Inspection on 30/01/07 for Westerlands Care Centre

This inspection was carried out on 30th January 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

Westerlands Care Centre 29/01/09

Westerlands Care Centre 02/03/06

Westerlands Care Centre 12/09/05

Westerlands Care Centre 08/03/05

Westerlands Care Centre 30/09/04

Westerlands Care Centre 16/03/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Staveley Birk Leas Nursing Home

Carentan House

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

CARE HOMES FOR OLDER PEOPLE Westerlands Care Centre Elloughton Road Brough East Yorkshire HU15 1AP Lead Inspector Ms Wilma Crawford Unannounced Inspection 30th January 2007 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Westerlands Care Centre DS0000000959.V312400.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. Westerlands Care Centre DS0000000959.V312400.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Westerlands Care Centre Address Elloughton Road Brough East Yorkshire HU15 1AP 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) 01482 667223 F/P 01482 667223 info@prime-life.co.ukwww.prime-life.co.uk Prime Life Limited Mrs Alice Bott Care Home 35 Category(ies) of Dementia - over 65 years of age (35), Old age, registration, with number not falling within any other category (35), of places Physical disability over 65 years of age (35), Terminally ill over 65 years of age (35) Westerlands Care Centre DS0000000959.V312400.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd March 2006 Brief Description of the Service: Westerlands Care Centre is a large house situated in its own spacious grounds in a residential area of the village of Brough. Two decked areas are available for residents to sit outside. Car parking is available to the front of the building. The village itself has numerous shops, a train station and is adjacent to a motorway. Accommodation is provided over 3 floors serviced by a lift. The majority of the bedrooms are single, one with an en-suite and six bedrooms being shared. The home is owned by Prime Life Ltd. The home may provide residential and nursing care for up to 35 people of either sex, who may also have dementia, a physical disability or terminal illness. Services provided include personal care, meals, laundry and health care, with additional health services being accessed as necessary, for example, the district nursing services. Westerlands Care Centre DS0000000959.V312400.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over eight hours including preparation time. Four residents, three relatives, and four staff were spoken with during the inspection. The manager was available throughout. The main method of inspection used was called case tracking which involved selecting three residents and tracking the care they receive through the checking of their records, discussion with them, the care staff and observation of care practices. The premises were looked at and the records of three residents and two staff were inspected. A Pre-Inspection Questionnaire asking for information about the home was sent out before this visit and information from this was included as part of the inspection process of this service. Comments from replies to questionnaires that were sent out to relatives and professionals are also included in the report. The range of fees charged is £328.80 — £559.09 per week. Additional charges are made for hairdressing, however the service user only pays this alternately with prime life paying every other hairdressing cost. What the service does well: Westerlands Care Centre offers a home where the preferences and wishes of each person are taken into account and respected. Residents are encouraged to make choices and they said they feel valued as individuals. The residents were very complimentary about the way the staff care for them and one person said ‘It’s just like being at home.’ Relatives said ‘The only reason my mum is still alive is the quality of care that she receives. We always visit unannounced, the home is always clean, my mum is always well groomed and well cared for, we have no qualms whatsoever. ‘The staff are very supportive and, they keep me up to date, I attend reviews and any changes to my husbands care I am the first to be consulted. The staff practice is always very good, they are very kind.’ ‘There is always plenty going on and we are welcome to join in.’ ‘The staff are kindness itself, however busy they are always kind and calm.’ ‘ I visit everyday, I have never ever seen anyone be offhand only kind.’ ‘ The staff are very good, they are all kind and they always help me, in the day or at night.’ The home is very well organised and managed, with trained staff that are well supported and have a good knowledge of residents’ needs. The home has a Westerlands Care Centre DS0000000959.V312400.R01.S.doc Version 5.2 Page 6 strong key worker system in place and residents spoken to were able to identify their named key worker. The home a robust quality assurance system in place, which is based on seeking information from the manager, staff resident, relative and other visitors to the home. It is obtained through discussion, interviews and comment cards, depending on the individual needs of the person. A detailed report is completed from the information collated and areas, in which the home excels or identified areas that need to be improved, are included. In addition to this the home is Practice Development Unit accredited with Leeds University to develop practices and means the staff are consistently looking to update their practice and are service user focused. This has also contributed to an improved job satisfaction throughout and includes all of the staff team. The examples of work completed include: • A clinical trial of cranberry tablets, which was not conclusive but through the regular testing of urine has detected urine infections early, which prevented hospital admissions. Detection of diabetes and a tumour of the bladder before any other symptoms were apparent. • Trials of whether weight can