Inspection on 04/06/07 for West Villa Ltd

This inspection was carried out on 4th June 2007.

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

West Villa Ltd 21/12/06

West Villa Ltd 26/01/06

West Villa Ltd 27/06/05

West Villa Ltd 16/11/04

West Villa Ltd 26/08/04

West Villa Ltd 24/03/04

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Whiteley House

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Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE West Villa Ltd 73 Batley Road Wakefield West Yorks WF2 0AB Lead Inspector Gillian Walsh Key Unannounced Inspection 4 June 2007 09:50 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 West Villa Ltd DS0000006226.V333429.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. West Villa Ltd DS0000006226.V333429.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service West Villa Ltd Address 73 Batley Road Wakefield West Yorks WF2 0AB 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) 01924 377328 01924 291795 westvilla-home@hotmail.com Mr Jones Mrs Jones Mrs Judith Jones Care Home 32 Category(ies) of Dementia - over 65 years of age (32), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (32), Old age, not falling within any other category (32) West Villa Ltd DS0000006226.V333429.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. To provide care for one named person under 65 years with physical disabilities (PD) Two named persons under 65 years One named person under 65 years with a mental disorder. Date of last inspection 21st December 2006 Brief Description of the Service: West Villa is registered to provide personal care and accommodation for up to 32 older people who may also have mental health and dementia care needs. The home is set back in its own grounds in Alverthorpe on the outskirts of Wakefield. It is on a main bus route and close to local amenities. There is a large walled garden with well established trees and shrubs. There are three large lounges, one of which is separated into lounge and dining areas, a separate dining room and a conservatory which overlooks the garden. All bedrooms are single occupancy with 22 having an en suite facility. There are communal toilets and bathrooms within close proximity to communal areas and bedrooms. The manager informed the Commission for Social Care Inspection in April 2007 that the current scale of charges at the home is £359 - £370 per week. Information about the home is made available through the home’s Statement of Purpose and Service User Guide, both of which are available, on request, from the home. A copy of the Service User Guide is given to people on their admission to the home. West Villa Ltd DS0000006226.V333429.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. As part of this full inspection, one inspector from the Commission for Social Care inspection (CSCI) undertook an unannounced visit to the home. The visit started at 9.45 am and finished at 4.30 pm on 4 June 2007. The inspector’s time was spent speaking with people who live at the home, staff and visiting relatives, reviewing documentation and looking round the home. Alongside this, the service provider was asked to provide information about the service, which was returned prior to the visit. Surveys to gain the views of those involved in the service were sent to people who live at the home, their relatives, visiting professionals and GPs. 10 residents’ surveys were sent out with 10 received back. Responses were positive although few specific comments were made. One person said that they would like things to be a bit “more lively” and another simply said “I’m happy here”. Relatives’ surveys returned were generally very positive and included comments such as “The care home has a very relaxed and friendly atmosphere and a warm welcome always”, and “My Mother seems happy enough so they must be getting it right”. Suggestions for improvement from a couple of relatives were for more activities to be provided and one person felt that housekeeping could be improved. Of the 5 General Practitioner surveys sent, 2 were returned, no comments were made but both indicated satisfaction with the service. Of the 3 social worker surveys sent, 1 was returned, again no comments were made but no problems were raised. Information and evidence was not only obtained by visiting the home but also from notifications and information obtained by CSCI and from considering developments since the last CSCI inspection report. In assessing the service CSCI looked at some people’s paperwork in detail (case tracking), reviewed documentation, sought feedback from people who live at the home and their families, staff, the home’s manager and professional people who are involved in the care of people who live at the home, and undertook relevant observations and discussions appropriate to needs of the service users, taking into account their needs and communication abilities. West Villa Ltd DS0000006226.V333429.R01.S.doc Version 5.2 Page 6 The inspector would like to thank everybody involved for their time and assistance during this inspection. What the service does well: What has improved since the last inspection? Care planning systems are continuing to be developed to ensure that people’s needs are identified and staff are informed on how these needs should be met, taking into account the individuals’ choices and preferences. Issues relating to moving and handling have been improved since the last inspection by completion of good assessments and further staff training to ensure safety for people. There have also been improvements to ensure safety in relation to systems for storage and handling of medication within the home. Better cleaning routines and some redecoration and refurbishment have improved the environment for people living at the home. The home’s manager has developed systems to audit quality within the home, to ensure the quality of care to people living in the home. These systems are being maintained through observation and supervision of staff to ensure they are working in line with the training they have received and through weekly auditing to check documentation is being kept up to date. West Villa Ltd DS0000006226.V333429.R01.S.doc Version 5.2 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. West Villa Ltd DS0000006226.V333429.