Latest Inspection
This is the latest available inspection report for this service, carried out on 12th November 2009. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Westlands.
Annual service review
Name of Service: Westlands The quality rating for this care home is: The rating was made on: two star good service 1 2 1 1 2 0 0 7 A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Patricia Collins Date of this annual service review: 0 2 1 1 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: Westlands West Hill Road Woking Surrey GU22 7UL 01483761067 01483761071 wimna@whitmorevale.co.uk Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable): Whitmore Vale Housing Association The registered provider is responsible for running the service Conditions of registration: Category(ies) : learning disability Conditions of registration: The maximum number of service users who can be accommodated is: 7 The registered person may provide the following category/ies of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - LD Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: Yes. The registered manager resigned his post and left in December 2008. 1 2 1 1 2 0 0 7 Number of places (if applicable): Under 65 Over 65 7 0 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Westlands is a care home providing personal care and support for up to seven male adults whose primary needs on admission are within the category of learning disability. Annual Service Review Page 2 of 7 The property is situated in a quiet residential area. The large, two storey detached building offers all single occupancy bedroom accommodation, arranged on both floor. Bedrooms are accessible by a passenger lift and are close to toilets and assisted bathing facilities. Communal areas include a lounge and dining room, separate visitor and smoking room and a sensory suite. The building has been adapted over recent years to meet the changing needs of the people using this service. Limited off- road parking is available to the front of the premises and an enclosed garden is to the side and rear of the building. Service provision includes use of a vehicle. Weekly fee charges range between 1271.49 and 1287.67 pounds at the time of this review. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received or asked for, since the last key inspection. This included: The annual quality assurance assessment (AQAA) sent to us by the home manager. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also provides some numerical information about the service. Easy - read surveys were sent to the home, affording people using the service opportunity to inform us of their experience of life at Westlands. We also sent surveys to the home for distribution to staff, care managers and health professionals. Information we have about how the service has managed any complaints received. What the manager has told us about things that have happened in the service; these are called notifications and it is legal requirement to inform us of these events. What other people have told us about the service. Telephone contact with the home manager for additional information. The report will say what we found as it is written on behalf of the Care Quality Commission (CQC). What has this told us about the service? Date of last key inspection: 12th November 2007. The AQAA was received on time, supplying all the information asked for. Its content was clear and validated by evidence. The AQAA assessed the homes services against the outcome areas of the National Minimum Standards for Adults, demonstrating both areas of strength and where improvements can be made. The homes systems for continuous self-monitoring are inclusive, ensuring its operation and management is in the best interests of people using services. There has not had a registered home manager since December 2008. A new home manager took up post in April 2009 and is currently preparing to apply for registration. The deputy manager is on long-term leave and due to resume work in January 2010. Information available at the time of this review indicated the homes management is effective and efficient. The service history demonstrates ongoing commitment to the provision of quality care and support for people using this service. User choice and independence is promoted within individual levels of capacity. Developments and improvements include a more relaxed and less regimented approach to daily routines. This has had positive benefits for people using services, affording them more time to start their day at their own Annual Service Review Page 4 of 7 pace. Changes in practice have increased available time for positive interaction between staff and people using services. A reduction in behavioural incidents is attributed to the change of practice, reflecting the increased attention to listening to and understanding individuals, reducing their motivation to challenge services. Survey feedback from professionals confirmed good levels of satisfaction with the homes services. They commented in positive terms on changes implemented by the new manager and on improvements in communication. Overall staff who responded to our survey were satisfied with the homes conduct, though one would like to see a regular shift roster. All were positive about the homes atmosphere, expressing confidence in its management. Staff were of the opinion that they provide a good standard of care and quality of life for people using services. Developments extending the key worker system and the increased involvement of support workers in care planning and review processes have been beneficial. The increases one to one time staff spend with people using services has helped them to further develop understanding of individuals with the outcome of a more person-centred approach to practice. Individualised pictorial diary boards are a further new development. These are displayed in bedrooms, informing people using services of their daily programme. Staff were stated to respect their rights and choices not to participate in these activities if they dont wish to. A stable staff team has enabled continuity of routines and of care programmes. Staffing levels are consistently maintained and additional care hours are provided for one individual. This enables him to engage in community activities three times a week. The scope of social activities has been further extended. All the people using this service are over fifty years of age and their social activities tend to focus more on their enjoyment and relaxation than on educational or training opportunities. With the exception of the one individual, all others attend day services between two to five times a week. Most of the the people using services took up the opportunity of a holiday this year, one individual enjoying it so much he went twice. We were informed by a staff member the home needs to have a second vehicle for the benefit of the group when the vehicle is in use to meet the needs of one individual. This was discussed with the home manager at the time of this review. We received surveys from all people using services. These had been completed by staff with the involvement of people using services, though staff stated there were four individuals with minimal capacity to participate. We were told by their responses to the survey that they are listened to by staff, have a choice in what they do and know who to go to if they are unhappy or have a complaint. The AQAA states that generally people using services enjoy good health. Recent developments include staffs raised awareness of pain recognition in people with none or minimal verbal communication. A staff member has undertaken training in health action planning and in pain recognition and management. The stated intention to roll out this training to other staff has been noted. Staff encourage people using services to eat a healthy diet and to take regular exercise in the form of walking. A general practitioner and care manager who completed our survey were very satisfied with personal and healthcare provision at the home. Regular health checks with doctors, dentists and other health and social care professionals and specialists are arranged. The AQAA demonstrates staffs understanding and respect for the rights of people using services, with equality, dignity, respect and autonomy central to their practice. Recognition of equality and diversity is embedded in the organisations culture, underpinning its policies, procedures and practice. The staff training programme is ongoing and five staff have achieved national vocational qualifications (NVQ) in health
Annual Service Review Page 5 of 7 and social care. One staff member is working towards this qualification and two others plan to do so next year. The home manager is aware of the importance of effective infection control procedures and recent developments have enhanced this area of practice. The need for infection control training to be delivered to staff has been identified and was stated to be planned. The manager was advised to consider implementing an internal performance monitoring system to manage infection control and prevention. The home is always clean and tidy. Programmes for routine maintenance and for upgrading and refurbishment of the premises are ongoing. At the time of this review work the kitchen was being upgraded. The home manager confirmed improvements to bathing facilities are also under consideration. Feedback from a professional had identified this as an area for improvement. The home has an open culture that encourages and supports people using services and staff to express their views and any concerns. There is understanding of policies and procedures for safeguarding adults and a clear system for staff to report concerns about colleagues and managers. There have been no safeguarding referrals involving the home in the past twelve months. It is our judgement, based on all available information, that the home continues to provide good outcomes for people using services. What are we going to do as a result of this annual service review? We are not going to change our inspection plan and will carry out a key inspection by 12th November 2010. However we can inspect the service at any time if we have concerns about the quality of the service or safety of the people using the service. Annual Service Review Page 6 of 7 Reader Information
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