Inspection on 07/12/06 for Westfield Residential Home Limited

This inspection was carried out on 7th December 2006.

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

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

Other inspections for this house

Westfield Residential Home... 24/10/05

Westfield Residential Home... 31/08/05

Westfield Residential Home... 10/02/05

Westfield Residential Home... 28/09/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Westfield Residential Home Limited 16 Carr Lane Willerby Hull East Yorkshire HU10 6JW Lead Inspector Diane Wilkinson Unannounced Inspection 7th December 2006 09:45 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Westfield Residential Home Limited DS0000046005.V324793.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. Westfield Residential Home Limited DS0000046005.V324793.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Westfield Residential Home Limited Address 16 Carr Lane Willerby Hull East Yorkshire HU10 6JW 01482 651760 01482 659355 jeff@redmore1.karoo.co.uk 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) Westfield Residential Home Limited Mr Peter Donnelly, S Donnelly Mrs Suzanne Barbara Cross Care Home 22 Category(ies) of Dementia - over 65 years of age (22), Old age, registration, with number not falling within any other category (22) of places Westfield Residential Home Limited DS0000046005.V324793.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th October 2005 Brief Description of the Service: Westfield House is a care home that is owned by a local private company. It is situated in a residential area of Willerby, in the East Riding of Yorkshire and is close to local amenities, i.e. shops, hairdressers, public houses, a chemist and a post office. The home is close to a bus route. Information about the home is provided to service users and others in the home’s statement of purpose and service user guide. Fees paid range from £328.80 to £400.00 per week and there is an additional charge for hairdressing, private chiropody, toiletries, newspapers and magazines. On the day of the inspection there were 20 service users accommodated at the home. The home is a large traditional house that has been converted and extended to provide accommodation for 22 older people. There are 20 single bedrooms and 1 shared room. Communal accommodation is provided in a lounge, conservatory and dining room. Access to all areas of the building is facilitated by the use of ramps and stair lifts. There is a pleasant, easily accessible garden to the rear and car-parking facilities are available at the front of the building. Westfield Residential Home Limited DS0000046005.V324793.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced site visit is part of a key inspection and was undertaken by one inspector over one day; the site visit commenced at 9.45 am and finished at 4.30 pm. This inspection report is based on information obtained from the pre-inspection questionnaire completed by the registered manager, information received by the Commission for Social Care Inspection (CSCI) since the last inspection of the home and from the site visit on the 7th December 2006. The site visit consisted of a tour of the premises and examination of documentation, including four care plans. On the day of the site visit the inspector spoke on a one to one basis with three residents, two relatives and a community nurse, as well as the registered manager and the registered provider. Six surveys were sent to the home to be given to staff to complete; this was agreed with the registered manager on the day of the site visit. Two had been returned at the time of writing this report. Surveys were sent out to 11 relatives and nine were returned; very positive comments were made about the care provided to service users. Surveys were sent to ten GP’s and ten health and social care professionals; three were returned from GP’s and 5 were returned from health and social care professionals. Comments were fed back to the registered manager (anonymously). Comments from discussions with service users and others, and respondents in surveys, will be included throughout the report (anonymously). As part of this unannounced inspection, the quality of information given to people about the care home was looked at. People who use services were also spoken to, to see if they could understand this information and how it helped them to make choices. The information included the service user guide (sometimes called a brochure of prospectus), the statement of terms and conditions (also known as contracts of care) and the complaints procedure. These findings will be used as part of a wider study that the CSCI are carrying out about the information that people get about care homes for older people. This report will be published in May 2007. Further information on this can be found on our website www.csci.org.uk. The inspector would like to thank service users, staff, the registered manager and the registered provider for their assistance on the day of the site visit, and to everyone who responded to a survey. What the service does well: Westfield Residential Home Limited DS0000046005.V324793.R01.S.doc Version 5.2 Page 6 Service users are assessed prior to their admission to the home and only offered accommodation if their assessed needs can be met. Service users and relatives express satisfaction with the care provided by staff at the home and speak highly of the registered manager, the provider and individual staff members. A GP who returned the survey said, ‘very good, consistent high