Inspection on 11/07/08 for Westholme

This is the latest available inspection report for this service, carried out on 11th July 2008.

CSCI found this care home to be providing an Excellent service.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Westholme 13/02/05

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

Extracts from inspection reports are licensed from CQC, this page was updated on 09/11/2008.

CARE HOME ADULTS 18-65 Westholme 61 Station Road Stanley Durham DH9 0JP Lead Inspector Mr Steve Tuck Unannounced Inspection 11th July 2008 10:00 Westholme DS0000066176.V367250.R01.S.doc Version 5.2 Page 1 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 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Westholme DS0000066176.V367250.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Westholme DS0000066176.V367250.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Westholme Address 61 Station Road Stanley Durham DH9 0JP 01207 233386 0191 2513630 NO E-MAIL Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Lifestyles - Care & Support Ltd Tracey Dodds Care Home 8 Category(ies) of Learning disability (7), Learning disability over registration, with number 65 years of age (1) of places Westholme DS0000066176.V367250.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th July 2006 Brief Description of the Service: Westholme is a care home which provides accommodation and personal care for eight people who have a learning disability The home is in a well-established residential area and a short walk from Stanley the town centre which has a good selection of shops and leisure facilities. The house blends in with its neighbours, having a garden to the front and side and rear yard. The facilities are those of a large family house and the furnishings are comfortable and domestic. The building is a 3-storey house with 6 single bedrooms, one twin room. There is a large kitchen breakfast room, a lounge and a dining room. Although the home has been fitted with adaptations to help people who have difficulty getting around, the house is not designed to meet the needs of those people who have significant mobility problems. There is a bus station so that people can get easy access to all major transport routes and there are spaces to park cars nearby. The home is owned and run by Lifestyles - Care and Support Limited which is a private limited company The weekly fees for living at this home is £378 to £528 The costs of newspapers, hairdressing, and toiletries are not included in the fees. The actual fees that people pay varies depending on their circumstances, further details can be found in the home’s Service User Guide. Westholme DS0000066176.V367250.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means the people who use this service experience Excellent quality outcomes. This inspection took place over three days, including one day at the home and was a scheduled unannounced inspection. Before the visit: We looked at: • Information we have received since the last Key Inspection. • How the service dealt with any complaints & concerns since then. • Any changes to how the home is run. • The provider’s view of how well they care for people. We asked them to examine their own service and write to us with the results. • We sent surveys to get the views of people who live at the home, the people who arrange it for them and the staff who work there. The Visit: An unannounced visit was made on 11th July 2008. During the visit we: • Talked with the people who use the service, the staff, the owner and the manager. • Observed life in the home. • Looked at information about the people who live at the home & how well their needs are met. • Looked at other records, which must be kept. • Checked that staff had the knowledge, skills & training to meet the needs of the people they care for. • Looked around parts of the building to make sure it was clean, safe & comfortable. • Checked on what improvements had been made since the last visit. We told the manager what we had found. Westholme DS0000066176.V367250.R01.S.doc Version 5.2 Page 6 What the service does well: What people who live there said about the home. “I like living here, it suits me.” “I’m very happy here, I used to live at home but I needed to move out to be independent.” “They have helped me a lot here, I might live on my own in the future and they will help me.” What relatives said about the home “I’m more than happy with all aspects (of the home).” One social worker said that people living at the home “Always has (their) own space / room and the service maintain this philosophy.” Another said “Independence and person centred values” are what the service does well. People who move to the home have their needs assessed in detail by social or healthcare workers and the manager so that everyone is sure that this is the right place for them to live. This is very important where people have complicated care and lifestyle needs that require well-managed and agreed ways of supporting them. Staff at the home are detailed organised and have well thought out ways that they meet the social, emotional and healthcare needs of each individual person who lives at the home. And these are written down in ways that are clear so that people who live at the home and the staff who work there can see exactly how the support is to take place. One social worker said, “Each person has a comprehensive file with their care needs and associated risks.” Staff help people to have interesting lives, they help make sure that people can take part in activities they like and they help them to find and try new ones. The staff and manager help people to make choices about their lives and support them to be as safe as possible when they want to do something risky. The staff work well as a team. One person who lives at the home said, “You can’t get a better place than this.” Westholme DS0000066176.V367250.R01.S.doc Version 5.2 Page 7 People who visit their relatives or friends at the home are made to feel welcome and relationships are supported. One relative said, “ I have always felt that they have kept me involved.” Staff are well trained so that they have the necessary skills to support the care and lifestyle needs of people living at the home and there are sufficient staff available so that these needs can always be met. The manager and senior staff have the experience and training to run the home effectively so that the in the best interests of the people who live there can be met. And people are asked about the way they wish to live and listened to when they have concerns. Many of the staff have worked at the home for several years and have a good understanding of their roles and work well as a team. They have very strong principles about how they support peoples’ rights and empower them as valued citizens within society and follows the government’s White Paper ‘Valuing People.’ They remain enthusiastic about their work and give good quality, person centred care and support. Care is provided to people with a wide range of needs, with varied ages, expectations and backgrounds. This diversity, including age and gender, is reflected in the staff team, giving the opportunity for staff to be ‘matched’ to people where appropriate. Both care practice and staff recruitment practices are governed by equal opportunity principles. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Westholme DS0000066176.V367250.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Westholme DS0000066176.V367250.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Each person’s needs are assessed before they move in which helps to make sure that these can be met at the home and inappropriate admissions are avoided. EVIDENCE: Each person’s needs are assessed before they move to the home by a team of workers such a social worker, a community nurse, a psychologist, as well as the deputy manager. This is to make sure that the home is suitable for meeting the needs of people who are going to live there. The manager has shown that she has a leading role to make sure that the home is able to successfully support people before they move there. Records show that the manager and staff have found out about the cultural and lifestyle needs of people who wish to move to the home to make sure that these can be met. All people’s assessment information is detailed which helps staff to plan and write down the ways that they are going to support them. This is important where people have complicated needs and large social networks which require a lot of insight and well-organised support. Westholme DS0000066176.V367250.R01.S.doc Version 5.2 Page 10 The home has written information called the Service Users Guide which gives all of the important details that people need to know about what it is like to live there. This includes information about how to make a complaint and the most recent Inspection report. The Service User Guide for this home has been drawn up in ways which help people to understand what the information means and staff also help to explain it. Westholme DS0000066176.V367250.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6 7 and 9 Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. Each person has an individual plan of care, which sets out their preferences and how their assessed needs will be met. These plans describe the measures which staff use so that they can consistently meet peoples’ needs. EVIDENCE: Some people at this home have needs which require the staff to respond to them in particular ways for example to give them support to feel confident and help them to manage their anxieties. All people living at the home have a detailed plan of care, which gives a thorough description of how their physical, emotional and lifestyle needs are to be met. People get support from staff which is individual and tailored to their specific needs so that they can live as valued citizens within their community. Care is carried out in ways that arranged so that each person is at the centre of a network of support and tailored so that they have highly individual lifestyles. Staff have a good understanding of people’s histories, needs and preferences Westholme DS0000066176.V367250.R01.S.doc Version 5.2 Page 12 which they need to support people. They also work closely with other community-based health and social support staff to make sure that peoples wider needs are supported by fully co-ordinated care. The way that care plans are written down shows that how they are to be supported and there are reviews to see if their needs have changed. There are examples of where a great deal of thought consideration and care has gone into this planning. For example how peoples relationships are supported, how the service makes sure that they are not vulnerable to abuse are clearly and carefully recorded. One social worker said, “They have reacted to the ever changing needs of the individual by seeking advice from the outreach team.” People living at the home are treated with respect by staff who know them well. Relationships between people and with staff are relaxed, friendly and informal which helps them to feel comfortable. People appeared to be relaxed and happy with the support they get from staff. Staff meet at the start of each shift where they talk to each other about people’s needs so that they remain up to date, work well as a team and remain consistent. One social worker said, “their dignity is respected …residents have not complained otherwise.” All people living at the home have access to someone outside of the home who can speak on their behalf and help to make decisions in their best interests. One relative said, “they look after her like she was in her own home.” One of the home’s strengths is how the manager and staff help people to be as independent as they can and to take measured risks if they wish. The manager and staff take actions to support people and reduce the risks which they take so that that there is a balance between promoting people’s independence and rights and making sure that they are safe. Westholme DS0000066176.V367250.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 14 15 16 and 17 Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. People are encouraged and supported by the staff to make choices about their lifestyle so that they can lead fulfilling and interesting lives and staff help people stay in touch with their circle of family and friends so that they can keep links with people outside of the home. EVIDENCE: People living at this home have the opportunity to have active lifestyles. Everyone has his or her own routines and activities many of which occur outside of the home. The staff are very knowledgeable and skilled at helping people to choose activities that they would like to take part in or to try out and to find opportunities and arrange them. Staff also encourage people to make Westholme DS0000066176.V367250.R01.S.doc Version 5.2 Page 14 decisions, and help them to organise the different opportunities they have each week. Examples of opportunities include Shopping (local and to the Metro Centre), day services / drop in centre, football matches, horse riding. People also have opportunities to continue with their further education at local colleges and to gain work experience or voluntary or paid employment. One person who lives at the home said, “You can do all sorts of things – I didn’t really do much before I came here.” Staff at the home were busy planning how individual support for service users was is to take place so that all of their choices and event commitments could be met. One social worker said that the home has a, “flexible and positive approach.” in the way that people’s lifestyles are supported. Staff are good at finding out about opportunities or activities which are taking place in the local and wider community and making sure that support and transport is available for those people who want to take part. Photographs of people taking part in activities and during visits are displayed in people’s rooms. Staff help people to keep in touch with friends and relatives and some people visit each other’s homes. Some people have taken college courses where they have an interest or skill and several certificates are displayed which show their success and commitment. Several choices of meals are offered at all times and people help to plan their meals. Attempts to offer a balanced diet whilst still responding to people’s choices were noted. Mealtimes are pleasant sociable events at the home where people meet and share each others company. Westholme DS0000066176.V367250.