Care Home: Westwood

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What the care home does well There is a good system in place to make sure that the individual needs and requirements of each resident is known and that relevant information is regularly updated to ensure it remains current. Staff are given good guidance and direction so that a consistently high level of care and support is provided that meets the individual needs and requirements of each resident. The health care needs of people living at the home are well met meaning that residents have confidence that the staff team would arrange for medical assistance quickly if they were unwell. Privacy and dignity is well respected. The staff team work well together and showed a good understanding of the needs of individual residents. There is a very good relationship between residents, relatives and staff. Residents and relatives responded very positively about the care, kindness and helpfulness of the staff team. One resident told us that the home, "Cannot be improved, care and support is excellent, nothing is too much trouble and nothing is forced on you, you can get up when you are ready, its like living at home". Staff also spoke very positively about the service provided. One member of staff told us, "We give a really good level of care, friendly towards everybody. We make sure that everybody is comfortable and well cared for until the end of their life". There are good systems in place to manage any complaints or concerns. There is an open door policy whereby residents and relatives can speak with the registered manager at any time, should they be concerned about something or require some information. The protection of people living at the home is considered very important. All staff receive mandatory training so that people living at the home are kept safe and free from any sort of abuse or discrimination. What the care home could do better: The staff team at Westwood work hard to ensure that a high quality service is consistently maintained that meets the individual needs and requirements of each person accommodated there. There are no requirements or recommendations made from this inspection Random inspection report Care homes for older people Name: Address: Westwood 29/31 Southport Road Chorley Lancashire PR7 1LF three star excellent service 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. 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: Bernard Tracey Date: 1 8 0 5 2 0 1 0 Information about the care home Name of care home: Address: Westwood 29/31 Southport Road Chorley Lancashire PR7 1LF 01257264626 Telephone number: Fax number: Email address: Provider web address: stephaniecrane@btconnect.com Name of registered provider(s): Name of registered manager (if applicable) Mrs Christine Anne Tweedle Type of registration: Number of places registered: Conditions of registration: Category(ies) : Westcliffe Homes Limited care home 21 Number of places (if applicable): Under 65 Over 65 21 old age, not falling within any other category Conditions of registration: 0 The registered person may provide the following category of serive only; Care home -Code PC 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 OP. The maximum number of service users who can be accommodated is 21. Date of last inspection Brief description of the care home Westwood is a large town house on Southport Road, Chorley, in a residential area close to the town centre. This location offers a range of amenities within close proximity, e.g. banks, shops, health centre, doctors and, library. The home offers personal care and is registered for up to 21 residents over the age of 65. The home Care Homes for Older People Page 2 of 9 Brief description of the care home caters for both men and women with a wide range of needs on a long or short-term basis. The accommodation comprises of a number of single rooms and one twinbedded room. All rooms have wash hand basins and there are five bedrooms with ensuite facilities. The home has two floors, which can be accessed by a passenger lift. There are a number of social areas for residents to choose from or, if they prefer, they can spend time in their own rooms. Most of the residents have personalised their rooms with items of their own furniture, ornaments and family pictures. The home offers a variety of social activities and maintains links with the community. Care Homes for Older People Page 3 of 9 What we found: This random inspection was undertaken on the 18th May 2010. Staff at the home did not know this visit was going to take place. At the last key inspection in June 2007 the overall quality rating for this home was judged to be excellent. This short random inspection did not look at all the key National Minimum Standards but focused on the health and personal care and the systems in place for managing complaints and the protection of people living at the home. These are important issues that directly affect the quality of care delivered and whether positive outcomes for residents has been achieved. Individual care plans were in place for each person living at the home and were detailed and informative, two of these were examined in detail. The pre admission assessment covered a wide range of needs that included personal care needs, dietary needs and requirements, sight, hearing and mobility needs and social and religious requirements. A separate care plan was written for each area of need identified in the pre admission assessment. There was clear evidence of at least a monthly review of the individual care taking place, with on-going amendments made as required. This helped to make sure that a clear and up to date record was maintained of each residents current strengths and needs so that staff were aware of any changes to the level of support and assistance required. Care plans gave clear instruction in order to guide and direct staff. This enabled staff to provide an individualised service that was delivered in a consistent way. This also helped to make sure that people living at the home were encouraged to do what they could for themselves and promote independence whilst ensuring that all staff were giving the same amount of help when required. Staff working at the home and the resident spoken with all said that people living at the home always got the medical care and support that they needed when they needed it. Records seen confirmed that residents health care needs are being fully met. There is a good relationship with health and social care professionals in order to maintain residents health and social well-being. An individual record is maintained of all health professional visits for each resident. This ensures that a good record is kept of health care