Inspection on 11/08/05 for Curtis Weston House

This inspection was carried out on 11th August 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.

Other inspections for this house

Curtis Weston House 21/05/07

Curtis Weston House 10/04/06

Curtis Weston House 14/04/05

Curtis Weston House 19/11/04

Curtis Weston House 17/05/04

Curtis Weston House 01/03/04

Similar services:

Hillside

Applegarth

Trevayler Residential Care Home

122 Scorer Street

Byars Care Home

St Marys Nursing Home

Jubilee Villa Care Home

Bramble Lodge

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

CARE HOMES FOR OLDER PEOPLE Curtis Weston House Aylestone Lane Wigston Leicestershire LE18 1AB Lead Inspector Linda Clarke Unannounced 11 August 2005, 12:00 noon 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. Curtis Weston House C51 C01 S32956 Curtis Weston V242472 110805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Curtis Weston House Address Aylestone Lane Wigston Leicestershire LE18 1AB 0116 2887516 0116 2887799 None Leicestershire County Council Social Services 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) Ms Susan Rochester Care Home 40 Category(ies) of Dementia - over 65 years of age (20), Learning registration, with number disability over 65 years of age (4), Mental of places Disorder, excluding learning disability or dementia - over 65 years of age (6), Old age, not falling within any other category (40), Physical disability over 65 years of age (10), Sensory Impairment over 65 years of age (4) Curtis Weston House C51 C01 S32956 Curtis Weston V242472 110805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: No person falling within category DE(E) may be admitted to the home when 20 persons who fall within category DE(E) are already accommodated. No person falling within category MD(E) may be admitted to the home when 6 persons who fall within category MD(E) are already accommodated. No person falling within category LD(E) may be admitted to the home when 4 persons who fall within category LD(E) are already accommodated. No person falling within category PD(E) may be admitted to the home when 10 persons who fall within category PD(E) are already accommodated. No person falling within category SI(E) may be admitted to the home when 4 persons who fall within category SI(E) are already accommodated. Service users between the age of 55-65 years who fall within the above categories and were resident in the care home at the date of registration may continue to reside there. To be able to admit the named person of category DE named in variation application number V20547 dated 14th May 2005. To be able to admit a named person under the age of 65 named in variation application No. V20273 dated 6th May 2005. Date of last inspection 14th April 2005 Curtis Weston House C51 C01 S32956 Curtis Weston V242472 110805 Stage 4.doc Version 1.40 Page 5 Brief Description of the Service: Curtis Weston is a care home providing personal care and accommodation for forty older persons. Curtis Weston has a respite facility offering accommodation for upto seven individuals with Dementia, and the facility being a self contained unit within the home. The forty single bedrooms are without en-suite facilities. The home is part of Leicestershire County Council, and is located close to the town centre of Wigston, close to shops, pubs, the post office and other amenities with local transport facilities being easily accesible. Accommodation is provided over two floors with access between the floors being via stairs or a passenger lift. Curtis Weston is fully accessible. Curtis Weston House C51 C01 S32956 Curtis Weston V242472 110805 Stage 4.doc Version 1.40 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection took place between 12 noon and 4.45pm. The opportunity was taken to look around the home, spend time with residents, view records and policies which, included viewing the care plans of three residents residing at the home, and three individuals accessing respite care. Information recorded on the pre-inspection questionnaire has been incorporated into the Inspection Report, resident and General Practitioner comment cards. The Registered Manager facilitated the Inspection, spending time with the Inspector; the Inspector also interviewed three members of care staff. What the service does well: What has improved since the last inspection? A booklet containing information for those individuals accessing respite care has been produced, which is available to individuals and their relatives. The Fire Risk Assessment has been reviewed, and potential risks have also been identified with regards to banisters and stairwells to which residents have access. The garden area accessible from the respite unit has been completed to encompass seating, plants and flowers in pots and handing baskets. Curtis Weston House C51 C01 S32956 Curtis Weston V242472 110805 Stage 4.doc Version 1.40 Page 7 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. Curtis Weston House C51 C01 S32956 Curtis Weston V242472 110805 Stage 4.doc Version 1.40 Page 8 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 