be maintained using sip feeds. • The current trial is a care pathway for the dying — working with the local PCT. • “ Against the wall” picture produced by clients with a memory impairment. • A pin board for each resident of significant things from their past i.e. 21st birthday cards, photo’s, notes, old school reports. Some of the boards gave staff a much better insight into the resident. The home provides a varied activities programme both in the home and the local community. What has improved since the last inspection? The home has worked hard to address the one requirement and three recommendations made at the previous inspection. The requirement made at the last inspection has been acted upon; advice has been taken by the fire officer to establish which alternative suitable devices can be used in the home. At the time of the inspection there were no fire doors wedged open. Resident are now issued with a written copy of their contract and/or statement of terms and conditions for residing in the home. Four staff members have achieved a Non Vocational Qualification at level two or three in care. A further six staff members are due to complete this award at the end of March. This will bring the numbers of staff with this qualification up to fifty percent. Westerlands Care Centre DS0000000959.V312400.R01.S.doc Version 5.2 Page 7 The in-service electrical technician is now qualified to test the electrical wiring system and issue a certificate on behalf of the home. The home is scheduled to have this completed on 23rd February and a copy of the certificate will be forwarded to the Commission on completion of this. During the last year six bedrooms have been redecorated, new curtains purchased for three rooms and new carpets purchased for five rooms. The toilets and corridors of the home have also been redecorated. 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. Westerlands Care Centre DS0000000959.V312400.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 Westerlands Care Centre DS0000000959.V312400.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6 The quality in this outcome area is good. This judgement has been made using available evidence including two visits to this service. People who use this service have good information about the home in order to make an informed decision about whether the service is right for them. The personalised needs assessment means that people’s diverse needs are identified and planned for before they move to the home. EVIDENCE: Evidence seen at this inspection in residents’ files and care plans showed that the home does not admit residents without a care assessment being undertaken. Residents are assessed very carefully due to the layout of the building and the vulnerability of the resident living in the home. Prospective residents are also written to by the home confirming that they can meet the residents’ care needs or not. Discussion with residents and relatives also confirmed that this happened. Westerlands Care Centre DS0000000959.V312400.R01.S.doc Version 5.2 Page 10 Residents being case tracked were not always able to give a considered view of the care they receive, in these situations their relatives were consulted on their behalf. Comments included; ‘This place has got to be our second home; I have never had any grumbles about the staff or the care. This home is lovely, homely, very homely and the staff are very good to my mum. I can’t speak highly enough about the staff.’ ‘We are involved in all aspects of mum’s care and we are very happy with the care provided.’ Westerlands Care Centre DS0000000959.V312400.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care plans offer the staff good information on which to base their daily care, and the residents health needs, privacy and dignity are met The policies and procedures in place ensure the safe handling and administration of medication for the people who use the service. EVIDENCE: The resident’s care plans seen showed that they are developed from the initial needs assessment carried out by the home. Reviews of the plans are monthly to ensure that they are still current and any new issues have been addressed. Risk assessments are available, including a falls risk assessment. These show how each person has had risks assessed that are relevant to them. There is evidence that all residents have access to relevant health care professionals. Care plans evidence that health care professionals visit the home and that residents when required visit the hospital. Three visitors commented that they are happy with the care provided and confirmed that their relatives see the GP, district nurses, and the chiropodist. Residents said that they were consulted about their care and were aware of their care plans. Westerlands Care Centre DS0000000959.V312400.R01.S.doc Version 5.2 Page 12 The home is accredited with Leeds University as a Practice Development Unit to develop practices and means the staff are consistently looking to update their clinical practice and are service user focused. Examples of work completed includes: • A clinical trial of cranberry tablets, which was not conclusive but through the regular testing of urine has detected urine infections early, which prevented hospital admissions. Detection of diabetes and a tumour of the bladder before any other symptoms were apparent. • Trials of whether weight can be maintained using sip feeds. • The current trial is a care pathway for the dying — working with the local PCT. Resident’s files also showed that personal care required is documented and mention is made of maintaining the residents dignity and privacy at all times. Daily entries had been made in care plans by care staff, which identified the care given. Care staff were seen to treat residents with respect and dignity during this inspection. The home’s accident book was examined and it was found that accidents occurring to residents have been recorded appropriately in their individual file. This information is also made available to the Commission by the home. The home uses an approved Monitored Dosage System for the administration of drugs. Medication records showed that all drugs administered were recorded on the resident’s individual records sheet. There were no gaps in recording seen. Any drugs that are refused are disposed of safely and returned to the chemist for disposal. All staff that are involved in the administration of medicines have received relevant training. Medication audits are undertaken on a regular basis, both in house and by an independent pharmacist. Westerlands Care Centre DS0000000959.V312400.