Inspection on 05/01/06 for West View

This inspection was carried out on 5th January 2006.

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

West View 22/11/06

West View 22/08/05

West View 08/09/04

West View 07/04/04

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Queensmount

Poldhu

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE West View 72 Broad Park Road Bere Alston Yelverton Devon PL20 7DU Lead Inspector Philippa Cutting Unannounced Inspection 5th January 2006 10:00 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 View DS0000043014.V271953.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 View DS0000043014.V271953.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service West View Address 72 Broad Park Road Bere Alston Yelverton Devon PL20 7DU 01822 840674 01822 840684 enquiries@westview.me.uk www.westview.me.uk Peninsula Care Limited 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) Mr Trevor David Atkinson Care Home 28 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (28), of places Physical disability over 65 years of age (10), Sensory Impairment over 65 years of age (5) West View DS0000043014.V271953.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Service users to include up to 10 adults aged over 65 years with dementia (DE(E)). Service users to include up to 10 adults aged over 65 years with a physical disability (PD(E)). Service users to include up to 5 adults aged over 65 years with a sensory impairment (SI(E)). Service users to include up to 28 adults of old age (OP) Total number of service users not to exceed a maximum of 28. Date of last inspection 22nd August 2005 Brief Description of the Service: West View is a privately owned care home that provides care and accommodation for older people. It is situated in the village of Bere Alston and involves itself in village life as much as possible. Accommodation is available on three floors, the ground floor, first floor and lower ground floor, access between floors being provided by stairs and stair lifts. The majority of rooms are on the ground floor and have, therefore level access to the communal areas. Rooms are well presented and the registered provider has an on going programme to upgrade the accommodation and fit en suite facilities wherever possible. There is a choice of communal space, which includes a conservatory and outdoor patio for use in fine weather. The exterior is well maintained. There is a garden and greenhouse at the rear, available for anyone active enough who wishes to take an interest in this in fine weather. Car parking is available in front of the home. West View DS0000043014.V271953.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place between 10.0am & 4.15pm during the week. The premises were toured, service users greeted and asked for their views on their care. The responses were very positive. There were discussions with staff and records were examined but the main part of the inspection was spent in the lounge where a number of frailer service users sit, watching interactions between staff and service users. These were, in the main, good and carried out in a manner suited to a service user’s needs and understanding. The registered manager & care manager had other appointments arranged for the day. They continued with these whilst care staff ensured that the normal routines continued satisfactorily. What the service does well: What has improved since the last inspection? Work has been completed on the roof of the lounge. The finished result now has a solid structure with skylights that ensure good lighting levels. Redecoration has been on going when rooms have become vacant. A further extension to increase dining space is being contemplated. West View DS0000043014.V271953.R01.S.doc Version 5.0 Page 6 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 View DS0000043014.V271953.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 View DS0000043014.V271953.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): EVIDENCE: These standards were not inspected. West View DS0000043014.V271953.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): 7,8,9,10,11 Service users can feel assured that their health care needs will receive full attention. Frailer people who have difficulty in voicing their needs benefit from frequent attention and observation by staff. EVIDENCE: Service users’ health needs appeared to be well met by the local health centre. A number of people are from the village so they have been able to enjoy the continuity of retaining the same GP. Dressings and some treatments are provided by the community nurses. Advice is sought from the community psychiatric nurse if this need is indicated. Other health professionals or specialist appointments are made as needed. Each service user has a care plan with his or her care needs set out following assessment. These are reviewed regularly. Staff all contribute to the daily notes and have a handover when coming on duty. Medication is kept locked and administered only by staff who have undertaken training in the correct handling procedures. The medication administration record sheets were seen to be completed and it was recorded where a service West View DS0000043014.V271953.R01.S.doc Version 5.0 Page 10 user had opted to look after his or her own medication. This is monitored discreetly through the re-ordering process unless difficulties arise that cause the staff to intervene. Service users with whom the inspector spoke were satisfied with the care that they received. Comments such as ‘very good’, ‘caring’, ‘can’t fault it’ were expressed. A number of letters from relatives of people who had died indicated that they felt their relative had been cared for with kindness and dignity at the end of their life. Observations in the lounge showed that carers were patient with people who were sometimes muddled or seeking reassurance. There were two instances of talking over someone’s head but