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Inspection on 20/07/06 for The Westcliff Residential Care Home

Also see our care home review for The Westcliff Residential Care Home for more information

This inspection was carried out on 20th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home offers a warm, friendly, and relaxed environment in which service users can be cared for. Staff are helpful and supportive, and assist residents in maintaining their independence and are respectful of their privacy. They are well trained and competent. Accommodation is comfortable and to a good standard. The home is well adapted to meet the needs of the more independent and physically dependent service users, and provides a variety of communal areas for their use. The home is very popular with residents and their relatives, with very positive feedback arising from the consultations carried out by the Commission during the inspection. Residents felt that their needs were well met, and they felt safe and secure, and were confident that any concerns they might have would be addressed by the management. A typical comment from a relative was "We both feel that the staff at Westcliff are wonderful and we can`t thank them enough for the care and kindness they give."

What has improved since the last inspection?

The home has made some adaptations to the accommodation following the decision of the owners to offer care to up to 10 people with dementia. This has concentrated on adapting the East wing of the building as a focus for caring for these service users, around a central sitting/dining room. The garden area outside of the East wing has been adapted to provide a secure area for residents to use, free of any obvious hazards, and allowing easy access from the main entrance.

What the care home could do better:

Whilst the standard of care for the current residents is very good, the admission of people with dementia has not been accompanied by a suitable change in care practice to meet their more specific needs. The proposed dining/sitting room has not been followed through, and there is consequently no physical focus for caring for these residents in the home. The environment has further potential for adaptation that would improve care practice, and this needs the urgent attention of the owners. Additionally, service users with dementia have not been properly assessed prior to admission, and no care plans or risk assessments are in place. Consequently there is no therapeutic structure for their care, which is currently being delivered on an ad hoc basis. Staffing levels need to be reviewed to ensure that best care can be provided, and staff should be free to focus on residents rather than household tasks. The home`s recruitment procedures are over-reliant on third parties to assess new staff recruited from abroad and the essential checks required by law are not being carried out in a timely fashion. Care is needed to ensure that other essential records are accurate. The registered person is not carrying out the monthly visits required under legislation, to ensure that the Directors are satisfied that the home is being properly managed. Likewise, the reports that should arise from these visits, and be copied to the Commission are not being completed.

CARE HOMES FOR OLDER PEOPLE The Westcliff Residential Care Home The Westcliff Residential Home 51 Leopold Road Felixstowe Suffolk IP11 7NR Lead Inspector Mike Usher Key Unannounced Inspection 20th July 2006 10:45 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 The Westcliff Residential Care Home DS0000052323.V302182.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. The Westcliff Residential Care Home DS0000052323.V302182.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Westcliff Residential Care Home Address The Westcliff Residential Home 51 Leopold Road Felixstowe Suffolk IP11 7NR 01394 285910 01394 271154 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) Hazelwood Care Limited Mrs Margaret Jean Crowley Care Home 33 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (33) of places The Westcliff Residential Care Home DS0000052323.V302182.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th November 2005 Brief Description of the Service: The Westcliff is registered as a care home for older people. The Home comprises two Victorian houses, situated on parallel roads in the town of Felixstowe and close to the seafront. The town facilities are close by and include various shops, a library, post office and Doctors surgery. Initially the two houses were linked by a single storey extension, however an extension linking both houses at first floor level was completed in September 2001. The second floor is reached by shaft lift on the West wing and by stair lift on the East wing. There is a small patio area leading from the dining room, but no garden area as such. There is limited parking at both ends of the property. The Home was first registered in 1972. Mrs Crowley became Manager in June 2001 and Hazelwood Care Limited purchased the home in October 2003. Mr Singh is the Responsible Individual acting on behalf of the company. The Home is registered for 33 older people with 29 single bedrooms and two shared rooms. In June 2006 the home registered to care for up to 10 older people with dementia, and is developing its service to meet their needs. The range of fees charged by the home is £450 - £500 per week. The Westcliff Residential Care Home DS0000052323.V302182.