Care Home: Westwood Care Home

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What the care home does well Staff encourage people to be independent and to make their own decisions where possible. This enables people to have control over their lives.Staff are respectful to people and sensitive in meeting their needs.This helps in making sure people receive care in the way they prefer.The way in which information is gathered and kept about people means staff can provide support in a way that people need and prefer. It also means staff have in depth knowledge and understanding about each individual person. Comments received from the people who live at the home were positive. People who live at the home made comments such as,"There is nothing I want I am the luckiest person in the world to be here, they take good care of me"."The food is very good, it is all homemade we have a good cook". "The food is lovely". Relatives said, "Excellent home, so caring. Very good manager and staff. They have fun and full of good humour"." Very good home.No complaints about the care. The staff are very caring to us as relatives aswell". Comments made from Health Care Professionals were, "An excellent home,the best in the area as far as I am concerned. Well done please keep up the good work". "Excellent pallative care would use it for my family if needed"."Excellent care home, residents always well cared for"."Yvonne and her team are extremely caring,enthusiastic and i have confidence in the information they give me. It is a pleasure to visit Westwood because of this and enables us to provide better care,including appropriate decision making. They are exceptionally good. I have always been impressed with Westwood". "Westwood is one of the nicest care homes in the area, everything is as you would expect,under the care of the homes manager and staff". What has improved since the last inspection? The home has improved the way they record the initial assessments for people before they move into the home.This makes sure that people`s needs can be met by the home. Care plans are now agreed and signed where possible.The home has carried out and introduced nutritional assessments. This benifits people who live at the home by making sure that people who have dementia, are getting the nourishment they need. A visitors book is now made available for people to sign when they visit the home. The Quality Monitoring Systems have improved and an audit has been carried out to make sure that people living at the home are receiving the best quality care. What the care home could do better: There was nothing identified at this inspection that the home needed to improve upon,however the organisation is always looking towards improving the services they own. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Westwood Care Home 21 Doncaster Road Selby North Yorkshire YO8 9BT     The quality rating for this care home is:   three star excellent 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: Irene Ward     Date: 2 6 1 1 2 0 0 8 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 27 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 27 Information about the care home Name of care home: Address: Westwood Care Home 21 Doncaster Road Selby North Yorkshire YO8 9BT 01757709901 F/P01757709901 westwoodcarehome@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Holistic Care Provision Limited Name of registered manager (if applicable) Mrs Yvonne Ann Clark Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Service Users up to 16 DE(E) and up to 16 OP up to a maximum of 16 Service Users Date of last inspection Brief description of the care home Westwood Care Home provides personal care and accommodation for to up to sixteen older people who may have dementia. It is one of two homes in the area owned and run by Holistic Care Provision Ltd. The charges per week are 425 pounds per week. The fees do not include hairdressing and chiropody. The home is located on a busy road in the market town of Selby and is close to shops, a post office and other local amenities.The home is an old detached two-storey building with ten single and three double bedrooms, which are on both levels. One single room and one double room have en-suite facilities. The home has a large garden that is well maintained and is easily accessible. Care Homes for Older People Page 4 of 27 care home 16 Over 65 16 16 0 0 Care Homes for Older People Page 5 of 27 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: three star excellent 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 quality rating for this service is 3 star excellent. This means that people who use the service experience excellent quality outcomes.The Commission for Social Care Inspection inspects homes at a frequency determined by how the home has been risk assessed.The inspection process has now become a cycle of activity rather than a series of one-off events.Information is gathered from a variety of sources, one being a site visit. More information about the inspection process can be found on our website www.csci.org.uk.This is what was used to write this report. A review of the information held on the homes file since its registration. One visit to the home by one inspector which was unannounced that lasted for four hours. Information asked for before the inspection, this is called an Annual Quality Assurance Assessment. Looking at two peoples care files in detail.Some time was spent with some of the people who live at Care Homes for Older People Page 6 of 27 Westwood.Time was also spent talking to one member of staff and one relative and a visitor to the home. The site visit took place on the 26th November 2008.The registered manager was available to assist throughout the visit and available for feedback at the end of the day. 