Inspection on 16/01/06 for Westwards House Residential Care Home

This inspection was carried out on 16th January 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

Westwards House Residential Care... 08/05/07

Westwards House Residential Care... 09/08/05

Westwards House Residential Care... 14/12/04

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 Westwards House Residential Care Home 18 Croston Road Garstang Lancashire PR3 1EN Lead Inspector Ms Jenny Hughes Unannounced Inspection 16th January 2006 11:00 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 Westwards House Residential Care Home DS0000061814.V275587.R01.S.doc Version 5.1 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. Westwards House Residential Care Home DS0000061814.V275587.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Westwards House Residential Care Home Address 18 Croston Road Garstang Lancashire PR3 1EN 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) 01995 602055 01995 600967 BLHC Westwards House Limited Mrs Janet Houlker Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Westwards House Residential Care Home DS0000061814.V275587.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 9th August 2005 Date of last inspection Brief Description of the Service: The home is a two storey purpose built care home in the centre of the town of Garstang, where there is easy access to local transport links. There are attractive gardens at the rear of the property, with lawns, patio area, flower beds and a water feature, where residents can sit and enjoy the sunshine. There is a small car park at the front of the home, and easy parking in the roads alongside the home. The home provides personal care for older people, and is equipped to suit the needs of its residents. For example, a stair lift has been installed, and ramps are provided for wheelchair access. There are fifteen single and two double rooms, most of which are ensuite. Toilets and bathrooms are conveniently located. There is sufficient communal space, made up of a lounge, dining room, and a conservatory. The home has a no smoking policy. Staffing is provided over 24 hours, every day of the year. Westwards House Residential Care Home DS0000061814.V275587.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 2 hours, and was one of the two inspections which must be made each year. Additional inspections may be made if necessary. The inspection was unannounced, in that the owners were not aware that the inspection was to take place. A tour of the home was made, and rooms were inspected at random. Staff and some records were viewed. The manager and three staff on duty were spoken to. What the service does well: What has improved since the last inspection? What they could do better: The manager is aware that there is always room for improvement, and is continually looking at ways forward to further improve the quality of life for the residents. Westwards House Residential Care Home DS0000061814.V275587.R01.S.doc Version 5.1 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. Westwards House Residential Care Home DS0000061814.V275587.R01.S.doc Version 5.1 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 Westwards House Residential Care Home DS0000061814.V275587.R01.S.doc Version 5.1 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 at this visit EVIDENCE: These standards were not inspected at this visit Westwards House Residential Care Home DS0000061814.V275587.R01.S.doc Version 5.1 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): 9 The medication at this home is well managed, promoting good health EVIDENCE: All medication is stored securely in a dedicated trolley, which is attached to the wall in the dining room. A locked cupboard is also used in the staff office. Medication records were available for all residents, and were seen to be clear and up to date, with photographs of residents identifying these records further. The manager stated that she regularly monitors the records to ensure they are complete. Only named, trained, senior staff administer medication, and the records listed the staff members who were to do this. Those spoken to were able to discuss the correct way to administer and record medication. Patient information leaflets are kept for staff information on each individual’s medication, and there is regular liaison with the local pharmacist. Westwards House Residential Care Home DS0000061814.V275587.R01.S.doc Version 5.1 Page 10 It was evidenced with signatures that new medication arriving at the home is always checked on receipt, and any medication which needed returning to the pharmacist was listed and signed for. A risk assessment would be carried out on any resident wishing to self medicate, and they would need to sign a disclaimer. One resident looks after their own medication at present, keeping it in a secure place in their own room. Westwards House Residential Care Home DS0000061814.V275587.R01.S.doc Version 5.1 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): These standards were not inspected at this visit EVIDENCE: These standards were not inspected at this visit Westwards House Residential Care Home DS0000061814.V275587.R01.S.doc Version 5.1 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): These standards were not inspected at