Inspection on 18/05/05 for Weston House

This inspection was carried out on 18th May 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.

Other inspections for this house

Weston House 17/10/08

Weston House 17/11/06

Weston House 25/11/05

Weston House 01/12/04

Weston House 22/09/04

Weston House 03/03/04

Similar services:

The Lodge Nursing Home

Bracken House

Sunnycroft

Field Farm House

Edgeview Nursing Home

Church Terrace Nursing & Residential Home

The Forbury

The Maples

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

CARE HOME ADULTS 18-65 Weston House 344 Weston Road Weston Coyney Stoke-on Trene Stafordshire Lead Inspector Peter Dawson Announced 18 May 2005 09:00 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Weston House E51 E09 S8258 Weston House V207655 180505 Stage 2.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Weston House Address 344 Weston Road Weston Coyney Stoke on Trent Staffordshire ST3 6HD 01782 343818 01782 322518 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) Groundstyle Limited Miss Jodie McVay Care Home 28 28 6 9 Category (ies) of MD registration, with number MD(E) of places OP Weston House E51 E09 S8258 Weston House V207655 180505 Stage 2.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 12 MD - 5 may be under 55 years imposed on 01-04-02 Date of last inspection 1 December 2004 Brief Description of the Service: Weston House is a large detached property situated on a bus route near to Meir and Longton town centres. It provides accommodation presently for up to 28 adults. The home was acquired by the present owners 3 years ago and considerable improvements have been made to the environment since that time and extensive upgrading both internally and externally. This work continues - the kitchen is being totally refurbished at this time and plans are to add conservatory, reception/office area nd upgrade toilet/bathroom areas. The home have moved sensitively from care for the elderly towards care of younger with mental health needs. Presentliy there are only 4 people over the age of 65 years. The home continues to provide care for older people who are accommodated on ground floor area. Access to a range of primary health care services is provided for all residents. Specialist health care staff are involved in care provision e.g. Psychiatrists, Psychologists, CPNs. An Activities Worker is employed 30 hours per wekk with flexible working hours to promote access to the community and provide a wide range of internal and external activities on an individual or small group basis for all residents. This service is relatively new and provides and excellent facility for this resident group. Weston House E51 E09 S8258 Weston House V207655 180505 Stage 2.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. There were 25 residents in the home including one admitted during the inspection. There were 2 residents in hospital. A very impressive refurbishment programme has been put into place during the past 2-3 years, this continues at this time and includes the majority of communal areas and bedroom areas. All changes have been part of a written development plan for each year. Further investment into the home is planned by the proprietors with conservatory to be added off the dining area and extensive alterations to the reception area also providing improved office accommodation. The proprietors have recently sold two homes in their portfolio of homes and a substantial allocation of finance to Weston House for future refurbishment/additions is being made. Improvements have been made to care planning and general personal information and are now to a good standard Most residents were seen and spoken to. All indicated satisfaction with care provided. This included new residents who confirmed that appropriate introductions prior to placement had been made. Feedback forms from residents and relatives confirmed these facts too. The comments of a respite resident confirmed a successful positive plan in place to improve her social skills and to improve confidence to operate in the wider community. What the service does well: Good pre admission procedures are in place and followed. People settle quickly into the home. A full time Activities Worker provides an excellent service to all residents in the home. This is well documented and shows tangible results. Weston House E51 E09 S8258 Weston House V207655 180505 Stage 2.doc Version 1.30 Page 6 Relatives are involved in care planning and informed of all changes in residents condition. Residents sign care plans. Good care plans are in place giving concise and comprehensive information to provide current care. The training record of the home is good. Minimum requirements for NVQ trained staff are presently exceeded. What has improved since the last inspection? What they could do better: Some attention is required to strengthen recruitment procedures in relation to documentation and checks. Monies for residents must be paid only into accounts in their names. Weston House E51 E09 S8258 Weston House V207655 180505 Stage 2.doc Version 1.30 Page 7 An OT assessment of the needs of a wheelchair bound resident is required. 