Inspection on 12/08/08 for Weston Park Care Home

This is the latest available inspection report for this service, carried out on 12th August 2008.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Weston Park Care Home 20/06/07

Weston Park Care Home 23/11/06

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Weston Park Care Home Weston Park Moss Lane Macclesfield Cheshire SK11 7XE Lead Inspector Helena Dennett Key Unannounced Inspection 12 August 2008 09:30 X10015.doc Version 1.40 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 Weston Park Care Home DS0000068323.V370128.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 Older People. 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. Weston Park Care Home DS0000068323.V370128.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Weston Park Care Home Address Weston Park Moss Lane Macclesfield Cheshire SK11 7XE 01625 613280 01625 502914 weston.park@fshc.co.uk 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) Lunan House Limited Care Home 90 Category(ies) of Dementia - over 65 years of age (51), Old age, registration, with number not falling within any other category (39), of places Physical disability (2) Weston Park Care Home DS0000068323.V370128.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1 The home is registered for a maximum of 90 service users to include: * Up to 51 service users in the category of DE(E) who may be accommodated in Mulberry and Silk Units only * Up to 39 service users in the category OP may be accommodated in Weaver Unit * Within the total of 39 in the category of OP, no more than 10 service users requiring intermediate care may be accommodated * Within the total of 39 no more than two service users between the ages of 55 years and 65 years in the category of PD may be accommodated in Weaver Unit 28 April 2008 Date of last inspection Brief Description of the Service: Weston Park Care Home is close to Macclesfield town centre, in Cheshire. It is owned by Lunan House Limited, a subsidiary company of Four Seasons Healthcare. Weston Park Care Home is a three-storey building with accommodation for residents on the ground and first floors. The second floor houses the laundry, offices and staff facilities. A two-storey annexe was opened in 1997 and is connected to the main building by an internal corridor. The annexe (Silk Unit) and the ground floor (Mulberry Unit) of the home provide care and support up to 51 older people with dementia. The first floor (Weaver Unit) provides nursing and support for up to 39 older people. There are nine day/quiet rooms, eighty-nine single bedrooms with en suite facilities, one twin bedroom with en-suite facility, ten bathrooms and nine showers. There are enclosed garden areas to the rear of the building. According to information received before our visit, the scale of fees for the home range from £402.37 to £580 per week. Weston Park Care Home DS0000068323.V370128.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 2 stars. This means the people who use this service experience good quality outcomes. This visit, which is part of the major key unannounced inspection, took place on 12 August and lasted 8 hours. Two inspectors visited the home and looked at the care provided to the people living there. The visit was just one part of the inspection. Staff at the home were not informed of the date the visit was to take place, but before the visit the manager was asked to complete a questionnaire to provide us with some information about the service. The manager was also asked to distribute our questionnaires to residents, relatives and health and social care professionals, such as nurses and social workers, to help us find out what they think of the home. During the visit we spoke with the manager, staff, people who live in the home and visitors. We toured the premises and looked at various records in relation to the running of the home. A CSCI pharmacist inspector carried out a short inspection of the home on 3 April 2008. We found that the management of medicines had improved a lot although medicine records could be improved further so that they are clear. We also carried out what CSCI calls a thematic inspection at the home on 28 April 2008. Thematic inspections look at how well a service is performing in a particular area. This helps us to gain a picture of trends at a national level. This thematic inspection looked at how well Weston Park Care Home makes sure people are protected from abuse. We found that people living in the home are safeguarded by the policies and practice in the home, with incidents recorded and responded to quickly. What the service does well: People who are thinking about moving into the home are visited by a member of staff so that an assessment of needs can be carried out to make sure that the home has the staff and facilities to provide care for them. People living in the home told us that staff are good and look after them well. They said that choice is promoted and that their privacy is maintained so they are treated with respect and dignity. Weston Park Care Home DS0000068323.V370128.R01.S.doc Version 5.2 Page 6 Relatives told us that the home provides good care. There is a good complaints procedure available in the home so people living there can be confident their complaints will be listened to and acted on accordingly. There are enough staff working in the home to meet people’s needs. Staff are supported in training and supervision so people living there know that they will receive good care. Good recruitment practices mean that staff employed have the right skills and knowledge to care for the people living in the home. The home is well managed and well run. The manager continues to let us know of events that may affect the well being of the people living there. There is a good quality assurance system in place, which means that the manager should be able to identify problems as they arise and deal with them quickly and effectively. All essential equipment is maintained regularly to make sure that it is safe for people to use. What has improved since the last inspection? What they could do better: People living in the home should be consulted when there are any major changes to their environment so that they can have a say in how the home is affected. Weston Park Care Home DS0000068323.V370128.R01.S.doc Version 5.2 Page 7 Environmental and fire risk assessments should be updated and made available to staff when there are changes to the existing building that may have an impact on the safety of people living there. The lounge of Mulberry unit now looks onto a red brick wall of a newly built extension to Weston Park, minimising light and giving an institutional feel to the room. The effect the same building has on Weaver unit’s lounge means that people living in the home now have a view that is unacceptable to many of them. This detracts from a homely environment and could have a negative effect on peoples’ mood. 