Inspection on 25/11/05 for Weston House

This inspection was carried out on 25th November 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Weston House 17/10/08

Weston House 17/11/06

Weston House 18/05/05

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-Trent Staffordshire ST3 6HD Lead Inspector Peter Dawson Unannounced Inspection 25th November 2005 09:00 Weston House DS0000008258.V268553.R01.S.doc Version 5.0 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 Weston House DS0000008258.V268553.R01.S.doc Version 5.0 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 Adults 18-65. 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. Weston House DS0000008258.V268553.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Weston House Address 344 Weston Road Weston Coyney Stoke-on-Trent Staffordshire ST3 6HD 01782 343818 01782 322588 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) Groundstyle Limited Miss Jodie McVay Care Home 28 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (28), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (6), Old age, not falling within any other category (9) Weston House DS0000008258.V268553.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 12 MD - 5 may be under 55 years Date of last inspection 18th May 2005 Brief Description of the Service: Weston House is a large detached property situated on a ‘bus route near to Meir and Longton town centres. Accommodation is provided for up to 28 adults. The home have moved from care of the elderly to providing a service for younger adults with mental health needs. Presently there are only 4 people over 65 years. The home continues to care for older people in an area on the ground floor. The home was acquired by the present owners over 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 has recently been refitted and there is an ongoing development plan for the future. 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, CPN’s. An activities Worker is employed 30 hours per week 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 was introduced last year provides an excellent facility for this group and is very successful. Weston House DS0000008258.V268553.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. At the time of this unannounced inspection there were 24 people in residence including 3 in hospital. Only 4 people are over 65 years of age. Eight residents have physical and mental health needs relating to alcohol abuse. Most residents were seen and about 12 spoken to. The Acting Manager and all staff on duty were spoken to. There was an inspection of the physical environment and a sample of bedrooms were seen. Care planning information, staff records and other documents relating to the inspected standards were seen. The Registered Manager has taken up another post in the Group of the owners of Weston House. She continues to oversee the home pending approval of another person as the Registered Manager by the Commission. There is an acting manager (previously deputy manager) working in the home and the interim arrangements are satisfactory to the Commission. The proprietors continue to make significant improvements in the home. Most areas have been greatly improved and further improvements are planned. Some work was continuing on the day of this unannounced inspection. The home has moved sensitively and successfully from providing care for the elderly to a younger age group of people with mental health needs. Residents spontaneously spoke about life at Weston House and very enthusiastically about the many activities taking place, particularly the external activities. Many activities are small or whole group and some 1:1 as required. All care staff are involved in activities and many give their off-duty time freely – an indication of the commitment of the whole staff group. What the service does well: Experienced, well trained and committed staff group, sensitive to the needs of residents and determined to further enhance quality of life. There are always phased introductions to the home allowing people the opportunity to “test drive” the home prior to admission. The range of activities both internally and externally are excellent, lead by a full time Activities worker but involving all staff. Staff training is good and the minimum requirements for NVQ training have been met. Chosen lifestyles are at the centre of the homes philosophy of care and the objective of maximising independence. Weston House DS0000008258.V268553.R01.S.doc Version 5.0 Page 6 Relatives are seen as part of care provision and involved in all discussions and decisions affecting the lives of residents. Daily visits are made by some relatives and all are warmly received into the residents home. 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. Weston House DS0000008258.V268553.R01.S.doc Version 5.0 Page 7 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 Outcomes Statutory Requirements Identified During the Inspection Weston House DS0000008258.V268553.R01.S.doc Version 5.0 Page 8 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 the following standard(s): 1–5 There are good pre-admission assessments. All prospective residents are invited to spend time in the home prior to admission. Standards relating to Choice of Home were found to be met. EVIDENCE: There is a statement of purpose/service user guide in place and available in the home for residents and relatives. A sample of information relating to recent admissions was inspected. Two people had been assessed in their current environment prior to introduction to the home. One had been seen in a private hospital and been to the home for lunch with further visits arranged to assess suitability for the home and compatibility. The