Inspection on 01/11/06 for 1 and 2 Westbury Way

This inspection was carried out on 1st November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

1 and 2 Westbury Way 15/08/07

1 and 2 Westbury Way 08/11/04

1 and 2 Westbury Way 07/06/04

1 and 2 Westbury Way 28/01/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 1/2 Westbury Way Aldershot Hampshire GU12 4HE Lead Inspector Pat Hibberd Unannounced Inspection 1st November 2006 10:00 1/2 Westbury Way DS0000012084.V313462.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 1/2 Westbury Way DS0000012084.V313462.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. 1/2 Westbury Way DS0000012084.V313462.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 1/2 Westbury Way Address Aldershot Hampshire GU12 4HE 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) 01252 311 852 01252 311 852 info@new-support.org.uk www.new-support.org.uk New Support Options Limited Mrs Mary S Whitford Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (1) of places 1/2 Westbury Way DS0000012084.V313462.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users only to be admitted between the age of 18 - 60 years. One named service user over the age of 65 to be accommodated. Date of last inspection 3rd January 2006 Brief Description of the Service: 2 Westbury Way is a care home providing personal care and accommodation in single bedrooms for up to six persons with a learning disability. New Support Options Ltd who are also responsible for similar services across the Southern Counties of England manage the service. The home is located in a residential area within a mile of Aldershot town centre. Local amenities are accessed with the home’s minibus.The purpose built home is comprised of two three-bedroom bungalows, which are linked by an office, and multi sensory room. Each bungalow also has a lounge, laundry, assisted bath, toilets, kitchen/diner and its own garden. Parking is available .On the 1st November 2006 the fees for the home were £1357.18 per week. 1/2 Westbury Way DS0000012084.V313462.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The visit to the Home was unannounced and took place over four hours. During the visit, records and documents were examined, an opportunity was taken to tour the premises and staff-working practice was observed. The inspector met with five of the six people living in the home. However, due to the complexity of their needs and limited verbal communication the manager and staff provided support to enable the inspector to gain a better understanding of how the needs of individuals were being met. No areas of improvement were identified during this inspection. The term “ people we support “ will be used throughout this report as agreed with the manager. What the service does well: What has improved since the last inspection? Fire doors seen to be wedged open during the last two inspections compromising the previously agreed fire safety arrangements have now been fitted with self-closing devices. The garden has also been tided up allowing people supported unrestricted access. 1/2 Westbury Way DS0000012084.V313462.R01.S.doc Version 5.2 Page 6 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. 1/2 Westbury Way DS0000012084.V313462.R01.S.doc Version 5.2 Page 7 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 1/2 Westbury Way DS0000012084.V313462.R01.S.doc Version 5.2 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home’s systems and procedures ensure the needs of prospective individuals are identified. EVIDENCE: There have been no admissions to the Home in the past three years. However, in discussion with the manager she indicated that should a vacancy occur in the Home prospective individual’s are admitted in accordance with a corporate admissions policy and procedure which includes a detailed assessment of need and risk by the manager alongside another member of senior staff, consultation with a number of external health care professional and people currently accommodated in the Home. The process would further include a visit to the home by the potential individual (overnight if possible) and a trial period of residence followed by a detailed review to ensure all assessed needs can be met by the Home. One file viewed indicated that an initial assessment of need and risk had been undertaken and was being reviewed on a regular basis in consultation with the person receiving support and their relative or representative. 1/2 Westbury Way DS0000012084.V313462.R01.S.doc Version 5.2 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. There is a clear and consistent care planning system in place that adequately provides staff with the information they need to satisfactorily meet the needs of people receiving support. The process enables staff to support individuals to make decisions about their lives within a risk management framework of care. EVIDENCE: Two files were viewed and one individual case tracked with a view to determining their needs were being met by the Home. Documentation was well presented, multi formatted (written and pictorial) readily accessible, with detailed care plans (which are reviewed regularly) based on multidisciplinary assessments of need and risk. The plans included an acknowledgement that people supported and/or their representatives had been consulted and participated in the production of the plan. Apart from day to day issues, all plans highlight areas of special need and any additional help required including very detailed instructions/guidance on how to communicate with individuals. This included a written/pictorial dictionary of noises, signs and behaviours 1/2 Westbury Way