Inspection on 20/03/07 for Westvale House

This inspection was carried out on 20th March 2007.

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

Westvale House 11/03/09

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE West Vale House Old Hall Road Great Sankey Warrington Cheshire WA5 9PA Lead Inspector Joan Adam Unannounced Inspection 20th March 2007 10:00 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 West Vale House DS0000069255.V330348.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. West Vale House DS0000069255.V330348.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service West Vale House Address Old Hall Road Great Sankey Warrington Cheshire WA5 9PA 01925 571266 01925 413438 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) Barchester Healthcare Homes Ltd Sylvia Sloan Care Home 61 Category(ies) of Old age, not falling within any other category registration, with number (61), Physical disability (5), Terminally ill (6) of places West Vale House DS0000069255.V330348.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 61 service users including; * Up to 61 service users in the category of OP (Old age, not falling within any other category) * Up to 5 service users in the category of PD (physical disability under the age of 65) * Up to 6 service users in the category of TI (Terminal illness) Date of last inspection 14th December 2005 Brief Description of the Service: Westvale House is a care home providing nursing and/or personal care for up to 61 people. The majority of residents are older people, but the home may accommodate up to five people under 65 with a physical disability and up to 6 people with a terminal illness. The home is located in the Old Hall district of Warrington, close to local amenities including shops and a pub. It s near the Westbrook Centre where there are more shops, restaurants, a cinema and a health care centre. It is also close to Sankey Valley Park and on a bus route approximately 3 miles from Warrington town centre.The home was purpose built in 1989. There are 59 single rooms and 1 double room, all with en-suite facilities. There is a variety of day space and a passenger lift. There are extensive gardens, which are well maintained and a small car park. The current fees for the home are £550 to £650. West Vale House DS0000069255.V330348.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit took place on 20th and 21st March 2006 and took nine hours. It was carried out by an inspector of the Commission. The visit was just one part of the inspection. The home was not informed of the date the visit was to take place, but a few weeks prior to the visit the manager was asked to complete a questionnaire to provide the inspector with some information about the service. The manager was also asked to distribute questionnaires to residents, relatives and health and social care professionals to help the inspector find out what they think of the home. Eleven responses were received from relatives, two from general practitioners and one from a nurse from the PCT. All were positive about the standard of care in the home. During the visit, the inspector spoke with the manager, staff, residents and visitors. The premises and various records held by the home were looked at. Feedback was given to the registered manager at the end of the inspection. What the service does well: The questionnaires received and the residents spoken with were all satisfied with the care they received at Westvale House. Comments such as “ the home is one of the best” “ I can find no fault with the home” “ the staff are lovely” “ the home is always clean and fresh” were made by the residents. The care needs of all residents are assessed to ensure that the home can meet their needs. Care plans are in place so that the staff know how to care for the residents living at Westvale House. Care plans are updated and reviewed on a monthly basis following discussion with residents and relatives. The home is staffed with people who are trained to look after older residents. Recruitment procedures, staff training and staff supervision ensure that residents are protected from harm. The home is clean and comfortable with a warm and welcoming atmosphere. West Vale House DS0000069255.V330348.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. West Vale House DS0000069255.V330348.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 West Vale House DS0000069255.V330348.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessments of people’s care needs are carried out before they move into the home so that residents know their needs can be met. EVIDENCE: The files of two newly admitted residents who had moved into the home in recent months were looked at. A detailed assessment of all dependency levels and likes and dislikes had been carried out. Some background information regarding the resident and family circumstances had been noted. There was evidence that relatives had been involved in the pre admission process. The pre-admission assessments had been carried out by the manager. The home is not registered to take residents with intermediate care needs. West Vale House DS0000069255.V330348.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health, personal and social care needs are met by staff who enable them to maintain their privacy and dignity EVIDENCE: The care plans of seven residents were looked at. Care plans identified areas of need such as pressure area care, mobility, continence, nutrition, tissue viability and general dependency. West Vale House DS0000069255.V330348.R01.S.doc Version 5.2 Page 10 The care plans contained concise information to provide care staff with the necessary information for them to look after a person’s needs. There was written evidence to confirm that care plans were being reviewed and evaluated regularly and showed that there had been consultation with residents or their families/advocates. One care plan needed up dated information in place following treatment from the physiotherapist to enable the treatment to be continued by care staff, this was amended by the staff on the second day of the inspection. Care plan audits are completed on a monthly basis by the home manager. The home had a warm and friendly atmosphere and the staff were seen to interact well with the residents. Staff were seen to knock on doors and wait before entering bedrooms and bathrooms. Residents said that “ the staff are lovely” the staff can’t do enough for you” “all the staff are really nice” “ no complaints at all” Relatives also said that they were happy with the care their family members received. One questionnaire completed said, “ the staff are very caring” “ I am told about any changes in my relatives care.” Medication management and storage arrangements were looked at. The home used a monitored dosage system. Medication administration records were completed correctly and medicines were stored correctly. Some medications were being stored in the drug fridge unnecessarily on the ground floor and these were removed immediately. The manager has arranged for more medication update training for staff following this inspection. The manager has recently completed a medication audit and this is completed monthly. An additional visit was made by CSCI in January 2006 to ensure that the requirements following the last inspection had been met. West Vale House DS0000069255.V330348.