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Inspection on 06/09/05 for 42-44 Westfield Drive

Also see our care home review for 42-44 Westfield Drive for more information

This inspection was carried out on 6th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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.

What the care home does well

The registered managers and the staff at the home are very willing to learn and improve the service provided for the residents. One resident stated, " We get to participate in number of organised activities and generally do what we want to. " Another resident stated that "this is my home and I have lots of friends here." Residents who were spoken with stated that they feel they are consulted about the care that this provided at this home. The interactions observed between staff and residents were very positive. Comment Cards, sent out to the home for distribution to all residents and their relatives/visitors and other health care professionals indicated a high level of satisfaction for the provision of care provided by the owner/managers at this home.

What has improved since the last inspection?

There has been number of training courses provided for the staff members since the last inspection. All prospective resident`s needs are assessed and a copy of that assessment is in individual files. Individual plan of care are completed for each residents.

What the care home could do better:

There have been no requirements or recommendations have been made at this inspection.

CARE HOMES FOR OLDER PEOPLE 42-44 Westfield Drive Loughborough Leicestershire LE11 3QL Lead Inspector Bhavna Keane-Rao Unannounced Tuesday, 6 Septemeber 2005 at 10:00am th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 42-44 Westfield Drive C51 S1688 42-44 Westfield Drive V248082 060905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 42-44 Westfield Drive Address Loughborough Leicestershire LE11 3QL Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01509 210708 01509 232633 Abbeyfield.lboro@btconnect.com The Abbeyfield Loughborough Society Ltd Mr Shaun OGrady Care Home 31 Category(ies) of OP Old age (31) registration, with number of places DE(E) Dementia - over 65 (15) MD(E) Mental Disorder -over 65 (15) 42-44 Westfield Drive C51 S1688 42-44 Westfield Drive V248082 060905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: No person falling within category MD(E) or DE(E) may be admitted into the home when there are 15 persons in total of these categories / combined categories already accommodated within the home. Date of last inspection 18/01/05 Brief Description of the Service: 42-44 Westfield Drive is registered to provide care for thirty-one older people including up to fifteen people with dementia or mental disorder. The home is situated close to Loughborough town centre and the University. The premises are pleasantly decorated and furnished to a high standard. Service user accommodation is situated on the ground and first floors. Access to the first floor is available via two passenger lifts. In March 2003, the home opened the Jean Cope Wing, which contains twelve rooms with en suite facilities. In addition to their rooms, service users have access to a lounge and a large lounge / dining room. There is a well-maintained garden to the rear of the property. 42-44 Westfield Drive C51 S1688 42-44 Westfield Drive V248082 060905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place during Tuesday morning and early afternoon. The inspection took four hours. The home is registered to provide care for thirty one older people. Number of residents, at the home, were spoken with, however detailed discussions were only held with three people. Four residents relatives were spoken with. They were all extremely satisfied with the service provided by the staff at this home. A tour of the premises was undertaken and opportunity was taken to view residents daily records, menus of meals, fire records, a staff rota and staff records. The primary method for this inspection used was ‘case tracking’ which involved four residents and tracking the care they received through looking at their records, discussion with them, and their relatives, care staff and observation of care practices. The registered manager spent time discussing many issues that arise in the running of a residential home, facilitated this inspection. Before the inspection the pre-inspection questionnaire was viewed along with the last inspection. From this per inspection plan was drawn and all areas to be inspected identified. What the service does well: The registered managers and the staff at the home are very willing to learn and improve the service provided for the residents. One resident stated, “ We get to participate in number of organised activities and generally do what we want to. ” Another resident stated that “this is my home and I have lots of friends here.” Residents who were spoken with stated that they feel they are consulted about the care that this provided at this home. The interactions observed between staff and residents were very positive. Comment Cards, sent out to the home for distribution to all residents and their relatives/visitors and other health care professionals indicated a high level of satisfaction for the provision of care provided by the owner/managers at this home. 42-44 Westfield Drive C51 S1688 42-44 Westfield Drive V248082 060905 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 42-44 Westfield Drive C51 S1688 42-44 Westfield Drive V248082 060905 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR 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) Scoring of Standards Statutory Requirements Identified During the Inspection 42-44 Westfield Drive C51 S1688 42-44 Westfield Drive V248082 060905 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 and 6 The admission process is flexible and well managed, which ensures care needs are met at the home. EVIDENCE: There have been a number of admissions since the last inspection. Procedures are in place to ensure that residents entering the home are given all relevant information to enable them and their relatives to make an informed choice. Discussion was held with two residents who have recently moved to this home. They and their relatives were very happy with the care provided for them. All the residents who were spoken with stated that they had moved to this home after hearing about it from existing residents, friends, family and other people ie word of mouth. The home does not provide intermediate care. 42-44 Westfield Drive C51 S1688 42-44 