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Inspection on 22/09/05 for Westfields

Also see our care home review for Westfields for more information

This inspection was carried out on 22nd September 2005.

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.

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

What the care home does well

The home provides a high standard of personal care and all the residents interviewed spoke highly of this, as did the comment cards. Residents spoke highly of the catering services. The staff work as team and residents and staff commented favourably on this.

What has improved since the last inspection?

Care planning documentation. The environment continues to improve. Residents have been supplied with information folders.

What the care home could do better:

The Care Planning could be further improved.

CARE HOMES FOR OLDER PEOPLE Westfields Westfield Road Swaffham Norfolk PE37 7HE Lead Inspector Chris Handley Announced 22 September 2005 9.30am 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 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. Westfields I55 S34875 Westfields V243882 220905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Westfields Address Westfield Road Swafffham Norfolk PE37 7HE 01760 721539 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Norfolk County Council - Commmunity Care Mrs Glenis Tudor Care Home 40 Category(ies) of Old age (40) registration, with number of places Westfields I55 S34875 Westfields V243882 220905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The home to accommodate 40 Service Users who are older people not falling within any other category. Date of last inspection 8 April 2005 Brief Description of the Service: Westfields is a purpose built Local Authority Home providing accommodation for 40 elderly residents.The accommodation is on the ground and first floor. There are 40 single rooms. The home is set in its own grounds, with a car park at the front and side of the home.The home has a small rehabilitation unit on the first floor.The home receives nursing care from the District Nurse and medical services from GP practices. The home is situated adjacent to the town centre of Swaffham. Westfields I55 S34875 Westfields V243882 220905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection and was carried out as part of the annual inspection programme. Pre-inspection information had been received from the home which formed part of the work carried out prior to the inspection. The Inspection commenced at 9.30 am and was completed at 3.45pm. Four residents were interviewed and others were briefly spoken to as were two visitors to the home. Eight members of staff were interviewed. A wide range of documents were examined by the Inspector with the Manager. A total of 33 comment cards had been received from their residents and their relatives. A number of CSCI information cards were left for residents who had been interviewed and others who may be interested in reading them. What the service does well: 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. Westfields I55 S34875 Westfields V243882 220905 Stage 4.doc Version 1.40 Page 6 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 Standards Statutory Requirements Identified During the Inspection Westfields I55 S34875 Westfields V243882 220905 Stage 4.doc Version 1.40 Page 7 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 standard(s) 2 & 5 All residents have a written contract. Prospective residents and their relatives are welcome to visit the home prior to admission. EVIDENCE: The Inspector was shown the contract which is supplied to residents. It is comprehensive, well set out, and in a print size which enables people with poor sight to read it. Some of the residents interviewed were aware of these documents, and staff interviewed were aware that residents had contracts. A copy of the document is given to the residents, the signed copy is kept in the Care Co-Coordinators office. Westfields I55 S34875 Westfields V243882 220905 Stage 4.doc Version 1.40 Page 8 Prospective residents and their relatives are welcome to visit the home prior to admission, the Manager said. Her view is that it is better that they are admitted to a home which they have seen and like, rather than one which they have not seen before. The Manager is very much aware of the trauma that can be caused when a person is admitted and makes every effort to ensure that this early period goes as smoothly as possible. Visitors are welcomed, and they can tour the home meeting and speaking to staff and residents so that they get a clear picture of the home. Some of the residents spoken to told the inspector that they had seen the home before they came. Staff interviewed were aware of the importance of these visits. Once a resident has been admitted they are provided with a red information folder which contains a Service Users Guide, And Statement of Purpose . This is kept in their room, and a number of these were seen by the Inspector. Providing information in this manner confirms to the resident the information that they were informed of on their preadmission visits to the home. Westfields I55 S34875 Westfields V243882 220905 Stage 4.doc Version 1.40 Page 9 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 standard(s) 7, 9 & 11 The care plans have improved and this need to continue. The home has a safe and effective medicine system. A high quality of care is provided to terminally ill residents. EVIDENCE: All residents have an individual care plan, four of which were read. They are kept in an A4 ring binder folder, which is kept secure in a locked cabinet. All the folders are clearly marked “Confidential Information.” Since the last inspection the documentation has improved, but in order for the system to work effectively the documentation needs to be in a certain order, assessment, planning, implementation and review, perhaps chronologically. There is a wide rage of documentation including risk assessments, moving and handling assessments, and other necessary documentation. In regard to the personal care documentation there are some blank spaces and the Inspector advised that these should always be completed. Westfields I55 S34875 Westfields V243882 220905 Stage 4.doc Version 1.40 Page 10 The assessment must consist of a physical and