Inspection on 21/06/05 for Westdene Residential Care Home

This inspection was carried out on 21st June 2005.

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 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

Westdene Residential Care Home 18/07/06

Westdene Residential Care Home 17/01/06

Westdene Residential Care Home 13/01/05

Similar services:

Springfield House

Sutton Lodge Nursing Home

The Shelley

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Westdene Residential Care Home 1 Rye Close Worthing West Sussex BN11 5EG Lead Inspector Gill Davis Unannounced Tuesday, 21 June 2005, 4.30pm, V222404 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. Westdene Residential Care Home H60-H11 S61453 Westdene V222404 240505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Westdene Residential Care Home Address 1 Rye Close, Worthing, West Sussex, BN11 5EG 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) 01903 247808 N/A Mr Mohammed Khalil Dulloo CRH 14 Category(ies) of OP-14 registration, with number of places Westdene Residential Care Home H60-H11 S61453 Westdene V222404 240505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13/01/05 Brief Description of the Service: Westdene is a Care Home registered to accommodate up to 14 service users in the category of OP (Old Age). The establishment is a large detached property, which has two rear extensions enclosing a small sunny courtyard. One of the extensions offers a conservatory, which provides a sitting area leading off from the dining room. There is a bathroom, which has an assisted bath and a shower situated on the ground floor. Single Bedrooms that are mainly of generous proportions are provided for the residents on two floors, a stair lift has been fitted to facilitate those with mobility problems access to the first floor. All bedrooms have ensuite w.c’s. and wash-hand basins. There is a large paved garden to the front, which offers a sunny aspect for service users to sit in the summer. Situated in a quiet cul-de-sac just off the sea front in Worthing, the home is approximately half a mile from the town centre with all its amenities. The Registered Provider is Mr M.K. Dulloo who also manages the home. Westdene Residential Care Home H60-H11 S61453 Westdene V222404 240505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first of the two inspections (minimum) that an inspector must make in a year. On this occasion this inspection was unannounced and took place at 8 o/clock in the morning, in order for the Inspector to see how the residents are helped to get up, and washed and dressed, where necessary. Where possible the opinions of the residents as to how well the home did this were sought. At the Inspector’s time of arrival the residents were enjoying breakfast in their bedrooms and the atmosphere was calm and unhurried. Later staff members supported the residents to bath and prepare themselves for the day ahead. As it was early in the day there were no visitors to the home during the inspection and phone calls to some of the residents’ relatives were made to obtain their opinions of the care home. The residents spoken to during the course of the inspection confirmed that they were satisfied with the care that they got. One person who had not been in the home long said when talking about settling in to her new surroundings ”everyone was extremely kind”. Another “ yes, quite good (the care) quite happy” Observation of the body language of those residents who were unable to give the inspector verbal opinions confirmed that they were content and comfortable with their surroundings and the carers supporting them. The staff members were seen to be discreet and deferential in their interaction with the residents. A tour of the home took place. Staff and care records were inspected as well as the Home’s Statement of Purpose, Service Users Guide and some of the Policies and Procedures. All of the staff on duty, and most of the residents were spoken to during the course of the inspection. Westdene Residential Care Home H60-H11 S61453 Westdene V222404 240505 Stage 4.doc Version 1.30 Page 6 What the service does well: What has improved since the last inspection? Since the last inspection the Manager has obtained copies of the Code of Practice for Social Care for all his staff members to help them to understand their responsibilities in their roles. A new policies and procedures manual has been introduced which includes a crises/emergency plan for the guidance of staff members. A new Quality Assurance questionnaire has been developed to provide the residents and their relatives, professionals and other visitors with the opportunity to comment on the care provided by the home. A new stair lift has been fitted to make it easier for those resident with mobility problems to move between the first and ground floor with ease. Westdene Residential Care Home H60-H11 S61453 Westdene V222404 240505 Stage 4.doc Version 1.30 Page 7 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. Westdene Residential Care Home H60-H11 S61453 Westdene V222404 240505 Stage 4.doc Version 1.30 Page 8 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 Westdene Residential Care Home H60-H11 S61453 Westdene V222404 240505 Stage 4.doc Version 1.30 Page 9 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) 1.3.5.6. All prospective residents, or their representatives, have a number of opportunities to make an