Inspection on 25/07/05 for Westwood Lodge

This inspection was carried out on 25th 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 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 21/08/06

Westwood Lodge 03/01/06

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 NE4 6UR Lead Inspector Ian Armstrong Announced 25 July 2005 09:30 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 Lodge B53 B03 S408 Westwood Lodge V230124 250705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Westwood Lodge Address 7 Bentinck Villas Elswick Newcastle upon Tyne NE4 6UR 0191 273 3998 0191 272 4148 rolandairey@ukonline.co.uk The Care Consortium (1997) Limited 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) Mr Brian Albert Cauwood CRH 46 Category(ies) of DE - Dementia (38) registration, with number MD - Mental Disorder (8) of places Westwood Lodge B53 B03 S408 Westwood Lodge V230124 250705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Only rooms 30 to 37 are registered for the 8 younger residents category MD, aged 50 years and above. 2. 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 limites will apply. 3. Mr B Cauwood is to complete training in the Care of the Elderly ENB 941 or its equivalent within 12 months. Date of last inspection 17 January 2005 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 stucture over three floors, with a newer brick built annexe of two floors. The majority of bedrooms are single accommadation 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 seperate 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 B53 B03 S408 Westwood Lodge V230124 250705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 6 hours and was announced. The Inspector looked around some parts of the building and a number of records were inspected. On the day of the inspection there was 44 residents in the home 22 males and 22 females with 2 vacant beds. Nine residents and six staff were spoken to. What the service does well: 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 Lodge B53 B03 S408 Westwood Lodge V230124 250705 Stage 4.doc Version 1.30 Page 6 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 Lodge B53 B03 S408 Westwood Lodge V230124 250705 Stage 4.doc Version 1.30 Page 7 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) 3. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. EVIDENCE: Four residents records were inspected. The standard of pre-admission assessments completed were found to be good. Assessments of mental, physical, social, and dietary needs were all comprehensive. Westwood Lodge B53 B03 S408 Westwood Lodge V230124 250705 Stage 4.doc Version 1.30 Page 8 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) 7,8,9,10. The service users health, personal and social care needs are set out in an individual plan of care. Service users health care needs are mainly met. Service users where appropriate, are responsible for their own medication, and are protected by the homes policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. EVIDENCE: Four residents care plans were inspected the majority of these were of a good standard. All of the care plans were being regularly evaluated and reviewed. However in one residents care record who had a care plan for a pressure sore wound, there was no measurement of wound size and depth. Neither was a body chart completed indicating the wounds position. Records show that GPs regularly visit to review residents treatment needs. Records for Dental, Optical and Chiropody were also found to be satisfactory. The systems for the management of medications were checked and were satisfactory. Staff training records show that staff are instucted to knock before entering resident bedrooms. Those residents that were capable said that staff treated them with respect. Westwood Lodge B53 B03 S408 Westwood Lodge V230124 250705 Stage 4.doc Version 1.30 Page 9 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) 12,13,14,15. 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. However individual social care needs based on hobbies, interests could be further developed. 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. EVIDENCE: Records showed that a wide variety of social events and activities are taking place. These included a link up with six other care homes for social events such as tea dances and other activities. A number of trips have been organised with trips to the coast, Sunderland dog racing and meals out. A gardening club has been started, a small greenhouse has been purchased to grow tomatoes and cucumbers. Some of the more capable residents are involved in card making. A computer has recently been purchased for residents. Records in the home show that a number of relatives regularly visit the residents some take residents out. Residents have chosen the new décor for their rooms where these have been redecorated. Residents that are capable have their own keys to their bedrooms. Residents also choose what clothes to Westwood Lodge B53 B03 S408 Westwood Lodge V230124 250705 Stage 4.doc Version 1.30 Page 10 wear each day. The homes cook keeps lists of the residents food likes and dislikes and these are met. Menus show that a good choice and variety of food is offered. Evidence was seen of mealtimes being flexible to suit individual needs. One area of work that could be further developed is individual social care plans based on residents hobbies, these were being identified in social histories but then not met. Westwood Lodge B53 B03 S408 Westwood Lodge V230124 250705 Stage 4.doc Version 1.30 Page 11 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. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users are protected from abuse. EVIDENCE: The homes Complaints policy was inspected and is of a good standard. Since the last inspection there have been no new complaints. The POVA policy was of a good standard. A POVA incident was reported and a strategy meeting was held. A member of staff was moved on to day duty for re-training and this is ongoing. Westwood Lodge B53 B03 S408 Westwood Lodge V230124 250705 Stage 4.doc Version 1.30 Page 12 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) 19,24,26. Service users live in a safe, and reasonably well maintained. Service users live in safe, comfortable bedrooms with their own possessions around them. The home is clean and hygienic. EVIDENCE: The first floor corridor in the older part of the building, gloss painted areas need to be re-painted. A number of resident bedrooms were seen and these were in the main nicely decorated, furnished and carpeted, with lots of personal effects and possessions. The window limiters to the top floor shower room and toilet in the older part of the building need to be replaced as they are inadequate. A blind needs to be fitted to the shower room window. Whilst visiting the annexe it was noticed that residents were in the main given their tea in plastic beakers. These should be replaced with crockery tea cups. A washing machine in the laundry was non operational. The kitchen area was visited, this area and its equipment were found to be clean. Records seen in the kitchen were found to be satisfactorily maintained. The home was clean pleasant and hygienic in all those areas visited. Westwood Lodge B53 B03 S408 Westwood Lodge V230124 250705 Stage 4.doc Version 1.30 Page 13 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) 27,29,30. Service users needs are met by the numbers and skill mix of staff. Service users are supported and protected by the homes recruitment policy and practises. Staff are trained and competent to do their jobs. EVIDENCE: Staff duty rosters were inspected they showed that the home was fully established for all grades of care staff. The following average daily staffing levels are employed and rostered; Am, 2 Qualified and 9 care staff, Pm, 2 Qualified and 9 care staff, Nights, 1 Qualified and 4 care staff. This is in line with the assessed needs of the residents. Two recently recruited staff files were inspected. These showed that all checks and references were appropriate and correct to a good standard. Staff training records were seen over 75 of care staff are trained to NVQ level 2 or above. Statutory training levels were found to be good. The manager of the home has recently successfully completed a care of the elderly course. A qualified member of staff has completed a course on palliative care. Overall standards of training are good. Westwood Lodge B53 B03 S408 Westwood Lodge V230124 250705 Stage 4.doc Version 1.30 Page 14 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) 33,35,38. The home is run in the best interests of service users. Service users financial interests are safeguarded by the homes record keeping, policies and procedures. The health safety and welfare of service users and staff are promoted and protected. EVIDENCE: Resident meeting minutes showed appropriate agendas with evidence of staff acting on issues raised. Relative meetings have not been held for some time however. The systems for the recording of residents finances were checked. There was evidence of regular expenditures with two staff signatories for all transactions. Weekly audits of monies are carried out and are satisfactory. Money balances were checked and found to be correct. The homes Fire Log Book and Accident Book records were found to be satisfactory. Records inspected of the last Health and Safety audit were also satisfactory. Westwood Lodge B53 B03 S408 Westwood Lodge V230124 250705 Stage 4.doc Version 1.30 Page 15 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 x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION 2 x x x x 3 x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 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 2 x 3 x x 2 Westwood Lodge B53 B03 S408 Westwood Lodge V230124 250705 Stage 4.doc Version 1.30 Page 16 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. 1. 2. Standard 7 7 Regulation 15.1 15.1 Requirement Social care plans based on residents hobbies and interests must be written for all residents. Wound care plans must show evidence of the size and depth of wounds. Body charts must be used to identify the wounds position. The window limiters in the top floor shower and toilet need to be replaced as these are inadequate. The shower room to the top floor needs a blind fitted to the window. The broken washing machine must be repaired. Timescale for action 30/9/05. 1/8/05. 3. 19 23.2(b) 1/8/05. 4. 5. 19 38 23.2(e) 23.2(c) 31/8/05. 8/8/05. 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. 2. Refer to Standard 15 33 Good Practice Recommendations Crockery tea cups should be purchased to replace plastic beakers. Relative meetings should be restarted as soon as possible. B53 B03 S408 Westwood Lodge V230124 250705 Stage 4.doc Version 1.30 Page 17 Westwood Lodge Commission for Social Care Inspection 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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