Inspection on 02/03/06 for Westerlands Care Centre

This inspection was carried out on 2nd March 2006.

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 but made no statutory requirements on the home.

Other inspections for this house

Westerlands Care Centre 29/01/09

Westerlands Care Centre 30/01/07

Westerlands Care Centre 12/09/05

Westerlands Care Centre 08/03/05

Westerlands Care Centre 30/09/04

Westerlands Care Centre 16/03/04

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Snydale Care Home

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Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Staveley Birk Leas Nursing Home

Carentan House

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

CARE HOMES FOR OLDER PEOPLE Westerlands Care Centre Elloughton Road Brough East Yorkshire HU15 1AP Lead Inspector Sarah Sadler Unannounced Inspection 2nd March 2006 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 Westerlands Care Centre DS0000000959.V285482.R01.S.doc Version 5.1 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. Westerlands Care Centre DS0000000959.V285482.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Westerlands Care Centre Address Elloughton Road Brough East Yorkshire HU15 1AP 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) 01482 667223 01482 667223 Prime Life Limited Mrs Alice Bott Care Home 35 Category(ies) of Dementia - over 65 years of age (35), Old age, registration, with number not falling within any other category (35), of places Physical disability over 65 years of age (35), Terminally ill over 65 years of age (35) Westerlands Care Centre DS0000000959.V285482.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th September 2005 Brief Description of the Service: Westerlands Care Centre is a large house situated in its own spacious grounds in a residential area of the village of Brough. The village itself has numerous shops, a train station and is adjacent to a motorway. Accommodation is provided over 3 floors serviced by a lift. Prime Life Ltd owns the home. The home may provide residential and nursing care for up to 35 people of either sex, who may also suffer with dementia, a physical disability or terminal illness. Service users’ health and personal care needs are met with access to other professionals, for example the chiropodist, as necessary. Westerlands Care Centre DS0000000959.V285482.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was undertaken over four hours by one inspector, with a previous one hours preparation time. The inspection was part of the annual inspection programme from April 1st 2005 to March 31st 2006. During the inspection a tour of the premises was undertaken, service users and a relative were spoken to. Some time was spent with service users, observing their everyday life. Service user files and other records within the home were read. What the service does well: What has improved since the last inspection? What they could do better: All service users should be provided with written details of the terms and conditions for living in the home. This provides opportunity for reflection and questioning, assisting them to be clear about their rights within the home. Westerlands Care Centre DS0000000959.V285482.R01.S.doc Version 5.1 Page 6 An electrical wiring check should be undertaken to ensure that the wiring within the home meets the up to date requirements, as recommended by the Health and Safety Executive. Ensuring that service users health and safety is fully protected. 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. Westerlands Care Centre DS0000000959.V285482.R01.S.doc Version 5.1 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 Westerlands Care Centre DS0000000959.V285482.R01.S.doc Version 5.1 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): 2 Service users receive information regarding their rights whilst residing in the home. EVIDENCE: The registered manager confirmed that upon admission to the home, the ‘head office’ provides a contract to each service user. For self-funding service users this includes a copy of the terms and conditions for living in the home. Other service users receive a copy of the agreement between the home and the Local Authority. The registered manager then discusses the terms and conditions of residing in the home with the service user, but service users do not receive a written copy of this information. Westerlands Care Centre DS0000000959.V285482.R01.S.doc Version 5.1 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 the following standard(s): 7 Service users are provided with plans of care to help ensure that their needs are met. EVIDENCE: Of the service user files examined two contained a detailed care plan outlining the needs of the service user and how these needs were to be met within the home. A third file for a service user receiving respite care did not include a care plan or the details of why they were staying within the home. The registered manager explained that this person had been known to the home for a long period of time and had accessed the home as an emergency placement for pain management only, and that there were records relating to this need kept with their medication records. This person completed their stay and left the home at the time of the inspection. A further file for another service user receiving respite care did include a plan of care. The registered manager confirmed that she would ensure that all service user files include a full and detailed plan of care, even when the person is known to all staff. Westerlands Care Centre DS0000000959.V285482.R01.S.doc Version 5.1 Page 10 The visiting professional commented, “ I know any client I have here will have their needs met. If there are any mental health needs, the home will contact me and take on board any advice I give them”. Westerlands Care Centre DS0000000959.V285482.R01.S.doc Version 5.1 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): 13,15 Service users continue to be able to have visitors, as they would wish. Service users dietary needs are met. EVIDENCE: Service users confirmed that they are able to have visitors at anytime and that visitors are made welcome and may stay as long as they wish. A visiting professional confirmed that there are often visitors in the home and visitors were observed throughout the inspection. Service user comments included; “ Yes I have visitors, one is an old friend, and the others are ex neighbours”. “Yes, my family visit, they came the other day and they keep in touch, they ring up.” “ They can come anytime they want, they came on Sunday night”. “My daughter visits every day, she just signs in and there are no restrictions.” Another visitor confirmed, “ My mum comes every day, I come on certain days and my brother also visits”. “ The grandchildren visit and are able to have sponge and custard while here and play dominoes”. Service user confirmed that they are happy with the food provided by the home. One service user commented when asked if they were happy with the food, “ Oh, aye, I put weight on and am on a diet now, I have meat and veg Westerlands