Inspection on 21/05/07 for Curtis Weston House

This inspection was carried out on 21st May 2007.

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 10/04/06

Curtis Weston House 11/08/05

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 Ms Rajshree Mistry & Mrs Bhavna Keane-Rao Key Unannounced Inspection 21st May 2007 09:30 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 Curtis Weston House DS0000032956.V337369.R01.S.doc Version 5.2 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. Curtis Weston House DS0000032956.V337369.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Curtis Weston House Address Aylestone Lane Wigston Leicestershire LE18 1AB 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) 0116 2887516 0116 2887799 www.leicestershire.gov.uk Leicestershire County Council Social Services Mr Simon Davis Care Home 40 Category(ies) of Dementia (8), Dementia - over 65 years of age registration, with number (20), Learning disability (4), Learning disability of places over 65 years of age (4), Mental disorder, excluding learning disability or dementia (8), Mental Disorder, excluding learning disability or dementia - over 65 years of age (6), Old age, not falling within any other category (40), Physical disability (8), Physical disability over 65 years of age (10), Sensory impairment (4), Sensory Impairment over 65 years of age (4) Curtis Weston House DS0000032956.V337369.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Curtis Weston House care home is registered to provide personal care to male and female service users who fall withn the following categories:- (DE) 8 (DE(E) 20, (LD) 4 (LD(E)) 4, (MD) (MD(E)) 8, (OP) 40, (PD) 8 (PD(E) 10, (SI) 4 (SE(E) 4. Old age, not falling within any other category (OP) 40. No person falling within the category PD can be accommodated at Curtis Weston House when there are 8 persons who fall within this category residing at the home. No persons falling within the category PD(E) or PD can be accommodated at Curtis Weston House when 10 persons who fall within these categories/combined categories are already residing at the home. No person falling within the category DE can be accommodated at Curtis Weston House when there are 8 persons who fall within this category residing at the home. No persons falling within the category DE(E) or DE can be accommodated at Curtis Weston House when 20 persons who fall within these categories/combined categories are already residing at the home. No person falling within the category MD(E) can be accommodated at Curtis Weston House when there are 6 persons who fall within this category residing at the home. No persons falling within the category MD(E) or MD can be accommodated at Curtis Weston House when 8 persons who fall within these categories/combined categories are already residing at the home. No persons falling within the category LD(E) or LD can be accommodated at Curtis Weston House when 4 persons who fall within these categories/combined categories are already residing at the home. No persons falling within the category SI(E) or SI can be accommodated at Curtis Weston House when 4 persons who fall within these categories/combined categories are already residing at the home. No person within any of the following categories; SI, PD, DE, LD, MD may be admitted unless they are aged 55 years or older. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. Curtis Weston House DS0000032956.V337369.R01.S.doc Version 5.2 Page 5 Date of last inspection 10th April 2006 Brief Description of the Service: Curtis Weston is a care home providing personal care and accommodation for forty older persons, who may have associated conditions, which may include dementia, mental disorder, learning disability, physical disability and sensory impairment. Curtis Weston has a respite facility offering accommodation for up to seven individuals with Dementia, and the facility being a self contained unit within the home. The home is situated in the town centre of Wigston, close to shops, pubs, the post office and other amenities with local transport facilities being easily accessible. The forty single bedrooms are without en-suite facilities. Accommodation is provided over two floors with access between the floors being via stairs or a passenger lift. Information is located on site detailing the range of services offered, which includes the Statement of Purpose, in addition to this Curtis Weston has copies of the Commission of Social Care Inspections, Inspection Reports, which are located in the main office and entrance hall and are available upon request. The maximum weekly fee is £476.00, which was provided on the day of the Inspection. There are additional costs for individual expenditure such as Chiropody, Optician and hairdressing services, and the fee will depend on the services received. Curtis Weston House DS0000032956.V337369.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The inspection process consisted of pre-planning the inspection, which included viewing the last Inspection Report, reviewing of the pre-inspection questionnaire, the service history of significant events since the last inspection and Comment Cards sent to residents from the Commission for Social Care Inspection. The unannounced site visit commenced on the 21st May 2007 and lasted 1 day. The focus of the inspection is based upon the outcomes for the residents. The method of inspection was ‘case tracking’. This involved identifying residents with varying levels of care needs and looking at how these are being met by the staff at Curtis Weston. Four residents were selected and discussions were held with them. Discussions held and observations were made of other residents and relatives who were not part of the ‘case tracking’ process. The method of case tracking included the review of residents’ individual care records, discussions with staff with various responsibilities within the home and reviewing the records, training records and the minutes of team meetings. The CSCI sent out ten Comment Cards to residents, of which 50 were returned. All