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Relatives and friends of residents are made welcome as are visiting health care professionals. Meals are well managed and menus reflect a balanced diet. EVIDENCE: Residents said that the food at this home is varied and well prepared. They particularly enjoy the full cooked breakfast. Menus were inspected and found to offer choices for all mealtimes. The homes pre-assessment forms were seen and included residents’ dietary needs and listed their likes and dislikes. Staff spoken with, were aware of individuals’ personal likes and dislikes. Residents are able to take their meals in the dining room or as a tray service in the lounges or their rooms. The tables in the dining room were set with cloths, glasses and flowers and very well presented. Observations made by the inspector were that adequate numbers of staff are available at mealtimes to help resident, and supported them in a patient and dignified manner. Westerlands Care Centre DS0000000959.V312400.R01.S.doc Version 5.2 Page 14 Three residents seen during this inspection commented that their visitors are always made welcome in the home and refreshments are made available. All three visitors confirmed that they are made welcome at the home and that they had been invited to have Christmas lunch with their relative. A resident confirmed that she could take her visitors to her bedroom. The homes signing in book was seen and showed that visitors attend this home in numbers at various times of the day. Residents and relatives meetings are held in the home and the outcome of these is used within the home’s Quality Assurance Reviews. Residents and relatives are also consulted through the home’s Quality assurance process. One resident stated “I feel fully consulted about all aspects of my care and the day to day running of the home.” The home undertakes a variety of activities for the stimulation of residents and a record of these is maintained. During the morning of the inspection a hairdresser was visiting the home and a quiz was being held. There is a varied activity programme available within the home, which has been developed by asking the resident what they would like to do, this includes; quizzes, a gardening group, old time music hall visits to Cottingham, DVD club monthly, entertainers, touch and feel boxes, reminiscence boards with individuals, a timeline around the dining room, floor games, music and movement, senior citizens club once a fortnight, walks into the village, outings for lunch and places of interest, church services every six weeks and art and craft sessions. There is also a library of large print books for resident use. Residents confirmed that a planned activities programme is in place within the home, but they also have the opportunity to go out into the village, on day trips, attend church and coffee mornings. Relatives also confirmed that activities take place in the home and one visitor stated that they join in activities with their relative. A number of fundraising events are also held in the home, the proceeds of which are used for further activities. Westerlands Care Centre DS0000000959.V312400.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16&18 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and relatives are listened to and their views taken into account. Policies and procedures ensure residents are protected from abuse. EVIDENCE: The home takes all complaints seriously. There had been two complaints in the last year and both had been dealt with appropriately and within the agreed timescale. Residents and their relatives are made aware of the complaints procedure and the forms are available from care staff on request. A resident said, ‘I have never had to make a complaint but would know who to speak to should I need to.’ There is a Whistle blowing policy in place and a clear adult abuse policy. The home has a copy of local authority guidelines for reference. Staff have received Adult Protection training and spoke knowledgeably about abusive practices and what action they would take if this came to their attention. Two residents spoken with confirmed that they felt safe in the home. One resident stated, “ I have never had any cause to make a complaint, but if I did I’m sure that Alice or the staff would take action. They would definitely sort it out.” She also said that she would feel confident about approaching staff with a complaint. Westerlands Care Centre DS0000000959.V312400.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,22,26 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service.” The home is well maintained and residents are enabled to personalise their rooms. Resident live in a clean and comfortable home. EVIDENCE: The home was found to be in a good state of repair with resident’s rooms personalised with photographs and other memorabilia. Residents commented that they were happy with their rooms. Since the last inspection six bedrooms have been redecorated, new curtains purchased for three rooms and new carpets purchased for five rooms. The toilets and corridors of the home have also been redecorated. A tour of the home by the inspector found it to be clean with no unpleasant odours detected. Residents and visitors alike said that the home is clean and there are no unpleasant smells. Westerlands Care Centre DS0000000959.V312400.R01.S.doc Version 5.2 Page 17 There are eight bathrooms available throughout the home, however only one of these is adapted and a second is fitted with a hoist. The majority of the resident living in the home uses these two bathrooms. Residents spoken with said that they are able to bathe when they wanted to. It may benefit resident further if the home looked at how some of the other bathrooms could be adapted, particularly with the accommodation being provided over three floors. Westerlands Care Centre DS0000000959.V312400.R01.S.doc Version 5.2 Page 18 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. