Inspection on 31/08/05 for Westcliff Lodge

This inspection was carried out on 31st August 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Westcliff Lodge 21/06/07

Westcliff Lodge 27/06/06

Westcliff Lodge 10/02/06

Westcliff Lodge 17/01/05

Westcliff Lodge 24/09/04

Westcliff Lodge 23/03/04

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Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Westcliff Lodge 118/120 Crowstone Road Westcliff on Sea Essex SS0 8LQ Lead Inspector Ron Reeves Unannounced 31 August 2005 st 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 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. Westcliff Lodge I56-I06 S15483 Westcliff Lodge V241555 310805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Westcliff Lodge Address 118/120 Crowstone Road Westcliff on Sea Essex SS0 8LQ 01702 354718 01702 354718 Westclifflodge@aol.com Westcliff Lodge Limited Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Jacqueline Pinnock CRH Care Home 20 Category(ies) of OP Old Age (20) registration, with number DE (E) Dementia - over 65 (3) of places Westcliff Lodge I56-I06 S15483 Westcliff Lodge V241555 310805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The home may accommodate up to twenty old people of either sex, three of whom may fall within the category of Dementia. Date of last inspection 17th January 2005 Westcliff Lodge I56-I06 S15483 Westcliff Lodge V241555 310805 Stage 4.doc Version 1.40 Page 5 Brief Description of the Service: Westcliff Lodge is situated in a residential area of Westcliff on Sea. It is located within reasonable walking distance of all local community services and facilities. Westcliff main line railway station and the seafront are close by. The resort of Southend on Sea is easily available. Westcliff Lodge is registered to provide care for twenty elderly people, no more than three of whom may be suffering from dementia. The home provides sixteen single and two double rooms. All bedrooms, except for one single, have en suite facilities. There are two lounges and a conservatory, parking to the front, and a rear garden for residents to use. The accommodation is on two floors; a passenger lift provides access. Westcliff Lodge I56-I06 S15483 Westcliff Lodge V241555 310805 Stage 4.doc Version 1.40 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection, which took place on the 31 August 2005, lasting for six hours. The inspection process included discussions with the manager and senior carer, six residents, three staff, three visiting residents, a tour of the building, inspection of a couple of policies, procedures and records. What the service does well: 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. Westcliff Lodge I56-I06 S15483 Westcliff Lodge V241555 310805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Westcliff Lodge I56-I06 S15483 Westcliff Lodge V241555 310805 Stage 4.doc Version 1.40 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 standard(s) 1-5 The admission process is well managed by the home. Prospective residents and their families are given adequate information about the home to make an informal choice. EVIDENCE: The home has an appropriate statement of purpose and service users guide, providing comprehensive information on the home. Copies were seen in residents’ bedrooms. Appropriate contracts of residence were in place for each resident. Pre-admission assessments are carried out by the manager to ensure the home can meet prospective resident’s needs. Prospective residents and their families are invited to visit the home before making a decision. This was confirmed by visiting relatives. Westcliff Lodge I56-I06 S15483 Westcliff Lodge V241555 310805 Stage 4.doc Version 1.40 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 standard(s) 7-10 Residents’ personal and health care needs are being met by the home and records provided good evidence of this. Residents are treated respectfully, maintaining their privacy and dignity. EVIDENCE: Care plans seen covered all residents assessed needs and contain comprehensive risk assessments. There was evidence that residents and/or their families were involved in drawing up the care plans. Positive discussions were held with the manager regarding further development to ensure greater clarity of information for staff to meet residents’ needs and to improve the daily records. Care plans evidenced that good use is made of the local health resources. Medication administration was seen to be well managed. The home should obtain information from their community pharmacist regarding shelf life of liquid medication after it is opened. Some residents choose to spend much of their life in their rooms and staff respect this. Staff were observed to knock and wait for replies before entering Westcliff Lodge I56-I06 S15483 Westcliff Lodge V241555 310805 Stage 4.doc Version 1.40 Page 10 residents bedrooms and were seen to speak to residents in a polite and respectful manner. Residents’ mail is treated confidentially. Westcliff Lodge I56-I06 S15483 Westcliff Lodge V241555 310805 Stage 4.doc Version 1.40 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 standard(s) 12-15 Daily routines were generally flexible. Residents are encouraged to participate in a wide range of activities provided by the home. The home provides a good quality and quantity of food, which provides a well balanced diet for the residents EVIDENCE: A social events calendar has been devised from suggestions made in the home’s quality assurance questionnaires. Although a wide range of activities are offered on a daily basis, staff are finding it difficult to stimulate some of the residents. The home has continued to develop interaction between staff and residents who have dementia and the manager is continuing to investigate relevant activities through various professional organisations. The home operates an open visitors policy. relatives. This was confirmed by visiting Residents