Inspection on 13/09/07 for Westwinds

This inspection was carried out on 13th September 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Westwinds 10/02/10

Westwinds 20/06/06

Westwinds 14/10/05

Westwinds 18/04/05

Westwinds 23/09/04

Westwinds 07/04/04

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 Westwinds North Shore Harrington Workington Cumbria CA14 5QW Lead Inspector Nancy Saich Unannounced Inspection 13th September 2007 8:30 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 Westwinds DS0000038992.V345385.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. Westwinds DS0000038992.V345385.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Westwinds Address North Shore Harrington Workington Cumbria CA14 5QW 01946 830232 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) westwindsresidential@yahoo.co.uk P & C Residential Service Ltd Helen Maud Wilson Care Home 14 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (11) of places Westwinds DS0000038992.V345385.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 14 service users to include: *up to 11 service users in the category OP (Old age, not falling within any other category). *up to 3 service users in the category DE(E) (Dementia over 65 years of age). 20th June 2006 Date of last inspection 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. The home is owned by P and C Residential Services Ltd. This company – formerly known as Keycare Residential Ltd - have owned the home for some time and have recently changed the company name. 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. Charges are as follows: Older Adults from £326 to £373 per week. Older Adults with dementia £434 per week. Westwinds DS0000038992.V345385.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the main or ‘key’ inspection for the year. We sent out surveys to residents, their relatives and to health and social care professionals who visit the home. We received a very good response from all these groups of people – with high satisfaction levels seen in the responses. Some of their comments are included in the report. We also asked the manager to complete an annual quality assessment form (what we call the AQAA) and to send us various pieces of information. This was returned promptly and completed appropriately. The lead inspector Nancy Saich visited the home. She spoke to residents and staff and read records and documents that backed up what she saw and what people said to her. What the service does well: The home is good at making sure they only take new residents they know they can care for and who will fit into the existing group. They are good at making sure that people get the right kind of medical care. We also judged that they look after residents’ medicines properly. The staff team are good at giving people the dignity and respect they deserve. They are good at helping people maintain their rights and choices – and do it in a positive way: • “The staff are always very friendly and homely. Make you feel welcome and do a difficult job with a smile and consideration…I have peace of mind knowing my relative is well cared for”. The food is of a good standard and people know they can influence what is served. The home is good at listening to peoples’ wishes and in protecting them from harm. The residents have a lot of trust in the manager and the owners but also know how to contact external agencies if they had to. This home is clean, comfortable and well furnished and decorated. They have a very good system of infection control in place. The surveys and discussions with residents and family showed us that this home has a very good staff team who have the right attitude and approach to older people and this has really empowered the residents. Westwinds DS0000038992.V345385.R01.S.doc Version 5.2 Page 6 The home has very good systems in place that make sure that the home runs smoothly and that means the residents can live a worry free life knowing that their home is operating to the highest standards. What has improved since the last inspection? What they could do better: Westwinds DS0000038992.V345385.R01.S.doc Version 5.2 Page 7 There was nothing of concern seen at this inspection. We judged that the company, the manager and staff and the residents were working together to make ongoing improvements. 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. Westwinds DS0000038992.V345385.R01.S.doc Version 5.2 Page 8 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 Westwinds DS0000038992.V345385.R01.S.doc Version 5.2 Page 9 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): 1,3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This home makes sure they can give good care right from the start by giving out good information and learning as much as possible about prospective new residents. EVIDENCE: We read the information available about the home. This had been updated to include changes made to the name of the company who own the home and included all the right kind of information for new residents and for people like social workers. Residents said they had enough information from the brochure and from the manager coming to see them before they came in. Residents and their families had been encouraged to visit before they came to the home. Westwinds DS0000038992.V345385.R01.S.doc Version 5.2 Page 10 There were good written notes of these assessments seen in residents’ files. People with dementia had been properly diagnosed. A social worker and several residents made comments on how well the home helped people through what can be a difficult time. Westwinds DS0000038992.V345385.R01.S.doc Version 5.2 Page 11 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 excellent. This judgement has been made using available evidence including a visit to this service. Residents in this home are fully involved with the planning and actions that lead to them having excellent levels of personal and health care. EVIDENCE: Each resident had a written plan that helped staff to know what their needs and preferences were. We read these ‘care plans’ and found that they were written very much with the individual in mind. They had a lot of focus on what people could still do for themselves and what they were good at. For example one plan said the person had a good sense of humour, liked dressing in a particular way and had a good