Care Home: Westview

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What the care home does well Residents care needs are assessed and a number of areas documented to ensure their safety and that of the staff assisting them. Residents have a number of choices and variety of activities based around their individual needs, and promoting people`s independence, choice and decision making. Residents are encouraged and assisted to keep in contact with relatives, and the greater community. Residents have Quality Assurance questionnaires circulated annually, these and formal meetings are used to discuss issues such as meals and menus, pastimes and outings. Decisions that the residents make are recorded in the daily notes. Staff operate a safe and secure process when administering medication. Complaints information is displayed throughout the home, and is also available in the paperwork issued prior to moving in to the home. Staff are aware of how the complaints and whistleblowing procedures works. Staff employed in the home have an extensive process to go through prior to being allowed to work at the home. Supervision, which is a meeting between the manager and staff on a one to one basis, continues on a regular basis, and helps toward planning training events. The safety of residents and staff is seen as important and there are a number of the safety processes in place to ensure. What has improved since the last inspection? The decorating programme continues, where as bedrooms become vacant they are fully refurbished. A programme of routine maintenance is not in place, but all areas of the home continue to undergo a replacemnt and upgrading programme. What the care home could do better: When recording residents weights, it would be good practice to keep to one recording system, where all staff used the same method. This would lessen confusion when staff are Inspecting for better lives Key inspection report Care homes for older people Name: Address: Westview 136 Leicester Road Glen Parva Leicestershire LE2 9HG     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: Keith Williamson     Date: 0 9 0 3 2 0 0 9 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. 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. 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 23 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) 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 23 Information about the care home Name of care home: Address: Westview 136 Leicester Road Glen Parva Leicestershire LE2 9HG 01162773896 01162773896 nicolahall686@msn.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mrs Joan Dawe care home 18 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: To be able to admit the named person of category MD named in variation application number V26615 dated 8:11:05 Date of last inspection Brief description of the care home Westview Residential Home is a care home for older persons, situated in Glen Parva. The home accommodates up to eighteen service users, and also provides care for older persons who have dementia (up to nine places) or a mental disorder (up to nine places). The home is situated close to local amenities and on a bus route to Leicester city centre. Accommodation is on two floors, the upper floor maybe accessed by lift or 0 0 0 Over 65 18 18 18 Care Homes for Older People Page 4 of 23 Brief description of the care home stairs. The home has eighteen single bedrooms. There are two lounges, a small conservatory and a separate dining area available to service users. The home has a large attractive rear garden and parking for cars is available to the front of the property. 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 inspections 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 clients and tracking the care they received through talking with them where possible, and looking at their records and accommodation, in this case four residents were chosen. The quality rating for this service is 2 star. This means the people who use this service experience Good quality outcomes. This visit took place over one day, commencing at 9.30am and took seven hours to complete. An opportunity was taken to talk with residents, relatives and staff, look around the Care Homes for Older People Page 6 of 23 home, view records, policies and care plans. Information was obtained from the Annual Quality Assurance Assessment (AQAA), which gives information on the home, and is filled in by the manager. The majority of the residents were seen, and a number of those spoken with along with a relative, three staff members and the registered manager. 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 Older People Page 8 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 9 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Prospective residents receive information on the home and have their needs assessed before moving into the home. Evidence: Prospective residents can expect to have their needs assessed before they move into the home this should ensure that staff have experience to meet peoples needs. All the residents files were found to include an assessment of their needs, completed by a social worker or the senior staff member from the home. A relative visiting on the day of the visit explained that someone from the home had visited their relative before they moved in and that she had been given the opportunity to look around the home to decide if it was the right place for their relative to live. The relative also confirmed a Statement of Purpose, which sets out the latest aims, objectives and philosophy of the home, about its services, facilities, and current staffing, was given out to the family, and a Service User Guide was left with Care Homes for Older People Page 10 of 23 Evidence: the resident. The Service User Guide requires to be updated with the latest contact information for the Care Quality Commission, and where families can make complaints to , other than the homes management. Contracts outlining the terms and conditions of the persons stay were also seen. This home does not provide intermediate care. Comments received included: I had heard the home was good, I had a look around and fortunately they had a room available. My daughter was able to look around before I came in. Care Homes for Older People Page 11 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. Residents are looked after well in a safe and secure environment, are treated with respect, dignity and their right to privacy is upheld. Evidence: Residents have care plans, which details the care they receive whilst in the home. This is important so people know how they will be looked after. These plans were up to date and had been reviewed regularly with the resident or a member of their family. Care plans are also risk assessed, which gives staff vital information how to keep people safe in the home. Again these risk assesments are reviewed periodically. From records kept by the home it was evident that health care services including General Practitioners and community nurses visit on the residents behalf. Staff working at the home