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. Weston House E51 E09 S8258 Weston House V207655 180505 Stage 2.doc Version 1.30 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Weston House E51 E09 S8258 Weston House V207655 180505 Stage 2.doc Version 1.30 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) There is evidence to suggest from records and documents in the home to confirm that the standards relating to choice of home are met. EVIDENCE: The homes statement of purpose has been updated since the last report to include all relevant current information. A copy of recent inspection reports are now available for visitors in the reception area. They are also included in the service users guide. Full assessments are undertaken by Care Management staff. One not completed on previous inspections was made subject to requirement and has still not been provided by the Social Worker. This is beyond the control of the home who have persistently requested it and the homes own assessment used to provide the plan of care. Care Management assessments should be a condition of admission. The homes capacity to meet need is defined the statement of purpose. There is a good staff training programme and all staff have the opportunity to obtain NVQ standards. A range of specialist services for people with mental health needs are provided to the home by the Health Trust. Weston House E51 E09 S8258 Weston House V207655 180505 Stage 2.doc Version 1.30 Page 10 Pre admission visits are arranged for prospective residents where time allows and this is the preferred option. Recently admitted residents confirmed this was the case. All residents have written contracts from the Local Authority with the exception of one who has private contract with the home. Weston House E51 E09 S8258 Weston House V207655 180505 Stage 2.doc Version 1.30 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 to 10 Care plans provided good current information based upon assessments. The care planning system itself is satisfactory and only the amount or quality of recording limits the standard. Residents were seen to make decisions about daily living, they are involved in care planning and reviews. Risk assessments are generally comprehensive. EVIDENCE: Individual plans are established with service users based upon assessed needs. Assessments provided by Care Management Personnel and also the homes own assessment. Some residents have CPA arrangements (Statutory under the Mental Health Act) where a multi-disciplinary team headed by Consultant Psychiatrist and involving resident and relatives establish a plan of care which is reviewed at least every 6 months. This is still a mixed category home care plans for older people (there are 4) must be reviewed monthly and those for young adults at least 6 monthly. The practice is that virtually all plans are reviewed on a monthly basis. Sampling of care plans confirmed the above, some reviews were good and comprehensive others brief and contained less information. The Manager will Weston House E51 E09 S8258 Weston House V207655 180505 Stage 2.doc Version 1.30 Page 12 encourage staff to write more informatively in reviews to standardise to a good standard. Similar differing standards previously related to daily notes but discussions with staff have improved the information recorded on a daily basis. Residents sign care plans and generally the standard of care planning information and recording is satisfactory if the areas mentioned above are improved. There was evidence during the inspection of positive dialogue between residents and staff and examples of residents making daily decisions. Residents are encourage to make decisions about their daily lives and choices paramount at least to a level commensurate with their capacity. There are regular residents meetings and these are recorded (not seen on this inspection). Risk assessments are made in relation to all resident activity and documented in care plans. A statement in daily notes concerning the possibility of a resident falling downstairs was seen and a risk assessment not completed. This risk will be checked by the Manager and recorded in risk assessment as appropriate. Records relating to residents are kept securely in the office area of the home and restricted only to authorised persons. Confidentiality is assured. This complies with Data Protection legislation also. All residents have nominated Key Workers, those subject to CPA planning have required nominated key workers under aftercare arrangements. Weston House E51 E09 S8258 Weston House V207655 180505 Stage 2.doc Version 1.30 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11 to 17 Standards relating to lifestyle were found to be met. There is an excellent activities input for all residents with proven results. Greater access to the community for all is achieved. New furniture in the dining area improves the appearance conducive with an atmosphere for social interactions. Improvements to the kitchen area now underway will greatly improve those facilities. EVIDENCE: It is the homes philosophy to promote social and independent living skills. Activities are provided for all residents on an individual or small group basis within the home or in the community. Many residents have lost social skills due to their mental health needs, the objective being to restore, develop and maximise those skills. Progress is limited only by the remaining capacity of some residents e.g. Korsakoffs syndrome. None of the current group are involved in work occupation. Younger people are encourage to attend college courses where possible and the aim is to engage people in social groups outside the home with support. External are arranged to local places of interest and trips a little further afield arranged for Weston House E51 E09 S8258 Weston House V207655 180505 Stage 2.doc Version 1.30 Page 14 small groups also e.g. trip planned