Care Home: Westgate House

What the care home does well The health, personal and social care needs of individuals are set out in their individual care plans and are generally being met. A range of policies and procedures are in place and systems are in place to ensure these are implemented. The expert states the residents who are most articulate in this home seem to be generally satisfied with it and were complimentary about the staff, the care and the surroundings. The service supports people to continue practising their religious faith. What the care home could do better: The home must be vigilant to ensure that monitoring charts and risk measuring assessments are accurately taken for all individuals according to their needs at the time of assessment. The manager must ensure that the home`s safeguarding policy is properly adhered to. All staff are aware of the policy and if necessary arrange retraining of staff in safeguarding practice. Daily records could improve further providing more detail of care given that reflects actions identified in individual care plans. Systems of auditing could be improved to identify shortfalls in practice and improvements necessary to ensure that nurses and carers perform according to the homes` procedures. Inspecting for better lives Random inspection report Care homes for older people Name: Address: Westgate House Westgate House 178 Romford Road Forest Gate London E7 9HY new service which has yet to be given a quality rating The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Nurcan Culleton Date: 2 5 0 2 2 0 0 9 Information about the care home Name of care home: Address: Westgate House Westgate House 178 Romford Road Forest Gate London E7 9HY 02085342281 02085349567 brinah.nyamugure@barchester.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Barchester Healthcare Homes Ltd care home 80 Number of places (if applicable): Under 65 Over 65 0 80 dementia old age, not falling within any other category Conditions of registration: 80 0 The maximum number of service users who can be accommodated is: 80 The registered person may provide the following category of service only: Care Home with nursing - Code N to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP Dementia - Code DE Date of last inspection Brief description of the care home Westgate House is a care home for older people, which provides general nursing care for up to forty-nine people and nursing care for up to thirty-one people with dementia. The home is situated in a purpose built three story building, located on the Romford Road in Newham. The home is pleasantly furnished to a homely style, all rooms have Care Homes for Older People Page 2 of 8 Brief description of the care home en-suite facilities and there are large attractive landscaped gardens to the rear. The home is served by local bus routes and has car-parking facilities in the front for visitors. Barchester Healthcare Limited owns Westgate House, which is a private provider of care services. At the time of this inspection, there is a flat fee of #669 per week for dementia care and #655 per week for nursing care. The home is currently negotiating block contract beds with the London Borough of Newham. Care Homes for Older People Page 3 of 8 What we found: This was a random unannounced inspection conducted over one day on 25th February 2009 and undertaken by two inspectors. Following a safeguarding adults alert made in January by a visiting nurse to the home who reported her concerns about the care of one individual, the inspection was targetted to examine concerns raised in the alert, focusing on care practises and procedures to ensure the ongoing safety and welfare of people living in the home. During this inspection we sampled six files of people identified as being vulnerable or having a high level of nursing needs, including the file of the individual about whom the alert was made. We examined assessments, care plans, risk assessments and monitoring charts found in these files and additionally looked at daily records of individual activities, minutes of staff meetings, records of accidents, incidents and their notifications to CSCI. We were assisted by the registered manager and her staff throughout the day. We also examined compliance with previous requirements as their timescales had expired and were relevant to the issues we examined during this inspection. What the care home does well: 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 2. Care Homes for Older People Page 4 of 8 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, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 5 of 8 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, 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 8 13 Monitoring and measuring charts must be accurately taken for all individuals according to their needs at the time of assessment. Ensure that risks identified in individual assessments accurately reflect the risks identified to individuals. 17/06/2009 2 8 13 The manager must ensure 17/06/2009 that the homes safeguarding policy is properly adhered to. She must ensure that all staff are aware of the policy and if necessary arrange retraining of staff in safeguarding practice. All individuals must be safeguarded from abuse or inappropriate practice at all times. Care Homes for Older People Page 6 of 8 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 7 Care plans for individuals with pressure sores should record alternative aids that may be identified and used to assist and support them outside of their rooms without which individuals may need to be nursed on a mattress. It is recommended that better records are kept of any action taken in response to changes in residents individual needs. Ensure that all residents are weighed at least monthly or more frequently if necessary. Frequency of weighing must be made clear in individual care plans if there are any variations to the frequency stated in the homes policies and procedures. The home to provide evidence of individual weight measurements. Robust systems of auditing are needed to identify shortfalls in adherence to the homes procedures and to ensure that both nurses and carers undertake appropriate tasks accordingly. Daily records could improve further to provide more detail about individual needs or actions taken with individuals that better reflects and relates back to information provided in care plans. This is necessary to provide evidence that individuals receive the service and support that has been identified for them and is useful to monitor their overall progress and wellbeing. 2 7 3 8 4 33 5 37 Care Homes for Older People Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 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. 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