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18 19 and 20 Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. People’s personal and health care needs are identified and arrangements are in place to help make sure that they can have a healthy lifestyle. EVIDENCE: Staff keep records of peoples’ healthcare needs in care plans. These show that staff look out for changes in their physical or emotional state which may need the involvement of specialist healthcare workers from outside the home. This has promoted joint working with healthcare staff and helped home staff make sure that people get the healthcare support that they are entitled to. People are registered with healthcare facilities for example their general practitioner or dentist and are supported to attend appointments if they wish. One social worker said. “Any concerns regarding health are dealt with by appointments with appropriate health professionals - general practitioners, dentist, optician. Contact can also be made with health workers who are part of the integrated community team when necessary and appropriate.” Westholme DS0000066176.V367250.R01.S.doc Version 5.2 Page 16 Any personal care is carried out in private with staff encouraging people to be discrete where this is required. Due to their levels of need, some people living at the home need support to administer their own medicines, and designated staff therefore help in this area. A number of people have been able to safely take responsibility for their own medication which fits in better with their lifestyle. The home has weighed up the risks and taken steps to minimise the likelihood of harm. Overall medication is securely stored and there are systems in place which should help to minimise risks. There was one error noted where medication had not been accurately counted but this did not affect the amount of medication that people had taken or that were left in stock and the manager was able to check and correct the error. The manager confirmed that staff at the home are undertaken training to help them to be able to administer medication. Westholme DS0000066176.V367250.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. People who live at this home and their families can make a complaint if they are unhappy, have a grievance or dispute which helps them to have control over their lives and there are measures in place which protect people from being harmed which helps to promote their safety and security. EVIDENCE: There is a clear complaints procedure in place at the home, which tells people how to complain, and the length of time a response will take. Observations of the staff’s day-to-day practices show that they ask for the views of service users all the time and help people to make real choices and decisions. People who live at this home assert their views and preferences and were clearly empowered to say what they thought. One relative said that complaining was, “not relevant.” One person living at the home said, “I’ve never had to complain but I think they would listen to me.” No one at the home or advocates for the people who live there had decided to use the complaints procedure to resolve their grievances in the past 12 Westholme DS0000066176.V367250.R01.S.doc Version 5.2 Page 18 months. But there is a clear process in place which shows how complaints will be handled. Since the last inspection there have been no instances where abuse was suspected at the. The homes adult protection procedure is robust and complies with the Public Disclosure Act and the Department of Health Guidance. There is a staff guide, which gives clear instructions about the actions which they must take if abuse is disclosed or witnessed. All staff spoken to are knowledgeable of these practices and have had training. Westholme DS0000066176.V367250.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 28 and 30 Quality in this outcome area is Adequate. This judgement has been made using available evidence including a visit to this service. The house is homely and clean and provides people who live there with a comfortable environment in which to live but this could be improved if maintenance and repairs were carried out. EVIDENCE: Westholme DS0000066176.V367250.R01.S.doc Version 5.2 Page 20 People who live at the home are encouraged to keep their own rooms tidy and they are helped by staff when this is needed. The home is kept clean by staff who take effective steps make sure that the home is clean and pleasant. The house is in a street of similar properties near the town centre of Stanley and has had adaptations made so that it is suitable for its present use. The home is set back from the road and fits in well with those around it which helps people who live there to be accepted citizens within their community. The home has been designed so that the people who live there can have safe access to the house and garden / yard without restricting their rights, freedoms or independence. And people are able to lock their bedroom doors so that they can have privacy. The bedrooms are pleasant areas, which have a range of furniture, and fittings which are comfortable and useful for people to use. All of the people living at the home have decorated their rooms with their items, photographs and keepsakes and some have bought their own furniture and soft furnishings. One person living at the home said, “I like my room, it’s my own space.” The home is inspected by the Fire Prevention Service and overseen the local authority to make sure that risks from an accidental fire are lessened and a safe and healthy environment is promoted for the people who live and work there. There is evidence that repairs and maintenance has been carried out for example, the bathroom was in the process of being revitalised and the large bay windows on the ground and first floors had recently been improved with double glazed units which according to the people living at the home, had made a big improvement. However, there remained areas of the home which were in need of immediate emergency repair or improvement. For example, the roof was discovered to have a significant leak and there was water damage to the plaster and wallpaper to one of the upstairs passageways of the home. As well as this, facilities in the laundry area and the structure of the laundry itself were in a poor state of repair; the design of the laundry and lack of facilities such as hand washing and easily cleaned surfaces, making it impossible to hygienically clean clothing. The manager said that she was considering how to make sure that the laundry could be improved and the roofing contractor was due to visit the home to give an estimate for the roofing repairs. Westholme DS0000066176.V367250.