Inspection on 24/01/07 for Westley Court Nursing Home

This inspection was carried out on 24th January 2007.

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

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

Other inspections for this house

Westley Court Nursing Home 11/06/08

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 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Westley Court Nursing Home Austcliffe Lane Cookley Kidderminster Worcestershire DY10 3RT Lead Inspector Yvonne South Unannounced Inspection 24th January 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Westley Court Nursing Home DS0000004154.V328122.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.V328122.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) alphacarehomes.com Alpha Health Care Limited Mrs Gillian Hall 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.V328122.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. 11th January 2006 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. The register manager is Mrs Gillian Hall. A pre-inspection questionnaire was completed by the registered manager on 26.10.06 in which was stated that the fees at that time were £1832 to £2180 per month. Additional charges are made for hairdressing and toiletries and residents pay a part of the cost of outings. Westley Court Nursing Home DS0000004154.V328122.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection incorporates information received by the Commission for Social Care Inspection since 11.01.06 and the information obtained during fieldwork on 24.01.07. The fieldwork took place over 10 hours during which the inspector spoke to three residents, two relatives, five staff and the home manager. Documents were assessed and a partial tour of the premises was also undertaken. Prior to the fieldwork the home was asked by the Commission for Social Care Inspection (CSCI) to complete and return a pre-inspection questionnaire and to distribute questionnaires to the residents, relatives and health care professionals seeking their opinions of the service. To date 6 responses have been received from residents, 7 from relatives and 12 from health care professionals. The focus of this inspection was on the key National Minimum Standards and the requirements and recommendation that arose out of the previous inspection. What the service does well: Detailed information is available and staff support people who are looking for a care home. A relative said the home was recommended, she had visited and received full information. The residents are well cared for in regard to their personal and health needs and a range of stimulating activities both in the home and in the community are arranged. Privacy and dignity is respected and residents live the style of life they choose. One resident said; You could not find better. Staff are great. Other comments made were; Care is wonderful. Care is exceptional. Staff are sensitive and fun. Staff undergo a thorough recruitment process and undertake training throughout their employment. The environment is clean and pleasant with aids and adaptations to help those who have health and mobility difficulties. Westley Court Nursing Home DS0000004154.V328122.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Westley Court Nursing Home DS0000004154.V328122.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.V328122.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): 3, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information is provided so that people are helped to make a decision regarding the home. Assessments are undertaken to ensure the home is able to provide the care a person needs before they are offered a place in the home. Residents who stay in the home for intermediate care are able to relearn skills and regain confidence before they return home. Westley Court Nursing Home DS0000004154.V328122.R01.S.doc Version 5.2 Page 9 EVIDENCE: The questionnaire responses indicated that residents believed that they had received enough information to help them make a decision regarding their future home. This was confirmed by a relative who said that the home had been recommended and she had been fully informed. A resident’s questionnaire response stated that they had been able to visit and tour the home prior to making a decision. A Statement of Purpose and Service Users’ guide were available and copies of the homes brochure were displayed at the entrance to the home. Three care records were assessed and these demonstrated that someone from the home had undertaken an assessment prior to admission to ensure the home could provide the care the individuals needed. The format that was used provided little space for recording and the amount of information was consequently limited. Not all elements listed in the National Minimum Standards (NMS) had been included. It was suggested that the form be developed to include these and provide more writing space. Intermediate care was provided in a separate unit and the manager stated that they had helped residents to achieve good results in rehabilitation so they were able to return to their own homes. A resident told the inspector that he had been in several homes and this one compared favourably with the others. Westley Court Nursing Home DS0000004154.V328122.