Inspection on 26/09/06 for Weston House

This inspection was carried out on 26th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Weston House 07/09/07

Weston House 28/02/06

Weston House 10/08/05

Similar services:

The Lodge Nursing Home

Bracken House

Sunnycroft

Field Farm House

Edgeview Nursing Home

Church Terrace Nursing & Residential Home

The Forbury

The Maples

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

CARE HOMES FOR OLDER PEOPLE Weston House Weston Road Stafford ST16 3TF Lead Inspector Mrs Joanna Wooller Key Unannounced Inspection 26 September 2006 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 Weston House DS0000063822.V308542.R01.S.doc Version 5.2 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. Weston House DS0000063822.V308542.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Weston House Address Weston Road Stafford ST16 3TF 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) 01785 228324 01785 220815 home.weq@mha.org.uk home.fxg@mha.org.uk Methodist Homes for the Aged Janet Marie Coulston Care Home 48 Category(ies) of Dementia - over 65 years of age (48), Mental registration, with number disorder, excluding learning disability or of places dementia (48) Weston House DS0000063822.V308542.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th February 2006 Brief Description of the Service: Weston House is owned by the Methodist Homes for the Aged, which provides 24hour-nursing care for 48 mentally infirm and mentally ill service users. The home was first opened on 1st March 1993 and taken over by MHA in April 2005. MHA was created in 1943 and is a registered charity. The home is divided into four house groups. Each house group provides a comfortable, homely atmosphere for the individuals. Within each house group there is a fully fitted kitchenette where relatives and visitors are invited to help themselves to refreshments. The lounges were sensitively organised to allow service users space and choice of where to sit. The dining areas were also well arranged to allow a feeling of space. Each service user has their own bedroom, which has en-suite facilities. Each service user is encouraged to bring in their own personal possessions to personalise their bedrooms, which assists them to settle easily into their new home. Each bedroom has a TV aerial point, if the individual wishes to have their own TV and also a telephone socket too. Three hot meals are served daily, which were freshly prepared and cooked by the homes fully trained Chef and his assistants. Laundry services are also undertaken within the building. Fees - £334 to £650 Weston House DS0000063822.V308542.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Lead Inspector, Joanna Wooller, carried out this unannounced Key Inspection. The visit was commenced at 09.00 and the Inspector met with the home manager on arrival. There were 47 Service Users in the home and nine care staff was on duty including two Registered Nurses, plus the Manager, Jan Coulson. The inspector evidenced care records, all necessary documentation and inspected the homes environment, including the kitchen, laundry, offices and the Service Users bedrooms. Ongoing refurbishment was evident, with the redecoration programme continuing. Service Users who were able to chat to the inspector said that they felt loved by the staff and were very happy. One lady was assisting the administrator with postal duties in the office, which she really enjoyed as part of her daily routine. One lady said she loved the staff and they would do anything for her. The environment was generally clean and clutter free. The Inspector observed some Service Users in the dining room, here Service Users were offered discreet assistance and promotion of independence was obviously encouraged. Drinks and fresh fruit were served throughout the afternoon. Feedback cards received were complimentary about the service and the staff. Comments included: “I am delighted with the care my father receives, staff are caring and attentive to my fathers needs” “ My Mother is very content in the home”. “The standard of care is exceptional – The staff are so patient & friendly, creating a welcoming atmosphere for visitors and a caring environment for residents.” The GP feedback cards were also received with no issues of concern. Other professional bodies commented, “This is a well run home. It is very professional and has well trained and informed staff and Managers.” What the service does well: MHA have now introduced their own self-assessment tool, which was evidenced by the inspector. The home scored over 80 and issues identified, which were generally administrative, have been actioned by the manager. Weston House DS0000063822.V308542.R01.S.doc Version 5.2 Page 6 The manager and staff at the home ‘give’ that little bit more to the Service Users which enables them to be content in their home, feel loved and have a sense of belonging. Individual Service Users needs are closely monitored to ensure their needs can be met. One carer was evidenced singing to a gentleman in response to this he had sang to her which was a wonderful site. One gentleman was completing a jigsaw puzzle at a dining room table and was praised and encouraged by the carer to complete it. Much support and reassurance is offered and generally taken by the Service Users relatives which makes them feel less upset by the situation. 