Inspection on 03/11/05 for Westside Care Home

This inspection was carried out on 3rd November 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

Westside Care Home 30/04/07

Westside Care Home 03/02/05

Westside Care Home 26/07/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Westside Care Home Westside Nursing Home 106 Foxley Lane Purley Surrey CR8 3NB Lead Inspector Michael Williams Unannounced Inspection 13:00 3 November 2005 rd 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 Westside Care Home DS0000019046.V263569.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. Westside Care Home DS0000019046.V263569.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Westside Care Home Address Westside Nursing Home 106 Foxley Lane Purley Surrey CR8 3NB 020 8660 6453 020 8668 0210 hillho@jpeenetname.co.ujk 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) Hill House Nursing Home Limited Mrs Mary Sogeler Care Home 31 Category(ies) of Old age, not falling within any other category registration, with number (0) of places Westside Care Home DS0000019046.V263569.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th June 2005 Brief Description of the Service: Westside is a care home establishment registered to provide personal care, including nursing care, for up to 31 older persons. It is located to the South of Croydon in Purley and is close to the Purley crossroads (A23/A22). The property is a large detached house, traditional brick built and pitched roof style. The accommodation is on three floors and comprises 20 single bedrooms and 4 double rooms and a triple bedroom that is now used for two service users. Twelve bedrooms have en-suite facilities. There are three day-rooms or lounges including an open plan dining area. Other facilities include toilets on each floor and 8 bathrooms including assisted baths and two showerrooms. The home has a garden to the rear and parking to the front of the premises. Westside Care Home DS0000019046.V263569.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During this unannounced Inspection several relatives and numerous service users contributed to the inspection. As before, they find this home is very good and say it is meeting their needs in a homely and comfortable manner. The inspector discussed issues relating to admissions; the quality of food; care of their clothing; the conduct of staff; the general care and health care; and maintenance of the environment. All these elements continue to be being met in an exemplary manner. The inspector also spoke to the staff team who represented the home in a very caring professional manner and confirmed staff consultation and staff training is in place. 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. Westside Care Home DS0000019046.V263569.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 Westside Care Home DS0000019046.V263569.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): Key standards in this section of the report were assessed on the previous visit and were confirmed as meeting service users’ needs and were not revaluated on this occasion. EVIDENCE: Westside Care Home DS0000019046.V263569.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): Key standards in this section of the report were also fully assessed on the previous visit and were confirmed as meeting service users’ needs and were not revaluated on this occasion. EVIDENCE: Westside Care Home DS0000019046.V263569.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 15 Key standards in this section of the report were assessed on the previous visit and were confirmed as meeting service users’ needs and only standards 12 about lifestyle and 15 about food were revaluated on this occasion. Service users can expect life in the home to be stimulating and enjoyable; the home can provide opportunities for them to engage with activities both inside and outside the home – to ensure that activity and social links are maintained. The catering arrangements in this home are satisfactory, so service users are receiving a wholesome, appealing and well balanced diet in a congenial setting in accordance with their recorded requirements and preferences. EVIDENCE: The inspection took place at midday so service users were engaged in social activities including board and modified to take account of hearing, visual and mobility restriction of the service users taking part. The activity looked like great fun for them. The inspection also included observations of the midday meal, which offers a minimum of three main choices plus extra choices if requested. On the day of inspection the choice was mixed grill and vegetable, beef stir fry or a vegetarian dish. The menu provides a range of homely and wholesome meal and the service users are pleased with the catering in this home and Westside Care Home DS0000019046.V263569.R01.S.doc Version 5.0 Page 10 everyone said how nice the meal was; very little was returned to the kitchen confirming the point. The chef will cook specific meals upon request for people who want particular meals for example Caribbean or Indian style meals. One resident was listening to a tape version of the local newspaper. It was clear that the home is having regard to equality issues and taking account of service users’ cultural, religious, dietary and disability needs and preferences. Westside Care Home DS0000019046.V263569.R01.S.doc Version 5.0 Page 11 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 Key standards in this section of the report were assessed on the previous visit and were confirmed as meeting service users’ needs and maintaining their safety and only standards 16 about complaints was revaluated on this occasion. Effective procedures are in place to deal with complaints, this ensures that the concerns of service users or their representatives are dealt with in a professional manner and it ensures the safety and well being of service users. EVIDENCE: One complaint is recorded since the previous inspection this year and the records show that it was dealt with by the manager but there was some delay as it involved replacement of furniture and several attempts were made to get the right solution. It does however demonstrate the home’s willingness to listen to complaints, to take them seriously and to act upon them. In view of the costs involved in