Inspection on 24/01/06 for Westleigh

This inspection was carried out on 24th January 2006.

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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Westleigh 14/06/07

Westleigh 20/10/05

Westleigh 10/02/05

Westleigh 05/10/04

Westleigh 11/01/04

Similar services:

Sunny Bank (P.R.S.) Ltd

Ashwood Court Unit 1

Thornton Lodge

Alfred House Residential Care Home

Barkerhouse Road (123)

Fernhaven

Thames House

Creative Support

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

CARE HOME ADULTS 18-65 Westleigh 109 Walton Road Stockton Heath Warrington Cheshire WA4 6NR Lead Inspector David Jones Unannounced Inspection 24th January 2006 6.25pm Westleigh DS0000027003.V271983.R01.S.doc Version 5.0 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 Westleigh DS0000027003.V271983.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 Adults 18-65. 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. Westleigh DS0000027003.V271983.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Westleigh Address 109 Walton Road Stockton Heath Warrington Cheshire WA4 6NR 01925 860584 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) Warrington Community Care Ms Alison Edwards Care Home 18 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (18), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (18) Westleigh DS0000027003.V271983.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The total number of Service Users must not exceed 18 18 of the Service Users may be MD 18 of the Service Users may be MD(E) Date of last inspection 20th October 2005 Brief Description of the Service: Westleigh is a care home operated by Warrington Community Care that provides a long-term home for people who have suffered, or are suffering from an enduring mental illness. The care home is located in a pleasant and popular residential area of Warrington known as Stockton Heath. It provides spacious and well-maintained accommodation. There are 18 single bedrooms, two of which are being used to provide double accommodation for two residents who wish to share. Four lounges including the main lounge, which is designated a non-smoking lounge. Thirteen WC’s, three bathrooms and two shower rooms. The home is accessible to wheel chair users with lift access to the first floor. Westleigh DS0000027003.V271983.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 on one day the 24th January 2006, over a two-hour period. Nine residents, and two members of staff were spoken with during the inspection. We looked at some parts of the building, looked at some records and read the case notes of two residents. What the service does well: Westleigh House is run in the best interests of residents. It provides accommodation that is comfortable, spacious, homely and well equipped. The atmosphere is sociable and welcoming. Residents answer the door to visitors. They are involved in the running of the home and take the initiative to make guests welcome. Residents speak highly of the staff team and are appreciative of the support and care they provide. Residents know that their mental and physical health care needs will be addressed and staff will help them make contact with their health care professionals when required. Nine residents were spoken with and all spoke highly of the home. One resident acted like a spokes person for a group of residents who nodded in agreement. He said, “He is very happy”. “We are all treated with respect. The staff are very good. This is the best place I have been in my life everyone is so nice. We argue but are more like a family”. He went on to say how staff help them when they feel low and need a chat. Another resident told how staff had helped her deal with a physical condition that required an operation. She had been very anxious about this, but staff had helped her cope. All residents praised the standard of food. Individual likes and dislikes are known and catered for. Menus seen indicate that a varied and nutritious diet is on offer. Staff are knowledgeable and confident. They now how to listen and have good relationships with residents. Residents and staff respect each other and know have to have a laugh and enjoy each others company. Staff receive the training, support and supervision they need to carry out there jobs with competence and skill. Residents are asked about the quality of care, support, facilities and services on a regular basis. The management team produce quality summaries that tell residents what has been done about quality issues. Residents’ views are taken seriously and residents feel valued. Westleigh DS0000027003.V271983.R01.S.doc Version 5.0 Page 6 Warrington Community Care seeks to ensure the health and safety of all employees and residents. There is a health and safety policy, which confirms individual and management responsibilities for managing health and safety and ensuring safe working practices. What has improved since the last inspection? What they could do better: The registered persons must satisfy themselves that the home’s electrical wiring systems have been serviced and inspected at the appropriate intervals. The lounge on the first floor, which has a Pool table, is used by residents who smoke. The cigarette smoke is very thick. Improvements should be made to the ventilation system to reduce the affects of passive smoking on staff and residents who do not smoke. The home asks residents and their relatives about the quality of care facilities and services on a regular and ongoing basis. It is clear that these systems have a positive affect on the quality of care provided as residents feel valued and know that there views are taken seriously. There is no evidence that the registered persons have asked for the views of social workers and other professionals regarding the quality of service provided since 2004. It is recommended that a further survey of the views of health and social care professionals as to the quality of care; support; facilities and services is conducted. This will help staff identify what they do well and what, if anything can be improved. Westleigh DS0000027003.V271983.R01.S.doc Version 5.0 Page 7 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. Westleigh DS0000027003.V271983.R01.S.doc Version 5.0 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Westleigh DS0000027003.V271983.R01.S.doc Version 5.0 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of the standards in this section were assessed on this inspection. EVIDENCE: Westleigh DS0000027003.V271983.