Enter and View Report Care Home Weston Park Moss Lane Macclesfield SK11 7XE Tel: 01625 613280 Date of visit: 30/09/16 This report describes our observations of the quality of what we found at the date and time of the visit, information given from the Home Manager, residents, relatives and observations made by our Authorised Representatives. Overall observations for this home: Promoted independence for residents Encouraged mobility both inside and outside the home Provided stimulation and social activity Summary: Weston Park is a large 4 unit residential and dementia home complex situated in a residential part of Macclesfield. The general impression from the scrutiny visit undertaken today is that there appeared to be limited evidence that residents were supported to experience activities that would promote their health and wellbeing and social interaction. Healthwatch Cheshire East is keen to acknowledge that the home has been recently taken over by Capital Care Group who explained plans they will be implementing to ensure development of the staff team takes place to enable the residents to enjoy a full and participative living experience in their home and to promote their independence wherever possible. With this in mind, Healthwatch will visit again in 6 months to complete a full enter and view visit.
CARE HOME MANAGEMENT INFORMATION The following information has been provided by the Care Home Management GENERAL INFORMATION Name of Home: Address and Postcode Weston Park Moss Lane Macclesfield SK117XE Name of person completing this form: Helen Whitehouse Position in the Care home: Regional Manager Date the form was completed: 1/10/16 Telephone contact: 07484 088556 Email contact: hwhitehouse@capitalcaregroup.co.uk Residential Home Registration x Nursing x Dementia Total number of beds in the home 100 How many permanent residents in the home today? 81 How many short stay/respite stay residents in the home today? 3 Does each resident have a named or key worker? yes Tell Us About your Care Home Independence and Mobility: How do you assess residents ability and mobility to keep them as independent as possible? Please give any examples of how you encourage residents to remain independent with daily living skills i.e. personal hygiene, eating, drinking and dressing. Each resident has a mobility risk assessment which is maintained within their personal care plans and reportedly evaluated at a minimum of monthly intervals. been involved with the home since 19 th. 2
How do you promote mobility for residents such as moving and walking? Evidence seen by Capital Care since 19 th September indicates that service users are encouraged to mobilise either independently or with mechanical or personal assistance. How many resident falls have been recorded in the home within the last 6 months? Did any of these falls resulted in a hospital admission? Access: Does your home accommodate residents in manual and/or power assisted wheelchairs? been involved with the home since 19 th. Yes Do you provide a chair in the resident s bedroom for them to transfer to? Disability Access: How do you support residents with hearing loss? Yes been involved with the home since 19th. Visual Impairment? Residents who have poor dexterity? Residents with cognitive needs? Accessing Short Stay Care: Through Cheshire East or direct to the home if a private enquiry is made and we have a suitable bed available. How do people book short stay are with you? 3
Do you offer stays in varying lengths e.g. one night, two nights or week blocks? Yes What is your procedure for accepting short stay clients? Pre admission assessments still have to take place before admission. Ambulance Calls: How often do you call for an ambulance and what would trigger an ambulance call? Temperature: How do you deal with extremes of temperature? been involved with the home since 19th. Adjustable heating, provision of hot or cold drinks and food. Extra blankets or fans. Has the effects of temperature resulted in a hospital admission? Dementia Friendly: How do you ensure your home is dementia friendly? been involved with the home since 19th. been involved with the home since 19th. Would you like a member of our team to deliver a Dementia Friends Awareness Session for your staff? ACTIVITIES Yes please. Do you have a budget to cover residents activities, interest groups? Do you have a member of staff to co-ordinate activities? If Yes: Are They Full time yes yes 4
Part time Occasional /Bank 4 x part time staff What is the purpose of the activities you provide? been involved with the home since 19th. How do you capture the outcomes of your activities? been involved with the home since 19th. Please specify the type of activities you offer and the duration of each activity: been involved with the home since 19th. Do you provide 1:1 activities? If so, please can you give examples: Yes this has been observed on Silk Unit. What community links do you have with local organisations and who are they? Not known at present. How are residents approached / encouraged to take part in activities/interest groups? Not known at present. 5
What activity interest groups do the residents like to take part in? Not known at present. How are residents informed of activities scheduled? Weekly display in each unit. How often do you run these activities? Do you have a residents group? Please circle How often is the residents group engaged in the management of the home? Do you have a relatives group? How often is the relatives group engaged in the management of the home? If you have a relatives group how often and where do they meet? X X x Daily Weekly Monthly Yearly Not established if this is in place. Daily Weekly Monthly Yearly Meet and greet meeting with Capital care took place on 28/9/16. Daily Weekly Monthly Yearly Not known at this time Would an authorised Healthwatch representative be able to meet with the group to get their views? Yes If yes, who would we contact to arrange this? Presently Helen Whitehouse until a suitable contact name has been established 6
Please give any examples of how you facilitate social interaction between residents and their local community. Please use this space to tell us about any facilities/activities not covered in the above questionnaire. been involved with the home since 19th. been involved with the home since 19th. Is there anything else you would like to tell us? If a resident has a concern about their health and social care needs who would deal with the issue? Senior or unit manager of relevant unit, or the deputy or the manager and in the event of these individuals not being contactable, myself as the Regional Manager. Are you aware that Healthwatch Cheshire East has a Signposting Service to point people to the organisation that deal with issues and can capture their story to forward to partners who can make a difference and inform trends? No If no, would you like more information Yes We are working in conjunction with Cheshire East Council Quality Assurance team, who evidence standards at nursing homes within a 6(7) Cs standards rating and our observations may highlight observed evidence within those standards, in the areas that we observe and this will be annotated where there was evidence to show that the home was meeting the standard in these areas. We are only able to comment on the areas off our responsibility. Care: Care is our core business and that of our organisations and the care we deliver helps the individual person. Caring defines us and our work-people receiving care expect it to be right for them. Compassion: Compassion is how care is given through relationships based on empathy respect and dignity. It can also be described as intelligent kindness and is central to how people perceive their care Competence: Competence means all those in caring roles must have the ability to understand an individual s health and social care needs. It is also about having the expertise, clinical and technical 7
