Inspection on 23/08/06 for Westview

This inspection was carried out on 23rd August 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

Westview 20/12/05

Westview 07/10/04

Westview 14/07/04

Westview 13/03/04

Similar services:

Trevayler Residential Care Home

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

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

CARE HOMES FOR OLDER PEOPLE Westview 136 Leicester Road Glen Parva Leicestershire LE2 9HG Lead Inspector Debbie Williams Unannounced Inspection 11:00 23 of August 2006 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 Westview DS0000001684.V308787.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. Westview DS0000001684.V308787.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Westview Address 136 Leicester Road Glen Parva Leicestershire LE2 9HG 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) 0116 2773896 0116 2773896 nicolahall686@msn.com Mrs Joan Dawe Mrs Nicola Hall Care Home 18 Category(ies) of Dementia - over 65 years of age (18), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (18), Old age, not falling within any other category (18) Westview DS0000001684.V308787.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To be able to admit the named person of category MD named in variation application number V26615 dated 8:11:05 20th of December 2005 Date of last inspection Brief Description of the Service: Westview Residential Home is a care home for older persons, situated in Glen Parva. The home accommodates up to eighteen service users, and also provides care for older persons who have dementia (up to nine places) or a mental disorder (up to nine places). The home is situated close to local amenities and on a bus route to Leicester city centre. Accommodation is on two floors, the upper floor maybe accessed by lift or stairs. The home has eighteen single bedrooms. There are two lounges, a small conservatory and a separate dining area available to service users. The home has a large attractive rear garden and parking for cars is available to the front of the property. Westview DS0000001684.V308787.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The main method of inspection used was ‘case tracking’ which involved selecting residents and tracking the care they receive through the checking of their records, discussion with them, the care staff and observation of care practices. The inspector also spoke with care staff. The CSCI also sent out a service provider pre inspection questionnaire and General Practitioner comment cards. These are questionnaires to ascertain the satisfaction of healthcare professional that visit the home. One General Practitioner questionnaire was returned and this was entirely positive about the service. This was a positive inspection, residents spoken with were very happy with the service provided. The standard of staff training and care planning was excellent. What the service does well: Residents spoken with were happy with all aspects of the service. Some of the comments made were as follows -: “Its like a home from home” “Staff are very nice” “I have settled in nicely” “You couldn’t find a better place” The home provides a comfortable and homely environment and residents seemed at ease and relaxed. Relationships between residents and staff appeared positive and respectful. Care records are comprehensive and user-friendly so ensuring staff have quick and easy access to information required to meet the needs of individual residents. Care plans are regularly reviewed and the wellbeing or otherwise of each resident is carefully monitored. Staff training is also comprehensive and ensures that staff are skilled and competent to do their jobs. Over fifty percent of care staff have achieved a national Vocational Qualification in care. Westview DS0000001684.V308787.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. Westview DS0000001684.V308787.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 Westview DS0000001684.V308787.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Prospective residents are provided with the information they need to make an informed choice about where they live. Resident’s needs are assessed before they enter the home. EVIDENCE: The Registered Manager assesses the needs of all residents unless an emergency admission is arranged by social services. A copy of the home’s Statement of Purpose is provided to all prospective residents. Contracts are issued following a four-week trial period. Contracts set out the terms and conditions of the home, a copy of the providers contract was seen. A copy of the home’s Statement of purpose and complaints procedure was also available in the reception area. Westview DS0000001684.V308787.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. The health and personal care needs of residents are met and staff treat residents with respect. EVIDENCE: Care pans for three case tracked residents were inspected. Care plans were comprehensive and information regarding residents individual needs was easily accessible to staff. A monthly log is maintained and the daily records for the four previous weeks are reviewed. This enables staff to monitor the health and wellbeing or otherwise of each resident and to review the plan of care. Care plans also contained all relevant risk assessments. Care records were of an excellent standard and provided comprehensive information in a user-friendly format. The medication administration records for three case tracked residents were inspected and appeared accurate and in good order. Staff have to be employed for at least three months before they begin training to administer medication. As part of their medication training staff shadow and observe a senior administering medication for two weeks and then they are supervised for one Westview DS0000001684.V308787.R01.S.doc Version 5.2 Page 10 week. Medication training has been provided by a pharmacist and seventy five percent of the home’s staff have undertaken a distance learning course in the safe handling and administration of medication. Records of G.P and community nurse visits were seen in case tracked residents care records. One comment card was received from a General Practitioner that visits the home and this was entirely positive. The interactions observed between staff and residents during this inspection appeared positive, friendly and respectful. Residents spoken with said that staff treated them respect and maintained their privacy and dignity. Westview DS0000001684.V308787.