Care Home: Westfield House

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What the care home does well There was a good rapport between people living and working in the home. People living in the home said that they liked the staff and were provided with the support they needed. Care plans contained the relevant information to meet people`s needs and wishes and daily records were up to date. The recruitment procedure was robust and the manager said that they had recently started to consult and involve people in staff employment. Training was ongoing to ensure that staff had the necessary skills to meet people`s individual needs. When people were asked what the best thing was about living in the home, they said "The people and the way the home is run" and "Knowing that other people have the same problems, so don`t feel alone" One person added "This home has been good to me". What has improved since the last inspection? The requirements from the last inspection had been met. What the care home could do better: The home is meeting the standards. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Westfield House Westfield Road Rawmarsh Rotherham South Yorkshire S62 6EY     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Christine Rolt     Date: 0 2 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 24 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 24 Information about the care home Name of care home: Address: Westfield House Westfield Road Rawmarsh Rotherham South Yorkshire S62 6EY 01709529412 01709524436 westfield.house@craegmoor.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Dawn Wilkins Type of registration: Number of places registered: Parkcare Homes Ltd care home 13 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users who can be accommodated is: 13 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 category: Mental Disorder excluding learning disability - Code MD Date of last inspection Brief description of the care home Westfield House is part of Craegmoor Healthcare, owned by Parkcare homes Ltd and is a registered care home providing care and support for 13 adults aged between 18 and 65 with mental health problems. Westfield House is within the same ground as Westfield Mews and Fitzwilliam Lodge. The home is in a quiet residential area but is close to shops and other local amenities in Rawmarsh and a short bus ride from Parkgate Retail Outlet and Rotherham town centre. All bedrooms have en-suite Care Homes for Adults (18-65 years) Page 4 of 24 Over 65 0 13 Brief description of the care home facilities. The home has a passenger lift but this has been decommissioned and has been blocked to prevent use because all the people living in the home are ambulant. Copies of Statement of Purpose and Service User guides were available to service users and stored in their rooms. There were also copies in their files. The fees were from 469 pounds to 1047 pounds per week. The manager supplied this information on 2nd December 2008. Care Homes for Adults (18-65 years) Page 5 of 24 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 stars. This means that the people who use this service experience good quality outcomes. We have reviewed our practice when making requirements to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. This was a key inspection and comprised information already received from or about the home and a site visit. The site visit was from 09:45 am to 1:45 pm. The manager Care Homes for Adults (18-65 years) Page 6 of 24 completed an Annual Quality Assurance Assessment before the site visit . This document gave her the opportunity to tell us what the home did well, what had improved and what they were working on to improve. Various aspects of the service were then checked during the site visit. Care practices were observed, a sample of records was examined, a partial inspection of the building was carried out and service provision was discussed with the registered manager who provided assistance throughout the day. The majority of people living in the home were seen throughout the day, each following their individual routines. Questionnaires were sent to the home for distribution to people living and working in the home. The care provided for two people was checked against their records to determine if their individual needs were being met. All information, opinions and comments were considered for inclusion in this report. The inspector wishes to thank people living in the home, the staff and the manager for their assistance and co-operation. What the care home does well: What has improved since the last inspection? 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 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 24 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 24 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People only moved into the home after their needs had been assessed and they had been assured that the home could meet their needs. Evidence: The files for two people were checked. These contained detailed assessments of individual needs and wishes. People spoken to on the day of the site visit said that they had visited the home and received sufficient information about the home. Files also contained copies of the service user guide, statement of purpose and individual terms and conditions of residency. Care Homes for Adults (18-65 years) Page 10 of 24 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples’ assessed and changing needs were reflected in their care plans to ensure that their needs and wishes were met within a risk management framework. Evidence: Care plans contained detailed information of each persons physical, health, social and emotional needs and how these were to be met. Also included were risk assessments, personal likes, dislikes and wishes and how these were incorporated into the care plan. There was information on file that care plans and risk assessments were reviewed regularly. The manager also said that each care plan was evaluated monthly by the person and a member of staff to ensure that needs were being met. People spoken to on the day of site visit said that staff encouraged independence but provided support when needed. Care Homes for Adults (18-65 years) Page 11 of 24 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People were able to participate in activities both inside and outside the home. Their rights were respected and choices were offered. Evidence: Routines within the home were flexible and people made their own decisions, which was confirmed by people spoken to on the day. Noticeboards displayed some information of activities on offer both inside and outside the home and the manager said that courses and activities were also available at Clifton Court, Rotherham College and Swinton Lock. She also provided information of the Christmas activities within the home. Throughout the day there was evidence that people took part in activities in the community and there were sufficient staff on duty to provide support. People living in the home said that there was enough to do and people could choose what they wanted to do. They liked the staff and considered that staff treated them with respect. People Care Homes for Adults (18-65 years) Page 12 of 24 Evidence: had keys to their rooms and lockable facilities to ensure privacy. Contact with family and friends was encouraged where appropriate. Meal times