Please wait

Inspection on 24/05/10 for Westmead

Also see our care home review for Westmead for more information

This is the latest available inspection report for this service, carried out on 24th May 2010.

CQC found this care home to be providing an Excellent 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.

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

What the care home does well

We looked at the care records of two people who use the service. We saw that the person had visited the home before they decided to move in and staff told us they had assessed the needs of this person during their visit. This ensured they had the information they needed to enable the home to set up a plan of care for staff to follow. We saw the people had agreed to the care plans. Overall, the care plans were informative and provided enough information to enable staff to meet their individual care needs. We looked at the management of medication for these people. Overall, the medication was well managed. Medication administration charts (MAR) were well completed and appropriate codes were being recorded when medication was not given. Where medication for pain relief was prescribed as `one or two tablets when required`, we saw staff were recording this information in detail on the back of the MAR including the reason for giving the medication. We saw this information was also in the care plan. We saw the home are monitoring and recording the temperature of the room where medicines are being stored and the temperature of the refrigerator to ensure it is stored at the correct temperatures and is not at risk of harm through excessive heat or cold. We saw they had recently installed an air conditioning unit in this room to enable the room to be maintained at a constant temperature. We carried out a number of audits of medication to see if the home were administering the medication as prescribed by the medical practitioner. All audits except one were correct. We visited and spoke to the people whose care we tracked. We saw they had been helped to look their best. We saw one person was using a special cushion to sit on to prevent them from developing sore skin. One person chose to spend more time in their bedroom. We saw their room was clean and tidy and they had brought in some of their own possessions to make the room more homely. People told us they were `happy to comehere`. The food is `very nice` and they have a choice of meals. They told us the staff are `very nice` and the `cleaners are lovely`. People told us the home is `ever so nice`. We received information in surveys from people who use the service and staff who work at the home. We asked people what the home does well and this is the response we received; `organisation OK. Meals OK. Cleanliness OK. Staff very happy and helpful`. `Everything`. `Caring, all the girls are very nice. Arranging various social activities, coffee mornings etc. I am very happy living here most of the time`. `Care and assistance`. `We are very satisfied witht the home and my Mother is very happy and well looked after. The staff are friendly and extremely helpful. The food is excellent and the home is always very clean. The staff always contact me if my Mother has a medical problem`. Staff told us; `I feel activities are always done well and include not just the few residents, but most are always encouraged to take part. We take into consideration everyones views, wishes, and choices, we listen and if we feel that something needs to be done differently, then discussing with residents in a resident meeting, allowing them to view their opinions. This is good practice as the residents feel like they are part of the everyday running of their home`. `Promotes independence for clients. Offers good opportunities for staff to develop. It`s a very good homely atmosphere. We are good at working together`. The AQAA told us the home undertake good recruitment practice. We spoke to a member of staff who confirmed that thorough recruitment procedures had been undertaken before they were employed. This ensures only suitable people are employed by the home. We looked at the home`s complaints records and saw that they had taken appropriate action to any complaints they received. We saw records of compliments about the service and its staff. The home audit their complaints and compliment records every three months. People told us they felt able to speak to the staff if they had any concerns. Staff told us they had received their mandatory core training, for example fire and moving and handling. Staff spoken with were clear of the action they would take if they received a complaint or suspected a person who uses the service was at risk of abuse. The information in the AQAA told us all staff had received training about the Mental Capacity Act and the Deprivation of Liberty safeguards. Staff spoken with confirmed this. The AQAA told us the home have improved the social care provision in the home through staff from their day centre providing time in the home in addition to their activity coordinator. They have a green house in the garden and encourage people who use the service to grow bedding plants and tomatoes. One person told us they had been helping the staff water the plants in the greenhouse. Redecoration of the home continues on a rolling programme of refurbishment and renewal. On the day of the inspection the manager was on annual leave. There were four care staff on duty including a lead carer. In addition there was a senior lead care and a hotel services manager whose hours are supernumerary to the staff rota. Ancillary staff included a cook and five domestic staff and a maintenance person. Staff confirmed these are the normal staffing levels in the home and this is enough staff to enable them to meet the needs of the people who use the service. We looked at the visits carried out by a representative of the organisation. We saw these visits are unannounced and are being carried out monthly in accordance with theregulations. The AQAA told us all of the equipment in the home had been serviced in the last 12 months. We looked at the records for the window restrictors and saw the records showed they were recorded as checked last week.

