Care Home: Westlands Care Home

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What the care home does well Peoples needs are met and care plans produced from this information. These are well detailed and provide staff with detailed information on which to care for people safely. Health care is good, and medication is given appropriately. People are treated with dignity, and are asked to contribute to the running of the home, where they and their relatives take part in Quality Assurance procedures. This is where people respond to written and verbal prompts, to see if the home is delivering the services people require. People are offered opportunity to take part in activities and pastimes, with appropriate staff support. These and the menus are offered to people in a way that prompts peoples understanding, with colour coding and pictures assisting peoples choice. Staff are well trained, and are knowledgeable in many areas. Though this training they are able to keep people safe, and have demonstrated they could act independently if required. Health and safety is good, with staff performing a number of routine tests on areas throughout the home. Comments passed by people living and working in the home included, "The meals are good, but I am not a great meat eater"; "My son visits a lot usually after dinner, he helped me choose the home"; "I know I can call the staff using the bell, I haven`t had to yet"; "I am shocked with the number of staff on duty, the last place had far fewer staff for the number of residents"; "There are enough staff to do activities with people"; "I am very happy, the staff are very nice"; "Always enjoy the meals, happy with the care I receive". What has improved since the last inspection? The administering of medication has greatly improved, with accurate recording and a number of regular checks been put in place to assure staff accuracy. Access to staff information has improved access to documents vital to ensuring peoples safety are now available at all times. The recording of around many areas of personal and health care have gave a greater degree of detail. An activities organiser has been employed, and more staff help with activities and the recording of how often people are offered personal time. Increased numbers of staff. A new manager with improvements in many areas of the home. What the care home could do better: Some areas were mentioned in the AQAA where the staff have recognised improvements need to be made, these include: To continue to promote and develop staff understanding in personal centered care. Further training for advanced specialist care offered to service users. Comments passed by people living and working in the home included, "I feel there would be more entertainment and activities with encouragement to join in". Key inspection report Care homes for older people Name: Address: Westlands Care Home 48 Oxford Street Wellingborough Northants NN8 4JH     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Keith Williamson     Date: 1 2 0 2 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. that people have said are important to them: They reflect the things 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. Care Homes for Older People Page 2 of 23 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 23 Information about the care home Name of care home: Address: Westlands Care Home 48 Oxford Street Wellingborough Northants NN8 4JH 01933274430 01933275882 westlands@regalcarehomes.com www.regalhomes.com Regal Care Homes Ltd Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Type of registration: Number of places registered: care home 28 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Westlands is a care home providing personal care and accommodation for 28 older people. The home is currently registered to provide care for up to 28 older people with up to 22 older people with dementia. The home is owned by Regal Care Homes Ltd. The Home is situated close to Wellingborough town centre and local amenities, shops and the local park. There is a small courtyard area outside the Home and a garden with seats. Peoples rooms are situated on all three floors of the building. A passenger lift provides access to part of the home. There are twenty single rooms with four Care Homes for Older People Page 4 of 23 Over 65 22 6 0 0 1 5 0 9 2 0 0 9 Brief description of the care home having en-suite facilities and four shared rooms. A copy of the most recent inspection report is also available on request. The current fees charged on a weekly basis are between £383.54 and £450.00. Care Homes for Older People Page 5 of 23 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 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: The focus of the inspection is on outcomes for residents and their views of the service provided. The main method of Inspection used was case tracking which involves selecting a sample number of people and tracking the care they received through talking with them where possible, and looking at their records and accommodation, in this case two Service Users were chosen. This visit took place over one day, commencing at 9.30am and took six hours to complete. An opportunity was taken to talk with service users, manager and staff, look around the home, view records, policies and care plans. Some people made comments that have been included in this report. The report is written using the term we, this is to indicate the opinion of the Care Quality Commission (CQC). Information was obtained from the Annual Quality Assurance Assessment (AQAA), which gives detailed information about the home, and is filled in by the registered manager. A copy of the last Care Quality Commission report is displayed at the homes office, and copies of Care Homes for Older People Page 6 of 23 this report are available from the registered manager. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. Care Homes for Older People Page 7 of 23 What the care home does well: What has improved since the last inspection? What they could do better: Care Homes for Older People Page 8 of 23 Some areas were mentioned in the AQAA where the staff have recognised improvements need to be made, these include: To continue to promote and develop staff understanding in personal centered care. Further training for advanced specialist care offered to service users. Comments passed by people living and working in the home included, I feel there would be more entertainment and activities with encouragement to join in. 