Inspection on 14/02/07 for West View Lodge

This inspection was carried out on 14th February 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

West View Lodge 02/12/08

West View Lodge 03/02/06

West View Lodge 09/11/05

West View Lodge 15/12/04

West View Lodge 06/07/04

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 HOME MIXED CATEGORY MAJORITY OLDER PEOPLE West View Lodge 124a West View Hartlepool TS24 0BW Lead Inspector Mrs Sue Lowther Unannounced Inspection 14th February 2007 09:30 X10029.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 Lodge DS0000021754.V330775.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 and Care Homes for Adults 18 – 65*. 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 Lodge DS0000021754.V330775.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service West View Lodge Address 124a West View Hartlepool TS24 0BW 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) 01429 234929 01429 865210 West View Lodge Limited (wholly owned subsidiary of Four Seasons Healthcare) Mrs Beryl Anderson Care Home 74 Category(ies) of Dementia (17), Dementia - over 65 years of age registration, with number (42), Old age, not falling within any other of places category (15) West View Lodge DS0000021754.V330775.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd February 2006 Brief Description of the Service: West View Lodge is a purpose built two-storey home split into separate units. The home is registered to accommodate 57 older people and a further 18 places for younger adults between the ages of 45 and 65 years. The home provides a range of dining facilities and lounges and is situated on a shared site near the Headland of Hartlepool and is close to local amenities. The home surrounds a central garden area and there is a large car park for visitors. The fees charged are between £359 & £384, which does not include hairdressing, chiropody and personal toiletries. West View Lodge DS0000021754.V330775.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced. The visit to the home took place on the 14 February 2007. All of the key national minimum standards were inspected. The inspector spoke to people who use the service, staff and visitors to the home. A selection of records kept by the home was looked at. Prior to the inspection the home had completed a self-assessment document, which provided the Commission for Social Care Inspection (CSCI) with information to aid the inspection. Comments from the people consulted during the inspection are included throughout the report. What the service does well: What has improved since the last inspection? What they could do better: Some care plans had not been completed in sufficient depth to ensure that each resident gets the support and assistance that is needed. These would also benefit from having the weight of service users included so that any nutritional problems are identified immediately. The manager should undertake an N.V.Q. (National Vocational Qualification) Level 4 in care. West View Lodge DS0000021754.V330775.R01.S.doc Version 5.2 Page 6 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. West View Lodge DS0000021754.V330775.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) West View Lodge DS0000021754.V330775.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 3 (Older People) & Standard 2 (Adults 18-65). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessment procedures are in place to ensure that the home can meet the needs of the people who go to live there. The home does not provide intermediate care. Therefore assessment of Standard 6 (Older People) is not required. West View Lodge DS0000021754.V330775.R01.S.doc Version 5.2 Page 9 EVIDENCE: The manager said that she visits the prospective service user before admission to the home. The service user and their relatives are involved in this process. Five care plans examined showed that a comprehensive pre-admission assessment had been carried out. One service user said ‘I was given enough information before deciding to live at West View Lodge. The manager showed me round and told me everything I needed to know’. West View Lodge DS0000021754.V330775.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 & 10 (Older People). Standards 6, 9, 16, 18, 19 & 20 (Adults 18-65). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems are in place to ensure that health care needs of service users are met. Service users can be confident that their privacy and dignity is protected and that they are treated with respect. West View Lodge DS0000021754.V330775.R01.S.doc Version 5.2 Page 11 EVIDENCE: The manager said that all of the service users have care plans. Five were looked at during the inspection. Some of these were comprehensive and well written. However some had not been completed in sufficient depth to ensure that each resident gets the support and assistance that is needed. These would also benefit from having the weight of service users included so that any nutritional problems are identified immediately. A recent audit by the company also highlighted areas that could be improved and plans have been put in place to address the issue. Records examined showed that service users receive visits from other healthcare professionals. These include district nurses, doctors, and care managers. Medication systems were looked at during this inspection. The home uses a monitored dosage system. All of the medication was signed for on the medication administration records. Service users and relatives said that the staff are polite, friendly and treat people with respect. One relative said, “I am very happy with the staff who look after my brother’. Another said, “The staff are absolutely brilliant. They look after my husband well”. One service user said, “The care here is excellent. All staff are very helpful and nothing is a trouble. You just have to ask and you get anything you want”. All of the people spoken to confirmed that their privacy is maintained. West View Lodge DS0000021754.V330775.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 & 15 (Older People). Standards 12, 13, 15 & 17 (Adults 18-65). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The activities are varied and provide recreation for the people living in the home. Family and friends can visit the home at any time and are made to feel welcome. The meals are of a good standard. Menus are varied and service users are given a choice. West View Lodge DS0000021754.V330775.R01.S.doc Version 5.2 Page 13 EVIDENCE: The home employs an activities co-ordinator who organises activities that take place both inside and outside of the home. The indoor activities include crafts, indoor games, bingo, dominoes and parties. Outside activities are varied and include shopping trips and bus trips to both the seaside and the country. Outside entertainers visit on a regular basis. People confirmed that they are helped to exercise choice and control over their lives. One said “I can get up and go to bed when I want. I also have a shower when I want. I just ask the staff and they help me”. Another said, “I choose not to be involved in activities and I like to eat in my room. The staff always pop in to seem if I need anything”. Most of the people said that they liked the food and that a choice is always available. One service user said, “ The food is good and you get a choice. I don’t like sweets but I get extra savoury”. Another said, “ The food is excellent there is too much, I have put on too much weight”. Service users’ nutritional needs are considered and recorded in care plans. As previously mentioned these would benefit from the addition of a record of the service users weight. Specialist diets are provided where necessary. West View Lodge DS0000021754.V330775.