What the care home could do better:

The home need to ensure they keep the records they make about people`s health and social care needs obtained during the pre-admission assessment, as these are part of their individual care records. We noted some shortfalls in the two care records we looked at, but overall there was enough information to enable staff to meet people`s care needs. We told the senior lead care and hotel services manager about the areas where the care records could be improved upon. The service should ensure that external medicine preparations are stored separately from medicines for internal use. This is to prevent any contamination between external and internal medicines. The home need to ensure the cupboard used for the storage of controlled medicines is fixed correctly to the wall to ensure the safety of the medication.

Random inspection report Care homes for older people Name: Address: Westmead Grantham House Westmead Close Westacre Droitwich West Midlands WR9 9LG three star excellent service The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Sandra Bromige Date: 2 4 0 5 2 0 1 0 Information about the care home Name of care home: Address: Westmead Grantham House Westmead Close Westacre Droitwich West Midlands WR9 9LG 01905778353 01905776376 westmead@orbit.co.uk www.heart-of-england.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Sueanna Elizabeth Stokes Type of registration: Number of places registered: Conditions of registration: Category(ies) : Heart of England Housing and Care Limited care home 35 Number of places (if applicable): Under 65 Over 65 0 35 0 dementia old age, not falling within any other category physical disability Conditions of registration: 35 0 35 The maximum number of service users who can be accommodated is: 35 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 (OP) 35 Dementia (DE) 35 Physical Disability (PD) 35 Date of last inspection Care Homes for Older People Page 2 of 9 Brief description of the care home Westmead is a purpose built home offering a residential care service to a maximum of 35 people of either sex, over the age of 65 years. Two places are reserved for people who require respite care only. The home offers permanent residential care to older people who have care needs associated with physical disabilities and/or dementia illnesses. The home provides a safe, homely environment for people who are no longer able to cope in the community, and enables them to lead a full and active life within a risk management framework. There are 33 single bedrooms and 2 double rooms in the two-storey building, and a range of communal lounges, a dining room and a spacious, level, and accessible garden. A shaft lift facilitates movement between floors. Handrails are appropriately placed within the home and in the gardens. Special equipment is provided, for example to assist with bathing, mobility and lifting. The home is situated in a small housing estate on the outskirts of Droitwich Spa and public transport facilities are within reach. Heart of England Housing and Care Ltd own the home and the registered manager is Mrs Susanna Stokes. Up-to-date information relating to the fees charged for the service is available on request from the home. Care Homes for Older People Page 3 of 9 What we found: An unannounced visit was carried out on the 24th May 2010. This was a random inspection to see if the service were continuing to provide an excellent service to the people who use the service. The manager of the service had previously completed an Annual Quality Assurance Assessment (AQAA). The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gives us some numerical information about the service. Some of the managers comments have been included within this inspection report. We also received completed survey forms from people who use the service, and staff working at the home. The information from these sources helps us understand how well the service is meeting the needs of the people using the service. Some of the comments from the surveys have been included within this inspection report. We have not received any concerns or complaints about the service in the last 12 months. There have been two safeguarding referrals and investigations in the last 12 months. One was proven and one we do not have the outcome of the investigation. What the care home does well: We looked at the care records of two people who use the service. We saw that the person had visited the home before they decided to move in and staff told us they had assessed the needs of this person during their visit. This ensured they had the information they needed to enable the home to set up a plan of care for staff to follow. We saw the people had agreed to the care plans. Overall, the care plans were informative and provided enough information to enable staff to meet their individual care needs. We looked at the management of medication for these people. Overall, the medication was well managed. Medication administration charts (MAR) were well completed and appropriate codes were being recorded when medication was not given. Where medication for pain relief was prescribed as one or two tablets when required, we saw staff were recording this information in detail on the back of the MAR including the reason for giving the medication. We saw this information was also in the care plan. We saw the home are monitoring and recording the temperature of the room where medicines are being stored and the temperature of the refrigerator to ensure it is stored at the correct temperatures and is not at risk of harm through excessive heat or cold. We saw they had recently installed an air conditioning unit in this room to