Inspection on 08/03/06 for Westwood

This inspection was carried out on 8th March 2006.

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 12/06/07

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 Pauline Randles Unannounced Inspection 8th March 2006 09:10 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.V275134.R01.S.doc Version 5.1 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.V275134.R01.S.doc Version 5.1 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.V275134.R01.S.doc Version 5.1 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. 5th July 2005 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. Westwood DS0000005889.V275134.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place during a four- hour period. There were twenty people residing at the home at the time of the inspection visit. The registered manager, five staff members, four visitors and six residents were spoken to, three of whom, were case tracked. In addition documents and records were examined and the premises were viewed. Information from a pre inspection questionnaire and comment cards helped to support the findings. What the service does well: What has improved since the last inspection? What they could do better: There were inspection. no requirements or recommendations identified from this Westwood DS0000005889.V275134.R01.S.doc Version 5.1 Page 6 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 DS0000005889.V275134.R01.S.doc Version 5.1 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.V275134.R01.S.doc Version 5.1 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 the following standard(s): 1 and 2 The Statement of Purpose and Service User Guide provided prospective residents and their representatives with full details of the home’s services, facilities and terms and conditions of residency enabling an informed choice of care home to be made. EVIDENCE: The Statement of Purpose and Service User Guide had been reviewed to reflect recent changes in the management structure of the home and current service provision. Both documents were available in the reception area of the home for the information of visitors and prospective residents. Residents spoken to who had been recently admitted to the care home confirmed they had received adequate information prior to admission. One resident commented that her expectations had been exceeded and went on to say, “can’t fault it a lovely home.” A copy of the terms and conditions of residency statement was held on the residents’ files that were examined. The statement included the room number, details of service provision and information relating to personal effects, Westwood DS0000005889.V275134.R01.S.doc Version 5.1 Page 9 mobility and medical requirements. A copy of the contract signed by the resident concerned had been retained on individual files. Westwood DS0000005889.V275134.R01.S.doc Version 5.1 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 the following standard(s): 7 and 8 Plans of care were detailed, reflected assessed needs and provided staff with appropriate guidance on individual care service provision. The health needs of residents were well met with evidence of good multi disciplinary working taking place on a regular basis. EVIDENCE: Plans of care examined were comprehensive, covering all essential aspects of care and were kept under frequent review. The care needs of residents that had been case tracked were reflected in their individual plan that was used to guide care practice. Residents or their representatives had signed the care plan. A visitor had commented that there was “Always a very high standard of service and all staff are very caring and professional at all times,” at Westwood. Residents spoken to confirmed that their health care needs were adequately met. For example, one resident said, “Whatever you want they see to it.” Records examined showed that health care professionals visited the home on a regular basis to attend to the presenting needs of residents. At the time of inspection it was observed that the doctor was telephoned and requested to Westwood DS0000005889.V275134.R01.S.doc Version 5.1 Page 11 make a home visit for a number of residents who appeared unwell with coughs and colds. A recently admitted resident who was unwell was being comforted by a senior member of staff and action was being taken to address health concerns. Westwood DS0000005889.V275134.R01.S.doc Version 5.1 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 the following standard(s): 13 and 14 Residents were enabled to see their chosen visitors in a safe and private environment. Personal care and support services provided by the home ensured that residents were enabled to exercise choice and that independence was maintained. EVIDENCE: Discussion with residents and visitors confirmed that the visiting policy was flexible and supported residents to meet with visitors of their choosing in private if they so wished. Comments made included, “ Visitors made welcome” and that visitors were encouraged “to talk with staff,” concerning the care of their relatives. Staff members demonstrated an understanding of the procedure for welcoming visitors, enabling them to sign in and checking whether the resident was available to receive their visitor. Residents confirmed that they were enabled to make informed choices, for example in relation to meal and bedtimes. It was observed that there were alternative choices on the daily menu and that there was a range of social and recreational activities to choose from. Access to records was facilitated and access to advocacy services as required. As recommended following the previous inspection adjustments had been made to the method of recording Westwood DS0000005889.V275134.R01.S.doc Version 5.1 Page 13 messages to ensure confidentiality was fully maintained. One member of staff when asked about her understanding of the confidentiality procedure said, “Whatever goes on in the home stays in the home.” Westwood DS0000005889.V275134.R01.S.doc Version 5.1 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 the following standard(s): 17 The legal rights of residents were protected by the policy and procedures of the home. EVIDENCE: It was confirmed in discussion with residents and through examination of procedures that legal rights were protected. Residents were enabled to participate in the political process if they so wished and access advocacy services where