Inspection on 13/04/10 for Westbourne House

This is the latest available inspection report for this service, carried out on 13th April 2010.

CQC found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Westbourne House 16/06/08

Westbourne House 26/06/07

Westbourne House 09/01/06

Westbourne House 13/04/05

Westbourne House 24/11/04

Similar services:

Whiteley House

Tyndale Avenue

2-10 Norfolk Road

Bennfield House Nursing Home

Eastfield Residential Home

Sign Health

Springwood

Fairburn Mews

Extracts from inspection reports are licensed from CQC, this page was updated on 04/09/2010.

Key inspection report Care homes for adults (18-65 years) Name: Address: Westbourne House 42/44 Dykes Hall Road Sheffield South Yorkshire S6 4GQ     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Ian Hall     Date: 1 3 0 4 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 22 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 22 Information about the care home Name of care home: Address: Westbourne House 42/44 Dykes Hall Road Sheffield South Yorkshire S6 4GQ 01142348930 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Support Care Ltd Name of registered manager (if applicable) Naomi Kate Taskin Type of registration: Number of places registered: care home 11 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: Date of last inspection Brief description of the care home Westbourne House is a care home providing personal care and accommodation for 11 people. The home is registered for adults between the age of 18 and 65 who have mental health needs. The home is owned by Support Care Limited who also provide the care. Westbourne House is situated close by to Hillsborough shopping centre, it is located for easy access to local amenities. The home was initially registered in March 1997 and consists of two houses adjoining, with internal access to each home and an extension at the back with garden and grounds. The home is on two levels and does not have lift access to the second floor. All the bedrooms are single; the bedrooms do not have en-suite facilities. The home has a car park and gardens that are accessible for service users. The manager confirmed that the Fee was 307.50. Further information about the home can be obtained by contacting the manager. Care Homes for Adults (18-65 years) Page 4 of 22 Over 65 0 11 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 stars. This means that people who use this service experience good quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from the previous inspection may have been deleted or carried forward into this report as recommendations - but only when we consider that people who use the service are not being put at risk of harm, In future, if a requirement is repeated, it is likely that enforcement action will be taken. The unannounced site visit undertaken as part of the inspection started at 09:20 and concluded at 14:40 on the 13th April 2010. The inspection was conducted by the lead inspector Mr I Hall. The site visit included a tour of the building, reading records, discussions with staff and Care Homes for Adults (18-65 years) Page 5 of 22 people who use the service and observation of the meals provided. We also met with the manager and other members of staff. In addition the inspection took account of information received about the service since the last key inspection. This included records of telephone conversations with staff, events notified to CQC, and records of management visits to the home. Prior to the site visit the home carried out a self assessment of the service. This is called the annual quality assurance assessment (AQAA). People spoken with were happy to assist with the inspection. At the end of the site visit verbal feedback was given to the homes manager. Care Homes for Adults (18-65 years) Page 6 of 22 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 22 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 22 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides people with detailed information to enable them to choose whether the home is the one for them. Detailed assessments ensure that peoples needs could be met. Evidence: We examined two peoples case records. A comprehensive assessment had been made to ensure that peoples needs could be met. The placing authority also provided detailed information about the peoples needs. New people were always encouraged to visit the home for tea to meet other people and staff before deciding to live at Westbourne House. The manager had the responsibility to visit new people and assess their care needs. Relatives and carers were encouraged to be involved in the gathering of information. Care Homes for Adults (18-65 years) Page 9 of 22 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People were involved in decisions about their lives, and play an active role in planning the care and support they receive. Evidence: Two peoples care plans were looked at. The information was complete. The manager said that the format for all care plans had been changed to provide more detailed information about peoples care needs and their lives. Each person had an assessment that reflected their care needs.These included personal care, communication, mobility, continence, and mental state. Peoples changing needs had been assessed and care plans adapted to meet them. People were able to make choices about their daily lives and activities. People said they were able to take reasonable risk as part of an independent lifestyle. Some people were able to go out with friends and travel alone. They were supported to make light snacks. Care Homes for Adults (18-65 years) Page 10 of 22 Evidence: Management changes to staff rotas had led to increased flexibility of staff working patterns and greater opportunities for people to be supported to enjoy their chosen activities. People said that they were involved in the routines of the home. These included washing dishes, doing their laundry, setting tables for meals and clearing tables after meals. They told us about cleaning and tidying their own bedrooms with staff help and support. This promoted peoples independence and developed their daily living skills. People told us that staff spoke to them about how to stay safe when out alone. People told staff when they were leaving the home, where they were going and the time they would return. Staff were proactive in the management of risks to ensure people were able to enjoy their chosen