Inspection on 11/06/08 for Westley Court Nursing Home

This inspection was carried out on 11th June 2008.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Westley Court Nursing Home 24/01/07

Westley Court Nursing Home 11/01/06

Westley Court Nursing Home 14/07/05

Westley Court Nursing Home 22/11/04

Westley Court Nursing Home 27/05/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

Extracts from inspection reports are licensed from CQC, this page was updated on 09/11/2008.

CARE HOMES FOR OLDER PEOPLE Westley Court Nursing Home Austcliffe Lane Cookley Kidderminster Worcestershire DY10 3RT Lead Inspector Sarah Blake Key Unannounced Inspection 11th June 2008 09:15 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 Westley Court Nursing Home DS0000004154.V366104.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. Westley Court Nursing Home DS0000004154.V366104.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Westley Court Nursing Home Address Austcliffe Lane Cookley Kidderminster Worcestershire DY10 3RT 01562 852952 01562 852958 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) www.alphacarehomes.com Alpha Health Care Limited Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30), Physical disability (5), Physical disability of places over 65 years of age (30), Terminally ill (3) Westley Court Nursing Home DS0000004154.V366104.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. That service users accommodated within the category of PD are aged 40 and above. The home may accommodate one named service user over 55 with a learning disability. 24th January 2007 Date of last inspection Brief Description of the Service: Westley Court is a modern, purpose built nursing home, which is situated in an attractive rural setting, adjoining the main Kidderminster to Wolverhampton Road. The home is registered to provide accommodation and nursing care for a maximum of 30 older people of either sex in single rooms, with en-suite facilities. Five people under sixty-five years of age with physical disabilities may be accommodated within the thirty maximum. The rooms are situated on the ground and first floor with a connecting lift. A communal lounge/dining room is available on the ground and first floor. Westley Court Nursing Home is part of a group of homes owned by Alpha Health Care Ltd. Information relating to the fees charged for the service is available on request from the home. Fees do not include the cost of chiropody, hairdressing, telephones, toiletries, escort duties and newspapers. There is a copy of this report at the home, which is available for people visiting the home to see. Westley Court Nursing Home DS0000004154.V366104.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 1 star. This means the people who use this service experience adequate outcomes. We spent a day at the home, talking to the people who use the service and the staff, and looking at the records, which must be kept by the home to show that it is being run properly. These include records relating to the care of people who use the service. The service had previously completed an Annual Quality Assurance Assessment (AQAA). The AQAA is a self-assessment and a dataset that each registered provider has to complete each year and send to us within agreed timescales. The document tells us about how providers of services are meeting outcomes for people who use the service and is an opportunity for them to share with us what aspects of the service they believe they are doing well. Some of the manager’s comments have been included within this inspection report. We also received completed survey forms from people who use the service and their relatives. The information from these sources helps us understand how well the home is meeting the needs of the people using the service. What the service does well: The home provides good information to help people decide whether they wish to live at Westley Court. People are encouraged to visit the home to help them decide. Senior staff carry out an assessment of needs so that staff can deliver the care which people need. People who use the service are encouraged to make choices, such as whether they would prefer male or female carers. The home encourages people who use the service to be involved in the planning and review of their care. Care is provided to a good standard. People’s privacy and dignity is respected. The staff are particularly skilled at providing care to people who are near the end of their lives. Meals are varied and nutritious, and there are kitchens on each floor where residents can make hot drinks for themselves at any time. The home has a clear complaints procedure, which is given to all residents in their Service User Guide. Westley Court Nursing Home DS0000004154.V366104.R01.S.doc Version 5.2 Page 6 The home is kept clean and tidy, and the furniture is modern and comfortable. Everyone we spoke to found the manager approachable and were confident that he would listen to them and try to help if he could. 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. Westley Court Nursing Home DS0000004154.V366104.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 Westley Court Nursing Home DS0000004154.V366104.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, 3, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are given sufficient information so that they can decide whether they wish to live at the home. The home encourages people to visit before they make up their minds. People receive an assessment of their needs and wishes, so that the staff know how their care should be provided. Westley Court Nursing Home DS0000004154.V366104.R01.S.doc Version 5.2 Page 9 EVIDENCE: We saw the written information, which the home provides to people to help them make an informed choice about where to live. This gives people good information about what life is like at Westley Court. We spoke to several residents and relatives. They told us that they had been encouraged to visit the home before making a decision about living there. One relative told us that she had visited three times at varying times of day, and that she had been made welcome on each occasion. We saw assessments of people’s needs, which had been carried out before they began to live at the home. These assessments were thorough and included all aspects of daily life. People had been asked about their preferences and choices, for example whether they preferred to have male or female carers. Westley Court does not currently offer intermediate care (Standard 6). Westley Court Nursing Home DS0000004154.V366104.