding their dining experience (the food provided)? Yes 17c. Is fresh ice water available and provided to residents? Yes 18. Do residents have privacy in making and receiving phone calls? Yes 19. Is there evidence of community involvement from other civic, volunteer or religious groups? Yes 20. Does the facility have a functioning: Resident’s Council? Family Council? Yes Areas of Concern Exit Summary Are there resident issues or topics that need follow-up or review at a later time or during the next visit? ------------------------------ At the interview, JudyWoodall shared concerns about staffing. The program currently has one caregiver opening. Other staff shifts have been adjusted to fill Yorktown resident care needs as the Charles House works to fill the job. This is a current and growing problem for many care programs. Qualified, trained staff in short supply as care for elders grows. Discuss items from “Areas of Concern” Section as well as any changes observed during the visit. Give summary of visit with Administrator or Supervisor-In- Charge. Does the facility have needs that the committee or community could help address? ------------------------------ We visited with Brittany and Judy Woodall (Charles House RN who supervises health care at the 3 programs).The facility is very attractive, clean, orderly, and comfortable. The home is currently all women. There are 4 private bedrooms and 1 double bedroom. 2-persons share each of the well-designed bathrooms. The bedrooms are cozy and very nice, furnished with personal belongings Most of the residents are elderly (one celebrated her 100th birthday this year); however, another person with MS is in her 60’s. Residents have a range of care needs, physical and cognitive strengths.