Care Centre DS0000000959.V285482.R01.S.doc Version 5.1 Page 12 for dinner and a salad for tea, I am fine”. Another service user commented, “ I have not had a bad meal yet”, The relative confirmed; “ The food is good. The girls know that he has lots of custard so his food is quite moist.” At lunchtime the tables were set with tablecloths and condiments. Service users were supported in choosing their first course of minestrone soup and staff the checked if this was to their liking. The main course was well presented, with aids to support people with the eating of their meal, for example plate guards. The registered manager confirmed that as part of staff supervision sessions how to meet service user needs is discussed. This includes how to correctly support someone with the eating of their meal. Staff training notes included details of supervision sessions, which addressed the meeting of needs. Westerlands Care Centre DS0000000959.V285482.R01.S.doc Version 5.1 Page 13 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): 16,18 Service users are protected from abuse and are able to raise any concerns they may have regarding the home. EVIDENCE: There continues to be a complaints procedure on display within the home, which details how to make a complaint, and the timescales for response. There are also the contact details of the commission should the complainant wish to refer the complaint. There is a complaints log, with no complaints being received since 2003. Alongside of this log is a compliments log, which has numerous notes and letters of thanks from relatives and friends of service users. This contains both old and recent entries. There is a copy of the Local Authorities procedure ‘ The Protection of Vulnerable Adults’ held within the home. There are new booklets regarding both ‘No Secrets’ and ‘Abuse’, which are handed to all staff upon commencement of employment to ensure that staff are fully aware of the issues of abuse. The registered manager confirmed that in addition to receiving this booklet the issues are discussed with the staff member. Westerlands Care Centre DS0000000959.V285482.R01.S.doc Version 5.1 Page 14 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 Service users live in a comfortable home. EVIDENCE: The home continues to be very comfortable and relaxing, with no unpleasant aromas noted. It is well maintained, with separate lounge and dining areas. Service users are able to personalise their own rooms, for example with photographs of their family and friends. Westerlands Care Centre DS0000000959.V285482.R01.S.doc Version 5.1 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): 28,30 Service users are supported by a staff team who are, on the whole, well trained. EVIDENCE: Staff training in fire and food hygiene was being completed in the home on the day of the inspection. Staff training files reflected that staff have undertaken a variety of training which, included food safety, COSHH and first aid. The registered manager confirmed that staff are trained in supporting people with dementia as part of their supervision sessions. Staff supervision notes reflected that staff have been supported in ‘meeting peoples needs’. Staff are all issued with a ‘No secrets’ and ‘Adult protection’ booklet upon commencement of work at the home. The registered manager confirmed that of the 12 carers in the home, 5 have completed the National Vocational Qualification (NVQ) level 2 in care and a further 6 are in the process of completing this. One service user commented, “The night staff in particular are fantastic… they couldn’t be more helpful”. Westerlands Care Centre DS0000000959.V285482.R01.S.doc Version 5.1 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): 31,35,38 The home is well managed and service users are supported with their finances. Service users’ safety needs are on the whole met. EVIDENCE: The registered manager has managed the home for a number of years and continues to be experienced in this role. She is a registered nurse and also holds both a degree in nursing and the Registered Managers Award. They continue to update their skills by attending a professional group that invites speakers, for example regarding Multiple Sclerosis. And attend further related training, for example, medication. The registered manager confirmed that there is a person within Prime Life Ltd who is currently being trained to complete the 5 year electrical wiring certificate within each home. Westerlands Care Centre DS0000000959.V285482.R01.S.doc Version 5.1 Page 17 Individual finance records are kept for service users, with receipts for all expenditure. Communal receipts are not now used. The registered manager confirmed that door wedges continue to be in use in the home. This is for service users’ rooms only. One service user confirmed that they had signed a disclaimer regarding the associated risks in the event of a fire. Further advice was sought from the local fire brigade regarding this and the registered manager acted upon this advice agreeing to cease the use of fire doors immediately. The fire officer is to visit, when agreement would be made on the type of devices, which could be used to hold open doors. The fire risk assessment was completed in 2004 and the registered manager was advised by the local fire authority that any changes should be added as amendments. This has been completed with the last entry being in January 2005. A representative of the local fire authority confirmed that at the last inspection the home had met the fire safety requirements. Staff call points are now working. Westerlands Care Centre DS0000000959.V285482.R01.S.doc Version 5.1 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 X 2 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 4 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X X STAFFING Standard No Score 27 X 28 2 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X 1 Westerlands Care Centre DS0000000959.V285482.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? Yes 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 OP38 Regulation 13,23 Requirement The registered person must ensure that doors are held open by authorised means only. Timescale for action 03/03/06 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 OP2 Good Practice Recommendations The registered provider should ensure that all service users are issued with a written copy of their contract and/or statement of terms and conditions for residing in the home. The registered person should ensure that 50 of the staff team are trained to NVQ level 2 or equivalent by 2005. The registered provider should ensure documentary evidence that the electrical wiring within the home meets the appropriate requirements. This recommendation has been brought forward from the last inspection with a previous timescale of 30/11/04. 2 3 OP28 OP38 Westerlands Care Centre DS0000000959.V285482.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Westerlands Care Centre DS0000000959.V285482.R01.S.doc Version 5.1 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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