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 Care Homes for Older People Page 8 of 27 240 7535. Care Homes for Older People Page 9 of 27 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 27 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. Peoples needs are properly assessed prior to admission, this makes sure that Westwood Care Home is the right place for them to live. Evidence: The manager confirmed that information is made available to anyone interested in moving into the home in the form of a brochure containing the service user guide before they move in.This information is provided to people who are considering moving to the home, relatives or to care managers from local authorities.There have been no new admissions since July 2008.The manager said that if someone were considering moving into the home they would be given the opportunity to visit the home and stay for a meal,overnight or whatever they were comfortable with if possible.The registered manager is aware however of the need for comprehensive pre-admission assessments and explained that any such admission would be arranged via a planned introductory programme that would include visits to the home and a trial placement prior to this Care Homes for Older People Page 11 of 27 Evidence: being made permanent.However most people are usually visited in hospital and an assessment is carried out by either the registered manager or a team leader. The manager was very clear about the range of needs that a person with dementia has.One person said I liked it here from day one. This service does not provide intermediate care. Care Homes for Older People Page 12 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples personal and healthcare is provided appropriately and sensitively according to individual needs. Evidence: Each person living at the home is registered with a General Practitioner. There are three GP practices involved with looking after peoples health care needs. Other health care professionals are involved with peoples health care needs such as the Chiropodist,Pysiotherapist,District Nurses. Peoples health care needs were recorded in their individual care plans with additional step-by-step instruction as to how they wished to be supported. Care plans were well detailed and covered all areas of daily living. They also included details such as oral hygiene assesments, risk assessments, nutritional assessments, peoples history,and details of what people wanted in the event of their death. Any changes to peoples health care needs are also recorded in daily records contained within their care plan. People living at the home attend either York District Hospital or Selby Memorial Hospital for all A & E (Accident and Emergency) and for most out patient appointments. During the morning the staff were Care Homes for Older People Page 13 of 27 Evidence: observed as being pleasant,curteous and helpful and there was a sense that staff really cared about the people they look after.Staff spoke and interacted with people and had a cheerful banter with them. When speaking to people who live at the home one person said, There is nothing I want. I am the luckiest person in the world to be here, they take good care of me. Another person said,They look after me well. Friends and relatives spoke positively about the home and made comments such as,Excellent home,so caring. Very good manager and staff. They have fun and full of good humour.Very good home. No complaints about the care. The staff are very caring to us as relatives aswell. The homes manager said that they are involving the Marie Curie pallative care nurses to assist the home to ensure that the best care is provided, so that the home meets peoples end of life needs. The home operates a monitored dosage system which is called the Nomad system. There is a policy in place for the storage and administration of medication for all staff working in the home to follow. The Medication Administration Records show that everyone receives their medication as prescribed. Records were up to date and well maintained. Medication seen in the home was securely stored in a locked drugs cabinet. No controlled drugs are currently held. All staff that administers medication in the home have been provided with medication training. Care Homes for Older People Page 14 of 27 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. People who live at the home have the opportunity to participate in various activities and are supported by staff to carry these out. Evidence: People who live at Westwood have the opportunity to participate in various activities such as, playing ball, quiz, listening to music,aromatherapy, watching DVDs, going into town shopping, reading the paper.During the morning there was Tai-Chi going on in the lounge which people were enjoying. The home keeps an activities book. Staff are committed to people being stimulated, motivated and they are encouraged to participate and try new activities on a regular basis. Relatives and friends spoken to confirmed they were able to visit at anytime and were always made to feel welcome and are always offered a drink.The manager is fully aware of issues regarding peoples mental capacity and the need to put into place the neccessary and appropriate protocols. As the home has recently had to deal with matters on behalf of people who require day to day decisions being made on their behalf.Mealtimes were discussed with the cook on the day of the visit.Menus seen were on a four week rotation. Menus were varied, and nutritionally balanced. The lunch seen on the day of the site visit looked appertising and people were observed as enjoying their lunch.The cook said that the Care Homes for Older People Page 15 of 27 Evidence: home caters for special diets such as diabetics. Staff were available and helped people in a dignified manner and the atmosphere was calm and relaxed without people being rushed. The home operates two sittings at lunchtime the manager said that this worked better as people who were slow to eat their meals were never rushed. This means that peoples experience at mealtimes is always a pleasant one. People have choices and are offered a cooked meal or sandwiches and a desert at teatime. The main cooked meal is at lunchtime. People spoke highly about the food provided by the home and made comments such as,The food is very good, it is all homemade we have a good cook and The food is lovely. Care Homes for Older People Page 16 of 27 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 who use the service have access to an effective complaints procedure and are protected from harm. Evidence: A comprehensive complaints procedure is followed and is made available to people and any other interested parties. The complaints procedure was on display on the information board in the home.The home has not received any formal complaints.No complaints have been received by the Commision For Social Care Inspection. People when asked were clear as to whom they would speak to if they had any concerns or worries. All said they would speak to the homes manager.One person said, I would go see the boss. There is a policy and procedure with regard to safeguarding adults and the procedure to take if there is a suspicion of abuse and staff demonstrated a good awareness of this. Staff receive training in adult protection and safeguarding issues during induction training and further training when required. The staff had recently had training in safeguarding in September of this