Inspection on 04/01/10 for Westleigh Residential Care Home

This is the latest available inspection report for this service, carried out on 4th January 2010.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

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Extracts from inspection reports are licensed from CQC, this page was updated on 18/02/2010.

Key inspection report Care homes for older people Name: Address: Westleigh Residential Care Home 46-48 Osborne Road Manchester Lancs M19 2DT     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: Michael Murphy     Date: 0 4 0 1 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 Older People Page 2 of 23 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 Older People 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) 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. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 23 Information about the care home Name of care home: Address: Westleigh Residential Care Home 46-48 Osborne Road Manchester Lancs M19 2DT Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Jacqueline Jones Type of registration: Number of places registered: care home 26 Mrs Elizabeth Martin Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category Additional conditions: The registered person may provide the following category of service only: Care home only - Code PC 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 - Code OP The maximum number of service users who can be accommodated is: 26 Date of last inspection Brief description of the care home Westleigh is a large Victorian building on three floors situated in the Whalley Range area of Manchester. Parking is provided in the grounds and the home is situated close local amenities and public transport. The home provides 26 residential places for older people of either sex. The current scales of charges are 390.50 pounds to 483.50 per week. Care Homes for Older People Page 4 of 23 Over 65 26 0 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 Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This inspection included an unannounced visit to the home on the 4th of January 2010. During the visit we talked to residents, relatives, staff and the registered home manager. We also looked at documents and records the home have to keep such as residents care records, medicine records, written policies and other records. Before the inspection, we also asked the registered home manager to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they felt they did well, and what they needed to do better. This helps us to determine if the management of the home sees the service they provide the same way that we see the service. We felt this form had been completed in sufficient detail and provided useful information. Care Homes for Older People Page 5 of 23 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 Older People Page 6 of 23 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 7 of 23 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 and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. 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 them 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. Before being admitted to the home prospective residents have their care and support needs assessed to make sure the home is able to meet their needs. Evidence: All prospective service users undergo a pre-admission assessment before a decision is made about them entering the home. This assessment is conducted by the appropriately qualified and experienced registered manager of the home, her deputy or one of her senior staff. The purpose of this assessment is to decide if the home will be able to meet the potential residents care and support needs properly. It also helps prospective residents and their relatives in their decision of how appropriate the home would be for them. A record of the pre-admission assessment is kept in each residents care records and identifies what care and support they will need. However it was noted that one of those inspected had not been dated and signed. Other preadmission assessments conducted by social workers and health care workers were also kept in the care records. Discussion with residents indicated that their views were Care Homes for Older People Page 8 of 23 Evidence: taken into account before admission to the home. Prospective residents are given the opportunity (where possible) to visit the home prior to admission. Formal review of new admissions are undertaken about six weeks after admission to determine if the new resident has settled well, is happy at the home and decide if the home is meeting their care and support needs properly. The home does not provide intermediate care. Care Homes for Older People Page 9 of 23 Health and personal care 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 health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they 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. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them 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. Residents health and personal care needs were being properly met and their privacy and dignity were respected by the staff. Evidence: The care records of three residents were looked at on this occasion. These were organized and contained care plans that set out the action that needed to be taken by the care staff to ensure the health, personal and social care needs of residents are met. Care plans were written in a way that reflected the very specific care and support needs of each resident. The care records also contained risk assessments that identified possible threats to a residents health and safety and described things that needed to be done to keep them safe at the same time as maintaining their freedom and independence. For example risk assessments had been done with regard to residents mobility and nutrition needs and the condition of their skin. Care records had been kept up to date. Arrangements had been made to register all residents with a local GP. Information in the care records and discussion with residents, their relatives and staff indicated residents were able to access health care services