Care Home: Westfield Mews

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What the care home does well Care plans contained the relevant information to meet people`s needs and wishes and daily records were up to date. People living in the home considered that they were empowered to make their own decisions. The home had a robust recruitment process to ensure that people living in the home were protected. People living in the home considered that the staff treated them well and listened and acted on what they said. Training was ongoing to ensure that staff had the necessary skills to meet people`s individual needs and staff verified this. What has improved since the last inspection? The pathway from the entrance to the home had been resurfaced. The deputy manager said that there were plans for people living in the home to be part of the staff recruitment process. What the care home could do better: To ensure that people who live and work in the home are not put at any unnecessary risks of harm, action must be taken to minimise the risk of electrical overload caused by too many electrical items being plugged into one socket. Therefore an assessment must be carried out and action taken to minimise the risk. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Westfield Mews 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: 2 5 1 1 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 Mews Westfield Road Rawmarsh Rotherham South Yorkshire S62 6EY 01709524436 F/P01709524436 westfield.mews@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 9 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: Date of last inspection Brief description of the care home Westfield Mews is part of Craegmoor Healthcare, owned by Parkcare homes Ltd and is a registered care home providing care and support for 9 adults all experiencing mental health problems between the ages of 18-65. Westfield Mews cares for both male and female service users. Westfield mews is located within the private complex containing two other establishments owned by Craegmoor Healthcare, Westfield House and Fitzwilliam Lodge. Westfield Mews is a converted building providing accommodation that consists of 9 single en suite bedrooms, with a kitchenette / lounge area. The home is situated in a residential area of Rotherham and has good access to local shops and transport facilities. Copies of Statement of Purpose and Service User guides were available to people and displayed in the foyer of the home. 9 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 24 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 09:30 am to 2:20 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 deputy manager who provided assistance throughout the day in the absence of the registered manager. 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 deputy 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 deputy manager said that copies of the statement of purpose and the service user guide were given to people when they moved into the home. Peoples files contained information to verify that their needs had been assessed. The information provided good detail of all aspects of each persons assessed needs covering physical, emotional, health and social needs. Files also contained peoples preferences, known routines and likes and dislikes. 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. Records verified that care plans and risk assessments were reviewed regularly with the person to ensure that needs and wishes were being met. 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: Each person had an individual timetable available on the care plan. Routines within the home were flexible and people made their own decisions. Noticeboards displayed information of activities on offer both inside and outside the home, e.g. arts and crafts, coffee and games, creative writing, Christmas markets and other Christmas events in the community . Throughout the day there was evidence that people took part in activities in the community. Staff support was provided where considered necessary and there were sufficient staff on duty to achieve this. Peoples comments and their interactions with staff indicated that their rights were respected. People had keys to their flats and lockable facilities to ensure privacy. Contact with family and friends was Care Homes for Adults (18-65 years) Page 12 of 24 Evidence: encouraged where appropriate. Staff provided help and encouragement where needed for daily living skills such as cleaning, laundry, menu planning, shopping and cooking but independence was promoted. Consideration is being given to providing an internal connecting door to the office to avoid having to go outside the building in cold wet weather to get their medication from the office. 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 heath needs were met. Medication practises generally ensured that people were protected but improvements can be made. Evidence: People received the help and support they needed and there was good information in their care plans of how their physical, emotional, health and social needs and wishes were to be met. Daily records were kept and were signed and dated by the relevant staff members. Peoples files contained all the relevant information of health needs, appointments with health professionals and outcomes. Medication was stored correctly. The deputy manager said that the medication had recently been checked by Boots pharmacy. The medication in the Monitored Dosage System (MDS) tallied with the Medication Administration Record (MAR) charts. However, the procedure for medication that was not in the MDS, i.e. loose medication, needed to be tightened specifically for handwritten entries. In one instance the quantity of medication Cocodamol had not been carried forward therefore the quantity could not be checked against the record. In another instance the contra indications had not been copied onto Care Homes for Adults (18-65 years) Page 14 of 24 Evidence: the MAR sheet, neither was there a counter-signatory. The omission of the contra indications might have been noted if the person had asked for someone to witness the recording, which is good practice. To ensure that these specific staff are fully aware of the correct procedures for dealing with medication, competency checks need to be carried out and this was discussed with the deputy manager. 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 deputy manager said that the complaints book was in the main entrance but that people preferred to speak directly to members of staff. It was recommended that a complaints book be kept in the office to maintain peoples privacy when complaining and also to record the action taken and the outcome. The staff training records showed that staff received adult protection training and there were also posters about whistleblowing displayed along the corridor. The deputy manager said that there were no allegations of abuse and was aware of the procedure to follow in the event of an allegation being made. 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 adequate 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 and pleasant environment but an aspect of safety needed improvement. 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. Flats were on the ground and first floor, accessed by a stair case. Three flats were seen during this site visit. All had been personalised by their occupants. In two of the flats, lampshades were missing from overhead lights. A member of staff said that they had probably been removed because the shades were uplighters that drastically reduced the amount of available light. Therefore more suitable replacements need to be provided. In one of the flats the occupant had many electrical items and the electric double socket in their lounge was overloaded with five electrical items. The importance of carrying out a risk assessment and minimising the risk was discussed with the deputy manager. It was also suggested that more electrical sockets might be needed in the lounge areas. 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 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. The procedure and length of time for keeping Criminal Record Bureau disclosures was discussed and it was recommended that these be kept securely on each persons individual file with their other private and confidential information. Care Homes for Adults (18-65 years) Page 18 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. The deputy manager said that this incorporated checks of the environment, audits of systems within the home and annual questionnaire sent out by the company to people living in the home. Residents meetings were held regularly and minutes were seen. There was also a poster displayed advertising the date of the next meeting. Money held on behalf of people living in the home was stored safely. Records were checked and these showed that there were three signatures for each transaction (two staff and the person whose money it was). Some entries were in the wrong columns which could cause accounting problems, therefore it was recommended that monthly audits be carried out to ensure that the records were completed correctly. Mandatory health and safety training courses (i.e. moving and handling, first aid, Care Homes for Adults (18-65 years) Page 19 of 24 Evidence: 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 20 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 21 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 1 20 13 The competency of specific 20/01/2009 staff members must be checked to ensure that they know the correct procedures for dealing with medications. To promote good practice and ensure that people are not put at unnecessary risks to health and safety 2 24 13 An assessment of the risk caused by excess electrical equipment must be carried out and action taken to minimise the risk To ensure that people living in the home are not put at unnecessary risks to their health and safety. 09/12/2008 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 16 Consideration should be given to better means for people to attend the office for their medication particularly in Page 22 of 24 Care Homes for Adults (18-65 years) inclement weather. 2 3 20 22 Witnessing handwritten entries on MAR charts helps identify any errors or omissions. The provision of a complaints book in the office would help maintain any complainants privacy and provide the means to record action taken and outcome. Consider increasing the number of electric sockets in lounge areas to reduce the risk of overload. Consider providing light shades that do not drastically reduce the amount of available light. Consider securely storing all sensitive and personal information on each persons individual file. To ensure that information is being recorded correctly on the forms for peoples financial transactions, regular audits should be carried out as part of the quality assurance system. 4 5 6 7 24 24 34 39 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. 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!