year. There have been no allegations regarding safeguarding made to the home or to the Commission for Social Care Inspection. Appropriate recruitment procedures are followed, with references and Criminal Records Bureau (CRB) checks made to reduce the risk of unsuitable people working in the home.Peoples finances were found to be appropriatly managed with receipts being obtained for all purchases made. Care Homes for Older People Page 17 of 27 Care Homes for Older People Page 18 of 27 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 excellent 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 clean, comfortable and safe home that is decorated and furnished to a high standard. Evidence: The home provides spacious accommodation for people that is based on two floors.This includes a lounge and dinning area on the ground floor.There is one bathroom and two toilets on the ground floor. There is a further bathroom on the first floor and two bedrooms have en-suite facilities. Peoples rooms on the first floor are accessed by the use of a chairlift or stairs.Two peoples bedrooms were seen both had been personalised with all their possessions. People said they had brought some of their own furniture.Consideration has been given to the decor of the home. Such as some of the bathroom areas have red floors as this is good use of colours for people with dementia. Flowers and pictures were on display throughout the home. Rooms had names on at eye level so people could easily recognise their own rooms.The home was spotlessly clean in all of the communal areas, the kitchen was also clean and everywhere was free from odours.There were alcohol gel dispensers discreetly fitted in certain areas of the home. This maintains and promotes good levels of infection control.The home was decorated to an excellent standard through out. People living at the home said that the home is always fresh and clean. One person said, The home is always kept clean. Relatves and friends also commented and said, When considering Care Homes for Older People Page 19 of 27 Evidence: a home, when I looked round it was homely and there was no odoursand Rooms are always clean. Care Homes for Older People Page 20 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Sufficient staffing levels, proper recruitment procedures and good staff training meant that peoples needs were met and their interests were safeguarded. Evidence: Staffing levels were sufficient for meeting the needs of people. The duty rota showed that there are usually four members of care staff on duty both in a morning and afternoon.This includes the registered managers hours.The home also employs ancilliary staff which includes a domestic, a cook and a handypersons hours. There are two waking night staff on duty each night with support from an on call senior member of staff, who is available to be contacted for advice and in cases of emergency.The staff records of two staff were looked at.These showed that all the necessary preemployment checks had been carried out prior to the new workers starting in post. All records showed completed application forms, two written references, CRB (Criminal Record Bureau) checks had been obtained. The home provides all the mandatory training that is required. A range of other training has been completed by staff such as first aid,moving and handing,fire training,health and safety,infection control,dementia awareness,nutrition,abuse awareness,palative care and MRSA. The National Vocation Qualification Level 2 (NVQ) training has been completed by ten staff at the home. NVQ Level 3 has been completed by two staff.Three staff members are currently completing their NVQ Level Care Homes for Older People Page 21 of 27 Evidence: 3 and one person is currently completing their NVQ Level 2.The registered manager holds NVQ level 4 and the registered managers award. She also has the D32/D33 assesors award and is a manual handling facilitator. Staff confirmed when spoken to that they received regular supervision. Records of supervision were seen at the site visit to the home. Staff commented positively about the support they receive from the registered manager. People who live at the home and their relatives made positive comments such as, Very good manager and staff at the home, they have fun and good humour.Staff are vey good and Staff are brilliant,they look after me well. Care Homes for Older People Page 22 of 27 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from a well managed home in which their needs and wishes are put first. Evidence: The registered manager has worked at the home for sometime. She has a lot of experience in the care sector.The home has a good and effective management team in place.The ethos of the home is open and positive. People who use the service and staff all commented highly about the home.Regular staff meetings are held and minutes are taken.All accidents are recorded as required and an accident book is maintained in line with the requirements of Data Protection.Peoples finances were checked at this site visit and evidence was that their financial interests are safeguarded by the systems the home has in place.Information provided from the Annual Quality Assurance Assessment (AQAA) and the examination of selected health and safety documents show that regular checks to electricity and gas and fire safety equipment are regularly undertaken.Comprehensive Quality Assurance systems are in place and the home is Care Homes for Older People Page 23 of 27 Evidence: audited regularly by the owners.The home carried out a Quality Audit in the summer 2008. They have produced a report which details the findings from the audit. Comments made from Health care professionals were, An excellent home, the best in the area as far as I am concerned. Well done please keep up the good work.Excellent pallative care would use it for my family if needed.Excellent care home, residents always well cared for. Yvonne and her team are extremely caring,enthusiastic and I have confidence in the information they give me. It is a pleasure to visit Westwood because of this and enables us to provide better care,including appropriate decision making. They are exceptionally good. I have always been impressed with Westwood.Westwood is one of the nicest care homes in the area, everything is as you would expect,under the care of the homes manager and staff. Care Homes for Older People Page 24 of 27 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 25 of 27 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 26 of 27 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 27 of 27 - 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!