Inspection on 07/11/05 for Westfield

This inspection was carried out on 7th November 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 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

Westfield 11/07/06

Westfield 05/07/05

Westfield 12/02/05

Westfield 05/08/04

Westfield 28/02/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Byars Care Home

St Marys Nursing Home

Jubilee Villa Care Home

Bramble Lodge

Parkmanor Residential Home

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

CARE HOMES FOR OLDER PEOPLE Westfield 34 Sleaford Road Boston Lincs PE21 8EU Lead Inspector Kima Sutherland-Dee Unannounced Inspection 10:00 7 November 2005 th 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 Westfield DS0000002474.V264799.R01.S.doc Version 5.0 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. Westfield DS0000002474.V264799.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Westfield Address 34 Sleaford Road Boston Lincs PE21 8EU 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) 01205 365835 Mr Abdul Kachra Mrs Diane Bensusan Care Home 32 Category(ies) of Learning disability (1), Learning disability over registration, with number 65 years of age (1), Old age, not falling within of places any other category (29), Physical disability (1) Westfield DS0000002474.V264799.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Condition of Registration A condition of registration is that the service user under the category of Learning Disability (LD) should be aged 57 or over and that the service user under the category of Physical Disability (PD) should be aged 44 or over. 5th July 2005 Date of last inspection Brief Description of the Service: Westfield Residential Home is a two storey detached building with a purpose built extension to the rear. It is situated in the market town of Boston and is a short walk from the shops and local facilities. The accommodation in the older part of the building is in 10 single and three double rooms and in the extension there are 15 single rooms with en-suite facilities. There is car parking to the front of the home and a courtyard garden to the rear. The home is registered to provide care for up to 32 Service Users, one of those having a learning disability and one being under the age of 65 years with a learning disability. On the day of the inspection 23 service users were resident. The homes aim is ‘ To provide exceptional care and comfort to residents’. Westfield DS0000002474.V264799.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. What the service does well: What has improved since the last inspection? What they could do better: The home could continue to improve the older side of the home by replacing worn furniture and upgrading the bathroom. The manager needs to arrange staff training in the protection of vulnerable adults and to attend training himself or herself that updates their skills and knowledge. Westfield DS0000002474.V264799.R01.S.doc Version 5.0 Page 6 The statement of purpose and service user guides need to be made available as soon as possible as there has been a long delay in publishing these documents. 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. Westfield DS0000002474.V264799.R01.S.doc Version 5.0 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 Westfield DS0000002474.V264799.R01.S.doc Version 5.0 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): 1,2,3,4,5 Prospective residents do not have the written information they need to make an informed choice about the home, but if they move there they or their relatives are given clear contracts. The home does ensure that prospective residents are made welcome and that they can spend time there before making a decision. EVIDENCE: A copy of the draft statement of purpose was faxed from head office during the inspection. The manager stated that they had worked on an individualised copy for Westfield but this had been replaced from head office. This had not been made available to the residents or prospective residents despite being required at the last inspection. The manager stated their frustration at this situation. The inspector noted a number of inaccuracies in the new document therefore it requires further work before it will be ready to distribute. There is also a new Service users guide, which is not yet available. The home does produce a brief brochure, which is available in the hallway. There is a new assessment form but the home has not had any admissions since the last inspection so this could not be fully assessed. The last resident Westfield DS0000002474.V264799.R01.S.doc Version 5.0 Page 9 moved to the home in March and they did visit before their admission and spent a day at the home. The manager does write to each resident before they move in to confirm that there is a place and that their needs can be met. The inspector saw 2 copies of the ‘individual service agreement’ this includes both the contract and the terms and conditions and was clearly written. Westfield DS0000002474.V264799.R01.S.doc Version 5.0 Page 10 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): These standards were assessed at the last inspection. However during the inspection it was noted that the care plans do include health information and that health care is sought when needed. EVIDENCE: Westfield DS0000002474.V264799.R01.S.doc Version 5.0 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): 12,15 The amount of activity and stimulation has increased to the benefit of the residents. The home provides a balanced diet that caters to each resident. EVIDENCE: The manager stated that there had been a big improvement in the availability of activities. This was confirmed during the inspection through talking with the residents who were looking forward to a bingo night when their relatives or friends could join them, and by the book where activities are recorded. A member of staff organised a carpet bowls session and a presentation was made to a member of staff who was leaving, the residents were included in this. The inspector observed that the staff were respectful to the residents and that there was plenty of relaxed chatting during the morning. The menus were displayed and 5 residents commented on how much they enjoyed the food. Food is prepared and served according to the needs and wishes of the residents and they can eat in the 2 dining areas or in their rooms. Westfield DS0000002474.V264799.R01.S.doc Version 5.0 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 the following standard(s): 17,18 The home does protect the resident’s legal rights and the home is aware of currant legislation, for example data