Inspection on 12/06/07 for Westwood

This inspection was carried out on 12th June 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

Westwood 08/03/06

Westwood 05/07/05

Westwood 16/02/05

Westwood 22/09/04

Westwood 26/02/04

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 Westwood 29/31 Southport Road Chorley Lancashire PR7 1LF Lead Inspector Mr Patrick Rooney Unannounced Inspection 10:00 12th June 2007 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 Westwood DS0000005889.V336025.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. Westwood DS0000005889.V336025.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Westwood Address 29/31 Southport Road Chorley Lancashire PR7 1LF 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) 01257 264626 stephaniecrane@btconnect.com Westcliffe Homes Limited Mrs Christine Anne Tweedle Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Westwood DS0000005889.V336025.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered for a maximum of 22 service users in the category of OP (Old age, not falling within any other category). The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 8th March 2006 Date of last inspection Brief Description of the Service: Westwood is a large town house on Southport Road, Chorley, in a residential area close to the town centre. This location offers a range of amenities within close proximity, e.g. banks, shops, health centre, doctors and, library. The home offers personal care and is registered for up to 22 residents over the age of 65. The home caters for both men and women with a wide range of needs on a long or short-term basis. The accommodation comprises of a number of single rooms and two twin-bedded rooms. All rooms have wash hand basins and there are five bedrooms with en-suite facilities. The home has two floors, which can be accessed by a passenger lift. There are a number of social areas for residents to choose from or, if they prefer, they can spend time in their own rooms. Most of the residents have personalised their rooms with items of their own furniture, ornaments and family pictures. The home offers a variety of social activities and maintains links with the community. Fees for the home range from £354.50 to £398 per week. Westwood DS0000005889.V336025.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit and took place over a period of five hours. The information in this report was gathered from the Annual Quality Assurance Assessment completed by the manager of the home, discussion with the owners. Three staff on duty were interviewed privately. The care of four residents was case tracked, their assessments and care plans were seen and the inspector interviewed them regarding the care they receive. Other residents were spoken to in the lounges. Questionnaires were received from five residents and four relatives. Letters were sent to social workers district nurses and GPs. One visiting relative was seen during the inspection. A tour of the premises took place and documents were seen by the inspector. Staff records were examined. What the service does well: Westwood continues to provide a high quality of care with a warm and welcoming environment that has a homely ambience. The home is well managed with a strong motivated management team and ensures the needs of residents come first. Resident’s comments include: “It is more than good here, staff are marvellous, nothing is too much trouble, and this is the best place in Lancashire”. “Its like being at home, they are very very good people and I am very happy with the care I receive” “I have been very happy here, all staff are helpful and caring, every day is a bonus” A visiting relative said that the care was excellent and that her relative has settled very well in the home and that management and staff put residents interests first. Westwood DS0000005889.V336025.R01.S.doc Version 5.2 Page 6 The home is committed to providing a good well trained staff team and training is given every priority. Staff spoken to demonstrated showed a commitment to providing a quality service backed up by good personal development and training. All said they are very happy working at Westwood and that there is good teamwork. 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. The summary of this inspection report can be made available in other formats on request. Westwood DS0000005889.V336025.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 Westwood DS0000005889.V336025.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 Quality in this outcome area is excellent. Assessment and admission procedures are thorough and ensure that residents are able to make and informed choice about admission to the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All prospective residents are visited prior to admission and a thorough assessment is carried out with their involvement and relative or representatives involvement. Visits to the home are encouraged so that they are able to see how the home is run. The information says that the home will respect the rights and diverse needs of residents including their cultural and religious wishes. All residents are provided with a welcome pack, which is available in their rooms. This contains all the information they need about the home including charges/contracts, meals, layout of the home and previous residents satisfaction surveys. The format of this is user friendly. Staff are available to show residents around the home and to explain to them anything Westwood DS0000005889.V336025.R01.S.doc Version 5.2 Page 9 they wish to know. The home produces a Westwood News letter every three months, which details good information about current events in the home, including up dates on staff training and activities. This is available to everyone in the home. The assessments of three recently admitted residents were looked at and contained