activities and lifestyle. Care Homes for Adults (18-65 years) Page 11 of 22 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People were supported to make choices about their lifestyle and supported to develop their life skills. Social, educational, cultural and recreational activities met peoples expectations. Evidence: People were supported to attend daycare placements and activities that they chose. A number of people preferred to lead a quiet lifestyle, leaving the home infrequently and spending more time in their own bedrooms. They were encouraged to join in the range of social activities provided but were able to exercise their own choice. We observed good quality interaction between staff and people living at the home. The atmosphere was warm and welcoming. People were supported and helped with their daily activities and outings by staff. Care Homes for Adults (18-65 years) Page 12 of 22 Evidence: People said they took part in a range of activities. These included swimming, bowling, shopping, gardening, going to the theatre or public house. They said that staff had more time now to go out with them. People told us they were able to keep in touch with family and friends and to develop personal relationships as they wished. Meals were well balanced and nutritious and cater for varying dietary and cultural preferences of people living at the home. Staff encourage people to assist in making light snacks and setting tables. People said they enjoyed the meals and helped to choose the meals on the menu. Care Homes for Adults (18-65 years) Page 13 of 22 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care that people receive was based upon their individual needs. The principles of respect, care and dignity were promoted by all staff. Evidence: Two case files were seen. Records demonstrated that people attended appointments with opticians, dentists and their family doctor. Community nurses supported people in the home whenever they were needed. Staff said people were able to attend to their own personal care needs they required little support. People said staff were very helpful and nothing was too much trouble for them. They helped them to choose and buy their own clothes in town. The ordering storage and administration of medicines was checked and found to be correct. No one at the home currently administers their own medicines although facilities were available should people choose to do so. Care Homes for Adults (18-65 years) Page 14 of 22 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service were able to express their concerns via a robust complaints procedure. They were protected from abuse and had their rights protected. Evidence: The home had a complaints procedure that was available to people and their visitors. People said they were satisfied with the way staff listened to any concerns they may raise and were happy with the outcome. Staff had received in house training about safeguarding adults and were aware of the whistle blowing policy. No adult safeguarding concerns had been raised. CQC had received two anonymous complaints about staff attitude and how the home was managed. These had been investigated and found to have no substance. The home had received six complaints since the last inspection. These had been investigated within the homes policy and procedures with changes made to improve the service provided. Care Homes for Adults (18-65 years) Page 15 of 22 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a clean and safe homely environment. Evidence: We toured the building and found it to be clean and free of odours. We saw that the dining areas and lounges had been redecorated and new furniture provided. People had a choice of areas to relax in or pursue their interests. People said they had helped to choose the colour schemes in their bedrooms and the shared spaces and were very satisfied with the results. People were busy planting vegetables in the enclosed garden area and were looking forward to eating the results of their labours. The manager told us about the plans to redecorate the toilet and bathroom areas. Care Homes for Adults (18-65 years) Page 16 of 22 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff were trained, skilled and in sufficient numbers to meet the needs of people living at the home. Evidence: Staff rotas seen indicated that sufficient staff were on duty to meet peoples needs. Staff we spoke with confirmed that they were a true reflection of the actual numbers of staff working. Staff said they had been supported and trained to meet the needs of people living at the home. People said that Staff were very good and caring and They help me with anything at all, they are brill. The manager confirmed that training was a high priority for her staff team. She had developed a training matrix, a chart, that enabled her to review the training staff had completed and planned for further development. All staff had completed national vocational qualifications. Staff files seen demonstrated that required checks had been made to protect and maintain the safety of vulnerable people. Care Homes for Adults (18-65 years) Page 17 of 22 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home that is well managed and takes into account their wishes. Evidence: The manager is qualified to manage the home and has many years experience. Since her appointment she has worked to improve services and the quality of life for people who use the service. Staff had received management supervision; this is required to develop staff and monitor care practices. The homes owners visit regularly to monitor care and standards at the home. The manager has undertaken a quality assurance survey and initiated regular meetings for staff and people using the service. This gives people a voice and a chance to say how the home should be run. People felt their views were listened to by staff. Care Homes for Adults (18-65 years) Page 18 of 22 Evidence: No fire exits were obstructed and substances hazardous to health were securely stored. Statutory servicing and checks of equipment were up to date. Risk assessments had been completed and were being reviewed regularly to maintain a safe environment. Care Homes for Adults (18-65 years) Page 19 of 22 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 20 of 22 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 21 of 22 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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