Inspection on 25/02/08 for Westerleigh

This inspection was carried out on 25th February 2008.

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

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

Other inspections for this house

Westerleigh 16/02/09

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Westerleigh Westerleigh Scott Street Stanley Durham DH9 8AD Lead Inspector Mr Stephen Ellis Key Unannounced Inspection 25th February 2008 2:00 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 Westerleigh DS0000070984.V359972.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. Westerleigh DS0000070984.V359972.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Westerleigh Address Westerleigh Scott Street Stanley Durham DH9 8AD 01207 280431 01207 281389 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) Southern Cross BC OpCo Ltd Patricia Mary Scott Care Home 55 Category(ies) of Dementia (55), Old age, not falling within any registration, with number other category (55) of places Westerleigh DS0000070984.V359972.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following categories: Old Age, not falling within any other category, Code OP - maximum number of places 55 2. Dementia - Code DE, maximum number of places 55 The maximum number of service users who can be accommodated is: 55 20/02/2007 Date of last inspection Brief Description of the Service: Westerleigh is a well-established residential care home with beds for 55 older people, some of whom may have moderate dementia. It is one of a number of homes provided by the Southern Cross Group, having been acquired by them in November 2007. Westerleigh was purpose built to a high standard (for example, each bedroom is spacious and fitted with an en suite toilet and wash hand basin) and is in a very good location in the centre of Stanley. It is convenient for shops and local facilities and close to buses and a car park. The home is very well equipped, clean and attractively decorated. There is a friendly, welcoming atmosphere. The manager and staff like to get to know the people who live in the home well. They let families know about what’s happening in the home and try to keep them involved in the lives of the residents. The home tries to provide a service that meets the needs of every resident in a person-centred way. It acknowledges people’s individuality and helps promote their rights, wishes and choices. The weekly fee is £411. The fee covers all accommodation, meals and personal care. Hairdressing, toiletries, newspapers, plus services from private opticians, dentists and chiropodists are not included in the fee. The actual amount people pay will depend upon their individual circumstances. Westerleigh DS0000070984.V359972.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 stars. This means the people who use this service experience excellent quality outcomes. This unannounced fieldwork visit to Westerleigh Care Home on 25th February 2008 took place over 4 hours, as part of the statutory inspection of the service. Information received prior to the fieldwork visit was used in preparation and during the visit. The visit to the home included a tour of the building, examination of some of the records that the home is required to keep, and interviews with service users, staff and visitors to the home. Comments were received from 13 service users, 3 relatives, and 7 staff. What the service does well: The service achieves good or excellent outcomes for its service users in all key areas covered by the National Minimum Standards. In particular, the quality of information provided to prospective service users, health and personal care, daily life and social activities, environmental standards, plus management and administration, are all rated as being excellent. Typical comments received from service users and relatives included: “I received lots of helpful information about this home before I moved in so I could decide it was the right place for me.” “The home have been so understanding and supportive to my Mum and me, allowing Mum to get to know the home before deciding about whether to stay long-term.” “My mother and I love this home. They go the extra mile with the residents, providing helpful stimulation and support (for example, they had Mum involved in a little art class this morning). The manager and staff are so supportive. There is a stable staff group and it always feels calm.” “It’s a nice friendly place; they call the doctor out straight away if I’m ill and can’t go to the surgery; the staff are great (I’ve known some of the girls from being children) and I can go down and see Pat (manager) any time.” “I like it here, because it is so friendly and we’re well looked after.” “The staff are marvellous and take a real interest in you.” “There’s plenty to do but you don’t have to join in things if you don’t want to.” “The food’s great here, with a good choice and the dining rooms are very pleasant.” Westerleigh DS0000070984.V359972.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 summary of this inspection report can be made available in other formats on request. Westerleigh DS0000070984.V359972.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 Westerleigh DS0000070984.V359972.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, and 3. People who use the service experience excellent quality outcomes in this area. Prospective residents and their representatives have the information needed to choose a home that will meet their needs. They have their needs assessed and a contract which tells them much about the service they will receive. Intermediate care is not provided. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Comments received from residents, relatives and staff, confirmed that full assessments of needs were carried out prior to admission to the home. Residents and relatives said there was enough information from which to make a choice about being admitted. Typical comments included: “I received lots of helpful information about this home before I moved in so I could decide it was the right place for me.” “The home have been so understanding and supportive to my Mum and me, allowing Mum to get to know the home before deciding about whether to stay long-term.” Westerleigh DS0000070984.V359972.R01.S.doc Version 5.2 Page 9 Comprehensive service user guides and clear statements of terms and conditions of residence are supplied routinely. The service user guide is particularly helpful, being available in large print, DVD and audio versions, and a copy is supplied to each bedroom. The home’s reception areas are close to the manager’s office on the ground floor and a variety of useful information is displayed, including the service user’s guide, complaints procedure, home’s newsletter, plus previous inspection reports. The home’s administrator also occupies an adjoining office and is readily available to assist service users and visitors with any enquiry. The spacious entrance porch creates a welcoming environment with comfortable seating, service user guides, notices of forthcoming events and activities, plus coffee being brewed and hand gel in the interest of infection control. Service user plans of care revealed comprehensive, detailed assessments of need and risk being carried out prior to admission, with regular evaluations and reviews of care needs, risk assessments and care plans at appropriate intervals following admission. The manager or senior staff members are routinely involved in carrying out visits to prospective service users, providing helpful information, answering questions, completing detailed, person-centred assessments and plans of care. These assessments showed that the home only admitted people whose assessed needs it could meet. These admissions are always on a six weeks trial basis to give prospective service users and their representatives the opportunity to test the service offered to see whether it is suitable for them. Westerleigh DS0000070984.V359972.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People who use the service experience excellent quality outcomes in this area. The health and personal care, which a resident receives, is based on their individual needs. The principles of respect, dignity and privacy are put into practice. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Residents and relatives said that they believed the health and social care needs of service users were well known by staff and were being fully met. Health care screening and holistic assessments are being carried out, with input from a variety of health and social care professionals including local doctors, community nurses, social workers and physiotherapists. One health care centre is located within 100 yards of the home and is readily accessible. Residents said that the community nurse or doctor would see them whenever required and they were very satisfied with the quality of service they received. Residents’ personal and social care needs were well known, understood and respected by the staff team. Residents and relatives said that they felt service users were treated with respect and sensitivity. Westerleigh DS0000070984.V359972.R01.S.doc Version 5.2 Page 11 Typical comments included: “My mother and I love this home. They go the extra mile with the residents, providing helpful stimulation and support (for example, they had Mum involved in a little art class this morning). The manager and staff are so supportive. There is a stable staff group and it always feels calm.” “It’s a nice friendly place; they call the doctor out straight away if I’m ill and can’t go to the surgery; the staff are great (I’ve known some of the girls from being children) and I can go down and see Pat (manager) any time.” Care plans and risk assessments were impressive, being detailed and comprehensive about service users’ health and social care needs, providing clear guidance to staff. They were subject to regular review and evaluation, involving service users, relatives and social workers. Staff training, such as National Vocational Qualifications (NVQ) level 2 or above, has included the important issues of privacy and dignity and over 50 of permanent care staff have achieved NVQ in care. There are good arrangements for the safe administration of medicines. All care staff members responsible for the administration of medicine have completed Safe Handling of Medicines courses and further, refresher training is envisaged within the next 6 months. There is good support from a local Pharmacist who supplies medication in Monitored Dosage form (in blister packs with the medication clearly identified for the individual resident). There are good storage systems on each floor and responsible staff members carefully check all medication when it is received into the home. Medication is kept securely in lockable cabinets and trolleys. Residents may attend to their own medication (there are, for example, lockable drawers in bedrooms) but in practice most prefer to delegate this responsibility to staff. Unwanted medicines are returned promptly to the Pharmacist and the home is careful not to stockpile large quantities. Responsible staff members (including the manager) carry out medicine audits at frequent intervals. It is commendable that a photograph of the service user is kept next to their Medicine Administration Record, along with their name, date of birth and room number, to aid identification (photographs of service users are also present in their case files). Westerleigh DS0000070984.V359972.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use the service experience excellent quality outcomes in this area. Residents are able to choose their lifestyle, social activity and keep in contact with family and friends. Social, cultural and recreational activities meet residents’ expectations. Residents receive a healthy, varied diet according to their assessed requirement and choice. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: All residents spoken with said they enjoyed living at Westerleigh and described the staff as being caring, respectful and supportive. They liked the atmosphere in the home, describing it as being friendly, warm and welcoming. They liked the small groups in the various lounge and dining areas across the home. They were free to sit in any lounge or dining area, in their own bedroom, or in the reception area. All were satisfied with the arrangements for daily life in the home, including several smokers who could either smoke ‘outside’ on the balcony with seating, table and plants, or in a smoking room. Residents confirmed they could exercise choice in their daily lives. For example, they could decide what clothes they wore, when they would like to take a bath, and how they spent their time, including when they got up and went to bed. They said there were different events and activities that they could take part in if they wished, including daily keep fit sessions; art classes; Westerleigh DS0000070984.V359972.R01.S.doc Version 5.2 Page 13 bingo; board games; visiting entertainment; gardening; knitting; crafts; visiting ‘pat a dog’; seasonal events (such as St Patrick’s Day and Easter Fair); quizzes; raffles; videos and DVDs; reminiscence and weekly outings to places of interest. The involvement of families, staff and friends was always welcomed and encouraged, as confirmed by residents and relatives. There is also a visiting hairdresser. The home has a well-established, enthusiastic and popular activities organizer who leads and coordinates the programme. There are good links with the local community and the home provides service users with its own newsletter and company magazine throughout the year. Typical comments from service users included: “I like it here, because it is so friendly and we’re well looked after.” “The staff are marvellous and take a real interest in you.” “There’s plenty to do but you don’t have to join in things if you don’t want to.” “The food’s great here, with a good choice and the dining rooms are very pleasant.” Residents and relatives are invited to meetings convened by the home at regular intervals throughout the year, at which matters of interest and suggestions are discussed. The minutes of these meeting are made available in the home. Residents confirmed that they could pursue individual interests such as reading and television, and their religious needs were also addressed (for example, small services are held at the home). Residents and relatives said that visitors were always made welcome and there were no set visiting times. Some residents went out with relatives or friends for part of the day. All the residents spoken to said the catering was very good. They felt there was a good choice and the Cook understood their preferences. Nutritional screening takes place routinely and the home provides a wide range of meals based on healthy eating and appetising menus for older people. Residents mainly dined together in the various dining rooms. They could, however, eat their meals elsewhere (such as their bedrooms) and at different times if required. Décor and furnishing in dining areas was attractive, creating a relaxed and welcoming environment. Tables were supplied with linen tablecloths and napkins, plus fresh flowers. Staff members will assist residents with their meals wherever necessary. Records are kept of meals served. A good choice of menu is provided. Birthdays are celebrated with a cake and sometimes a special tea if it is a ‘special’ birthday. Westerleigh DS0000070984.V359972.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use the service experience good quality outcomes in this area. Residents have access to a robust, effective complaints procedure and are protected from abuse. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: All residents who commented said that they were confident about approaching staff and management about any concerns or complaints they might have. They described the staff and management as being very approachable, helpful and friendly. A written complaints procedure is provided in the statement of purpose and service user’s guide, plus a copy is displayed on the wall in Reception. Staff and management are aware of the need to safeguard adults from abuse or neglect and have undergone training in these issues. Staff confirmed they are aware of the home’s ‘whistle blowing’ policy and confident to speak out about any suspected abuse or neglect. All staff members have had enhanced Criminal Records Bureau (CRB) checks and Protection of Vulnerable Adults (POVA) checks carried out as required by law. Also, two references are obtained in respect of each new employee, with special attention given to the last employment. This is to ensure that unsuitable people are not employed to care for vulnerable adults. Staff confirmed that new staff members go through comprehensive induction and foundation training, so that they have the right knowledge and skills to do their jobs competently. Westerleigh DS0000070984.V359972.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. People who use the service experience excellent quality outcomes in this area. The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment, which encourages independence. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The home is purpose built, on three floors. It is conveniently located, in the centre of Stanley. It has an outlook over open countryside, to the rear, and over a busy shopping area, to the front. Inside the home, there are both busy central areas and thoroughfares, where residents, staff and visitors are coming and going. And, there are quiet, peaceful corners where people can sit and think or read, or talk to relatives and friends. There are safe, separate smoking areas, including a downstairs smoking room and an open balcony on the first floor. Some people enjoy sitting on this first floor veranda. Others enjoy looking out from the front porch or hallways, watching the world go by. Westerleigh DS0000070984.V359972.R01.S.doc Version 5.2 Page 16 The layout of the home is light and roomy. It has wide hallways and cosy, comfortable sitting areas, as well as larger rooms suitable for social events and activities. The bedrooms are spacious, with en-suite facilities, and all are clean, pleasantly decorated and appropriately furnished. In many cases, people have brought in pieces of their own furniture, electrical equipment and ornaments, so each is individually suited to the resident. Some people like to sit in their own rooms and to come out for meals or activities that interest them. Relatives are asked to buy doorstops, approved by the fire brigade, for residents who choose to sit with their doors propped open. There is also a conservatory and an outside garden, where people can potter or sit and enjoy the fresh air and views. The home was observed to be clean throughout and well maintained. There are good policies and procedures concerning hygiene and infection control. Hand gel is provided in the entrance porch for visitors’ use, and liquid soap and paper towels are provided in communal bathrooms and toilets. Westerleigh DS0000070984.V359972.