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9. Well-organised and detailed care plans reflect residents’ needs and aspirations. Risk assessment and risk management is central to the way the home is managed and the way residents are supported to make decisions about their lives. EVIDENCE: Care plans are developed from the assessment with the full involvement of the resident, where this is practical. Each of the two care plans seen provide clear guidance and confirmation as to how the respective resident’s needs are to be met. Independence is encouraged and residents are helped to make decisions about their lives with support and guidance from staff and other specialists where required. One resident said that she likes staff to look after her cigarettes and give them to her one at a time when she asks for them. These arrangements are confirmed in the care plan. Staff help residents to take responsible risks by ensuring they have the information they needs to make balanced decisions within a risk management framework. Westleigh DS0000027003.V271983.R01.S.doc Version 5.0 Page 11 All residents spoke highly of the home and the standard of support, care and facilities and service provided. Residents take the initiative to meet visitors at the front door and welcome them in. Residents are interested in the general management and running of the home. They are routinely consulted on the quality of meals, standard of care and facilities and services provided. The home operates a system of “cluster meetings” whereby a deputy manager will meet on a regular basis with an identified group of residents. Together they discuss any matters that are important to them. Minutes of the meetings are kept in the home. Residents said that they value and enjoy the cluster meetings. Where staff intervention is required to help a resident achieve and maintain identified goals a goal plan is developed with the resident and his/her representatives where required. Westleigh DS0000027003.V271983.R01.S.doc Version 5.0 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 14, 15 and 17. Residents take part in a range of engaging leisure activities and are supported to develop and maintain relationships and friendships. All residents praise the standard of catering. EVIDENCE: The atmosphere in the home is welcoming and sociable and there is a lot going on. One group of residents were gathering to watch a football match and another were waiting for the art tutor. The football match was watched with much enthusiasm and enjoyment with residents cheering their respective sides. The members of the art group were also enthusiastic and were happy to demonstrate the skills they had developed over the years. Residents said that staff help them to find other interesting things to do, there is always something going on. Westleigh DS0000027003.V271983.R01.S.doc Version 5.0 Page 13 Staff support residents to maintain family links, friendships and personal relationships. Two of the residents are a couple. They live together sharing two bedrooms. They were relaxing in the first floor lounge playing their favourite tapes on the music centre. They said they like their own company. Other residents said that they are supported to develop friendships. A friend of the residents who lives in the community is invited to take advantage of the Art group and another resident said she was looking forward to her sister visiting the following day. All residents praised the standard of food. Individual likes and dislikes are known and catered for. Menus seen indicate that a varied and nutritious diet is on offer. Westleigh DS0000027003.V271983.R01.S.doc Version 5.0 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 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. Residents’ physical and emotional health needs are met. EVIDENCE: A large number of residents engaged in the inspection process speaking openly and positively about the standard of care and support they receive. One resident acted like a spokes person for a group of residents who nodded in agreement. He said, “He is very happy”. In answer to the question do you feel valued and treated with respect? He answered, “We are all treated with respect. The staff are very good. This is the best place I have been in my life everyone is so nice. We argue but are more like a family”. He said “staff help, they take us out in the mini bus and we go on holiday once a year. If we feel down they are there to chat to. They are always there for me and make me feel better about myself. They help us with our mental illnesses by making sure we take our medication, caring for us and being there for us when we feel low”. He went on to describe how staff help him with a physical condition, by monitoring his condition on an ongoing basis. Another resident told how staff had helped her deal with a physical condition that required an operation. She had been very anxious about this, but staff had helped her cope. She said the operation had been a success and there was no need for further treatment. Case records are appropriately detailed and confirm ongoing contact with each residents health and social care professionals where required. Westleigh DS0000027003.V271983.R01.S.doc Version 5.0 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of the standards in this section were assessed on this inspection. EVIDENCE: Westleigh DS0000027003.V271983.