standards’. There is a robust system in place for the administration of medication that protects the safety and well being of service users. Westfield House provides a pleasant homely environment for the people who live there, with a high standard of décor and cleanliness throughout the home. A relative said, ‘First class residential home. My relative is very happy there and the home is spotlessly clean’. The home is well organised and managed, and staff are well trained and supported. Managers and staff have a good understanding of the needs of service users. What has improved since the last inspection? What they could do better: The registered persons should ensure that service users understand how to make a complaint or express any concerns about their care. In-house fire tests should be carried out weekly rather than fortnightly. Westfield Residential Home Limited DS0000046005.V324793.R01.S.doc Version 5.2 Page 7 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. Westfield Residential Home Limited DS0000046005.V324793.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 Westfield Residential Home Limited DS0000046005.V324793.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): 1, 2 and 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are given information about the service provided by the home prior to their admission; each service user has a contract or statement of terms and conditions that records these details. Service users are only admitted to the home following a needs assessment that evidences that their current care needs can be met. EVIDENCE: The home’s statement of purpose and the service user guide include the required information to inform service users about the philosophy of care at the home, the services and facilities provided and the terms and conditions of their placement. The inspector spoke to three service users on a one to one basis. All said that they has received some information about the home prior to their admission, and one service user had the service user guide on a shelf Westfield Residential Home Limited DS0000046005.V324793.R01.S.doc Version 5.2 Page 10 in their bedroom. One of these service users had had respite care at the home prior to permanency and another had visited the home with their family as part of their decision making process. The registered person informed the inspector that prospective service users or their relatives receive a brochure about the home when they first make enquiries about the service. The brochure includes much of the information that is recorded in the service user guide. A copy of the service user guide is sent to service users or a relative along with their contract or statement of terms and conditions. A service user told the inspector that their daughter informs them whenever the accommodation fee has increased. The inspector saw copies of contracts that had been signed by service users. These record that there will be an annual increase in fees and that service users will be informed, in writing, of the actual amount of the increase. A letter is then sent to each service user informing them of the new weekly fee. The inspector examined the records for a newly admitted service user. These record that a brochure was sent to the service user prior to their admission and that the registered manager visited the service user in hospital so that the initial assessment could commence. A brief community care assessment had been forwarded to the home by care management. There is a record in the person’s file stating that the registered manager informed the service user that their needs could be met by the home. The registered manager was advised to inform service users that their current care needs can be met, as future reassessments and reviews may evidence that care needs can no longer be met by the home. The initial assessment undertaken by the home, and information gathered from other sources, is used to form the basis of an individual care plan. In all three files examined by the inspector as part of the thematic inspection there was a thorough needs assessment that had been undertaken at the time of admission, and in two of the three files there was a record of a review of the needs assessment that had been undertaken in August 2006. Westfield Residential Home Limited DS0000046005.V324793.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care needs of service users are met in a way that respects their privacy and dignity. EVIDENCE: The inspector examined four care plans; these evidenced that an individual care plan has been developed with each service user. Daily diary notes are recorded, as well as key worker notes, a monthly summary of the care plan and management notes. There are appropriate risk assessments in place for safe working practices, for example, the use of the hoist. Any falls are recorded in individual care plans and any injuries are recorded on a ‘body map’; pressure areas are also recorded on a ‘body map’. There is now a photograph of each service user in their care plan. The inspector observed that service users sign documents in their care plan, including their initial assessment, agreement to their care plan, risk assessments and review Westfield Residential Home Limited DS0000046005.V324793.R01.S.doc Version 5.2 Page 12 records. The inspector spoke to two relatives on the day of the site visit; both spoke very highly the registered manager, the provider and all staff. They said that the care provided by staff at the home was of a very high standard. The inspector sent out surveys to eleven relatives