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was the first Key Inspection of the service following the recent developments in the regulation of care services. It focused on the key National Minimum Standards identified by the Commission, previous requirements and recommendations, and the management of the home, particularly with reference to caring for people with dementia. The inspection used observation, discussion with the manager, staff, and service users, and examination of records and other documentation to evaluate the current standard of service provided. A detailed questionnaire was completed by the manager as part of the background to the inspection. In addition, a number of survey forms were distributed to service users and their relatives, and the results have been included in the various sections of this report. Although the inspection was unannounced, the manager, Mrs Crowley, was able to assist throughout the visit. Whilst the home has in the past achieved a very high standard of care, recent changes – to enable the home to care for people with dementia – have not been properly instituted. This has resulted in a number of shortfalls within the home that are in marked contrast to previous inspection findings. What the service does well: The home offers a warm, friendly, and relaxed environment in which service users can be cared for. Staff are helpful and supportive, and assist residents in maintaining their independence and are respectful of their privacy. They are well trained and competent. Accommodation is comfortable and to a good standard. The home is well adapted to meet the needs of the more independent and physically dependent service users, and provides a variety of communal areas for their use. The home is very popular with residents and their relatives, with very positive feedback arising from the consultations carried out by the Commission during the inspection. Residents felt that their needs were well met, and they felt safe and secure, and were confident that any concerns they might have would be addressed by the management. A typical comment from a relative was “We both feel that the staff at Westcliff are wonderful and we can’t thank them enough for the care and kindness they give.” The Westcliff Residential Care Home DS0000052323.V302182.R01.S.doc Version 5.2 Page 6 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 Westcliff Residential Care Home DS0000052323.V302182.R01.S.doc Version 5.2 Page 7 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 The Westcliff Residential Care Home DS0000052323.V302182.R01.S.doc Version 5.2 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,5 Quality in this outcome area is poor. Although previously good, there is little evidence that recently admitted service users with dementia have been adequately assessed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the variation to the registration of the home to care for people with dementia, two residents have been admitted with that diagnosis. In both cases there had been no formal assessment undertaken by the home. In one case, Mrs Crowley described an informal process being undertaken during the resident’s trial period. In the other case, a home visit had been undertaken prior to admission. In neither case were formal assessments carried out, and no records were available. In other respects the home has a suitable assessment process, with a new format being introduced, which will cover essential information, social and health needs. These will need to be completed and in place prior to admission, for them to be effective. The Westcliff Residential Care Home DS0000052323.V302182.R01.S.doc Version 5.2 Page 9 The home has produced a new Statement of Purpose, and Service User Guide, to reflect the intention of the home to offer care for people with dementia. These documents had been supplied to the Commission as part of the registration process. In discussion with service users, it was confirmed that they had had the opportunity to visit the home prior to their admission. Most had found this helpful in making a final decision about their future. The Westcliff Residential Care Home DS0000052323.V302182.R01.S.doc Version 5.2 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is poor. There is a lack of adequate care plans for service users with dementia, though health care needs are well catered for, and medication arrangements were satisfactory. The recent shortcomings have reduced the quality outcome overall. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans contain risk assessments (including moving and handling), and a good range of objectives. They are regularly reviewed, and the plan is dated and signed, including by the resident where possible. Documents include a record of weight, nutritional needs and preferences, and receipt for bedroom keys. A new format has been produced recently. Whilst this covers all essential areas, care will need to be taken to ensure that it properly reflects the individual needs and preferences of residents. Whilst longer-standing residents had suitable care plans in place, the two most recent admissions (both persons with dementia) did not have any formal plan of care. Consequently, no risk assessments had been undertaken, and there was no formal guidance for staff. Neither resident has yet been assigned a key The Westcliff Residential Care Home DS0000052323.V302182.R01.S.doc Version 5.2 Page 11 worker. Observation during the day confirmed that there was no pro-active care being provided to these two residents. The healthcare needs of service users were being met