enable the room to be maintained at a constant temperature. We carried out a number of audits of medication to see if the home were administering the medication as prescribed by the medical practitioner. All audits except one were correct. We visited and spoke to the people whose care we tracked. We saw they had been helped to look their best. We saw one person was using a special cushion to sit on to prevent them from developing sore skin. One person chose to spend more time in their bedroom. We saw their room was clean and tidy and they had brought in some of their own possessions to make the room more homely. People told us they were happy to come Care Homes for Older People Page 4 of 9 here. The food is very nice and they have a choice of meals. They told us the staff are very nice and the cleaners are lovely. People told us the home is ever so nice. We received information in surveys from people who use the service and staff who work at the home. We asked people what the home does well and this is the response we received; organisation OK. Meals OK. Cleanliness OK. Staff very happy and helpful. Everything. Caring, all the girls are very nice. Arranging various social activities, coffee mornings etc. I am very happy living here most of the time. Care and assistance. We are very satisfied witht the home and my Mother is very happy and well looked after. The staff are friendly and extremely helpful. The food is excellent and the home is always very clean. The staff always contact me if my Mother has a medical problem. Staff told us; I feel activities are always done well and include not just the few residents, but most are always encouraged to take part. We take into consideration everyones views, wishes, and choices, we listen and if we feel that something needs to be done differently, then discussing with residents in a resident meeting, allowing them to view their opinions. This is good practice as the residents feel like they are part of the everyday running of their home. Promotes independence for clients. Offers good opportunities for staff to develop. Its a very good homely atmosphere. We are good at working together. The AQAA told us the home undertake good recruitment practice. We spoke to a member of staff who confirmed that thorough recruitment procedures had been undertaken before they were employed. This ensures only suitable people are employed by the home. We looked at the homes complaints records and saw that they had taken appropriate action to any complaints they received. We saw records of compliments about the service and its staff. The home audit their complaints and compliment records every three months. People told us they felt able to speak to the staff if they had any concerns. Staff told us they had received their mandatory core training, for example fire and moving and handling. Staff spoken with were clear of the action they would take if they received a complaint or suspected a person who uses the service was at risk of abuse. The information in the AQAA told us all staff had received training about the Mental Capacity Act and the Deprivation of Liberty safeguards. Staff spoken with confirmed this. The AQAA told us the home have improved the social care provision in the home through staff from their day centre providing time in the home in addition to their activity coordinator. They have a green house in the garden and encourage people who use the service to grow bedding plants and tomatoes. One person told us they had been helping the staff water the plants in the greenhouse. Redecoration of the home continues on a rolling programme of refurbishment and renewal. On the day of the inspection the manager was on annual leave. There were four care staff on duty including a lead carer. In addition there was a senior lead care and a hotel services manager whose hours are supernumerary to the staff rota. Ancillary staff included a cook and five domestic staff and a maintenance person. Staff confirmed these are the normal staffing levels in the home and this is enough staff to enable them to meet the needs of the people who use the service. We looked at the visits carried out by a representative of the organisation. We saw these visits are unannounced and are being carried out monthly in accordance with the Care Homes for Older People Page 5 of 9 regulations. The AQAA told us all of the equipment in the home had been serviced in the last 12 months. We looked at the records for the window restrictors and saw the records showed they were recorded as checked last week. 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 set out on page 2. Care Homes for Older People Page 6 of 9 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 9 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, 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 13(2) 23/07/2010 To make arrangements to ensure that controlled drugs are stored securely in accordance with the requirements of the Misuse of Drugs Act 1971, the Misuse of Drugs (Safe Custody) Regulations 1973 and in accordance with the Royal Pharmaceutical Society of Great Britain. This is in order to ensure that controlled drugs are stored safely to prevent misuse. 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 9 The service should ensure that medicines for external use are stored separately from medicines for internal use and prevent the possibility of contamination. This is to ensure that people are protected from harm. Care Homes for Older People Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial 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. Care Homes for Older People Page 9 of 9 - 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!