and nine were returned. Very positive comments were received; ‘‘Westfield is a lovely home in every way. My mother is looked after so much better in personal care. I am so glad I moved her to Westfield and the staff are so friendly and helpful’, ‘It’s a superb home. I am delighted with it’ and ‘I cannot fault Westfield Care Home. It is excellent. The staff are lovely, the accommodation is superb. I know my mother is in good hands and she is very happy and that’s all that matters’. All contact with GP’s and other health professionals is recorded. Some service users are able to visit the GP’s surgery, with support. Other health care professionals are involved appropriately, for example, to undertake mental health assessments. Pressure care is managed appropriately and service users have been provided with pressure care equipment; they also receive satisfactory assistance with any continence needs. Nutritional screening takes place, i.e. regular weighing and the monitoring of food and fluid intake (where this is an area of concern). The inspector spoke to a community nurse on the day of the site visit; they told the inspector that staff always follow the advice of community nurses and other health care professionals, and that they keep them informed of the health care needs of service users. They added that the care provided to service users was excellent, and that there was always a ‘friendly atmosphere’ in the home. A GP who returned the survey said, ‘very good, consistent high standards’. One health/social care professional said that staff do not demonstrate a clear understanding of the care needs of service users when they have behavioural problems due to dementia. This was discussed with the registered manager, who felt that this comment referred to a particular situation rather than the general care of this service user group. The inspector observed the administration of medication; this was done in a satisfactory manner. Medication is stored safely and there are appropriate facilities in place for the storage and administration of controlled drugs. One care plan seen by the inspector recorded a relative’s agreement to a service user administering their own medication. Storage facilities are provided to enable service users to hold medication safely. Staff that administer medication have undertaken accredited training and there is a sample signature for these staff to enable records to be checked. There is a photograph of each service user attached to their medication record to confirm their identity; this is good practice. The inspector observed that service users were treated with respect and that their right to privacy was respected by staff. Staff were seen to knock on doors before entering and were observed to speak to service users with patience and understanding. Some service users have had a telephone Westfield Residential Home Limited DS0000046005.V324793.R01.S.doc Version 5.2 Page 13 installed in their bedroom and relatives state that they are able to visit their relative/friend in private. Westfield Residential Home Limited DS0000046005.V324793.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported to take part in activities both inside and outside of the home, and visitors to the home are made welcome. Meal provision at the home is good. EVIDENCE: The inspector observed that all care plans include a record of any activities undertaken by service users, for example, ‘attended harvest service, hairdresser visited, chatting, watched singer and played bingo’. Care plans include details of a person’s previous lifestyle and a personal profile that records a person’s likes and dislikes. Service users confirm that are able to exercise their choice in relation to routines of daily living, where to spend their day, where to take their meals and about taking part in social activities. The pre-inspection questionnaire submitted by the registered manager records that service users attend tea dances at the local church hall, church services and school concerts. In-house entertainment includes hairdressing, bingo, games and reminiscence therapy. One service user told the inspector that they like Westfield Residential Home Limited DS0000046005.V324793.R01.S.doc Version 5.2 Page 15 taking part in bingo and ‘games day’. Another service user told the inspector how they would be spending Christmas Day and Boxing Day with family. All nine relatives that returned the survey said that they are kept informed of important matters affecting their relative/friend and that they are welcomed into the home at any time. Service users’ rooms have been personalised to an extent chosen by them and some have brought belongings from home to decorate their room. Service users are supported to handle their own financial affairs and the home is able to refer people to advocacy services should this be required. The inspector observed the serving of lunch and noted that service users had a choice of two main meals. The inspector saw a member of staff explaining the choice of menu for teatime and asking service users what they would like. There is a daily menu on display in the dining room. The inspector observed that service users were assisted appropriately to eat their meals. Some service users chose to take meals in their room but most had their lunch in the dining room; staff provided service users with a relaxed and pleasant atmosphere so that they could enjoy their lunch at a leisurely pace. All service users told the inspector that meals at the home are very good and that there is always a choice available. One service user told the inspector that staff make her a drink during the night if she requests one, and another service user told the inspector that they sometimes have a resident’s meeting and that they discuss the menu and propose any changes at these meetings. A suggestion made by them resulted in a change to the menu. Westfield Residential Home Limited DS0000046005.V324793.