to Chester Zoo by residents requests. Most activities centre around visits to local towns for shopping, theatre, pubs, restaurants etc. Some residents simply walk in the local area with staff as a starting point to extend their outings and interests. There is a positive programme for all residents and these are well documented. An Activities Worker was appointed last year for 30 hours per week. She has outstanding skills in assessing the recreational and occupational needs of residents and carries out an extensive programme of activities based upon residents needs and interests. She has particular skills in stimulating interest and engaging residents in activities which extend their social skills and independence. A resident completing a period of respite care who suffers from anxiety and an element of depression told how she had increased her self confidence by being involved in going to the theatre, supermarket restaurants etc, things she could no do prior to admission she has also been introduced to embroidery and found a new interest. She says she is more confident and relaxed about everyday matters and speaks highly of the skills and involvement of all staff in making such progress. A resident admitted some months ago is visited daily by his partner, they spend time in the communal areas as they wish and have a daily meal together in his bedroom. She is involved in all aspects of care and her contribution to the condition and general care of the resident acknowledge and appreciated by staff. This is an excellent example of chosen lifestyle and shared care. All residents spoken to indicated satisfaction with food provision. The dining room has been refurbished and looks more restaurant-like. There is a facility for more able residents to prepare drinks, hot snacks and meals with a kitchenette facility now added in the area adjoining the kitchen. There is microwave, coffee maker, toaster etc. which are used by competent residents. On the day of the inspection the kitchen was out of commission, being totally refitted. Fish and chips were purchased from local shop for all at cost of £50 and enjoyed. The kitchen area will be greatly improved, a much needed addition. Weston House E51 E09 S8258 Weston House V207655 180505 Stage 2.doc Version 1.30 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 to 20. There is good awareness and monitoring of health care. Considerable support is required from staff for mental health care needs and this is given. All staff have received training in medication provision. There are positive links with District and Community Psychiatric nurses as required and the importance of a team approach understood. EVIDENCE: Nursing care is not provided in this home. A good service is reported from the District Nursing Service when interventions are required. Where possible residents access health care directly from local GP’s/Health Centres and those services seen as part of community access. In relation to the small numbers of elderly people those services are accessed in the home. Many residents have enduring mental health needs and services from the Primary Health Care Team and specialist hospital teams are accessed as required. Most have nominated Consultant Psychiatrist, and many subject to aftercare arrangements under Section 117 with regular reviews from multidisciplinary teams. Weston House E51 E09 S8258 Weston House V207655 180505 Stage 2 doc Version 1.30 Page 16 In relation to personal care this is given with sensitivity and privacy. Many residents only require oversight in relation to personal care to maintain personal hygiene. Some older residents do require specific interventions, including moving and handling techniques. All staff have been trained in this area by the homes Moving & Handling approved trainer. Continence Advisors make assessments and provision of aids as required. In a room occupied by recently admitted resident there was a pile of continence pads on display, these must be removed in the interests of dignity. Three GP practices presently provide a service to the home and an improved service reported, following previous complaints. A resident with complex physical needs in addition to mental health needs is managed with regular Consultant outpatient appointments, involvement of GP and the nursing service. He is visited daily by his partner of several years who has experience in handling the changes which may occur in relation to aspects of health care. One indicator of failing physical health requires regular body measurement which is difficult for staff. It is recommended that this would be acceptable if carried out and recorded by the residents partner who visits daily, she has experience of previously monitoring this aspect of care and keen to continue to do so to assist staff. Good example of agreed shared care. Medication was inspected, there were good records of receipt, storage, administration and disposal of medicines. The medication system was satisfactory and safe. Weston House E51 E09 S8258 Weston House V207655 180505 Stage 2 doc Version 1.30 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 The complaints procedure is in place satisfactory and the standard met. Policies, procedures and staff awareness of abuse issues were satisfactory and the standard met. EVIDENCE: There is a complaints procedure posted in the home for residents and visitors. This has been recently amended and is satisfactory. No complaints have been received by the home since the last inspection. One complaint has been investigated