were flexible. The manager said that staff helped people with breakfast and lunch time meals. The evening meal was the main meal of the day and the timing of this was flexible to meet peoples programmes but was usually around five o clock. People had a choice of two meals cooked by staff. People said that they enjoyed their meals and the staff were good cooks. Care Homes for Adults (18-65 years) Page 13 of 24 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People received the personal support they preferred and their physical, emotional and health needs were met. Medication practices ensured that people were protected. Evidence: People received the help and support they needed and there was information in their care plans of how their physical, emotional, health and social needs and wishes were to be met. Staff completed daily records to verify that peoples needs and wishes were being met. Peoples files contained all the relevant information of health needs, appointments with health professionals and outcomes. People spoken to on the day of the inspection said that staff accompanied them to appointments and provided support when they needed it. Medication was stored correctly and the medication trolley was clean and tidy. Boots pharmacy had recently undertaken a check of the medication. The medication in the Monitored Dosage System (MDS) tallied with the Medication Administration Record (MAR) charts. Medication that was not in the MDS, i.e. loose medication, was also checked and was correct. However, the method of recording medication carried Care Homes for Adults (18-65 years) Page 14 of 24 Evidence: forward and added to supplies received mid month was not clear and needed explanation therefore the process needs to be clear without explanation and this was discussed with the manager and a senior during the site visit. All handwritten entries were countersigned, which is good practice. Care Homes for Adults (18-65 years) Page 15 of 24 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People were protected from abuse. The home’s complaint procedure ensured that people and their representatives had the means to complain. Evidence: The home had a complaints policy and procedure. The manager said that the complaints book was in the main entrance but that people generally preferred to speak directly to members of staff. This was verified by people who were spoken to on the day of the inspection. Therefore it was recommended that a complaints book be kept in the office to record peoples complaints and maintain their privacy when complaining and also to record the action taken and the outcome. The manager agreed to do this. The staff training records showed that staff received adult protection training and there were also posters about whistle blowing displayed along the corridor. Staff who were spoken to on the day were able to define abuse and knew the procedure for reporting abuse. The manager said that there were no allegations of abuse. People spoken to on the day of the inspection said that they liked all the staff and found them to be very helpful. Care Homes for Adults (18-65 years) Page 16 of 24 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People lived in a clean, pleasant and safe environment. Evidence: The home was clean and tidy. Furniture and furnishings in both the private and communal areas of the home were modern, good quality and domestic in character. Bedrooms had been personalised by their occupants and people who were spoken to on the day said that they liked their rooms. The home had a passenger lift but this was out of commission and had been sealed to prevent use. The manager said that this had been done because no-one used it. There were no health and safety issues. Care Homes for Adults (18-65 years) Page 17 of 24 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Recruitment procedures were robust and staff were trained and competent to provide the relevant support to meet peoples individual and joint needs. Evidence: At the time of this inspection, there were sufficient staff on duty to meet peoples needs. This was confirmed by people living and working in the home. This meant that people could follow their individual programmes both in the home and the community. Staff undertook skills training to meet peoples needs and their certificates of attainment were available. The files for four members of staff were checked. All contained the relevant checks, correspondence and information, which demonstrated that the recruitment procedure was robust. Staff who were spoken to on the day of the inspection said that they received all the mandatory health and safety and relevant skills training and this was updated regularly. The manager said that training was ongoing and courses were always available. She commented that Fire training and COSHH training were available that Care Homes for Adults (18-65 years) Page 18 of 24 Evidence: week. Care Homes for Adults (18-65 years) Page 19 of 24 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager promoted and managed the home in the best interests of people living in the home. Evidence: The home had a quality assurance system. This incorporated checks of the environment, audits of systems within the home, health and safety meetings and annual questionnaire sent out by the company to people living in the home. Residents meetings were held regularly and minutes were seen. The manager spoke about Your Voice meetings and people spoke about a Craegmoor publication that included their views. Money held on behalf of people living in the home was stored safely. Records were checked against the cash and these tallied. Records had three signatures for each transaction (two staff and the person whose money it was). There was evidence to show that records were also audited and the manager said that this was done monthly. Care Homes for Adults (18-65 years) Page 20 of 24 Evidence: Mandatory health and safety training courses (i.e. moving and handling, first aid, infection control, fire awareness and basic food hygiene) were ongoing and records were available to verify the dates that staff attended training. Regular updates were carried out which is good practice. Certificates for the maintenance and servicing of systems and equipment within the home were available and a sample of these was checked during the site visit and were up to date. Care Homes for Adults (18-65 years) Page 21 of 24 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, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 22 of 24 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, Care Homes 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 20 The system of recording medication that has been obtained mid month and added to medication that is brought forward from the previous month should be made clearer to prevent misinterpretation and errors, and aid stocktaking. The provision of a complaints book in the office would ensure that the complaint is recorded, help maintain privacy and provide the means to record the action taken and the outcome. 2 22 Care Homes for Adults (18-65 years) Page 23 of 24 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.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 © (2008) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 24 of 24 - 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. 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