DS0000012084.V313462.R01.S.doc Version 5.2 Page 10 detailing their meanings in respect of needs and the moods/feelings, e.g. when I am feeling happy I will………..when I am agitated or upset I will….. Observations of staff supporting individuals were seen to be discreet and respectful throughout the visit. All care plans are currently under review to ensure they conform to a personal centred approach to the care planning process recently adopted following additional staff training. On the day of the visit the inspector met with a member of staff employed by the Organisation to work with the Home to develop individual Person Centred Planning Pathways. This has resulted in a list of goals for people supported and action to be taken to achieve those goals. Staff indicated that this was proving to be an effective piece of work identifying not only what could be undertaken to improve and develop an individuals life but a focus on what had been achieved. One example was an individual being supported to consider alternative options to a day service that he had attended for many years and was indicating through his behaviour that he may need alternative choices. The inspector met with a number of staff who indicated that they received good information as to the needs of people supported and received the relevant training to ensure they could meet the complexity of needs of individuals in the Home. One comment card received from a relative expressed much satisfaction with the care provided for their son. New Support Options, (the registered provider) as part of involving people supported in the decision making process about the Home organises service user conferences and enables individuals where able to serve on the board and take part in staff interviews . The Home has a regional evolution path setting out corporate goals for the future. This is used as a basis for setting goals for the Home that were seen to be displayed in the Home and being actioned and reflected in individuals’ care plans. The Home endeavours to consult individuals about all aspects of day-to-day living, e.g. menus, bedtime’s activities and the decorations of the building. Staff spoken to indicated that individuals are encouraged to take risks, however it was clear from records, observations and talking to people supported that the majority of them may have difficulty in totally understanding the concept of risk and consequently were unable to fully exercise unrestricted choice and make valid safe decisions. Where any restriction was placed on an individual following a risk assessment this was reflected in the care plan. 1/2 Westbury Way DS0000012084.V313462.R01.S.doc Version 5.2 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. People supported have opportunities to engage in suitable activities and are part of the local community, so promoting independence and choice. Contact with families is well supported, and nutritional needs of individuals are well managed. EVIDENCE: Care plans viewed held details of specific communication methods to be used for individuals by staff ensuring an understanding of personal signs and signals, e.g. food, wishes to go out, toilet etc. A number of other communication methods e.g. pictures, photographs as well as personal gestures are all used to ensure that people supported can make themselves understood and exercise choices. Communication although possible is still very difficult to anyone not familiar or known to the individual. The inspector spent time with staff and people supported in the Home observing interaction with a view to gaining an understanding of how choices are identified and goals identified in care plans are being achieved. 1/2 Westbury Way DS0000012084.V313462.R01.S.doc Version 5.2 Page 12 At the last inspection it was reported that the home has designated a member of staff as an activities coordinator. The manager advised that although the staff member has now left daily diaries are now completed to demonstrate that all people supported are given the opportunity to develop their skills and participate in a range of activities and social opportunities both in house and community based provided by the home, local day centres and individual one to one support programmes. There is now a member of staff regularly on duty supernumerary to the staff team enabling individuals to have one to one support. Staff indicated that this was working well. Activities currently available include, shopping, hydro therapy, cinema, trips out, walks cooking and time spent in the Home’s sensory room. All people supported choose their own holidays, and are assisted in their choices by the knowledge staff have about their histories and personal preferences. The inspector was advised that visits from family members were regular, and that relationships between staff and family often went back many years. Family members are invited to annual reviews, are kept fully aware of changing needs that was evidenced from one comment card received. In discussion with one staff member it was evident that this proved to be very beneficial particularly in gaining an understanding of an individuals history. Staff were observed to assist individuals with eating/feeding in a manner that in the view of the inspector demonstrated respect that acknowledged the individuals wishes and independence. A varied menu chosen by people supported in the Home acknowledged personal likes and dislikes and was available and displayed in a photographic/pictorial format. Records seen confirmed all people supported are subject to nutritional assessments and consultations with a qualified nutritionist 1/2 Westbury Way DS0000012084.V313462.R01.S.doc Version 5.2 