adequately. Health professionals are involved when requested or required, confirmed by care records, and discussion with staff and residents. Although there are a number of residents who are independent and value their privacy, the staff maintain a discrete monitoring of their health and action is taken if required. One example of this approach was one resident who had lost a considerable amount of weight since their admission. Care records showed that this had been monitored, and the GP had been informed and had visited to reassess the resident’s needs. A number of residents were spoken with during the inspection, mostly in their own rooms. There was strong agreement among them that their privacy was well respected by staff, and that this was an important aspect of the home‘s ethos. Whilst many residents spent most of their time in the communal lounges, several preferred their own rooms, and felt that they were well supported by staff and management in making these choices. The only concern expressed was regarding a resident being disturbed at night by another resident wandering into their room – further indication that the care of people with dementia is not being adequately managed. Observation of care provided during the day found that the staff treated residents in a polite and respectful manner, and were friendly and helpful. Where assistance was given this was unrushed, with carers advising and instructing residents appropriately (for instance when assisting with equipment), and remaining patient and focused. The arrangement for the storage and administration of medication were examined and found to be satisfactory. A secure medicines trolley is used, containing a monitored dosage system, with proper and accurate records being maintained. Controlled drugs are also properly stored and administered. The Westcliff Residential Care Home DS0000052323.V302182.R01.S.doc Version 5.2 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is adequate. Whilst there is not yet any constructive care for service users with dementia, in contrast other residents are well catered for. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users and relatives consulted during the inspection were very pleased with the way the home was run. Routines were described as flexible and supportive of individual preferences. Various activities and entertainments were provided on a regular basis. On the morning of the inspection a number of residents were attending a Communion service in the main lounge. Residents of other denominations confirmed that their needs were also met in this respect, separately. Family and friends of residents visit frequently, and it was confirmed that they are able to visit freely, and always made to feel welcome. Residents are able to receive visitors in their rooms, and also in one of the smaller lounges if available. The staff provide a helpful and supportive environment for residents, who greatly appreciated their kindness and help. Care is delivered in a sensitive The Westcliff Residential Care Home DS0000052323.V302182.R01.S.doc Version 5.2 Page 13 and patient manner, that avoids being patronising, and enables residents to maintain their independence and autonomy. Whilst staff are clearly very busy, residents still felt that they had time to stop and chat, and to assist in an appropriate and unhurried manner. This style of care requires further development to ensure that it effectively provides for residents with dementia. This approach, known as ‘person-centred’ care, is essential to ensure that a pro-active approach is taken to care, to maximise the independence and choice for people with dementia, and to provide a therapeutic environment in which to deliver the best possible quality of life. In other respects the care provided continues to achieve a high standard. Residents agreed that the food provided was very good, praising the quality and quantity, and confirmed that there was always a good choice of main course, and that special diets (such as diabetics) are well catered for. The Westcliff Residential Care Home DS0000052323.V302182.R01.S.doc Version 5.2 Page 14 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is adequate. Service users are safeguarded and feel safe and secure. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a suitable complaint procedure that is displayed prominently within the home. There have been no significant complaints received in the period from the last inspection. Service users consulted during the inspection said that they felt safe and secure living in the home, and were confident that any concerns they did have would be acted upon. There was a clear confidence in the staff and management that helps create a relaxed and inclusive atmosphere. Staff have received appropriate training. The Westcliff Residential Care Home DS0000052323.V302182.R01.S.doc Version 5.2 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25,26 Quality in this outcome area is adequate. The home is comfortable and homely, and provides a well-adapted environment for service users. Further development of the provision with respect of people with dementia is needed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On the day of this unannounced inspection, the home was clean, tidy, and being well maintained – although the stair lift at the north end was out of order, and had been for some days. The standard of furniture and furnishings is good throughout, with very little wear and tear. There was no odour, and standards of hygiene throughout the home were