Inspection on 05/08/09 for Westmead

This inspection was carried out on 5th August 2009.

It is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Excellent.

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

Westmead 15/08/07

Westmead 21/11/06

Westmead 20/12/05

Westmead 02/08/05

Westmead 24/03/05

Westmead 02/09/04

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Heathlands

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Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 26/11/2009.

Annual service review Name of Service: Westmead The quality rating for this care home is: The rating was made on: three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Sandra Bromige Date of this annual service review: 0 1 0 7 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: Westmead Close Off Ledwych Road Droitwich Spa Worcestershire WR9 9LG 01905778353 01905776376 westmead@orbit.co.uk www.heart-of-england.co.uk Heart of England Housing and Care Limited Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category physical disability Conditions of registration: Number of places (if applicable): Under 65 Over 65 35 0 35 0 35 0 The maximum number of service users who can be accommodated is: 35 The registered person may provide the following category of service only: Care Home Only (Code PC); To service users of the following gender: Either; Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) 35 Dementia (DE) 35 Physical Disability (PD) 35 Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Westmead is a purpose built home offering a residential care service to a maximum of 35 people of either sex, over the age of 65 years. Two places are reserved for people who require respite care only. Annual Service Review Page 2 of 7 The home offers permanent residential care to older people who have care needs associated with physical disabilities and/or dementia illnesses. The home provides a safe, homely environment for people who are no longer able to cope in the community, and enables them to lead a full and active life within a risk management framework. There are 33 single bedrooms and 2 double rooms in the two-storey building, and a range of communal lounges, a dining room and a spacious, level, and accessible garden. A shaft lift facilitates movement between floors. Handrails are appropriately placed within the home and in the gardens. Special equipment is provided, for example to assist with bathing, mobility and lifting. The home is situated in a small housing estate on the outskirts of Droitwich Spa and public transport facilities are within reach. Heart of England Housing and Care Ltd own the home and the registered manager is Mrs Susanna Stokes. Up-to-date information relating to the fees charged for the service is available on request from the home. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? The quality rating for this service is excellent. The rating was made on 15th August 2007. We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. The last Annual Service Review. Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? Westmead returned the annual quality assurance assessment (AQAA) when we asked for it. This was well completed. The last annual service review (ASR) carried out on 26/08/08 told us they had improved their pre-admission assessment format. The AQAA and the last key inspection report showed that the service obtain comprehensive information about peoples needs and expectations before they agree to admit. This helps the service decide if the potential admission is likely to be a success for everyone. The AQAA tells us Westmead ensure the assessment process is carried out with all relevant parties and detailed assessment formats. The AQAA told us how the service is operating and the improvements they have made and wish to make. We read the AQAA and our judgement is that the service is still providing a three star excellent service. The key unannounced inspection, which was carried out on the 15/08/07, formed a judgement that the service was providing a three star excellent service. To ensure equality and diversity is addressed, the last key unannounced inspection told us people living at the home had person centred plans that involved residents and their relatives where appropriate in their compilation. This confirms a person centred approach to care. It also told us peoples individual interests were recorded in the assessments and care plans, and records were maintained indicating residents Annual Service Review Page 4 of 7 involvement. The AQAA told us, care plans are more person centred and very much a working document. Staff are trained in usage of care plans and continue to meet the core values of care; rights, dignity, choice, respect, individuality, diversity and equality. The AQAA contained numerical data which told us they provide a service for older people of both sexes, who have a range of needs such as general frailty due to old age, mental health needs and dementia, learning and sensory disabilities. The service currently employs a multi-cultural team of mostly female care staff as only one male carer is employed at present. We received six surveys from people who use the service, seven relatives, carers or advocates, and six staff members. This is what the people who use the service or their relatives said about the service and its staff when we asked them what the service does well: The home is very good and very caring. Everything is kept clean. Feed me well, food quality and choice is there. Plenty of activities catering for all tastes. The catering is excellent. Very friendly, caring staff. As a visitor I am always made to feel welcome whenever I call in. Good level of cleanliness in the home. The carers are cheerful, friendly and treat the residents with respect. The home is cleaned everyday and is immaculate. The menu is excellent - varied, choices, home cooked by cooks on the premises everyday. Contacting me if X (persons name) asks staff to. Welcoming and friendly staff. Activities for the residents throughout the year. Staff always seem encouraging and supportive to residents. They look after the needs of X (persons name) extremely well. They communicate with me regularly on all aspects of his care. The staff are very professional from management down to domestic staff. Any concerns are always taken seriously and acted upon. Westmead staff always put the needs of residents first - nothing is ever too much trouble for them. Very happy and contented at Westmead. I have nothing but praise for all the staff at Westmead for the care they provide. The staff try and make the environment as much like home as possible. This is what the people who use the service or their relatives said about the service and its staff when we asked them what the service could do better: Would like to go out more. Would like to be informed more regularly about issues concerning X (persons name). We sent out surveys to health professionals, but we have not received any completed surveys. We received six surveys from staff. This is what the staff said about the service when we asked them what the service does well: We provide a very friendly homely atmosphere. The staff usually 99 of the time work together as a team and we have good relations with family, GP and District Nurses. Keeps nice and clean; making it a lovely home for residents and staff. Creates a lovely atmosphere. The home does well looking and caring for the residents and making sure the residents are washed and dressed nicely and making sure they have three good meals a day. Plus if there is anything wrong with the residents they contact the Doctors straight away. The home has a good working staff team which provides a very good care service to all residents. The home shows a lot of care and consideration to all who live there. We try to please everyone and their needs and requirements. We encourage activities daily, but that is not always possible due to service users not wanting to join in. Overall the home provide an excellent service to residents and families. This is what the staff said about the service when we asked them what the service Annual Service Review Page 5 of 7 could do better: There isnt anything that the home could do better because I think that the things they do now for the clients are alright and couldnt do anything better. Be able to provided more one to one time with residents on a regular basis, which would mean more staffing at times. There are times when we are so busy we can cope with basic care needs but not given time to give one to one or just our time to individuals, which we all think is a big part of our job role.. There is nothing really I think the home could improve on. The AQAA told us they have made changes following seeking the views of the people living in the home for example, changed the times of service for breakfast, reviewed the activity programme, purchased a greenhouse, produced an internal newsletter, provided a shopping trolley. Information in the last key inspection report dated 15/08/07 also tells us that the people using the service and their relatives were pleased with the standard of care they receive. The AQAA told us the service has received one complaint in the last 12 months but they have not told us the outcome of this complaint. We have not received any complaints about the service since the last inspection. The service has sent in notifications telling us about any significant events or incidents in the home and how they have managed these situations. There have been no changes to the management of the home since the last inspection. The AQQA tells us about the policies and procedures the service has in place and when they were last reviewed. There are a number of policies which have not been reviewed for over three years. These policies and procedures need to be reviewed to ensure they reflect current legislation and practice. What are we going to do as a result of this annual service review? There will be no change to the inspection plan and will do a key inspection by 15/08/2010. However, we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). 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