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The routines of daily living and activities available are flexible and varied to suit residents’ expectations, preferences and capacities. EVIDENCE: Residents could make choices of where they wanted to spend their day. Some were sitting in one of the lounges and some were in their bedrooms. Visitors were made welcome at any time. The home employs an activities co-ordinator. Group activities are on offer and one to one sessions are provided fro the residents who are not able to join in the group activities. Outings to the local garden centre, pub lunches and to the local bingo hall are also popular. Residents confirmed that activities take place regularly and “ you can choose to join in or not”. West Vale House DS0000069255.V330348.R01.S.doc Version 5.2 Page 12 Menus in place at the home are varied and residents said that the food was good and wholesome. Comments made by residents are “good food” “ no problems at all with the food.” A cooked breakfast is on offer most days and the main meal is served in the evening. West Vale House DS0000069255.V330348.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a complaints procedure in place and the residents are protected from abuse. EVIDENCE: The complaints procedure is available in the service user’s guide and a copy is displayed in the entrance hall. Information regarding how to contact the CSCI is also displayed. The home has received four complaints since the last inspection and have dealt with them appropriately. Residents said they would feel comfortable talking to the manager if they had any problems regarding the home. The staff spoken with displayed a good understanding of adult protection procedures. Staff have completed a training course on adult abuse and these training sessions will continue for new staff. One POVA issue has been recorded and the manager dealt with this appropriately. West Vale House DS0000069255.V330348.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Westvale House provides a comfortable and clean environment for those living there and visiting. EVIDENCE: A partial tour of the home was undertaken. All the shared areas and a selection of bedrooms were seen. The home was furnished to a good standard with additional equipment such as grab rails, raised toilet seats and hoists provided as necessary to meet the residents’ needs. A good standard of décor was evident. Bedrooms were well personalised with residents’ own furniture and mementoes. West Vale House DS0000069255.V330348.R01.S.doc Version 5.2 Page 15 The home was cleaned to a high standard. Since the last inspection new flooring has been laid in the upstairs dining room, a new shower room has been created to enable residents to have more choice with the regard of meeting their hygiene needs. An extra hoist has been purchased to enable staff to move the residents appropriately. The garden area has been improved and a new sensory garden is now in place for the enjoyment of all residents. West Vale House DS0000069255.V330348.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staffing levels and skill mix are sufficient to meet the needs of the residents, Residents are protected by the home’s recruitment practices and staff training. EVIDENCE: There were adequate numbers of staff on duty to meet the needs of the residents living at the home. Training at the home is on going and copies of courses undertaken were seen on the staff files and on the training matrix. These included moving and handling, health and safety, fire awareness, first aid, food hygiene, medication updates and protection of vulnerable adults. Trained staff have received training updates in the use of syringe drivers. A training programme is in place to enable staff to achieve NVQ level two in care. The home has achieved seventy five per cent of care staff qualified in this award. West Vale House DS0000069255.V330348.R01.S.doc Version 5.2 Page 17 Further training has been arranged on the mental capacity act, palliative care of the dying patient and further medication training for the trained staff at the home. Staff files were looked at for three newly employed staff members and all of these contained appropriate checks prior to commencement of employment. West Vale House DS0000069255.V330348.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health, safety and welfare of the service users are protected. The views of service users are obtained to influence the running of the home. Staff are fully supervised EVIDENCE: The manager of the home is a registered nurse and is an experienced manager. She is registered with CSCI and has completed the registered managers award. West Vale House DS0000069255.V330348.R01.S.doc Version 5.2 Page 19 Residents and relatives said that they felt the home was well run and that the manager and staff were very welcoming and friendly. Observed day-to-day supervision of staff was good and formal supervision was given on a regular basis. Records seen were up to date and staff spoken to confirm that supervision was given regularly. The home does not deal with any resident’s finances. Invoices for hairdressing, chiropody and newspapers were sent to residents or their relatives on a monthly basis. Health and safety procedures at Westvale House are good. Fire drills and risk assessments are in good order. Certificates and maintenance records are up to date and appropriate. The pre inspection questionnaire provided information to confirm that equipment and installations at the home are serviced on a regular basis. The home employs a handyman who attends to maintenance issues such as checking fire equipment, water temperatures and other health and safety matters, providing a safe environment for staff and residents. The home has a quality monitoring system in place including audits by the manager on a monthly basis of care plans, medication management, accident audit and pressure sore audits. The area manager visits the home on monthly basis and audits completed by the home manager are validated. A regulation twenty-six report is completed and a copy sent to CSCI. Resident/relative meetings and staff meetings are held at the home on a regular basis and minutes can be seen by all who attended. Questionnaires are sent out to residents and relatives to gain their views on the service provided by the home. West Vale House DS0000069255.V330348.R01.S.doc Version 5.2 Page 20 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 3 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 West Vale House DS0000069255.V330348.R01.S.doc Version 5.2 Page 21 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. 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. Refer to Standard Good Practice Recommendations West Vale House DS0000069255.V330348.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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. 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