Curtis Weston House C51 C01 S32956 Curtis Weston V242472 110805 Stage 4.doc Version 1.40 Page 9 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) 1 and 3. The admission process is well managed with residents needs being assessed ensuring staff have the appropriate information to meet individual needs. EVIDENCE: Curtis Weston has a Statement of Purpose, which outlines the care and accommodation offered to residents, arrangements for staffing including staff training, the daily living arrangements offered to residents including information on mealtimes. A separate booklet is available for those individuals accessing the respite facility. As part of the assessment process residents and relatives are asked to provide a history of their life prior to admission, this provides additional information to help in the delivery of care and activities provided. Information supplied could be used to a greater advantage in the developing of resident care plans. Curtis Weston House C51 C01 S32956 Curtis Weston V242472 110805 Stage 4.doc Version 1.40 Page 10 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 and 10. Residents are looked after well in respect of their health and personal care needs. EVIDENCE: Care plans of three residents’ were viewed, which contain a brief outline of resident needs. Care plans could be further developed to encompass a comprehensive record of resident needs, with consideration being given to physical health, mental health and socialisation including hobbies and interests, thus providing a holistic approach to care. Care plans of three individuals accessing respite care were also viewed; records contained the original assessment of need, and an outline of care needs. The six completed resident comment cards received by the Inspector all indicated they felt well cared for and were treated well by staff. Curtis Weston House C51 C01 S32956 Curtis Weston V242472 110805 Stage 4.doc Version 1.40 Page 11 The Inspector received a Comment Card from a General Practitioner who indicated a positive response to questions, in that staff have a clear understanding of resident needs, and there satisfaction with the overall care provided to residents. Records evidence regular contact with health care professionals where appropriate. The Inspector spoke with three members of care staff, who were able to relay the individual needs of residents and provided additional information, which was not recorded within the care plan. Staff were aware of the promotion of residents privacy and dignity, this was demonstrated through comments made to the Inspector and the Inspectors observation of staff interacting with residents. Curtis Weston House C51 C01 S32956 Curtis Weston V242472 110805 Stage 4.doc Version 1.40 Page 12 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 and 15. Residents experience a homely life style and visitors are encouraged to visit. Various formal and informal activities are made available meeting residents’ recreational needs. EVIDENCE: An Activity Organiser has recently been appointed and is currently meeting with residents on an individual basis to establish their wishes and interests. A programme of activities to meet individual and collective needs will then be implemented. Care plans could be improved by the inclusion of recreational activities, and daily records used to detail residents participation. A resident meeting held in July 2005, discussed the appointment of an Activity Organiser and her role within the home. A barbeque was held in July 2005, and a Summery Fete has been planned for August 2005. Six resident comment cards were received, of which five indicated they were satisfied with the level of activities provided by the home. Curtis Weston House C51 C01 S32956 Curtis Weston V242472 110805 Stage 4.doc Version 1.40 Page 13 Residents who spoke with the Inspector confirmed they were happy with the quality and quantity of meals, the provision of meals was also discussed in the most recent resident meeting, providing residents with an opportunity to comment. Curtis Weston House C51 C01 S32956 Curtis Weston V242472 110805 Stage 4.doc Version 1.40 Page 14 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. Complaints are handled objectively and residents are confident that their concerns would be listened to, taken seriously and acted upon. EVIDENCE: Curtis Weston has received five minor complaints since the last Inspection, which took place in April 2005, the complaints and the outcome of investigations was documented. The Commission of Social Care Inspection has not received any complaints in relation to Curtis Weston. Curtis Weston House C51 C01 S32956 Curtis Weston V242472 110805 Stage 4.doc Version 1.40 Page 15 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, 20, 23 and 26. A comfortable and safe standard of accommodation is provided for the resident’s including garden areas, which individually and collectively meets the resident’s needs. EVIDENCE: Curtis Weston is well maintained and is suitable to the needs of residents; it is decorated and furnished to a standard that creates a comfortable and homely environment. The