Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 12/07/05 for Westwolds Care Centre

Also see our care home review for Westwolds Care Centre for more information

This inspection was carried out on 12th July 2005.

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

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

What the care home does well

Service users spoken with were very happy and comfortable, they stated they are well looked after and their needs are met. A relative spoken with stated she was kept informed of all events and staff were very good. The home has a warm and relaxed atmosphere, services user spoken with stated the home has a flexible routine and their choices are maintained. Service users are facilitated with independent living as able. Care plans are personalised and reflected care and expectations. Staff had a professional attitude and were able to demonstrate their knowledge and understanding of the care service thus enhancing care delivered.

What has improved since the last inspection?

Emergency light testing is now carried out monthly ensuring increased health and safety for staff and service users. The manager is no longer appointee for any service users ensuring finances are safeguarded.

What the care home could do better:

The home has a dedicated training programme in place, however staff are required to undertake first aid training to ensure the health safety and welfare of service users. It is recommended that the pooled bank account system is reconsidered to ensure service users finances are securely safeguarded. Although staff aresupervised it is recommended these take place at least six times a year to ensure the continued good practice.

CARE HOMES FOR OLDER PEOPLE Westwolds Care Centre 4 Park Avenue Burton Joyce Nottinghamshire NG14 5AF Lead Inspector Karmon Hawley Unannounced 12/7/05 10.00am 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 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. Westwolds Care Centre C03 C53 S8774 Westwolds V238549 120705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Westwolds Care Centre Address 4 Park Avenue Burton Joyce Nottinghamshire NG14 5AF 0115 9313659 0115 9313769 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Exceler Healthcare Services Elizabeth J Fletcher CRH 34 Category(ies) of 34 OP registration, with number of places Westwolds Care Centre C03 C53 S8774 Westwolds V238549 120705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: To admit 1 named person with dementia Date of last inspection 17/03/05 Brief Description of the Service: Westwolds is a purpose built single storey home set in the quiet village of Burton Joyce. It can offer accommodation for up to 33 older people within the category of old age only. A variation for registration has been agreed for one named service user with Dementia to be admitted to the home. There are two service users below 65 who have lived there for a number of years; the certificate does not reflect this, however a variation has been applied for. The accommodation is in single rooms with the exception of one double, currently being shared by a couple. All but six of the rooms have ensuite facilities; fourteen rooms have kitchenettes to enable independant living for those service users who are able. The centre of the village is a short walk away and provides access to shops, churches, public houses, a coffee shop and a supermarket. Service users can access public transport in the village, although there is a mini bus available, which belongs to the home. There is a very pleasant inner courtyard garden and a care park to the front of the building. Westwolds Care Centre C03 C53 S8774 Westwolds V238549 120705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place in one day. Four service users care files, four staff personnel files and other related records with regards to service users care and the environment were examined. One relative, three staff members and four service users were spoken with. What the service does well: What has improved since the last inspection? What they could do better: The home has a dedicated training programme in place, however staff are required to undertake first aid training to ensure the health safety and welfare of service users. It is recommended that the pooled bank account system is reconsidered to ensure service users finances are securely safeguarded. Although staff are Westwolds Care Centre C03 C53 S8774 Westwolds V238549 120705 Stage 4.doc Version 1.40 Page 6 supervised it is recommended these take place at least six times a year to ensure the continued good practice. 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. Westwolds Care Centre C03 C53 S8774 Westwolds V238549 120705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Westwolds Care Centre C03 C53 S8774 Westwolds V238549 120705 Stage 4.doc Version 1.40 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 standard(s) 1,3,4 The statement of purpose ensures prospective service users have the required information to make an informed choice about entering the home. Service users may be assured the home is able to meet their needs. EVIDENCE: The statement of purpose is available in every room and is also located in reception for prospective service users and relatives to view. It covers all the requirements of this standard and is in an easy to read format. The manager or the care manager prior to prospective service users being admitted to the home carries out the preadmission assessments in the community. The assessment covers the requirements of the standard and evidence was available to demonstrate necessary equipment and adaptations are obtained prior to admission. Specialist services are accessed and offered within the home. Staff spoken with were able to discuss service users needs. Staff training is of a good standard and covers all mandatory areas. Westwolds Care Centre C03 C53 S8774 Westwolds V238549 120705 Stage 4.doc Version 1.40 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 standard(s) 7,8 Service users health, personal and social care needs are met and they are enabled to make decisions about their lives with assistance as needed. Specialist input ensures there is relevant access to health care services. EVIDENCE: Assessments to ascertain individual needs based upon the activities of daily living are completed to underpin the plan of care. Care plans addressed highlighted needs and were personalised and individualised. Appropriate risk assessments were in place, these corresponded with the care plan. There was evidence of service user involvement and that choices and preferences are taken into account. Reviews take place monthly to ensure service users are satisfied with care received. Appropriate specialist services are accessed such as the dentist; optician and tissue viability nurse to ensure health care needs are met. These services are offered within the home and also within the community. Service users are facilitated