and their families have personalised bedrooms with residents’ own possessions. Residents spoken with were complimentary regarding the quality and quantity of food provided. Westcliff Lodge I56-I06 S15483 Westcliff Lodge V241555 310805 Stage 4.doc Version 1.40 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 standard(s) 16-18 The home has appropriate policies, procedures and staff training in place in order to protect vulnerable adults. EVIDENCE: The home has a comprehensive complaints procedure. No complaints have been made to the home. Residents and relatives said they can raise any concerns they have with the manager and they are always sorted out. All the residents are included in the local voters register. One resident has an advocate and details of advocacy services are included in the service users guide. The home has appropriate policy and procedures regarding protecting residents from abuse. All the staff have attended training for the protection of vulnerable adults apart from two staff, who have recently started. Westcliff Lodge I56-I06 S15483 Westcliff Lodge V241555 310805 Stage 4.doc Version 1.40 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 standard(s) 19-26 The home provides a safe, well maintained environment that is accessible to the residents, is homely and meets individual needs. EVIDENCE: The home is well decorated and furnished to a high standard, which creates a comfortable and homely environment. There are adequate adapted bathrooms, showers and toilets to meet residents’ needs. All bedrooms apart from one have ensuite facilities. Bedrooms were seen to be well furnished and evidenced items brought in by residents. Systems are in place for checking the premises on a daily basis and any repairs required are undertaken by the home’s handyman. Residents spoken with were very happy with their bedrooms. The premises was seen to be clean and tidy throughout and odour free. Good hygiene practices are in place and an ozone disinfection system is supplied in the laundry. Westcliff Lodge I56-I06 S15483 Westcliff Lodge V241555 310805 Stage 4.doc Version 1.40 Page 14 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,30 Staffing levels and skills are appropriate to meet the needs of the service users. EVIDENCE: The home continues to meet the staffing arrangements agreed with the previous registering authority. These are one senior carer and two carers on each shift during the day and one awake and one sleeping in at nights. In addition a cook and a cleaner are employed. The home has recruited more permanent staff since the last inspection; however, there is still one vacancy, which is covered by agency staff. Staff receive a thorough induction programme, which is to the National Training Organisation standards. Staff are provided with a wide range of relevant training. However, none of the staff have achieved NVQ Level 2. Two staff are awaiting to commence training and NVQ Level 2. Staff spoken with were enthusiastic regarding the training they received and thought they had a good staff team. They confirmed that at present the staffing levels were sufficient to meet the residents needs. Residents commented that the staff were very good, kind and patient. Westcliff Lodge I56-I06 S15483 Westcliff Lodge V241555 310805 Stage 4.doc Version 1.40 Page 15 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31-33, 35-38 Staff within the home are well supervised and supported by the manager. Records required to protect residents were generally well managed and securely stored. Health and safety issues are well managed. EVIDENCE: The manager is very experienced in working with the elderly and has managed the home for over five years. The manager is supported by the responsible individual/proprietor. The manager is well regarded by the residents, relatives and staff. She tried to achieve NVQ Level 4 but the local provider withdrew the course. She has now elected not to undertake further training. She holds City and Guilds 3/25 Advanced Management in Care. She attends other training to update her skills. Records seen throughout the inspection were generally well maintained and stored in the office. The home looks after small amounts of residents’ personal money. These were seen to be well managed and recorded. Westcliff Lodge I56-I06 S15483 Westcliff Lodge V241555 310805 Stage 4.doc Version 1.40 Page 16 Staff receive regular supervision on a two monthly basis. The manager is aware of her responsibilities under the Health and Safety regulations. Daily safety checks are made of the building and weekly checks are in place for the fire prevention systems and the water taps. Safety Certificates were in place for all services and equipment. Westcliff Lodge I56-I06 S15483 Westcliff Lodge V241555 310805 Stage 4.doc Version 1.40 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 x 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 x x 3 3 3 3 Westcliff Lodge I56-I06 S15483 Westcliff Lodge V241555 310805 Stage 4.doc Version 1.40 Page 18 YES Are there any outstanding requirements from the last inspection? 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 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. 2. 3. 4. Refer to Standard 7 9 12 28 Good Practice Recommendations The home should continue to develop its care planning systems. The home should obtain the shelf life of liquid medication from the local pharmacist. The home should continue to develop the activities for its service users. A minimum of 50 trained members of care staff to achieve NVQ Level 2 or equivalent by 2005. Westcliff Lodge I56-I06 S15483 Westcliff Lodge V241555 310805 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend SS2 6BG 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 Westcliff Lodge I56-I06 S15483 Westcliff Lodge V241555 310805 Stage 4.doc Version 1.40 Page 20 - 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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