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans have improved and information is available but there needs to be an increase in individuality and detail to enable staff to be informed of each persons’ welfare and care needs. Residents receive the personal and health care needs they require from dedicated staff. EVIDENCE: All current residents were White British. Care records were kept secure accessible to the staff. Westley Court Nursing Home DS0000004154.V328122.R01.S.doc Version 5.2 Page 11 Care plans were assessed relating to three residents. Some of them were very brief and gave limited personal information on how the individual liked and needed to be helped while others were more detailed and useful. Risk assessments had also been carried out and evaluations (reviews) were carried out monthly or more frequently when necessary. Some files held a declaration form that indicated the resident did not wish to be involved with their care planning. There was no indication that discussions with representatives had taken place. However it was observed that visitors and staff communicated well and phone calls were positive and informative. The questionnaire responses, and people who spoke to the inspector, confirmed that communication was good and they were kept well informed. It was recommended that such contact be recorded on the designated page in the file or included in the daily record. The daily records were poor with repeated statements of ‘Slept well’ and ‘No change’. Occasional ‘signposts’ were included directing the reader to a specific care plan but overall the entries gave no information of daily events that had occurred in the life of the individual. Two of the three records contained very good detail in ‘Life History’. These were valuable documents that emphasised the individual. Limited information was available regarding ‘end of life care’ and this needed to be addressed. However the home is working closely with the local Primary Health Care Trust to implement the ‘Gold Standards Framework’ and ‘Liverpool Care Pathway’ both of which support people to cope with the end of their lives in the manner they wish. A file was seen that contained many thank you cards and letters commending the staff for their care at the end of residents’ lives. Twelve questionnaires were returned by health care professionals. Everyone gave positive answers to the questions regarding the standard of service provided by the home. Two comments made were; I have found the home and staff excellent. I have always found that my patients receive excellent care in this home. Similarly the questionnaires returned by relatives and residents commended the standard of care. Comments from relatives included; My husband is very immobile and peg fed. I am particularly grateful for the excellent care given to him by Westley Court Staff. They are always so kind and look after him so well. They are marvellous. Comments from residents included; The staff are especially good when I am ill. Westley Court Nursing Home DS0000004154.V328122.R01.S.doc Version 5.2 Page 12 Sisters are always available and they get the doctor when required. Medication was assessed. Storage was maintained in trolleys on each floor, stock cupboards, a medication fridge and a controlled drugs cupboard. All storage was secure however the trolleys were small and unable to accommodate all necessary medicines. Eight requirements relating to medication management had been made in the previous report. Compliance was assessed and considered to be acceptable. Medication records were well maintained and a sample audit of a controlled drug was acceptable. It was observed that only trained staff administered medication. The bedrooms and ensuite facilities were not fitted with approved locks. However the manager confirmed that they would be fitted if required and all people admitted to the home were made aware of this. A cloakroom and toilet opened off of the lounge on the ground floor but the doors were not fitted with catches, locks or external door handles. This made it impossible to close the doors properly or secure privacy. All staff were observed to relate to residents in a kind respectful manner. Westley Court Nursing Home DS0000004154.V328122.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 good. This judgement has been made using available evidence including a visit to this service. Residents are able to participate in a range of activities that provide them with stimulation and interest. Arrangements were made so that residents were able to maintain their links with their family and faiths. A choice of good quality meals were provided so that residents could select meals they enjoyed. EVIDENCE: The questionnaire responses indicated that fifty percent of the respondents considered that there were usually activities that they could take part in. The other fifty percent considered that there sometimes were. Most residents preferred to stay in their bedrooms and the communal rooms were little used except for dining. Westley Court Nursing Home DS0000004154.V328122.R01.S.doc Version 5.2 Page 14 The home employed an activities organiser and she organised a range of activities in the home and in the community in which residents could participate if they chose. The inspector was told that the home valued privacy and choice. Residents were able to join in group activities or enjoy a private conversation/interests if they preferred. The activities organiser said that there was not a full activities programme as the emphasis was placed on spontaneity. A residents’ meeting was held on the day of the inspector’s visit and a resident was taken out for a walk. Sometimes entertainers came to the home and parties and outings were organised. Posters of these events were displayed and each individual resident was provided with a personal copy. Photographs indicated that residents enjoyed these events. A newsletter was published