appropriately. A record of all such Care Homes for Older People Page 10 of 23 Evidence: access was kept. The way residents medicines are looked after in the home was in the main secure and well organized. However a requirement was made about the need to provide a special type of storage cabinet for certain medicines. There were appropriate policies and procedures relating to medicines at the home that ensure they are safely managed. The way medicines are managed are regularly checked (audited) to ensure this continues. The senior staff at the home look after the medicines and have had recent training in respect of this. Residents and relatives spoken to said staff spoke to them respectfully and maintained their dignity, particularly when personal care was being given. Comments made included the staff are really very good and helpful, the care staff always make sure they help me properly, I dont at all feel embarrassed when the girls are caring for me and when they do we always have a chat, I have no complaints at all regarding they way I am looked after here, the manager and all the staff are very helful and I think they respect my privacy but are also always there for us, my relative is looked after well at Westleigh and they are very caring. Care Homes for Older People Page 11 of 23 Daily life and social activities 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 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. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. 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. Residents were helped to enjoy a stimulating lifestyle and access a wide range of leisure and social activities. Residents were encouraged to make as many personal choices in their daily lives as possible, and the general view of food provision was positive. Evidence: The routines of daily living and the social activities available were flexible and varied and meet residents expectations, preferences and capacities. Residents were supported to access a range of social and leisure activities, entertainments and outings. Forthcoming events, activities and entertainments are prominently displayed. Residents said they enjoyed the programme of activities available. Residents were able to follow their own religious practices and as in other areas of life in the home were are able to exercise their own personal choices in respect of this. Residents and relatives spoken to said there were no unreasonable restrictions on visiting at the home. Residents may receive their visitors in the privacy of their own room or quieter area of the home if preferred. Residents also said they were able to exercise choice and independence in their daily lives. Comments made included: I am able to decide what time I get up in the morning and what time I go to bed, you can choose which lounge you sit in or go to your own room for some privacy, I am able Care Homes for Older People Page 12 of 23 Evidence: to say how I spend the day, I like some of the activities but choose not to take part in others, the staff always ask us what we want to do. Menus were prominently displayed in the home and were varied, balanced and provided choice. Residents said they can always request an alternative from the menu if they wish. Comments regarding the food included: the food is great and there is always plenty to eat, I think the meals are very good, they know what I like and dont like and there is always something else available if you want, my relative is very satisfied with the food. Lunch was observed on the day of inspection. This was a hot and substantial meal. Staff served and assisted residents appropriately and sensitively. The dining area was comfortable, suitably furnished and appropriate for residents to take their meals in. Care Homes for Older People Page 13 of 23 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. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. 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. There is a clear and accessible procedure in place to respond to any complaints. All staff have been provided with safeguarding training and there are policies in place that describe how to protect residents and keep them safe. Evidence: Information on how to make a complaint was prominently displayed in the home. This information detailed who to contact and how the complaint would be dealt with. However this document required to be amended to include details of how to contact the Care Quality Commission if required. A complaints record is kept by the home. Complaints appeared to have been dealt with properly. Discussion with residents and relatives indicated that the manager or senior staff are always available and that any issues raised are dealt with promptly and rarely need to become formal complaints. The home operates safeguarding and whistle-blowing policies (including those developed locally and operated by Manchester social services) that seek to keep residents safe. Staff spoken to were aware of the importance of safeguarding and protecting residents and described their role in doing so. They confirmed they have been provided with safeguarding training. Inspection of training records revealed that safeguarding training has been provided to all staff at the home. In relation to the Mental Capacity Act the registered manager informed us that no people living at the home were subject to a deprivation of liberty authorisation and that no one living at the home was having their liberty deprived without authorisation. Care Homes for Older People Page 14 of 23 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, 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. 