to access these and there is a mini bus available to assist this Westwolds Care Centre C03 C53 S8774 Westwolds V238549 120705 Stage 4.doc Version 1.40 Page 10 process. There was evidence to demonstrate service users receive NHS entitlements. Westwolds Care Centre C03 C53 S8774 Westwolds V238549 120705 Stage 4.doc Version 1.40 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 standard(s) 12,13,14 Service users are enabled to live the lifestyle that matches their expectations and preferences. The home is flexible and well managed which enables choices and control of service users to be upheld. EVIDENCE: There was evidence within plans of care that service users expectations, preferences and capabilities are documented and considered. On speaking with service users they substantiated that the routine within the home was flexible and they were happy and comfortable with life. They discussed that choice was offered at tea times and meals were good. There are 14 rooms within the home, which have kitchenettes, some service users use these facilities and remain independent with regards to making their own breakfast and tea and when entertaining visitor, thus enabling independence as they wish. There is an activities coordinator employed and activities are offered should a service user wish to participate. A local vicar visits the home to provide Holy Communion to those who require it. There are no restrictions on visiting and service users can choose who they see. There is not a specifically designated private area to receive visitors, however the manager stated that the sitting area adjacent to the dining room is available in the afternoon, however most service users chose to use their own rooms. One relative spoke with spoke highly of staff and the standards of care. There was evidence of a good rapport Westwolds Care Centre C03 C53 S8774 Westwolds V238549 120705 Stage 4.doc Version 1.40 Page 12 between service users, relatives and staff. Service users are facilitated to attend functions within the community. Advocacy services are available through age concern, however no one uses these at present. Service users are encouraged to bring in personal possessions and service users rooms were extremely personalised. Westwolds Care Centre C03 C53 S8774 Westwolds V238549 120705 Stage 4.doc Version 1.40 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 standard(s) 16 Service users may be confident complaints and concerns will be taken seriously, listened to and acted upon. EVIDENCE: There have been no complaints received. The manager states she has an open door policy, is approachable and maintains relations with service users and their relatives so they feel they can discuss any issues with her. Service users spoken with stated they had no complaints. Staff were able to discuss how they would deal with any complaints should they receive them. Westwolds Care Centre C03 C53 S8774 Westwolds V238549 120705 Stage 4.doc Version 1.40 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 standard(s) 19,26 Service users live in a safe, clean and well-maintained environment. EVIDENCE: Westwolds offers a comfortable and relaxed environment, it is centrally located within the village of Burton Joyce and is near to local amenities. There are specialist adaptations and facilities available. A routine maintenance programme is maintained and evidence of this was available as kitchens are being replaced in the room with kitchenettes. The grounds are well kept and there is a large garden to the rear. The home is wheelchair accessible. The premises were clean and hygienic and systems are in place for the prevention of the spread of infection. Staff spoken with were able to discuss the policies and procedures. The washing machine has a sluicing facility and designated areas for clean and dirty linen. Westwolds Care Centre C03 C53 S8774 Westwolds V238549 120705 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 30 Service users can be assured staff are trained and competent to do their jobs EVIDENCE: There are two training coordinators employed who deliver training to all employees. There is an in depth training plan and statistics for training were observed. The induction programme is in depth and covers the requirements of the standard. Staff spoken with stated that the training programme is good and they are supported in their development, it was noted however that first aid training now requires updating. Westwolds Care Centre C03 C53 S8774 Westwolds V238549 120705 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35,36 Service users can be assured financial interests are safeguarded, however this may be compromised by the use of the pooled account. Staff are appropriately supervised ensuring continued quality care. EVIDENCE: Service users are enabled to control their own finances if able. Personal allowances are also kept on the premises. Those checked were accurate, written records of transactions were maintained which two members of staff signed, receipts for transactions were also available. If large amounts of money are accrued, money is deposited in to a main bank account, where separate records are kept. This is then transferred if again a large amount accrues into service users individual bank accounts. This system is used so service users may access money more readily. The manager is no longer Westwolds Care Centre C03 C53 S8774 Westwolds V238549 120705 Stage 4.doc Version 1.40 Page 17 appointee for any service user. There are lockable facilities within service users rooms. Staff supervisions were evidenced to take place for fifteen members of staff, staff spoken with substantiated these take place and they are based upon best working practice and work performance. The manager stated she is looking at improving this system as on occasion informal supervisions take place without records being maintained. Westwolds Care Centre C03 C53 S8774 Westwolds V238549 120705 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x 2 2 x x Westwolds Care Centre C03 C53 S8774 Westwolds V238549 120705 Stage 4.doc Version 1.40 Page 19 No 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. 1. Standard OP30 Regulation 13 (4c) Requirement The responsible individual is required to make suitable arrangements for the training of staff in first aid. Timescale for action August 30th 2005 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP35 OP36 Good Practice Recommendations An alternative system to a pooled account is considered. Staff suprvisions are performed at least six times a year. Westwolds Care Centre C03 C53 S8774 Westwolds V238549 120705 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Edgeley House Tottle Road Nottingham NG2 1RT 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. Extracts may not be used or reproduced without the express permission of CSCI Westwolds Care Centre C03 C53 S8774 Westwolds V238549 120705 Stage 4.doc Version 1.40 Page 21 - 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!