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HomeMy WebLinkAboutCarol Woods 2017-04-20 Community 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: 17/30 Visit Date and day of the week: April 20, 2017 Time spent in facility: 1 hours 15 minutes Arrival time: 10AM Name of person(s) with whom exit interview was held : Debbie Every– Nursing Engagement Coach Interview was held: X in person Committee members present: Sandra Nash, Jacqulyn (Jackie) Podger, Susie Deter Number of residents who received personal visits from committee members: 4 Report completed by: Susie Deter 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) : 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 5. Resident who is confused & therefore has difficulty interacting was placed in center of pod, and all staff stopped and interacted with resident as they passed. 6. Carol Woods does not use restraints. Work around are developed in the resident’s care plan to accommodate these issues. 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? 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? 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. 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 10c. Rooms for soiled linen/trash had signs posted stating that, per state regulations, the doors needed to be closed and latched. In 2 of the treatment pods the doors to these rooms were closed but not locked. 14. Call bell rang for 5 minutes. While the bed alarm went off in error, the CNA assigned to pod was in another room bathing a resident and could not hear the bell. Had this been an actual incident, such a slow response could have had serious consequences. 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? No* 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 No 13. Were residents able to reach their call bells with ease? Yes 14. Did staff answer call bells in a timely & courteous manner? No* 14a If no, did you share this with the administrative staff? Yes *** N/A equals not applicable, not asked, not observed Facility / Date: Carol Woods / 4/20/17 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 20. Since most residents are also living within the greater Carol Woods community, the general councils are considered to take the place of the Family Council. We were previously told there are over 120 resident committees within Carol Woods. 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* 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? 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? Unlocked soiled linen/trash doors and slow bed alarm response were discussed with Nursing Engagement Coach. She informed us that call bell alarms are routed to the phones of CNAs, RNs and Nursing Engagement Coaches, but chair and bed alarms are not. They are two different systems that cannot be integrated. Carol Woods’ IT staff are exploring upgrading the system. She also told us that in the near future both bed and chair alarms cannot be used unless they are part of a resident’s care plan. While not required, Carol Woods posts pictures of the on- duty CNA at the entrance to each of their four care pods. The pictures posted in two of the pods did not match the CNA on duty.