Inspection on 21/08/06 for Westwood Lodge

This inspection was carried out on 21st August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 03/01/06

Westwood Lodge 25/07/05

Westwood Lodge 17/01/05

Westwood Lodge 19/07/04

Similar services:

Ashlea Mews Residential Home

Eastwood

West Lodge

Arran House

Avenue Community Nursing Home

Cosin Lodge

Farmborough Court

Cragston Court

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

CARE HOMES FOR OLDER PEOPLE Westwood Lodge 7 Bentinck Villas Elswick Newcastle Upon Tyne Tyne & Wear NE4 6UR Lead Inspector Iam Armstrong Key Unannounced Inspection 21st August 2006 09:30 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 Lodge DS0000000408.V295624.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 Lodge DS0000000408.V295624.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Westwood Lodge Address 7 Bentinck Villas Elswick Newcastle Upon Tyne Tyne & Wear NE4 6UR 0191 273 3998 0191 272 4148 rolandairey@ukonline.co.uk 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) The Care Consortium (1997) Limited Mr Brian Albert Cauwood Care Home 46 Category(ies) of Dementia (38), Mental disorder, excluding registration, with number learning disability or dementia (8) of places Westwood Lodge DS0000000408.V295624.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Only rooms 30 to 37 are registered for the 8 younger residents category MD, aged 50 years and above. One named resident may be accommodated who is 46 years of age at the time of admission. In the event of the discharge of that named resident, the existing age limits will apply. Mr B Cauwood is to complete training in the Care of the Elderly ENB 941 or its equivalent within 12 months. 3rd January 2006 3. Date of last inspection Brief Description of the Service: Westwood Lodge is a care home with nursing. Providing care for older people and adults with enduring mental health problems. Care in the home is provided by Registered Mental Nurses supported by care staff. The home is owned and managed by The Care Consortium (1997) Ltd, a local company that specialises in providing services for clients with mental health needs. The home is situated in Bentinck Road in the west of the city of Newcastle upon Tyne, close to local shops and good public transport links. The building is comprised of an older stone built structure over three floors, with a newer brick built annexe of two floors. The majority of bedrooms are single accommodation and there are a number of toilets and bathrooms. Throughout the building there are a number of lounge and dining room facilities. There is a separate kitchen and laundry room facility. The philosophy of care is to support the residents in their activities of daily living and to provide for their mental and physical health needs. Westwood Lodge DS0000000408.V295624.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced and took place over one day. Time was spent with residents and staff. Records were inspected which included, staff files, resident care plans, medication records, residents financial records and utility records. Seven staff were spoken to including (ancillary, nursing and care staff) six residents and a visitor to the home were also spoken to. A tour of the premises was carried out to check the facilities available for the residents and the general maintenance of the property. What the service does well: What has improved since the last inspection? The development of the garden area to the rear of the home has enhanced the quality of the residents lives. Westwood Lodge DS0000000408.V295624.R01.S.doc Version 5.2 Page 6 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 Lodge DS0000000408.V295624.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 Lodge DS0000000408.V295624.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 7 6. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Good pre-admission assessments are achieved. The home does not provide intermediate care. EVIDENCE: Four residents pre-admission assessment records were examined. The records were well completed with comprehensive information recorded about each residents assessed needs. A recent residents admission showed that members of their family had visited the home prior to the admission and had had a meal in the home. Westwood Lodge DS0000000408.V295624.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10. Quality in this outcome area is generally good. This judgement has been made from evidence gathered both during and before the visit to this service. The service user’s health, personal and social care needs are generally set out in an individual plan of care. Residents health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are mainly protected by the home’s policies and procedures for dealing with medicines. Residents feel they are treated with respect and their right to privacy is upheld. EVIDENCE: Four residents care records were inspected. In each record a good range of well written care plans was documented. However social care plans need to be further developed to address individual interests and leisure pursuits. Care Westwood Lodge DS0000000408.V295624.R01.S.doc Version 5.2 Page 10 plans were being regularly evaluated. Reviews of care needs were taking place at the specified times with relatives attending these meetings. A full range of assessments were completed with monthly evaluations. These records were overall of a good standard, with some work needed to further improve social care plans. Records of visiting health and social care professionals were inspected and were of a good standard. The systems for the management of medicines were checked. The treatment room was clean and tidy. Medicine administration record charts were being correctly completed. Medicines were being stored correctly. The record book for weekly checks of the aspirator had not been completed for three weeks. Records inspected show that residents where capable have their own keys to their bedrooms. Westwood Lodge DS0000000408.V295624.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, & 15. Quality in this outcome area is generally good. This judgement has been made from evidence gathered both during and before the visit to this home. 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. Residents do maintain contact with family/friends/representatives and the local community as they wish, and 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. EVIDENCE: Weekly activity programmes for the different client groups were seen, a good variety of activities were occurring. Four residents go out swimming each week with a member of staff. A female resident has planted flowers and plants in the small garden at the rear of the home, she said how much she enjoyed doing this, and a male resident waters the plants for her each day. Another male resident is being taught how to use a computer and was observed to be enjoying this experience. Wall pictures in the home show a number of trips Westwood Lodge DS0000000408.V295624.R01.S.doc Version 5.2 Page 12 out that residents have enjoyed to local places of interest. A risk assessment has been completed that allows a resident to go out and visit the local shops and community each week which the resident said he enjoys doing. The home has an open visiting policy, a befriender of one of the female residents was spoken to she said she had only recently taken up this role for the resident. The resident said she spent a lot of time in her bedroom and wished the staff would ‘’just pop their head around her door more just to see how I am’’. I informed the manager of this and he told me that this does happen but he would talk to the resident to reassure them. A resident was spoken to who said ‘’the staff are good and the food is good’’. The lunchtime meal was observed tablecloths and placemats were used. The meal was egg, chips and spagetti or hot dogs and potatoes with rhubarb crumble or trifle for sweet. Cold or hot drinks were provided with the meal. Staff were in attendance helping those residents who needed assistance with feeding, good interaction was observed between the staff and the residents. Menus were examined a good range and choice of food is being provided. An individual menu for a resident who is vegetarian was seen. This menu was devised and agreed by the resident with the homes cook, this is good practise. Residents food choice sheets are completed for all meals for each resident every day. Suppertime meals include broth, chips, toasted sandwiches, mince pies. Westwood Lodge DS0000000408.V295624.