knowledge to deliver effective care and treatment based on research and evidence. Communication: Communication is central to successful caring relationships and to effective team working. Listening is as important as what we say and do. It is essential for the no decision about me, without me. Courage: Courage enables us to do the right thing for the people we care for, to speak up when we have concerns. It means we have the personal strength and vision, to innovate and to embrace new ways of working. Commitment : A commitment to our residents and patients is the cornerstone to what we do. We need to build on commitment to improve the care and experience of our residents. We need to take action to make this vision and strategy a reality and meet the health and social care challenges ahead. Culture: Culture is symbolic of communication. Some of these symbols include a group of skills, knowledge, attitudes, values and motives; the meaning of these are learned and perpetuated through the group. They are demonstrated by behaviours and actions. Authorised Representative Observations Background: Observations Weston Park was selected for a visit following discussions regarding improvements required from Cheshire East Council and Eastern Cheshire CCG Care Home Quality Improvement Team. Welcome: Healthwatch Cheshire East made an unannounced visit to the home on 30 th. On arrival, we were let into the building via a door entry system and greeted by Helen Whitehouse, Regional Manager, and Mrs Margeet Rai, Managing Director, Capital Care Group who had taken over the home from Four Seasons Healthcare on 19/9/16. We were made very welcome, although they had not heard of Healthwatch in the areas that they currently managed homes and had no contact with the Healthwatch near their head office in Shrewsbury. Information was provided on Healthwatch at that point. Security of building: The door was secure on arrival and all doors to units have push button consoles for staff to access. Fire doors were 8
clearly marked and free from any obstructions. We were asked on arrival and on leaving to sign in the visitor s book, with our car registration numbers noted. Staff: We observed 5 care staff members during our visit who were all dressed in a maroon tunic uniforms. Healthwatch was later informed that name badges were on order. Care staff were observed sitting with residents but little interaction with residents was observed during our visit. During the time of our visit no activities were taking place, although we were informed that there had been a Macmillan fundraising coffee morning event earlier that day and some evidence of this was seen. An activity coordinator was observed having a 1-1 communication with a resident and family member, who were discussing the resident s likes and dislikes in a quiet area in the corridor. Standards evidenced - Communication Residents: We began our tour on the Mulberry unit which is residents in earlier stages of dementia. Residents were observed either up and dressed in their rooms, in areas of the corridors or sitting/sleeping in the lounges. As far as possible, all residents seemed to show no signs of being more anxious than what can be expected or more un-happy, but in some instances it was difficult to tell what was the norm for them without prolonged observations. Most residents appeared smart and well presented. Healthwatch was able to talk to a couple of residents on the Mulberry unit who were able to inform us that they liked living there and that they liked the food, however, both were unable to recall any activities that had taken place. From Mulberry unit, we went to Silk where residents have higher dementia needs. As before we were unable to talk to any residents/ visitors, but all residents appeared to be well looked after and cared for. We did not observe any residents in Weaver and the Tatton unit was closed at the time of our visit. 9
Standards evidenced - Communication In the Silk unit, a carer talked to a lady about a kitten and the lady became engaged and smiling at the reminiscent conversation about the cat as she loved cats. Relatives/Friends: There were no relatives or friends visiting, during the time of our visit. Meals and Drinks: No meals were being served during our visit. We were shown into the dining room on the Mulberry unit where menus from lunch were visible. The menu board displayed on the Silk unit was more generic with a list of foods noted, but not detailing specific meals for the day. The member of staff showing us around mentioned that they were dealing with this to ensure the menu was more user- friendly. Standards evidenced - Communication and Social activity: No activities were taking place during our visit. On the Mulberry unit, there was one member of the care team in the lounge with approximately 20 residents and the lack of stimulation was particularly visible. There were 2 activity boards on the Mulberry unit one of which was not filled in. However there were activities on the other board displayed in the corridor, on Mulberry, the format was written in small print which residents with dementia may not easily be able to read and understand. A member of care staff said that there was very little activities going on, most days, for the residents in the unit and she was concerned about this. Standards evidenced - 10
Environment, furnishings and building: The home has been recently decorated and there were examples of memory joggers and reminiscence pictures around the home. The 3D orchard tree art work on the woodland walkway was apparently well received by residents. All areas were clean and free from odours; this is a particular point of remark from Healthwatch. Some areas had been cordoned off for maintenance work, for example, one bathroom on the Silk unit had a sign on the door stating it was out of action for maintenance dated late 2015. The corridors were clearly coloured for the residents and doors, signs, notices were all well displayed; this ensured that the home was dementia friendly which again is another point of positive remark. Conclusions/Recommendations: We recommended the following at the end of our visit: Healthwatch Cheshire East will revisit the home in 6 months time to review and observe the following: The new owner s policies and procedures will produce overall improvements for residents and staff development. The resident s planned activities to be clearly displayed in a format that they can understand and provide evidence of involvement in choice and time of activities. That residents appear to be engaging in stimulating and interactive activities. Menus and activities to be displayed in written and pictorial format. Care staff and activity staff to have more interaction with residents. Pictures and evidence on view to demonstrate residents participation in activities. 11