Random inspection report
Care homes for older people
Name: Address: Westwinds North Shore Harrington Workington Cumbria CA14 5QW three star excellent service 13/09/2007 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: Nancy Saich Date: 1 8 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Westwinds North Shore Harrington Workington Cumbria CA14 5QW 01946830232 Telephone number: Fax number: Email address: Provider web address: westwindsresidential@yahoo.co.uk Name of registered provider(s): Name of registered manager (if applicable) Helen Maud Wilson Type of registration: Number of places registered: Conditions of registration: Category(ies) : P & C Residential Service Ltd care home 14 Number of places (if applicable): Under 65 Over 65 0 14 dementia old age, not falling within any other category Conditions of registration: 14 0 The registered person may provide the following category/ies 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 (maximum number of places: 14) Dementia - Code DE (maximum number of places : 14) The maximum number of service users who can be accommodated is: 14 Date of last inspection Care Homes for Older People Page 2 of 9 Brief description of the care home Westwinds is situated in a residential area of Harrington. It is near to the harbour and within walking distance of the village amenities. The home has been adapted and extended to provide residential care for up to fourteen older adults some of whom may have dementia. The home is owned by P and C Residential Services Ltd. The two directors have owned the home for some years and now take an even more active part in the running of the home. Maude Wilson manages the home on their behalf. Information about the service may be obtained from the home. Care Homes for Older People Page 3 of 9 What we found:
This was the first time we had visited this service since the last key inspection on 13/09/2007. We have received annual updates about the service and have completed Annual Service Reviews since then. Some weeks before this unannounced visit we sent the manager a form called the Annual Quality Assurance Assessment (the AQAA). It is a legal requirement that registered services complete one of these annually. It asks for detailed information and statistics about how the service is operating. This was received, with plenty of good information, within the given timescales. We also sent out ten surveys for residents and ten for staff. We had a good response to these and we quote from these below. The information we received was of a such a high quality showing positive outcomes that we decided that we did not need to complete a full key inspection. Instead we concentrated on the core National Minimum Standards for Health and Personal Care (NMS 7,8,9 and 10) and those for Complaints and Protection (NMS 16 and 18). We made an unannounced visit on the above date. We spent time with the people who live in the home talking and observing the life of the home. We visited some, but not all areas of the building, spoke to all of the staff on duty and to the manager and one of the owners. We looked at a sample of care files and other records. We checked medicines in the home. We found that Westwinds continues to provide high quality care and services and that people are listened to and protected from harm. What the care home does well:
We spent time with people in groups and individually. They told us they were happy with the care and services they received and that the staff team treated them appropriately with dignity and respect. People were happy with the way the manager ran the home and no one had any complaints on the day. Here are some of the things people told us on the day and in the returned surveys: The home does very well. The food is great. Staff are marvelous. We all get on well together. The food is good. Good entertainment, trips out. Friendly staff. I have made some nice friends. Cares for my needs and I feel safe. I feel very content and they are good with me. Beautiful home cooked meals. Anything you need or want the staff go out of their way to get it for you. The staff support and involve my family with everything. There should be more small homes like Westwinds. We read a number of the residents files and we saw that each one had detailed person
Care Homes for Older People Page 4 of 9 centered plans that covered needs, wishes and preferences. These plans also looked at strengths and independence for the person and gave staff good guidelines for helping people get individual care and attention. These were backed up by strategic planning and risk management that helped staff to understand just how to help people retain that independence and also how to gave support in the way the person wanted. We judged that this person centered approach to care was working very well. We spoke to staff and judged that they understood the thinking behind this approach and worked towards this all the time. Staff had received good levels of training and supervision in all aspects of the work they undertake. Care delivery and planning remains of an excellent quality in the service and this could be seen in the well groomed, comfortable and assertive group of older people who choose to make Westwinds their home. We asked people about the health care they received and we also spoke to a visiting health care professional. We saw that people were seen by G.Ps and nurses when necessary and that the local practices helped the staff to prevent ill health. People saw specialists when they had specific health needs and staff supported people to get reviews of medication, revisions of diagnoses and new treatment plans. The manager and staff were able to talk at length about health care subjects ranging from nutritional planning to end of life care. We judged that health care is of a high standard in this service. We also looked at medicines retained by the home on behalf of residents. Currently no one looks after their own medicines but arrangements are in place if anyone choses to do this. We saw on file that medicines are reviewed by GPs and specialists and that the home works well with health care professionals to get peoples treatment right. The arrangements for ordering, storage and disposal of medicines were working well. Simple and effective systems were in place to make sure that all medicines were accounted for. Two staff always administer medication and we witnessed this and found it to be done effectively. Controlled drugs in the building are checked daily and locked away securely. We watched staff interact with residents. They had a polite and respectful approach but also managed to be friendly and affectionate without being over familiar. People told us that they found the staff had the right approach and attitude. We also asked residents about making complaints and being protected from harm. No one had any complaints and we were told that day-to-day issues were dealt with straight away and we saw the manager dealing with something on the day. People said they would complain to the manager or the owners. People had access to the complaints procedure. There had been no formal complaints received in the last three years. People told us they felt safe and protected in the home. They told us that they had never heard or seen anything worrying and we were told that the manager and the owners would notice anything of this nature as the home is small and they keep an eye on everything. Staff told us they received training on safeguarding vulnerable people and they had information about how to make a safeguarding referral. They were able to talk at length about protecting vulnerable people and showed a good understanding of the subject.
Care Homes for Older People Page 5 of 9 The home has a good policy on this and we found that new staff recruits have suitable background checks before they have access to vulnerable people. There has never been a safeguarding referral made by this service. We judged on the day that this home continues to give excellent care to vulnerable older people and manages to give people the space and opportunity to retain their sense of identity despite the problems ageing may have brought them. 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 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 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!