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. Weston Park Care Home DS0000068323.V370128.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Weston Park Care Home DS0000068323.V370128.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to the service. People who are thinking of moving into the home are given enough information and have their needs assessed before they move in so they can be confident that staff at the home can provide the care they need. EVIDENCE: Information about the home is contained in the statement of purpose and service user guide. These have been updated since the last inspection due to the change in management. One person living in the home told us that a member of staff visited them before they came in. This meant that staff were aware of the facilities and care the person required. They told us that their relatives looked around a few homes before making a decision to move into Weston Park Care Home and they picked the bedroom they thought would be most suitable. Weston Park Care Home DS0000068323.V370128.R01.S.doc Version 5.2 Page 10 The notes of one person who had recently moved into the home were looked at. Records of the assessment done before they moved in were completed. These provided staff with the information they required to make sure that they would be able to meet the person’s needs. Intermediate care is not provided at Weston Park Care Home so Standard 6 does not apply. Weston Park Care Home DS0000068323.V370128.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to the service. The health and personal care needs of people living in the home are met and their care is provided in a way to ensure that their privacy and dignity are maintained. EVIDENCE: The care people receive at Weston Park Care Home has improved since our last inspection. People we spoke to said they were happy with the care they receive. They said the staff were good and looked after them well. Five people’s records were looked at during our visit. Risk assessments were complete and detailed the action to be taken to minimise any risks that may occur. There was evidence in one person’s care file that staff were trying different ways to minimise a particular risk to the person. Weston Park Care Home DS0000068323.V370128.R01.S.doc Version 5.2 Page 12 Everyone living in the home has a plan of care in place and this is based on their individual needs. The care plans are reviewed as a person’s needs change and are updated to ensure that all staff know about the changes. Records of people’s weight are maintained and monitored. There was evidence that the dietician is asked to visit if staff have a concern about the weight of someone living in the home. Some minor issues were noted regarding recording in the care plans. These were discussed with the manager at the end of the visit. Relatives spoken with were generally positive about the care provided. One person said that they felt that staff on Weaver Unit provided good nursing care to meet the health needs of people; however that more could be done to meet their social care needs. The following comment was made on a survey form returned to us before the inspection: ‘I think my relative is well looked after’. One of our pharmacists visited the home on 3 April 2008 and did a short unannounced inspection looking at the management of medicines across the home. She found that staff practices had improved but that further improvements were needed. We looked at a sample of medicine records and looked at how staff are managing medicines in general. In the main we found that staff manage medicines well. Audits are carried out weekly and there was evidence that action is taken when problems have been identified. We found a few instances where staff had not signed the medicine record sheet to identify the person had been offered their medicine; the manager agreed to deal with this with the person involved. The manager told us that she had met with staff and discussed the importance of making sure that medicines are given out correctly. She told us after the meeting that where problems continue to arise she has issued individual members of staff with letters and that disciplinary proceedings will be instigated if problems persist. We noticed that staff working in the home promoted the privacy of people whilst working. They knocked on people’s doors before entering and closed bathroom and bedroom doors before carrying out any personal care tasks. Weston Park Care Home DS0000068323.V370128.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to the service. People living in the home are provided with a good balanced diet so maintaining their health and well being. Although an adequate range of activities is provided more needs to be done to ensure that people in the home keep stimulated and active. EVIDENCE: A full time activity co-ordinator is employed to work at the home. She produces a weekly activity sheet to provide information for people living in the home about the activities going on in the home. Mixed comments were made about the range of activities provided. One person said that there is not enough going on in the home and although their relative may not wish to take part in activities they would enjoy watching the activity. They felt their relative becomes bored at times. One of the people living in the home said there was enough going on in the home to meet their needs. Weston Park Care Home DS0000068323.V370128.R01.S.doc Version 5.2 Page 14 On the morning of our visit, the activity organiser was seen sitting with individual people on a one to one basis. However there was nothing else going on for the other people living in the home. People living in the home were seen sitting in the lounge areas or their bedrooms watching television or dozing in chairs. During the afternoon of our visit fourteen people went to the cinema. The manager discussed plans to make sure that staff working on the units engage people in activities to ensure that everyone’s needs can be met. People living in the home told us that a religious service is held weekly in the home and that they enjoy going to this. One person showed us the local parish magazine she receives regularly which means she can keep up with the activities of that parish. One