Inspection on 21/10/08 for Westbourne House Nursing Home

This inspection was carried out on 21st October 2008.

CSCI found this care home to be providing an Excellent service.

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

Westbourne House Nursing Home 24/10/06

Westbourne House Nursing Home 19/01/06

Westbourne House Nursing Home 13/09/05

Westbourne House Nursing Home 15/02/05

Westbourne House Nursing Home 08/09/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 27/02/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Westbourne House Nursing Home 379a Earl Marshall Road Sheffield South Yorkshire S4 8FA     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Stephanie Kenning     Date: 2 1 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 22 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 22 Information about the care home Name of care home: Address: Westbourne House Nursing Home 379a Earl Marshall Road Sheffield South Yorkshire S4 8FA 01142610016 01142442362 westbourne@palmsrow.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Marcella Wilkinson Type of registration: Number of places registered: Palms Row Health Care Limited care home 71 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Westbourne House is registered to provide nursing and personal care for 71 people with a range of medical and mental health needs. It is in the Fir Vale area of Sheffield, close to all local amenities. The home is based on 3 floors, a passenger lift is provided. A variety of communal areas are provided. The home is well maintained. Pleasant garden areas are provided with seating. The home has a car park. Copies of the last Commission For Social Care inspection reports were available for service users and their families to read. The weekly fees are available from the manager of the home. The home charges extra for chiropody, toiletries, clothing, telephone, holidays and hairdressing. 0 0 Over 65 20 51 Care Homes for Older People Page 4 of 22 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 3 Star. This means that the people who use this service experience excellent quality outcomes. The previous inspection on this service was completed on 23rd October 2006, when it was a 2 star/good service. Since then we did an Annual Service Review on 4th march 2008, where we looked at all the information we held about the home at that time, and decided that the home was still providing a good service. This was an unannounced key inspection carried out by Stephanie Kenning, Regulation Inspector, on 21st October 2008. The site visit took place between the hours of 9.30 am and 5.15 pm. The registered manager is Marcella Wilkinson who was present Care Homes for Older People Page 5 of 22 during the site visit. Prior to the visit the manager had submitted an Annual Quality Assurance Assessment (AQAA) which detailed what the home was doing well, what had improved since the last inspection and any plans for improving the service in the next 12 months. Information from the AQAA is included in the main body of the report. Questionnaires, regarding the quality of the care and support provided, were sent to people living in the home, the staff, and any professionals involved in peoples care. Five from people living at the home, five staff, and two professionals returned surveys to CSCI. On the day of the site visit opportunity was taken to make a partial tour of the premises, inspect a sample of case records, check records relating to the running of the home, and check some of the policies and procedures. time was spent observing and interacting with staff and people. The inspector checked all key standards and those standards relating to the requirements outstanding from the homes last key inspection in October 2006. The progress made has been reported on under the relevant standard in this report. The inspector wishes to thank the people living in the home, staff and relatives for their time, friendliness and co-operation throughout the inspection process. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 7 of 22 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 8 of 22 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assessed and assured that their needs can be met before choosing to live in the home. Intermediate care is not provided at this home. Evidence: People are assessed prior to admission to ensure that the home can meet their needs. This is carried out by a registered nurse and they use an assessment form that covers all the required areas so that people are assessed thoroughly. Sometimes people get to see the home before they make a choice, though if they are unwell or in hospital their relatives often make the choice on their behalf. People said that they were invited to look around and to stay for lunch. One person said that they chose the home because, the staff were approachable no matter how busy they were. Some people had brought a lot of personal items from home and felt more at home because they had their belongings with them. Care Homes for Older People Page 9 of 22 Evidence: Intermediate care is not provided at this home. Care Homes for Older People Page 10 of 22 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People have their needs met through the use of individual care plans, access to health care and safe medication practices. Evidence: People living at the home think that it is a very good home. One person with a relative in the home said My husband has been in three other homes, but Westbourne excels them all. The staff are first class quality, kind, caring and show compassion. When you are losing someone you love, you desperately need this for them. Another relative said His needs are addressed and any care and nursing information is passed on to me. People living at the home have a plan of care that meets the needs identified on the assessments. Each of the files examined had clear information about how that person needed support and these had been kept up to date. The staff write good detailed information about the care given each day, though not so much about the social and emotional events of the day. Specific requests or preferences, for example where Care Homes for Older People Page 11 of 22 Evidence: someone prefers a female carer, are recorded and followed. These show that people do get the required support for their personal and health care needs, including from visiting or other professionals. The registered nurses at the home manage the medication, and the systems are checked by both management and the local dispensing pharmacy. They do not use a monitored dose system as the nurses prefer to know exactly what they are giving as it helps to keep people safe. They have Medication Administration Records that are completed well, and have clear instructions and photographs on. These also