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. Weston House DS0000063822.V308542.R01.S.doc Version 5.2 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 Weston House DS0000063822.V308542.R01.S.doc Version 5.2 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): 3 This quality outcome is good. This judgement has been made using available evidence including a visit to this service. Prospective service users have the information they need to make an informed choice about where to live and this is available in the Statement of Purpose. Each service user has a signed contract, which confirms their needs will be met whilst in the home. EVIDENCE: The statement of purpose and service user guide is available for all to read and discuss at any time. It was again very evident to the inspector that the staff were individually and collectively able to demonstrate they have the skills and experience to deliver the services and care which the home offers to provide. Prospective Service Users are given the opportunity for staff to meet them in their own homes or current situation and they are welcome to visit the home on a trial basis. Each Service User has a written contact with the home and it is confirmed in writing that his or her individual needs will be met at the home. Weston House DS0000063822.V308542.R01.S.doc Version 5.2 Page 9 One relative commented, “Weston House carers and staff have been excellent. The home is clean; the patients are treated with respect and dignity in difficult circumstances. I endorse its approach entirely.” Weston House DS0000063822.V308542.R01.S.doc Version 5.2 Page 10 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 - 10 This quality outcome is good. This judgement has been made using available evidence including a visit to this service. Service Users health care needs are identified and evidenced as being met within care records. Intervention from the GP is as required along with the Multidisciplinary team and Clinical Nurse Specialists as necessary. Medication administration closely follows the homes policies and procedure. EVIDENCE: Individual health care needs are identified in individual care plans and reviewed monthly. Short-term care plans are introduced in some circumstances to ensure closer assessment of the Service Users condition. Risk assessments and individual needs are documented within the care record. The care staff continue to maintain the personal and oral hygiene of each Service User and support their individual self-care capacity. Access to NHS services is made available to all residents and this is recorded in the care records. The chiropodist visits the home. Care records and monthly observation charts were generally well documented and up to date with some involvement from relatives. Weston House DS0000063822.V308542.R01.S.doc Version 5.2 Page 11 One relative commented “Staff at Weston House make efforts to ensure that residents are viewed as individuals.” Cot side risk assessments evidenced on the day of the inspection were found signed. Manual Handling risks assessments were also in place in the care records, which list individual requirements such as particular hoist and slings. On the day of the visit it was very warm and the Service Users were seated in airy lounges and drinks were continually on offer. Clinical Nurse Specialists are welcomed into the home and their advise sought after as required. The GP’s are regular visitors to the home and good relationships have been formed. • New care records and relevant documentation was to be introduced into the home at the beginning of the year, however following some unforeseen issues the paper work was recalled and will now be introduced following completion of relevant training in October. Weston House DS0000063822.V308542.R01.S.doc Version 5.2 Page 12 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 - 15 This quality outcome is good. This judgement has been made using available evidence including a visit to this service. Service Users life histories are discussed and used as a basis for individualised social care offering choice and support. Service Users relatives are welcomed into the home and encouraged to participate as they wish. A wholesome balanced diet is offered with consideration for personal preferences and dietary needs. EVIDENCE: The Service Users continue to greatly benefit from the enthusiastic input given by the homes Locksmith (activity coordinator). They are knowledgeable in the art of social care and recreational activities for all the service users and their individual preferences and hobbies. The Inspector identified that one to one sessions were taking place and some Service Users preferred this. Individual religious needs are met and there was evidence that any diverse needs due to faith and culture would also be identified through the admission procedure and met as required. Weston House DS0000063822.V308542.R01.S.doc Version 5.2 Page 13 Entertainers are booked and welcomed at the home to give a variety of performances. Notice boards were evident throughout the home with events photographs and thank you letters, which were very complimentary to the care offered to their loved ones. Relatives and visitors are welcome at any reasonable time; the inspector did only see one visitor during the visit. Meals are planned on a three weekly rota to avoid repetitive meals and offer a wide variety of choice. A choice of two meals is offered at each mealtime and a choice of drinks. Food diaries and fluid charts are used if individual Service Users dietary intake is poor or of concern. The Inspector noted that the kitchen was very clean and in good order. No issues were identified. Weston House DS0000063822.V308542.R01.S.doc Version 5.2 Page 14 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 This quality outcome is good. This judgement has been made using available evidence including a visit to this service. A complaints procedure is visible in the home and used as necessary by relatives and Service Users. Service Users legal rights and protection from abuse are supported through staff training and open management of the home. EVIDENCE: The Commission For Social Care Inspection had received no complaints since the last inspection. The complaints process and procedure remains in place at the home. Staff training is given relating to vulnerable adults procedures and abuse, which ensures staff are ware of the need to be vigilant for signs of abuse and they are able to report it. Individual legal rights are protected through family involvement or advocacy services. Weston House DS0000063822.V308542.R01.S.doc Version 5.2 Page 15 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 and 26 This quality outcome is good. This judgement has been made using available evidence including a visit to this service. The service users live in a clean, safe and well-maintained