mental health assessment as well as a social history. At present there is not a comprehensive assessment of mental health. The Manager is aware that this element is essential for effective assessment of older people. The next element planning, i.e. what is to be done, is poorly described. This element does not give staff guidance on who is to do what and when e.g. morning or night staff. The review is also poorly described, what was reviewed ? was the resident present? At present residents sign a review form but the form seen did not say what had been reviewed. The Inspector recommends that the care planning be written in a manner that clearly describes each section, a good assessment, planning - what needs to be done, implementation, what needs to be done, by whom and when , and review what were the results, and was the resident involved. The home has the good practice of maintaining a Daily Record and four of these were read by the Inspector. The entries are legible, dated, and signed. The inspector does not wish to encourage over long entries, but they should give a brief picture of the residents day. Staff interviewed were aware of the need to have care planning and of the importance of it. The Care planning is the responsibility of the senior staff. Of the 33 comment cards received, 32 indicated that they felt well cared for, with 1 indicating “Sometimes”. Mrs Ruth Emery, Care co-ordinator, showed the medicines to the Inspector. The home has a dedicated medicine room which is kept locked, and the keys are held by a senior member of staff. The medicines are delivered to the home in large blue bags and are immediately put into the medicine room and then at convenient time they are checked in, they are not left in the corridor. The medicines are kept in a locked medicine trolley which in turn is kept locked to the wall. The medicines in the trolley are stored tidily, there are no loose or unaccounted for medicines. The records of administration are neatly completed with the initials of the person administering the medicines. The home has a Controlled Drug Cupboard, and medication which is to be treated as a Controlled Drug were present. There is a drug refrigerator, in which Insulin is stored, it was free of ice and has a temperature control which is monitored and recorded daily. All staff who administer medicines have received certificated training for this important task, and the certificates were seen. The home uses Boots Monitored Dosage system and clearly marked records of administration were seen with the initials of the person administering the medicines. Westfields I55 S34875 Westfields V243882 220905 Stage 4.doc Version 1.40 Page 11 There is one resident who administers her own medicines. If residents, on admission, bring in out of date medicines, they are appropriately dealt with. The home has the medicine procedures of Norfolk County Council. The home enjoys a good working relationship with the pharmacist. If staff have any concerns about the effect of medicine on residents they would contact the prescribing G.P. Medicines are reviewed by the G.P on a regular basis, the Inspector was informed and this is recorded. Over the years the medicine room has caused some concern because of the heat in the room, this matter has now been resolved with the hot water pipes being insulated. Care and comfort are provided to residents at all times but especially at the time of death. Death in this home is handled with dignity and the spiritual rights and needs of residents are met. Families may visit at any time and they may stay over night if they wish to do so. There is a room with a recliner chair which is used for this. Refreshments are provided, and relatives are strongly supported by staff, and breaks are provided for them. Pain relief is provided and the community nurse has an important role in this matter. This was confirmed by the community nurse whom the Inspector met during the process of the Inspection. Funeral arrangements have been ascertained in advance and these are carried out. More junior staff are supported by senior staff at such times. The Manager feels strongly about the matter and her attitude was reflected by the staff when the Inspector asked about this matter, and in his opinion thought that they handled it well. Westfields I55 S34875 Westfields V243882 220905 Stage 4.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 14 & 15 A wide range of choice is made available for residents. Residents are provided with nutritious and varied menus. EVIDENCE: The Manager said that residents have a wide range of choice in many areas of their lives. This included, staying in bed in the morning, staying up at night to watch TV, a choice of meal, a choice of going into town, a choice of dress and appearance i.e. hair style, make up etc., choice of bringing items of special interest to them to put in their rooms. A choice of whom to associate with, who to sit with, and where to sit, either in their room or in one of the communal rooms. The residents interviewed confirmed this wide range of choice saying that it “Depended on them what they wanted to do”. This view was supported by the staff spoken to and the Inspectors observations during the process of the inspection. Westfields I55 S34875 Westfields V243882 220905 Stage 4.doc Version 1.40 Page 13 The menus for the home were seen by the Inspector, the content appears nutritious, varied and interesting. There is a choice of menu and if residents do not like either meal then the cook offers another choice. The catering staff meet with residents very soon after admission to find out their choice and preference in food. It is clear that the catering staff make every attempt to meet the catering needs and choices of residents. The Manager would seek the advice of the Dietician if needed. The residents interviewed said that they meals were very good, and made such comments as “There’s always enough“, “They are always tasty” and “They are always hot”. Based on these and many other comments it is obvious that residents think highly of the catering services. The Inspector discreetly observed residents enjoying their midday meal with obvious enjoyment. Staff interviewed thought that the catering services was good. Of the 33 comment cards received 30 indicated that they liked the food with 3 indicating “Sometimes”. In the Inspection