singing voice - as well as describing in a lot of detail all the help and support that was to be given. Several residents were proud to say they had written their own plans. All of the plans really helped us see the individual. The files also contained plans that told staff about risks and how to manage them and how to do specific tasks for people. We judged that care planning Westwinds DS0000038992.V345385.R01.S.doc Version 5.2 Page 12 was both person centred and task focussed. These plans had improved dramatically in the last year. The plans included details of medical help that people needed. We found evidence to show that people were helped to be as well as possible through checking on things like blood pressure and through routine appointments with specialists including those who care for people with dementia. Residents said: • • “They don’t hesitate to call the doctor if you’re not well”. “Couldn’t find anywhere better to live…. medical care is very thorough…. Health professional had this to say: • • • “Staff are caring, supportive and interested” “They manage end of life care very well… “Always respond to residents needs as individuals”. We checked on medicines in the building and found they were looked after correctly. Some people manage some of their medicines themselves. The staff team do not rely on sedatives or other strong medicines and are keen to have doctors review everyone’s treatment on a regular basis. We studied the returned surveys to make a judgement about the issues of dignity, privacy and respect. The lead inspector also observed how people were treated on the day and spoke to residents about this. We judged that there is a respectful, friendly and caring approach to all the residents. We found that people were valued and respected by the entire team. In turn the residents had a great deal of regard for the staff and everyone was extremely positive about their treatment of residents. These are examples of the comments made: • • • “ I am very happy with the attention I get …its my home and I get what you find in a caring home” “I have never been unhappy because I am treated as a person with feelings” “My mother has changed since she came to the home. She is now a confident and happy person due to both the good care and the companionship”. Westwinds DS0000038992.V345385.R01.S.doc Version 5.2 Page 13 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 excellent This judgement has been made using available evidence including a visit to this service. Residents in this home have things the way they want, not the way other people think they should be and this makes them both content and confident. EVIDENCE: When the inspection started at 8.30 only one person was up and dressed. Residents said they got up at their leisure and several people said they sat up ‘late-ish’ talking or watching TV so didn’t get up early. People can stay in their room if they want and can eat alone if they want. Their room is their own space and some people follow their own interests and hobbies. However we had evidence to show that this is a very sociable home and it was nice to see that residents had genuine care for each other. This home has a residents group that meets every couple of months. Residents choose their own activities and entertainments. We were told all about the outings and entertainments by a resident who saw himself as one of the ‘organisers’ of the home. This is what people said: Westwinds DS0000038992.V345385.R01.S.doc Version 5.2 Page 14 • • “The home likes to include us in any planning of activities and we regularly attend or organise events that are happening”. “The home is good at encouraging external activities and organising entertainments and functions in the home”. They had been out for meals and trips to local places of interest, been to the theatre and shopping. Residents said they went to the local ‘boat club’ for a drink and were regulars at local tea dances. They had lots of plans for more activities in the home during the winter. The manager said she was trying to get residents more involved with local activities. There was certainly evidence to show that local groups – including people from churches – come to the home. Families all said they were made welcome “The staff make everyone feel welcome…. it is more of a family atmosphere”. We saw a number of relatives and friends of all ages during the visit and they were very relaxed in the home. Several relatives who live out of the area have arrangements whereby the manager phoned them regularly to just give an update on how their relative was doing. Several visitors went out of their way to tell us how they appreciated the efforts made to keep older people in touch with friends and families. We judged that all of this and the confident and open way that residents responded to the inspection meant they were people who were very much in control of their lives. The lead inspector was invited to have lunch with residents. We saw that people were helped discreetly and that almost everyone ate well because they had things the way they wanted. The food was nutritious and nicely prepared. Residents said the food was ‘very good’, ‘home made’ with ‘plenty and plenty of choice’. Westwinds DS0000038992.V345385.R01.S.doc Version 5.2 Page 15 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. The residents and staff of this home know what needs to be done to protect vulnerable people. EVIDENCE: We have received no complaints about the home in the last year and the manager stated they there had been no complaints to the home themselves. All of the residents told us that they would go to their own special worker (their ‘key worker’), or the manager or the owners if anything worried them or if they had a complaint. As one person put it: • “I know I could talk privately with Maude if things weren’t right”. No one had any concerns or complaints. They also know how to speak to people outside of the home. We spoke to the manager and to staff on duty and they knew how to protect people from harm. Residents said nothing untoward went on in their home. Several people said they would speak up for frailer members of the group if something were wrong. The owners have good contacts with social workers if they thought there was anything wrong outside of the home. Westwinds DS0000038992.V345385.R01.S.doc Version 5.2 Page 16 