Inspection on 14/02/07 for Westwood Lodge

This inspection was carried out on 14th February 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 Lodge 16/02/06

Westwood Lodge 24/02/05

Similar services:

Trevayler Residential Care Home

Thornham Grove

Thistle Hill Hall

Conifer Lodge

Egerton Lodge Care Home

Alfred Minto House Care Home

St Matthews Unit

Brain Injury Services, 51 The Drive

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Westwood Lodge 116 Harlestone Road Dallington Northants NN5 6AB Lead Inspector Ruth Wood Key Unannounced Inspection 14th February 2007 10:00 Westwood Lodge DS0000060400.V329526.R01.S.doc Version 5.2 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 Lodge DS0000060400.V329526.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 Adults 18-65. 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 Lodge DS0000060400.V329526.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Westwood Lodge Address 116 Harlestone Road Dallington Northants NN5 6AB 01604 581181 01604 581181 westwood@goldcareltd.com 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) Gold Care Limited Vacant Care Home 15 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (15) of places Westwood Lodge DS0000060400.V329526.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Service users accommodated must be within the age range of 21 to 65 years. Outside the hours of 9am - 5pm there must be a minimum of one (1) Registered Nurse on duty. The manager of the home must be a Registered Mental Health Nurse. Any changes to the purpose and function of the service as detailed in the statement of purpose (agreed on 02.03.05) and as stipulated in the letter dated 02.03.05, must be notified and agreed with CSCI prior to any changes being implemented. There must be a minimum of two (2) Registered Nurses on duty during the hours of 9am - 5pm. To be able to admit the additional named service user who is 18 years of age as outlined in variation application number V32270 dated 15/05/06. 16th February 2006 5. 6. Date of last inspection Brief Description of the Service: Westwood Lodge is situated in a suburb of Northampton. The house is a large detached property set within extensive grounds. It is close to local amenities and public transport with the town centre approximately one and a half miles away. There are 15 single bedrooms, all with one exception have en-suite facilities and are furnished to a high standard. Bedrooms are located on the ground and first floors with the upper floor being accessible by stairs or passenger lift. There are bathrooms with baths and showers on both floors. There is a large communal lounge with a dining area, an activity room and smoking area, as well as a laundry and kitchen. The extensive gardens are fully accessible for the use of the residents. Current Fee levels at the home are £1,500 to £2,250 per week. Westwood Lodge DS0000060400.V329526.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on a weekday between 10am and 4.45pm. The inspector spoke with six residents, three staff members and the acting manager. The registered provider and a registered manager from the Gold Care group (currently acting as a mentor to the acting manager) were also involved in the inspection. Assessments and support plans for two residents were examined and aspects of their care and support discussed in detail. Documents relating to staff training and recruitment, health and safety, medication, and quality assurance were examined and a full tour of the home was made. What the service does well: What has improved since the last inspection? What they could do better: No requirements or recommendations for improvements were made at this inspection. Westwood Lodge DS0000060400.V329526.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Westwood Lodge DS0000060400.V329526.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Westwood Lodge DS0000060400.V329526.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is excellent Comprehensive assessment procedures ensure that residents’ needs and aspirations can be effectively met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A comprehensive assessment process takes place before new residents move into the home. This includes the registered provider and acting manager visiting the person in their current setting, collecting assessments from all professionals involved and arranging time for the person to visit Westwood Lodge to see how they fit in with the existing resident group. Two residents’ assessment documents were examined. A full assessment written by the acting manager was in place together with assessments submitted from a variety of professionals, prior to the residents’ admissions. Assessments covered all aspects of care; physical, mental and emotional health as well as social and cultural needs. Westwood Lodge DS0000060400.V329526.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is excellent Residents are involved in day to day decisions, are well supported to take reasonable risks and excellent support plans accurately reflect their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two residents’ support plans were examined: these were very detailed covering all aspects of support in relation to mental, physical and social needs. Support plans are written with residents who keep a copy in their rooms unless they choose not to. Comprehensive risk assessments form part of each plan and address risk to the resident as well as those around them. Any restrictions on residents’ behaviour are clearly documented with reasons given for these restrictions. Staff actively contribute to support plans and routinely refer to them to gain information as to how to support and respond to individual residents’ needs. Plans are seen as dynamic documents, being regularly reviewed and modified to reflect residents’ changing needs. Residents are supported to make decisions about their lives in relation to such areas as décor, food, social and vocational activities. Most residents manage their own finances with staff support. Records of expenditure are kept and the Westwood Lodge DS0000060400.V329526.R01.S.doc Version 5.2 Page 10 acting manger audits these regularly. The records and balances for two residents were checked and found to be accurate. Westwood Lodge DS0000060400.V329526.