dated 8/4/05 special diets were not recorded, they are now and this was seen by the Inspector. Westfields I55 S34875 Westfields V243882 220905 Stage 4.doc Version 1.40 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 17, & 18 The home has an effective complaints policy. Residents’ rights are protected. The home has Norfolk County Council’s Adult Abuse Awareness policy in place. EVIDENCE: The complaints procedure is displayed in the home and it is contained in a folder of information which each resident has been provided with. The home also has copies of Norfolk County Council’s booklet, which provides guidance for people who may wish to make a complaint. Since the last inspection there have been four complaints, none of which were of a major concern, all were dealt with within 28 days and all have been effectively dealt with by the home. The home previously had a dedicated complaints record book but since the last inspection have introduced individual complaint recording sheets, which maintains confidentiality should a resident/relative wish to see a record of their complaint. The Inspector was shown such a copy and he recommends that they be headed “Confidential Information”. Staff interviewed knew how to make a complaint if it were needed. The residents interviewed knew how to make a complaint and said they would see a member of staff or the Manager, and they would “Sort it out”. Westfields I55 S34875 Westfields V243882 220905 Stage 4.doc Version 1.40 Page 15 Of the 33 comment cards received 29 indicated that the resident knew whom to contact if they were unhappy with their care, with 4 indicating that they did not know. This picture given shows that the vast majority of resident do know who to contact, and the Manager is advised to consider how to achieve a 100 response. The residents legal rights are protected the Manager said. Ten residents used their postal votes in the last election. If needed the Manager would facilitate legal advice for a residents. From time to time solicitors visit the home to speak to their client/resident, the manager added. There has not been any incidents of Adult Abuse since the last inspection the Manager said. All staff have had training in Adult Abuse, and they confirmed this when interviewed. The Manager is a recognised trainer in this matter. The home follows Norfolk County Councils Polices and Procedures in this matter. Westfields I55 S34875 Westfields V243882 220905 Stage 4.doc Version 1.40 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 standard(s) 21 & 24 The toilets washing facilities and bathrooms meet the needs of the residents. The residents’ rooms are decorated and furnished to a high standard. EVIDENCE: There are 9 toilets on the ground floor, and 5 on the first floor, all have wheel chair access. There is a good supply of Sanni chairs. The toilets were neat clean, tidy and odour free. They are in a good state of decoration. All have call alarms. The bathrooms were neat clean and tidy, and in a good state of decoration. The residents when asked about these facilities thought that they were very nice. The Inspector toured all these facilities, and has over the past few years noticed a steady improvement in these facilities for which Norfolk County Council is commended. Westfields I55 S34875 Westfields V243882 220905 Stage 4.doc Version 1.40 Page 17 There are 40 single rooms two of which are double rooms but used as singles rooms. They are all decorated to a high standard and many of them were seen by the Inspector as he made a tour of the home. The residents told the inspector that they thought very highly of their rooms, they were “warm and comfortable”, “neat and tidy”, “just right”. Residents are positively encouraged to bring in small items and ornaments, and the Inspector saw many family photographs and ornaments of personal importance to the residents. The rooms have good natural light, though the home may benefit by have the lighting improved based on the fact that in the winter evenings the lighting in rooms can be on the dim side. There are hand basins in all rooms. All the rooms are carpeted. There are call bells, and smoke alarms in all rooms, which are tested weekly. There are locks on doors, and residents may have a key if they wish but the Manager said that most prefer not to use a key. There is a lockable drawer in the rooms. All the hot water pipes and radiators are protected. The residents have their names on the doors of their rooms and these are now beginning to look worn and the Inspector recommends that they are replaced with larger ones, of a more contempory style, and placed further down the door for ease of reading. The Inspector does not wish to encourage institutional practices but that this is “Mr Smith’s” room and should be clearly seen. Westfields I55 S34875 Westfields V243882 220905 Stage 4.doc Version 1.40 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28 & 30 There are adequate numbers of staff at present to meet the residents’ needs. There is an NVQ training programme in place. There is a programme of training in place which ensures that staff have the skills to meet the residents’ needs in safety. EVIDENCE: On the morning of the inspection there were 6 care assistants, 1 care coordinator, 2 domestic staff, 1 laundry staff, and 2 catering staff, and the Manager. In the afternoon there were 4 care assistants,1 care co-ordinator,1 catering staff and the manager. The staffing at night is 1 care co-ordinator till 10.00pm, and the 2 care assistants for the night. These figures agreed with the duty record seen by the Inspector. The Manager said that she can call in additional staff if required. On the day of the inspection the staffing levels appeared adequate based on the number and dependency of the residents seen. One of the very positive features of the staffing in this home is the fact that the staff work very much as a team, and all the staff spoken to confirmed this, saying that if one is busy, or off sick, then others help, and many other such like examples of effective team work. The residents have noticed that the staff work “Well together”. Westfields I55 S34875 Westfields V243882 220905 Stage 4.doc Version 1.40 Page 19 The Manager is advised to monitor the dependency of staff levels for two reasons. One, is that over working a hard working group of people, can be