protection. Staff have not been trained recently in how to recognise abuse and respond appropriately. EVIDENCE: The manager stated that a number of residents do have legal representation but the family deals this with, although advocacy services have been sought in the past. The residents are informed that they can have access to their records and this is stated in the service users guide. The training record shows that the last ‘ abuse awareness’ course was held in July 2003 and attended by 3 members of staff. A new area manager has been appointed and has asked the manager to prioritise courses, however a requirement has been made to arrange a course for staff. Westfield DS0000002474.V264799.R01.S.doc Version 5.0 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 the following standard(s): 19,24,24,25,26 The home is generally comfortable and clean but there are areas where furniture needs replacing and repair needs to be made. This mainly relates to the older part of the home. EVIDENCE: The home has been painted externally and the front car park and garden have been cleaned and tidies since the last inspection. The manager informed the inspector that the central heating in one side of the building has stopped working the day before and that head office has been informed. During the inspection maintenance staff arrived and the heating was working again by mid morning. During a tour of the home one resident commented how kind the staff had been and they had offered to move them so they would be warm during the night but they had chosen to stay in their own room. The fault was minor and should not reoccur. New bedroom furniture was being assembled during the inspection for 4 bedrooms, however the manager agreed that they still needed to carry out an Westfield DS0000002474.V264799.R01.S.doc Version 5.0 Page 14 audit to assess which furniture was worn and needed replacement and to set a timescale for this to be done. The bath upstairs is extremely stained and there is lime scale on the taps and the chair lift. This bath is used and the manager is aware that this will require repair or replacement. A sample of the bedrooms were seen and they were personalised and generally clean apart from 1 were there is still a strong odour. The manager has made efforts to eliminate this and is awaiting hard flooring for the ensuite, which should help. 4 bedrooms were seen in the older part of the home and they had some worn furniture that needed replacement. The residents said they liked their rooms and a number of people choose to have their lunches there. Two residents share a room and the home have not sought written agreement from the residents or their relatives, although this has been done verbally. Westfield DS0000002474.V264799.R01.S.doc Version 5.0 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): 29,30 The homes recruitment procedures are robust for the protection of the residents. Staff have undertaken statutory training, however the manager needs to arrange courses in specialist areas such as ‘abuse awareness’. EVIDENCE: A sample of three staff files were seen and they were complete. The home has a robust recruitment policy however senior managers had arranged cover from another home without the manager interviewing this member of staff, to assess their suitability. Their references, work permits and police checks were in place. The training plan was seen and staff have attended course in fire safety, infection control, health and safety and first aid in 2005. Westfield DS0000002474.V264799.R01.S.doc Version 5.0 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): 31,32,33,35,37 The manager leads a dedicated team of staff who work for the benefit of the residents. The manager would benefit from the opportunity to attend training. The home protects the rights and financial interests of the residents, and seeks their views and those of their relatives. EVIDENCE: The manager supervises staff every 8 weeks and this is recorded. The staff stated that they receive good support from the manager. The manager hasn’t attended any recent training although they state that they are interested in keeping their skills up to date. The manager has the opportunity to meet with other home managers within the group every 2 months; this has recently been introduced and allows managers to keep up to date and to support each other in their role. Residents stated throughout the inspection how good and kind the staff were and they included the manager in their praise. Westfield DS0000002474.V264799.R01.S.doc Version 5.0 Page 17 The home carries out quarterly quality audits by sending out surveys and then the results are analysed and improvements are made. Residents also have the opportunity to air their views at the residents meetings. The inspector audited 2 residents’ monies and the storage and recording were safe and correct. The home maintains health and safety and any maintenance issues are recorded. Staff follow procedures for the safekeeping of cleaning products and for the use of equipment. The hoists and bath lifts were tested and in working order. Westfield DS0000002474.V264799.R01.S.doc Version 5.0 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 2 3 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 3 18 2 2 X X X X 2 3 3 STAFFING Standard No Score 27 X 28 X 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 3 x 3 x 3 x Westfield DS0000002474.V264799.R01.S.doc Version 5.0 Page 19 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 OP1 Regulation 4(1) Requirement The updated statement of purpose must be made available in the home. It must include a sample of the terms and conditions and the correct categories for which the home is registered. The manager must arrange training for all staff regarding ‘adult protection’. The providers must audit the furnishings in the house and an improvement plan, for the bedrooms and communal areas. Timescale for action 30/12/05 3. 5. OP18 OP24 18 23(2)(c) 30/01/06 30/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 2. 1. Westfield Refer to Standard OP24 OP31 Good Practice Recommendations Before two unrelated residents occupy shared rooms an agreement should be sought and recorded. The manager should arrange to attend courses, which are DS0000002474.V264799.R01.S.doc Version 5.0 Page 20 relevant to their post and give them an opportunity to update their knowledge and skills. Westfield DS0000002474.V264799.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Westfield DS0000002474.V264799.R01.S.doc Version 5.0 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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