garden is well maintained and has an area partitioned off for those residents accessing the respite facility, providing a safe environment with plants, flowers and seating. Curtis Weston has spacious sitting rooms on both the ground and first floor, which offers residents a variety of choices as to where to sit, one sitting room is for those individuals who wish to smoke. The Inspector viewed the bedrooms of individuals whose records and care plans had been read, all were furnished and decorated to a good standard. Curtis Weston House C51 C01 S32956 Curtis Weston V242472 110805 Stage 4.doc Version 1.40 Page 16 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, 28, 29 and 30. Staff at the home are well trained and supported, and employed in sufficient numbers to meet the needs of residents. EVIDENCE: Curtis Weston employs seventeen members of care staff, of which ten have attained a level 2 National Vocational Qualification; this level of achievement is to be commended. The Inspector spoke with three members of staff, two of which have attained level 2 National Vocational Qualification, with one having achieved Level 3, by funding the award herself. Staff spoken with had a clear understanding of resident needs, and confirmed they were responsible for the devising and reviewing of care plans. Staff had not received formalised training in care plan writing. Staff have received training in a variety of topics, including fire awareness, moving and handling, first aid to name some. Staff have also received training in specialist areas such as Alzheimer’s and Dementia. Curtis Weston House C51 C01 S32956 Curtis Weston V242472 110805 Stage 4.doc Version 1.40 Page 17 The Departmental Training Plan details training available to care staff in care plan and record writing and medical conditions, care staff should therefore be encouraged to access these courses to increase their awareness and develop service user care. Staff interviewed confirmed the staffing levels, indicating that there were four care staff on duty in the morning, with three for the afternoon and evening. Care staff hours were consistent for all days of the week, the one difference being a laundry assistant was not on duty at weekends, and therefore this became a care staff duty. Staff advised the Inspector that they would like to spend recreational time with residents on an individual basis. The Inspector discussed with the three care staff interviewed, the use of care plans and daily records and how these could be developed to encompass all aspects of care, and contain a greater level of detail and information. The records of three members of staff recruited since the last Inspection were viewed and were found to contain all relevant documentation including a Criminal Record Bureau check. Curtis Weston House C51 C01 S32956 Curtis Weston V242472 110805 Stage 4.doc Version 1.40 Page 18 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) 31, 33, 35, 36 and 38. The Registered Manager offers a clear sense of leadership, which reflects on the day-to-day delivery of care practices of residents and running of the home. EVIDENCE: The Registered Manager is a qualified Social Worker and has a Post Graduate Diploma in Health and Social Care Management and has registered to undertake the Registered Managers Award. The pre-inspection questionnaire completed by the Registered Manager detailed the regular maintenance and checks pertaining to the environment, which includes fire equipment and fire drills. The three members of staff spoken with confirmed that they receive regular one to one supervisions with a member of the management team, this provides an opportunity to review residents needs and discuss issues affecting them, including training. Curtis Weston House C51 C01 S32956 Curtis Weston V242472 110805 Stage 4.doc Version 1.40 Page 19 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 3 x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 x x 3 x x 3 STAFFING Standard No Score 27 3 28 4 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 x 3 x 3 x 3 3 x 3 Curtis Weston House C51 C01 S32956 Curtis Weston V242472 110805 Stage 4.doc Version 1.40 Page 20 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 7 Good Practice Recommendations It is recommended that care plans contain additional information, evidencing an holistic approach to care. 1. Mental Health and its affects on the individual to be more detailed. 2. Recreational and activities form part of the care plan. 3. Daily records contain more detailed information, indicative of their care plan. It is recommended that access training in care plan writing and medical conditions as detailed within the Departmental Training Plan. 2. 30 Curtis Weston House C51 C01 S32956 Curtis Weston V242472 110805 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection 5 Smith Way Grove Park Enderby Leicestershire 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 Curtis Weston House C51 C01 S32956 Curtis Weston V242472 110805 Stage 4.doc Version 1.40 Page 22 - 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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