Inspection on 05/07/05 for Westwood

This inspection was carried out on 5th 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Westwood 12/06/07

Westwood 08/03/06

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 Sue Hale Unannounced 5 July 2005 08:20 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. Westwood F57 F08 S5889 Westwood V232269 050705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Westwood Address 29/31 Southport Road Chorley Lancashire PR7 1LF 01257 264626 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) Westcliffe Homes Limited Mrs Christine Anne Tweedle Care Home 23 Category(ies) of DE(E) - Dementia - over 65 (1) registration, with number OP - Old age (23) of places Westwood F57 F08 S5889 Westwood V232269 050705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home can accommodate a maximum of 23 service users requiring personal care who fall into the category of OP. 2. Within the overall total of 23 a maximum of one named female service user requiring personal care who falls into the category of DE(E). This condition will no longer apply should the service user no longer reside at Westwood. 3. The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 4. Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidelines which may be issued through the Commission for Social Care Inspection regarding staffing levels in care homes. Date of last inspection 16 February 2005 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 23 service users over the age of 65. It 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 a number of rooms 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. Westwood F57 F08 S5889 Westwood V232269 050705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over one day in June 2005. The inspection involved discussion with the people who lived and worked at the home, examination of records, policies and procedures and a tour with the premises. As part of the inspection process the inspector used ‘case tracking ‘as a means of assessing some of the National Minimum Standards. This process allowed the inspector to focus on a small group of people living at the home. All records relating to these people were inspected, along with the rooms they occupied in the home. Not all National Minimum Standards were looked at, all those not looked at during this inspection were met at the previous inspections. What the service does well: Several of the National Minimum Standards were exceeded. The staffing levels at the home were above the minimum required and the manager and staff worked hard to ensure they provided a good standard of care. The home had a good training programme and 61 of care staff were qualified to NVQ level 2 or above. Westwood provided a flexible lifestyle to the people living there. Residents spoken to were very satisfied with the standard of the environment and the care they received. Comments included ‘Ive no grumbles, Im well looked after’ and ‘they make it as nice as they can’. Residents lived in a safe, clean, comfortable and homely environment. One resident spoken to said ‘my room is very nice and comfortable, it’s always clean and tidy’. The home provided a range of activities tailored to residents’ preferences and abilities. The assessment and care planning process was detailed and ensured that the home met residents, social, health and care needs. Residents were involved in this process. Westwood F57 F08 S5889 Westwood V232269 050705 Stage 4.doc Version 1.30 Page 6 The home provided a nutritious, balanced diet for residents with home-made meals. Good quality food was used, and all residents were very satisfied with the meals. 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. Westwood F57 F08 S5889 Westwood V232269 050705 Stage 4.doc Version 1.30 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 Westwood F57 F08 S5889 Westwood V232269 050705 Stage 4.doc Version 1.30 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) 2,3.4 The admission process was clear so that people could be sure their needs had been properly assessed, and they could make an informed choice about the suitability of the home. The terms and conditions of residency at the home were clear and available for residents to look at. Staff had the knowledge and skills to look after the people living at the home. EVIDENCE: A comprehensive assessment of health, personal care and social needs had been carried out by social services and the home for residents before they moved to Westwood. They contained valuable information and residents had been involved in this process. Some people living at the home said they had visited before they moved in, others had not been able to as they were in hospital, and so their family had visited. The contract between residents and the home about the terms of their stay was clear, and all residents had been given a copy to keep on their personal file. Westwood F57 F08 S5889 Westwood V232269 050705 Stage 4.doc Version 1.30 Page 9 The manager, and all staff spoken to had the knowledge, skills and experience to care for people living at the home. The staff had access to training and relevant reference material. Westwood F57 F08 S5889 Westwood V232269 050705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,9,10 The care planning process was thorough and ensured that individual needs were consistently met. Risk assessments were in place to ensure the safety of residents. EVIDENCE: Individual records were kept for each resident with a plan of care, setting out in detail the action needed to be taken by staff to ensure that all aspects of health, personal and social care needs of the residents were met. Significant events had been recorded and daily entries made setting out the care given. Care planning and reviews were completed with the residents and people living at the home spoken to knew why staff needed to talk to them about their care needs. Discussion with staff and residents indicated that care needs were consistently met. All staff involved in administering medication had attended formal training. Policies and procedures were in place and had been recently updated. Westwood F57 F08 S5889 Westwood V232269 050705 Stage 4.doc Version 1.30 Page 11 People living at the home said that staff maintained their dignity and treated them respectfully. They commented, ‘the staff always knock on the door of my room’ and staff were said to always be polite. The homes value statement and staff training programme gave a clear expectation to staff on how people living in the home must be treated. Westwood F57 F08 S5889 Westwood V232269 050705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,15 The daily routines were flexible so that residents were able to exercise choice, and have some control over their lifestyle. People living at the home received support