the responses were positive about the care provided at Cutis Weston and the home environment. Whilst no comment cards were received from relatives of the residents, their views were included in the comment cards received from the residents. Comments incorporated within Service Users Comment Cards and direct comments included: “We could not wish for better care and we know we don’t have to worry” “The standard of care given is very often above and beyond anything we could have hoped for when we had to put mum in the home” “Speaking for myself I have always found that the care service meets the needs of my mother” “From our observations when we visit, we are more than impressed with the way all the residents are cared for” “Looks after my mother very well; hard working staff; friendly; polite; always make me feel welcome and very considerate regarding my mother’s needs” “Curtis Weston looks after its resident to a very high standard in all ways” “Very impressed in the way Curtis Weston care for the residents” Curtis Weston House DS0000032956.V337369.R01.S.doc Version 5.2 Page 7 What the service does well: What has improved since the last inspection? What they could do better: This was a positive site visit overall of Curtis Weston House, indicating the residents received good quality of care in a safe home by trained staff. The Registered Manager demonstrated a strong commitment to improving the quality of life for people living at Curtis Weston House. Curtis Weston House DS0000032956.V337369.R01.S.doc Version 5.2 Page 8 Curtis Weston House could may further improvement to the quality of life for residents by ensuring care plans continuously reflect the changing needs of the resident. The timing of staff breaks should be reviewed to minimise disruption and impact on residents with dementia, especially at meal times. 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. The summary of this inspection report can be made available in other formats on request. Curtis Weston House DS0000032956.V337369.R01.S.doc Version 5.2 Page 9 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 Curtis Weston House DS0000032956.V337369.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 5. Standard 6 is not applicable. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are provided with clear and concise information about the service; involved in the assessment process that ensures their care needs are met. EVIDENCE: Individuals considering residential care at Curtis Weston House are provided with detailed information in a document referred to as the ‘Statement of Purpose’. The document provides a brief description of the services provided, including the accommodation, information as to the number of staff employed including information as to qualifications and training. Details of the number of places provided, reference to the Meadows Unit, primarily for people with dementia and relevant information as to the quality assurance process and complaints procedure is included. The content comprehensive and the format is in easy to read style. The information is also provided in other formats and Curtis Weston House DS0000032956.V337369.R01.S.doc Version 5.2 Page 11 languages. The Statement of Purpose is available upon request; a copy is on display at all times in the reception lounge. The records of four residents were viewed, and all were found to contain an Individual Placement Agreement, and the assessment of care needs carried out by the Care Management Team, which forms the contractual arrangement and outlines the terms and conditions of stay. The Registered Manager upon receipt of the information carries out a further assessment to ensure that the staff at the home could meet the persons care needs safely and promptly. The assessment form contained written information of the residents care needs, history such as medication, mobility, special diets and meals, communication needs, mental wellbeing cognitive impairment and social, religious and cultural needs. The admission process is good and involves the prospective resident and their relative or advocate. Four residents case tracked, other residents including new residents and their relatives said they were involved in choosing Curtis Weston House. Residents said they chose the home in order that they could remain in the local area and be close to the family. Comment cards received from residents and partly completed by relatives involved they were involved throughout the assessment process. Standard 6 is not applicable, as the Curtis Weston House does not provide intermediate care. Curtis Weston House DS0000032956.V337369.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are well cared for having their tailored health and daily care needs met through improved care planning. EVIDENCE: The care plans and records of four residents, read, were well written and were presented to a good standard and have significantly improved, to guide staff to provide the care needs. The care plans were personal to the resident, setting out some history and background of the resident, the level of assistance required, specific dietary needs, observance of religious or spiritual practice and social interests including family. The risk assessments completed and where safety measures identified in relation to use of equipment, these were detailed in, the care plans. Residents’ daily living arrangements, preferred daily routine and the impact of cognitive Curtis Weston House DS0000032956.V337369.R01.S.doc Version 5.2 Page 13 ability due to the residents’ dementia was well documented. Specific health care support provided by the District Nurse are included in the care plan. The ‘Meadows Unit’ is primarily for people with dementia. The care plan and information received from the Assistant Manager in the unit regarding the residents indicated that there were no issues in relation to visitors observing activities. However, it became apparent from observation that the resident became uncomfortable and stopped eating her meal. Upon further discussion with the Registered Manager, acknowledged