help to keep things safe. There are good relationships with the GPs that visit, and they visit regularly and support the home as required. Comments from GPs surveyed were also very positive with one saying that the home does well in patient care, communication and end of life care. Another said that it is an excellent well run nursing home. Staff are offered training in practical subjects such as end of life care documentation, dementia, and pressure area care, demonstrating a commitment to further improve the care. Care Homes for Older People Page 12 of 22 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to live the life that they choose within their limitations. Evidence: People living in the home have the services of an activities co-ordinator who arranges a variety of events such as pie and pea suppers, coffee mornings, slide shows, visiting dance schools, and a church service. There are also sessions in small groups and on an individual basis, following peoples interests and hobbies, however because of the number of people in the home this leaves some people without anything for some time. Quite a number of people were noted to be sleeping in the communal areas during the day and this was not found to be due to medication. Some people said that this was what they enjoyed doing, other people did not realise they spent so much time asleep. People were given a choice in what time they got up, or went to bed, and where they wanted to sit, and some people were happily walking around taking note of all that was happening. Relatives stated that the home was welcoming, and the staff friendly, encouraging Care Homes for Older People Page 13 of 22 Evidence: them to be involved with their family, and to attend the social functions. The meals appeared well cooked and nutritious and people had a choice. They said that they enjoyed the meals, and relatives spoken to agreed that the meals were of a good standard. The home caters for a range of different diets, and some personal preferences. These preferences and needs were displayed in the dining rooms for staff to ensure people got the right meal, or right amount of sugar in their tea. Whilst it was a good tool for staff, the manager agreed to look at displaying the information more privately. Care Homes for Older People Page 14 of 22 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are protected by the policies and procedures of the home, and know that staff will listen to them and take action. Evidence: Complaints are taken seriously and dealt with fully and promptly by the manager, as seen in the relevant records. This means that action is taken to put things right when someone is not happy. People spoken to felt that the manager was very approachable and listened to what they were saying, and many people said that they could take a concern to any of the staff and feel confident that it would be dealt with. People are also protected by the procedures in place for safeguarding people and whistleblowing, that includes staff being trained in what to do when they see or hear something that may be abusive. There are also clear procedures in place for looking after individuals monies, and a sample of these were checked and found to be correct. Care Homes for Older People Page 15 of 22 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a suitable and comfortable environment for the people living there. Evidence: The home provides a pleasant and homely environment that is also clean, warm and tidy. The decor is well maintained and the building generally is in a good state of repair. People were pleased with their bedrooms and many had been personalised with items from their previous home or family photographs. There have been a number of areas of refurbishment including some new furniture, and a shower room on each unit to cater for those people who prefer this. One sluice room was being used to store wheelchairs preventing easy access to the facilities in there for staff to use. More suitable storage should be found. Care Homes for Older People Page 16 of 22 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People in the home are cared for by well recruited and trained staff. Evidence: People said that the staff were kind and caring and did their jobs well. The relatives confirmed this and one said everyone is very helpful, friendly and welcoming. Staff surveyed praised the support they get to do their jobs in particular the training available. Most people said that generally there were enough staff to do the job, but sometimes when a member of staff was ill it could be very busy. The rota shows that they do try to ensure there are sufficient staff on duty, and the manager discussed how the dependency of people in the home can affect the staffing levels. People are recruited to the jobs using safe procedures where they do checks to find out about their previous work history. Once employed staff do induction training and other relevant training including National Vocational Qualifications. More than 50 of the staff have achieved level 2 in care as required by the standards. A number of training courses were being offered to staff via the notice board displayed in the home, including end of life care documentation, dementia awareness, a person centered approach to dementia care, and pressure sores. This shows the commitment to developing the skills of the staff, particularly around physical care standards and caring for Elderly Mentally Infirm people. Care Homes for Older People Page 17 of 22 Evidence: Staff files also showed that staff were given supervision by a more senior person in order to develop their skills. Care Homes for Older People Page 18 of 22 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a home that is managed well for their benefit. Evidence: People said that the home was managed well by Marcella Wilkinson who is a Registered Nurse and has a relevant management qualification. People felt that she listened and was approachable. The records show that she is monitoring different aspects of the home and taking action when there are problems. She involves other members of staff in the monitoring so that they are aware of the standards to be achieved. There were no obvious hazards and action had been taken on all the requirements from the previous inspection. There are clear policies and procedures in place that are followed, and safe working practices have been implemented. Care Homes for Older People Page 19 of 22 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 20 of 22 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 26 Provide alternative storage for the wheelchairs that restrict access to the sluice. Care Homes for Older People Page 21 of 22 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 22 of 22 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!