HomeMy WebLinkAboutCarol Woods 2016-06-02Community Advisory Committee
Quarterly/Annual Visitation Report
County: Orange Facility Type
Family Care Home
Adult Care Home
X Nursing Home
Facility Name: Carol Woods
Census – current/licensed: 23/30
Visit Date and day of the week
Thursday, 6/2/16
Time spent in facility
1 hour 20 minutes
Arrival time 10 AM
Name of person(s) with whom exit interview was held
Interview was held
X in person
Committee members present:
Number of residents who received personal visits from committee members
3 residents and 1 family member
Report completed by:
Resident Rights information is clearly posted? Yes Ombudsman contact information is correct and clearly posted: Yes
The most recent survey was readily accessible Yes
(Required for NHs only – record date of most recent
survey posted) : 12/18/15
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 5a. One custodial staff person did not have an
obvious nametag, but it may have been hidden by
a cart
6. Carol Woods does not use restraints. They
develop adaptive measures if a resident needs
protection
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? N/A*
7. If so, did you ask staff about the facility’s restraint policies?
Note: Do not ask about confidential information without consent N/A
Resident Living Accommodations Yes
No
N/A
Comments/Other Observations (please
number comments)
8. Did residents describe their living environment as homelike? Yes 12. An outside covered smoking area is available
13. A resident sitting in the common area had a
call bell readily available. There are call bell
connections positioned in the common areas to
make this possible.
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? No
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?
Note: By regulation smoking is only permitted outside of the
Building
Yes*
13. Were residents able to reach their call bells with ease? Yes*
14. Did staff answer call bells in a timely & courteous manner? Yes
14a If no, did you share this with the administrative staff?
Facility / Date: Carol Woods / 6/2/16
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. In addition to seeking input from
residents, activities can be and are developed
around residents’ interests and expertise so
that they can share this with others
17. Multiple choices are available for meals
and snacks
17a. Residents can dine in their room, in the
dining area of their pod, or in the general
dining area in another building
20. Since most residents are also living within
the greater Carol Woods, the general councils
are considered to take the place of the Family
Council
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?
Yes
16. Do residents have the opportunity to purchase personal
items of their choice using their monthly needs funds?
N/A
16a.Can residents access their monthly needs funds at their
convenience?
N/A
17. Are residents asked their preferences about meal &
snack choices?
Yes*
17a. Are they given a choice about where they prefer to dine? Yes*
17b. Did residents express positive opinions regarding their
dining experience?
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
No*
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?
No
Discuss items from “Areas of Concern” Section as well as
any changes observed during the visit. Give summary of
visit with Administrator or SIC. Does the facility have
needs that the committee or community could help address?
Building upgrades are continuing but not yet completed.
The team met with the new Facility Administrator and the
new Lead Nursing Engagement Coach (the position
formerly called the Director of Nursing). Both were eager
for input and feedback. The Lead Nursing Engagement
Coach told the team that she wanted to be notified at the
beginning of each visit so that she could be sure and meet
with the team for the exit interview.
1/2015