Care Home: Westfield Lodge

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What the care home does well This home continues to provide a homely and safe environment for the people who live there. There is an open visiting policy so that visitors are made welcome. The home provides people with good and accurate information about the home so that they can make an informed choice about moving into the home. There are sufficient levels of staff and they are well trained and supported so that they are able to provide care which meets the needs and preferences of the people in the home. People`s needs are met and there are good systems to make sure that their health is promoted medication is provided as required. The manager uses very good systems to make sure that the standards are maintained and improvements are made according to the preferences of people in the home. There are good arrangements for dealing with complaints and responding to comments made by visitors. There are good arrangements for catering so that people receive a choice of meals which meet their needs and preferneces and are well presented. What has improved since the last inspection? Staff have received more training so that they are better qualified to undertake their roles and responsibilities. The Statement of Purpose has been updated so that is provides an accurate description of current conditions and staffing. Several improvements have been made to the environment. These include the replacement of some carpets with more suitable flooring and the decoration of some areas. The home has obtained a disk which contains many ideas for meals and provides the nutritional value of these. This will help to make sure that people continue to receive a diet which meets their needs. What the care home could do better: The manager plans to continue to use the quality assurance system to make sure that the home continues to meet the needs of the people who live there. The home will continue to maintain the building and make improvements where possible. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Westfield Lodge 142 Norton Road Stourbridge West Midlands DY8 2TA     The quality rating for this care home is:   three star excellent 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 Lancashire     Date: 2 1 1 0 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 Older People 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 Older People Page 2 of 27 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 Older People Page 3 of 27 Information about the care home Name of care home: Address: Westfield Lodge 142 Norton Road Stourbridge West Midlands DY8 2TA 01384394912 01384444540 westfieldlodge@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Carron Hobbs Type of registration: Number of places registered: Mrs Mary Dawes,Mr Dennis Dawes care home 20 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Additional conditions: Within the 20 places registered the home can accommodate the following: DE(E) - 60 years and above - 1 service user PD(E) - 5 service users Date of last inspection Brief description of the care home Westfield Lodge has been in operation as a care home since 1985. The property was originally a private detached family house to which extensions were built. The home now provides care to a maximum of twenty residents. Seven places are registered for people who have a diagnosis of dementia, three for people who have a mental disorder and ten for older people with no other needs. The home does not provide nursing care. Westfield Lodge is located on the A451 main road from Stourbridge to Kidderminster in Care Homes for Older People Page 4 of 27 Over 65 7 3 10 0 0 0 Brief description of the care home a residential area. The local town of Stourbridge can be accessed by public transport. A local park and public house with a restaurant are within walking distance. The home has a car park at the front of the premises and a mature and pleasant garden to the rear. Wheelchair users with the provision of ramps can access the garden. Westfield Lodge provides 14 single and 3 double bedrooms which are located on ground and first floors. Three bedrooms have en-suite toilets. There is a stair lift for access to the first floor. The home has 3 toilets and one assisted bath on the ground floor. On the first floor there is a toilet and a bathroom with a shower. There are two adjoining lounges on the ground floor and a dining room. Care Homes for Older People Page 5 of 27 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: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: We made an unannounced visit to this home on a weekday morning. We met the deputy manager and the owner and spoke to three members of staff. We toured the building and spoke to four people who were in their rooms. We also spoke with five other people who were in the living rooms and to a visitor. We looked at records relating to three people in the home, two members of staff, general training, quality assurance, maintenance, complaints and menus. We made sure that the recommendations made in the last report had been put into practice. Before the inspection, the manager had provided us with information about the home, the staff and the people who live there. This was in response to a questionnaire which we sent out, called and Annual Quality Assurance Assessment (AQAA). Care Homes for Older People Page 6 of 27 Care Homes for Older People Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: The manager plans to continue to use the quality assurance system to make sure that the home continues to meet the needs of the people who live there. The home will continue to maintain the building and make improvements where possible. Care Homes for Older People Page 8 of 27 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 Older People Page 9 of 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 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 and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. 