Latest Inspection
This is the latest available inspection report for this service, carried out on 26th March 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 Westerleigh.
Annual service review
Name of Service: Westerleigh The quality rating for this care home is: The rating was made on: three star excellent service 1 6 0 2 2 0 0 9 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: Nicola Shaw Date of this annual service review: 1 0 0 3 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service
Address of service: Westerleigh Scott Street Stanley Durham DH9 8AD 01207280431 01207281389 Telephone number: Fax number: Email address: Provider web address:
www.southerncrosshealthcare.co.uk Southern Cross BC OpCo Ltd Name of registered provider(s): Conditions of registration: Category(ies) : dementia old age, not falling within any other category Conditions of registration: Number of places (if applicable): Under 65 Over 65 55 0 0 55 The maximum number of service users who can be accommodated is: 55 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, Code OP - maximum number of places 55 Dementia Code DE, maximum number of places 55 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 Westerleigh is a well-established residential care home with beds for 55 older people, some of whom may have moderate dementia. It is one of a number of homes provided by the Southern Cross Group. Westerleigh was purpose built to a high standard (for example, each bedroom is spacious and fitted with an en suite toilet and wash hand
Annual Service Review Page 2 of 7 1 6 0 2 2 0 0 9 basin) and is in a very good location in the centre of Stanley. It is convenient for shops and local facilities and close to buses and a car park. The home is very well equipped, clean and attractively decorated. There is a friendly, welcoming atmosphere. The manager and staff like to get to know the people who live in the home well. They let families know about whats happening in the home and try to keep them involved in the lives of the service users. The home tries to provide a service that meets the needs of every service user in a person-centred way. It acknowledges peoples individuality and helps promote their rights, wishes and choices. For up-to-date details of the weekly fee please contact the home directly. Annual Service Review Page 3 of 7 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 we have received, or asked for since the last key inspection on 16th February 2009 . 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. The previous key inspection report and the results of any other visits we have made to the home in the last 12 months. Information we have about how the service has managed complaints. Relevant information from other organisations. The results of surveys we sent to service users, staff and other health care professionals. We received 5 completed surveys from service users, 2 from social and health care professionals and 3 from staff. What has this told us about the service? The home sent us the AQAA when we asked for it. It was clear and gave us all the information we asked for. We looked at the information in the AQAA and our judgment is that the home is still providing an excellent service and they know what further improvements they need to make. The manager told us in the AQAA that she finds out what service users think about the home through monthly service user/relative meetings and six monthly review meetings. The manager also operates an open door policy where service users or their families are welcome to call and see her if they need to. As a result of listening to people the activities programme has been adapted and the activities hours increased to 37.5 hours over 7 days a week to include weekends and evenings. Four out of five service users who completed a survey said that the home always arranges activities that they can take part in and one said usually. A section of the garden is soon to be landscaped to provide a sheltered and pleasant area for service users and their families. In order to make sure equality and diversity has been promoted the manager told us that new polices and procedures have been developed by the organisation. Menus have also been prepared to cater for the service users choice and beliefs. And care plans are written in a person centred way, promoting equality and diversity. As well as the Service User Guide there are brochures which tell service users about the services and facilities available at Westerleigh. Service users told us in surveys that they had received enough information to help them decide that Westerleigh was the right place for them before they moved in. Service users also said that they had received a contract. The manager told us in the AQAA that every service user has a personalised care plan which provides clear information about what care is needed as well as promoting Annual Service Review Page 4 of 7 independence. They include risk assessments and information about social and cultural preferences. Four out of five service users who completed surveys said that the home always makes sure that they get the medical care they need. And staff who completed surveys said that they are always given up-to-date information about the needs of the people they support or care for. Service users nutritional needs are met by using a nutritional assessment which is completed on their admission and monitored on a monthly basis. All five service users who completed surveys said that they liked the meals in the home. The manager told us in the AQAA that all staff are trained about how to handle a complaint during their induction. She also told us that she has received four complaints in the last 12 months which were investigated within 28 days. We have not received any complaints about this home. Staff who completed a survey said that they knew what to do if someone had concerns. Service users also confirmed that they knew how to make a formal complaint and that there was someone that they could speak to if they were unhappy. The manager told us that staff are provided with training about safeguarding adults during their induction as well as through supervision and later more in-depth training. There have been no safeguarding referrals made in the last 12 months. Improvements to the environment in the last 12 months have included replacing part of the ground floor dining room flooring and the redecoration of numerous bedrooms. All of the service users who completed a survey said that the home was always clean and fresh. The majority of care staff have either completed an NVQ qualification in care or are working towards one. All of the staff who completed a survey said that they are given the training relevant to their work to help them understand the needs of the service users. In the last 12 months a deputy manager has been recruited and staffing levels increased to meet the needs of the service users. All of the service users who completed surveys said that there were always staff available when they needed them and that they always received the care and support they needed. The manager told us in the AQAA that 14 staff have left employment in the last year. We spoke to the manager about this who confirmed that usually there is a very low turn over in staff, and the higher turn over this year is attributed to individual personal circumstances. The manager has now been in post for seven and a half years and has completed the Registered Managers Award. She also continues to up-date her knowledge on a regular basis by attending appropriate courses to help her fulfill her role. All of the staff who completed a survey said that the manager regularly gives them enough support and meets with them to discuss how they are working. Additional comments from service users included: Annual Service Review Page 5 of 7 The staff are always friendly and helpful. The food is excellent. I have not found any fault since I arrived in August 2009, All aspects of the home are very satisfactory, care from the staff is very good, comfortable home, clean and well run, friendly place and carers are very obliging, very happy with the activities offered and They make it feel like we are one happy family. Everyone is so cheerful. Additional comments from staff included: Westerleigh is a very good home with very good staff who work there. I feel that all of the work is at a very good standard, The meals are very good. The residents have a daily choice of what to have. If they do not want to have whats on the menu the chef will offer an alternative. The home is always clean and free from odours and I feel the home has a very good reputation in the community which shows the home must be running correctly. We try to make sure all the residents are given the chance to do what they want and when they want. Additional comments from visiting health care professionals included: Good manner with patients and with visitors. Good common sense for minor problems not needing a GP visit Always friendly and organised. Always made welcome at Westerleigh and given all information required for treatment of residents and Inform us straight away if a patient needs attention re trauma, injury. They are always having some activity, for example, raffles, trips, exercises, stimulation activities, charity collections, Fayres throughout the year, which involve the residents. Like us the residents come first. What are we going to do as a result of this annual service review? We are not going to change our inspection plan and will do a key inspection by 16th February 2012. However, we can visit the service at any time if information is provided that suggests service users are at risk of harm or abuse. Annual Service Review Page 6 of 7 Reader Information
Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. 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 copy of the findings 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. Annual Service Review Page 7 of 7 - 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!
