Inspection on 05/07/05 for Westonville Lodge

This inspection was carried out on 5th July 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.

Other inspections for this house

Westonville Lodge 19/11/08

Westonville Lodge 22/11/06

Westonville Lodge 09/11/05

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Westonville Lodge Royal Esplanade Westbrook Kent CT9 1XA Lead Inspector Elizabeth Hendry Announced 05/07/2005 at 9:00 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 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. Westonville Lodge H56-H05 S62883 Westonville Lodge V227189 05072005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Westonville Lodge Address 24 Royal Esplanade, Westbrook, Kent, CT9 1XA Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01843 220669 01843 220669 Susan Helen Neal Care Home 10 Category(ies) of Older People (10) registration, with number of places Westonville Lodge H56-H05 S62883 Westonville Lodge V227189 05072005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: No Date of last inspection NA Brief Description of the Service: Westonville Lodge is a small residential home registered to provide residential care and support for up to ten service users who require varying degrees of assistance. The home is located in a residential area of Margate, in close proximty to the sea front and local ammenities. Staffing at the home comprises of the Registered Owner/Manager, two senior carers, care and ancillary workers. Local specialist services are accessed within the local community. Westonville Lodge H56-H05 S62883 Westonville Lodge V227189 05072005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes first annual announced inspection since the new owners took over in March 2005. Time was spent meeting and talking with all residents, members of staff and management. Policies, procedures and records were examined, and a tour of the home was undertaken. What the service does well: What has improved since the last inspection? What they could do better: Westonville Lodge H56-H05 S62883 Westonville Lodge V227189 05072005 Stage 4.doc Version 1.40 Page 6 The home must ensure that all staff involved in the management and administration of medication receive appropriate training. 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. Westonville Lodge H56-H05 S62883 Westonville Lodge V227189 05072005 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Westonville Lodge H56-H05 S62883 Westonville Lodge V227189 05072005 Stage 4.doc Version 1.40 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 standard(s) 1,3 and 6 The homes Statement of Purpose and Service User guide provide Service Users and prospective service users with the information they need to make a decision about moving into the home. Service User needs assessments accurately reflect individual care plans, thus ensuring all service users receive appropriate levels of support and assistance EVIDENCE: The Statement of Purpose and Service User guide contained detailed information regarding the layout of accommodation, staff qualifications and experience, management of the home, and services provided. Service users spoken to reported that prior to moving into the home, they were provided with a service user guide, which clearly identified what services and facilities were available. The manager confirmed that no intermediate care is offered within the home. Individual care plans viewed evidenced a needs assessment, which the manager confirmed had been compiled prior to a placement being offered. Westonville Lodge H56-H05 S62883 Westonville Lodge V227189 05072005 Stage 4.doc Version 1.40 Page 9 Westonville Lodge H56-H05 S62883 Westonville Lodge V227189 05072005 Stage 4.doc Version 1.40 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 standard(s) 7,8,9 and 10 The care planning system is clear and consistent, providing staff with the information they need to meet the needs and wishes of the Service Users. Service users health is closely monitored and any problems identified are quickly addressed. Staff involved in the management of medication have not received adequate training, as a result service users are not fully protected. EVIDENCE: Staff spoken to had a clear understanding of the needs and limitations of all residents within the home. Care plans viewed were easy to read, contained appropriate levels of information, and health and safety assessments. Medication stored and records viewed identified a number of concerns, medication administration records displayed a number of incomplete entries, there was excessive stock of medication and staff training records highlighted a lack of training in the safe handling of medication. Service users spoke of being treated with respect and confirmed that staff always maintain their privacy and dignity when undertaking personal care duties. Westonville Lodge H56-H05 S62883 Westonville Lodge V227189 05072005 Stage 4.doc Version 1.40 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 standard(s) 12,13,14 and 15 Service Users are fully supported to choose from a wide variety of activities and community-based outings. Service users are empowered to exercise choice and control over their own lives, and maintain relationships. Dietary needs of Service Users are well catered for with a balanced and varied selection of food available that meets the Service Users tastes and choices. EVIDENCE: Service users spoke of being supported to develop and maintain interests in activities and to become involved within the local community. Activity programmes viewed identified a wide variety of activities and outings available to all service users. Service users spoke of staff making their family members and visitors very welcome. Service users spoke highly of the meals provided within the home, and dietary needs and advice is catered for. The home employs a cook who prepares all meals and is fully aware of individual’s likes and dislikes regarding food. Staff confirmed that snacks and drinks are available throughout the day. Westonville Lodge H56-H05 S62883 Westonville Lodge V227189 05072005 Stage 4.doc Version 1.40 Page 12 Westonville Lodge H56-H05 S62883 Westonville Lodge V227189 05072005 Stage 4.doc Version 