from staff so that their cultural and religious needs could be met. The range of social activities was good. The meals served in the home were of a high standard. EVIDENCE: A planned programme of activities was in place, and residents had been asked, what they would like to be available. Spiritual support to people living at Westwood was available if they wanted it. Residents’ private rooms were clean, homely and filled with personal possessions. People living at the home were very pleased with their accommodation, and all residents spoken to said that their rooms ‘were always clean and tidy’. Residents spoken to and said that they enjoyed the food and that a choice was offered to them if they didnt want what was on the menu. All residents had their breakfast in their room. Meals were seen to provide a wholesome Westwood F57 F08 S5889 Westwood V232269 050705 Stage 4.doc Version 1.30 Page 13 balanced diet. The food served was fresh, of good quality and homemade. Mealtimes were seen to be unhurried, and support was given to residents requiring assistance. The menu was displayed in the dining room and the cook saw all people living at the home individually, every day to find out their choices and preferences. Westwood F57 F08 S5889 Westwood V232269 050705 Stage 4.doc Version 1.30 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18 The home had a satisfactory complaints policy and procedure, which ensured that all complaints would be acknowledged and investigated. Arrangements were protecting residents was satisfactory and ensured the safety of people living at the home. EVIDENCE: There was a complaints policy, and procedure in place in the home and available for all to see. The home had not received any complaints. Residents spoken to said that they did not have any complaints, but all were clear of who to speak to if they had any concerns, and all were confident that any problems would be sorted out by the manager or the staff. The home had a procedure in place to protect the people living at the home. The manager and staff spoken to had a good understanding of the procedure to be followed in the event of any allegations or suspicion of abuse or neglect. Westwood F57 F08 S5889 Westwood V232269 050705 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,22,23,24,26 The home provided those living there with a well maintained, homely and comfortable place to live. Equipment was provided by the home, to ensure residents health and social needs were met. EVIDENCE: People living at the home were very satisfied with the environment they lived in. A programme of routine maintenance was in place and a rolling programme of redecoration and refurbishment was evident. New carpets had been fitted in the hallway, and in three bedrooms, providing residents with pleasant surroundings. Bedrooms were well furnished, nicely decorated and comfortable. People living at the home had a lockable facility in their bedroom for the safekeeping of valuables and money. All bedrooms had recently been fitted with locks to the doors so that people could have a key to their own room, if they wished to. Westwood F57 F08 S5889 Westwood V232269 050705 Stage 4.doc Version 1.30 Page 16 Laundry facilities were adequate for the size of a home and infection control measures in place that were understood and adhered to by staff. People living at the home said ‘my clothes are always clean and given back to me from the laundry’. All necessary aids and equipment was provided by the home, including a fixed and portable loop system for residents with a hearing impairment. Westwood F57 F08 S5889 Westwood V232269 050705 Stage 4.doc Version 1.30 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 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) 27,28,29 The policies and procedures for the recruitment of staff were robust and provided safeguards for the protection of residents. Staffing levels exceeded, the minimum required. EVIDENCE: On the day the inspection there was a rota, which showed who was on duty and in what capacity. A member of staff, qualified in first aid was available on every shift. The staffing numbers were sufficient to meet the residents’ needs. The recruitment and selection procedure had been followed for two new members of staff to ensure the protection of residents. All staff had started, or had completed an induction programme, and all had completed training in moving and handling. The training matrix identified that 61 of staff were qualified to NVQ level 2 or above, and that a further six were working towards the qualification so that the staff team were qualified to provide a high level of care. Westwood F57 F08 S5889 Westwood V232269 050705 Stage 4.doc Version 1.30 Page 18 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) 37 Records and information kept in the home were well maintained and kept securely. EVIDENCE: The records required for the protection of service users and efficient running of the business were well maintained, up-to-date and accurate. The statement of purpose and service user guide, clearly explained to residents and their families their rights to have access to their records and information held about them by the home. A resident spoken to was aware of their right to see their personal file. Records were well maintained, up-to-date and kept securely. The manager was advised to look at alternative ways of recording messages from staff about Westwood F57 F08 S5889 Westwood V232269 050705 Stage 4.doc Version 1.30 Page 19 residents to ensure information is kept in accordance with the Data Protection Act 1998. Westwood F57 F08 S5889 Westwood V232269 050705 Stage 4.doc Version 1.30 Page 20 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 x 3 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 4 COMPLAINTS AND PROTECTION 3 3 x 4 3 3 x 2 STAFFING Standard No Score 27 4 28 4 29 3 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x x x x x 2 x Westwood F57 F08 S5889 Westwood V232269 050705 Stage 4.doc Version 1.30 Page 21 yes 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 26 Regulation 13(3) Requirement The provider must install a sluice. Timescale for action 31.10.05 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. Refer to Standard 37 Good Practice Recommendations The provider should ensure that all information kept in the home about residents is in accordance with the Data Protection Act 1998. Westwood F57 F08 S5889 Westwood V232269 050705 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection Levens House Ackhurst Business Park Foxhole Road Chorley, PR7 1NW 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 Westwood F57 F08 S5889 Westwood V232269 050705 Stage 4.doc Version 1.30 Page 23 - 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. 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