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Routines of daily living are made flexible to meet resident’s individual needs. Resident’s lifestyle expectations and preferences are met. EVIDENCE: Residents spoken with felt they were able to exercise choice and autonomy and that their social and religious needs were met. Residents said they often got out into the garden, to the shops and that games were available such as bingo. Visitors are made welcome and can be seen in private. The social and cultural needs of each resident are recorded within the assessment records of each resident. At the time of this inspection there were no residents living in the home from ethnic minority communities. A vicar visits the home on a monthly basis and residents can receive communion. Residents spoken with were happy with the quality of meals provided, a choice of meal was always available as were snacks and drinks. A sample of the home’s menu records was provided with the pre inspection questionnaire. A wholesome and nutritious menu was being provided. One resident spoken with required a diabetic diet and said this was always provided. Westview DS0000001684.V308787.R01.S.doc Version 5.2 Page 12 Westview DS0000001684.V308787.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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Policies and procedures in place minimise risk and offer protection to residents. EVIDENCE: Residents spoken with said they would feel comfortable making a complaint should the need arise. No complaints had been made in the last twelve months. The home’s complaint procedure was on the notice board in the reception area. The registered manager was aware of the correct vulnerable adults procedures as was one staff member spoken with. Protection of vulnerable adults training is part of staff induction training. Westview DS0000001684.V308787.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Accommodation provided is clean, comfortable homely and safe EVIDENCE: All areas of the home seen during this inspection appeared clean, comfortable and well maintained. Resident’s private accommodation was personalised and residents were able to bring in their own items of furniture if desired. Information provided within the pre inspection questionnaire confirmed that all relevant maintenance work and testing had been carried out. Westview DS0000001684.V308787.R01.S.doc Version 5.2 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 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 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to the service. Staff are trained and competent to do their jobs. Recruitment procedures protect residents. EVIDENCE: Residents and staff spoken with felt that staff were employed in sufficient numbers and were competent. There were seventeen residents living in the home at the time of this inspection and it appeared that staffing levels were very good. Staff training at the home is comprehensive, ongoing and addresses all required areas. Over fifty percent of staff hold a National Vocational Qualifications in care and the registered manager has a National Vocational Qualification level four registered manager award. Staff records for one staff member were inspected and found to contain all necessary checks and references. Westview DS0000001684.V308787.R01.S.doc Version 5.2 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 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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home is run and managed in a way which protects and serves the best interests of residents. EVIDENCE: The manager holds a National Vocational Qualification level four and registered managers award. Residents and staff felt the management approach was open and inclusive. The manager is involved in the day-to-day running of the home and regularly monitors and reviews resident’s needs. Residents and their families’ views are sought via questionnaires on a bi annual basis. The home does not manage the personal finances of residents. Health and safety and moving and handling training is provided to all staff and staff have access to all health and safety policies and procedures. Accident records are maintained and risk assessments undertaken. Westview DS0000001684.V308787.R01.S.doc Version 5.2 Page 17 Westview DS0000001684.V308787.R01.S.doc Version 5.2 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 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 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 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Westview DS0000001684.V308787.R01.S.doc Version 5.2 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. 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 Westview DS0000001684.V308787.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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. 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