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13, 14, 15, 16, 17 Quality in this outcome area is good Residents have opportunities to engage in vocational, leisure and community activities, are given support in maintaining links with family and friends and enjoy good, nutritious food. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are opportunities for residents to pursue appropriate vocational or educational activities such as college courses; one resident discussed their intention to attend a course linked with beauty therapy. Gold Care (the home’s owners) employ an occupational therapist allowing for regular assessments focussing on people’s self care skills and support to improve in these areas. A regular programme of activities takes place including quizzes, discussions on current affairs and art and craft; two residents spoke to the inspector about the pleasure they gain from their artwork. Time is also allocated for residents to spend one to one time with their key worker. Westwood Lodge DS0000060400.V329526.R01.S.doc Version 5.2 Page 12 Residents are actively supported to maintain contact with their family and friends. Relatives are free to visit at any time and social events are arranged to encourage relatives and friends to visit. One resident is actively supported in maintaining their religion and attends a local church and bible groups. The acting manager stated that the home enjoyed a good relationship with members of the local community including the local community police. A nutritional screening assessment is completed for all residents and concerns with regards to their eating and weight are monitored. Residents are actively involved in the kind of food served in the home and a resident assisting the cook told the inspector that menus had recently changed following discussion at the residents’ meeting. Menu records showed that a good variety of food is served including plenty of fresh fruit and vegetables. Residents were very complimentary about both the food and the cook. “She’s a very good cook here” “the food is very nice”. One resident shops and cooks independently. Westwood Lodge DS0000060400.V329526.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good Residents receive appropriate personal support and their health and medication needs are well met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents’ personal support needs are clearly documented and they can choose who they receive support from and who acts as their key worker. Registered mental health nurses are on duty at all times and arrangements to meet residents’ mental health needs are well established. Residents are monitored by community psychiatrists and medication and general reviews are held following the Care Programme Approach. Good provision is also made to meet residents’ physical health needs with blood pressure and weight being regularly monitored and risk assessments for pressure area care being undertaken for those identified at risk of developing pressure sores. Good arrangements are in place for accessing additional support from physiotherapists and other professionals to meet the additional physical health needs that some residents have. All residents have access to primary care services such as GP, dentists and opticians. Good systems are in place for storing, recording and administering medication; only qualified staff members who have received appropriate training are involved in administration. There are clear guidelines relating to the Westwood Lodge DS0000060400.V329526.R01.S.doc Version 5.2 Page 14 administration of ‘as required’ medication and a weekly audit of this medication takes place. Residents and staff members are aware of the side effects of medication and when and how to report any concerns. The acting manager stated that the home enjoyed a good relationship with the pharmacist who visited regularly and was available to offer advice and information when requested. Westwood Lodge DS0000060400.V329526.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is excellent Residents’ concerns are listened to and acted upon and good systems are in place to protect them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are several avenues available for residents to voice their concerns in addition to the formal complaints procedure. Three residents spoken with said that they felt confident to say if they were not happy with anything at the home and spoke very positively about the acting manager’s ability to resolve any problems, “If I’m not happy about anything then I talk to the manager”. Residents can also raise concerns at residents’ meetings and at weekly meetings with their key workers; their opinions are also surveyed as part of the quality monitoring process. Concerns raised through any of these avenues are recorded, followed up and the outcome recorded. Discussion with the acting manager and her mentor demonstrated that both