this visit EVIDENCE: These standards were not inspected at this visit Westwards House Residential Care Home DS0000061814.V275587.R01.S.doc Version 5.1 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 in this home is good. It provides residents with an attractive, homely and comfortable place to live. EVIDENCE: There is a well-maintained and protected garden area at the rear of the home, with lawns, seating and a water feature, making it an extremely pleasant spot to sit in the warm weather. Photographs were seen of the garden party held there earlier in the year, with residents and visitors enjoying the summer sun. The environment is very homely, comfortable and warm. The front lounge, which overlooks the road into the town centre, has comfortable supportive seating, with bookshelves holding books of a variety of subjects for anyone to read. Residents in there were chatting or reading quietly. The second lounge holds a large settee and easy chairs, and a television and video recorder, along with a large selection of videotapes to choose from. A computer stands ready for any resident to have a go. The large conservatory overlooking the garden Westwards House Residential Care Home DS0000061814.V275587.R01.S.doc Version 5.1 Page 14 gives another alternative place to sit and enjoy the view, or the company. The fish tank in there is always a topic of conversation. The bedrooms were very cosy and personalised, with matching décor and bed linen making a final touch. Residents own ornaments, pictures, and in some cases small pieces of furniture, made each room special to its owner. “They keep me nice and tidy”, commented one resident, “I do my best as well. I can’t think of anything I’d like done differently. I’m happy here”. Staff record any maintenance needs they find, and the maintenance man deals with them as soon as possible. The records viewed showed the date the request was recorded, and the task was generally signed as dealt with in the next couple of days. The manager stated that it was planned to start a rolling programme to refresh the home this year, in order to keep up the high standard of decoration the home has had. The laundry area is away from food storage and preparation, and was clean and tidy, with laundered, named, clothing hanging ready to be returned to its owners. This area is close to the dining area, but staff spoken to were aware of the correct way to work to prevent and control infection. Westwards House Residential Care Home DS0000061814.V275587.R01.S.doc Version 5.1 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): 28 There is a clear training plan for all staff in the home, ensuring they have the knowledge and skills to care for residents in a safe way. EVIDENCE: The records were viewed, and showed that there is a commitment to training staff, with ongoing training for staff in relevant areas, such as moving and handling, food hygiene, nutrition, and dementia care. Staff are enrolled on National Vocational Qualification (NVQ) in care training, and presently of the fifteen staff, two hold the award, three have nearly finished the course, and two more are due to start. Two overseas staff hold care qualifications. The home continually meets the standard required of 50 of staff NVQ (or equivalent) qualified, and purely through trained staff occasionally leaving the employ of the home, does the level drop, until new staff are trained. Presently this figure stands at 26 , rising to 60 once all have completed their training. Westwards House Residential Care Home DS0000061814.V275587.R01.S.doc Version 5.1 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 The manager provides clear leadership, demonstrating an awareness of her role and responsibilities in the home. EVIDENCE: The manager has many years experience of the provision of care, both in a care home environment, and in people’s own homes. She has achieved National Vocational Qualification Level 4 in care and management, and is also an NVQ Assessor for care staff undertaking NVQ qualifications. She stated that she likes to keep up to date with information, and makes sure she attends relevant courses regularly. She clearly makes herself accessible to staff, residents and visitors alike. She assisted with the lunchtime medication, chatting and encouraging staff, Westwards House Residential Care Home DS0000061814.V275587.R01.S.doc Version 5.1 Page 17 praising the cooks lunchtime sweet of home made treacle sponge. She helped a member of staff who was trying to adjust a resident’s hearing aid. Residents approached her easily and informally with requests, and were listened and responded to in the same manner. Westwards House Residential Care Home DS0000061814.V275587.R01.S.doc Version 5.1 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 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X 4 X X X X X X 3 STAFFING Standard No Score 27 X 28 2 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X X X X Westwards House Residential Care Home DS0000061814.V275587.R01.S.doc Version 5.1 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 Westwards House Residential Care Home DS0000061814.V275587.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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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