are well aware of the individual care needs of the residents and those spoken with stated that peoples care needs were being met. Care Homes for Older People Page 12 of 23 Evidence: Staff were overheard persuading a reluctant resident to allow urgent personal care to be undertaken by them. They showed sensitivity to the persons needs, but were persistent in encouraging the care to take place, this was important for the persons dignity. Medication is held securely and administered by senior staff in the home. Staff explained how the system worked showed an good knowledge of the detailed system. This is important as it increases the security for residents around medication administration. All residents and relatives spoken with felt that the care workers treated them with respect and throughout the visit care workers were seen interacting with the residents in a professional and dignified manner. Comments received during the visit included: They are ever so kind, you couldnt find a better home. Care Homes for Older People Page 13 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is a relaxed and homely atmosphere within the home and social care is encouraged to with residents. Evidence: Residents are offered choices on a daily basis. These include when to get up or go to bed, what to wear, a choice of meals and whether to join in the activities provided. Other activities offered include armchair exercise, music quizzes, jigsaws, reminisence. These are important as they ensure residents can retain a good level of cotrol over their lives. Relatives and friends are encouraged to visit the home, one resident explained: my son comes to see me regularly. The menu does not offr an alternative choice, but the residents spoken with on the day confirmed thhis is not a problem. There is a list of likes and dislikes in place, and the staff are aware of peoples individual preferences. Other comments received during the visit included: The staff are lovely, and polite too Care Homes for Older People Page 14 of 23 Evidence: You always have a choice at meal times, if you dont like whats on, they will make you something else 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. Residents and their relatives are confident that their concerns will be listened to, taken seriously and acted upon. Evidence: Residents are aware that there is a complaints procedure in place and were aware of who to go to should they have a concern of any kind. One resident stated, if I was not happy I would speak to the manager. A relative spoken with stated: I would speak to the manager or a senior care worker. The manager has received two complaints since the last visit. These were investigated appropriately, within the appropriate time scales. There were no complaints forwarded to the Commission for Social CAre Inspection (CSCI). Care staff spoken with during the inspection were aware of what to do should they suspect any act of abuse and the manager is aware of the procedure to follow with regard to adult protection. 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 standard of the accommodation within this home is very good, providing residents with an comfortable and homely place to live. Evidence: Residents can enjoy this comfortable and relaxed home. Decoration in the home is of a very good standard and furnishings in the communal areas are domestic in character and in good condition. A selection of public and bedrooms were seen during the visit. These were clean, appropriately furnished and included items personal to the residents. There is a secure enclosed garden within the grounds of the home, many of the bedroom s look out to the garden area. Staff have received training in infection control and observations during the inspection confirmed that staff used appropriate protective clothing when carrying out their duties. The laundry is well apointed and the floors and walls are easily cleaned. This is important as it helps guard against cross contamination within the home. 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. Residents safety is promoted by the recruitment process, and staff employed in sufficient numbers to meet their individual needs. Evidence: There were sufficient numbers of staff on duty on the day of the visit to meet the current needs of the residents. Residents and a relative spoken with felt that there were enough staff on duty to meet residents individual needs at all times. Residents are protected by a thorough recruitment procedure; this involves a detailed process prior to staff being appointed. Two staff files were checked, both were found to include all the necessary information including an application form, two references and Criminal Records Bureau checks. Training is recognised as important and courses for staff are sought from a range of private, voluntary and public sources. Training courses completed included; first aid, dementia awareness, moving and handling, safe handling of medicines and food hygiene. Theseinclude courses for new staff and refresher courses for staff employed on a longer term basis. This is good as it shows staff knowledge is being continually updated. Residents and staff meetings are arranged throughout the year. 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. Residents are protected by the ethos of the management, staff, and detailed policies and procedures of the home. Evidence: The registered manager has many years experience in care, has completed the NVQ level four. The National Vocational Qualification (a nationally recognised course for staff in caring) and Registered Managers Award. Staff spoken with stated that they were well supported and positive relationships between residents; their relatives, management and staff were evident throughout the visit. Residents and staff are consulted with regard to how the home is run and residents and staff meetings are held on a regular basis. Quality assurance is performed throughout the year, and questionaires are given to Care Homes for Older People Page 19 of 23 Evidence: people in the home, and their relaties. The outcomes from the findings of the completed questionaires are then given back to interested parties, in the form of a letter. Policies and procedures required for the safeguarding of residents are in place and all records seen on this occasion were accurate, relevant and up to date. Staff supervision which is a meeting between the staff and management of the home, take place regularly. This helps in the individual training plan for staff. There is a programme of maintenance operated by the handyperson. This includes a programme of daily, weekly, monthly and annual checks, with individual records kept of the findings. 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 1 8 When recording residents weights, it would be good practice to keep to one recording system, where all staff used the same system. Care Homes for Older People Page 22 of 23 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 © (2009) 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 23 of 23 - 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!