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The personal, physical and health care needs of people supported are well met with the procedure for the receiving and administering of medication ensuring a safe system for individuals. EVIDENCE: 1/2 Westbury Way DS0000012084.V313462.R01.S.doc Version 5.2 Page 14 Care plans viewed ensured there was a range of guidance on how, where and when personal care should be given for all people supported. These details were all agreed after consultation with the individual People supported in the Home and who are able to independently access all parts of the home and gardens have all been assessed and if appropriate provided with personal mobility/living aids following consultation external health care specialists. For those who require assistance care plans viewed contained specific details for staff as to the assistance required. Currently special chairs, beds, baths, grab rails and hoists are available. Two individuals who need to spend time relaxing in bed for periods of time during the day due to their specific needs have a ripple mattress to prevent bed sores and for their comfort. People supported are free to choose their own doctor or source of other personal services such as dentists chiropodists, optician etc. Records seen confirmed individuals have access to a wide range of health care professionals including doctors, district nurses, speech and language therapists, psychiatrists, psychologists, disability community team, continence advisers, and a number of consultants for particular conditions. All drugs are securely stored and administered in accordance with an in house and corporate medication policy and procedure. Records of administration and disposal of unwanted drugs and medicines seen were complete and accurate. A pharmacist via a monitored dosage system dispenses all drugs administered in the home. No individual is self-medicating. Risk assessment and evidence to confirm consultations as who assumed responsibility for service users drugs and medication was seen. Records seen confirmed all staff administering drugs and medicines had received training. The dispensing pharmacist also visits the home to offer advice and ensure all medication is being handled safely and correctly. 1/2 Westbury Way DS0000012084.V313462.R01.S.doc Version 5.2 Page 15 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 at least once during a 12 month period. 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 the service. Arrangements for protecting people supported in the Home and responding to concerns is satisfactory. EVIDENCE: A written personalised pictorial/symbol complaints procedure that includes details on how to contact The Commission for Social Care Inspection (C.S.C.I). was available and forms part of the service users guide. However, the manager indicated that it was unlikely that people supported in the Home would have a concept of a complaint and, or how to independently make one. Relatives and representatives are therefore provided with a copy of the procedure and advocacy is available if a need should arise. The manager indicated that no complaints had been received since the last inspection. The home’s corporate adult protection policy and procedure that operates in tandem with the Hampshire County Council policy and procedure was available. Records to confirm all staff had received training in the procedures to follow should they suspect abuse has occurred were seen. Staff spoken with confirmed they were fully aware of the procedure to follow should they witness or suspect the abuse of any individual. There has been one adult protection investigation undertaken by Social Services since the last inspection. A discussion was held with the manager and staff as to what systems have been put in place to prevent such an incident occurring again. The systems were seen to be working satisfactorily and are being monitored and reviewed regularly by the manager. 1/2 Westbury Way DS0000012084.V313462.R01.S.doc Version 5.2 Page 16 Financial records were viewed for one individual with the system in place to be seen to be working satisfactorily. . 1/2 Westbury Way DS0000012084.V313462.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. A comfortable, safe and hygienic standard of accommodation is provided for individuals, which meet their needs. EVIDENCE: The inspector viewed all areas of the building that were seen to be well furnished, clean, fully decorated and homely meeting the needs of individuals who were able to access all parts of the building. The garden has undergone a renovation programme and is now accessible to all people supported in the Home with ramps installed at doorways to enable wheelchair access. A number of aids were available for individuals including, hoists, special chairs, beds, baths taps, and toilets. All appeared to have been regularly serviced with the manager indicating they were in good working order. Staff advised that they had received the appropriate training to safely use the aids and appliances. The building, which appeared safe and secure, was free from adverse odours. An infection control policy and procedure was in place. A washing machine 1/2 Westbury Way DS0000012084.V313462.R01.S.doc Version 5.2 Page 18 fitted with a high temperature programme and a sluicing mode was available as were hand towels and soap by all wash hand basins. Washbasins were seen to be at a height appropriate to individuals accommodated all of whom require a wheelchair to access areas of the Home. A recent visit undertaken by the Environmental Health Officer did not highlight any requirements. 1/2 Westbury Way DS0000012084.V313462.