Inspection on 23/02/06 for 45 Westridge Road

This inspection was carried out on 23rd February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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.

Other inspections for this house

45 Westridge Road 07/02/07

45 Westridge Road 23/09/05

45 Westridge Road 18/02/05

45 Westridge Road 26/08/04

45 Westridge Road 30/01/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE 45 Westridge Road Portswood Southampton Hampshire SO17 2HP Lead Inspector Chris Johnson Unannounced Inspection 23rd February 2006 09:50 X10015.doc Version 1.40 Page 1 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 45 Westridge Road DS0000011543.V285805.R01.S.doc Version 5.1 Page 2 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. 45 Westridge Road DS0000011543.V285805.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 45 Westridge Road Address Portswood Southampton Hampshire SO17 2HP Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 023 8055 8692 Mrs Evelyn Larmouth Mrs Evelyn Larmouth Care Home 3 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (3), Old age, of places not falling within any other category (3) 45 Westridge Road DS0000011543.V285805.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. One resident in the category DE(E) may continue to be accommodated while their needs can be met in the home. No other residents may be admitted in the category DE(E). 23rd September 2005 Date of last inspection Brief Description of the Service: 45 Westridge Road is a small care home, for people over 65 years of age. The home is registered to accommodate three people. The home is situated in a residential area of Southampton. Accommodation comprises three single bedrooms with en suites. The home is well maintained, very homely and decorated to a high standard. Service users have access to a lounge/ diner and sunroom. Service users have access to the home’s transport and therefore have the opportunity to get out and about in the community. The home is owned and managed by Mrs Larmouth who has owned the home for many years. 45 Westridge Road DS0000011543.V285805.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection carried out for the year April 2005/06. This inspection was unannounced and took place on the 23rd February 2006. The purpose of this visit was to carry out an inspection of the home and follow up on requirements made at the last inspection. Both reports should be read for an overview of how the home is meeting the standards. Evidence for this inspection was obtained from discussion with residents, the manager and her son, observation of care practices and an inspection of files and records. A tour of the premises took place that included looking at service users’ bedrooms and communal areas of the home. Verbal and written feedback was given to the manager at the end of the inspection. At the time of this inspection there were only two residents living at the home. What the service does well: What has improved since the last inspection? What they could do better: The only improvement required from this inspection was the need to ensure that all relevant policies and written procedures are in place to ensure that the manager is fully aware of adult protection reporting procedures. 45 Westridge Road DS0000011543.V285805.R01.S.doc Version 5.1 Page 6 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. 45 Westridge Road DS0000011543.V285805.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection 45 Westridge Road DS0000011543.V285805.R01.S.doc Version 5.1 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 the following standard(s): 3, 4, 5 and 6 Improvements made to the home’s admission and assessment procedure ensure that they can meet people’s needs prior to them moving in. EVIDENCE: 45 Westridge Road does not provide intermediate care. This standard is therefore not applicable and was not assessed. Improvements have been made to the home’s admission and assessment procedure since the last inspection. This should safeguard against anyone being admitted whose needs cannot be met. The home currently has a vacancy and the manager was in the process of assessing a new referral. From discussion with the manager and inspection of the assessment documentation the inspector was satisfied that assessments were now being carried out satisfactorily. The inspector also checked documentation for a person admitted to the home since the last inspection and found it all to be satisfactory. Prospective residents and their families have the opportunity to visit the home to assist them in making a decision whether the home will meet their needs and preferences. One resident told the inspector that they had visited the home and looked around and decided that they did not want to go anywhere else. 45 Westridge Road DS0000011543.V285805.R01.S.doc Version 5.1 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 the following standard(s): 7 and 11 Residents receive a good level of support with their personal and health needs. A high level of care, respect and sensitivity is shown towards residents during their final days. EVIDENCE: The home continues to develop and improve on the standard of recorded information contained within care plans. Care plans were in place for both residents currently living at the home. In addition to this they were developing a ‘life history’ and details of preferred daily and weekly routines for the most recent resident to supplement the existing information. Residents told the inspector that their care needs were being fully met and that they were happy with the level of care and support that they received. The manager demonstrates a