there were gaps in the care plans and no evidence that care plans were updated. Throughout site visit, staff were observed speaking with residents in a sensitive manner, with consideration being given to the promotion of their privacy and dignity. Residents said they felt their care and health needs were met timely and in a manner that suited them. The Registered Manager demonstrated how meeting needs for a couple have been accommodated through discussion to ensure their choice and privacy is respected. Comments received from the survey and directly from the residents showed residents’ privacy and dignity was respected, and encouraged to maintain as much independence as possible. Staff were observed throughout the site visit, interacting with residents and responding to call bells, which rang occasionally. Residents were observed being assisted to the toilet or to their bedrooms when asked. Staff were observed using equipment safely, when transferring residents. Residents spoken with all confirmed they were very happy with the care they received, and that should it be necessary they access to a health care professional. The Registered Manager was observed being asked by a relative of a resident, for an appointment for the Optician to visit. Health care records and daily records viewed for the residents tracked showed, staff were recording the purpose of the visit, treatment prescribed or instructions given to follow. Residents were observed receiving their medication at breakfast at the relevant time. Residents said they receive they medication on time. The medication and medication records for some residents were viewed; all were found to be in good order. Comments received from the survey and directly are incorporated: “The standard of care given is very often above and beyond anything we could have hoped for when we had to put mum in the home” “The care staff are very dedicated, friendly and always try to help” Curtis Weston House DS0000032956.V337369.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents continue to make choices about daily living; offered a variety of meals and social activities of interest to suit. EVIDENCE: Residents benefit from a flexibly run home, which enables them to make choices as to their daily lives. The care plans provides staff with information as to resident’s preferences, hobbies and interests, which are then incorporated into their daily social activities. A recent suggestion from the ‘Residents Meeting’ to have a ‘shop’ on the premises has been acted upon and used by the residents. Several residents order daily newspapers and were observed reading. There is a programme of ‘Curtis Weston House Activity Programme’ displayed on the notice board, ranging from board games, arts and crafts, sing-a-long to nail care, Bingo and outings. On the day of the site visit, a group of residents were seen enjoying a game of ‘floor snakes and ladders’. Curtis Weston House DS0000032956.V337369.R01.S.doc Version 5.2 Page 15 Throughout the day, residents were seen receiving visitors, meeting with them in private. Where cultural needs were identified, the Registered Manager demonstrated these were being met in a creative and personal way involving the family. Residents can choose to attend the ‘Gospel Service’ held at the home every Sunday. Records are kept of resident’s involvement in activities, which was consistent with the programme of activities and information received directly from the residents and staff. Staff were aware of their duties in relation to key-working and doing specific activities with the residents. Residents spoken with said that they were satisfied with the meals, and confirmed that choices were available for all meals. Although meal times are set, residents can still choose when and where they have their meals, albeit the dining room or in the privacy of their own bedrooms. Comments received from the survey and directly from the residents include: “Excellent, the chef is very good” “My favourite food is anything with fruit in it, and I get that often” “The care home does everything to a very high standard. It is like having extended family and friends for us. There is always a very good atmosphere, Christmas, Easter and all other occasions are always celebrated with great enthusiasm and a party or sing song. Residents are treated with respect and there are always hugs to go round, (even for us) which is lovely”. “We don’t thing they can do a great deal more. The staff work very hard to raise money for the residents comfort fund for outings, gifts etc. A little more funding would help them in this area”. Residents confirmed that drinks and snacks are available upon request twentyfour hours days. Staff were observed assisting residents with their meals and drinks. Staff described how residents are encouraged to eat and have provision for adapted cutlery to assist the residents. Curtis Weston House DS0000032956.V337369.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are protected by a robust and accessible complaints procedure and by staff trained in safe guarding adult processes. EVIDENCE: Residents when asked were confident that should they have any concerns, whom they should speak with, in addition there is a written complaints procedure, and information as to how to contact advocacy services. Visiting relatives said they felt confident to express or raise concerns with any member of staff and confidant that it would be addressed promptly. Staff demonstrated a good understanding of their responsibility and procedures to follow in relation to safeguarding adults and was confident to whistle blow on poor or bad care practices. Staff files examined contained evidence to show that staff have received training in safe guarding adults as and as part of attaining a National Vocational Qualification (NVQ) in Care. The information received in the Pre-Inspection Questionnaire, indicated that the service had received some concerns or complaints. Records viewed showed how these were addressed to the satisfaction of the complainant and ways to improve the quality of care provided. Curtis Weston House DS0000032956.V337369.R01.S.doc Version 5.2 Page 17 The Commission for Social Care Inspection has not received any expressions of concern about Curtis Weston House. Comments received directly from the surveys and residents, include: “We have never had any concerns but we are sure if we did it would be dealt with” “The situation has never arisen but if it did it would be done in a proper manner” “The staff seem to adapt very well to everyone they care for” “The care staff are very dedicated, friendly and always try to help” “In the first instance I would speak to the nurse/officer on charge and if need by write a letter to County Hall (in Leicestershire) if I believe the complaint warranted it” Curtis Weston House DS0000032956.V337369.