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Inspection on 06/11/09 for Westerleigh

Also see our care home review for Westerleigh for more information

This is the latest available inspection report for this service, carried out on 6th November 2009.

it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

Annual service review Name of Service: Westerleigh The quality rating for this care home is: The rating was made on: two star good service 2 1 1 0 2 0 0 8 A quality rating is our assessment of how well a care home, agency or scheme 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 review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Deborah Calveley Date of this annual service review: 0 1 1 0 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: 18 Corsica Road Seaford East Sussex BN25 1BD 01323-892335 01323892667 jackie.anderson@westerleigh.info Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category physical disability Conditions of registration: Regency Medicine Ltd Number of places (if applicable): Under 65 Over 65 0 31 31 0 The maximum number of service users who can be accommodated is: 31 The registered person may provide the following category/ies of service only: Care home with nursing - N to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - OP Physical disability - PD Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Westerleigh Nursing Home is registered to provide nursing care for up to 31 residents, older people over the age of sixty-five and individuals with physical disabilities. The home is situated in a residential area close to the seafront on the western edge of Seaford and is approximately 30 minutes walking distance from the town centre. An extension has recently been completed at the north end of the building, which includes four rooms with en suite facilities and two lounges. There is a smaller seating area at Annual Service Review Page 2 of 7 2 1 1 0 2 0 0 8 the rear of the home that overlooks a patio area. In addition there are two patio areas, one in the centre of the building with some residents rooms leading directly onto it and one at the side. These are accessible to wheelchair users and are used when the weather permits. A shaft lift enables residents to access all parts of the building and there are appropriate aids, including hoists, to ensure the safe transfer of residents within the home. The ranges of fees charged (at the time of this report) are 545 GBP to 800 GBP per week. Additional charges are made for newspapers, hairdressing, toiletries, private physiotherapy and chiropody. Potential new service users can obtain information relating to the home via the internet, CSCI Inspection Reports, Care Managers, Placing Authorities, by word of mouth and by contacting the home direct. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information that we have received or asked for since the last key inspection or annual service review. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service these are called notification sand are a legal requirement. Telephone contact was made with the home on the day of the Annual Service Review so as to clarify any changes to the service. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. What has this told us about the service? The AQAA was received and contains clear relevant information that is supported by a wide range of evidence. The AQAA lets us know about changes they have made and where they still need to make improvements. It shows clearly how they are going to do this. The data section of the AQAA was accurately and fully completed. The home have comprehensive written information, which is provided to all prospective people who may use the service. The homes inspection reports, the Service User Guide and Statement of Purpose are available in the home. Admissions are not made to the home until a full needs assessment has been undertaken and the home have confirmed in writing that they can meet the identified needs. For people who are self-funding and without a care management assessment, a skilled and experienced member of staff always undertakes an assessment. The assessment is conducted professionally and sensitively and involves the individual and their family or representative where appropriate. This includes offering an invitation to view the home to prospective resident and relatives. Trial visits are available. The home ensure that all the people who use the service have a plan of care for all aspects of daily living and long term outcomes based on the care management assessment and the homes own assessment of needs. The home review each care plan monthly and more frequently if it is required due to changes in general condition of the people who use the service or if the staff have identified any risk. Each care plan includes comprehensive risk assessments which are also reviewed Annual Service Review Page 4 of 7 regularly. The management of risk is positive in addressing safety issues while aiming for improved outcomes for the people who use the service. Where there are limitations the decisions have been made with the agreement of the person or their representative and are accurately recorded. Care and comfort are given to people who are dying their death is handled with dignity and propriety and their spiritual needs rites and functions are observed. Relatives are involved in planning for and dealing with increasing infirmity, terminal illness and death. The home have organised recreational programme throughout the week the date and time of each activities is displayed in communal areas. The AQAA states that the activities provided have been reviewed with the people who use the service and reflect their interests and preferences. The home invite the family to take part on birthdays and other festive celebrations. The home keeps a full record of complaints and this includes details of the investigation and any actions taken. Unless there are exceptional circumstances the service always responds within the agreed timescale. The AQAA states there have been 2 complaints made in the past year. All have been fully investigated and there have been no safeguarding alerts raised. All staff receive training to protect the people who use the service and a robust recruitment process also promotes the safety of the people who use the service. Staff members are trained and competent in health care matters. The home arranges training on health care topics that relate to the health care needs of the people who live in the home. Staffing levels are reviewed regularly against the needs of the people who use the service. The home have addressed the medication shortfall identified in the last key inspection report. The staff adhere to the NMC standards of Administration of Medication and have lockable facilities if there are individuals who wish to and are able to self-administer their medication. The home provides a physical environment that is appropriate to the specific needs of the people who live there. The well-maintained environment provides specialist aids and equipment to meet their needs. There is a continual programme of redecoration in place. Induction training is in line with the Skills for Care requirements. The manager has a clear understanding of the key principles and focus of the service based on clear values and priorities. There is a strong ethos of being open and transparent in all areas of running of the home. The manager is aware of current developments both nationally and by CQC and plans the service accordingly. The previous report was positive and the requirement made acted on. The home continues to let us know about things that have happened since our last key inspection through notifications to us and they have shown that they have managed issues well. They work well with us and have shown us that their service continues to Annual Service Review Page 5 of 7 provide good outcomes for the people who use it. What are we going to do as a result of this annual service review? There will be no change to the inspection plan and will do a key inspection by 21/10/10. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Annual Service Review Page 7 of 7 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!