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 them 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who are considering moving into this home are provided with the necessary information to make an informed choice. Assessments and visits to the home ensure that people know, before they move in, that their needs can be met by the home. Evidence: We were provided with copies of the Statement of Purpose and service user guide to Westfield Lodge. These contained useful information about the home. The Statement of Purpose has been updated with the current staffing details and the means of contacting the Commission for Social Care Inspection. We looked at files for three people who live in this home and they contained records of when people had been provided with this information. The deputy manager described how the home gathers information from other people such as Social Services professionals in order to assess whether the home could meet Care Homes for Older People Page 11 of 27 Evidence: peoples needs. We saw records of assessments which had been carried out before admission in each of the files that we sampled. These contained details of each persons physical and social needs and outlined the ways in which the home would meet these. We saw copies of letters saying that the home could meet the assessed needs and offering people a place. This shows that people are provided with information so that know what the home provides and their needs are assessed to make sure that the home can provide them with suitable care. Care Homes for Older People Page 12 of 27 Health and personal care 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 health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they 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. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them 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. Peoples health, personal and social needs are set out in a care plan so that they can be met by staff. People are treated with respect and their privacy and dignity are maintained. They are protected by the homes practices in relation to the storage and administration of medication. Evidence: We saw care plans on the three files which we sampled. These contained details of each persons health and social care needs and how they were to be met by staff. These plans had been reviewed on a monthly basis and updated as necessary. These plans provide good details for staff about how to care for the people who live in the home. We saw risk assessments covering areas such as pressure areas, nutrition, and falls. There are also details of hospital visits and care provided by other health professionals such as opticians, dentists and district nurses. Care Homes for Older People Page 13 of 27 Evidence: There is suitable, secure storage for the medication in the home. Several staff are trained to administer medication and their names are listed in the medication folder. We looked at the records of when medication has been given by staff and these were up to date, with no gaps. We saw good records if medication in the home and good instructions for staff about when to give it to the people who live there. The pharmacist makes regular checks on the homes medication and the last report, in July 2008, did not identify any problems. We saw staff treating the people who live in the home with respect. They knocked on doors before opening them and they knew what each person preferred to be called. They showed great patience with people who were showing signs of confusion. Staff asked for permission from people before showing us into their rooms. Staff take care when laundering peoples clothes and everyone looked well presented. The people who we spoke to said that the staff treat them well. Care Homes for Older People Page 14 of 27 Daily life and social activities 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 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. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. 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. Peoples lifestyles in the home match their preferences and suitable activities are arranged. They are encouraged to maintain significant relationships with people in the community and they receive a choice of nutritious meals which meet their needs and take account of their preferences. Evidence: The deputy manager told us that when people are admitted they are provided with an information pack in which there is a letter asking for their preferences in certain areas such as whether or not they want to participate in religious activities or vote. They are also invited to provide details of their previous life and interests. We looked at the care plans for three people in the home and found that they contained details of how they wanted to spend their time and preferences such as whether or not they wanted a cup of tea in bed in the mornings. There is an activities coordinator and we saw a list of daily activities on the wall in the dining room. These include exercises, which are popular, crafts and manicures. On the morning of the inspection there was a lively atmosphere in the lounge where people were chatting each other or to visitors. Some people were in their rooms, watching television or resting and the confirmed that they choose how to spend their time. The deputy manager said that some people with Care Homes for Older People Page 15 of 27 Evidence: dementia like to get up in the night for a snack or drink and this is accommodated. This home has an open policy towards visitors and the only restrictions are those imposed by the people who live their. If they choose not to see someone, this is respected. We spoke to a visitor who said that he is always made very welcome and even stays for Christmas dinner. We saw more praise for the staff from visitors in letters in the quality assurance folder. We saw the menus for the day on display. We also looked at the menus for a month and found that they were varied and showed choices at each meal. These choices include culturally appropriate meals and cater for peoples medical needs. The deputy manager said that alternatives are prepared when people do not want either of the choices. The manager informed us, in the AQAA, that the home has recently obtained a computer disk with 2000 meal ideas on it, designed for older people and those with dementia and displaying the nutritional values for each meal. We saw nutritional assessments on peoples files and monthly weights, with evidence that action is taken when there is undesirable change. There are records of the choices which people have made at mealtimes and these include whether or not the person ate the food. The food on the day was well presented. Care Homes for Older People Page 16 of 27 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. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. 