Inspection on 14/09/05 for Westholme

This inspection was carried out on 14th September 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

Westholme 29/11/07

Westholme 04/08/06

Westholme 20/04/05

Westholme 14/12/04

Westholme 01/07/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Westholme 55 Harestock Road Winchester Hampshire SO22 6NT Lead Inspector Mr Roy Bega Unannounced Inspection 14th September 2005 09:30 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 Westholme DS0000039597.V249672.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. Westholme DS0000039597.V249672.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Westholme Address 55 Harestock Road Winchester Hampshire SO22 6NT 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) 01962 881481 Hampshire County Council Care Home 45 Category(ies) of Dementia - over 65 years of age (45) registration, with number of places Westholme DS0000039597.V249672.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20 April 2005 Brief Description of the Service: Westholme is owned by Hampshire County Council providing personal care and accommodation for 45 older people who have been diagnosed as having dementia. The home is a two-storey building with 41 single bedrooms and 2 double. Five have en-suite toilet and wash hand basin facilities. There are gardens and parking to the front of the building and a large well maintained enclosed garden to the rear. The home is located on a main residential road on the outskirts of Winchester, and is accessible to local amenities and transport. Westholme DS0000039597.V249672.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People were being met at the time of the inspection. The inspection took place over one day between 9-30 a.m. and 2-30 p.m. a total of five hours. Opportunity was taken to look around the home, view records and talk to staff. Due to residents high dependency needs, formal discussions with the majority was not possible. The inspector did however, join in with small group activities and observe relationships between residents and staff. No relatives visited the home during the inspection. Mrs P Lee is the Acting Manager supported by a team of the home’s own and seconded Assistant Managers. Westholme is included in Hampshire County Council’s nursing strategy. In essence this means that over the next two years, an extension to provide 25 nursing beds is to be built on the current site. On completion of the new build, the current residential unit will then be refurbished. The main building work is on schedule due to be completed end of March 2006. Refurbishment of the current residential unit is planned to be completed by February 2007. The number of residents been reduced to 20 during the period of the new build and refurbishment. What the service does well: The home is well managed. The staff team are well motivated and have good relationships with residents. Staff were observed to respect residents as individuals and explain what they were going to do before carrying it out. Residents have a stimulating and varied life. There is a full informal activities programme provided by care staff who are willing to give up their own time on occasions. Residents are also encouraged to maintain their independence as far is practicable and be part of the community. Whilst communication with residents was difficult due to their high dependency needs, it was evident that they are well cared for. They were well dressed and motivated. Westholme DS0000039597.V249672.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. Westholme DS0000039597.V249672.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 Westholme DS0000039597.V249672.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 and 2. Residents are provided with a clear statement of purpose and a written contract/statement of terms and conditions that outlines services provided. EVIDENCE: The home’s current statement of purpose was seen. It is written in plain English and contains the required information as detailed within the National Minimum Standards. A sample of two residents statement of terms and conditions for living in the home were seen. They contained the required information as detailed within the National Minimum Standards. Westholme DS0000039597.V249672.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): 11 Residents are assured that at the time of their death they and their family will be treated with care, sensitivity and respect. EVIDENCE: The home has an appropriate policy and procedure to assure residents at the time of their death, that they and their family will be treated with care, sensitivity and respect. Training in managing death and bereavement has been provided for staff. Residents’ cultural/requirements/ wishes upon death are recorded in care plans. Westholme DS0000039597.V249672.R01.S.doc Version 5.0 Page 10 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): 14. The home is conducted to maximise residents’ capacity to exercise personal autonomy and choice. EVIDENCE: Majority of residents have a high level of mental frailty. Their capacity to exercise personal autonomy and informed choice is limited. It was noted however, that they are have free movement around the home either independently, with assistance from care staff or by using various walking aids. Residents were observed to retire to their rooms or seating areas at their leisure. Bedrooms seen indicated that residents are able to bring their own possessions into the home. Records seen and discussions indicated that resident’s financial affairs are