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, & 18. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Residents are protected from abuse. EVIDENCE: The complaints policy was examined and is comprehensive. The complaints log book shows no new entries since the last inspection The Protection of Vulnerable Adults policy is good and is based on the Department of Health’s ‘’ No Secrets’’. The whistle blowing policy is also well written. Staff training for POVA is being carried out to satisfactory levels. Westwood Lodge DS0000000408.V295624.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24, & 26. Quality in this outcome area is generally adequate. This judgement has been made from evidence gathered both during and before the visit to this service. Service users generally live in a safe, well maintained environment. Residents generally live in safe, comfortable bedrooms with their own possessions around them. The home is generally clean, pleasant and hygienic. EVIDENCE: A tour of some parts of the building was carried out. The home was clean and tidy throughout with no obvious smells or odours. A number of bedrooms were visited these were mainly nicely personalised with lots of personal possessions, some bedrooms were locked as the residents had their own keys. The wall above the window in room 29 is cracked and needs repair. The garden area to the rear of the home has been developed since the last inspection. There is a nice water feature here, new plants have been planted, Westwood Lodge DS0000000408.V295624.R01.S.doc Version 5.2 Page 15 and tomatoes are being grown in a small greenhouse. The sluice on the ground floor there was no protective gloves stored here. Some tiles in the top floor shower room need to be renewed and regrouted. The bathroom with the parker bath the ceiling here needs replastering and the room needs to be redecorated. The kitchen was visited and was clean and tidy cleaning schedules were being properly maintained. Good stocks of tinned, dried and frozen foods were seen. The laundry facilities were generally satisfactory however the wall area above the wash hand basin was dirty and needs to be cleaned. Westwood Lodge DS0000000408.V295624.R01.S.doc Version 5.2 Page 16 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): 27, 28, 29, & 30. Quality in this outcome area is generally good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users’ needs are met by the numbers and skill mix of staff and they are in safe hands at all times. Service users are generally protected by the home’s recruitment policy and practises. Staff are trained and competent to do their jobs. EVIDENCE: Staff duty rosters were inspected, these showed the following levels of staff being deployed in the home each day; Am, - 2 Qualified and 10 care staff, Pm, - 2 Qualified and 10 care staff, Nights, -1 Qualified and 4 care staff. The rosters showed that these levels were being maintained. Westwood Lodge DS0000000408.V295624.R01.S.doc Version 5.2 Page 17 Two staff recruitment files were seen in one of these only one written reference had been obtained all other checks were in place. Records kept show that 84 of staff are trained to NVQ level 2 or above this is a good standard. A number of staff induction training records were examined and are well completed however these need to be dated on completion. Dementia awareness training has commenced for a number of staff provided by Newcastle College. Statutory training levels were checked and the standard is good. Westwood Lodge DS0000000408.V295624.R01.S.doc Version 5.2 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): 31, 33, 35, 36, & 38. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. 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 responsibilities fully. The home is run in the best interests of service users. Residents financial interests are safeguarded. Staff are appropriately supervised. The health, safety and welfare of service users and staff are promoted and protected. Westwood Lodge DS0000000408.V295624.R01.S.doc Version 5.2 Page 19 EVIDENCE: The manager is an experienced Registered Mental Nurse who has managed the home for over two years. He has obtained NVQ level 4 in 2003. He has many years experience of working with the client group, prior to becoming manager he was deputy home manager. Regular staff meetings are held the minutes of these were read there is a need to record more details of the discussions and plans for action on decisions made. There has been no relative meetings since the last inspection these need to be established again. Records of residents finances were inspected, there was evidence of regular expenditures with two staff signatures for all transactions. Resident finances are audited weekly to a good standard. Staff supervision records were examined the content of these was good. Supervision takes place two monthly with an annual appraisal for all staff. Health and safety and utility certificates were checked and were satisfactory. The fire logbook and accident book records were examined all entries were satisfactory. Westwood Lodge DS0000000408.V295624.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 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 X X 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Westwood Lodge DS0000000408.V295624.R01.S.doc Version 5.2 Page 21 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 OP36 Regulation 19.1 Schedule2 . 13.2 23.2(b) Requirement Two written references must be obtained for all new staff employed in the home. Weekly checks of the aspirator must be carried out to ensure its safe working. The parker bathroom the ceiling must be repaired and the room re-decorated. Bedroom 29 cracks to the wall above the window must be repaired and decorated. The shower room on the top floor some tiles must be renewed. Disposable gloves must be kept in the sluice room at all times. Timescale for action 22/08/06 2. 3. OP9 OP19 27/08/06 31/10/06 4. OP19 23.2(b) 31/10/06 5. OP19 23.2(b) 31/10/06 6. OP26 16.2(k) 22/08/06 Westwood Lodge DS0000000408.V295624.R01.S.doc Version 5.2 Page 22 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP7 OP33 Good Practice Recommendations Social care plans need to be further developed to include individual interests and hobbies. Relative meetings need to be re-established. Westwood Lodge DS0000000408.V295624.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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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