Inspection on 09/11/05 for Westonville Lodge

This inspection was carried out on 9th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Westonville Lodge 19/11/08

Westonville Lodge 22/11/06

Westonville Lodge 05/07/05

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 24 Royal Esplanade Westbrook Kent CT9 5DX Lead Inspector Elizabeth Hendry Unannounced Inspection 9th November 2005 09:20 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 Westonville Lodge DS0000062883.V260567.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. Westonville Lodge DS0000062883.V260567.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Westonville Lodge Address 24 Royal Esplanade Westbrook Kent CT9 5DX 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) 01843 220669 01843 220669 Susan Helen Neal Care Home 10 Category(ies) of Old age, not falling within any other category registration, with number (10) of places Westonville Lodge DS0000062883.V260567.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th July 2005 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 DS0000062883.V260567.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes second annual inspection, which was undertaken during the course of a morning. Time was spent meeting and talking with all residents and members of staff. Policies and procedures and records were viewed 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: The home must ensure that service users medication is managed appropriately and records kept are accurate. Individual manual handling assessments require further development to provide staff with the information they need to assist residents safely. Westonville Lodge DS0000062883.V260567.R01.S.doc Version 5.0 Page 6 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 DS0000062883.V260567.R01.S.doc Version 5.0 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 Westonville Lodge DS0000062883.V260567.R01.S.doc Version 5.0 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): These standards were not inspected on this occasion. EVIDENCE: Westonville Lodge DS0000062883.V260567.R01.S.doc Version 5.0 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): 7 and 9 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. Improvements are required in the management of service users medication to ensure they are fully protected from any potential risk. 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. No evidence of service user involvement could be found within individual care plans. Individual manual handling assessments were found to contain insufficient information as to the techniques required when assisting an individual. A number of concerns were identified when reviewing the homes management of medication. Medication administration records displayed a number of incomplete entries, alterations to an individual’s medication had not been recorded and some medication was not stored in accordance with the Royal Pharmaceutical Guidelines of Great Britain. Westonville Lodge DS0000062883.V260567.R01.S.doc Version 5.0 Page 10 The Head of Care confirmed that all staff involved in the management of medication were due to undertake training in the safe handling of medication. Westonville Lodge DS0000062883.V260567.R01.S.doc Version 5.0 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): 15 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 highly of the meals provided within the home. Records viewed identified that the dietary needs of all service users is fully catered for. The home employs a cook who prepares all meals and is fully aware of individual’s likes and dislikes of the service users regarding food. Staff confirmed that hot and cold snacks and drinks are available throughout the day upon request. Food stores inspected contained a wide variety of both branded and value products with adequate provision of fresh fruit and vegetables. A number of opened foodstuffs held within the fridge were not dated, covered and had expired. The Head of Care confirmed that the registered manager had enrolled all members of staff on basic food hygiene training. Westonville Lodge DS0000062883.V260567.R01.S.doc Version 5.0 Page 12 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): 18 Arrangements for protecting Service Users from possible abuse are satisfactory. EVIDENCE: Staff spoken to had a clear understanding of adult protection issues and the procedure to follow when reporting instances of possible abuse. The Head of Care confirmed that all staff have been booked on adult protection training, and that abuse awareness is frequently raised at team meetings. Westonville Lodge DS0000062883.V260567.R01.S.doc Version 5.0 Page 13 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 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 promote 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. Service users spoke of Westonville Lodge as being a home away from home. A good standard of cleanliness was found throughout the home, and no offensive odours were present. Staff were observed maintaining infection control. Westonville Lodge DS0000062883.V260567.R01.S.doc Version 5.0 Page 14 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): These standards were not inspected on this occasion EVIDENCE: Westonville Lodge DS0000062883.V260567.R01.S.doc Version 5.0 Page 15 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): These standards were not inspected on this occasion EVIDENCE: Westonville Lodge DS0000062883.V260567.R01.S.doc Version 5.0 Page 16 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 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 2 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 X 28 X 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X X Westonville Lodge DS0000062883.V260567.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? Yes 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 OP7 Regulation 13 Timescale for action The registered person shall make 01/12/06 arrangements to provide a safe system for moving and handling service users. (Additional information for staff to follow should be included on all manual-handling assessments). The registered person shall 01/12/06 where appropriate and unless it is impracticable to carry out such consultation with a service user or a representative of his, revise the service users plan. (The service user or their representative must sign all care plans). All foodstuffs with a shelf life are 20/11/05 to be dated on opening, appropriately covered and within the expiry date. The registered person shall make 01/02/06 arrangements for the recording, handling, safe keeping and safe administration and disposal of medicines received into the care home. (All staff are to undertake medication training, ensure all records kept are accurate and drugs are stored in DS0000062883.V260567.R01.S.doc Version 5.0 Page 18 Requirement 1 OP7 15 1 OP15 13 (3) 2 OP9 13 Westonville Lodge accordance with the Royal Pharmaceutical Society of Great Britain Guidelines). 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 Westonville Lodge DS0000062883.V260567.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House 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 DS0000062883.V260567.R01.S.doc Version 5.0 Page 20 - 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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