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 was providing a suitable and comfortable environment for residents. Evidence: On the day we visited the home was clean and free from offensive smells. There was an ongoing programme of maintainance and re-furbishment in operation. Lounge and dining areas were comfortably and appropriately furnished and accessible to all residents. Bathroom, shower and WC areas were suitably equipped and adapted to ensure residents could be cared for and supported appropriately and safely. There were appropriate general aids and adaptations throughout the home. Individual residents aids and adaptations needs are met through referral to the appropriate health professional for assessment. Eight residents bedrooms were looked at on this occasion. These were clean and appropriately furnished and equipped. Many were highly personalised. Residents spoken to said they were happy with the accommodtion provided. Comments made included: I like my room and have been able to bring in some of my own things, so it feels like home, it is very clean and warm here, I like to spend time in my room during the day, but I also use the lounge and dining room too and they are good, when I visit the home is always clean, and they fix things quickly when they are broken. Suitable arrangements were in place to manage residents laundry needs. And appropriate measures were being taken to minimize the potential spread of infection Care Homes for Older People Page 15 of 23 Evidence: within the home such as adequate hand washing facilities and the provision of protective clothing for staff as well as appropriate cleaning practices within the home. Care Homes for Older People Page 16 of 23 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 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 to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. 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. The staffing provision, staff recruitment procedure and the staff training provided at the home seek to ensure residents are cared for and supported safely and appropriately. Evidence: The registered manager and staff spoken to on the day of inspection were of the view that staffing levels were meeting the care and support needs of the residents. Residents spoken to said that they were being properly cared for in a timely way. We also note there were adequate staffing arrangements in place to meet the administrative, catering, laundry and housekeeping requirements of the home. The home had a proper procedure in place for recruiting new staff. This is vital to ensure, as far as possible, that residents are being cared for and supported by suitable staff. The recruitment procedure included criminal records checks and another special check regarding the suitability of the applicant to work with vulnerable people. The programme of staff training ensures that staff are provided with the skills required to care for and support residents properly. Inspection of staff training records and discussion with staff and the registered manager demonstrated that staff training (including regular updates) is organised and appropriate. Training is provided by trainers employed by the home and the local authority training partnership. 75 of the care staff have obtained a national vocational qualification in care (NVQ). The remaining care staff were undergoing this training or were expected to do so in the Care Homes for Older People Page 17 of 23 Evidence: near future. Care Homes for Older People Page 18 of 23 Management and administration 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 led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate 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. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. 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 was being managed effectively by the registered manager and her senior team. Residents, their relatives and staff were confident the home is run in the best interests of the residents. Evidence: The registered manager is a suitably qualified person and has managed care services for older people for many years. Discussion with residents, their relatives and staff revealed that the manager creates a positive, inclusive and open atmosphere at the home. There is also a comitment to ensure the quality of the service provided to residents is of a high standard and that the home is run in their best interests. The registered manager and owner of the home regularly obtain the views of residents, relatives and staff in respect of this. Discussion with these groups of people showed that the manager and owners listen to any issues/suggestions raised and take any neccessary action. The manager also conducts checks (audits) on how well the home is run. For example regular checks are made in respect of residents medicines, how care records Care Homes for Older People Page 19 of 23 Evidence: are maintained and the state of the environment. The arrangements to support residents with their money (personal allowances only) were secure and appropriately documented. The arrangements for the health and safety of residents (and others) in the home were adequate and appropriate. Staff are provided with regular training in respect of moving and handling, fire safety, food hygiene and the prevention of infection. Hazardous substances were being securely stored and gas and electrical systems had been checked/certificated regularly, we were informed hot water temperatures in resident areas are appropriately controlled. Procedures were in place for the appropriate reporting of accidents, illnesses and injuries. Care Homes for Older People Page 20 of 23 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 Older People Page 21 of 23 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 1 16 22 That the complaints 31/01/2010 procedure include the name, address and telephone number of the Care Quality Commission. To enable complainants to contact the Care Quality Commission if required. 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 1 9 13 That a suitable locked metal cabinet is provided for the storage of controlled medicines To ensure controlled medicines are stored safely and securely. 31/01/2010 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 1 3 That all pre-admission assessments of residents should be signed and dated to reflect when and by who the assessment was completed. Care Homes for Older People Page 22 of 23 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 summary 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. Care Homes for Older People Page 23 of 23 - 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. 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