environment. Specialist equipment is made available as required to assist individuals with mobility or independence. EVIDENCE: The environment of the home was again at this visit found to be clean and tidy in all areas inspected. No malodours were noted. There was evidence available for the inspector to demonstrate that the home is well maintained, with a maintenance folder of records available to demonstrate this. Well-maintained specialist equipment is evident in the home. Pressure relieving mattresses in varying forms are used as necessary. Individual Service Users independence is encouraged and promoted throughout the day with assistance given as required. Each service user is able to Weston House DS0000063822.V308542.R01.S.doc Version 5.2 Page 16 personalise their bedroom as they so wished and there was evidence that this is appreciated. Communal areas were light and airy with varying seating arrangements, the Inspector again noted that the lounge seating was looking tired and in need of replacement. The dining area remains in a designated area. The nurse call system is in all service users areas. Outside in the grounds, sheltered areas and garden furniture have been in use to enjoy the recent warm weather. The gardens were very well maintained and pleasing to the eye. Service Users had enjoyed short spells sitting in the shade in groups, in one to ones with staff or with visitors. Several Service Users enjoyed the Chinese garden and the greenhouses were well used. The Inspector noted that some more bedrooms would benefit from redecoration and refurbishment. Weston House DS0000063822.V308542.R01.S.doc Version 5.2 Page 17 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 - 30 This quality outcome is good. This judgement has been made using available evidence including a visit to this service. The staff in the home has been carefully recruited to ensure that they are competent and professional in their manner. The staff training provided is relevant and benefits the Service Users in the home. EVIDENCE: Staffing levels are monitored to ensure that the needs of the service users can be met. Staffing levels and staff competence are considered when staffing rotas are prepared. Most of the staff are first aid trained and have a food hygiene qualification. Two to three trained nurses are on duty for each shift, supported by care staff. Each trained nurse has a responsibility to promote current good practice within the home. Staff training is recorded and monitored by the Manager and her deputy. The inspector was shown evidence of appropriate training being organised, and carried out. The manager arranges teaching sessions, which are appropriate and necessary for the staff working in the care setting. A robust recruitment procedure is in place, which demonstrates the managers’ commitment to employing and developing highly qualified and professional staff. Weston House DS0000063822.V308542.R01.S.doc Version 5.2 Page 18 Issues of diversity are covered in the NVQ training and the staff are fully aware of ways to record individual needs and ensure they are met. Weston House DS0000063822.V308542.R01.S.doc Version 5.2 Page 19 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, 35, 38 This quality outcome is good. This judgement has been made using available evidence including a visit to this service. The home continues to be run and managed for the benefit of the service users. The staff are suitably supervised and they and the service users are safeguarded by the policies and procedures in home. The health, safety and welfare of service users and staff are promoted. EVIDENCE: The ethos and leadership within the home is positive and open. The manager and her team are highly thought of by service users and their relatives/representatives. It was evident to the Inspector whilst in the home, that the home is run in the interest of the service users. Staff and relatives confirmed that the service users wishes and choices are promoted within the home. Weston House DS0000063822.V308542.R01.S.doc Version 5.2 Page 20 Financial issues were all satisfactory and policies and procedures protected service users financial interests. Staff supervision is now in place and up to date. The health, safety and welfare of staff and service users is promoted and protected by the rigorous testing, recording and monitoring of systems within the home. The maintenance person maintains the home in a professional manner and the records seen by the inspector evidence this. The following issues were raised relating to Health and Safety issues: • Linen cupboards fire door were found unlocked • Garden furniture must be risk assessed when used by the Service Users Weston House DS0000063822.V308542.R01.S.doc Version 5.2 Page 21 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 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 4 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 4 X X 2 Weston House DS0000063822.V308542.R01.S.doc Version 5.2 Page 22 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 OP38 Regulation 23 (4a) Requirement The Registered person must ensure that all fire doors are kept locked as stated on the warning notice. The Registered person must ensure that the Service Users individual documentation is reviewed and signed by a relative or representative following consultation. The Registered person must ensure that Service Users seating areas be improved by replacing the original seating. Timescale for action 26/10/06 2. OP7 15 (2c) 26/10/06 3. OP19 16 (2c) 19/12/06 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. Refer to Standard OP7 Good Practice Recommendations Care documentation to be introduced and finalised in a timely manner, following introduction in October 06 Weston House DS0000063822.V308542.R01.S.doc Version 5.2 Page 23 2. OP19 The homes refurbishment and redecorating programme must continue and be completed in a timely manner. Weston House DS0000063822.V308542.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Weston House DS0000063822.V308542.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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