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have used the complaints process and relatives state that they know how to make a complaint; both feel that their complaints would be listened to. Staff are aware of, and follow, adult protection policies and procedures; this protects service users from the potential to be abused. EVIDENCE: The inspector spoke on a one to one basis with three service users. All said that they were not aware of the complaints procedure. However, the inspector noted that this is displayed in the home and one of the service users had actually made a complaint to the home. Another of these service users had a copy of the service user guide in their bedroom and this includes details of the complaints procedure. One of these service users said that they would speak to the registered manager if they had any concerns, and were confident that their complaint would be listened to. The complaint referred to had been investigated in a satisfactory manner by the registered manager and appropriate professionals had been involved, including the local adult protection coordinator. The outcome had been discussed with the complainant, who had signed to say that they were happy for the registered manager to deal with the concerns raised by them. A Westfield Residential Home Limited DS0000046005.V324793.R01.S.doc Version 5.2 Page 17 notification under Regulation 37 of the Care Homes Regulations 2001 had been sent to the CSCI, who were kept informed of the situation throughout. A copy of this complaint has been placed in the service user’s care plan, as well as in the home’s complaints log. All nine relatives that returned the survey said that they were aware of the home’s complaints procedure and eight said that they had never had to make a complaint. The inspector recommends that the registered persons make every effort to ensure that service users know how to make a complaint or express a concern. There are appropriate policies and procedures in place on adult protection. Some staff have undertaken training on the protection of vulnerable adults from abuse (including via NVQ training) and other staff have undertaken training on challenging behaviour/dementia; the inspector was informed that this training course included information on adult protection. The provider and the registered manager have attended training updates on these topics. Staff that completed the survey were able to describe the complaints procedure and had an understanding of adult protection and whistle blowing. Westfield Residential Home Limited DS0000046005.V324793.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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides service users with attractive, comfortable, good quality and well maintained accommodation. Domestic staff and the laundry facilities in place ensure that communal and private areas of the home are always clean and hygienic. EVIDENCE: The home is decorated and furnished to a high standard and is well maintained. The provider informed the inspector of changes that they propose to make to the premises, including the installation of a passenger lift. The provider was advised to contact the regional registration team to discuss these plans at an early stage to ensure that costly mistakes are not made. Westfield Residential Home Limited DS0000046005.V324793.R01.S.doc Version 5.2 Page 19 The grounds are kept tidy, safe, attractive and accessible to service users and allow ample access to sunlight – both lounge areas have large windows/doors overlooking the garden. The premises were clean, hygienic and free from offensive odours on the day of the site visit; the inspector observed two domestic staff undertaking cleaning duties. A relative said, ‘First class residential home. My relative is very happy there and the home is spotlessly clean. In … years of twice weekly visits I have always found everything excellent’. The laundry facilities meet required standards, including facilities for staff to wash their hands to control the risk of cross infection. There is now a locked cupboard in the laundry room where all cleaning materials are stored. The inspector noted that, in the staff toilet, special cleaning liquids had been provided for staff to wash their hands. The inspector examined training records and these evidence that infection control training is included in the home’s induction programme and that on-going training takes place. Westfield Residential Home Limited DS0000046005.V324793.