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are provided with a warm, safe, clean, comfortable and wellmaintained environment suitable for their needs. EVIDENCE: Residents spoke positively about the home environment. Communal areas were decorated to a high standard, bright and well ventilated. Communal areas including lounges, dining areas and corridors were clean and tidy. A number of wheelchairs were left in the ‘Parklands’ lounge on the ground floor. This was raised with the Registered Manager as the lounge is used by the residents, could pose a risk, and were promptly stored in the storage available. The bedrooms are located on the ground first floor and access using the passenger lift of stairs at the centre of the building. Bath/shower rooms and Curtis Weston House DS0000032956.V337369.R01.S.doc Version 5.2 Page 19 toilets are close to the bedrooms and equipped with hoists and grab rails to benefit the residents. The Inspector saw a used incontinent pad disposed unsafely. This was addressed immediately and supply of disposal bags place in the toilet, when brought to the attention of the Registered Manager. Residents were observed moving around the home, without restrictions. The Inspectors were invited by residents to see their bedrooms and said they were offered keys to their bedrooms. Two bedrooms viewed were decorated and furnished to a good standard, with lockable storage and personalised. Relatives of the new residents were seen bringing in personal belongings into the home to make the bedrooms individual, comfortable and personalised with photographs and sentimental items. The relatives said they were assisted to bring the residents’ own adjustable beds from home. The Registered Manager highlighted areas of improvement, which included redecoration of corridors on the first floor. The Registered Manager said further refurbishment of the home is planned and includes, re-decoration of the lounges and corridors, improving the aesthetics, new furniture, television, and residents have been involved in choosing the colour schemes. The decorator visiting to access the identified areas of the home for refurbishment further supported this. The monthly visits carried out by a representative of the local authority looks at the home environment and reported areas of concerns and safety are addressed. Equipment is available to assist residents and staff in the delivery of personal care, which includes assisted baths, moving and handling equipment including hoists. Staff were observed wearing protective clothing when assisting residents with their personal care needs or handling food. Staff said that they had received training in infection control, which was consistent with the staff training records. The laundry room is on the ground floor, away from resident’s bedrooms, lounges and kitchen area. There is a team of domestic staff responsible for the cleanliness of the home and the laundry. Curtis Weston House DS0000032956.V337369.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents are protected by robust recruitment processes and trained staff to ensure the care needs are met timely and safely. EVIDENCE: Curtis Weston House employs sufficient staff to meet the needs of residents. The staffing ratio has increased to six care staff support residents in the morning and three care staff in the afternoon/evening with an additional member of staff supporting individuals within the respite unit, with a member of the management team on duty. The staff rota viewed was consistent with the staff on duty and the ‘daily tasks’ sheet gave clear instructions as to their roles and responsibilities. Observations made during the site visit indicated that there were sufficient staff on duty to support and interact with residents. The recruitment and selection procedure in place is robust and is supported by a Human Resource Team in accordance with the local authority equal opportunity policy and guidance. The files of three staff were viewed and all files contained thorough pre-employment checks including the obtaining of a Criminal Record Bureau disclosure and protection of vulnerable adult check, a completed application form and two written references. Curtis Weston House DS0000032956.V337369.R01.S.doc Version 5.2 Page 21 The Registered Manager submitted to the CSCI information as to the staff training before the site visit, in addition training records were viewed on the day of the site visit. The details demonstrated a good skill-mix of staff to meet the needs of the residents at Curtis Weston House. The Registered Manager confirmed that 80 of the staff had attained National Vocational Qualification (NVQ) in Care, level 2 or above with a further three staff completing NVQ level 3 in Care. Training records viewed, highlighted a variety of topics, pertaining to the health and safety of residents and staff. A number of staff have had training in the care for people with dementia. However, the training records indicated that the only staff on duty in the dementia unit had not received any training. The Registered Manager confirmed this was the case although training had been planned for the member of staff. Staff were aware of their roles and responsibilities, where to find the home’s procedures and who to report any