good. To this end, a new washing machine has been installed with a proper sluice cycle for soiled laundry. The home has carried out some adaptations to the environment in preparation for providing care to people with dementia. The entrance to the laundry has been moved away from the area planned to be the focus of care at the East The Westcliff Residential Care Home DS0000052323.V302182.R01.S.doc Version 5.2 Page 16 end of the home. Here, it was intended to provide a separate sitting/dining room, but this work has not been undertaken, and the room was largely unused during the day of the inspection. A secure garden area has been created outside which will allow residents to move freely and safely inside and outside the home. The front door at this end of the home is to be connected to the call system to alert staff to residents opening it, so that it does not need to be locked from the inside. Further development of this part of the home is needed if it is to provide a focused area of care for service users with dementia. During the inspection, these residents spent most of their time at the other end of the building, with no evidence of any structured care being provided to them, and it was evident that other residents were being disturbed as a result. There are a number of notice boards throughout the home and these display a variety of relevant information including menus, complaints procedure, and minutes of the latest Residents’ Meeting. Bedrooms are comfortable and have been nicely personalised by residents. Those spoken with during the inspection expressed satisfaction with their personal space, being able to bring in their own items of furniture, pictures, ornaments etc. All have been provided with their own key to enable them to lock their door, and confirmed that staff were respectful of their privacy. There are sufficient bathrooms and WC’s throughout the home, and these were all clean and tidy, with suitable equipment and adaptations to assist residents. The Westcliff Residential Care Home DS0000052323.V302182.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is adequate. Staffing levels need to be reviewed to ensure adequate care is provided to all residents. Staff recruitment procedures require improving, but induction and training provision is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On the morning of the inspection there were 5 Carers on duty, supported by the manager, 2 Domestics, Cook and Kitchen Assistant, caring for 32 service users. This was the planned staffing level and was in accordance with the staff rota that is displayed on the wall of the manager’s office. In the afternoon there are 4 carers, and 2 waking staff at night. This staffing level was previously adequate, but will require revision, given the need to provide person-centred care to up to 10 people with dementia. This care is not currently being provided to the 2 residents with dementia. The ability of staff to focus on providing care is further hampered by their duties with regard to laundry, and at weekends, food preparation. It had been previously agreed that the home would employ a laundry worker, but this has not happened. The home is a large building – spread over 3 floors and stretching between 2 streets, and so does not contribute to an easy working environment. The Westcliff Residential Care Home DS0000052323.V302182.R01.S.doc Version 5.2 Page 18 In common with many other care services, the home is currently relying on recruiting carers from abroad, in this case, Eastern Europe. A specialist agency is contracted to identify and recruit suitable staff, and ensure that all the necessary documentation is completed. Mrs Crowley confirmed that part of this process involves an assessment of the candidate’s English, and that she does not accept staff with insufficient skills in that area. This has led to her having to refuse to employ some staff. Residents spoken with during the inspection confirmed that there were no issues with any carers’ communication skills. Whilst the home has taken care to recruit suitable staff from abroad, it is the view of the Commission that there is an over-reliance on the contracted agency. Staff do not fill out an application form, and do not sign a declaration regarding offences. The staff are offered posts prior to their arrival, and no interview takes place with the manager. Criminal Records Bureau (CRB) checks on staff are also carried out via a (different) specialist agent. In this case, although suitable CRB and POVAfirst checks are undertaken, documentary evidence indicates that staff are commencing employment prior to receiving the POVAfirst result, which is contrary to regulations designed to protect vulnerable adults. Once employed, staff undertake a suitable Induction course run by the local Social Care Services, in addition to the in-house induction, both of which are properly documented. Following this staff undertake essential training in Fire Safety, and Moving and Handling. Further training is provided from time-totime, and recent training undertaken by staff includes Abuse Awareness, Unisafe, Value Base of Care, and Worker Development. Other training planned for staff in the near future includes Food Handling and Hygiene, and refresher training in Moving and Handling. A number of carers have already completed a short introductory ‘Understanding People with Dementia’ course, and a further two-day course ‘Dementia Care Awareness’ is planned for all staff during August. This training will be delivered by the manager of another home in the group, which specialises in caring for people with dementia. Such specialist training will need to be part of the essential training for all care staff in the future. Service users spoken with during the inspection were happy with the standard of care provided by staff. They felt that they were competent and well-trained, and one gave an example by which staff were able to assist them with their special feeding requirements. Staff on duty during the day were observed to approach residents in a friendly and relaxed manner, with much goodhumoured banter evident. The Westcliff Residential Care Home DS0000052323.V302182.