other had visited the home prior to admission on several occasions. Residents are usually subject to multi-disciplinary assessment prior to admission to ensure their suitability and the homes ability to meet need. A third resident had visited the home from hospital for lunch with social worker, returned to hospital and later admitted to Weston House. The homes capacity to meet need is defined in the statement of purpose. There is a good staff training programme and all staff have the opportunity to study NVQ. A range of specialist services for people with mental health needs are provided to the home by the Health Trust. All funded residents have written contracts from the Local Authority. Selffunding resident has private contract with the home (not seen). Weston House DS0000008258.V268553.R01.S.doc Version 5.0 Page 9 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 the following standard(s): 6 – 10 Some work has been done in updating and reviewing care planning information and there is improvement in recording of information. Nevertheless, some plans were seen which are incomplete and this needs to be addressed. Examples of resident empowerment were seen and participation is a main philosophy of the home. The need to balance risk was seen in documentation but outcomes were not restrictive. Good risk assessments are in place. EVIDENCE: A sample of care plans were seen and mainly contained generally the required information to meet needs. Plans are based upon assessed needs with plans also provided by Care Management personnel. Some resident have CPA arrangements (statutory under the Mental Health Act) with the required 6 monthly multi-disciplinary reviews. All care plans are reviewed on a monthly basis in the home. Weston House DS0000008258.V268553.R01.S.doc Version 5.0 Page 10 The amount of information in some plans varied, some containing less information or plans that required some updating. At the time of the last inspection it was agreed that staff should write more informatively in reviews and efforts have been made in this direction. Some plans did require specific updating of information and this should be done. Residents sign care plans and are involved in their compilation. Residents are encouraged to take responsibility for decisions affecting their lives, some may be limited due to mental health status but generally residents are involved in all decision making affecting their lives. In some instances relatives are involved where residents may have limited capacity. There are regular monthly residents meetings which are minuted (not seen on this visit). This provides an input into the decisions relating to the running of the home and daily life. Risk assessments are in place in relation to all resident activity, documented in care plans and reviewed as above. Records relating to resident are kept securely in the office area of the home and restricted only to authorised persons. Confidentiality is assured for residents. All residents have nominated key workers, those subject to CPA planning have the required nominated key workers under aftercare arrangements. Weston House DS0000008258.V268553.R01.S.doc Version 5.0 Page 11 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 the following standard(s): 11 - 17 Chosen lifestyles are accommodated and paramount to care provision. Activities provided in the home encompass all residents and are excellent. This is to the credit of all staff and undoubtedly improves the quality of life for all residents. Standards relating to Lifestyle were found to be met. EVIDENCE: The promotion of social and independent living skills are promoted. An excellent range of social activities are arranged for all residents both internally and externally. Some residents have restricted capacity due to mental health needs but all are provided with individual activities to suit their needs. The accent is upon accessing community activity there are daily outings for residents to suit their needs. Sometime walks in the local community become progress for some people. Others are involved in a range of activity in the wider community. There have been trips to theatre, shopping centres, local or other places of interest these include Chester Zoo and Rhyl. Weston House DS0000008258.V268553.R01.S.doc Version 5.0 Page 12 Six residents and 4 staff went for a holiday in Skegness. All events/external visits are discussed with residents who make the decisions about choice of venue etc. Three separate Xmas meals are arranged at pubs and restaurants in the community in the next month. The Activities Organiser works 30 hrs per week and leads on activities, but all staff are involved in activities both inside and outside the home. External visits are often with 2 members of staff. Care staff link with the home in their off-duty time to augment the range and regularity of external activities. Internal activities are numerous and it was interesting to learn that night staff have recently arranged bingo sessions twice each week which the residents clearly enjoy and the events become a social occasion for all. Relatives are also involved in some external visits and the events become almost a family occasion. The objectives of providing alternative social therapy and of extending skills, interests and abilities are clearly achieved. The provision of activities for this client group is vital and the home provides excellent opportunities and certainly increases the quality of life for residents. There are now only 4 residents remaining in the home who are over 65 years of age but their needs are met in providing mainly internal activities with some external visits where possible. The effects of these inputs are clear to see in the home. One example