member of staff described how they try to empower people living in the home by offering choice and respecting their views. She explained that some of the people living in the home express a preference for a particular carer to look after them, either because of their sex or culture. She told us this works well and the person is more relaxed and less agitated. Visitors told us that they could come and go as they please. They said they are made feel welcome by staff at the home. People living in the home told us that they could choose when they get up and go to bed and what they want to do during the day within reason. We received mixed comments about the food provided in the home. Some people said they are offered a choice and that it is ‘edible’. One person said that the food can sometimes be cold when it is served. This was noted at the last inspection and action needs to be taken to make sure that the temperature of the food is monitored when it is served. People living in Weaver unit were upset by the change in appearance of the dining room. The room now overlooks a sloping roof with little or no view. (This is referred to again in the section of this report on the environment.) The rear dining room on Weaver unit is still not used by people living in the home. A hot trolley is placed here and staff served meals and deliver it to the bedrooms. More could be done to make this room conducive to dining. Some concerns were raised about staff practice during mealtimes on Weaver Unit. One person told us that staff are absent from the dining room when people are eating. This means that if someone needs help they may have to wait some time before receiving that help. This was discussed with the manager at the end of the inspection and she agreed to address this. Weston Park Care Home DS0000068323.V370128.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to the service. There are effective policies and procedures for the home so the people living in the home are safeguarded, with incidents recorded and responded to quickly. EVIDENCE: We visited the home on 28 April 2008 to carry out a short, themed, inspection focussing on safeguarding issues for which a separate report has been produced. We found that staff working in the home were aware of the home’s policies and procedures and that action is taken quickly if there is any allegation of abuse or misconduct. This means people living in the home are safe from abuse or harm. People living in the home told us they would feel comfortable making a complaint if they had to. All said they would go to the unit manager in the first instance but would approach the home manager if they had serious concerns. The manager told us she has received two complaints recently. One of these has been resolved satisfactorily; the second one is currently under investigation. The manager told us that action would be taken should there be any issues arising from this. Weston Park Care Home DS0000068323.V370128.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, 25 & 26 People who use this service experience adequate outcomes in this area. We have made this judgement using available evidence including a visit to the service. Although the home is generally well maintained, the impact of the new building on the existing premises means that some people’s living conditions are now poor. EVIDENCE: A new extension has been built since our last major inspection of the home. This has had a huge impact on some of the people living in the home. Car parking facilities are restricted due to the building work. We noticed that a car was blocking one of the fire exits from the building to the car park: the car was removed during the morning. Weston Park Care Home DS0000068323.V370128.R01.S.doc Version 5.2 Page 17 We visited the lounge on Mulberry unit. Because of the new building, the windows of the lounge look out on to a large brick wall that is a few feet from the existing building. It obstructs all of the windows on this side of the building. This means that the light in the lounge is now restricted and that people living in the home have little or no view. This gives an institutionalised feel and is not conducive to a homely environment. The existing fire exit in this lounge was chained up and not accessible. A new fire exit door had been installed in the end wall of the lounge but a wooden plank was placed outside, as the exit was not yet in use. The ground leading from this exit was not accessible. The fire exit in the lounge of Silk unit had also been taken out of commission. Staff did not know whether the fire risk assessment had been updated since this change. We contacted the fire safety officer who visited the building. He told us he was satisfied there were enough fire exits to ensure people would not be at risk in the case of fire. However he advised that staff do a new fire risk assessment to make sure that all staff know what to do in the event of a fire. People living in Weaver unit told us that they were not consulted about the building works and the impact it would have on their living conditions. The view from the lounge/dining room is of a sloping roof very close to the windows. One person told us that it was an ‘eyesore’, another person said it was ‘disgusting’. One relative described it as ‘a total disregard for the people living in the home’. Some of the bedrooms in Weaver and Mulberry unit now look directly out onto the new building where previously people had had a view of trees and other greenery. We were told one person had changed her room because of this. People living in Weaver unit expressed concern about the lack of garden space as the new extension is built on the area they previously used to sit out. One person said ‘I used to enjoy the beautiful garden, now there is nowhere to go’. The manager told us that the area beside the building and to the rear of the home will be landscaped providing a garden for the people living there. Storage on Weaver unit is a problem. We noticed that one person’s clothes/personal belongings were stored in a bathroom. The bathroom was locked to ensure no one else could access them. Staff told us that the bathroom is not used. Members of staff moved these to a more appropriate area during the inspection. Some of the sheets on made beds on Weaver unit were dirty and required changing. We saw one relative ask a member of staff to clean down the side of a chair, as it was dirty. The carpets in some of the bedrooms had a bad odour and required cleaning. Weston Park Care Home DS0000068323.V370128.R01.S.doc Version 5.2 Page 18 Most of the people we spoke with said they were happy with the laundry. One person said that at times other people’s clothes are put in her wardrobe even though the clothes are labelled. They felt more care should be taken to ensure that everyone gets their own clothes back from the laundry. Weston Park Care Home DS0000068323.V370128.