Inspection on 24/10/05 for Westfield Residential Home Limited

This inspection was carried out on 24th October 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

Westfield Residential Home... 07/12/06

Westfield Residential Home... 31/08/05

Westfield Residential Home... 10/02/05

Westfield Residential Home... 28/09/04

Similar services:

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Larchfield Manor

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Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

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

CARE HOMES FOR OLDER PEOPLE Westfield Residential Home Limited 16 Carr Lane Willerby Hull East Yorkshire HU10 6JW Lead Inspector Ms Wilma Crawford Unannounced Inspection 24th October 2005 09:00 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 Westfield Residential Home Limited DS0000046005.V259035.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 Residential Home Limited DS0000046005.V259035.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Westfield Residential Home Limited Address 16 Carr Lane Willerby Hull East Yorkshire HU10 6JW 01482 651760 01482 659355 jeff@redmore1.karoo.co.uk 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) Westfield Residential Home Limited Mr Peter Donnelly, S Donnelly Mrs Suzanne Barbara Cross Care Home 22 Category(ies) of Dementia - over 65 years of age (22), Old age, registration, with number not falling within any other category (22) of places Westfield Residential Home Limited DS0000046005.V259035.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st August 2005 Brief Description of the Service: Westfield house is a privately owned care home that is part of a growing local organisation. Westfield House is situated in a residential area of Willerby close to local amenities, i.e. shops, hairdressers, public houses, a chemist and a post office. The home is close to a bus route. The home is a large traditional house that has been converted and extended to provide accommodation for 22 older people. There are 18 single bedrooms and 1 shared room. Communal accommodation is provided in a lounge, conservatory and dining room. Access to all areas of the building is facilitated by the use of ramps and stair lifts. There is a pleasant, easily accessible garden to the rear and car parking facilities are available at the front of the building. Westfield Residential Home Limited DS0000046005.V259035.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 7 hours. A tour of the premises was conducted with the home owner. The main method of inspection used was called case tracking which involved selecting four residents and tracking the care they receive through the checking of their records, discussion with them, the care staff and observation of care practices. The deputy manager assisted the inspector during the inspection. What the service does well: Westfield provides a pleasant homely environment for the people who live there, with a high standard of décor and cleanliness throughout the home. The staff were observed carrying out care and they spoke to the residents in a kind and patient way. The staff have a good understanding of the preferences of each resident and they respected their routines. Those residents spoken to expressed their satisfaction about the care provided.“Everyone is kind and helpful.” Everyone is considerate, the place is clean, the food is good and they do everything they can, to make you happy.” Direct observation made by the inspector at lunchtime showed that staff were patient and mindful of residents dignity whilst supporting them. The menu seen by the inspector showed that a choice of food is available to residents, which meets their dietary needs. Discussion with residents supported this, “We can have what we want to eat, if you don’t like something, the staff always offer alternatives, we can have whatever we want.” Residents spoken to were very complimentary about the meals provided at this home. The home is well organised and managed, with trained staff, who are well supported and have a good knowledge of residents’ needs. Residents have detailed comprehensive care plans. Westfield Residential Home Limited DS0000046005.V259035.R01.S.doc Version 5.0 Page 6 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. Westfield Residential Home Limited DS0000046005.V259035.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 Residential Home Limited DS0000046005.V259035.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): 2 Each resident is given an opportunity to discuss their terms and conditions with the manager and to sign a copy so they are fully aware of their rights and responsibilities. EVIDENCE: Copies of the terms and conditions were seen on 4 residents’ files and these had been signed. A resident said they had seen a copy and that they understand the content. Where a resident would not be able to understand their terms and conditions then a legal representative or a family member is asked to read and sign a copy. Westfield Residential Home Limited DS0000046005.V259035.R01.S.doc Version 5.0 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): 7,8, There is good care planning in this home, which helps ensure that the general health and welfare of residents is addressed. Further information needs to be included of changes in individual needs. EVIDENCE: All residents have detailed care plans, which describe their health and welfare needs. Care plans outlined risk assessments, nutritional and dependency assessments. Care plans also evidenced that they have been reviewed monthly, or sooner depending on changing needs. However the evaluations did not include details of the action the home had taken to accommodate and support changing needs in residents. Staff were aware of the changes in the individuals and what had been done to support the individual, but this information was not recorded or reflected in the care plan. Care plans were signed by the residents. One resident confirmed that she had signed her care plan and the home meets her care needs. Individual care plans evidenced that accidents are recorded in the home’s accident book and in the resident daily notes. Westfield Residential Home Limited DS0000046005.V259035.R01.S.doc Version 5.0 Page 10 Files seen confirmed that health care professionals visit the home when required by the residents. Carers spoken with had a good understanding of their role in respecting residents privacy and dignity. Residents spoken to said that ‘staff are very polite and I am treated with respect. Both residents said that staff are mindful of their privacy and dignity when carrying out their intimate care needs. Westfield Residential Home Limited DS0000046005.V259035.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): 13,15 Relatives and friends of residents are made welcome in this home. Meals are well managed and reflect resident’s likes and dislikes. EVIDENCE: Residents said that their visitors were made welcome at the home and that the home “had a very good atmosphere”. They also confirmed that they have visitors in their rooms and that they are made welcome by care staff. One resident said ‘there are no restrictions on me at all’. Residents said that they have a choice of meals and they said that “ the food is very good and there is plenty” We can have what we want to eat, if you don’t like something, the staff always offer alternatives, we can have whatever we want.” The cook was spoken to and recorded in her files the likes and dislikes, as well as specialised diets required by individual residents. She also keeps a diary recording those meals given to residents on a daily basis. Westfield Residential Home Limited DS0000046005.V259035.