being a man admitted some months ago who spent little time in the lounge area and most time in his bedroom. He is now enthusiastically involved in all activities spends most of his time in the lounge and generally socialising. This has had the effect of improving personal hygiene and making good progress in other areas of his life by increasing confidence and improvement in self-image. Thee were many other examples evident during the inspection. In contrast another resident who has been at the home for several months and is wheelchair bound spends all her time in her bedroom, with the door open so that she can see and speak to all who pass by. She engages in her particular interest of craft activity which she immensely enjoys. She is very sociable but does not wish to spend time in the lounge areas or dining area, she has no relatives and now regularly visits the church nearby where she has established friendships with people who visit her at Weston House. She has all meals delivered to her bedroom – a good example of chosen lifestyles being accommodated. The newly refurbished dining are provides a vastly improved setting for meals. There are small well-laid tables presenting a more relaxed atmosphere. Some residents have meals in their bedrooms if they wish. All residents spoken to said they were highly satisfied with food provision, some humorously commenting upon weight gain. Weston House DS0000008258.V268553.R01.S.doc Version 5.0 Page 13 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 the following standard(s): 18 - 21 Staff have a high awareness of health care needs. The system of medication is safe but attention is required to count of medication. Residents are treated with respect and dignity in all situations. EVIDENCE: The small number of older residents require some input with personal care provision. This was seen to be given respecting the principles of privacy and dignity. The majority of residents had enduring mental health needs. Eight of those have alcohol related illnesses and require a higher level of care. Most require staff oversight with personal hygiene and these are all well documented in care plans. Three people are presently in hospital after referral to health professionals by staff because of concerns expressed relating to: possible stroke, unstable diabetes and tests following physical abnormality. Staff have a positive understanding of the need for early action where there are concerns about health. Weston House DS0000008258.V268553.R01.S.doc Version 5.0 Page 14 Most residents attend local health centres/GP surgeries to take up the usual services offered. Staff support is given if required. Some visits to the home by GPs are made in relation to older residents but the access of health care services in the community is the norm for the majority of residents. The District Nursing Service have provided a good service to the home in the past but are not visiting at this time. One resident has insulin injections given by staff (pen). All staff have received training from the nursing service which is documented and reviewed. The specialist Diabetic Nurse visits and oversees the insulin injections, advises staff and there is regular contact by phone/fax. The nurse can be contacted in the event of any concerns. The medication system was inspected. One resident self-medicates at this time. MAR sheets were examined but it was noted that they did not contain a count of tablets. Temazepam was given in variable dose PRN but when given the number of tablets was not recorded. It is required that a count of medication is recorded and the numbers of variable dose tablets recorded. This will ensure the completion of the audit trail of medication. Weston House DS0000008258.V268553.R01.S.doc Version 5.0 Page 15 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 the following standard(s): 22 and 23 Standards relating to Concerns, Complaints and Protection were found to be met. EVIDENCE: A complaints procedure is posted in the home for resident and visitor use. The procedure complies with Regulation 22. No complaints have been received by the home or by the Commission since the last report. There is a policy/procedure relating to abuse and written instruction for staff concerning the reporting of suspected or actual abuse. There is a copy of the Vulnerable Adults procedures in the home also. Weston House DS0000008258.V268553.R01.S.doc Version 5.0 Page 16 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 the following standard(s): 24 – 30 The environment has been vastly improved over the past 2-3 years. There is an excellent development plan compiled annually, which is always actioned. Two previous requirements relating to fitting of self-closing devices on fire doors and supply of hot water to a bedroom have not been actioned. The water supply must be provided immediately and closing devices as soon as possible. Privacy curtains and appropriate chairs must be provided in shared bedrooms. EVIDENCE: There has been an extensive refurbishing of this home over the past 3 years. There is an annual development plan – a copy is given to the Commission. All parts of the development plan relating to the environment have been actioned. The improvements made are impressive. Since the last inspection the kitchen has been completely refitted and presents a much improved environment with good facilities. The Inspector has requested a visit from the Fire Officer to check and ensure the changes are conducive with fire protection standards. Weston House DS0000008258.V268553.R01.S.doc Version 5.0 Page 17 The office area (Manager and Admin) has been completely refurbished. Some bedrooms have been redecorated, residents involved more in choosing colour schemes, new