Latest Inspection
This is the latest available inspection report for this service, carried out on 4th February 2010. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Excellent.
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.
For extracts, read the latest CQC inspection for Westbourne House Nursing Home.
Annual service review
Name of Service: Westbourne House Nursing Home The quality rating for this care home is: The rating was made on: three star excellent service 2 1 1 0 2 0 0 8 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Stephanie Kenning Date of this annual service review: 2 6 1 1 2 0 0 9 Annual Service Review Page 1 of 5 Information about the service
Address of service: 379a Earl Marshall Road Sheffield South Yorkshire S4 8FA 01142610016 01142442362 westbourne@palmsrow.co.uk www.palmsrow.co.uk Palms Row Health Care Limited Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category Number of places (if applicable): Under 65 Over 65 0 0 20 51 Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Westbourne House is registered to provide nursing and personal care for 71 people with a range of medical and mental health needs. It is in the Fir Vale area of Sheffield, close to all local amenities. The home is based on 3 floors, a passenger lift is provided. A variety of communal areas are provided. The home is well maintained. Pleasant garden areas are provided with seating. The home has a car park. Copies of the last Commission For Social Care inspection reports were available for service users and their families to read. The weekly fees are available from the manager of the home. The home charges extra for chiropody, toiletries, clothing, telephone, holidays and hairdressing. 2 1 1 0 2 0 0 8 Annual Service Review Page 2 of 5 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service. The previous key inspection and the results of any other visits we have made to the service in the last 12 months. Relevant information from other organisations. What has this told us about the service? The service sent us their annual quality assurance assessment (AQAA) when we asked for it. it was clear and gave us all the information that we asked for. We looked at the information in the AQAA and our judgment is that they are still providing an excellent service and they know what further improvements they need to make. Although surveys were sent out to the home they did not receive them, and therefore we are unable to include any comments. The service obtains views from the people living there primarily through individual discussions and also through resident meetings. A relative support group has also been set up and one of the relatives chairs these meetings. An example of how peoples views have changed the service is in the menu choices where an assessment of peoples likes and dislikes was done with key worker input. People also disliked having certain things in summer such as stews and so a seasonal menu was created using more salads and pasta in the summer. This service has a high admission rate taking people for short or respite stays as well as taking very ill people for palliative care. One of the difficulties has been trying to liaise with eight different GPs in order for people to get good medical attention. Now two of the GPs do a weekly visit where they will see people registered with them if necessary and also talk to relatives to plan care. In future there will be one GP practice linked to the home because of new plans by the PCT. This should help with communication. The home has a nurse who also helps with staff training and this has motivated staff to do NVQ training. Staff levels have been helped by a bank system for care assistants who the home can call on when someone is absent at short notice. The manager has tried to look at the work/ life balance for staff in order to help retain them. Annual Service Review Page 3 of 5 The AQAA states that they plan to review activities regularly so that they are appropriate for the people living there. One other plan is to try to get more people out on shopping trips, such as to buy new clothes. The building has had some improvements to decor and there are plans to redecorate the lounges in the next year. Some people living in the home became involved with planting in the garden during the summer. Each unit now has a bathroom and a shower room giving people a choice of facility. There have been 2 complaints in the last year neither of which were upheld by the service, and no referrals to the safeguarding team. They continue to let us know about things that have happened since our last key inspection and they have shown us that they have managed issues well. They work well with us and have shown us that their service continues to provide excellent outcomes for the people who use it. What are we going to do as a result of this annual service review? It is our statutory responsibility to inspect all care services at least once every three years. The completion of the Annual Service Review has not changed our view of the quality rating of this service therefore we are not planning to inspect this service before 20th October 2011. However, we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 4 of 5 Reader Information
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