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Inspection on 09/11/05 for West View Lodge

Also see our care home review for West View Lodge for more information

This inspection was carried out on 9th November 2005.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home does well at maintaining contact and communication with relatives, involving them in all aspects of their family members care and in providing current information about the home and the parent organisation through a newsletter. There is a high emphasis on treating service users with dignity and respect and ensuring that their needs are met. Visitors to the home and service users that were spoken to said, the home was clean and they were always welcomed and treated with respect.

What has improved since the last inspection?

Since the last inspection the manager has worked hard to meet the requirements and recommendations made at the last inspection. Several new carpets have been laid where required and issues with documentation raised at that inspection have been resolved.

What the care home could do better:

During the inspection the issue of activities offered at the home was raised by service users and visitors to the home. Currently the home did not have an activities co-ordinator and therefore care staff were carrying on this role. The home accommodates a number of younger adults who felt that they needed a more social activity than they were currently receiving. The manager said an activities co-ordinator would be employed to fill the vacant position and it was suggested that the younger service users would benefit from activities appropriate to their age and interests.

CARE HOMES FOR OLDER PEOPLE West View Lodge 124a West View Hartlepool TS24 0BW Lead Inspector Stephen Willcock Unannounced Inspection 9th November 2005 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 Lodge DS0000021754.V262873.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.V262873.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.V262873.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. 15th December 2004 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.V262873.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 9th November 2005 over a period of 5 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 satisfaction with the care provided and the rapport that had developed between themselves and the staff. Comments made by relatives suggested that the communication between the manager and relatives had improved and was good and that the staff are “always caring, patient and hard workers”. Service users comments were also favourable although service users and visitors commented that there was not enough activity arranged as currently there was no activity co-ordinator. There was a general agreement that the home offered a comfortable and happy atmosphere with good care. What the service does well: What has improved since the last inspection? Since the last inspection the manager has worked hard to meet the requirements and recommendations made at the last inspection. Several new carpets have been laid where required and issues with documentation raised at that inspection have been resolved. West View Lodge DS0000021754.V262873.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 Lodge DS0000021754.V262873.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.V262873.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): 1, 2, 3 and 5 Information on which to base the decision to stay at the home and contracts of terms and conditions were available. Admission to the home was arranged after an assessment process had been carried out and visits to the home are encouraged. EVIDENCE: Service users and their representatives have access to copy of the home’s Statement of Purpose and Service User Guide. The documents contained specific information about the home and the care and accommodation offered. A Statement of terms and conditions or contract between the home and the service user had recently been updated and were being prepared for each service user. Records for each service user contained care management assessments and the homes own assessment carried out prior to admission to the home. West View Lodge DS0000021754.V262873.R01.S.doc Version 5.0 Page 9 The manager demonstrated that prospective service users and their families could visit the home at any time before making the decision to live there. West View Lodge DS0000021754.V262873.R01.S.doc Version 5.0 Page 10 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 and 9 A system of care planning for individual service users is in place at the home. The administration and handling of medicines is satisfactory. EVIDENCE: Individual care plans for each service user were in place with evidence of regular review being carried out. Currently none of the service users had expressed a wish to be in control of their medication. A policy on self-medication was available at the home that included the process of risk assessment that would be carried out should a service user wish to self-medicate. Medication records held by the home were found to be accurate and appropriately held. West View Lodge DS0000021754.V262873.