Westfield Drive V248082 060905 Stage 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and 10 The provision of health, social and personal care for individual residents is satisfactory. Care plans reflect the current care needs of residents EVIDENCE: Four residents files were viewed. The initial recording in the residents’ plans of care was detailed setting out clearly preferences and assistance required for residents to continue living as independent as possible, depending on care needs. Three residents were spoken with about the care they received at this home. One resident did not wish to speak to the inspector. Four individual care plans of residents were viewed. One resident spoken with stated that she was very involved in what happened to her in this home. She was able to choose the food she ate, what clothes she wore and what actives she participated in. This reflected in her plan of care. One person was not able to communicate due to her care needs, her family were spoken with and stated that all aspects of their relatives’ care needs were met. 42-44 Westfield Drive C51 S1688 42-44 Westfield Drive V248082 060905 Stage 4.doc Version 1.40 Page 10 Two residents spoken with were able to demonstrate that they were consulted about their lives within the home. They were also familiar with risk assessments and the reasons for these. 42-44 Westfield Drive C51 S1688 42-44 Westfield Drive V248082 060905 Stage 4.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15 Residents and staff working together meet the physical, emotional and health care needs of residents. EVIDENCE: Staff undertake activities with residents both individually and in groups. The manager stated that there are activities planned everyday. There is an activities person to plan these. There is an activities board where all weekly activities are listed. Residents spoken with said that they did ‘things’ in the daytime and also watched television. A resident who spoken with in detail stated, when asked about activities at the home, that “At my age I want to be pampered and not doing exercise!!” A number of comment cards were received from both the residents and their relatives. All these were very positive about the service provided by the home. Menus were viewed and demonstrated that meals provided are nutritionally balanced and appealing. Residents and their relatives who were spoken with said the meals were generous and good. Records showed the residents particular preferences and dietary needs. 42-44 Westfield Drive C51 S1688 42-44 Westfield Drive V248082 060905 Stage 4.doc Version 1.40 Page 12 Residents’ religious/spiritual needs are catered for. This was verified by the residents. 42-44 Westfield Drive C51 S1688 42-44 Westfield Drive V248082 060905 Stage 4.doc Version 1.40 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 Residents are safe and protected from abuse. EVIDENCE: Residents and Comment Cards showed that people feel very comfortable discussing any concerns with the home’s manager. The complaints procedure is available for residents and visitors. There have not been any complaints received by the home or CSCI since the last inspection. Residents spoken with felt they were safe and protected. The adult protection procedure has been given to all the staff. 42-44 Westfield Drive C51 S1688 42-44 Westfield Drive V248082 060905 Stage 4.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26 A comfortable, well-maintained, pleasant, clean and safe standard of accommodation is provided for the residents. EVIDENCE: The home is well maintained and suited to residents needs. The home was found to be clean and free from malodours. There is ample natural light throughout the home. It is decorated and furnished to a high standard that creates a comfortable homely atmosphere. There are two large lounge areas and a dining room leading to the large gardens. Entry to the home and to the garden is wheelchair friendly. The garden area is flat with climbing plants, pot plants, trees, seating area and a very large lawn. Two residents who were spoken with stated that they loved this home. 42-44 Westfield Drive C51 S1688 42-44 Westfield Drive V248082 060905 Stage 4.doc Version 1.40 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30 Training and supervision is in place to ensure staff are able to carry out their work safely and competently. EVIDENCE: On the day of this unannounced inspection, there were four members of staff on duty to provide care for the residents, this does not includes the manager in his absence a senior. In addition to these staff members there are domestic, kitchen and maintenance staff. At present there are thirty residents for whom care is provided. All staff have undertaken all mandatory training. All the care staff have either completed their NVQ level 2 training or are about to complete. The registered manager has also started his NVQ level 4 and Care Managers Award, he is planning to complete this by early next year. Residents who were spoken with were positive about the staff employed at the home. One particular resident stated that she could not thank the staff enough for the care provided for her. The observed interaction between the staff and residents was relaxed and friendly. 42-44 Westfield Drive C51 S1688 42-44 Westfield Drive V248082 060905 Stage 4.doc Version 1.40 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 35 and 38 Residents and staff benefit from clear leadership. EVIDENCE: Residents, staff and the resident’s relatives who were spoken with felt that they could go to the manager at any time with any concern. This is positive working practice. Records of residents’ valuables and cash are accurately detailed and up to date. Residents said that their monies are looked after by their relatives, the home deals with nominal amounts to cover hairdressing etc. Records are kept of these transactions. 42-44 Westfield Drive C51 S1688 42-44 Westfield Drive V248082 060905 Stage 4.doc Version 1.40 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x 3 x x 3 42-44 Westfield Drive C51 S1688 42-44 Westfield Drive V248082 060905 Stage 4.doc Version 1.40 Page 18 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations 42-44 Westfield Drive C51 S1688 42-44 Westfield Drive V248082 060905 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection The Pavilions 5 Smith Way Grove Park, Enderby Leciestershire, LE19 1SX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 42-44 Westfield Drive C51 S1688 42-44 Westfield Drive V248082 060905 Stage 4.doc Version 1.40 Page 20 - 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!