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, 10, 11 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Assessments and care plans are well-documented and regularly reviewed. People who use the service and their relatives are encouraged to be involved in planning and review. There is generally a good standard of care. Sometimes it is not easy to see what care has been provided for people, as records are not complete. Some people who use the service need help with mobility, and staff do not always provide this in a way which is safe. Risk assessments are not always completed fully, which may mean that people who use the service could be at risk of harm. Medication is stored and administered safely. There is excellent care for people who are nearing the end of their lives. Westley Court Nursing Home DS0000004154.V366104.R01.S.doc Version 5.2 Page 11 EVIDENCE: We looked at care plans for four people who use the service. The care plans were very detailed and had been reviewed monthly. We saw forms, which showed that people had been asked if they wished to be involved in the planning and review of their care. We spoke to a resident, who told us that she appreciated the opportunity to take part in planning her care, as it made her feel that she had some degree of control. Care is generally provided to a good standard, and the manager works hard to ensure that standards are maintained. A member of staff told us “Sam is very hot on standards of care”. We saw staff providing care to residents, and they showed a good understanding of the needs of the people they were caring for, and were careful to respect the residents’ privacy and dignity. We looked at the care records for a resident who is at risk of developing pressure sores. The assessment shows that he is at high risk. The care plan states that he should receive pressure area care two to three-hourly. Staff told us that they do this, but there are no records to show when the care has been given. A member of staff told us ““We don’t have pressure area charts any more”. It is considered good practice to record pressure area care whenever it is carried out, for those people who are assessed as high risk. This ensures that all staff know that it has been done, and allows staff to record any changes which might indicate that a pressure sore is developing. We saw a resident being assisted to stand by two care staff. One of the staff was using a technique, known as an underarm drag, which is potentially dangerous for the resident. When we asked another resident how he was assisted to stand, he described the same technique being used. The manager showed us records, which confirmed that staff had received training in moving and handling techniques, and he told us that further training would be provided. The home has good procedures for managing medication. We saw medication records for three residents, and they were completed satisfactorily. Medication was seen to be stored safely. Two residents told us that they had not been asked if they would like to take responsibility for their own medication, and there were no records to show that this had been discussed. Westley Court Nursing Home DS0000004154.V366104.R01.S.doc Version 5.2 Page 12 The home provides excellent support for people towards the end of their lives. The staff work within the Gold Standard Framework, which aims to ensure that all residents will receive a gold standard of care at the end of their lives, and to help them to live well until they die. Some staff have received specialist training in this area. We spoke to a member of staff, who demonstrated excellent knowledge. We observed her talking to a relative and she showed great sensitivity. Westley Court Nursing Home DS0000004154.V366104.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although some activities are planned for the people who use the service, many of them told us that they do not have enough to do to occupy their time. Meals are varied and nutritious, and residents can have hot drinks at any time. EVIDENCE: The activities coordinator arranges some opportunities for socialising both in the home and in the community. Our surveys and discussions with people who use the service told us that these activities do not meet everyone’s needs. One resident told us “There is not much to do. There is not much mixing in the lounge”. Another said, “Sometimes people go off to do things and I haven’t been asked if I would like to join in”. One member of staff told us “There is not enough for the residents to do”. Westley Court Nursing Home DS0000004154.V366104.R01.S.doc Version 5.2 Page 14 The manager told us that most people prefer to eat in their own rooms, and this is a choice, which the staff respect. We saw residents watching television in the lounges, but one resident commented “The TV in the lounge is never switched off, so you can’t sit and have a talk with a visitor”. Relatives told us that they are encouraged to visit at any time, and are always made welcome. We saw relatives and friends visiting throughout the day, and staff were friendly and welcoming. We spoke to five people who use the service and the majority were quite happy with the quality of the food. One resident told us “the food varies, some is OK, overall it’s not too bad”. We observed staff serving lunch, and the food looked appetising and appeared to be a well-balanced meal. Residents can make hot drinks for themselves at any time in the kitchenettes. There is constant hot water available. Westley Court Nursing Home DS0000004154.V366104.