have a good understanding of the local area protocols with regards to adult protection and copies of these were in place. All staff receive training in adult protection and training materials and discussion with staff showed that this was comprehensive and appropriate to the needs of the client group. This training is regularly updated with the next update due to take place on 27th February. Clear policies are in place with regards to physical or verbal aggression displayed by residents and how this should be dealt with. At their induction staff are made aware of all key policies relating to protection including the whistle blowing. Good recruitment practices, including obtaining Criminal Records Bureau checks before staff begin work, also contribute to good outcomes for residents in terms of protection. Westwood Lodge DS0000060400.V329526.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good Residents live in a clean, comfortable and homely environment, which meets their needs well. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is in keeping with the style of property in the local community and has a car parking area to the front and large, accessible grounds to the rear. There is level entry access and a passenger lift to the upper floor. Both communal and personal rooms are spacious, light, well decorated, furnished and maintained. All areas appeared clean and some staff members have undertaken training in infection control. Westwood Lodge DS0000060400.V329526.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is excellent Residents are effectively supported and protected by well-trained staff and thorough recruitment practices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All staff receive a comprehensive three-month induction. An ongoing training programme is in place, which includes training in specialist areas relating to mental health and more general training in such areas as care planning, risk assessment and report writing. Details of training were posted on the staff notice board and all staff have a training and development record. During discussion a staff member commented very favourably on the quality and scope of the training they had received. Evaluation sheets are completed after training and these are analysed to ascertain areas for improvement. All unqualified staff have completed National Vocational Qualifications in Care at level 2 or above with the exception of one person who is due to begin. Two staff recruitment records were examined; both contained an application form, which included a full employment history, two written references, and evidence that enhanced criminal records bureau checks and checks against the protection of vulnerable adults register were made before the employees started work. For the qualified member of staff details of their Personal Identification Number was also on record. Westwood Lodge DS0000060400.V329526.R01.S.doc Version 5.2 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is excellent Good health and safety practice ensures residents’ welfare in these areas is promoted. Excellent systems are in place to ensure that the residents’ views inform the way the service is delivered, monitored and improved. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The acting manager is a registered mental health and general nurse, has almost completed her registered manager’s award and has applied for registration with the Commission. She has a clear sense of leadership and both residents and staff spoke positively about her input into the home. The registered provider and another registered manager from the Gold Care group are also regularly involved in the home, the latter acting as the acting manager’s mentor until she is registered. Excellent systems are in place to ensure that residents, staff and other stakeholders are able to have an input into how the home is run. Residents meet with their key workers on a weekly basis and are formally surveyed (anonymously if they wish) as to their views on various aspects of the home. Residents’ meetings are held and issues such Westwood Lodge DS0000060400.V329526.R01.S.doc Version 5.2 Page 19 as menus and social events are discussed. Staff meetings are held and staff are also formally surveyed as to their opinions as are relatives and other stakeholders such as commissioning social workers, and psychiatrists. Copies of all surveys and responses were available for inspection. The Provider, acting manager and her mentor meet regularly to discuss the operation of the home and plan for the future. Good systems are in place to ensure safe working practices in the home. Risk assessments relating to safe working practices are in place and these are regularly reviewed and updated. Assessments have been completed on substances hazardous to health (such as cleaning materials) and gas and electrical systems are regularly maintained. Staff have received training in first aid, food hygiene, moving and handling and fire safety. Fire equipment and systems are regularly maintained and serviced. Westwood Lodge DS0000060400.V329526.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 4 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 3 4 4 X X 3 X Westwood Lodge DS0000060400.V329526.R01.S.doc Version 5.2 Page 21 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. 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 Lodge DS0000060400.V329526.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Lodge DS0000060400.V329526.R01.S.doc Version 5.2 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. 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