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. Westwinds is clean and comfortable and the residents were very happy with their home. EVIDENCE: Westwinds was originally two houses. These were adapted some years ago. The current owners have worked very hard to upgrade the home and we judged that Westwinds is now a comfortable and suitable place for older people. Some of the improvements they have made include replacing double glazed windows, a complete upgrade of the upstairs bathroom, redecoration of the front hall with new carpet, redecoration of bedrooms and the purchase of new furniture Westwinds DS0000038992.V345385.R01.S.doc Version 5.2 Page 17 We saw a home that is comfortable and suits the needs of the people who live there. The bedrooms are of a very good standard with high quality finshes to décor and very nice furniture and linens. We saw that the staff treat residents clothing and bedlinens with care. They also use a very up to date system to prevent cross infection –with a ‘sealed bag’ system for continence products and for foul linen in each room. This has the added bonus of eliminating any malodours. Even early in the morning there was no unpleasnt smells and all areas of the home were as one resident descrived it “spotlessly clean… but still homely and comfortable – my house, my home.” Westwinds DS0000038992.V345385.R01.S.doc Version 5.2 Page 18 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 good. This judgement has been made using available evidence including a visit to this service. The home has a suitably recruited and trained staff team who care for the residents very well. EVIDENCE: We found that there are always two care staff on duty both by day and night. Usually there are three people on in the morning and this was the case during the visit. Residents thought these numbers were suitable. They said that the manager was around a lot and she worked with the staff. The rosters showed that there was a good mix of experienced and trained staff on each shift. We judged that the home had suitable staffing levels. We checked on the most recent recruitments. We found that staff had gone through checks to make sure that they were of good character and didn’t have a criminal record. New staff are mentored and supported until they are confident in the job. The home then registers people for National Vocational Qualifications. We found that there are enough people with either level 2 or level 3 NVQ in care to judge that the standard is met. The home has made sure that staff have received all the basic training necessary for them to do their job. The manager has a new training plan that Westwinds DS0000038992.V345385.R01.S.doc Version 5.2 Page 19 will make sure that this continues and that staff also get more specialised training. Residents told us that they thought the staff team were experienced, trained and skilled. They also felt that the staff team did their job in the best way possible: • “I always find I get an answer in the most pleasant way” • “Staff are always willing to listen and help” Westwinds DS0000038992.V345385.R01.S.doc Version 5.2 Page 20 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): 31,33,34,35,36,37,38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The systems in the home are working well so that residents feel they need not worry about how things are operating but can still control what happens in their lives. EVIDENCE: The manager of the home has suitable experience and skills to run Westwinds. She is relatively new to the post but we judged that she had worked very hard to learn all aspects of the job. Residents showed a lot of trust and faith in her ability. Staff were confident that she was able to do her job well. The owners of the home do visit on a regular basis but said they were confident in the manager’s ability. Westwinds DS0000038992.V345385.R01.S.doc Version 5.2 Page 21 We judged that she and the providers have worked so well in the last year improving all aspects of residents lives – as can be seen through out the report- that this shows that management of this home is excellent. Some improvements –like the introduction of person-centred care planning and the move to residents taking more control over their lives – we judged to be outstanding improvements to have achieved in only a year. The home has a commitment to continual quality monitoring – with a focus on asking and involving residents. An assessment of quality had been completed earlier in the year and there is a new business plan in place. We judged that they are very good at ensuring continuous improvement and giving high quality services. We were pleased to hear of future planning for staff training and for empowering residents even more. Residents’ finances are controlled by themselves, their families or by solicitors. The manager keeps some cash for people and we checked this and found it to be in order. We saw evidence to show that staff are supervised as they work and that they get the chance to sit down and talk about their job to the manager. We also saw that the company directors discussed any issues with staff and took steps to make sure people were competent in their work. Record keeping in the home had improved since the last year and now follows the legal requirements and gives good information about residents’ lives. The health and safety systems in the home were checked and we found that the company and the staff team were running the home in a safe and considered way. They have good systems in place to make sure that this continues. Generally the management and operational systems in the home are now working very well and giving excellent outcome for residents. Westwinds DS0000038992.V345385.R01.S.doc Version 5.2 Page 22 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 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 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 4 X 4 4 3 3 3 3 Westwinds DS0000038992.V345385.R01.S.doc Version 5.2 Page 23 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 Westwinds DS0000038992.V345385.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP 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. Extracts may not be used or reproduced without the express permission of CSCI Westwinds DS0000038992.V345385.R01.S.doc Version 5.2 Page 25 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!