excellent information, including personal profiles, which form the basis for preparation of care plans. Potential risks are identified and action agreed with residents and their representatives. Residents or their representatives sign the assessments. Residents seen were appropriately placed and said they were happy with the information they were given, which helped them to make a decision to accept a place in the home. Westwood DS0000005889.V336025.R01.S.doc Version 5.2 Page 10 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 and10 Quality in this outcome area is excellent. Care plans reflect assessed needs and ensure all aspects of care needs are provided including health care needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans of three residents were looked at and the inspector discussed their care with them. These contained comprehensive information and covered all aspects of care. Care plans reflected assessed needs including health, personal care and social care needs they provide staff with good guidance regarding delivery of care. Residents or their representatives sign the care plans and they are reviewed monthly. The manager carries out regular audits of the care plans and ensures standards are maintained. Each residents record contains information about doctor, district nurse, optical, dental and chiropody involvement. The home also employs a physiotherapist to provide exercise classes to improve strength and co ordination of muscles and body. In some cases one to one support is provided any residents requiring physiotherapy support. Westwood DS0000005889.V336025.R01.S.doc Version 5.2 Page 11 Staff are trained on induction in the core values of choice, dignity, fulfilment, independence, privacy and rights and how to deliver these. Discussion with staff showed that they are aware of these values and that they deliver care ensuring these are maintained. Residents spoken to confirmed this and their comments include, “It is more than good here, staff are marvellous, nothing is too much trouble, and this is the best place in Lancashire”. “Its like being at home, they are very very good people and I am very happy with the care I receive” “I have been very happy here, all staff are helpful and caring, every day is a bonus” Medication policies and procedures were looked at and ensure that medication is stored and administered safely. A full risk assessment is carried out on each resident as to whether they are able to self medicate. Medication records were up to date and correctly maintained. Only senior staff have access to the medicine cabinet and give out medication. All staff receive training in medication awareness as the home feels that they all should be aware of the effects medication may have. There is good contact with the local pharmacist, who carries out an annual review of medication procedures and is always available for advice. The osteoporosis team from the Primary Care Trust visit annually to review ways of preventing falls and fractures and ensures anyone at risk is prescribe the correct medication for this. Westwood DS0000005889.V336025.R01.S.doc Version 5.2 Page 12 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 and 15 Quality in this outcome area is excellent. The home provides a relaxed atmosphere in which residents are able to make choices in daily life and social activities. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On admission a residents profile is completed to find out their preferred lifestyle and interests. Copies of these were available on residents files looked at. Social cultural and religious needs are discussed and recorded. An activities coordinator is employed to ensure a variety of interests and activities are covered. The coordinator monitors the activities of all residents and ensures no one is excluded. Residents said that there is always something to do, both individually or in organised activities. The homes routines are flexible and each resident is able to decide what they wish to do during the day. There was a relaxed and happy atmosphere in the home and residents said they are consulted about the homes routines. There are regular residents meetings, which discuss issues about living in the home, activities and meals. Westwood DS0000005889.V336025.R01.S.doc Version 5.2 Page 13 A Westwood newsletter is produced three monthly and keeps residents informed about staff training, activities and other issues regarding life at the home. Visitors seen during the inspection said that they are always welcomed and are able to visit relatives and friends in private. Meals and mealtimes may be flexible according to the needs and wishes of individuals. The food is freshly prepared and there are always choices available. Residents told the inspector the food was good and they look forward to meals. The inspector had a meal this was well prepared and nourishing. Residents who prefer to eat in private do so in their own rooms or their chosen area. Westwood DS0000005889.V336025.R01.S.doc Version 5.2 Page 14 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 and 18 Quality in this outcome area is excellent. Westwards operates in an open and inclusive way, which ensures residents concerns are heard and acted upon. Policies and procedures also ensure that residents are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All residents spoken to said that they are aware of the complaints procedure, which is included in their welcome pack. They said that all staff and managers are very approachable and deal promptly with any concerns they have. All questionnaires received from residents and relatives as a part of the inspection confirmed this to be the case. Regular surveys are carried out, which ask about complaints; this is also covered in residents meetings. Independent advocacy material is provided and leaflets were seen around the home. There are updated policies and procedures regarding protection of vulnerable adults and all staff take part in Abuse Awareness Courses. Certificate of these were seen in staff training files. Staff spoken to showed a good awareness of protection procedures and said they would inform senior staff of any problems they became aware of. Westwood DS0000005889.V336025.R01.S.doc Version 5.2 Page 15 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 and 26 Quality in this outcome area is excellent. Environmental standards are good providing residents with suitable and clean facilities. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Relative and residents surveys indicate that Westwood provides a high standard of cleanliness. At the time of the inspection a tour of the building confirmed that this is the case. The environment is safe, well maintained, comfortable and homely. Resident’s rooms are personalised and contain items of their own property brought on admission. There are on going plans of maintenance and Westwood DS0000005889.V336025.R01.S.doc Version 5.2 Page 16 improvement in place and residents are always consulted about what decoration they would like. Westwood DS0000005889.V336025.R01.S.doc Version 5.2 Page 17 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 and 30 Quality in this outcome area is excellent. The home provides the right numbers of staff on rota, with training and experience to meet the needs of residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussion with the manager, staff and examination of induction and training records confirmed that all staff have received induction and mandatory training and other training in relation to caring for elderly people. The induction process follows the “Skills for Care programme”. A high importance is placed on ensuring staff knowledge in safe working practices is maintained and periodic refresher training is provided. All new starters work supernumerary and shadow experienced staff to ensure they reach the required standard. The home demonstrated a high commitment to training; this was evidenced by a detailed matrix showing the training plan. Records showed that over 77 of staff have NVQ 2 with a further 9 currently carrying out this training. Staff files for three new staff were looked at and showed that the home follows rigorous procedures to ensure the right staff are employed to work in the home. Application forms and identity checks are carried out and two Westwood DS0000005889.V336025.R01.S.doc Version 5.2 Page 18 references obtained. New staff only commence employment when all clearances have been obtained, including Criminal Records Bureau checks. Staff on duty were interviewed independently and they confirmed that they are provided with good support and training to enable them to carry out their duties. Alls said that they enjoyed working at the home and found the job fulfilling. Many of the staff have worked at the home for a long time and it was noted that there is a stable committed staff team. Residents spoke highly of the staff team and said that the support they receive is excellent. Westwood DS0000005889.V336025.R01.S.doc Version 5.2 Page 19 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): 31,33,35 and 38 Quality in this outcome area is excellent. The home is well managed, which ensures residents interests are protected and health and safety issues are promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has many years experience in working and managing the home, she also qualified and has the Registered Managers award. This has been supplemented with other courses concerned with care of the elderly and she has the assessor’s qualification for NVQ training. Further training to keep Westwood DS0000005889.V336025.R01.S.doc Version 5.2 Page 20 up with changing legislation is also being accessed and the manger is shortly going on a training course in relation to the new Mental Capacity Act. The management structure is excellent and there is good communication and regular meetings with the owners of the home. This ensures that all aspects of health and safety risk assessment and maintenance is kept meticulously up to date. Management meetings take place every two weeks and records are maintained of these. A three-year business plan is in place this covers all aspects of running the home including upgrading, decoration and the improvement of garden areas. The manager and deputy ensure that all staff receive regular supervision and appraisal, which ensures training and development issues are kept up to date. Communication from management to care staff is excellent and there are regular staff meetings. All staff spoken to said that they are well supported by management and that the system was open and inclusive. Any concerns are quickly dealt with. The three monthly Westwood newsletter ensure both staff and residents are kept up to date with any developments. The home has achieved the Investors in People Award this is reviewed every three years and was last reviewed successfully in July this year. Resident’s views are taken seriously and residents meetings take place. In addition there is an annual residents survey, copies of these were seen during the inspection. Westwood DS0000005889.V336025.R01.S.doc Version 5.2 Page 21 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 4 X 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 X 18 4 4 X X X X X X 4 STAFFING Standard No Score 27 4 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 3 X 4 Westwood DS0000005889.V336025.R01.S.doc Version 5.2 Page 22 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. 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 Westwood DS0000005889.V336025.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Westwood DS0000005889.V336025.R01.S.doc Version 5.2 Page 24 - 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!