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has a clear complaints procedure, which is given to all residents when they start living at the home. Some people who use the service do not feel comfortable about making complaints, as they are worried about the attitude of some of the staff towards them. However, people are confident that the manager will listen to complaints and will do his best to resolve them. Staff recruitment is satisfactory, and relevant training for staff helps to protect people. EVIDENCE: The complaints procedure is clear and easy to understand. We saw copies in the folders, which residents have in their rooms. The people we spoke to knew who to speak to if they had concerns. However, one relative told us “If I complain about things, it makes it worse for X (resident)”, and we were told by one resident that they would not want to complain, as they had previously raised a concern and some care staff had then treated them coldly and had been unfriendly to them. Westley Court Nursing Home DS0000004154.V366104.R01.S.doc Version 5.2 Page 16 Everyone we spoke to had confidence in the manager that he would try to put things right. Staff are receiving training in Customer Care and Dignity (a training session was in progress on the day of the inspection). We looked at staff files to check that all the relevant checks have been made on new members of staff. All the files were satisfactory. We spoke to three staff about their understanding of how to keep residents safe, and they all demonstrated good knowledge. Records showed that staff had received training in the protection of vulnerable adults. The staff we spoke to knew who to talk to if they had any concerns about the safety of the people who use the service. The manager is aware of the local procedures for safeguarding vulnerable adults. Westley Court Nursing Home DS0000004154.V366104.R01.S.doc Version 5.2 Page 17 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, 25, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is kept clean and tidy. The furniture is modern and comfortable. Infection control is well-managed. EVIDENCE: The home is clean and kept tidy by a team of housekeepers. The décor is modern and fresh. One relative described it as “a pleasant environment”. The home is currently being redecorated as part of an ongoing programme of refurbishment. There are extensive grounds, which are well maintained and are accessible to wheelchair users. There is a small patio area with seating and a parasol. Westley Court Nursing Home DS0000004154.V366104.R01.S.doc Version 5.2 Page 18 The previous inspection report noted that the cloakroom and toilet by the lounge did not have suitable door handles and locks. This work has now been carried out. Residents’ rooms have light modern furniture, and new beds have recently been provided. One resident told us “my new bed is very comfortable”. Residents may bring their own items of furniture as long as they comply with the fire regulations, and are encouraged to personalise their rooms with ornaments and photographs. The home has good procedures for managing infection control. We observed staff washing their hands before and after providing personal care. Staff wear protective clothing i.e. gloves and aprons when they provide care to residents. Westley Court Nursing Home DS0000004154.V366104.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Most staff demonstrate good standards of care. However, some staff do not appear to have an understanding of the needs of the people who use the service. At times, there are not enough staff to ensure that people can be confident of a quick response. EVIDENCE: We looked at the staff rosters for the day of the inspection. They showed that there were six care staff and one nurse on duty in the morning, and five care staff and one nurse in the afternoon. At night, there are three care staff and one nurse on duty. Two residents told us that there is often a delay in responding to calls, especially during the night. A relative told us “more staff would improve response times when people need assistance”. One resident said “Staff often do double shifts and they seem tired at the end of the day. I worry that they’re too tired to work properly”. The rosters showed a number of staff doing double shifts of twelve hours during the week. Westley Court Nursing Home DS0000004154.V366104.R01.S.doc Version 5.2 Page 20 We received many comments from residents and relatives about the staff. Most were complimentary, but some people who use the service had concerns about the attitude of a small minority of the staff. Some of the positive comments were “They are kind and attentive to my mother” and “The staff are very sincere and caring. My mother likes a joke and a good laugh, and gets this many times, especially with her favourite carers”. Two residents told us that they had been shouted at by members of the care staff, and one relative told us on a survey form “Some could be more tolerant of the needs of older people e.g. not think they are being difficult when they may just need more time to understand what is being asked of them. Need to remember that a kind word and a smile can make a difference to someone’s life”. Another resident said, “staff do their job, but they rarely stop and talk”. Everyone we spoke to praised the nursing staff for their professionalism and kindness, and those who had concerns stressed that this was only about a small minority of the care staff. At a random inspection carried out on the 18th March 2008, we found that the recruitment records show there is a structured recruitment framework in place aimed at recruiting staff in a way that protects people who live in the home. The inspection raised some issues about staff who had transferred from another care home owned by the company. Since the random inspection, the company has reviewed its recruitment procedures and the issues identified have been addressed. The training records show that staff receive the training they need to carry out their work. There are many training opportunities for staff, and we saw posters on the staff notice board about training sessions in Customer Care, Dignity, Falls and the Mental Capacity Act. Westley Court Nursing Home DS0000004154.V366104.R01.S.doc Version 5.2 Page 21 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, 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home currently has an acting manager. The people who use the service find him approachable and eager to help. Some health & safety practices are not thorough enough to make sure that the people who use the service are not put at risk of harm. For example, the fridges in both kitchenettes were at