HomeMy WebLinkAboutCarol Woods 2016-11-16Community Advisory Committee
Quarterly/Annual Visitation Report
County Orange Facility Type
Family Care Home
Adult Care Home
Nursing Home
Facility Name: Carol Woods
Census – current/licensed:
Visit Date and day of the week
Wednesday, November 16
Time spent in facility
1 hours 20 minutes
Arrival time 10:00 a.m.
Name of person(s) with whom exit interview was held
Charlie Duff- Facility Administrator and
Valarie Jarvis – Lead Nursing Engagement Coach
Interview was held in person
Committee members present: Susie Deter, Jacqulyn Podger, Carol Kelly
Number of residents who received personal visits from committee members. Five,
including two family members.
Report completed by: Carol Kelly
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) : 10/7/2016
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 2.One resident remarked that staff consistently
go out of their way to meet needs.
4. A resident and his adult son who was visiting
expressed satisfaction with care and could think
of nothing that needed to be improved. Several
residents were observed receiving one-on-one
service (e.g. physical therapy) with staff.
A C.N.A. commented how she loved working at
Carol Woods and serving residents. She
appreciated having a consistent assignment so
she could get to know individuals and mentioned
the same person usually covered on her days off.
She felt her ideas were valued.
5a. All staff wear name badges and a photo and
name of staff is posted in each area. One photo
was not current but immediately corrected.
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)
n/a
3. Did you see or hear residents being encouraged to participate
in their care by staff members? no
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? n/a
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
Resident Living Accommodations Yes
No
N/A
Comments/Other Observations (please
number comments)
8. Did residents describe their living environment as homelike? yes 9. Unpleasant odor was noted in one room.
10b. Recently remodeled bathing were shown,
designed to offer increased privacy. It was
mentioned that efforts are made to meet resident
preferences regarding bathing (time of day and
frequency).
13. and 14. A resident remarked that bells were
responded to in a timely manner. A staff member
was observed responding to a bell as soon as it
was activated.
9. Did you notice unpleasant odors? yes
10. Did you see items that could cause harm or be hazardous? no
10a. Were unattended med carts locked? n/a
10b. Were bathrooms clean, odor-free and free from hazards? yes
10c. Were rooms containing hazardous materials locked? n/a
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
n/a
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?
*** N/A equals not applicable, not asked, not observed
Facility / Date: Carol Woods 11/16/2016
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?
n/a 17, Use of the food cart (rather than trays)
insures that food is hot and residents can
make choices when food is served.
17a. One resident was taken to the main
dining room each day for lunch rather than the
health center cluster.
17b. Residents make positive comments about
the cuisine.
17c. Staff were observed bringing ice water
into rooms.
20. There is a Resident Council which is open
to families. In addition, regular meetings are
held with health center residents and feedback
is taken to the Resident Council.
19. As per the weekly schedule in the printed
bulletin, there was evidence of community
involvement.
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
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?
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?
Positive feedback received from staff, a family member,
and residents was shared. The unpleasant odor for one room
was also shared during exit. Overall the facility is appeared
to be well kept up with positive staff interactions and
services.
One resident’s room appeared to be in disarray and the floor
and bathroom needed to be vacuumed. One cluster dining
area needed to be vacuumed.
1/2015