disastrous for the team, and lead to an increase in turn over, and secondly, the care required at night will increase as the dependency of the residents increases and this may require additional staff. There are 4 staff who have NVQ level II, and 6 who are taking NVQ II. There is one member of staff who has NVQ III and another who is taking it. There are 2 domestic Staff taking NVQ l ,one of whom is going to do NVQ II. The Manager is in the final Stages of taking her NVQ4. The number of staff with NVQ is increasing and they are urged to continue. Staff receive an increase in salary when they have successfully completed their NVQ training. The NVQ figures are slowly increasing and the staff involved are commended for this, and the home is heading for the 50 figure of staff who have achieved this training. The Inspector recognises that study, in addition to the many other task that they have to undertake, both domestically and work wise, puts pressure on people at times. The home has a training and development plan, and training provided includes, Fire Prevention, Moving and Handling, First Aid, Sensory Impairment and Reminiscence. Since the last inspection, training for Care Co-ordinator has been provided, this included Personal care, Continence care, Falls awareness, Eye care and Care for people who have had a stroke. It is recommended that domestic staff be provided with first aid training, on the basis that when working in a care environment they may be the first persons to come across an accident. To further enhance the knowledge and skills of the staff team, the Inspector recommends that the Care Co-ordinators, because on the importance of their roll, undertake specific training in care for the elderly. This was recommended in the inspection dated 84/05 but as yet there has been no development in this matter, and the Inspector urges that steps be taken to develop this. Westfields I55 S34875 Westfields V243882 220905 Stage 4.doc Version 1.40 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 35 ,36 & 37 The home is managed by an individual who is fit to be in charge. Residents’ financial interest are safeguarded. Staff supervision is carried out. Residents’ rights are safeguarded. EVIDENCE: The Manager has been managing this home for five years. She is responsible for this home only. The Manager has a job description, which was seen. There are clear lines of accountability both within the home, and with external management. The Manager and senior staff are familiar with the diseases/conditions associated with old age. Westfields I55 S34875 Westfields V243882 220905 Stage 4.doc Version 1.40 Page 21 The residents interviewed spoke highly of the Manager. Staff interviewed see her as a very good leader whom they clearly recognise as being in charge, one said “She is in charge of the team and she is why we have a good team”. They see her as a team leader and team player when required. “She gets on with the job” was another comment. The Manager is currently undertaking the Registered Managers Award and is due to complete this in October of this year. Personal allowances are held at County Hall and the Manager makes request on behalf of the resident to draw against these, by completing form E (FIN ) 12. The item required is then purchased, and receipts of purchase are obtained. The home follows the procedures required by Norfolk County Council, for dealing with these monies and a copy of this document was seen by the Inspector. The home has a secure facility for keeping monies and documents. Based on the discussion, which took place it was obvious that the Manager is very conscientious about this matter and fully appreciates the importance of it. Records and receipts are kept of possessions handed over for safe keeping. Individual staff supervision is carried out by the Manager. The Manager feels that this has had a positive influence on the members of staff and has provided a clear means of identifying training needs. Staff interviewed told the Inspector that they thought that supervision had helped them, it brings matters out, and then they can be dealt with, was the theme of one response, and another said that it provided a set time to meet with the Manager. The Inspector was shown supervision records. The Manager also holds group supervision with senior staff, and said that these session had proved very positive. Based on what was said it is apparent that the system is beginning to work positively. During the process of this inspection a wide range of records required by regulation were seen and examined. Residents have access to their own records. These records are kept securely. Westfields I55 S34875 Westfields V243882 220905 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 x x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 x 9 3 10 x 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 3 COMPLAINTS AND PROTECTION x x 3 x x 3 x x STAFFING Standard No Score 27 3 28 2 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 2 x x x 3 3 3 x Westfields I55 S34875 Westfields V243882 220905 Stage 4.doc Version 1.40 Page 23 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation None 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 7 Good Practice Recommendations It is recommended that each section of the Care Planning is clear and specific, with an assessment of physical, mental and social needs, and a plan, implementation, and review. It is recommended that the new complaint form be headed Confidentail Information. It is recommended that , new name plates be put on doors. It is recommended that the NVQ training programme continues. It is recommended that training for senior staff which will ehance their knowledge of of elderly people and the management of them be provided. It is recommended that all domestic staff be provided with first aid training as they work in a care environment for the elderly, where accicdents may happen at any time. 2. 3. 4. 5. 6. 16 24 28 30 30 Westfields I55 S34875 Westfields V243882 220905 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection 3rd Floor, Cavell House St Crispins Road Norwich NR3 1YF 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 Westfields I55 S34875 Westfields V243882 220905 Stage 4.doc Version 1.40 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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