maintenance a suggestion is made, in the management section of this report, for the company to devolve a budget to the manager so she can plan such work in accordance with the needs of the home and service users. Westside Care Home DS0000019046.V263569.R01.S.doc Version 5.0 Page 12 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): Key standards in this section of the report were assessed on the previous visit and were confirmed as meeting service users’ needs and maintaining their safety and comfort. EVIDENCE: A tour of the premises was made to confirm that key standards about the environment and hygiene continue to be met. Westside Care Home DS0000019046.V263569.R01.S.doc Version 5.0 Page 13 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 29 30 Staffing levels are adequate for the home’s stated aims and objective enabling staff to meet the wide range of service users’ needs. Recruitment procedures in this home are sound and so will ensure service users are appropriately supported and protected. Training is comprehensive meaning staff are competent to care for service users. It is therefore clear that service users are in safe hands at all times. EVIDENCE: Staffing levels are based upon the home’s existing Staffing Notice issued under previous guidance. The staff rosters indicated that staffing levels are frequently above those minimum levels. On duty on the day of inspection were 2 qualified nurses, and 8 care assistants. In addition to the Nursing and Care staff, the home employs a large ancillary staff team including a catering assistant; housekeeper and domestics and gardener/maintenance persons. The CSCI is therefore satisfied that staffing levels in this home can meet the current needs of service users. The recruitment records were examined in some detail to ensure all necessary checks are being made prior to employment including references, police checks and the qualifications of nurses. One of the Directors of the home provided details of the staff training programme including induction, support and supervision and ongoing training sessions and courses. The range of courses provided is appropriate to the needs of service users and include standard instruction in fire safety, moving Westside Care Home DS0000019046.V263569.R01.S.doc Version 5.0 Page 14 and handling, health and safety and so forth. Other more complex guidance is given on matters such as care of the dying and staff supervision. The staff confirmed that they are offered regular training and receive regular supervision from senior staff. Westside Care Home DS0000019046.V263569.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): 31 33 35 38 Residents are confident that they live in a home that is run by a person that is experienced and fit to be in charge and will maintain their safety. Systems are in place so as to ensure that the property and money of service users (held by the home) can be held securely and is safeguarded. Provision is also made for service users to control their own money. EVIDENCE: The registered manager is a qualified Nurse; she is competent and experienced and she has demonstrated over a number of years that she has the skills to meet Westside’s stated purpose, aims and objectives. On this occasion the money records were examined to ensure service who deposit their cash, and other valuables, can be assured it is managed in accordance with good practice. If and when the home acts as appointee for service user, as it may do occasionally, the company has in place good practice Westside Care Home DS0000019046.V263569.R01.S.doc Version 5.0 Page 16 arrangements to ensure the safe management of their money and valuables. This includes maintaining an account for service users; the home would also be able to provide a regular statement of account; they will also provide interest at standard high-street rates and the home has confirmed that the manager can make service user’s money readily available upon request. Cash held on the premises was also checked to confirm is held safely managed and accurate records are being maintained. In addition to these arrangements the home will now provide a small safe for service users who wish to hold cash and other valuables in their own rooms. This is clearly a well managed care home, that is run in such a manner as to ensure the health and well being of the service users but a number health and safety hazards were identified and need to be addressed to ensure the continuing safety of service users. Whilst no immediate hazards were identified two recommendations are made, firstly window security is review particularly any windows that open onto flat roofs; shower temperatures are being recorded but the temperature of the water rather that the control setting should be checked. The CSCI also endorses the homes intention to fit a bath that will be suitable for both ablebodied and those with disabilities a suggestion is made for the company to devolve a budget to the manager so she can plan such improvements within a timescale that suites both the budget and service users. Westside Care Home DS0000019046.V263569.R01.S.doc Version 5.0 Page 17 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 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 X 15 3 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 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Westside Care Home DS0000019046.V263569.R01.S.doc Version 5.0 Page 18 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. 1. 2. Refer to Standard OP19 OP22 Good Practice Recommendations Security: it is recommended that window security is reviewed. Aids and Adaptations: It is recommended that the bath currently without a hoist is fitted with suitable hoist whilst remaining accessible to service users who not need such an aid. Shower Temperatures: It is recommended that the temperature of the water and the control setting is recorded. Local Budget: It is recommended that the manager of the home is provided with a devolved budget so as to be able to plan the maintenance and improvements to the home. 3. 2 OP21 OP34 Westside Care Home DS0000019046.V263569.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Westside Care Home DS0000019046.V263569.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. 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