an unsafe temperature and this had not been put right, even though daily temperature readings had shown this to be a problem for many weeks. EVIDENCE: The home has been operating without a registered manager since February 20th 2008. We were told that a new manager was appointed on March 1st Westley Court Nursing Home DS0000004154.V366104.R01.S.doc Version 5.2 Page 22 2008. Our records show that at the time of writing the report the manager had not applied to the Commission to be the registered manager. It is an offence to carry on the management of a care home without being registered. Failure to register with the Commission may result in prosecution. The AQAA which we received from the home earlier this year was completed thoroughly and gave us good information about the way in which the home is run. The people who use the service praised the manager’s enthusiasm and his caring manner. Some of the comments we received from residents were “Sam is a wonderful person” and “Sam is trying to turn the place around”. Everyone we spoke to found the manager approachable and were confident that he would listen to them and try to help if he could. A member of staff who has worked at the home for many years told us “Sam is very empathetic, he really cares. He is a good man with a good heart and a huge commitment to the home”. The manager told us that he wants to give more choice to the people who use the service. A staff member said, “Sam is always talking about giving people choices and always asks are we giving them enough options?” At the last inspection, the procedures for handling residents’ money were found to be satisfactory. The home has regular visits from the Regional Manager to check on the home’s standards of service. We saw that one resident had been assessed for the use of bed rails at night. This assessment did not include the reason as to why bed rails were considered necessary, and did not include the resident’s signed consent. Bed rails are considered to be a form of restraint, and, as such, require written consent from the resident or a relative/advocate. At the previous inspection, the home was required to maintain the kitchenettes in a clean condition, and to test the temperatures of the fridges daily and maintain them within safe limits. We saw that both kitchenettes were clean and tidy. We looked at the fridges in the two kitchenettes. The fridges contained milk and yoghurt and snacks such as sausage rolls. Both fridges had thermometers, which showed readings well above the recommended temperature levels. The daily records showed that this was an ongoing problem, with temperatures of 14 degrees Celsius and 19 degrees Celsius having been recorded. The manager had not taken any action to make sure that food is stored at safe temperatures. The manager assured us that the fridges would not be used again, and the manager disposed of any food, which might have posed a risk. The manager has since written to us to tell us that new fridges have been installed in the kitchenettes. Westley Court Nursing Home DS0000004154.V366104.R01.S.doc Version 5.2 Page 23 The home has a Health and Safety committee, which meets monthly and feeds information into the Alpha Homes Health and Safety group. We saw three incidents, which show that the health and safety of the people who use the service are not always promoted and protected. We saw an incident of unsafe moving and handling, use of bed rails without a full risk assessment, and temperatures in two of the fridges were at an unsafe level. All of these incidents have been described in more detail earlier in the report. Westley Court Nursing Home DS0000004154.V366104.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 X 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 2 10 2 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 3 X X X X X 3 2 STAFFING Standard No Score 27 2 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 1 Westley Court Nursing Home DS0000004154.V366104.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes 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 OP31 Regulation Section 11 of the Care Standards Act 2000. Requirement An application from a suitable person to register as manager of the care home must be submitted to the commission so that people who use the service can be confident that the home is being managed by someone who is appropriately qualified and experienced. Fridge temperatures must be recorded daily, and maintained within safe limits, so that residents are not put at risk of eating contaminated food. This requirement was identified at the key inspection on January 24 2007 and was not met. Due to the actual risk this now presents to the people using the service, an immediate requirement with a timescale for compliance of 24 hours was issued. The use of bed rails must be governed by a full risk assessment and written consent, taking into account residents’ mental and physical capacity. DS0000004154.V366104.R01.S.doc Timescale for action 31/08/08 2. OP38 13(4(c)) 12/06/08 3. OP38 13(4(c)) 23/07/08 Westley Court Nursing Home Version 5.2 Page 26 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP8 Good Practice Recommendations You should ensure that staff carry out all moving and handling manoeuvres in a safe manner. This will protect the people who use the service from the risk of harm. You should keep records to show that pressure area care is provided as indicated in the care plan. You should ask the people who use the service if they wish to take responsibility for their own medication, within a risk management framework. You should provide a wider range of activities for the people who use the service, and ensure that all residents can be involved in activities if they wish to do so. You should review the levels of staffing to ensure there are sufficient numbers of qualified staff available, and make any adjustments assessed as necessary, to ensure that any request for assistance can be responded to in a timely manner. 2. 3. OP8 OP9 4. OP12 6. OP27 Westley Court Nursing Home DS0000004154.V366104.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 Westley Court Nursing Home DS0000004154.V366104.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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