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home has procedures and systems in place that ensure staff are properly recruited and that there is always enough staff on duty. The training in place shows staff have the necessary skills and knowledge to meet the complex needs of individuals accommodated in the home. Regular supervision for staff ensures they are well supported. EVIDENCE: 1/2 Westbury Way DS0000012084.V313462.R01.S.doc Version 5.2 Page 20 Two staff files were viewed which indicated all staff are employed in accordance with a corporate recruitment and selection procedure. This involves the completion of an application form, the signing of a rehabilitation of offenders declaration, an interview, satisfactory Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) and reference checks followed by the satisfactory completion of an initial probationary period of employment. Where required files contained up to date work permits and written confirmation from the Home office that an individual had the required documentation to work in the UK. From discussions held with the manager and records seen it was evident that all new staff are involved in an initial corporate in house five-day induction programme followed by The Learning Disability Awareness Framework (L.D.A.F.) accredited training (induction and foundation) prior to being involved in a Nation Vocational Qualification (NVQ) training programme. Core training such as fire safety, food hygiene, first aid moving and handling etc is mandatory for all staff. All training needs are reviewed on a regular basis through supervision. Staff spoken to indicated that their training needs were well met and enabled them to meet the needs of people supported in the Home. A corporate training calendar is available to ensure that any additional identified training needs can be met. A pre inspection questionnaire received from the Home prior to the visit indicated that there are 741.30 staff hours allocated to meet the needs of individuals. However, 193 of those hours are on average covered by bank staff. In discussion with the manager and a number of staff it was evident that all staff working in the Home are regular staff, undertake the same induction and training programme regardless of whether they are bank staff or permanently employed staff members of the team. They all receive supervision and attend staff meetings. One bank staff member spoken to appeared to have a good knowledge of individuals needs and had undergone a range of training. The manager indicated that there is an ongoing recruitment programme in place. 1/2 Westbury Way DS0000012084.V313462.R01.S.doc Version 5.2 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. People supported benefit from a well organised Home and the quality assurance system ensures individuals and their families are able to contribute their views for the development of the home. The system for maintaining the health, safety and welfare of individuals and staff is satisfactory. EVIDENCE: 1/2 Westbury Way DS0000012084.V313462.R01.S.doc Version 5.2 Page 22 The manager Mary Whitford has managed the Home for a number of years. Mrs Whitford holds National Vocational Qualification Level 4 in care and indicated that she has almost completed the Registered Managers Award. Mrs Whitford has undergone a range of in house and corporate training. There are a number of quality assurance systems in place to monitor the quality of care provided which include daily record sheets of individuals activities and health and social wellbeing, resident meetings and monthly visits by a senior member of the organisation. Records viewed confirmed that the systems regularly seek the views of people supported or their representatives and that action has been taken to implement any changes required. For example the manager indicated that the work currently underway in terms of Person Centred Planning is contributing to the quality assurance systems in place. A corporate health and safety policy was in place as were records of weekly health and safety checks undertaken. These records confirmed all staff had received training in the techniques of moving and handling, first aid, health and safety, the procedures to follow in the event of fire (including evacuation) and accidents. All individuals supported have a fire risk assessment that is regularly monitored and reviewed. Staff spoken to were aware of the assessments and they would be put into practice in the event of a fire in the Home. All of the hot water supplies to baths were fitted with thermostatic controls set at 43 degrees centigrade an. All radiators and hot pipes were covered. The records of servicing equipment used within the home were available. Following the previous two inspections a requirement was made concerning practice of wedging open designated fire doors as this compromised the previously agreed fire safety arrangements within the home. This requirement has now been complied with. 1/2 Westbury Way DS0000012084.V313462.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 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 X 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X 1/2 Westbury Way DS0000012084.V313462.R01.S.doc Version 5.2 Page 24 NO Are there any outstanding requirements from the last inspection? 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. Refer to Standard Good Practice Recommendations 1/2 Westbury Way DS0000012084.V313462.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 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 1/2 Westbury Way DS0000012084.V313462.R01.S.doc Version 5.2 Page 26 - 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!