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use the service experience good quality outcomes in this area. Staff in the home are trained, skilled and in sufficient numbers to fulfil the aims of the home and meet the changing needs of residents. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Staffing arrangements were discussed with management and staff and with residents and relatives. The consensus view was that staffing levels and skills were appropriate for the needs of service users. Residents and relatives spoke very highly of staff, and felt well cared for and well treated by them. Each resident has a named key worker and co-worker to focus on the particular needs and requirements of each service user. The home is registered to care for 55 residents. During the day there are 7 care staff on duty, with 6 on evenings and 3 on night duty. A senior carer works on each shift. Staff members confirmed they are well supported by the full time manager. The home also has an activities coordinator, maintenance officer, domestic cleaners, specialist kitchen staff, laundry assistants and an administrator. Staff interviewed gave a good account of the friendliness, the good teamwork, and the ready advice and support from the manager and senior staff. A comprehensive staff training and development programme is in operation, including Protection of Vulnerable Adults, Safe Handling of Medicines, Dementia Awareness, Infection Control, End of Life Care, Challenging Westerleigh DS0000070984.V359972.R01.S.doc Version 5.2 Page 18 Behaviour, Fire Safety, First Aid, Moving and Handling and Food Hygiene. Staff across the home confirmed that they had undergone comprehensive induction and foundation training and felt confident and competent in their work. Over 58 of permanent care staff have completed National Vocational Qualifications (NVQ) in care at either level 2 or 3, which slightly exceeds the National Minimum Standard. Westerleigh DS0000070984.V359972.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 and 38. People who use the service experience excellent quality outcomes in this area. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by an experienced and qualified manager. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The registered manager is well experienced, qualified and competent in her role. Residents, relatives and staff all spoke highly of her leadership skills and commitment to good outcomes for residents. She was described as being supportive, approachable and caring. She has completed her Registered Manager’s Award at National Vocational Qualification (NVQ) level 4. Staff confirmed that they are regularly supervised (bimonthly) and have an annual appraisal. Good accounting procedures are followed, with receipts and signatures being obtained for all financial transactions involving residents’ personal monies, in which the home is involved, wherever practicable. Relatives look after the Westerleigh DS0000070984.V359972.R01.S.doc Version 5.2 Page 20 personal monies of some residents. In those situations where the home helps look after residents’ monies, such as pocket monies, clear individual accounts and records are maintained. These are subject to regular, independent audit. Service users have ready access to their money, even at short notice. Comments received from staff and management confirmed that there are good health and safety policies and practices that promote the health, safety and welfare of residents and staff. The manager takes a lead role in Health and Safety Risk Assessments. All relevant staff members do refresher training in Health and Safety, such as moving and handling, fire safety and food hygiene. Health and Safety issues are also discussed at monthly staff meetings. Residents, relatives and staff expressed satisfaction with the way the home was run. For example, there are twice-yearly surveys of residents’ satisfaction carried out and the findings are reported within the home. The registered provider’s representative visits the home frequently to check on the welfare of residents and the progress of the home and to make a report. Management routinely invite comments and suggestions for improvements from residents, staff and visitors to the home. It also carries out weekly quality audits and monthly surgeries, where the manager is available outside of office hours, so that anyone can raise any issues of concern. The manager also has an ‘open door’ policy, whereby service users and their representatives are welcome to speak with her about any matter at their convenience. Westerleigh DS0000070984.V359972.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 4 3 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 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 4 4 X 3 3 X 3 Westerleigh DS0000070984.V359972.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. 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 Westerleigh DS0000070984.V359972.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Westerleigh DS0000070984.V359972.R01.S.doc Version 5.2 Page 24 - 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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