handled by relatives, power of attorneys or the court of protection. Westholme DS0000039597.V249672.R01.S.doc Version 5.0 Page 11 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 and 18. Resident’s legal rights are protected. Management ensures residents are safeguarded from any form of abuse. EVIDENCE: Information and discussions indicated that resident’s legal rights are protected. They are enabled to exercise their rights to participate in the civic process if they wish. Residents who do not have relatives are registered with the court of protection. The home has an appropriate policy and procedure document with regards to the protection of residents from all areas of abuse. Adult protection forms an integral part of staff training. Discussions with staff on duty indicated that they have a good understanding with regards to the protection of vulnerable adults. Westholme DS0000039597.V249672.R01.S.doc Version 5.0 Page 12 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, 21, 25 and 26. Parts of the building are not conducive to a homely comfortable environment for residents. EVIDENCE: Westholme is included in Hampshire County Council’s nursing strategy. The new building work is on schedule and due to be completed end of March 2006. Refurbishment of the current building includes the following required work – • • • • • External and internal repairs/redecoration. Upgrading of toilet and bathroom facilities. Relocation of nurse call bells. Installation of two double electric plug sockets. Provision of appropriate bedside lamps. Westholme DS0000039597.V249672.R01.S.doc Version 5.0 Page 13 The following areas are of concern and require attention now in that residents will not be moving into the new building until approximately April/May 2006, a period of 7-8 months. • • • • • • Current building works has reduced lighting in the entrance hall and open lounge. Wallpaper is torn off in several places and paintwork is badly damaged in the entrance hall and open lounge. Carpets in entrance hall, open lounge area and smoking lounge are badly stained. Furniture in the smoking lounge has cigarette burn damage. Paintwork in smoking lounge is badly stained. A recently erected partition in the dining room is finished off with wall insulation materials. On Monday 19 September 2005, the inspector discussed the above concerns with the home’s service manager in a telephone conversation. The service manager agreed that work stipulated should be carried out to provide a homely comfortable environment and will contact the appropriate department within Hampshire County Council. The home has an infection control procedure. The inspector observed that hand washing facilities are prominently sited. Staff informed the inspector that gloves and aprons are always provided to ensure infection control is maintained. New sluicing facilities are being provided as part of the refurbishment programme. Westholme DS0000039597.V249672.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): 28. Residents are cared for by a competent and well trained staff team. EVIDENCE: Staff training, supervision and corresponding records have been developed further. A training programme to increase staff knowledge base in meeting residents’ needs has been developed further. Eight staff have completed the National Vocational Qualification level 2 in care and three others are currently studying. All new staff are required to complete a “Skills for Care” induction course. Records were seen. Staff were observed to inform residents what they intended to do before carrying it out. Staff were also observed to be courteous, respectful, ensuring resident’s dignity and privacy at all times. Discussions with residents indicated this is normal practice. Staff spoken with indicated that they have a positive attitude towards training. Westholme DS0000039597.V249672.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): 33 and 34. Effective quality assurance systems based on seeking the views of residents and relatives are in place. Residents benefit from an effectively and efficiently run home. EVIDENCE: The home has an annual development plan and internal audit system in place. Views of residents and their relatives/representatives were available. The home also maintains positive contact with visiting professionals as part of the audit system. Hampshire County Council have recently developed a new quality control audit system that is soon to be put in place. Accounting and financial procedures are managed centrally by Hampshire County Council. The manager and unit’s administrator maintain records of all financial transactions within the home. Westholme DS0000039597.V249672.R01.S.doc Version 5.0 Page 16 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 3 3 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 3 2 2 2 X X X 2 3 STAFFING Standard No Score 27 X 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 3 X X X X Westholme DS0000039597.V249672.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? No 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 OP19 Regulation 23 (1 &2) Requirement You are to inform the Commission of what action is planned to complete the work outlined in Standard 19 of this report by the stipulated timescale. Timescale for action 03/10/05 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 Westholme DS0000039597.V249672.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Westholme DS0000039597.V249672.R01.S.doc Version 5.0 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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