Inspection on 03/02/06 for West View Lodge

This inspection was carried out on 3rd February 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 Lodge 02/12/08

West View Lodge 14/02/07

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 HOMES FOR OLDER PEOPLE West View Lodge 124a West View Hartlepool TS24 0BW Lead Inspector Stephen Willcock Unannounced Inspection 11:00 3 February 2006 rd 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 Lodge DS0000021754.V267809.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 Lodge DS0000021754.V267809.R01.S.doc Version 5.0 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 75 Category(ies) of Dementia (18), Dementia - over 65 years of age registration, with number (57) of places West View Lodge DS0000021754.V267809.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home is registered to accommodate a total of 57 service users in the category (DE)(E) in the Marine, Jubilee and Victoria Units. A further 18 service users in the category DE aged 45 years to 65 years of age to be accommodated in the Jackson Unit. To allow the accommodation of one named service user over the age of 65 years in the Jackson Unit. 9th November 2005 Date of last inspection 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. West View Lodge DS0000021754.V267809.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on 3rd February 2006 over a period of 3 hours. During the inspection time was spent talking to service users, relatives, staff and management. A number of records were looked at and the grounds and building itself were inspected. Discussions with service users and their relatives found a high degree of satisfaction with the care provided and the rapport that had developed between themselves and the staff. Comments made by relatives suggested there were good communications between themselves and the manager. One relative said the manager was “very approachable” and addressed any issues they may have “promptly”. As the home was preparing to admit a number of new service users there was a lot of preparatory work being carried out in bedrooms and communal areas and it was noted that new furniture had been provided and that the manager had recently made arrangements to employ an activities co-ordinator. There were some areas that needed attention, as during this busy time, the cleaning of some dining tables and chairs had been overlooked. However, the home continued to be well managed and provided a homely, relaxed environment within a friendly atmosphere. What the service does well: As mentioned in the report, the home will soon be admitting a number of new service users from a nearby home that is closing. The manager demonstrated the processes involved in consulting with service users and their families, and in providing choice of rooms and décor to the new service users. Communication with families is very important at times of admission and it was apparent that this had been carried out in a dignified and welcoming manner especially as a large number of service users were to move into the home and each admission was to be carried out on an individual basis. West View Lodge DS0000021754.V267809.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 View Lodge DS0000021754.V267809.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 Lodge DS0000021754.V267809.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): 4 and 6 The home provides satisfactory information to ensure service users assessed needs can be met. EVIDENCE: The home was undergoing a transition to incorporate service users from a nearby care home and was currently carrying out work to ensure service users coming to the home were provided with suitable information about the accommodation and care offered. Consultation with current service users had been undertaken and individual meetings with service users and families at the nearby home were being carried out. The home did not provide intermediate care services. West View Lodge DS0000021754.V267809.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 and 10 The home ensures that health, personal and emotional care needs are met in a respectful and dignified manner. EVIDENCE: Care plans contained details of service users health needs and the action taken to provide care including access to specialist services of chiropody, opticians and GPs. The manager had started a system of care plan audit that also included audit of medication. In discussion, family members were positive about the care offered and commented their relative had been “rehabilitated by the time and patience spent by staff”. There was agreement between service users and family members spoken to, that staff at the home treated service users with dignity and respect. One family member said personal care was always provided in a dignified manner and good communication with the service user was maintained when carrying out these tasks. West View Lodge DS0000021754.V267809.R01.S.doc Version 5.0 Page 10 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): 14 and 15 Service users are helped to retain choice and control over their lives. Food served at the home meets service users needs. EVIDENCE: Service users are encouraged to maintain control over their lives as much as possible, making decisions about when to get up or go to bed and how to spend their day. Service users moving to the home were encouraged to choose which room to have, and how it was to be decorated and furnished. There are a number of dining areas at the home that are pleasantly decorated and furnished. In discussion, a service user said “the food is good” and “there are always alternatives available” West View Lodge DS0000021754.V267809.R01.S.doc Version 5.0 Page 11 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): 17 The home promotes and protects service users legal rights. EVIDENCE: In discussion, the manager said that service users families were encouraged to conduct their relative’s legal affairs if necessary, including voting in local and general elections by using the postal voting system if required. An advocacy service was available for service users to use and one service user had used the facility. West View Lodge DS0000021754.V267809.R01.S.doc Version 5.0 Page 12 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): 25 The home is safe and well maintained although attention is required to some areas. EVIDENCE: A number of bedrooms at the home were in the process of being redecorated and carpeted to meet the needs of new service users moving in from a nearby home. New chairs had been bought for lounge areas and further purchases were to be made. It was noted that in one dining room a broken chair was in place and tables and dining chairs needed cleaning. It was also noted that windows in the smokers lounge were heavily stained and needed cleaning. However as the home was preparing for a large number of new service users to be admitted and a lot of work was being carried to prepare vacant rooms it was accepted that the home was generally well maintained and in good order. West View Lodge DS0000021754.V267809.R01.S.doc Version 5.0 Page 13 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 Staff are trained and employed in sufficient numbers to meet service users needs. EVIDENCE: Staffing levels at the home remained constant, with many of the staff members being long serving. Training was continuing and the majority of staff had completed a course of study leading to NVQ2 in care. Other courses in subjects including Health and Safety, Infection Control and the Protection of Vulnerable Adults (POVA) had been carried out. West View Lodge DS0000021754.V267809.R01.S.doc Version 5.0 Page 14 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): 33 and 35 The home is run in the interest of service users. Satisfactory arrangements are in place to safeguard service users financial interests. EVIDENCE: The home is owned by Four Seasons, a large group with responsibility for many care homes. A line manager carries out quality assurance checks and audits during regular visits to the home. The home’s manager has also carried service user meetings and an accident analysis process to ensure the service users safety. Certificates of insurance were in place and were up to date. In discussion, a service user’s relative said they were always kept informed about developments at the home and about the service users care. The home manager and administrator regularly audits service users personal finances held on their behalf and ensure that service users financial interests are safeguarded. Service users families are encouraged to retain control of service users financial affairs. West View Lodge DS0000021754.V267809.R01.S.doc Version 5.0 Page 15 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 3 X 3 HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X X X X X X X 2 X STAFFING Standard No Score 27 3 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X X West View Lodge DS0000021754.V267809.R01.S.doc Version 5.0 Page 16 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. 1 Refer to Standard OP25 Good Practice Recommendations The manager should arrange for the removal of the broken dining chair, the cleaning of dining tables and chairs, and windows in the smoking lounges. West View Lodge DS0000021754.V267809.R01.S.doc Version 5.0 Page 17 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 View Lodge DS0000021754.V267809.R01.S.doc Version 5.0 Page 18 - 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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