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Older People Page 9 of 23 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 23 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. The staff have developed a comprehensive admission pack, which is in a format suitable for peoples needs, enabling an informed decision regarding a stay at the home. Evidence: People receive information prior to moving into the home in the form of an admission pack. This includes information on the home, a copy of the latest quarterly magazine, produced by the company and other information on local services such as advocates and solicitors. This pack is valuable in giving people enough information to consider a stay at the home. People have a contract in place, this gives detailed information on the fees charged for the persons stay. The home does not offer intermediate care, which is a specialist type of care and Care Homes for Older People Page 11 of 23 Evidence: support following a hospital discharge. Care Homes for Older People Page 12 of 23 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. People are protected by having their care, healthcare and medication planned and delivered appropriately. Evidence: Care plans have a very good level of detail, which enables staff to offer a good level of personal care for people. The recording of areas around personal and health care have gave a greater degree of recording, and with it a more accurate picture of how people have been. Staff are encouraged to record in daily records and now indicate the time, this could make a difference if looking back at records and ascertaining patterns and traits. This is seen as very good practice as it clearly reflects peoples care in great detail. Risks to people are dealt with in the form of risk assessments, which reduces the impact of potential incidents for people. Medication has improved greatly with no missing signatures in the administration record, these are also called MAR charts. Bulk medications are accurate and have a Care Homes for Older People Page 13 of 23 Evidence: countdown system in place, this ensures staff how much medication should be in stock, and makes checking this much easier. We call these checks audits, and these are undertaken by managers based both in and out of the home, on a regular basis. People are treated with respect and dignity, staff were observed to knock and wait for a reply when entering bedrooms and to assist people with personal care. Comments passed by people living in the home included, its nice for them to do my tablets, it means I dont have the bother Care Homes for Older People Page 14 of 23 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. With the employment of an activities organiser service users are able to enjoy a full and stimulating lifestyle with a variety of options to choose from. Evidence: Activities are offered on a more regular basis, since a new activities organisor was employed at the home. The staff group continue to do activities as well, and records are well detailed of what people have accomplished. The employment of an activities organisor is over and above the minimum standard. Meals continue to be of a good quality, the cook confirmed she still speaks to people and their relatives about what should be included in the menu. Menus are still produced in advance in a four week system, are colour coded to signify the appropriate meal for the time of day and are laminated and displayed on a daily basis. One of the three dining areas has recently been decorated, and this has improved the area since the last visit. Comments passed by people living in the home included, the meals are good, but I am not a great meat eater; my son visits a lot usually after dinner, he helped me choose the home; I know I can call the staff using the bell, I havent had to yet. Care Homes for Older People Page 15 of 23 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 continue to be protected by staffs knowledge and actions around complaints and protection issues. Evidence: The complaints files were again both looked at. These showed that no new complaints had been no new complaints since we last visited. The policy and procedure have been revised and had up to date contact information added. There were no complaints made directly to the Care Quality Commission (CQC). Staff when questioned still showed a good knowledge of complaint and protection issues. Care Homes for Older People Page 16 of 23 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. The home provides a physical environment that is appropriate to the specific needs of the people who live there. Evidence: The home is comfortable, and retains many of the original features of this Grade 2 listed building. Further improvements have been undertaken, since the last visit with the redecoration programme continuing and new boilers have been fitted. The home has been equipped with items designed to cut down on background odours, this has worked well improving the environment for all. The staff are very aware of the dangers of cross contamination and cross infection issues, and have routine tasks in place to deal with these. Laundry facilities are good, which also adds to the protection of people. Care Homes for Older People Page 17 of 23 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. People are now adequately protected due to access to staff files and good levels of employed staff. Evidence: We had full access to all the staff files. The staff recruitment files have the appropriate proof of identity, references and legal checks in place, to enable working with vulnerable people. The staffing numbers have increased, and this has meant care staff spend more time with Service Users Staff confirmed they continue to go through the recruitment process prior to commencing their training induction. There is a revised training plan, and staff confirmed what training they had undertaken recently. We spoke to a recently employed member of staff who gave a good account of the recruitment and induction process. One person stated I am shocked with the number of staff on duty, the last place had far fewer staff for the number of residents; there are enough staff to do activities with people Care Homes for Older People Page 18 of 23 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 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 home that is safe and well managed. Evidence: There is a new manager in the home, he has previous experience of running a residential home for the elderly, and has started the process to become a registered manager. Quality assurance, which is where the staff gain knowledge from people how well the home is performing, or where it needs to develop, is in place. Quality assurance is built into many of the tasks and communication with residents and relatives. This demonstrates the manager and staff continue to seek improvements in many areas of the home. Staff indicated supervision and staff meetings are offered regularly. Staff supervision is where staff meet with a manager and their personal work practices are looked at, and future training needs planned for. Care Homes for Older People Page 19 of 23 Evidence: Some Service Users have money held within the safety of the office. We looked at the records of two people, all the records were up to date, the balances correct and accounting easily followed. Health and safety is monitored, with staff performing a number of tasks ensuring the safety of people in the home. Care Homes for Older People Page 20 of 23 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 21 of 23 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 22 of 23 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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 © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 23 of 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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