Inspection on 16/06/08 for Westbourne House
Also see our care home review for Westbourne House for more information
This inspection was carried out on 16th June 2008.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.
The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 6 statutory requirements (actions the home must comply with) as a result of this inspection.
Other inspections for this house
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
People have their needs assessed before they move into the home this made sure that the staff had the information they need to make a judgement about whether they can meet a persons needs. People are able to make decisions about their lives and are supported to take reasonable risk. This encourages an independent lifestyle. People took part in educational and occupational activity such as computer courses and attending daycentres for recreational activities. Shops, pubs and clubs were close by and people used them on a regular basis. This made sure they were part of the local community. People told us they were able to keep in touch with family and friends. The daily routines of the home included the people who lived there and people were aware of their responsibilities for helping around the home and supporting each other. People told us in the main they were happy with the meals provided. People were able to make drinks and had access to fruit biscuits and other light snacks that they could help themselves to. People spoke positively about the staff and of the care and support they received. There is evidence from what people told us and from records that people`s health care needs are met. People are offered personal and emotional support according to their needs. People told us they have someone to talk to if they have any complaints. People felt safe and staff had received training on safeguarding adults. This made sure that people were protected from harm and staff knew what to do if an allegation of abuse was made to them. The home was reasonable maintained. Since the last inspection lounge and dining areas had been redecorated. The manager said there was a maintenance plan in place that included refurbishment of the bathroom and redecoration and replacement of furniture in people`s bedrooms. Procedures used to recruit staff made sure people were protected from harm. Staff told us they worked well as a team and they received training to help them understand the individual needs of the people they supported. People using the service and the staff spoke positively about the manager and of the way the home was run. People were consulted and asked to comment on the service and encouraged to suggest ways of how the service could be improved.Westbourne HouseDS0000060015.V364929.R01.S.docVersion 5.2Page 7There were procedures in place to make sure the home is run in a way that promoted the health and safety of the people using the service and of the staff.
What has improved since the last inspection?
Since the last inspection the care plan format has been reviewed and the records show that care plans are now updated monthly. The people using the service told us they are involved in updating their plan of care. Care plans in the main included risk assessments and these were updated at the same time as the care plan. The was an where risk had been identified but a risk assessment was not in place. This meant that staff did not have written details of how to reduce risk and what action to take. Some improvement had been made with the daily recording of care given in relation to peoples needs as stated in their care plan. Further improvement was needed regarding report writing. A lockable cabinet was now provided for storage of controlled drugs. There was a fire risk assessment in place and staff had received training on fire safety. People using the service were able to tell us the action they would take if they heard the fire alarm.
What the care home could do better:
Records made following the review of care plans need to include the opinions and comments of the person using the service. Where incidents happen which highlight a risk to people using the service a risk assessment must be completed detailing the action to be taken by staff. Records of complaints must be kept detailing the complaint and the action taken. Improvements have been made to the standard of daily recordings of care given however this needs to be further developed. The medication procedures must include the recording of all medication received into the home and details of when new stock is commenced. Staff must make sure that people using the service sign for any money given to them and a second staff member witnesses this.