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to the service. There are enough suitably qualified competent staff working in the home to meet people’s needs. Good recruitment procedures mean people living in the home can be confident that staff are suitable to work in Weston Park Care Home. EVIDENCE: On the day of our visit, enough staff were working on all of the units to meet the needs of the people living in the home. Agency staff are used to cover any unauthorised absences. People living in the home said that staff were good and looked after them well. Staff were seen moving people appropriately and carrying out their work in a professional way. Four members of staff spoke with us during the visit. All of them knew the people they were caring for well and showed an insight into their individual needs. Most staff were seen to interact with people living in the home in a positive way and appeared to have a good relationship with them. One member of staff did not appear to engage people in conversation unless someone asked a direct question. The manager told us they had already identified this issue and were taking action. Weston Park Care Home DS0000068323.V370128.R01.S.doc Version 5.2 Page 20 One person said they thought there are fewer staff working during the weekends. We checked the duty rotas. We found that the same number of staff on duty throughout the week, including the weekends. The deputy manager told us that they have increased the number of staff working on Weaver in a morning because of the increased numbers of people accommodated there. This is to make sure that people’s needs can be met. Members of staff told us the felt supported by the manager and that they had regular supervision. They said they enjoyed working in the home and had been provided with plenty of training. Twenty members of staff have attended training on the care of people with dementia. The deputy manager said an additional training day has been organised for those staff unable to attend the original one. The manager told us she keeps a record of all staff training so that any gaps can be identified. Recruitment records were looked at on when we did our thematic inspection in April 2008. All of the necessary checks had been done to ensure the person was suitable to work in a care home. Weston Park Care Home DS0000068323.V370128.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 People who use this service experience good outcomes in this area. We have made this judgement using available evidence including a visit to the service. Weston Park Care Home is well managed and well run so that people living there can be confident that the home is run in their best interests. EVIDENCE: The management of the home has changed since the last major inspection. The new manager is a registered general nurse (RGN) and has previous experience managing a care home. She is supported by a deputy manager who is also a RGN and is supernumerary. A new unit manager has been appointed to Mulberry Unit recently. She is a registered mental nurse (RMN) so is experienced in caring for people with mental health needs. An additional RMN has been appointed to work during Weston Park Care Home DS0000068323.V370128.R01.S.doc Version 5.2 Page 22 the day to ensure that the most appropriate care is provided to people living on Mulberry Unit. People living in the home were positive about the manager and felt her approach was open and inclusive. One person said she now enjoys coming to work since the new manager was appointed. There is a good quality assurance system in place. Regular audits are carried out. The operations manager from the company visits the home weekly to carry out checks and monitor the care provided. The manager told us that satisfaction surveys had been sent to several of the people living in the home and their relatives. Staff at head office are collating the results of the survey. People living in the home and their relatives told us they were not consulted over changes to the building. The new manager came into post part way through the construction so did not know what the consultation process was. There is a system to manage residents’ money in the home. This is held on computer and records of each transaction are kept. These were found to be satisfactory. The manager told us that all essential equipment is maintained regularly. A sample of records was seen and these were satisfactory. We found some problems with health and safety because of the building work that is taking place. Up to date environmental risk assessments were not available during the site visit. The manager told us that a representative of Four Seasons Health Care had carried these assessments out but the manager did not know the outcome of the assessments. The manager told us she would obtain all the paperwork from head office as soon as possible so that any risks to people living in the home could be identified and action taken to minimise those risks. Weston Park Care Home DS0000068323.V370128.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 2 X 2 X X 2 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Weston Park Care Home DS0000068323.V370128.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action 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 OP9 Good Practice Recommendations Staff should make sure that they sign the medicine record sheet after giving people their medicines. If a person does not have their medicines the reason for this should be documented. This is to make sure that people are given their medicines as prescribed. Staff should make sure that people living in the home are kept active and stimulated. The temperature of the hot meals served should be monitored to ensure that they are not served cold to people living in the home. The way meals are provided to residents should be reviewed to make sure that everyone’s dinner is served at an acceptable temperature. A member of staff should be available during lunchtime to assist people who may need help. 2 3 OP12 OP15 4 OP27 Weston Park Care Home DS0000068323.V370128.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North West Region Unit 1, Level 3 Tustin Court Port Way Preston PR2 2YQ 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. 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