Inspection on 28/02/06 for Weston House

This inspection was carried out on 28th February 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 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 26/09/06

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 Unannounced Inspection 28th February 2006 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 Weston House DS0000063822.V284900.R01.S.doc Version 5.1 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.V284900.R01.S.doc Version 5.1 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) 01332 296200 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.V284900.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th August 2005 Brief Description of the Service: Weston House is now owned by the Methodist Homes for the Aged. It is a care home, 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 newly employed fully trained Chef and his assistants. Laundry services are also undertaken within the building. Weston House DS0000063822.V284900.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The manager of the home was present for the visit. The visit was uneventful; all required information was made available to the inspector. The home had 48 residents and was fully staffed. Residents were looking forward to their lunchtime pancakes as the visit was on Pancake Day. 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. Weston House DS0000063822.V284900.R01.S.doc Version 5.1 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 Weston House DS0000063822.V284900.R01.S.doc Version 5.1 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): 1, 2, 4, 5 The information available ensures the service users have the appropriate information to make an informed choice. EVIDENCE: The Statement of Purpose has now been changed to identify the new company, MHA. The MHA policies and procedures are being introduced into the home with guidance from the MHA managers. The documentation seen by the inspector on the day of the visit evidenced that service users had been assessed prior to admission and they had been enabled to make a choice about the home. All those parties involved had the opportunity to visit the home prior to choosing to stay. Community care plans if available were provided by the social worker and used, as part of the individual needs assessment process. Weston House DS0000063822.V284900.R01.S.doc Version 5.1 Page 8 The records seen and a discussion with the staff evidenced again that care staff, individually and collectively, had the necessary experience and skills to meet the assessed needs of the current service users. Weston House DS0000063822.V284900.R01.S.doc Version 5.1 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): 8, 10, 11 Service users health care needs are identified and met whilst in the home. EVIDENCE: The service user plans and associated documentation was again found to reflect the current condition of residents and were well updated. The documentation evidenced by the inspector and following discussions with both service users and staff evidenced that health and personal care needs were being well met. The documentation is in the process of being improved by the introduction of MHA core care plans and relevant documentation. Local GP practice and a local pharmacist service the home, and there is a good working relationship with them. Records of their visits and outcomes were seen documented. Weston House DS0000063822.V284900.R01.S.doc Version 5.1 Page 10 Community nurses, NHS facilities and professionals including, medical consultants and clinical nurse specialists had all been accessed when required, and these events were seen recorded. It was observed that a safe system was in place for administration of medicines, and that the comprehensive medicines policy documentation seen was being complied with. The service users spoken to were clean, tidy and wearing their own clothes. They enjoyed talking to the inspector and loved to be involved with the inspection. Privacy and dignity was being afforded to residents, and there was very good interaction with staff. Service users relatives are assured at their time of death that they will be treated with sensitivity and respect. The inspector saw care staff knocking on doors before entering. Nine staff were booked to attend ‘The Final Lap’ Training on death and dying. Weston House DS0000063822.V284900.R01.S.doc Version 5.1 Page 11 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 Service users were satisfied with their lifestyle in the home, and they had been able to exercise choice and influence decisions affecting them. Catering aspects were evidenced as good with balanced nutritious meals being served with service user choice fully documented. EVIDENCE: Some service users welcomed speaking to the inspector about their time in the home. The care staff showed the inspector the activities folder, which evidenced the activities both inside and outside the home. Tabletop activities were completed on a weekly basis along with progressive mobility, the hairdresser and church services. Service users appeared to enjoy their meals and choices offered. The menus and catering records were examined and evidenced that the dietary requirements were being met. The experienced cook has arranged the kitchen as preferred and changing suppliers to accommodate quality and value in the budget. Fresh fruit and vegetables were evident in the store as were home baked caked and pastries. Weston House DS0000063822.V284900.R01.S.doc Version 5.1 Page 12 The residents had enjoyed attending the coffee morning put on by two volunteers and they were looking forward to their pancakes at lunchtime, as it was Pancake Day. The staff spoke to each resident on a daily basis to establish his or her choice of food for the day, and this was seen documented. Many service users were unable to make a decision regarding choice of meal, due to their condition, and the inspector saw them being supported by staff who were knowledgeable of their individual likes and dislikes. Weston House DS0000063822.V284900.R01.S.doc Version 5.1 Page 13 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 Service users legal rights are protected. EVIDENCE: Individual service users rights are protected through close monitoring by the staff. Advocacy services are available for those who lack capacity to consent. Service users’ rights to participate in the political process are upheld by the home. Weston House DS0000063822.V284900.R01.S.doc Version 5.1 Page 14 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): 19,21,23,24,25,26 Service users do live in safe, comfortable surroundings, which are clean and hygienic. EVIDENCE: The home was evidenced as being clean and tidy. The inspector walked around the home with the manager. The decorator was in the home at the time of the visit and he has a schedule to complete with regard to the lounges, hallways, bathrooms and bedrooms. This is to continue to enhance the fell of the homely atmosphere, which was felt whilst in the home. The dining room furniture is due to be replaced in the next few days and the inspector explained that the overall appearance would be improved if the mismatch of chairs were also replaced. Weston House DS0000063822.V284900.R01.S.doc Version 5.1 Page 15 Wardrobes were to be secured to the walls with appropriate fixings. Bedrooms were evidenced as being personalised with the individuals possessions and arranged to suit their individual needs. Specialist equipment is available to all those who require it. Weston House DS0000063822.V284900.R01.S.doc Version 5.1 Page 16 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 The number and skill mix of staff in the home meets Service users’ needs. EVIDENCE: Staffing levels were being maintained as 1st April 2002 and following a discussion with the manager and her staff it was again agreed that the shift cover was above adequate for the existing 48 service users needs. Staffing rotas were examined and found to be in order. Student nurse are now working in the home from the local university, supervised and supported by the senior nurses on the units. Two vacancies exist for carers at present and these are advertised. Weston House DS0000063822.V284900.R01.S.doc Version 5.1 Page 17 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): 34, 35 Financial procedures in the home safeguard the service users personal finances. EVIDENCE: Suitable financial and accounting procedures are adopted to demonstrate current financial viability and effective management of the home. Insurance cover is current and suitable for the setting. The registered manager ensures the service users control their own money except where they state they do not wish to or lack capacity to do so. Written records of all transactions are maintained. Secure facilities are available for the service users. Weston House DS0000063822.V284900.R01.S.doc Version 5.1 Page 18 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 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 3 9 X 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 X 14 X 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X 2 X 3 X 3 2 3 3 STAFFING Standard No Score 27 4 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X 3 3 X X 2 Weston House DS0000063822.V284900.R01.S.doc Version 5.1 Page 19 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. 2. 3. Standard OP38 OP38 OP24 Regulation 13(4) 24(4)(iv) 16 (2c) Timescale for action Wardrobes to be secured to walls 28/03/06 Fire extinguishers to be secured 02/03/06 to the walls Lounge chairs to be replaced to 28/03/06 provide improved seating areas. Requirement 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 OP7 OP19 Good Practice Recommendations Care documentation to be introduced and finalised in a timely manner. The homes refurbishment and redecorating programme must continue and be completed in a timely manner. Weston House DS0000063822.V284900.R01.S.doc Version 5.1 Page 20 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.V284900.R01.S.doc Version 5.1 Page 21 - 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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