1.40 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 standard(s) 16 and 18 The homes complaints policy and procedure is excellent, ensuring Service users receive quality care at all times. Arrangements for protecting Service Users from possible abuse are satisfactory. EVIDENCE: The home has an open door policy, which encourages staff and service users to raise concerns with confidence that appropriate measures will be taken. Service users spoken to said that would feel comfortable to raise concerns without fear of reproach. Staff spoken to had a clear understanding of adult protection issues and the procedure to follow when reporting instances of possible abuse. Staff training records viewed showed that the majority of staff have attended formal adult protection training. Copies of a staff questionnaire regarding adult protection were evidenced; a training need for a small majority of staff was identified. The manager confirmed that the questionnaires would be used as a basis for a staff-training meeting. Westonville Lodge H56-H05 S62883 Westonville Lodge V227189 05072005 Stage 4.doc Version 1.40 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 standard(s) 19 and 26 The standard of the environment within the home is good providing Service Users with an attractive and homely place to live. Infection control measures are in place, which promotes the wellbeing and health of service users and staff. EVIDENCE: A tour of the home was undertaken, a good standard of decoration and furnishing was found throughout the home. Fixtures and fittings were domestic in nature. To the rear of the property there is a large garden area, which provides additional seating and living space for the residents during the summer months. Service users were seen to have personalised their bedrooms. The home was found to be clean and held no offensive odours. Staff spoken to had a good understanding of infection control. Westonville Lodge H56-H05 S62883 Westonville Lodge V227189 05072005 Stage 4.doc Version 1.40 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29 and 30 Staffing levels within the home provide consistent care to the service users. The homes recruitment practices do not ensure the protection of the service users. Service users receive care from trained staff. EVIDENCE: High levels of staff were on duty during the inspection, staff rotas examined showed good levels of staff were on duty at all times to ensure service users needs could be fully met. Training records viewed showed that the majority of staff have attended training courses relevant to the needs of the current service users living within the home. A shortfall in medication training was identified. CRB checks were not present within staff files, the manager confirmed that they had had sight of the checks, however copies were not kept on file. Volunteers working within the home had not been subject to appropriate checks. Westonville Lodge H56-H05 S62883 Westonville Lodge V227189 05072005 Stage 4.doc Version 1.40 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,35,38 The systems for service user consultation are good, with a variety of evidence that indicates service users views are sought and acted upon. Service users financial interests are safeguarded, through the sound management of financial records. The health, safety and welfare of service users and staff are generally well promoted and protected. EVIDENCE: The manager has a clear understanding as to the goings on within the home; service users spoke of the manager providing an open door to discuss personal issues and worries. Staff confirmed that the manager is approachable and understanding and actively encourages their personal development. Records are well maintained, accurate and regularly reviewed. Service users spoke of attending regular resident meetings and confirmed that issues raised are quickly addressed. Financial records viewed were found to be in order. Health and safety certificates relating to the home were found to be in order. Manual Handling assessments were found to lack sufficient detail. Westonville Lodge H56-H05 S62883 Westonville Lodge V227189 05072005 Stage 4.doc Version 1.40 Page 17 Westonville Lodge H56-H05 S62883 Westonville Lodge V227189 05072005 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 x x 3 x 3 x x 2 Westonville Lodge H56-H05 S62883 Westonville Lodge V227189 05072005 Stage 4.doc Version 1.40 Page 19 NA 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 9 and 30 Regulation 13 Timescale for action The registered person shall make 15th August arrangements for the recording, 2005 handling, safekeepingm safe administration and disposal of medicines received into the care home. (All staff involved in the management of service users medictaion should attend a certifiwed training course in the safe handling of medictaion.) The registered person shall make 20th arrangements, by training staff September or by other measures to prevent 2005 service users being harmed or suffering abuse or being placed at risk of harm or abuse. (All staff to have attended an abuse awareness/adult proetction training course.) The registered person shall make 15th August suitable arrangements to provide 2005 a safe system for moving and handling service users. (Additional information for staff should be included on all manual handling assessments.) CRB checks should be kept on 20th file for all members of staff September including Volunteers. 2005 Requirement 2. 18 13 3. 38 13 4. 29 19 Westonville Lodge H56-H05 S62883 Westonville Lodge V227189 05072005 Stage 4.doc Version 1.40 Page 20 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 7 Good Practice Recommendations Service users signatures should be included within individual care plans to document their agreement. Westonville Lodge H56-H05 S62883 Westonville Lodge V227189 05072005 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection 11th Floor, Dover Place Ashford Kent, TN23 1HU 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 Westonville Lodge H56-H05 S62883 Westonville Lodge V227189 05072005 Stage 4.doc Version 1.40 Page 22 - 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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