Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: West Bank Residential Home Walford Road Ross-on-Wye Herefordshire HR9 5PQ two star good service 07/10/2008 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Sarah Blake Date: 1 8 0 5 2 0 0 9 Information about the care home
Name of care home: Address: West Bank Residential Home Walford Road Ross-on-Wye Herefordshire HR9 5PQ 01989562741 01989562741 helen@skirosetta.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : West Bank Residential Home Ltd care home 36 Number of places (if applicable): Under 65 Over 65 36 1 36 36 36 dementia learning disability mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: Date of last inspection Brief description of the care home 0 0 0 0 0 0 7 1 0 2 0 0 8 West Bank is a large detached period house in a quiet residential area. It is within walking distance of Ross-on-Wye town centre, and is also on a bus route. The home is registered to provide personal care for up to thirty-six people who are over sixty-five years of age. West Bank has thirty-three bedrooms, most of which are en-suite. This is the first inspection of West Bank since the change of ownership earlier this year. The home is now owned by Buckland Care Ltd. The Service User Guide does not contain Care Homes for Older People
Page 2 of 8 Brief description of the care home information on the range of fees. The schedule of fees for the home is available from the manager. Copies of this report can be viewed at the home. Care Homes for Older People Page 3 of 8 What we found:
We carried out this inspection to check if the home had complied with the requirements which we made at the inspection on 7 October 2009. We also wanted to look at how the home makes sure that people are looked after at night. We looked at care plans for some of the people who live at the home. We saw that some care plans had been reviewed recently, and there were improvements since the last inspection. The manager is clearly working hard to make sure that all the care plans are up to date. Although some care plans had not been reviewed for a while, the records of care provided by staff showed that people were being well looked after. One persons records showed that they had been assessed as being at risk of falling. There was no current risk assessment to take into account their changed circumstances, following an illness and subsequent change in mobility. We also looked at the homes arrangements for night-time care. Records showed that the manager has taken on new night staff to bring staffing up to four each night. This means that there are two staff in each part of the home during the night. The manager told us that the home no longer uses sleeping-in staff. We saw that the home keeps records of when staff check people during the night. The record sheets were seen, and showed that checks are made two hourly throughout the night. We saw that every bedroom has a call system. In the bedrooms in the extension, the call bells are wall switches, some of which were not accessible. For example, we saw that, in one bedroom, the wall switch was positioned on a wall behind a chest of drawers, and in another the wall switch was behind a heavy armchair. The manager told us that not everyone living at the home would be able to use a call bell, due to their dementia illness. In these circumstances, it is very important that staff are able to hear when someone needs assistance. The manager told us that the night staff do the laundry during night, and she agreed that staff in the extensions laundry room would not be able to hear calls from some rooms. The manager told us that, for most of the night, staff base themselves in the lounge, which is by the staircase and from where they should be able to hear anyone who needs help. What the care home does well: What they could do better:
Some risk assessments are not up to date, which could place people at risk of harm or injury. We have asked the manager to make sure that a full risk assessment is carried out whenever potential risks are identified, and that strategies are put in place to manage any risk. Care Homes for Older People Page 4 of 8 The arrangements for calling staff at night could mean that on occasion, staff might not know that people need assistance. We are making a requirement for the manager to carry out individual assessments for everyone who lives in the extension, to ensure that people can be confident that staff will know if they need assistance during the night. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 8 13 (4)(c) You must ensure that 17/07/2009 risk assessments are carried out for any identified risk, and that the outcomes from these risk assessments are used to inform care planning. This is so that people are not put at risk of harm or injury 2 38 12 (1)(a) You must make 30/06/2009 arrangements to ensure that staff are able to identify and meet peoples needs in a timely manner. This is so that people can be confident that staff will know if they need assistance, and will provide such assistance. Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
