Inspection on 03/01/06 for Westwood Lodge

This inspection was carried out on 3rd January 2006.

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 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 Ian Armstrong Unannounced Inspection 3rd January 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.V275890.R02.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 Lodge DS0000000408.V275890.R02.S.doc Version 5.1 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.V275890.R02.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 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. 25th July 2005 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.V275890.R02.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the home and took place over four hours. The inspector looked around some parts of the building and a number of records were inspected. Five residents and four members of staff and a relative of a resident were spoken to. What the service does well: What has improved since the last inspection? The home has increased the working hours each week of the activities coordinator. This has resulted in even greater varieties of activities occurring for the residents this person’s work is to be applauded. Westwood Lodge DS0000000408.V275890.R02.S.doc Version 5.1 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.V275890.R02.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 Lodge DS0000000408.V275890.R02.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): 3. No service user moves into the home without having his/her needs assessed and been assured that these will be met. EVIDENCE: Four residents pre-admission assessment documents were inspected. All of these had been completed to a very good standard. All other assessment documents were also well completed. Westwood Lodge DS0000000408.V275890.R02.S.doc Version 5.1 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): 7,9. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: Four residents care plans were inspected. In all four records there was a good range of care plans written. These records were being regularly evaluated and reviewed. The overall standard of the records was very good and is to be commended. The systems for the safe storage, administration, receipt and disposal of medications were checked and were generally satisfactory. However in two residents bedrooms that were visited barrier creams were seen that had not been prescribed for those residents. Westwood Lodge DS0000000408.V275890.R02.S.doc Version 5.1 Page 10 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): 15. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. EVIDENCE: The menus for residents meals were inspected. These showed a good variety and choice of food being provided. Residents individual food choices are recorded and met for each mealtime. Dining areas in the home were found to be satisfactory. Records seen showed that mealtimes can be taken flexibly according to individual needs. The kitchen was inspected and was generally found to be clean. Food stocks for frozen dried and tinned goods were satisfactory. Fresh fruit and vegetables were evidenced. Westwood Lodge DS0000000408.V275890.R02.S.doc Version 5.1 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 the following 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 Complaint and POVA policies were seen and are satisfactory. Since the last inspection visit there has been no new complaints. Westwood Lodge DS0000000408.V275890.R02.S.doc Version 5.1 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 the following standard(s): 19,24,26. Service users live in a safe, generally well-maintained environment. Service users live in safe comfortable bedrooms with their own possessions around them. The home is generally clean, pleasant and hygienic. EVIDENCE: Damage to the walls outside of the lift on the second floor needs repair. The shower facility on the top floor is broken and needs repair. The corridor floor on the second floor is uneven and some loose floorboards need re-fixing. A number of resident bedrooms were visited. These were found to be fairly well decorated, furnished and had lots of residents personal effects and possessions. Those parts of the home seen were found to be clean and pleasant and hygienic. Westwood Lodge DS0000000408.V275890.R02.S.doc Version 5.1 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 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. Service users’ needs are met by the numbers and skill mix of staff. EVIDENCE: Staff duty rosters were inspected. These showed the following levels of staffing employed in the home on an average day; Am, 2 Qualified and 9 care staff, Pm, 2 Qualified and 9 care staff, Nights, 1 Qualified and 4 care staff. This level of staffing is in line with the assessed needs of the residents. The rosters showed that the staffing levels were being maintained. Westwood Lodge DS0000000408.V275890.R02.S.doc Version 5.1 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 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): 38. The health, safety and welfare of service users and staff are generally promoted and protected. EVIDENCE: The homes Fire logbook was checked. All entries were satisfactory with one exception, in-house fire instructions to staff. These are not being carried out to the levels specified by the Fire Brigade. The last fire inspection report of the home identified furniture in the staff rest room as not meeting fire retardency standards and needs to be replaced. Accident book records were found to be satisfactory, monthly audits of these are carried out. Westwood Lodge DS0000000408.V275890.R02.S.doc Version 5.1 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 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 x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 x 9 2 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 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 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x x x x 2 Westwood Lodge DS0000000408.V275890.R02.S.doc Version 5.1 Page 16 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. 1. 2. 3. 4. 5. Standard OP9 OP19 OP19 OP19 OP38 Regulation 13.2 Requirement Timescale for action 04/01/06 28/02/06 08/01/06 28/02/06 28/02/06 Barrier creams must only be used for the person for whom they are prescribed. 23.2(b) The walls outside the lift are damaged and need repair. 23.2(b) The shower on the top floor needs to be repaired. 23.2(b) The floor boards on the middle floor some of these are loose and need refixing. 23.4 In-house fire instruction for staff (a)(d)&(e) to be carried out to levels specified in the fire logbook. Furniture in the staff rest room must be replaced as required in the last fire inspection visit. Westwood Lodge DS0000000408.V275890.R02.S.doc Version 5.1 Page 17 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 DS0000000408.V275890.R02.S.doc Version 5.1 Page 18 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. Extracts may not be used or reproduced without the express permission of CSCI Westwood Lodge DS0000000408.V275890.R02.S.doc Version 5.1 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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