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,37,38 Quality in this outcome area is adequate. The home’s operation is basically sound, but there have been significant management failings in recent months. This has reduced the quality outcome overall. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a relaxed and homely atmosphere, and the manager is in daily contact with service users. This allows her to build up good relations with them, and enables her to address problems arising in a timely fashion. Regular meetings are held with residents, and the minutes displayed on notice boards. The most recent meeting was attended by 22 residents, and covered topics such as heating, menus, and smoking. Feedback from residents and relatives confirmed that they were happy with the way in which the home was run, and felt that it catered for their needs and preferences very well. The Westcliff Residential Care Home DS0000052323.V302182.R01.S.doc Version 5.2 Page 20 Mrs Crowley has managed the home for 5 years and is an experienced and qualified manager. More recently she has undertaken training in Dementia Care Mapping, and other awareness training to assist with the management of care for people with dementia. This now needs to be put into action with the new residents admitted, to ensure that the home continues to operate in the best interests of all residents. Most records checked during the inspection were in good order, one exception being the monthly visiting reports to be undertaken by senior managers in the Company. There have been no reports in recent months and Mrs Crowley was unable to confirm that these visits, which are a statutory requirement, were taking place. A sample of 3 financial records relating to residents’ money handled on their behalf were examined. Two of these were reconciled with the amount in hand, but one did not match. Mrs Crowley was able to explain the reason for this, but care must be taken to ensure that records are accurate at all times. The health and safety aspects of the home’s operation are being appropriately maintained. The broken stair lift is awaiting the arrival of a spare part, but otherwise the equipment used in the home is being well maintained. An alarm has been fitted to the front door to alert staff should a resident leave the home without their knowledge. Essential training in fire safety, moving and handling, first aid, and food hygiene are undertaken by staff. The completion of risk assessments for new residents, and proper observance of recruitment procedures will enhance this aspect of safety. The Westcliff Residential Care Home DS0000052323.V302182.R01.S.doc Version 5.2 Page 21 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 3 X 1 X 3 X HEALTH AND PERSONAL CARE Standard No Score 7 1 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 3 3 3 3 3 3 3 STAFFING Standard No Score 27 2 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 2 1 X 2 X 2 2 The Westcliff Residential Care Home DS0000052323.V302182.R01.S.doc Version 5.2 Page 22 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 OP3 OP38 OP31 OP37 Regulation 14, 9 Requirement A full assessment of all service users’ needs must be made prior to their admission, or immediately upon admission, including appropriate risk assessments. All service users must have a formal plan of care upon admission, that ensures that their needs and preferences will be catered for. Suitable activities must be provided for service users with dementia. The layout of the home must be suitable for the delivery of best practice for service users with dementia. Staffing levels must be reviewed to allow for the proper care of people with dementia, and allow carers to focus on providing that care. All new staff must be in receipt of a suitable POVAfirst check prior to their employment in the home. The registered person must ensure that monthly visits by a DS0000052323.V302182.R01.S.doc Timescale for action 20/07/06 2 OP7 OP31 OP32 OP37 OP12 OP31 OP32 OP19 15, 9 20/07/06 3 4 12, 9 23 20/07/06 20/08/06 5 OP27 18 20/07/06 6 OP29 OP38 19 20/07/06 7 OP33 26 20/07/06 The Westcliff Residential Care Home Version 5.2 Page 23 8 OP35 OP37 17(2) Schedule 4 (9) suitable employee of the company are undertaken, and a report produced that is shared with the Commission. Accurate records must be kept relating to service users money handled by the home. 20/07/06 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 OP29 Good Practice Recommendations The home should retain more control over the recruitment process to ensure that all staff recruited from abroad are interviewed by the manager prior to any offer of employment being confirmed. The Westcliff Residential Care Home DS0000052323.V302182.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 The Westcliff Residential Care Home DS0000052323.V302182.R01.S.doc Version 5.2 Page 25 - 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!