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 can be confident that their complaints will be listened to and acted upon. People are protected from abuse by the homes practices. Evidence: The home has a procedure on dealing with complaints and we saw details of how to complain on display on the hall and the dining room and in the Statement of Purpose and service user guide. We asked a visitor if they knew how to complain and they said that they would speak to the manager or owner. The manager told us in the AQAA that the record of complaints is audited on a monthly basis. There has been one complaint since the last inspection and this was made on an anonymous basis to the CSCI. It contained allegations about care practices and a member of staff. No evidence was found at the time or at the time of this inspection to back up the claims made. This home has a procedure on dealing with adult protection issues. Staff receive training in adult protection and recognising the possible signs of abuse. We saw evidence of this in sampled files. The recruitment and selection process for staff includes taking up references and checks through the Criminal Records Bureau and we saw that this had been followed by sampling staff files. There are no volunteer workers, but the homes policy is that that the same process would be followed as for paid workers. The manager makes Care Homes for Older People Page 17 of 27 Evidence: sure that visiting workers such as the hairdresser and chiropodist have public liability insurance and no unchecked visiting contractors are allowed unsupervised access to the people in the home. These measures make sure that the people in the home are well protected. Care Homes for Older People Page 18 of 27 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, 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. 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 live in a homely, clean and safe environment which meets their needs. Evidence: This is a large, detached house which has been converted and extended. There is off road car parking at the front of the building and a garden, with a lawn, flower beds and furniture at the rear. There are two linked lounges and a separate dining room. The bedrooms are various shapes and sizes as some of the single rooms have been created by dividing larger rooms. We found all areas clean and free from obvious safety hazards. The recommendations of the last report have been met, so there are now no personal items on top of wardrobes, the flooring in one of the bathrooms has been repaired and some other flooring has been replaced with a more appropriate covering. We saw risk assessments relating to tasks and areas of the home. The home has good arrangements for infection control. Staff have the necessary equipment to carry out personal care. Specific members of staff cook and undertake the laundry so the risk of spreading infection to people in the home is minimised. Laundry is well separated. Staff are trained in Health and Safety and food hygiene. Care Homes for Older People Page 19 of 27 Evidence: The home uses the services of a maintenance worker. The quality assurance system helps to identify jobs which need doing and this means that the home is kept in good order. The home has an occupational therapists report which the manager uses as a reference to maintain a safe and suitable environment. We spoke to several people who live in this home. They all said that they liked their rooms and felt comfortable in the home. Care Homes for Older People Page 20 of 27 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 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 to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. 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. The people who live in this home are cared for by sufficient numbers of staff who are well trained and competent to do their jobs. They are protected by the homes recruitment practices. Evidence: We saw that the rotas show a good level of staff cover at all times. Staff have designated roles and responsibilities. The deputy manager explained that the home does not use the services of agency staff as staff will provide cover for each other when people are not at work. This provides a good level of consistency for the people in the home. On each shift, there is always at least one member of staff in the living rooms so that people are well supervised. We spoke to people who were in their bedrooms during the day and they confirmed that staff visit frequently to check that they have all they need and are not isolated. We sampled two staff files and saw records of a thorough induction and further training in relevant areas such as Health and Safety, first aid and dementia care. Staff are expected to undertake NVQ training when they have completed their induction and the deputy manager informed us that 80 of staff have completed level 2 and about 50 have completed level 3. We saw the training programme, which ensures that all staff renew their basic skills at regular intervals. Care Homes for Older People Page 21 of 27 Evidence: There is a standard recruitment procedure which includes taking up references and making checks through the Criminal Records Bureau. These arrangements mean that people are supported and protected in the home. Care Homes for Older People Page 22 of 27 Management and administration 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 led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate 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. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live this home have their welfare protected and needs met by a management team who are well qualified and experienced and run the home in their best interests. There are good systems to make sure that standards are maintained. Evidence: The manager is well qualified and experienced. She has completed NVQ level 4 and the Registered Managers Award. We found very good arrangements fo making sure that high standards are maintained. The manager uses a quality assurance system which is based on assessing the home against all the National Minimum Standards and identifying areas in which improvement is needed. As part of this system she seeks the views of people who live in the home, their visitors and professional workers associated with the home. This helps to make sure that changes can be made which suit the people in the home. Care Homes for Older People Page 23 of 27 Evidence: The manager informed us that the home does not hold any moey on behalf of the people who live there. This is made clear at the time of admission. The manager supplied us with the dates of the last servicing and safety checks on equipment in the home, including fire safety equipment. We sampled the records and they confirmed the dates. The staff were due to attend fire safety training on the afternoon of the inspection. A recent visit by environmental services confirmed that the kitchen was safe with good practices to protect resdients. This means that peoples welfare is promoted by the management systems, which are based on meeting poeples needs and responding to their comments. Care Homes for Older People Page 24 of 27 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 Older People Page 25 of 27 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 Care Homes for Older People Page 26 of 27 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 Older People Page 27 of 27 - 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. 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