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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Well-trained staff are employed in sufficient numbers to ensure that the needs of service users accommodated at the home can be met. Recruitment practices protect service users from the potential to be abused. EVIDENCE: One relative and two members of staff said that there are not always enough staff on duty, but the remaining 8 relatives that completed a survey said that there are enough staff on duty. The staff rota records (and the inspector observed on the day of the site visit) that there are three care staff on duty each am and two staff on duty each pm, with an additional member of staff on duty over tea-time and the manager or deputy manager on duty each day. There is a cook and two housekeepers on duty each day; this enables care staff to concentrate on caring duties. There are two staff on duty overnight. The staff rota records the role of each member of staff employed. The pre-inspection questionnaire completed by the registered manager recorded that more than 50 of care staff have now achieved NVQ Level 2 in Care; evidence seen on the day of the site visit supported this. Westfield Residential Home Limited DS0000046005.V324793.R01.S.doc Version 5.2 Page 21 The personnel records for a newly recruited member of staff were examined. These evidenced that a POVA first check or CRB check and two written references were in place prior to this person commencing work at the home. Records evidence that staff undertake an appropriate induction programme that meets Skills for Care requirements. On some occasions induction is completed in the time between the POVA first check being requested and being received, so that staff are ready to commence work as soon as safety checks are complete. There is a training and development plan in place, plus individual training records for each member of staff. The pre-inspection questionnaire records that various training sessions have taken place during the last year, including core training such as first aid, basic food hygiene, infection control and bereavement awareness. More specific training takes place on such illnesses as Parkinson’s Disease, optical awareness and Multiple Sclerosis. This was confirmed in records seen on the day of the site visit. Westfield Residential Home Limited DS0000046005.V324793.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 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 managed, including the handling of service user monies. Service users and others are able to affect the way that the home is operated. The health, welfare and safety of service users and staff is protected. EVIDENCE: The registered manager is a qualified nurse and has retained her registration with the Nursing and Midwifery Council. She has completed NVQ Level 4 in Management. The inspector observed on the day of the site visit that staff treat the registered manager with respect, and vice versa. The registered Westfield Residential Home Limited DS0000046005.V324793.R01.S.doc Version 5.2 Page 23 manager has attended some in-house training (including adult protection) to ensure that her practice is kept up to date. There is an effective quality assurance system in place. This includes monthly audits of the systems in place, an analysis of any complaints received and minutes of staff meetings and relatives meetings held. Quality audits are collated and the outcome is fed back to staff, service users and relatives at relevant meetings. Policies and procedures are updated appropriately. Some service users handle their own financial affairs and others are handled by families – the home only hold personal allowances for service users. Records of these were seen and were found to be an accurate record of monies held and transactions made on behalf of service users. Receipts are obtained for any monies spent on behalf of service users, and for any monies handed over to or received from relatives In house fire alarm tests and fire drills are carried out every two weeks – the inspector recommends that the fire alarm system is tested every week. The fire alarm system and fire extinguishers were serviced by a contractor in November 2006. The call system, electrical installations and emergency lighting are now due to be serviced – a contractor is due to attend the home to carry out this work. Portable appliances have been tested and the stair lift and mobile hoists have been serviced. The gas safety certificate expired on 6.12.06 and the service engineer was due to call on that day, but changed the appointment to 11.12.06. The registered person is required to forward evidence to the inspector that this work was carried out on the arranged date. An Environmental Health Officer visited the home in August 2006 and made no requirements or recommendations. All substances hazardous to health are stored safely and there are appropriate arrangements in place to promote safe working practices within the home to protect service users and staff from harm. Staff receive appropriate health and safety training. Westfield Residential Home Limited DS0000046005.V324793.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 3 3 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 3 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 Westfield Residential Home Limited DS0000046005.V324793.R01.S.doc Version 5.2 Page 25 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. 1. Refer to Standard OP3 Good Practice Recommendations The registered manager was advised to make clear to service users that their care needs at the time of admission could be met by the home, but that this would be subject to ongoing reassessments. The registered persons should ensure that service users know how to make a complaint and how to express concerns. The inspector recommends that the fire alarm system be tested in-house every week. The registered person is required to forward evidence to the inspector that gas appliances were serviced on the arranged date. 2. 3. OP16 OP38 Westfield Residential Home Limited DS0000046005.V324793.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Westfield Residential Home Limited DS0000046005.V324793.R01.S.doc Version 5.2 Page 27 - 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!