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 & 18 (Older People). Standards 22 & 23 (Adults 18-65). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that their concerns and complaints are dealt with appropriately and that safeguards are in place to protect them from abuse. EVIDENCE: Information is available for service users and visitors to the home on how to make a complaint. Service users and families views are obtained through regular contact and an ‘open door policy’. Service users and relatives said that they feel confident in discussing any issues with the manager. One visitor said, “I can approach the l the manager when I have a problem and it is dealt with immediately.” One service user said, “I would tell the manager if I had a problem and I know she would sort it out”. Another said, “ The manager is not the boss, she is my friend and sorts everything out straight away”. West View Lodge DS0000021754.V330775.R01.S.doc Version 5.2 Page 15 There was one complaint recorded in the home since the last inspection. This was about the standard of personal care. The manager said that improvements had been made and that the complainant was pleased with the way it had been addressed. Training in adult protection is provided for all of the staff during their induction and is updated on a regular basis. This ensures the safety and protection of service users. West View Lodge DS0000021754.V330775.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19, 22, 24 & 26 (OP). Standards 24, 26 & 30 (YA). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean and well maintained. It is decorated and furnished to a good standard and provides a homely environment for the people who live there. West View Lodge DS0000021754.V330775.R01.S.doc Version 5.2 Page 17 EVIDENCE: The inspector looked around the home and found it to be light and airy. The communal areas of the home were clean and service users confirmed that their bedrooms are always cleaned to a good standard. Service users said that they could take their own possessions into the home to make their rooms more pleasant and homely. There were no unpleasant smells apparent on the day of inspection. All of the people who returned questionnaires said that the home is always clean and fresh. West View Lodge DS0000021754.V330775.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 & 30 (Older People). Standards 32, 34 & 35 (Adults 1865). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are appropriately recruited, trained and in sufficient numbers to meet the needs of the people who live in the home. EVIDENCE: The home had staff files in place, which provided evidence that the appointment of new members of staff is made through proper recruitment processes. This includes the vetting of staff through the use of Criminal Record West View Lodge DS0000021754.V330775.R01.S.doc Version 5.2 Page 19 Bureau (CRB) checks, Protection of Vulnerable Adult checks (POVA) and written references. The staffing rotas were examined during the inspection. Staff felt that there are sufficient staff to meet the needs of the people who live in the home. There is a commitment at the home to having a trained workforce with 65 of staff having completed NVQ level two or three training in care. Training has also taken place in fire safety, health and safety, moving and handling and protection of vulnerable adults. Certificates to confirm this were seen in staff files. West View Lodge DS0000021754.V330775.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): West View Lodge DS0000021754.V330775.R01.S.doc Version 5.2 Page 21 Standards 31, 33, 35 & 38 (Older People). Standards 23, 37, 39 & 42 (Adults 18-65). Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be assured that the home is well managed and they are given the opportunity to comment on how the home is run. Policies and procedures are in place to safeguard their health, safety and wellbeing. EVIDENCE: The manager has several years experience in working with older people. She has completed an appropriate management qualification and has enrolled on a course to undertake an N.V.Q. (National Vocational Qualification) Level 4 in care. One member of staff said, “The manager is good, she is approachable and supportive”. Meetings are held every two to three months. Service users and families are welcome to attend. This gives people an opportunity to make their views about the home known. The company have introduced a new quality assurance survey, which will be made public. The manager said that the area manager carries out a quality assurance and monitoring visit on a monthly basis. This covers all aspects of care delivery and environmental issues. The administrator is responsible for the record keeping with regard to service user finances. The company audits these on a monthly basis to ensure that residents are protected. The manager confirmed that the home carries out regular health & safety checks. The inspector checked some of the records. Those viewed were up to date. There is evidence to confirm that accident records are duly completed and reviewed to detect any trend emerging in relation to an individual upon which remedial action is then taken. West View Lodge DS0000021754.V330775.R01.S.doc Version 5.2 Page 22 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 X 2 X 3 3 4 X 5 X 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 ENVIRONMENT Standard No Score 19 3 20 X 21 X 22 X 23 X 24 X 25 X 26 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 3 34 X 35 3 36 X 37 X 38 3 West View Lodge DS0000021754.V330775.R01.S.doc Version 5.2 Page 23 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. Standard OP7 Regulation 15 Requirement Some care plans need to be more comprehensive to ensure that each resident gets the support and assistance that is needed. Timescale for action 30/04/07 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. Refer to Standard OP7 OP15 OP31 Good Practice Recommendations Care plans would benefit from having the weight of service users included so that any nutritional problems are identified immediately. The manager should undertake an N.V.Q. (National Vocational Qualification) Level 4 in care. West View Lodge DS0000021754.V330775.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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. West View Lodge DS0000021754.V330775.R01.S.doc Version 5.2 Page 25 - 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. 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