informed choice about whether Hampton House can provide the care they need. Prior to admission a senior member of staff would undertake an assessment of need. Prospective service users, their relatives and friends have opportunities to visit and assess the suitability of the home. Intermediate care is not provided. EVIDENCE: Mr Dulloo has provided Westdene with a new, comprehensive Statement of Purpose and Service User Guide. A resident who had recently been admitted to the home confirmed that she had been given a copy. All prospective residents, their families and their Care Managers are given a copy at the time of enquiry and a copy has been given to the Commission for Social Care Inspection. Westdene Residential Care Home H60-H11 S61453 Westdene V222404 240505 Stage 4.doc Version 1.30 Page 10 There was evidence of a preadmission assessment of need, this was recorded in a central record book and the inspector pointed out to the manager that this information should be retained on each individual’s personal care file. Everybody concerned with the prospective resident is encouraged to visit the home as often as they like and a four-week trial period is used to allow the new resident to settle in and make sure that they are happy with the situation. Westdene Residential Care Home H60-H11 S61453 Westdene V222404 240505 Stage 4.doc Version 1.30 Page 11 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) 7.8.10. Residents or their relatives/representatives are involved with the drawing up of their care plans, which contain detailed information of how the care and health needs of the residents should be met. From evidence gathered it would appear that the staff group respect the privacy and dignity of the people living at Westdene. EVIDENCE: Where residents are not able to be involved with the drawing up of their care plans, then the residents relative or advocate would be involved. The manager has introduced a new form of care plan that records all essential information regarding the residents’ health, emotional and social care needs, including their lifestyle choices. All of the residents had a personal plan of care but much of the information was written in a central record book rather than on the individual’s proforma. Not all of the residents had full care histories this was due to the fact that the previous owners did not leave any information about the incumbent residents when the home was transferred to new ownership. Mr Dulloo is slowly acquiring information regarding those particular individuals. There was a full care plan for those people who have been admitted since the new owner has been in place. All of the residents spoken to Westdene Residential Care Home H60-H11 S61453 Westdene V222404 240505 Stage 4.doc Version 1.30 Page 12 confirmed that they considered that the staff members treated them with respect and observed their privacy. “They knock on my door before they come in but if I leave it ajar they know they can come in (without knocking) Westdene Residential Care Home H60-H11 S61453 Westdene V222404 240505 Stage 4.doc Version 1.30 Page 13 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) 12.13.14. When completed the new style care plans will contain a record of all the preferences and interests of the resident, which is facilitated by the staff group. Contact with friends, relatives and local community ties are encouraged. The home undertakes appropriate consultation with the residents. EVIDENCE: All residents, relatives and friends were very complimentary about the staff group and the care that they or their relatives received. It was confirmed that the home facilitates opportunities for the residents to maintain their friendships and family ties. When asked the residents said that they were, in the main, content to continue with the quiet pursuits that they favoured such as reading and watching television. One resident was able to walk to the Marine Gardens next door and watch the Bowls matches. Regular Saturday meetings give the residents the opportunities to contribute to the decision making process. The inspector was able to sample the meal of the day and found it to be tasty. Westdene Residential Care Home H60-H11 S61453 Westdene V222404 240505 Stage 4.doc Version 1.30 Page 14 The residents had complained that all the food tasted the same and when the cook was told this he resigned. The home has had difficulty in filling the cook vacancy and Mrs Dulloo has been cooking the meals. Without exception all of the residents said that there had been a big improvement. Westdene Residential Care Home H60-H11 S61453 Westdene V222404 240505 Stage 4.doc Version 1.30 Page 15 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 residents or their representatives are sure that they can trust the home to protect them as far as possible from bad practice and unacceptable behaviour from others. EVIDENCE: Many of the residents would be able to complain and those spoken to were quite clear as to how to make a complaint if they needed to. The home has policies and procedures in place to ensure that action is taken if a resident or their representative was worried and a complaint book is provided to record any issue that might arise. The home has clear instructions for staff members as to what to do if abuse of a resident is suspected. The members of staff that were spoken to were aware of the correct procedure regarding the Protection of Vulnerable