HomeMy WebLinkAboutStratford 2018-11-01Community Advisory Committee Quarterly/Annual Visitation Report
County: Orange Facility Type:
Family Care Home Nursing Home
x Adult Care Home
Facility Name/Address: The Stratford, 405 Smith Level Road,
Chapel Hill, NC 27516
Visit Date: 11 / 01 /
2018
Time spent in facility: 1 hr 15 min Arrival time: 1:00 am x pm
Name of person exit interview was held with: Interview was held: x in Person Phone
x Admin. SIC (Supervisor in Charge) Other Staff Rep. (Name & Title)Christian Smith
Committee members present: Nancy McCormick, Gloria Brown Report complete by Nancy McCormick
Number of Residents who received personal visits from committee members: 7
Resident Rights Information is clearly visable: x Yes No Ombudsman Contact Info is correct and clearly posted: Yes No x
The most recent survey was readily accessible: Yes No
(Required for Nursing Homes Only)
Staffing information clearly posted: Yes No x
Resident Profile Yes/No/NA Comments/Other Observations
1. Do the residents appear neat, clean and odor free?
Yes
4. Administrator said that staff had been issued
name badges, but most were not wearing them.
5.Staff seemed to be interacting better with
residents than the last time we were there.
2. Did residents say they receive assistance with personal care
activities? Ex. 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? 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
6. Did you observe restraints in use? No
7. If so, did you ask staff about the facility’s restraint policies? No
Resident Living Accommodations Yes/No/NA Comments/Other Observations
8. Did residents describe their living environment as homelike? N/A 8. Residents did not describe the living
environment, but we observed rooms that
were furnished with personal items. In the
Alzheimer’s wing each resident had a shadow
box with personal items. They are continuing
to work on the air conditioning system for the
dining room. The facility lost power during
Matthew but they had generators—they were
prepared because of Florence.
9. Did you notice unpleasant odors in commonly used areas? No
10. Did you see items that could cause harm or be hazardous? No
11. Did residents feel their living areas were too noisy? No
12. Does the facility accommodate smokers?
Where? x Outside only Inside only Both Inside/Outside
13. Were residents able to reach their call bells with ease? N/A
14. Did staff answer call bells in a timely & courteous manner?
If no, did you share this with the administrative staff?
N/A
Resident Services Yes/No/NA Comments/Other Observations
15. Were residents asked their preferences or opinions about the
activities planned for them at the facility?
Yes 15. They still don’t have an activities staff person
but are continuing to recruit. Residents can go
off-site twice a week.
17. If residents don’t want the meal they can have
an alternative, like a sandwich. Some residents
had difficulty eating the lunch, which was a crab
shell filled with crab cake.
19. The residents really like the priest who comes
on Saturdays. He seems to have a great rapport
with them. High school students also visit.
20. Resident’s Council only.
16. Do residents have the opportunity to purchase personal items of
their choice using their monthly needs funds?
Can residents access their monthly needs funds at their
convenience?
Yes
Yes
17. Are residents asked their preferences about meal/snack choices?
Are they given a choice about where they prefer to dine?
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 Resident’s Council?
Family Council?
Yes
Areas of Concern Yes/No/NA Exit Summary
Are there resident issues or topics that need follow-up or review at a later
time or during the next visit?
The facility still needs an activities coordinator.
The Ombudsman’s name was still incorrect.
Yes Discuss items from “Areas of Concern” Section as
well as any changes observed during the visit
They are recruiting for the position.
Name was changed while we were there.
This Document is PUBLIC RECORD. Do not identify any Resident(s) by name or inference on this form.