visits and the frequency of need. A resident told us, All staff are really good, when ever you need anything they get it for you. There are good systems in place to make sure that medication is administered safely and as prescribed. Only trained members of staff have responsibility for the administration and recording of medication. This helps to keep people living at the home safe and to maintain their optimum level of health. There is a robust medication policy and procedure that staff are expected to adhere to. The medication administration records of eight people were viewed. These had, in the main, been completed correctly and had a photograph of the person attached, this is good practice and helps prevent mistakes being made. There is specific guidance regarding medication prescribed to be administered when required. This helps to ensure that this type of medication is given in a consistent way. Care Homes for Older People Page 4 of 9 Residents privacy and dignity is well respected at this home. The health and personal care that people receive is based on their individual needs so they receive personal care in the way they prefer and in a way that shows respect for their privacy and dignity. A resident told us I am very happy with Westwood Home. No complaints on any of the services. A resident said he felt that his privacy and dignity was always well respected by staff. A member of staff who completed a CQC survey said that the home, Looks after residents very well. They keep you informed of changes within the home regarding residents needs and abilities, updates your training , good relationship between staff. Another member of staff said, Its a comfortable place to work we give very good care. Policies and procedures are in place that guide staff to ensure residents privacy and dignity is respected at all times. Recent dignity training has been provided for the majority of the staff working at the home. These important topics also form part of the National Vocational Qualification (NVQ) training that has been undertaken by the majority of care staff. The preferred term of address of each resident is identified at the time of admission and always respected. The home has a complaint policy and procedures in place, which includes details that any complaint would be responded to within a maximum of 28 days. From discussion with the responsible individual, it is understood that a record of complaints is kept that includes details of any action or investigation undertaken and outcome. Written details of the complaint procedure is incorporated in the Service User Guide. Since the last Annual Service Review inspection, no complaints have been received either by the home or by the Commission. We were told that all concerns are followed up no matter how small and that any complaint received is discussed at staff meetings. If possible, preventative measures are put in place to ensure that the same issues do not reoccur. This shows that complaints are taken seriously and acted upon to improve the service. Staff spoken with were very clear about what they should do if a complaint was made to them. Residents spoken with said they would have no hesitation in speaking with the registered manager or another member of staff if they did have any concerns. They felt very confident that any concerns would be taken seriously and acted upon. One person told us that the home, Cannot be improved and that the, Care and support are excellent. People living at the home have formed good relationships with staff, meaning that any issues could be raised and dealt with informally as part of day to day life at the home. Westwood has a variety of policies and procedures in place for the protection of residents. This includes the corporate adult protection policy and a whistle blowing policy to help protect people living at the home from abuse or discrimination. All staff receive mandatory training regarding protection and abuse that is regularly updated. Care staff also receive guidance in respect of adult protection as part of their National Vocational Qualification training (NVQ). Opportunity is also provided for this topic to be discussed during one to one appraisals and at team meetings. This helps to remind staff of the importance of protecting residents and the responsibility of the staff group in this matter. Since the last inspection there have been no safeguarding issues regarding the home. What the care home does well: Care Homes for Older People Page 5 of 9 There is a good system in place to make sure that the individual needs and requirements of each resident is known and that relevant information is regularly updated to ensure it remains current. Staff are given good guidance and direction so that a consistently high level of care and support is provided that meets the individual needs and requirements of each resident. The health care needs of people living at the home are well met meaning that residents have confidence that the staff team would arrange for medical assistance quickly if they were unwell. Privacy and dignity is well respected. The staff team work well together and showed a good understanding of the needs of individual residents. There is a very good relationship between residents, relatives and staff. Residents and relatives responded very positively about the care, kindness and helpfulness of the staff team. One resident told us that the home, Cannot be improved, care and support is excellent, nothing is too much trouble and nothing is forced on you, you can get up when you are ready, its like living at home. Staff also spoke very positively about the service provided. One member of staff told us, We give a really good level of care, friendly towards everybody. We make sure that everybody is comfortable and well cared for until the end of their life. There are good systems in place to manage any complaints or concerns. There is an open door policy whereby residents and relatives can speak with the registered manager at any time, should they be concerned about something or require some information. The protection of people living at the home is considered very important. All staff receive mandatory training so that people living at the home are kept safe and free from any sort of abuse or discrimination. 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 6 of 9 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 7 of 9 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 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 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission 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: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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