Adults (POVA) but had not been given any formal training in POVA. The recruitment files examined showed that all the checks to ensure proper security screening on all applicants had been carried out on those members of staff recruited since the home has changed ownership. Westdene Residential Care Home H60-H11 S61453 Westdene V222404 240505 Stage 4.doc Version 1.30 Page 16 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) 19.24.25.26. The home provides homely surroundings. It is mostly decorated and furnished to a reasonable standard and regular maintenance ensures the safety of the residents. As well as a choice of communal day space it provides each resident with an en-suite single room that has been furnished to meet their wishes and needs. There was a good standard of cleanliness. EVIDENCE: During the course of the inspection the majority of rooms were visited to make sure that the environment was safe and comfortable for people who live there. It was seen that many residents had brought personal possessions into the home, including small items of furniture, ornaments and photographs. On the day of inspection, Westdene was clean, and free from offensive odours. Westdene Residential Care Home H60-H11 S61453 Westdene V222404 240505 Stage 4.doc Version 1.30 Page 17 Risk assessments regarding the safety of the building were in place. Policies and procedures were available for staff about the control of infection, and the safe disposal of clinical waste. Westdene Residential Care Home H60-H11 S61453 Westdene V222404 240505 Stage 4.doc Version 1.30 Page 18 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) 27.29.30. Westdene has an adequate number of staff members with appropriate training and skills to provide competent care to the residents at all times. There are robust recruitment procedures in place. EVIDENCE: A random selection of staff files was looked at including the most recently appointed member of staff. All the required security checks had been carried out and evidence of identity and qualifications were available. All the evidence regarding training undertaken and security checks was available but not easily to hand due to the fact that the personal files had not been collated to contain all information regarding the individual. Appropriate induction training had been undertaken with the newest members of staff. Other in-house training in service related topics had been undertaken by the remaining staff members. The Manager is undertaking the Registered Managers’ Award. The rota demonstrated that there was an adequate number of staff on duty at all times. Westdene Residential Care Home H60-H11 S61453 Westdene V222404 240505 Stage 4.doc Version 1.30 Page 19 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) 31.35.38. Residents 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 responsibilities fully. Systems are in place to protect and safeguard the residents. EVIDENCE: The registered manager has the skills and competence to discharge his responsibilities fully. He is undertaking the Registered Managers Award currently. Policies and procedures are in place to ensure the smooth running of the home. Arrangements have been put in place to make sure that each individual or their representative manages their own finances. The manager facilitates one person to deal with his own finances and all records relating to that person were in order. Westdene Residential Care Home H60-H11 S61453 Westdene V222404 240505 Stage 4.doc Version 1.30 Page 20 Records are in place that evidence that the health and welfare of the residents is safeguarded, this is further reinforced by the policies and procedures that have been introduced by Mr Dulloo for the guidance of staff members together with the Health and Safety training that the staff members have had. Westdene Residential Care Home H60-H11 S61453 Westdene V222404 240505 Stage 4.doc Version 1.30 Page 21 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 N/A 3 N/A 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 N/A 10 3 11 N/A DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 N/A COMPLAINTS AND PROTECTION 3 N/A N/A N/A N/A 3 3 3 STAFFING Standard No Score 27 3 28 N/A 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 N/A 2 3 N/A N/A N/A 3 N/A N/A 3 Westdene Residential Care Home H60-H11 S61453 Westdene V222404 240505 Stage 4.doc Version 1.30 Page 22 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. 2. Standard 7 17 Regulation 15 37 Requirement The registered provider must provide individual written care plans for each resident The registered person must provide individual files for each member of staff to include that information as specified in Schedule 4 of the Care Standards Act 2000 The registered person should provide training in the protection of vulnerable adults to all staff members. Timescale for action August 30th 2005. August 30th 2005 3. 18 18.c.i. Action plan to be provided by August 30th 2005 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 Good Practice Recommendations Westdene Residential Care Home H60-H11 S61453 Westdene V222404 240505 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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 Westdene Residential Care Home H60-H11 S61453 Westdene V222404 240505 Stage 4.doc Version 1.30 Page 24 - 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. 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