Inspection on 14/04/05 for Curtis Weston House

This inspection was carried out on 14th April 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 11/08/05

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 14 April 2005, 10:30am 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 S32956 Curtis Weston V215457 140405.doc Version 1.20 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 S32956 Curtis Weston V215457 140405.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 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 within the home. 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 within the home. 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 within the home. 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. Date of last inspection 19th November 2004 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, the facility being a self contained unit within the home. 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. The home ccomprises of forty single bedrooms without en-suite facilities. Communal areas are provided on both floors of the home. Curtis Weston House C51 S32956 Curtis Weston V215457 140405.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection took place between 10.30am and 4.30pm. Opportunity was taken to look around the home, view records and policies which included viewing the care plans of six individuals residing at the home and talking to them. The Deputy Manager facilitated the Inspection, spending time with the Inspector and discussing the management of the home. What the service does well: What has improved since the last inspection? What they could do better: The proposed improvements to the garden area to the respite unit are to be commended but should be completed for the summer to ensure that those residing within the unit have access to the garden and can enjoy the warmer weather. Curtis Weston House C51 S32956 Curtis Weston V215457 140405.doc Version 1.20 Page 6 A Statement of Purpose/Service Users Guide could be produced for the respite service with consideration being given as to how the information is to be presented, in view of the needs of those to whom the service is offered. Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Curtis Weston House C51 S32956 Curtis Weston V215457 140405.doc Version 1.20 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 Curtis Weston House C51 S32956 Curtis Weston V215457 140405.doc Version 1.20 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) 1, 3, 4, 5, Standard 6 being not applicable. On the whole the admission process is well managed and residents are given clear and detailed information regarding the service; however this is not the case for those individuals accessing the respite facility. EVIDENCE: There is a comprehensive Statement of Purpose and Service Users’ Guide for service users accessing long term care. This document however does not fulfil the needs of individuals accessing the recently opened respite facility for individuals with Dementia. Care plans viewed contained the assessment undertaken by the Social Worker prior to admission, and the continuing assessment of the residents during the first month of residence. Records detailed information on health care needs, areas of risk and social interests. Curtis Weston House C51 S32956 Curtis Weston V215457 140405.doc Version 1.20 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 and 11 Residents are looked after well in respect of their health and personal care needs and are involved in the drawing up of their care plans, making them fully involved in the care they receive. EVIDENCE: Care plans reflected residents’ specific needs and contact with healthcare professionals is well documented, with residents signing their care plan. The views of residents and relatives were recorded within the care plan should the resident become ill, and how and when the relatives wish to be informed. At the time of the Inspection a District Nurse was visiting service users within the home. Residents and individuals accessing the specialist respite facility spoken to said they were looked after. Three individuals made specific comments. • “They couldn’t do anything better” • “If I call them they always come” • “They’re really nice, nothing is too much trouble”. Curtis Weston House C51 S32956 Curtis Weston V215457 140405.doc Version 1.20 Page 10 Resident’s records contain risk assessments on moving and handling and an assessment of nutritional needs. Senior staff as part of Dementia training had to submit a project whereby they had to produce a detailed history of a resident, detailing how the staff could use this information in the care of the service user diagnosed with Dementia. Senior staff had received a commendation for there work. Curtis Weston House C51 S32956 Curtis Weston V215457 140405.doc Version 1.20 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, and 14. Residents experience a homely life style and visitors are encouraged to visit. No activities were taking part at the time of the Inspection, the organisation of activities currently being the responsibility of care staff, which currently does not meet the needs of all residents. EVIDENCE: The activity officer has recently left and the organisation of activities is now the responsibility of care staff. The Deputy Manager advised the provision of activities was currently under review. One resident spoken too said she would like to have the opportunity to access external trips and that since residing at the home had not accessed an event organised by the home, but had been out with family and friends. A service user spoken to had a keyboard in her room, which she plays, and uses a typewriter for her correspondence. Records reflected that service users outings are facilitated by care staff, with transport being provided by the Local Authority. A church service is held within the home alternate Sundays. Curtis Weston House C51 S32956 Curtis Weston V215457 140405.doc Version 1.20 Page 12 Residents were asked as to their views of meals within the home, all making positive comments. Residents confirmed that they were offered choices at all meals, and that snacks were served throughout the day. Staff were seen serving drinks and biscuits to residents in the afternoon. Curtis Weston House C51 S32956 Curtis Weston V215457 140405.doc Version 1.20 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, 17 and 18. Complaints are handled objectively and residents are confident that their concerns would be listened to, taken seriously and acted upon. The home has a copy of the vulnerable adults procedure to ensure a proper response to any suspicion or allegation of abuse. EVIDENCE: The home had received one complaint since the last Inspection, the complaint had been recorded and a satisfactory outcome