by the Commission and currently been concluded. Aspects relating to provision of a chiropody service to the home were found to be unsatisfactory and matters relating to availability of staff and swift responses have been accepted by the Proprietor. A complaint concerning the service provided to the home by a GP has been referred separately to the PCT. There is a policy/procedure relating to abuse and written instructions for staff concerning the reporting of suspected or actual abuse. There is a copy of the vulnerable adults procedure in the home. Monies held on behalf of residents were not checked during this inspection. However it was evident that bank accounts had been opened for residents to transfer large amounts from cash. These accounts were numbered with no resident names, withdrawls could be made with 2 staff signatures. It is a requirement of this report that bank/building society accounts are opened only in residents names with residents as signaturies wherever possible. Advice was given on possible alternative banking arrangements. Weston House E51 E09 S8258 Weston House V207655 180505 Stage 2 doc Version 1.30 Page 18 All staff have completed training in relation to abuse and the Management of Violence and Aggression. Restraint is not used in this home. Weston House E51 E09 S8258 Weston House V207655 180505 Stage 2 doc Version 1.30 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24-30 Considerable investment into the fabric of the home has been made by the current proprietors. This continues and is impressive. Future plans are equally impressive. This will completely transform the home to one with a high standard environment. OT assessment relating to wheelchair user is required urgently. Standards of hygiene have been traditionally high in this home. EVIDENCE: An extensive programme of refurbishing and upgrading by the present proprietors has been carried out in the past 2-3 years. Most bedrooms have been upgraded and most of the communal areas of the home also. Hot water controls have been installed in all resident areas to improve safety to residents. The external parts of the building have also been extensively decorated and grounds improved. Since the last inspection there has been considerable further refurbishment viz: The stairs and first floor corridor areas have been redecorated and recarpeted. Vinyl flooring has been installed in the entrance/reception area and corridors. Several bedrooms have been upgraded. A kitchenette now with Weston House E51 E09 S8258 Weston House V207655 180505 Stage 2 doc Version 1.30 Page 20 sink unit has been completed for resident use adjoining the kitchen area. New dining furniture has made vast improvements to the look of the dining room with new wooden flooring also. New washer and drying equipment has been purchased for the laundry. At the time of the inspection the kitchen was being completely refitted with commercial quality equipment, new flooring installed and other improvements being made. There are plans to add a conservatory area off the dining area in the future and also to expand and improve the reception area with new office accommodation also. There are presently 4 bathrooms (one currently used for storage purposes) all are to be refurbished to provide one bathroom and one shower room on each of the two floors. There are presently 3 shared bedrooms two used by people who are compatible and wish to share. One is presently used for respite care. The home were advised that the use of shared rooms for respite care is not acceptable. A recently admitted resident was admitted with mental health needs as per registration category, but he has a self-propelled wheelchair. The room he is in not suitable for wheelchair use, access to the communal areas being via a corridor fire door area and difficult to negotiate. It is recommended that this corridor fire door should be fitted with self-closing magnetic point after consultation with the Fire Officer. The layout of the bedroom does not allow good access for a wheelchair. A room nearer to the lounge area is shortly expected to be vacated and he could be more appropriately placed there. The home does not have category to admit wheelchair users, but it is a requirement of this report that an Occupational Therapist is contacted to provide a specialist assessment of the environmental and other needs of this resident, whether he remains in his present room or is transferred to another. Standards of cleanliness throughout the home are good. 30 Domestic hours are provided weekly. The continence management problems relating to a resident was evident in an area of the home and discussed. This is being further investigated and reviewed involving other professionals. Weston House E51 E09 S8258 Weston House V207655 180505 Stage 2 doc Version 1.30 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 - 36 All posts carry job descriptions and contracts. There is a good training record in this home also the requirement for 50 of NVQ trained staff by 2005 is met. Aspects of recruitment require further attention in relation to documentation EVIDENCE: All staff have job descriptions clearly defining roles. The homes aims and objectives are known and understood by staff and there is high staff motivation in achieving high standards of care. Key workers are allocated to all residents. Staff are aware of the points of referral to other agencies in relation to their own skill limitations. The number of staffing hours remains at 528 per week ( all Manager hours are included in