high level of sensitivity to the needs of residents and their families during their final days and at the time of death. Residents are able to spend their final days in their own rooms providing that care needs can continue to be met. The manager had recently held a funeral at the home following the death of a resident. This also proves beneficial to remaining residents enabling them to gain closure and deal with the loss. Letters of compliment were seen from family and friends of the deceased thanking the manager for the care and consideration that she had given. The 45 Westridge Road DS0000011543.V285805.R01.S.doc Version 5.1 Page 10 Commission for Social Care Inspection has in the past received written feedback from a GP praising the level of care and consideration that the manager had shown a resident in the last stages of her life. 45 Westridge Road DS0000011543.V285805.R01.S.doc Version 5.1 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 the following standard(s): 15 The meals in this home are good offering choice, variety and catering for individual likes and needs. EVIDENCE: Residents reported that the standard of food in the home was very good. One person commented “The food is very good, we have lots of fresh vegetables and plenty of fruit. What they dish up I like”. Both residents said that they had plenty to eat. On the day of the inspection both residents were being prepared different meals according to their own preference. Meals were observed to be unhurried and peaceful. Residents have a choice of where they prefer to eat. On arrival at the home one resident was observed to be taking breakfast in his own room. Records of food provided are well maintained and demonstrated that residents are offered a nutritious and varied diet and according to individual likes and dislikes. Food hygiene standards are maintained and fridge and freezer temperatures are monitored and recorded twice daily. Residents have the opportunity to assist with meal preparation should they so wish and this was observed to be carried out in a safe manner appropriate to the individual’s level of need. 45 Westridge Road DS0000011543.V285805.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 18 Residents are safe and well cared for. The manager does however need to increase her knowledge of adult protection procedures. EVIDENCE: Residents told the inspector that they felt safe and well looked after at the home. Most policies and procedures were in place at the home for the protection of residents apart from a copy of the local authoritys Adult Protection Procedure. A requirement was made that a copy of this is obtained for future reference and to ensure that the manager is fully aware of reporting procedures. 45 Westridge Road DS0000011543.V285805.R01.S.doc Version 5.1 Page 13 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 the following standard(s): EVIDENCE: Standards 19, 20, 21, 22, 23, 24, 25 and 26 were assessed at the last inspection and on that occasion found to be satisfactory. Although these standards were not assessed on this occasion comments relating to these standards have been included in the summary. 45 Westridge Road DS0000011543.V285805.R01.S.doc Version 5.1 Page 14 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Staffing levels are sufficient to meet the current needs of residents. EVIDENCE: At the time of this inspection there were no staff employed in the home. The proprietor and her son currently staff the home. The manager lives within the home and her son is on the premises daily. At present it would appear that this level of staffing is sufficient. The manager’s son is currently undertaking an NVQ level 4 course. No additional staff had been employed or had worked at the home since the last inspection. The manager was aware of the need to operate a thorough recruitment procedure should the need arise. 45 Westridge Road DS0000011543.V285805.R01.S.doc Version 5.1 Page 15 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33 and 38 The home is safe and run in the best interests of the residents. EVIDENCE: The inspector was informed that the views of service users are ascertained through informal discussions. The inspector was satisfied that due to the size of the home and the daily contact between the manager and all service users that this was satisfactory. From discussion with residents they were clearly satisfied with all aspects of life within the home. The views of families and representatives of residents are sought and the inspector saw several letters of compliment from relatives. All aspects of the home appeared to be safe. Fire detection equipment is regularly tested and service contracts are in place for any equipment. Infection control procedures are followed and the security of the building is maintained. 45 Westridge Road DS0000011543.V285805.R01.S.doc Version 5.1 Page 16 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 X 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 2 X X X X X X X X STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X X X 3 45 Westridge Road DS0000011543.V285805.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? NO 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 OP18 Regulation 12 (1) (a) Requirement You must obtain a copy of the local authority’s adult protection procedure. Timescale for action 23/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 45 Westridge Road DS0000011543.V285805.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 45 Westridge Road DS0000011543.V285805.R01.S.doc Version 5.1 Page 19 - 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. 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