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 West Villa Ltd DS0000006226.V333429.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. Standard 6 is not applicable, as the home does not provide intermediate care. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People do not move into the home without being given confirmation, following assessment that their needs will be met. EVIDENCE: The manager said that all people who wish to move into the home are assessed prior to being offered a place, either by the manager or one of the two senior staff, to ensure that the home is appropriate to their needs. A sample of five care plan files examined during the visit to the home all contained copies of assessments completed by staff from the home prior to the person being offered a place. Assessments completed by social workers or West Villa Ltd DS0000006226.V333429.R01.S.doc Version 5.2 Page 10 other involved professionals are also obtained to help staff at the home understand the needs of the individual concerned and are included in the care plan file. People indicate in surveys returned to the Commission that good information about the home is available to them before a decision is made for a person to move in. The manager said Intermediate Care is not provided. West Villa Ltd DS0000006226.V333429.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 and 10. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Although care plans are in need of some further development, people who live at the home receive the care they need, delivered with sensitivity, to ensure that their health, personal and social care needs are met. EVIDENCE: During the visit, a sample of five care plan files were examined in order to assess how staff develop and work to care plans, use assessment tools and support people in meeting their identified needs. Since the last inspection, a lot of work has gone into streamlining the way in which care planning documentation is both developed and held within the home. Two files are now kept for each individual; one holds documentation such as the admission details, service user agreement forms and previous assessments, care plans and daily notes, and the second file contains all of the West Villa Ltd DS0000006226.V333429.R01.S.doc Version 5.2 Page 12 current care plans, assessments etc needed to advise staff on a daily basis of individuals’ needs. Generally, all of the care plans seen gave staff the information they would need, taking into account the individuals’ personal preferences, to support people to meet their needs. Some areas of individual needs had not, however, been included in the care plan. In one instance, a care plan had not been developed to inform staff how to meet the individual’s continence needs, and in others care plans had not been developed in relation to people’s mental health needs. Observations during the visit, feedback from people living at the home and their relatives, and daily records indicated that staff are meeting these needs despite the, sometimes, lack of detail in the care plan. Discussion took place with the manager and senior care staff about how care plans could be developed to include more detail to ensure that all staff are fully aware of how people need and choose to be supported. Although it had not been documented in the files seen that people living at the home, or where appropriate, their relatives were involved in the care planning process, one relative said in a survey “I read reports about my Mother’s needs and I can see evidence that these needs are met”. All of the people who had completed and returned surveys to the Commission indicated their satisfaction with the way in which staff ensure that people’s health care needs are met. One relative said, “Staff are very prompt to seek medical attention and to keep family informed”. The district nurse who was in the home during the visit said that she was very satisfied with the way in which staff at the home refer health problems appropriately and then work with the nurse to develop a care plan to ensure that the treatment being given by the nurse is supported by care staff at the home. This very positive system is known as a shared care plan approach and staff at the home record the care they have given within the shared care plan on a daily basis in a column included in the daily record sheets. In relation to the care they are receiving, one person who has lived at the home for only a short time said, “I’m looked after to the nth degree”. All of the people spoken with said that they were very happy with the way in which staff support them and never felt that their privacy or dignity was compromised. Several people commented within surveys about the kindness and efficiency of the staff, one person living at the home wrote, “Staff are very helpful and kind”. Two relatives mentioned in surveys that people’s clothing was not always clean and they felt that staff could be a little more attentive to detail when assisting people with their personal grooming. This was discussed with the manager during the visit, who said that she would monitor this and remind staff of people’s needs to feel clean and smart. West Villa Ltd DS0000006226.V333429.R01.S.doc Version 5.2 Page 13 Systems for dealing with medications within the home were examined. Since the last inspection where some problems were identified in this area, new processes have been put in place to promote efficiency and safety. This includes a daily count of medications, which are delivered to the home in boxes rather than in the usual blister packs. Whilst a couple of errors in the system were identified during the visit, due to the new systems, these could be easily explained and did not present any safety issue to people living at the home. Following observation of the administration of medication, discussion took place with the manager about the need to remind staff administering the medication to make sure that people had actually taken their medication before this was signed for. One relative mentioned in a survey that they had found tablets in their relative’s hand. The manager spoke with staff on duty about this during the visit and is to discuss this with other staff later. One of the people living at the home has chosen to self medicate. In order to ensure safety, a full risk assessment relating to this had been completed and was seen within their care plan file. West Villa Ltd DS0000006226.V333429.R01.S.doc Version 5.2 Page 14 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 and 15. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The majority of people are happy with the choices they are offered and the services made available to them in relation to their lifestyles, although this could be improved with the provision of more activities. EVIDENCE: One of the senior care staff has time set aside each week to dedicate to engaging people who live at the home in leisure activities such as playing games, crafts, quizzes and reminiscence. The majority of surveys returned to the Commission indicated that people who live at the home are happy with the activities offered. One person said that they would “like it to be a bit more lively” and would like more activities and a relative said that they thought there could be more activities. Another relative said that, although there is a programme of activities in place, they have only seen people being engaged in activities on about twelve out of about a hundred occasions that they have visited. During the visit, a number of people said that they enjoyed spending their time just watching television, others were seen enjoying games such as dominoes and hoopla. West Villa Ltd DS0000006226.V333429.R01.S.doc Version 5.2 Page 15 Regular religious services are held in the home but the manager said that arrangements could be made for anybody who would wish to go to a religious service outside of the home. All of the relatives who replied to the Commission’s surveys said that they were welcomed when they went to visit their relative. One person said “when you go and visit, it actually feels like going to Mum’s own home” and another commented “visits are welcomed any time and before my Mother’s health deteriorated I could always speak to her on the phone”. All of the care plans seen gave details of individuals’ personal preferences and choices within their lifestyles and all of the people spoken with, who were able to comment, said that they were able to make choices about, for example, how they spent their time, what times they got up and went to bed and what they would like to eat and drink. All of this helps to promote individuality and helps people to feel that they have control over their lives. For one person this is further promoted as, following risk assessments and taking into consideration their abilities, they often go out locally unaccompanied. Everybody spoken with during the visit, who were able to comment, and all of the people who live at the home who returned surveys to the Commission, said that they very much enjoyed the food provided. The inspector accepted an invitation to take lunch with the people who live at the home. A choice of corned beef pie with fresh vegetables or tomato pasta was available. The meal was nicely presented, nutritious and very tasty and appeared to be enjoyed by everybody. West Villa Ltd DS0000006226.V333429.R01.S.doc Version 5.2 Page 16 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 and 18. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People have confidence that staff at the home follow procedures to deal with complaints correctly and to protect people in their care from abuse. EVIDENCE: Since the last inspection, the home has received three complaints. Documentation was seen to show that each of these complaints was dealt with appropriately and to the satisfaction of the complainant. One relative spoken with during the visit said that there is always somebody available to discuss any issues that may arise. Another relative said in a survey “Judith is available to talk to at anytime and if anyone has a complaint & wishes to take it further there is all the relevant information for this on a notice board”. All of the people living at the home who were spoken with during the visit, and who were able to express an opinion, said that they knew who to speak to if they had a problem. Only one person who lives at the home said in a survey that they did not know who to speak to and one relative said they feel as if they are complaining if they mention something they are not happy with to “certain members of staff”. The manager said that the majority of staff have received training in recognising signs of abuse and further training has been organised in relation to making referrals under local safeguarding procedures. One of the team West Villa Ltd DS0000006226.V333429.R01.S.doc Version 5.2 Page 17 leaders spoken with was fully aware of the process of referral. Since the last inspection, there have not been any safeguarding referrals made relating to any of the people living at the home. West Villa Ltd DS0000006226.V333429.R01.S.doc Version 5.2 Page 18 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, 26 People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People generally live safely and comfortably in pleasant surroundings but staff must ensure that unpleasant odours are dealt with immediately. EVIDENCE: Redecoration and some refurbishment has taken place since the last inspection with the conservatory having been redecorated and new curtains fitted to brighten the appearance of the area and new, easy clean, chairs bought for people to sit comfortably in the lounges. Maintenance schedules are in place and appear to be sufficient to maintain the