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32 33 34 and 35 Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. There are enough staff at the home to support the people who live there. And they have the skills, training and support from the manager so that they can meet the needs of people living at the home. EVIDENCE: Some people living at the home have complex support needs and additional staff are available so that support can be successful and safe. Care workers are well organised with shift patterns which reflect the demands of people living at the home and records show that sufficient staff have been working there. Information from the manager indicates that staff have received training relevant to their job roles and the specific needs of people living at the home. A training programme is in place which encourages staff to remain interested and motivated by the work they do and helps to improve the quality of the service. This covers National Vocational Qualifications (NVQ) as well as Westholme DS0000066176.V367250.R01.S.doc Version 5.2 Page 22 specialist courses which address the needs of the people who live at the home. All of the care staff have NVQ Level 2 or above and workers who have undertaken NVQ Level 2 training are being encouraged to continue their training to Level 3. Where new staff are employed, they are given extra training which links with national training organisation standards so that they have sufficient skills to support people and work effectively with other team members. Staff demonstrate an in depth knowledge of people’s needs and the strategies and approaches they use to support them. Staff demonstrate that they competent in their role as care practitioners and this is reflected in the good standard of practice when they support and interact with people living at the home. Staff have regular contact with the manager who works alongside them on a day-to-day basis. The manager has records which show that regular supervision takes place where staffs’ performance and the work they do with individuals is thoroughly discussed. Moral is good at the home and staff are motivated about the work they do and enjoy spending time supporting the people who live there. There are procedures in place so that new staff who are recruited have checks carried out before starting work to make sure that they are suitable to work with vulnerable people. Westholme DS0000066176.V367250.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38, 39, 41 and 42 Quality in this outcome area is Good This judgement has been made using available evidence including a visit to this service. The manager at the home makes sure that people who live there are supported properly and give leadership and direction to staff so that the quality of the service they give is improved EVIDENCE: The manager has worked at the home for 17 years and has been the manager there for the last 3 years. She has completed the Registered Managers Award (National Vocational Qualification) Level 4 and has almost completed a health and social care NVQ at level 4. The manager has extensive experience and skills in supporting the needs of people with learning disabilities in this and other community settings. Westholme DS0000066176.V367250.R01.S.doc Version 5.2 Page 24 The manager has shown her capacity to organise the service on a day-to-day basis. This reassures people living at the home and their relatives that the service can continue to be provided in their best interests. One social worker said, “The manager is extremely caring and considerate of all the residents needs, trying to ensure that their lifestyle is of a high quality.” Another said the manager is, “motivating and professional. People living at the home are empowered to give their views about all aspects of the support they get from staff. There are a number of meetings held at the home and also other informal occasions where the manager and deputy are able to check that people are satisfied with the service. The manager also collects the views of peoples’ families and friends, social work and healthcare staff who visit the home so that he can check to see if the service is meeting the needs of all parties. This helps the manager to monitor progress and develop the service. But the results of this work could be better organised in a way which shows how the management improvements at the home are planned around the comments that people make and the checks that the manager carries out. Staff at the home help people who live there to manage their money. Detailed records are kept of peoples’ day-to-day finances and where staff have supported them to make purchases. There were no noticeable hazards at the home throughout the inspection and arrangements are in place to minimise risks for people living there and the staff who support them. The home has been subject to inspections by the Fire Prevention Authority and local authority environmental health officers to make sure that the home is safe. Westholme DS0000066176.V367250.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 X 28 3 29 X 30 2 STAFFING Standard No Score 31 X 32 4 33 4 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 3 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 4 4 3 X 3 3 X Westholme DS0000066176.V367250.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA24 Regulation 23 Requirement The manager must make sure that the home is kept in a good state of repair and that the roof and laundry are repaired or refurbished. This is to make sure that people live in comfort. This is a new Requirement. Timescale for action 01/10/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA39 Good Practice Recommendations The responsible person should develop how the views of people who use the service or support them are used to decide about actions they will take to improve the way that the home is run. Westholme DS0000066176.V367250.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Westholme DS0000066176.V367250.R01.S.doc Version 5.2 Page 28 - 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. 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