necessary to support independence in decision making. A range of information was available in regard to advocacy. The three organisations represented offered different services to meet the various needs of residents. These services included advocacy support for residents when selling their home as well as general advocacy when dealing with financial or legal matters. Westwood DS0000005889.V275134.R01.S.doc Version 5.1 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 the following standard(s): 21, 25 and 26 The environmental standards were good providing residents with suitable facilities and a clean and hygienic home in which to live. EVIDENCE: There were four bathrooms in the home in addition to five en suite bedrooms and a number of individual toilets that were close to bedrooms and lounges. Essential moving and handling equipment and assisted bathing facilities were available. There had been no reduction in bathing or toileting facilities which remained adequate in number for the home’s 22 residents. Residents commented that they felt “safe”, living at Westwood and less vulnerable than when living in the community. Rooms were naturally ventilated and were warm and comfortable with suitable lighting. Emergency lighting was available and water temperatures were appropriately regulated. A relative visiting her mother said, “It’s absolutely wonderful, home from home.” The home was clean and hygienically maintained at the time of the inspection visit. Control of infection procedures and risk assessments relating to safe Westwood DS0000005889.V275134.R01.S.doc Version 5.1 Page 16 working practice were in place. A sluice had not been installed as requested following the previous inspection. However the washing machine had an integral sluice facility that adequately met the continence support needs of current residents. Domestic staff spoken to had a knowledge, and understanding, of control measures relating to hazardous substances and had participated in relevant training. Westwood DS0000005889.V275134.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 and 30 Training opportunities that enabled staff members to develop knowledge and skills relevant to their role were provided. EVIDENCE: Discussion with staff members and examination of training records confirmed that all new staff had undertaken induction and mandatory training. In addition, staff members had the opportunity to participate in NVQ and specialist training relating to conditions associated with old age. Records also showed that topics relating to safe working practices were repeated as refresher training for staff at suitable intervals to make sure that knowledge levels were maintained. Over 60 of care staff hold a minimum of NVQ Level 2 in care. Further training in medication, first aid for appointed first aiders and elder abuse and optical care were planned for the coming months. There was a strong commitment to training evidenced by a detailed matrix to support the training plan. Criminal Records Bureau disclosures received since the previous inspection were examined and found to include full and satisfactory information that ensured only those people suitable to work in a care environment were appointed. A new member of domestic staff who had assisted on care said that working in care, “Was the best job anybody can do.” Westwood DS0000005889.V275134.R01.S.doc Version 5.1 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33,35, 37 and 38 The use of formal quality assurance systems enabled and encouraged feedback as to how well the service was doing in meeting the needs of residents. The interests of residents were safeguarded by the policy, procedures and record keeping within the care home. The health and welfare of people living and working at Westwood was assured through safe working practices. EVIDENCE: Surveys had been conducted with residents and their representatives to assess whether the home was effectively meeting its objectives. Findings had been analysed, relevant action taken in response and feedback given. The home holds the Investors in People Award that is an indicator of quality awarded by an independent body. Regular management and staff meetings were held and Westwood DS0000005889.V275134.R01.S.doc Version 5.1 Page 19 policies and procedures were kept under review. Staff members had signed to say they had read and understood procedures following review. Records of money held on behalf of residents were examined. Only small amounts of money were held for seven residents and these had been suitably recorded and receipted. Random checks of three envelopes showed that the record maintained corresponded to the amount of money held thereby protecting residents from the potential of financial abuse.. Individual records of staff and residents were well maintained, kept up to date and suitably stored in accordance with data protection requirements. The manner in which messages were recorded had been amended since the previous inspection so that the resident could not be readily identified. Residents confirmed they had access to their records that was also confirmed by signatures on assessment records and care plans. Health and safety policies and procedures were in effective use. Safety notices were appropriately posted throughout the building. Staff members had undertaken training in safe working practices. Risk assessments were in place and kept under review. Accident reports were examined. Repeat accidents or incidents had been noted and people at risk of falling were being monitored within a risk assessment framework that accepted the individual’s need to maximise their independence and make an informed choice. Certificates of compliance with water, gas and electrical safety were in place. Fire records were up to date and equipment had been tested at the required frequencies to ensure safety of residents. Westwood DS0000005889.V275134.R01.S.doc Version 5.1 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 4 3 X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X X X 3 X X X 3 3 STAFFING Standard No Score 27 X 28 4 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X 3 3 Westwood DS0000005889.V275134.R01.S.doc Version 5.1 Page 21 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 Westwood DS0000005889.V275134.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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. 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