every few months and this was available in large print to assist those who had a visual impairment. A member of the clergy visited the home and residents were able to take Holy Communion. The bed bound that wished were also visited. There were no residents of other faiths with unmet needs. A steady flow of visitors was observed to come through the day. They were welcomed by the staff and residents. A resident told the inspector that he passed his time watching the television and writing letters. He had also attended the residents’ meetings and enjoyed visits from his daughter. The menus indicated that a choice of balanced meals was offered and residents commented in the questionnaires that they usually enjoyed them. People were able to dine in their bedroom or in the communal dining room according to their choice. A relative stated that although no longer a big eater her mother had enjoyed the meals in the past and they were of a good quality. Westley Court Nursing Home DS0000004154.V328122.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 good. This judgement has been made using available evidence including a visit to this service. Residents and their representatives have the information they need so that they can raise any concerns they may have and be confident that they will be addressed. Staff are recruited and trained so that the risks to vulnerable people are reduced as far as possible. EVIDENCE: The pre-inspection questionnaire stated that the home had received no complaints in the past twelve months and neither had the Commission for Social care inspection (CSCI). Copies of the complaint procedure were displayed in the home and contained in the Statement of Purpose and Service Users’ guide. The manager confirmed that each person received a copy when they moved into the home. Three staff were interviewed by the inspector they were all aware of the correct action to take if they received a complaint or had concerns regarding a person’s behaviour or wellbeing. Westley Court Nursing Home DS0000004154.V328122.R01.S.doc Version 5.2 Page 16 The questionnaire responses indicated that people were aware how to raise their concerns and were confident of a response. A relative said ; Staff can always sort out any queries when they arise. A resident said; Any of the staff will take action. Staff confirmed that they had gone through an acceptable recruitment process and their records confirmed that interviews had taken place, references had been taken up and checks made with the Criminal Records Bureau (CRB) before they started work. They had received training and the training matrix indicated that during the previous twelve months 12 of the 33 staff had received training in the protection of vulnerable people. Arrangements need to be made to ensure the remainder receive training as soon as possible. Westley Court Nursing Home DS0000004154.V328122.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, 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 clean and well maintained and suitable equipment is provided so that residents are able to live in comfortable surrounding that meets their needs. Systems and equipment is in place so that the risks of cross infection are managed and the people in the home are protected. EVIDENCE: The pre-inspection questionnaire indicated that there had been no major changes to the home since the last inspection. Westley Court Nursing Home DS0000004154.V328122.R01.S.doc Version 5.2 Page 18 A partial tour of the home was undertaken. It was observed to be clean, well furnished and maintained. Handrails were fitted and bathroom and toileting aids were available. Bedrooms had been personalised by residents, accommodating pieces of furniture, pictures, photos and other items they valued. It was observed that the temperatures of the fridges in the kitchenettes were not being monitored and the floor needed to be cleaned around the fridge on the ground floor. Some of the carpets were marked. The manager confirmed that there was a continuous cleaning programme in action. Questionnaire responses confirmed that the home was always fresh and clean. One resident stated that it was excellent. The laundry was well organised and tidy and there was a plentiful supply of personal protective equipment and alcohol hand cleaner placed around the home. Staff were observed using these and they confirmed that they had received training in infection control. Since the last inspection a hand basin had been fitted and secure storage was made available for cleaning materials. An environmental audit had been undertaken in the kitchen and ‘Food Hazard Analysis Books’ were being used. Cleaning schedules had been implemented and temperature checks of foods and fridges etc. were being maintained. The manager said that there were plans to convert and unused staff shower. It would probably be used for storage as this was always in demand. Westley Court Nursing Home DS0000004154.V328122.