concerns to. Staff said they generally felt supported by the senior carers and the Registered Manager. Staff said that they have staff meetings and minutes of the meetings were displayed in the staff room and the office. Residents said they felt that the staff understood their needs. Staff were seen responding to residents promptly and assisting residents from the wheelchair to the armchair, using safe techniques, encouraging the resident to do as much as possible, safely. Comments received and incorporated from the surveys include: “From our observations when we visit, we are more than impressed with the way all the residents are cared for” “The staff seem to adapt very well to everyone they care for” “The staff seem to adapt very well to everyone they care for” “The care staff are very dedicated, friendly and always try to help” “Looks after my mother very well; hard working staff; friendly; polite; always make me feel welcome and very considerate regarding my mother’s needs” Curtis Weston House DS0000032956.V337369.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37 and 38. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Residents benefit from a well managed home with good leadership, having opportunity to shape and improve the service, whilst ensuring their health; safety and welfare are promoted. EVIDENCE: The Registered Manager underwent the CSCI fit person process to be the Registered Manager for Curtis Weston House. The Registered Manager has a number of years experience working and managing a residential care home and has attained the Registered Managers Awards and level 4, National Vocational Qualification in Care. Curtis Weston House DS0000032956.V337369.R01.S.doc Version 5.2 Page 23 A representative of the management team of the Local Authority, who is external to Curtis Weston House, visits the home on a monthly basis, representing the Responsible Individual. A report is generated following each visit detailing review of documents, discussion with residents, staff and the management team; view the environment and addressing specific issues. The Registered Manager demonstrated how issues highlighted are addressed, such as decoration and refurbishment of the home. Residents and relatives were confident in the management team, and said they were able to discuss with them, any issues about the provision of care individually. Residents meetings are held regularly and the minutes of the meetings are displayed on the notice board. The Registered Manager, from the meeting, introduced a ‘shop’ into the home, which sells snacks, drinks and a small range of toiletries. Residents, relatives and stakeholders (General Practitioners, Nurses etc.) have all had the opportunity to take part in the quality assurance process. The results of the findings were published in September 2006 and shared with the residents, relatives and the stakeholders. This demonstrated that Curtis Weston House has systems in place to self-regulate and quality monitor the provision of care provided, through the views and opinions of the residents and their relatives. A number of ‘thank you’ cards were on site, evidencing residents’ and relative satisfaction in the care Curtis Weston provides. The residents said their family or Solicitors supported them to manage their own financial affairs. Where small amount of money is held on behalf of the resident, a record of the balance with receipts is kept and requires the signature of the resident (if possible) and at least signatures of two staff. These demonstrated procedures are in place for handling residents’ finances. Residents and staff records viewed were kept in good order, comprehensive, up to date, stored securely and was available for the purpose of the site visit. Staff were aware of where information, incident and accident record, policies, and procedures are kept. Assessments of risk for falls and moving and handling were carried out and in the care files for all the residents. Staff said the ‘staff team meetings’ do take place along with staff supervision. The Pre Inspection Questionnaire detailed the regular maintenance of health and safety systems within the home, including fire systems and equipment, central heating systems and emergency call systems. Curtis Weston House has a planned programme of maintenance. A sample of fire drill and test records, water temperatures checked were consistent with the information received. The accident/incidents records viewed were consistent with those received by the Commission. Curtis Weston House DS0000032956.V337369.R01.S.doc Version 5.2 Page 24 Comments incorporated from the surveys include: “Their experience with caring for senior citizens is very valuable. The services at the home and the staff make for a contented atmosphere. The age related diseases that many people live with are managed very well and the care of the staff is appreciated” “Curtis Weston looks after its resident to a very high standard in all ways” “It is very reassuring for us to know that if we are unable to visit for any reason, be it holiday or illness, our mum is looked after as well as we would do it ourselves. If we had to say what would be the ideal care home, this one would tick all the boxes”. Curtis Weston House DS0000032956.V337369.R01.S.doc Version 5.2 Page 25 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 3 3 3 X 3 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 Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 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 3 3 3 X 3 3 3 3 Curtis Weston House DS0000032956.V337369.R01.S.doc Version 5.2 Page 26 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. 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. Refer to Standard Good Practice Recommendations Curtis Weston House DS0000032956.V337369.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Leicester Area Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000032956.V337369.R01.S.doc Version 5.2 Page 28 - 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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