others where a carer had sat and spent sometime trying to interest a service user in an activity. (The care plan showed that this was part of that person’s assessed needs). Service users in this lounge were asked discreetly to accompany a carer to the toilet but some were then sat down in readiness for their lunch, with a bib on, for up to half an hour before the meal appeared. One person seemed to be puzzled as to why she had been asked to sit down for lunch when, in her time scale, no food appeared. When dinner arrived it was presented in a way that suited each person. Those who needed help with feeding were given assistance in a quiet and unhurried manner. If someone’s appetite had failed the food was removed and an alternative offered. Staff said that if people did not eat one meal they usually made up for it later when feeling hungrier. Drinks were offered and encouraged. West View DS0000043014.V271953.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 People are encouraged to remain as independent as possible. Social activities are arranged in order to encourage them to remain alert and interested in the their community. Activities are pitched at a various levels appropriate to the service users’ differing abilities. EVIDENCE: As stated the home has a programme of activities. It includes swimming trips and lunch outings as well as a film club. On the day of this inspection the Fellowship Group met in one of the small lounges. Leaders of the group were welcomed into the home. One service user said she was looking forwards to a visit to the National Aquarium in Plymouth at the end of the month. It was clear that people chose what activities they wanted to participate in and where people preferred to remain in their own room, this was respected. Comments about lunch for frailer service users have already been made. People who are more able and active are encouraged to come to the dining room as part of the social fabric of the day, although a number of meals are served in people’s rooms at their request. There is a choice of seating for West View DS0000043014.V271953.R01.S.doc Version 5.0 Page 12 lunch and staff try to put people in compatible groups. The meals were said to be good with a choice being offered. West View DS0000043014.V271953.R01.S.doc Version 5.0 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 the following standard(s): EVIDENCE: Other than noting that the home has a complaints procedure, these standards were not inspected on this occasion. West View DS0000043014.V271953.R01.S.doc Version 5.0 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 the following standard(s): 19,20,21,22,23,24,25,26 Service users live in pleasant surroundings that are kept clean and well maintained. Individual rooms are arranged to the service user’s satisfaction and there is a choice of communal space. Cleaning and maintenance are undertaken by staff whose specific role this is. EVIDENCE: The home is well maintained and the facilities offered have been improved over the last 2½ years since Mr Atkinson took over. Rooms were personalised as the occupant wished. Equipment to aid independence or prevent pressure areas was in use; the home’s wheel chairs were being serviced during the day and hoists and other handling devices were being competently used. The communal areas provide comfortable seating in warm surroundings. The care manger’s attention was drawn to two doors on the lower ground floor that had been fitted with ‘doorgards’. Wedges had been inserted under them. This invalidates their usefulness in the event of a fire and must not occur. West View DS0000043014.V271953.R01.S.doc Version 5.0 Page 15 The laundry was not inspected on this occasion but the home was seen to be clean and hygienic. Protective clothing is readily available. West View DS0000043014.V271953.R01.S.doc Version 5.0 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 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): 27,28,29,30 Service users are cared for by a team of staff, the majority of whom have worked in the home for a number of years. They were seen to be supportive of each other, caring towards the service users, and keen to take up training opportunities that are offered. EVIDENCE: The records of the two newest staff members were inspected and found to be in order. A training budget has been agreed and a programme is being discussed. Staff are encouraged to undertake National Vocational Qualifications and the majority have done so or are enrolled for the course. Staff said that the enjoyed their work, felt valued and this was one of the main reasons they stayed at West View. One commented that having worked in other homes, she felt the service users in West View were well looked after, as there were enough people to spend time with them. West View DS0000043014.V271953.R01.S.doc Version 5.0 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 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: The registered manager and care manager were both occupied with other pre arranged tasks on the day of this inspection so these standards were not inspected but the overall impression was of a well managed home run for the benefit of the people living there. West View DS0000043014.V271953.R01.S.doc Version 5.0 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. 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 X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 3 3 3 3 3 3 3 X STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X West View DS0000043014.V271953.R01.S.doc Version 5.0 Page 19 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 OP19 Regulation 23(4) Requirement Fire doors must not be wedged open. Timescale for action 16/01/06 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 West View DS0000043014.V271953.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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. 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