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 good. This judgement has been made using available evidence including a visit to this service. Sufficient staff are employed and trained to provide the care each resident requires to meet their needs. Therefore residents are confident that they are properly cared for. EVIDENCE: The pre-inspection questionnaire stated that there were 9 first level nurses, 21 care staff and 4 ancillary staff employed in the home. The manager said that one person came from Tibet and another from Poland. There were no communication difficulties. Sixty two percent of the care staff had National Vocational Qualifications. The manager confirmed that recruitment was underway to fill the two staff vacancies. Staff covered vacant shifts to maintain acceptable staffing levels and those who spoke to the inspector confirmed that they were able to meet residents needs and spend time talking with them. The staff that spoke to the inspector confirmed that they had been well recruited and their records were complete. Induction training had taken place and training was valued. Westley Court Nursing Home DS0000004154.V328122.R01.S.doc Version 5.2 Page 20 Each member of staff had an individual training record and the manager demonstrated that the training records were being reviewed and redesigned to enable analyses of achievements and planning to be more easily undertaken. Future training is planned to update all mandatory courses and other relevant care training. Questionnaire responses indicated that residents and relatives consider the staff to be of a high standard. Comments made by residents included; Most of the staff are excellent. All staff are excellent. Staff are very good. I feel at home. Visitors can come any time. A relative told the inspector that ‘The staff are great and the care is wonderful.’ Another relative said ‘The care is exceptional. The staff are full of care. They laugh and joke and respond to all care needs with sensitivity.’ Westley Court Nursing Home DS0000004154.V328122.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 good. This judgement has been made using available evidence including a visit to this service. The home is well managed so that residents receive the care they need. Health and safety systems and training are undertaken to reduce the risks of harm to people in the home. EVIDENCE: The home is managed by a well-trained and experienced person who has worked in the home for many years. Staff described her as supportive, lovely, fantastic and approachable. Westley Court Nursing Home DS0000004154.V328122.R01.S.doc Version 5.2 Page 22 The manager commended the commitment and loyalty of the staff team. She said that the standard of their work was consistently high. A questionnaire response from a relative stated; A well run home with all the necessary care given to patients. Staff confirmed that they received supervision from a senior and records were seen. The programme was developing well. A quality assurance system was in use based on an annual audit programme, annual questionnaires, the monthly visits by the representative for the owners of the home and meetings conducted with residents and staff. This system enabled areas for improvement to be identified and action plans to be decided and implemented. Some residents had money held in safekeeping and managed for them by the home. These monies were held securely and appropriate records were maintained. Receipts were kept of all expenditure. It was recommended that receipts also be raised for all income. Health and safety was well managed. A risk assessment for the home was readily available and risks in the kitchen had also been assessed and managed. The pre-inspection questionnaire indicated that systems and equipment in the home was regularly serviced in addition the maintenance file in the home held the records of a wide range of other systems and equipment that was checked and serviced by the maintenance man. A Fire Risk Assessment for the home had been undertaken by PCM Fire Defence on 17.05.04. The fire detection and defence systems were routinely checked and fire safety signage had been improved. Dorguards were fitted where necessary so that doors could be held partially open and close automatically if the alarm should sound. Staff training was undertaken and staff participated in at least one fire drill each year. The staff and their records demonstrated that health and safety training had been undertaken and the manager said that all staff were due to commence a programme of updates. Westley Court Nursing Home DS0000004154.V328122.R01.S.doc Version 5.2 Page 23 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 X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 2 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 2 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 Westley Court Nursing Home DS0000004154.V328122.R01.S.doc Version 5.2 Page 24 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. 1 Standard OP7 Regulation 15 Requirement Care plans must be drawn up with the resident or their representative if possible and set out in detail the action that staff must take to ensure each individual person’s health, personal and social care needs are met. Suitable door handles, catches and locks should be fitted to the cloakroom and toilet by the lounge. Kitchenettes should be maintained in a clean condition and the temperatures of the fridges tested daily and maintained within safe limits. Timescale for action 01/06/07 2 OP10 12 01/03/07 3 OP26 13 31/01/07 Westley Court Nursing Home DS0000004154.V328122.R01.S.doc Version 5.2 Page 25 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 OP1 Good Practice Recommendations The pre-admission assessment format should be developed so that more detailed information can be recorded. Discussions with residents and their representatives concerning care should be recorded. Information should be available regarding each residents’ end of life care wishes. 2 3 OP2 OP11 Westley Court Nursing Home DS0000004154.V328122.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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.V328122.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. 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