environment in a safe condition. The majority of people living at the home said in surveys that the home is “always” fresh and clean although some said it is “usually” fresh and clean. West Villa Ltd DS0000006226.V333429.R01.S.doc Version 5.2 Page 19 One relative said in a survey that they have found their relative’s room to “smell awful” during a visit. On the day of the visit, all of the areas of the home seen were clean, tidy and free from unpleasant odour. All of the people spoken with during the visit, who were able to express an opinion, said that they were very comfortable in the home and one person said how homely and relaxed they found the environment. West Villa Ltd DS0000006226.V333429.R01.S.doc Version 5.2 Page 20 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 quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People living at the home are supported by an appropriately recruited, trained and caring staff team. EVIDENCE: None of the surveys indicated any problems with staffing levels within the home. Several people were very complimentary of the staff team with remarks such as “Staff are very helpful and kind” and “Staff are doing a fantastic job”. Training towards NVQ (National Vocational Qualification) level 2 in care is ongoing to promote staff competence and skill at the home. The manager informed the Commission within pre-inspection information that 40 of the current care team hold this award and others are working towards it. Training in other areas relevant to working in a care setting is also ongoing, with staff receiving updates in areas such as health and safety, dementia care and moving and handling. Observations on the day were that staff are working in line with the training they have received, to maintain people’s health and safety, particularly in relation to moving and handling. Further training in protection of vulnerable adults has been booked to ensure that staff recognise and take appropriate action to safeguard people. West Villa Ltd DS0000006226.V333429.R01.S.doc Version 5.2 Page 21 During the visit, recruitment files for four members of staff were seen. Evidence such as references and Criminal Record Bureau checks was available in each file to demonstrate that people living at the home are protected by the home’s recruitment procedures. West Villa Ltd DS0000006226.V333429.R01.S.doc Version 5.2 Page 22 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, and 38. People who use this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People living at the home benefit from good management procedures which ensure that the home is run in their best interests and that their health and safety is protected. EVIDENCE: The registered manager, who also owns the home, is a qualified nurse and has also gained the registered managers award. Since the last inspection, the manager and senior staff have worked hard to establish better management processes within the home. This is to ensure that West Villa Ltd DS0000006226.V333429.R01.S.doc Version 5.2 Page 23 monitoring and supervision is in place to check that staff are maintaining good practice whilst caring for the people who live at the home. Quality monitoring processes are in place and annual satisfaction questionnaires were in the process of being sent to people who live at the home, their families and friends and visiting professionals, at the time of the visit. The member of staff in charge of this process said that she would send a copy of the report and the action plan generated from the results of questionnaires to the Commission when it is completed. Small amounts of money are held for some people, at their request, in the home’s safe. Documentation for this, and balances, were checked during the inspection visit and were found to be satisfactory. The manager confirmed in documentation sent to the Commission prior to the visit, that processes were in place and up to date for the maintenance and servicing of systems relating to health and safety such as hoist and lift servicing, gas, electricity and water systems and systems for fire safety. No evidence of any risk to the health and safety of people in the home was seen during the visit. West Villa Ltd DS0000006226.V333429.R01.S.doc Version 5.2 Page 24 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 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 3 X X X X X X 3 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 3 X 3 X X 3 West Villa Ltd DS0000006226.V333429.R01.S.doc Version 5.2 Page 25 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 West Villa Ltd DS0000006226.V333429.R01.S.doc Version 5.2 Page 26 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 OP7 Good Practice Recommendations Care plans should include specific detail of all of people’s needs, including psychological needs. This is to ensure that staff are all aware of these needs and can work consistently in meeting them. To ensure people are taking their medication properly, staff administering the medication should make sure that people have actually taken their medication before signing that it has been taken. Staff should support and assist people, as necessary, to ensure that they feel clean and smart. To prevent boredom, people living at the home should have access to social and leisure activities, of their choosing, on a daily basis. To protect people from abuse, staff should undertake training in protection of vulnerable adults, particularly local procedures. To ensure the comfort of people living at the home, staff should make sure that odours caused by incontinence are dealt with immediately. The manager should continue to support staff to undertake training for NVQ qualification, to enable them to develop their skills in caring for people. 2. OP9 3. 4. 5. 6. 7. OP10 OP12 OP18 OP26 OP28 West Villa Ltd DS0000006226.V333429.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI West Villa Ltd DS0000006226.V333429.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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