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 and 13 The home needs to address the issue of appropriate activities to specific service user groups. Visitors are welcomed at the home at any time. EVIDENCE: In discussion, service users and visitors to the home generally felt that there was not enough appropriate activities provided due to the home not currently having the services of an activities co-ordinator. The manager said that this was to be addressed and was looking forward to the employment of someone to fill that role. The home also provides accommodation for younger people who said they did not have activities that were of interest to them and would like more social outings. The manager said the home had arranged opportunities for social outings and that these were not always well attended. It was advised that the younger service user group required activity that was different from those provided to an older service user group. In conversation with service users and relatives it was found that visitors to the home were encouraged to visit their relatives at any time. One visitor to the home said the home was “very clean and the staff are very nice” and she could always meet with her relative in private. West View Lodge DS0000021754.V262873.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): 16 and 18 The home has a satisfactory complaints system in place. Information relating to the protection of vulnerable adults was in use at the home. EVIDENCE: A complaints policy and procedure is in place at the home and made available to service users and their representatives. In discussion, service users confirmed they felt safe at the home and knew how to make a complaint. A visitor to the home said, “If I had a complaint I feel it would be treated seriously”. The home operates an Adult Protection policy linked to the Protection of Vulnerable Adults strategy “No Secrets”. It was noted that information was available at the home in a booklet form and had been prepared for staff. West View Lodge DS0000021754.V262873.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, 21, 24 and 26 The home provides safe, comfortable and clean surroundings. EVIDENCE: Observation of the home found it to be generally well maintained and pleasantly decorated. Communal areas were well used by service users and appropriately furnished and garden areas were pleasant. The home had recently appointed a handyman who was currently busy redecorating service users bedrooms to their chosen tastes. There are a number of toilets and bathrooms equipped with specialist bathing equipment, situated close to bedrooms and communal areas and in addition some of the service users bedrooms have en suite facilities. The home also has separate sluice facilities. Service users bedrooms were seen to be pleasantly decorated and contained furnishings that belonged to the service user. The manager said that there was some redecoration of the bedrooms taking place and that service users and West View Lodge DS0000021754.V262873.R01.S.doc Version 5.0 Page 14 their families had been involved in choosing the colour schemes. Some of the bedrooms had en-suite facilities provided. The home was clean, tidy and free from odour. West View Lodge DS0000021754.V262873.R01.S.doc Version 5.0 Page 15 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): 28, 29, and 30 The home provides staff with satisfactory training to do their jobs and carries out robust checks prior to employment at the home. EVIDENCE: Examination of staff files found evidence of satisfactory checks being carried out prior to the commencement of employment including Criminal Records Bureau checks and Protection of Vulnerable Adults checks. Recruitment to the home is conducted in accordance with the home’s parent company’s recruitment policy and followed laid down procedures. Staff training was ongoing and recent courses included dementia care, moving and handling, safe handling of medications and infection control in addition to study leading to the achievement of NVQ2 in care. Currently 64 of care staff had achieved the qualification and 6 more were to begin in the new year. West View Lodge DS0000021754.V262873.R01.S.doc Version 5.0 Page 16 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): 31, 32 and 38 The management arrangements at the home are satisfactory and Health and Safety is given full attention. EVIDENCE: The registered manager has been in post at the home since 2004 and has gained good experience within the role. Currently, the manager is studying for the Registered Managers Award and will shortly be starting study leading to NVQ4 in care. The manager was able to demonstrate her capabilities to carry out her duties with confidence and maintain a good rapport with service users, staff and visitors. In discussion, a relative commented that the manager always kept her informed about issues of their relatives care, and had a good attitude. In discussion, the manager explained that she encouraged all staff to be part of the care team and had enabled staff to take responsibility for care planning West View Lodge DS0000021754.V262873.R01.S.doc Version 5.0 Page 17 and the provision of care by delegation of tasks. Recently, the manager had received an award for being the ‘most helpful home manager’. The manager was able to demonstrate that as far as reasonably practicable the health, safety and welfare of service users, staff and visitors to the home were maintained. West View Lodge DS0000021754.V262873.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 3 3 3 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 3 X X 3 X 3 STAFFING Standard No Score 27 X 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 X X X X X 3 West View Lodge DS0000021754.V262873.R01.S.doc Version 5.0 Page 19 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 OP12 Good Practice Recommendations The manager should make arrangements for suitable activities to be offered that is appropriate to the age group of the service users. West View Lodge DS0000021754.V262873.R01.S.doc Version 5.0 Page 20 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.V262873.R01.S.doc Version 5.0 Page 21 - 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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