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Inspection on 10/02/10 for Westwinds

Also see our care home review for Westwinds for more information

This inspection was carried out on 10th February 2010.

It is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Excellent.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

Annual service review Name of Service: Westwinds The quality rating for this care home is: The rating was made on: three star excellent service 1 3 0 9 2 0 0 7 A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Nancy Saich Date of this annual service review: 1 2 0 1 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: North Shore Harrington Workington Cumbria CA14 5QW 01946830232 Telephone number: Fax number: Email address: Provider web address:   westwindsresidential@yahoo.co.uk Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: P & C Residential Service Ltd Number of places (if applicable): Under 65 Over 65 14 0 0 14 The registered person may provide the following category/ies of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP (maximum number of places: 14) Dementia - Code DE (maximum number of places : 14) The maximum number of service users who can be accommodated is: 14 Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service West Winds is situated in a residential area of Harrington. It is near to the harbour and within walking distance of the village amenities. The home has been adapted and extended to provide residential care for up to fourteen older adults some of whom may have dementia. Annual Service Review Page 2 of 7 1 3 0 9 2 0 0 7 The home is owned by P and C Residential Services Ltd. The two directors have owned the home for some years and now take an even more active part in the running of the home. Maude Wilson manages the home on their behalf. Information about the service may be obtained from the home. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? We sent the manager a form called the Annual Quality Assurance Assessment (the AQAA). This is a document that registered providers must, by law, complete annually. We ask in this document for information about how the service is operating and for some statistics about staff and about the delivery of care and services. We also checked on any other information we hold about the service. This includes notifications of accidents or incidents, any complaints received and any matters of adult safeguarding. There had been no information received that concerned us. We then sent out postal surveys to the residents and to the staff. We had a high proportion of these returned with very positive outcomes. What has this told us about the service? The Annual Quality Assurance Audit (the AQAA) told us that the home continues to improve and refine all its systems by consulting people who live in the service. The manager told us that assessments and admissions continue to be done to allow people the best possible choices when making the decision to come to the home. They have improved the care planning formats in the home to make them more person centered and easier to follow. Medication and health care is under continual review. Peoples care needs are looked at regularly and relatives are invited (if the resident wishes) into the home three times a year to join in with reviews of care. Activities in the home have improved with people asking for specific one-to-one activities with staff and with the introduction of a new music and meditation class. People continue to go out of the home to activities and places of interest and there is a weekly programme of in-house activities and entertainments. We have received no notifications related to concerns or adult protection. The manager tells us in the AQAA that they have had no formal complaints and nothing that relates to safeguarding of vulnerable people. The AQAA tells us that all staff have had training in these issues. The manager says that they have changed the layouts of some peoples bedrooms after taking advice from an Occupational Therapist. This has helped people become more independent. Various areas have been redecorated and new bed linens purchased. They continue to have an Excellent rating from Environmental Health in relation to the main kitchen. The AQAA tells us that they plan to extend the building and replace the heating and hot water systems, create some new en suite facilities and introduce a wireless call bell system and telephone points in all of the rooms. The manager states that the staff team has been stable in the last year with a new Annual Service Review Page 4 of 7 recruit being taken on to cover for an absence. Residents were involved in the recruitment. All staff have suitable background checks before they start work. Training continues in the service and staff have individual training plans. The AQAA tells us that all staff have met their goals for training and personal development in the last year. A high proportion of staff have National Vocational Qualifications. Management systems continue to work smoothly and they tell us in the AQAA that they continue to consult the people who live in the home and other interested people about how the home operates and about future planning. They have a Quality Assurance audit and an action plan in place for the coming year. The manager tells us that she judges her biggest achievement in the year has been in ecouraging the people who live in the home to be more assertive in asking for what they want and need. We received a good return (around 75 ) of surveys from people who live in the home. Here are some of the comments from these surveys. Everything is done well. I am well looked after and all my needs are met.... Everything is perfect...we are all taken care of well...my family are happy as well.... Provides excellent medical care. If I am not well I am not neglected...!. They do everything well from care to food to games to outings. It is clean, tidy ....good friendly staff.... Very friendly staff...always helpful and I have made good friends here. I try to help doing little jobs I enjoy...staff easy to talk to...manager listens to what we say.... Staff told us in surveys: Good at trying to get people involved in activities and outings.... Goes that bit extra to provide first class service.... Being a small home...its like being part of an extended family..... All training required is given.... One or two staff surveys said that they would like more bank staff for times when there are people absent. Apart from this the staff surveys confirmed what we were told in the AQAA about recruitment, induction, training and development. As one person said: Thanks to the manager, who is very approachable and works hard with staff and residents...it is a homely and very nice place to work in..... Annual Service Review Page 5 of 7 What are we going to do as a result of this annual service review? We will continue to monitor the progress of this service and will complete a key inspection no later than early September 2010. Annual Service Review Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a copy of the findings in a different format or language please contact our helpline or go to our website. 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