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 28, and 30. The premises are suitable for the home’s stated purpose. It is accessible, safe, comfortable and clean throughout. Policies and procedures are in place regarding infection control and hygiene. EVIDENCE: Residents live in comfortable well-equipped accommodation. Westleigh House is located in a residential area of Warrington known as Stockton Heath. It is a large detached property that has been extended to provide appropriate living space for the 18 residents. There are gardens for residents to enjoy. A risk assessment had been completed regarding a large pond. This concluded that the pond was not wanted and any ornamental benefits were outweighed by the hazards it presented. The pond has been filled in and the area is to be gardened. Residents said that they were very comfortable in the home, which is spacious and well designed. They pointed out that the main lounge had been redecorated and made more homely with a new ornamental fireplace. One resident gave a conducted tour of the home. His bedroom is well equipped and comfortable. He said that he has everything he needs. Westleigh DS0000027003.V271983.R01.S.doc Version 5.0 Page 17 The first floor lounge equipped with a pool table is used by residents who smoke. The smoke in the room was very thick. The registered persons should explore ways and means of improving ventilation and reduce the hazards presented to residents and staff by passive smoking. See recommendation 1. The home is kept clean by staff and residents who are responsible for keeping their bedrooms clean and tidy. Systems are in place regarding food hygiene and infection control. Westleigh DS0000027003.V271983.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35 and 36. Staff receive the training, support and supervision they need to carry out there jobs with sufficient competence and skill to ensure residents needs are met. EVIDENCE: Staff present as knowledgeable, confident and competent. They were observed interacting with residents in a sensitive and appropriate manner. Discussion with them indicates that they work well as a team. Communication is said to be good and staff appreciate the support provided by colleagues and the manager. A comprehensive training programme is in place with the vast majority of staff having or working towards an NVQ level 2 in care or above. One member of staff who had worked at the home for seven years said training opportunities were excellent. She had the benefit of training in: • First Aid; • Food Hygiene • Health and Safety; • Essential skills in care • Fire Awareness; • Adult protection; and • Moving and handling. Westleigh DS0000027003.V271983.R01.S.doc Version 5.0 Page 19 The organisation is supporting and encouraging its deputy managers to achieve NVQ Level 4 in care. Supervision is provided every three months and staff appraisals are undertaken twice a year. Westleigh DS0000027003.V271983.R01.S.doc Version 5.0 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 and 42. The home is run in the best interest of residents. The health and welfare of residents is promoted and protected. EVIDENCE: Feedback is actively sought from residents about the standard of support; care; facilities and services provided by anonymous survey questionnaires and by quality audits conducted by the Care Co-ordinator. The findings of the home’s quality assurance processes are published in quality summaries and made available to residents and their representatives. The views of health and social care professionals were surveyed in March 2004 and it is understood that a further survey will be undertaken in the near future as recommended. See recommendation 2. Residents take an active interest in the home’s quality assurance procedures and engage in the inspection process, however one said that he has been asked so many times about the staff and the standard of care that he is getting fed up of it. Whilst the home’s commitment to quality assurance is to be commended it might be worthwhile reviewing frequencies if residents express irritation. Westleigh DS0000027003.V271983.R01.S.doc Version 5.0 Page 21 Warrington Community Care seeks to ensure the health and safety of all employees and residents. There is a health and safety policy, which confirms individual and management responsibilities for managing health and safety and ensuring safe working practices. Risk assessment and risk management are central to the conduct of the home. The registered manager ensures that risk assessments are carried out for all safe working practice topics and significant findings are recorded and reviewed. Routine maintenance checks are carried out on all appliances and services, however there is no record as to the when the home’s electrical wiring systems have been serviced and inspected. The manager has been advised that these checks were carried out 2 years ago but cannot be sure of this and has not been provided with any documentary evidence. See requirement 1. Precautions are taken against the risk of fire including routine fire drills and Fire Awareness training for staff. Residents know what to do in the event of a fire. Action should be taken to reduce the affects of cigarette smoke that was seen to be thick in one of the first floor lounges. See recommendation 1. Westleigh DS0000027003.V271983.R01.S.doc Version 5.0 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 X X 3 X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 3 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X X X 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Westleigh Score X 3 X x Standard No 37 38 39 40 41 42 43 Score X X 3 X X 3 x DS0000027003.V271983.R01.S.doc Version 5.0 Page 23 Yes. 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 YA42 Regulation 23 Requirement The registered persons must ensure the home’s electrical wiring systems are inspected and serviced in accordance health and safety requirements. Timescale for action 31/03/06 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 2 Refer to Standard YA28YA42 YA39 Good Practice Recommendations The registered persons should reduce the effects of passive smoking in communal areas. The registered persons should conduct a further survey as to the views of health and social care professionals as to the quality of care; support; facilities and services provided. Westleigh DS0000027003.V271983.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Westleigh DS0000027003.V271983.R01.S.doc Version 5.0 Page 25 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!