this figure). Two staff have left since the last inspection and been replaced. Weston House E51 E09 S8258 Weston House V207655 180505 Stage 2 doc Version 1.30 Page 22 Four staff have recently commenced NVQ training. At this time 58 of care staff are NVQ trained. The Manager and Deputy are both currently studying NVQ4 and will complete this by July 2005. All staff have received training in medication administration. The Deputy Manager is a moving and handling trainer. All staff have received this training. The majority of staff have received training in Health & Safety. Two senior staff have completed substance abuse (including alcohol), a large proportion of residents have alcohol related illnesses. The home has a good training record (matrix provided during inspection.). Staff records relating to recruitment procedures were sampled. Some required information had not been provided. A new member of staff had provided CRB obtained during previous employment – this is not transferable. Photographs of staff members had not been provided in form of passports/driving licences. A reference had not been obtained in one instance from previous employer and this must always be done. Supervision is provided for staff at all levels. Weston House E51 E09 S8258 Weston House V207655 180505 Stage 2 doc Version 1.30 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37 - 43 There was evidence of a well run home, confirmed by discussions with residents and observations. The Manager provides positive leadership. There are regular residents meetings and the views of residents sought on a daily basis. Matters relating to Health & Safety inspected indicated there was a safe environment with good risk assessments. EVIDENCE: The Registered Manager has the required experience to run the home and will complete NVQ4 and obtain the Registered Managers Award by July this year. There is clear written job description for the Manager to ensure aims an objectives are achieved and the policies/procedures implemented. The Manager is aware of her responsibilities under the Care Standards Act and Regulations. Weston House E51 E09 S8258 Weston House V207655 180505 Stage 2 doc Version 1.30 Page 24 There is positive leadership in the home and an open atmosphere for discussion and opportunities for staff and residents toe express their views on the running of the home. This is supported in staff and residents meetings. Policies and procedures were not spot checked on this visit but have been on previous visits and all required procedures found to be in place. Residents are not involved in formulation of policies/procedures at this time. Records seen during this inspection including care planning information, health care and general personal information were of good professional standard. Residents sign personal records and have access to them. Fire records were not inspected on this visit. The Fire Officer has been contacted regarding the existing alterations to the kitchen area. Adequate numbers of first aid trained staff are on duty. The Environmental Health Officer visited the home in the past months to approve and advise on the changes to the kitchen area. Equipment has been checked at required intervals confirmed by documentation in the home. A resident reported that he had not had an adequate hot water supply in his bedroom for some days. Testing showed the fail-safe valve cut the hot water supply and there probably a defect. This was pursued later in the day of the inspection. Risk assessments relating to fire and the building are in place. Personal risk assessments covering the range of resident activity were sampled and found to be in place. One exception was a comment in daily notes concerning the risk of resident falling downstairs. The Manager will further check this information and if correct ensure there is a risk assessment in place. The home is secure with locks/alarms fitted to all exit doors and approved by the Fire Officer. Weston House E51 E09 S8258 Weston House V207655 180505 Stage 2 doc Version 1.30 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 2 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 2 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Weston House Score 3 2 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 3 2 3 E51 E09 S8258 Weston House V207655 180505 Stage 2 doc Version 1.30 Page 26 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. 2. Standard 23 29 Regulation 20(1) 23(2)(n) Requirement Service users monies must be paid only into bank accounts in their names. Review with OT and provide specialist environmental changes and disability equipment for resident identified. Restore safe hot water supply to washand basin in Room 10 CRB checks must be provided prior to employment. Photographs and reference from last employer must be obtained. Timescale for action Ongoing 30.06.05 3. 4. 43 34 13(4) 19 Immediate Ongoing 5. 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. 2. Refer to Standard 18 19 Good Practice Recommendations Continence aids must be removed from view in bedrooms to ensure dignity Monitoring of body measurements to be carried out and recorded by relative by agreement. Weston House E51 E09 S8258 Weston House V207655 180505 Stage 2 doc Version 1.30 Page 27 Commission for Social Care Inspection Stafford – Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Weston House E51 E09 S8258 Weston House V207655 180505 Stage 2 doc Version 1.30 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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