had been achieved for the resident. The Commission for Social Care Inspection has not received any complaints since the most recent Inspection. Complaints and concerns made to the home are dealt with appropriately. Staff within the home receive training on adult protection and resident rights. Curtis Weston House C51 S32956 Curtis Weston V215457 140405.doc Version 1.20 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, 20, 21, 22, 23 and 26. A comfortable and safe standard of accommodation is provided for the residents including a garden area. Offensive odours to some areas of the home were noted affecting the dignity of service users. EVIDENCE: In general, the home is well maintained and suited to resident needs. It is decorated and furnished to a standard that creates a comfortable and homely environment. The main garden is well maintained however an area has been partitioned off for the use of individuals accessing the specialist respite unit, this area needs to be further developed to provide a safe and comfortable area for those in respite. The bedrooms of six residents were viewed, and found to be comfortable and clean. A tour of the premises highlighted an odour of urine in some areas; this situation needs to be managed either by the cleaning or replacement of carpets to ensure the dignity of residents is maintained. Curtis Weston House C51 S32956 Curtis Weston V215457 140405.doc Version 1.20 Page 15 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. Residents were seen to be waiting to access one particular sitting room to the front of the property on the ground floor, this is a particular favourite with residents due to the depth of the windows which provide a view to the front of the property including the entrance to the home, enabling residents to see who is entering and leaving the home. One resident stated that the room wasn’t big enough nor were there sufficient chairs for everyone to sit in the room that wants to. There are two additional sitting rooms to the ground floor of the home. The home provides sufficient lavatories and bathing/shower facilities to meet the needs of residents. Residents have access to equipment such as hoists to assist them and staff in the delivery of personal care. Curtis Weston House C51 S32956 Curtis Weston V215457 140405.doc Version 1.20 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 and 30 Staff at the home are well trained and supported, and employed in sufficient numbers to meet the resident needs. EVIDENCE: Staffing levels were sufficient to meet the resident’s needs at the time of the Inspection and residents said they felt the staff were caring and responded to their requests. Curtis Weston senior staff consists of the Registered Manager, Deputy Manager and two Assistant Managers, eighteen care assistants are employed with casual and agency staff covering sickness and annual leave. Both Assistant Managers are qualified National Vocational Qualification Assessors and within the care staff fifteen staff have attained National Vocational Qualification level 2, of which two have achieved level 3. Records reflected that two new members of staff have registered to undertake induction and foundation training. The Local Authority has in place a departmental training plan, the document details general areas of training and training specific to needs of residents. Staff training records reflected a variety of topics of training accessed which included health and safety, adult protection, care practices and specifically training in mental health. Curtis Weston House C51 S32956 Curtis Weston V215457 140405.doc Version 1.20 Page 17 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) 37 and 38 The home is managed efficiently at present this task is being undertaken by Deputy Manager. EVIDENCE: Records of tests to fire safety equipment were in good order and health and safety issues were well documented. The Fire Risk Assessment was not available at the time of the Inspection so it could not be determined as to whether the document has been reviewed following the recent opening of the respite facility. A tour of the environment noted that banisters of stairs were low in height, and in the opinion of the Inspector represent a potential risk to the safety of residents. A risk assessment should be undertaken to establish the risk, if any, this may pose to residents, and any risks identified acted upon. Curtis Weston House C51 S32956 Curtis Weston V215457 140405.doc Version 1.20 Page 18 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. Where there is no score against a standard it has not been looked at during this inspection. 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 2 x 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 2 x 3 3 x x 2 STAFFING Standard No Score 27 3 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 x x x x x x 3 2 Curtis Weston House C51 S32956 Curtis Weston V215457 140405.doc Version 1.20 Page 19 No 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 1 Regulation 4 Requirement The Registered Person is required to review the the Statement of Purpose to reflect the respite facility for people with Dementia The Registered Person to establish the views of service user views with regards to activities internal and external to the home. Activities are then to be put into place which reflect views and needs identified . The Registered Person to ensure that the outdoor space for service users accessing the Dementia respite facility is fit for purpose in that it is comfortable, offers a recreational space and includes seating, for the benefit of service users. The Registered Person to ensure the odour of urine is eliminated from the home by the cleaning or replacement of carpets and furnishing as necessary. The Registered Person to ensure the Fire Risk Assessment is reviewed and updated to reflect the current situation within the home. Timescale for action 30th July 2005 2. 12 16 30th July 2005 3. 20 23 30th July 2005 4. 26 23 30th July 2005 5. 38 23 30th July 2005 Curtis Weston House C51 S32956 Curtis Weston V215457 140405.doc Version 1.20 Page 20 6. 38 13 The Registered Person to ensure that a risk assessment is carried out on the bannisters of stairwells taking into account individual service users, and that risks identified are acted upon. 30th July 2005 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 1 Good Practice Recommendations It is recommended that a Statement of Purpose/Service User Guide be produced for the respite facility. Curtis Weston House C51 S32956 Curtis Weston V215457 140405.doc Version 1.20 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 S32956 Curtis Weston V215457 140405.doc Version 1.20 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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