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): 16,18 Residents are protected by procedures in place for handling complaints and allegations of abuse. Staff were clear in relation to the action to be taken should either event occur. EVIDENCE: The home has displayed the service users guide, which contains the homes complaint procedures in the main entrance. The home has a detailed complaints procedure. The homes complaints log was seen; no complaints had been made since the last inspection. Residents were aware of the complaints procedure and who to approach with a concern. One resident said “I’ve never made a complaint. I have had no need to. If I had a complaint I’m sure that they would listen and talk it through. I can’t see that problem arising personally.” None of the residents spoken to said that they had problems with any care worker. The Deputy commented that she was aware of the homes ‘whistle blowing policy. Staff spoke knowledgeably about abusive practices and what action they would take if this came to their attention. All staff received adult protection training in September and have a copy of the adult protection police and procedure. Westfield Residential Home Limited DS0000046005.V259035.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): 20,22,24 Both private and communal space is suitable for the residents, homely and comfortable. The home provides equipment to promote residents’ independence within the home. EVIDENCE: The home is well furnished with comfortable seating and the bedrooms contain the resident’s own possessions. Residents’ comments were positive about their bedrooms and each room viewed was individually decorated and furnished with personal items reflecting individual interests and tastes. There are hoists available and handrails to assist residents. Adequate space is available in bedrooms and bathrooms for specialist equipment such as hoists, wheelchairs and specialist beds. Housekeepers are employed by the home and keep it clean and odour free. Westfield Residential Home Limited DS0000046005.V259035.R01.S.doc Version 5.0 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 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): 27, 28 There are sufficient staff to care for the residents. The staff are trained, competent and they undertake an induction when starting at the home. EVIDENCE: Two members of staff said that they received an induction and that they have the opportunity to attend regular training courses. The training record confirms that courses are booked and attended. The staff do have time to look at the policies and procedures and to discuss how they should be used. The staff also said they have time to talk to the residents. Seven members of the care staff team have an N.V.Q. qualification at level 2 or 3. A further two are working towards this. Of the housekeepers also has an N.V.Q. qualification relevant to their role. The deputy, a senior carer, two carers, two housekeepers, a cook and the home owner were on duty. The residents said that the staff had time to care for them and they never had to wait long for help. Westfield Residential Home Limited DS0000046005.V259035.R01.S.doc Version 5.0 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 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): 31,38 The home is being led by a trained and committed manager. Some minor areas require attention in order to ensure that service users are safeguarded in all aspects of care. EVIDENCE: The manager has completed the Registered Managers Award and is well respected by the staff. Generally the home operates in the best interests of the health and safety of service users and staff. The home does not have a photograph of each resident and a requirement was made at the last inspection, an extension of the original date was agreed for this to be completed as not completed Westfield Residential Home Limited DS0000046005.V259035.R01.S.doc Version 5.0 Page 16 Four areas require attention so that service users continue to be safeguarded. The fire extinguishers that were taken down in the entrance hall during the refurbishment need to be fixed onto the wall. Cleaning materials need to be kept in a lockable facility, to reduce the risk to residents. Similarly, toilet cleaning fluid kept in open containers in toilets presents a potential risk to residents and should be stored in a more appropriate manner, to safeguard residents. Westfield Residential Home Limited DS0000046005.V259035.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x 3 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 X 10 X 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 x 3 x 3 x 3 x x STAFFING Standard No Score 27 3 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x x x x x x 2 Westfield Residential Home Limited DS0000046005.V259035.R01.S.doc Version 5.0 Page 18 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 OP7 Regulation 14(2)(a)( b) Requirement The registered person shall ensure that the assessment of the service users needs is kept under review : and revised at any time when it is necessary to do so having regard to any change of circumstances.Monthly evaluations should contain information identifying the change of needs e.g. increasing number of falls and the action taken by the home to safeguard the individual and support their change in needs. Any changes should also be reflected in the individuals care plan. A minimum of 50 of trained care staff(NVQ level 2 or equivalent)is achieved by 2005, excluding the registered manager. The registered person shall maintain in respect of each service user a record which includes the information documents and other records specified in Schedule 3. The registered manager shall ensure that a photograph of each resident is kept by the DS0000046005.V259035.R01.S.doc Timescale for action 28/02/05 2. OP28 18 31/12/05 3. OP37 17 23/11/05 Westfield Residential Home Limited Version 5.0 Page 19 4. OP38 13(4)(a) (c) 5. OP38 13(4)(a) (c) 6. OP38 13(4)(a) (c) home.Extension of previous timescale agreed . The registered person shall ensure that unnecessary risks to the health or safety of service users are identified and so far as possible eliminated. Fire fighting equipment must be fixed securely to a wall. The registered person shall ensure that unnecessary risks to the health or safety of service users are identified and so far as possible eliminated. Cleaning materials must be kept in a secure locked area. The registered person shall ensure that unnecessary risks to the health or safety of service users are identified and so far as possible eliminated. Toilet cleaning fluid, kept in open containers in toilets, presents a potential risk to residents and should be stored in a more appropriate manner, to safeguard residents. 28/02/05 28/02/05 28/02/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Westfield Residential Home Limited DS0000046005.V259035.R01.S.doc Version 5.0 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. 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