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Appropriate recruitment practices are in place. The staffing levels meet the needs of residents. The home provides adequate training for care staff EVIDENCE: All staff are subject to an induction and statutory training, which includes, fire safety, food handling, infection control, health & safety, manual handling and first aid. The home records all training undertaken by care staff and a training plan is in place for 2007. Regular staff meetings are held and staff receive regular supervision and appraisals, which are recorded. Appropriate checks for all new workers are completed before they commence work at this home. Four staff members have achieved a Non Vocational Qualification at level two or three in care. A further six staff members are due to complete this award at the end of March. This will bring the numbers of staff with this qualification up to fifty percent. The duty rota showed that six staff numbers plus the manager were available to meet the needs of residents during the day and three staff during the night in this home. Staff said that the numbers of staff on duty at the busiest times are able to accommodate the numbers of residents. The staffing levels are Westerlands Care Centre DS0000000959.V312400.R01.S.doc Version 5.2 Page 19 reviewed regularly and altered when the need arises, for example if any of the resident were particularly unsettled at any time during the day or night, the staffing levels would be changed to accommodate this. Westerlands Care Centre DS0000000959.V312400.R01.S.doc Version 5.2 Page 20 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): 31,33,35,38 The quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service.” The home is managed competently and the staff are supported and supervised to carry out their roles. The residents are involved in contributing to the running of the home. EVIDENCE: The manager is competent through her experience and qualifications to run the home. She has extensive experience of working with older people and has achieved NVQ level 4; she has also completed the Registered Managers Award. Staff said they are well supported and they are confident to approach the manager with concerns or ideas. The minutes from the recent residents’ meeting show that residents contribute and raise issues, and that action is taken to address these. Westerlands Care Centre DS0000000959.V312400.R01.S.doc Version 5.2 Page 21 The home has a robust quality assurance system in place that is based on seeking information from the manager, staff, residents, relatives and other visitors to the home. It is obtained through discussion, interviews and comment cards, depending on the individual needs of the person. A detailed report is completed from the information collated and areas, in which the home excels or identified areas that need to be improved, are included. In addition to this, the home is Practice Development Unit accredited with Leeds University to develop practices and this means the staff are consistently looking to update their practice and are service user focused. This has also contributed to an improved job satisfaction throughout and includes all of the staff team. The examples of work completed include: • A clinical trial of cranberry tablets, which was not conclusive but through the regular testing of urine has detected urine infections early, which prevented hospital admissions. Detection of diabetes and a tumour of the bladder before any other symptoms were apparent. • Trials of whether weight can be maintained using sip feeds. • The current trial is a care pathway for the dying — working with the local PCT. • “Against the wall” picture produced by clients with a memory impairment. A pin board for each resident of significant things from their past i.e. 21st birthday cards, photo’s, notes, old school reports. Some of the boards gave staff a much better insight into the resident. Staff are regularly supervised both formally and during every day observation. Annual appraisals also take place. Assessments are documented in relation to health and safety issues that may arise from the environment of the home. Maintenance records are also kept. Records within the home are stored securely. Residents said they were aware that they can see them if they wish. Relatives and residents commented; ‘Alice is excellent, she is always there and available to talk.’ There are a range of policies and procedures available in the home relating to fire safety and fire risk assessments. There was also evidence that fire alarm, fire drills and emergency lighting checks have been undertaken. Care staff also receive fire training as part of the home’s initial training. Certificates were available showing that the shaft lift and bath hoists had been serviced six monthly. Electrical equipment had also been serviced. All wheelchairs seen on the day of the inspection had footplates, which were in use. Westerlands Care Centre DS0000000959.V312400.R01.S.doc Version 5.2 Page 22 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 3 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 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X 3 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 4 X 3 X 3 X X 3 Westerlands Care Centre DS0000000959.V312400.R01.S.doc Version 5.2 Page 23 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 Westerlands Care Centre DS0000000959.V312400.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Westerlands Care Centre DS0000000959.V312400.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!