Inspection on 28/09/05 for West House Care Home

This inspection was carried out on 28th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

West House Care Home 26/11/08

West House Care Home 04/12/07

West House Care Home 21/06/06

West House Care Home 08/02/06

West House Care Home 01/03/05

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE West House Care Home Waldridge Road Chester Le Street Durham DH2 3AA Lead Inspector Mrs Tanya Newton Unannounced Inspection 28th September 2005 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 West House Care Home DS0000062946.V257428.R01.S.doc Version 5.0 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. West House Care Home DS0000062946.V257428.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service West House Care Home Address Waldridge Road Chester Le Street Durham DH2 3AA 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) 0191 387 1533 Roundview Properties Ltd Mrs Barbara Sally Stubbs Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30), Terminally ill (3) of places West House Care Home DS0000062946.V257428.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Terminal illness: Persons with a terminal illness (palliative care) over the age of 55 may be accommodated commensurate with the homes Statement of Purpose and function and where appropriately qualified and competent staff are provided. 1st March 2005 Date of last inspection Brief Description of the Service: West House is a home owned by Roundview properties Ltd. It is registered to provide nursing and residential care for up to 30 older persons. The home offers single and double room accommodation, with communal sitting/dining areas. Bathrooms are located throughout the home, some of which have aids to support service users during personal care. West House is situated in Chester-le street, a town near to Durham and Newcastle. West House Care Home DS0000062946.V257428.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. CSCI has a statutory duty to inspect all care homes at least twice a year. This unannounced inspection was carried out in accordance with this duty. The inspection took place on the 28th September between the hours of 9.45am and 2.45 pm. During the inspection, time was spent talking to seven residents, four staff and two relatives. Records were examined and a tour of the building took place. In line with current CSCI policy on Proportionality, the inspection focused upon a number of key standard outcomes for service users. The key standard outcomes not inspected on this occasion will be raised during the next inspection of the home. Issues raised in the last inspection were also examined. Six service user comment cards and four relative comment cards were received, feedback from which is included within the inspection report. What the service does well: Each service users has an individual plan of care, which provides staff with the information they require to meet the service users needs. Medication is administered to service users by a registered nurse, although service users would be supported in administering their own medication where they were able. There were no odours present and the home was clean and tidy. Plans have been submitted to improve the premises. West House Care Home DS0000062946.V257428.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? 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. West House Care Home DS0000062946.V257428.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection West House Care Home DS0000062946.V257428.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 A contract is required to tell service users what the home is providing within the fees paid. EVIDENCE: There is no contract, which will tell prospective service users what the home is providing, what the fees are and what is included within the fees. West House Care Home DS0000062946.V257428.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 8 9 and 10 There is a care planning system in place, which provides staff with the information they need to satisfactorily meet service users’ needs. There is some evidence of service users’ involvement within these plans. Medication systems and practice supports service users. Service users privacy is maintained. EVIDENCE: Discussion with staff working within the home confirmed that a high standard of care was being provided for service users, some of the care staff spoken to felt that the care had improved and that more time was now available to spend with service users. The home is trying to involve service users/relatives within care planning; this is being evidenced within the individual care plan. Comments from service users included “I’ve nothing to grumble at – I’m well looked after, no problem” and “They look after you well here – no improvements that I can think of”. One relative commented, “The care is high, and mum is clean neat and tidy, changed immediately if she spills something, she gets well fed”. West House Care Home DS0000062946.V257428.R01.S.doc Version 5.0 Page 10 The home has implemented a new system following recent guidance on the disposal of medicines. A qualified nurse administers all medication. All service users spoken with confirmed that they were treated with dignity and respect, staff knock on doors prior to entering and staff were observed throughout the inspection speaking to service users in a respectful and caring manner. West House Care Home DS0000062946.V257428.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 & 15 Activities should be provided which are based on service users likes and dislikes. Menus are varied and comments regarding the food provided within the home were positive. EVIDENCE: Comments regarding the activities being provided were mixed; and included “there’s not much to do at all”, the activity co-ordinator post is currently vacant. Relatives commented, “I am made welcome and can visit at any time, I am able to have a meal”. Service users spoken with confirmed that they were able to make choices in all aspects of daily living, comments included “I get up and go to bed when I like, staff are very helpful” and “I can make choices in all aspects of my care”. “The food is usually pretty good, the chef will cook something else if I don’t fancy what is on the menu”, “it’s good food” and “I like the cooking here, it’s better than mine”. West House Care Home DS0000062946.V257428.R01.S.doc Version 5.0 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 Systems are in place to protect people from abuse. Policies to protect service users need updating in some areas. EVIDENCE: Service users spoken with during the inspection said that they had no complaints. The adult protection procedure needs to be updated to ensure that it links with the local authority procedure in the event of any allegations being made. The current policy makes reference to the home carrying out its own investigation; it does not reflect that the home must refer allegations of abuse to Social Services. All staff receive in-house training on adult protection. The home has a policy on making a referral under the protection of vulnerable adults (POVA) list. Financial policies have been updated following requirements in the previous inspection report of the home. West House Care Home DS0000062946.V257428.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 There are plans in place to extend and improve the environment. The home was clean tidy and free from odour during the inspection. EVIDENCE: The home has submitted plans to the council to extend the premises; the owner should provide CSCI with a detailed plan of redecoration, which will take place over the next two years. There were no odours present during the inspection and the home was clean and tidy. West House Care Home DS0000062946.V257428.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 & 30. Staffing numbers appear to be sufficient to meet the assessed needs of service users. Training is provided for all staff. EVIDENCE: Ten of the seventeen care staff working within West House had achieved the NVQ level 2 award. The staff are given a copy of the General Social Care Council’s (GSCC) code of conduct. There is a vacancy for one full time carer, and a night duty nurse as well as an activities co-ordinator. One carer stated, “ Things have improved loads, supervision and training are taking place and morale is high, the staff numbers are ok, they have improved”. One relative comment card stated that there were not always sufficient staff on duty. West House Care Home DS0000062946.V257428.R01.S.doc Version 5.0 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: None of these standard outcomes were formally assessed on this occasion, however concerns were raised regarding the smoking arrangements within the home. The home should have a smoking area for service users, which does not pose a risk to non – smokers. One visitor has an oxygen cylinder, which is being used, in an area where people smoke. Policies and procedures on the risks of passive smoking require development. West House Care Home DS0000062946.V257428.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 1 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 2 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X West House Care Home DS0000062946.V257428.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 Standard OP2 OP18 Regulation 51) b 13(6) Requirement Each service user must be provided with a contract. Policies to protect service users require further amendment to reflect with the local authority procedures. Timescale for action 31/12/05 31/12/05 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 2 3 Refer to Standard OP12 OP19 OP38 Good Practice Recommendations The activities provided within the home should be based on the interests of service users. A plan of the intended decoration of the home should be sent to CSCI. The home should review the arrangements for smoking taking into account risks to service users and staff and policies should be developed in this area. West House Care Home DS0000062946.V257428.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 West House Care Home DS0000062946.V257428.R01.S.doc Version 5.0 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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