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Inspection on 19/10/05 for Westmoor View Nursing Home

Also see our care home review for Westmoor View Nursing Home for more information

This inspection was carried out on 19th 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home continues to provide activities both in house and outside of the home. Residents can choose to participate in quizzes, bingo, sing a long, local shopping, evening meals out at a local pub. At the time of the inspection a pie and peas supper had been arranged and family and friends had been invited. There is a stable staff group, which ensures that the care offered to the residents is consistent.

What has improved since the last inspection?

A new carpet and dining furniture were in place in then lounge/diner. The tables were set attractively with cloths and place settings. One of the bathrooms had been re decorated and new blinds were in place on the windows along the ground floor corridors. Outside the access to the patio had been extended. A formal supervision system was in place for staff.

CARE HOMES FOR OLDER PEOPLE Westmoor View Nursing Home Dixon`s Bank Marton Middlesbrough TS7 8PA Lead Inspector Val Daly Unannounced Inspection 19th October 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 Westmoor View Nursing Home DS0000000223.V259477.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. Westmoor View Nursing Home DS0000000223.V259477.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Westmoor View Nursing Home Address Dixon`s Bank Marton Middlesbrough TS7 8PA 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) 01642 316737 01642 324685 pocklinc@bupa.com BUPA (Goldsborough) Limited Mrs Caroline Henriette Elizabeth Pocklington Care Home 40 Category(ies) of Old age, not falling within any other category registration, with number (40) of places Westmoor View Nursing Home DS0000000223.V259477.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. That a maximum number of 5 places may be used at any one time for accommodation of persons who are 55 years and over with a physical disability. To admit one named indiviudal who is under 55 years of age. Date of last inspection 12th May 2005 Brief Description of the Service: Westmoor View is set within terraced grounds, located off Dixons Bank in the residential area of Marton. The home is located approximately five miles from the centre of Middlesbrough. The home is close to a nearby shopping centre and other local amenities and is served well by local transport. The original house was built in the 1860s yet the home still retains many of its original features including a number of wood panelled rooms, original fireplaces and large bay window. A choice of furnished lounges is available where service users can find a quiet place to sit and read or entertain guests. The accommodation consists of twenty-five single bedrooms and five double bedrooms Westmoor View Nursing Home DS0000000223.V259477.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection commenced at 10am and lasted for two and a half hours. Three residents, the maintenance person and the manager were spoken to during the inspection. Numerous records were examined including care plans, menus, minutes of meetings and policies/procedures. Three residents living in the home said ‘ the staff are very good, they always help when asked’. They spoke about the manager and said’ the manager is always around the home, available to talk to them or their relatives’. What the service does well: 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. Westmoor View Nursing Home DS0000000223.V259477.R01.S.doc Version 5.0 Page 6 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 Westmoor View Nursing Home DS0000000223.V259477.R01.S.doc Version 5.0 Page 7 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): 6 The home does not provide intermediate care. EVIDENCE: The home does not provide intermediate care. Westmoor View Nursing Home DS0000000223.V259477.R01.S.doc Version 5.0 Page 8 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): EVIDENCE: These four standards were not assessed at this inspection, however three care plans were examined, as previously some of the documentation had not been completed. The written information in the care plans showed that improvements had been made and documentation completed. Westmoor View Nursing Home DS0000000223.V259477.R01.S.doc Version 5.0 Page 9 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 & 13 Residents are offered the opportunity in a range of leisure and social activities enabling residents to make positive choices about how they spend their day. Friends and family are encouraged to be involved too. EVIDENCE: Two residents spoken to say that they are encouraged to choose how they spend their day. One of the residents talked about the meetings, which take place in the home regularly when there is discussion about activities and any issues they wish to raise. Relatives and friends are welcome to visit at any time. At the time of the inspection one resident was waiting for her husband to visit for the afternoon. At the previous inspection the menus examined did not show an alternative choice. The chef now includes choices on the menu. However whilst staff ask residents what they would like from the menu they need to be presented in a more user friendly way and could be displayed on the dining tables for the residents. Westmoor View Nursing Home DS0000000223.V259477.R01.S.doc Version 5.0 Page 10 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 The home has a satisfactory complaints system. Complaints are handled appropriately and the outcomes used to improve the service. EVIDENCE: The home has a detailed complaints procedure in place and there was evidence to show that this was followed. There had been three complaints made to the home since the last inspection. Two of the complaints related to care issues and were partially upheld. The third complaint was about a resident’s property being missing and the manager had been unable to come to a conclusion. Westmoor View Nursing Home DS0000000223.V259477.R01.S.doc Version 5.0 Page 11 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): EVIDENCE: These standards had been assessed during then previous inspection. At that time the water temperatures in the bathrooms were recorded as being too low. However discussions have taken place with the Operational Manager to change the pipe work in two of the bathrooms, which will result in an increase in the water temperatures. Westmoor View Nursing Home DS0000000223.V259477.R01.S.doc Version 5.0 Page 12 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 The deployment and number of staff on all shifts is appropriate to ensure that at all times residents are supported by an experienced group of staff. EVIDENCE: The staff rotas showed that there was sufficient staff on duty to meet the needs of the residents. When working out the duty rotas, the manager endeavours to ensure there is a mix of carers, experienced and junior on each shift alongside the nurses. Residents spoken to said ‘ the staff are very good, they always help when asked’. Westmoor View Nursing Home DS0000000223.V259477.R01.S.doc Version 5.0 Page 13 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 & 33 Views of the residents are sought in order that they can contribute to the development of the service. The manager offers clear leadership and direction to the staff. EVIDENCE: The manager is appropriately qualified and experienced to ensure that residents benefit from a well run home. Residents spoken to said ‘the manager is always around the home available to talk to them and their relatives’. There are resident’s meetings held every month where discussions take place about the happenings in the home, activities, food and any concerns. An annual quality audit is carried out and the information gathered is assessed at Head Office. An action plan is formed from the information for any improvement if required. Westmoor View Nursing Home DS0000000223.V259477.R01.S.doc Version 5.0 Page 14 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 X X X X N/A 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 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X X X X X X X 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 3 X X X X X Westmoor View Nursing Home DS0000000223.V259477.R01.S.doc Version 5.0 Page 15 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. Standard Regulation Requirement Timescale for action 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 Westmoor View Nursing Home DS0000000223.V259477.R01.S.doc Version 5.0 Page 16 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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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