Random inspection report
Care homes for older people
Name: Address: Westwood Park 4 Langholm Close Beverley East Yorkshire HU17 7DH zero star poor service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Steve Baker Date: 1 8 0 1 2 0 1 0 Information about the care home
Name of care home: Address: Westwood Park 4 Langholm Close Beverley East Yorkshire HU17 7DH 01482862170 01482888570 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Londesborough Health Care Limited care home 51 Number of places (if applicable): Under 65 Over 65 51 51 dementia old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 0 Westwood Park is a privately owned care home that is registered to accommodate and care for 51 older people, including those with dementia. The company own another care home in a nearby town. Information about the home is provided to service users and others in the homes statement of purpose and service user guide. Fees paid are GBP375 per week and there is an additional charge for hairdressing, beauty therapy, private chiropody, toiletries and newspapers. Private accommodation is provided in 47 single rooms and two shared rooms, and there are various communal rooms available. The home is close to local amenities such as shops, banks, cafes, public houses and transport facilities. All areas of the home are accessible to service users via the
Care Homes for Older People Page 2 of 11 Brief description of the care home provision of a passenger lift, a stair lift and ramps. The garden has been specially designed to meet the needs of the people living at the home and is attractive and easily accessible. There is a small car park available for visitors and staff. Care Homes for Older People Page 3 of 11 What we found:
The reason for carrying out this inspection visit was to assess the progress made against the medication requirements issued at the last full inspection of the home on 27th October 2009 and against the contents of the subsequent Statutory Requirement Notice (SRN) issued on 25th November 2009. A pharmacist inspector spent 5 hours in the home looking at the medication ordering, storage, and disposal arrangements, examining the current medication administration record charts (MARs) and speaking to the manager and senior care staff. The outcome is as follows. We found no significant administration gaps on the curent months MARs and all items checked in both medication trolleys and the controlled drugs cupboard were found to be correct. Together this indicates that people living in the home can expect to receive their prescribed medicines correctly as directed. Further improvements could be made by assessing, recording and regularly reviewing how and when people prefer to receive their medicines. This will help to reduce the number of times medicines are omitted or refused. Hand written MAR entries were clear, accurate and had been checked by a second carer. This helps to make sure that any changes to peoples medicines are correctly understood and consistently followed by all staff. Additional information on the use of medicines prescribed to be given when required is kept with the MARs. This helps to make sure that these medicines are given correctly by all staff as and when needed. Records of the use of prescribed skin care products e.g. emollients for dry skin, should be improved to show exactly how and when the products have been used. We found that the photographs and personal information used to help sure give medicines to the right person could become detached from that persons MARs. Permanently fixing this information to each persons MAR divider would help to make sure staff always identify people correctly when giving medicines. We found that all medicines were stored securely, including those kept in peoples rooms for self administration. There are good systems and records in place to support someone who wishes to look after their own medicines whilst living in the home. The medication storage areas are clean, tidy and well-organised so that staff can work efficiently and effectively. The medication fridge temperature is checked regularly but the store room temperatures are not yet monitored. All medicines must be stored securely at temperatures recommended by the manufacturer so that staff know they are safe to use when needed. Since the last inspection, the manager has put in place a range of medication checking systems including the checking of monthly prescriptions for completeness and for any changes. This good practice helps to make sure that medicines are given correctly and that no-one should ever be without a supply of their medicines. We were told that the local NHS medicines management team had reviewed the homes medicines management systems, that senior staff were carrying out medication safety training updates, and that the safety of staff work practices were being regularly assessed. Having well trained up to date staff handling and giving medicines helps to reduce the risk of any error occurring in the home. Care Homes for Older People Page 4 of 11 We therefore found that all outstanding medication requirements from the last inspection were met at the time of this visit. The remaining outstanding requirements were not assessed as part of this visit. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 11 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 3 14 The home must ensure there 15/01/2010 is sufficient information regarding peoples needs prior to admission. This will enable staff to be sure the home is able to meet the needs and also enable staff to plan care that is required. Care plans must be 15/01/2010 developed that will guide staff on how to meet peoples individual needs, describe the needs and preferences of people and be reviewed on a regular basis. Revised requirement, previous timescales 20/02/09 and 09/10/09 not met, which means this requirement is subject to our enforcement processes. 2 7 12 3 8 13 Risk assessments must 15/01/2010 contain sufficient detail about what the risk is and guide staff in managing this and should be regularly reviewed to reflect a persons current need. This will ensure that risk is managed in a safe way.
Page 6 of 11 Care Homes for Older People Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Previous timescale 09/10/09 not met, which means this requirement is subject to our enforcement processes. 4 10 12 People living in the home 15/01/2010 must be assisted to use the toilet when they need it. This will ensure that people have their personal needs met safely and in a way that promotes their privacy and dignity. Previous timescale 09/10/09 not met. 5 12 16 Residents must have their 15/01/2010 social and occupational needs assessed to help identify past and current interests and also help to identify current abilities. This will enable activities to be tailored to meet needs, especially of people with dementia or memory impairment. Residents must be protected 15/01/2010 from harm by improving staff recruitment, staffing levels, risk management and some care practices. The current staffing levels must be increased to the 15/01/2010 6 18 12 and 13 7 27 18 Care Homes for Older People Page 7 of 11 Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action minimum levels recommended by the guidance. To ensure that at all times there are suitably qualified, competent and experienced persons working in the care home in such numbers as are appropriate for the health and welfare of people living there, to ensure that peoples needs are met in full. Previous timescale 09/10/09 not met. 8 29 19 Full employment checks must be carried out prior to staff starting employment. This includes two written references and the return of the full criminal record bureau check. This will help to ensure only properly checked staff support vulnerable adults. 15/01/2010 9 30 18 Staff must receive training in 15/01/2010 line with the specific needs of the people living in the home. It is acknowledged that a staff audit has taken place and a training plan is in the process of being developed. As well as induction and mandatory training the plan must include dementia care and conditions affecting older people such as diabetes, Care Homes for Older People Page 8 of 11 Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action strokes, Parkinsons disease, sensory impairment, catheter care and pressure area care. The training plan for the next six months to be completed by the timescale for action date. This will enable the home to be sure residents are supported by well informed and competent staff. 10 37 17 All records required for the 15/01/2010 running of the home must be accurate and up to date. To ensure that there are up to date records about the care people receive in the home. People requiring bedrails to 15/01/2010 prevent them from rolling out of bed must have thorough risk assessments completed in line with health and safety guidelines. This will ensure that all areas are covered and there is a correct match between the resident, the type of bed, the mattress and bedrail. A checking system needs to be in place that monitors the safety of bed rails. 11 38 13 Care Homes for Older People Page 9 of 11 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 2 9 9 Identification photographs and personal information should be permanently fixed to each MAR chart divider. Peoples own choices about when and how they prefer to receive their medicines should be recorded and reviewed regularly. The temperature of all medication storage areas should be monitored regularly. Records of the use of prescribed skin care products should be more detailed. 3 4 9 9 Care Homes for Older People Page 10 of 11 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 11 of 11 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
