Care Home: West Bank Residential Home

Similar services:

• Maple Lodge
• Heathlands
• Aston Court Nursing Home
• Breme
• Ravenhurst
• Bank House
• Inspirations
• Ashcroft Hollow Nursing Home

What the care home does well People`s needs are assessed before they move into the home, so that staff know the care that needs to be provided. Care plans are regularly reviewed and updated to take into account people`s changing needs. The home seeks professional advice promptly when required. Medication is stored and administered safely. Staff are kind and caring, and have a good knowledge of the people they are caring for. The manager has a good understanding of the specialist needs of people with a dementia illness. What the care home could do better: People who are risk of falls do not always have an up to date risk assessment or care plan in place to tell staff how to reduce the risk. Records of the administration of creams and ointments are not always accurate. Random inspection report Care homes for older people Name: Address: West Bank Residential Home Walford Road Ross-on-Wye Herefordshire HR9 5PQ two star good service 07/10/2008 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: Sarah Blake Date: 1 5 0 6 2 0 1 0 Information about the care home Name of care home: Address: West Bank Residential Home Walford Road Ross-on-Wye Herefordshire HR9 5PQ 01989562741 01989562741 helen@skirosetta.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Judith Rosalind Powell Type of registration: Number of places registered: Conditions of registration: Category(ies) : West Bank Residential Home Ltd care home 36 Number of places (if applicable): Under 65 Over 65 0 36 36 36 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: 36 0 0 0 The maximum number of service users who can be accommodated is: 36 The registered person may provide the following category of service only: Care Home Only (Code PC); To service users of the following gender: Either; Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) Dementia (DE) 36 Mental Disorder, excluding learning disability or dementia - over 65 of age - (MD(E)) 36 Physical Disability - over 65 years of age - (PD(E)) 36 Care Homes for Older People Page 2 of 8 Date of last inspection Brief description of the care home 0 1 1 2 2 0 0 9 West Bank is a large detached period house in a quiet residential area. It is within walking distance of Ross-on-Wye town centre, and is also on a bus route. The home is registered to provide personal care for up to thirty-six people who are over sixty-five years of age. West Bank has thirty-three bedrooms, most of which are en-suite. The home is owned by Buckland Care Ltd. The Service User Guide does not contain information on the range of fees. The schedule of fees for the home is available from the manager. Copies of this report can be viewed at the home. Care Homes for Older People Page 3 of 8 What we found: This was an unannounced inspection. One inspector spent half a day at the home to look at various aspects of the home and how people are cared for. We saw some parts of the building, and looked at some of the most important records such as those about care needs, medication and staff training. We were able to see staff supporting people and we got a picture of day to day life in the home. We also received feedback from people who live in the home and from staff who returned surveys to us. We looked in detail at the records for two people who live at the home. One person had recently moved into the home, and we saw that an assessment of their needs had been carried out before they moved in. This assessment included brief information about their care needs, so that the home could be sure that it could meet the persons individual needs. We found that care plans were generally detailed and informative. The manager told us that she is in the process of changing all the care plans into a new format, which should make it easier for staff to find the information they need. This new format will include detailed information on each persons life history, so that staff have a greater understanding of each persons needs. We saw that one person was at risk of not eating and drinking enough. The care plan clearly told staff how to encourage the person to eat and drink. Records showed that the person had lost some weight, and the home had promptly sought the advice of the persons GP. One person had recently had several falls, but there was no risk assessment or care plan to tell staff how to prevent this happening again. This is important, because falls in older people can lead to serious injury and loss of mobility. We will be making a requirement that the home carries out risk assessments and puts care plans in place for people who are at risk of falling. We looked at the records which the home keeps to show how medication is managed. At a previous inspection, we had been concerned about the safety of the storage and administration of medication. The home has recently bought a second medication trolley, so that medication is now stored safely and securely at all times. We observed a senior staff member administering medication, and this was carried out in a hygienic and safe manner. Although most medication records were accurate, we saw that there were gaps in the Medication Administration Record (MAR) chart for some creams and ointments, so it was not possible to see if they had been given or not. It is important that medication records give accurate information about whether or not medication has been administered, and a reason if it has not been given. We saw that staff were kind and caring when supporting people at the home. Care staff took time to explain any procedures to people, and were patient when people found it Care Homes for Older People Page 4 of 8 difficult to understand what was required of them. The manager has shown that she understands her responsibilities in respect of safeguarding vulnerable people, and has appropriately reported any concerns using the Local Authoritys procedures. During the inspection, some areas of the home were being redecorated, and the manager was able to show that she understands the importance of providing an environment which supports people with dementia. We looked at records for some members of staff and saw that staff had received the training they need to give them the skills and knowledge to carry out their roles. At the inspection the manager showed that she has a very good understanding of the needs of people with dementia, and that plans are in place to make improvements to the service, so that people will continue to receive a service which is responsive to their individual needs. 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 8 Are there any outstanding requirements from the last inspection? Yes £ No R 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 Care Homes for Older People Page 6 of 8 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 1 7 15 (1) and (2) You must ensure 30/07/2010 that, where people are at risk of falls, care plans are in place, and are sufficiently detailed to enable staff to understand how to prevent falls. This is so that the risk of people falling is minimised as far as possible. 2 9 13 (2) You must put an effective 30/07/2010 system in place to ensure that medication administration records are accurately maintained. This is so that people can be confident that medication is managed safely. 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 Care Homes for Older People Page 7 of 8 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Older People Page 8 of 8 - 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!