bedding etc. Several bedrooms are being refitted with furniture, others have new furniture purchased by residents. The 2 shared bedrooms presently in use need improvement, they are below the required standard and now in contrast to the improvements made in other bedrooms. Some redecoration is required and greater personalisation. There are no privacy curtains in the shared bedrooms and this must be provided in the interests of privacy and dignity. In one of the rooms there was only 1 comfortable chair – at least 2 comfortable chars must be provided in each shared bedroom and more available if needed. There are plans for a conservatory and extension and this is part of the proposed development plan for next year. There are 4 bathrooms (one presently used for storage purposes). They are also part of the development plan and are to be upgraded in the current year. Two residents have been admitted with self-propelled wheelchairs. The home does not have category to admit these residents (PD) and no more admissions must take place in this category. One of these residents has difficulty negotiating access from his bedroom via the corridor fire doors and requirement made in the last report to fit self-closing magnetically operated doors after consultation has not been met. The home had planned to fit doorguards to each of these doors, but these are not suitable or compliant with fire regulations. A further requirement is made in relation to this matter and the inspector has requested a visit from the Fire Officer to advise/approve the work. A requirement was made in the last report to obtain an OT assessment for one of these residents to assess the adaptations and equipment necessary for the person. This has not been done and is further required. A requirement at the time of the last inspection was made to restore the hot water supply to the wash-hand basin in room 10. This was reported to have been done, but at the time of this inspection there was still no hot water supply to this room. This must be rectified immediately. The lounge, dining and smoke room areas have been refurbished during the past 2 years the present a good standard of furniture, equipment and décor. Standards of hygiene throughout the home are high and infection control practices seen to be good. Weston House DS0000008258.V268553.R01.S.doc Version 5.0 Page 18 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 - 34 Staff recruitment procedures must be reviewed and strengthened to ensure protection of residents. EVIDENCE: All staff have job descriptions clearly defining roles. Key workers are allocated to all residents. The number of staffing hours remains at 528 per week (all Manager hours are included in his figure) The home meets the required 50 of NVQ trained staff at this time. The home have been consistently weak in the area of staff recruitment to ensure protection of residents. Staff files sampled on this visits showed that required references had not been obtained prior to employment. This are of work needs to be tightened. All items 1 – 6 in Schedule 2 must be obtained for all new staff prior to employment. Weston House DS0000008258.V268553.R01.S.doc Version 5.0 Page 19 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 41 - 43 The home is well run and managed. The Registered Manager continues to oversee the home pending approval by the Commission of the Acting Manager. It is recommended a resident is advised/supported in application for DLA benefit. It is also recommended that the home take steps to reduce the number of people for which the Manager acts as agent. EVIDENCE: The Registered Manager has taken another appointment in the Group and is still overseeing the home and supervising/supporting the acting manager. The person appointed as acting manager has made an application to the Commission for approval as the Registered Manager. This should be determined soon. The interim arrangements for the running of the home considered satisfactory by the Commission. Weston House DS0000008258.V268553.R01.S.doc Version 5.0 Page 20 There is direct input into this home from proprietors. Changes made to the home both to the physical environment and the development of quality of life issues have had a positive effect upon staff commitment – many changes made are the result of the high commitment of staff to resident care anyway. The previous Registered Manager is still appointee for several residents benefits and it is important to review and take steps to reduce the number of residents for which the manager acts as appointee. Risk assessments are in place relating to all resident activity and are reviewed regularly. Risk assessments relating the building and fire were seen on the last inspection. The financial viability of the home is reflected in the ongoing re-investment into the home, high occupancy rates and financial basis discussed recently with proprietors. Weston House DS0000008258.V268553.R01.S.doc Version 5.0 Page 21 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 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 2 2 2 3 2 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 2 x x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Weston House Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 3 x x x 2 3 3 DS0000008258.V268553.R01.S.doc Version 5.0 Page 22 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA26 Regulation 13(4) Requirement Restore hot water supply to wash-hand basin in Room 10. Previous requirement not met OT assessment to be obtained for specialist environmental changes and disability equipment for resident. Previous requirement not met. Seek advice from Fire Officer concerning fitting of self-closing fire doors in corridor identified. Staff recruitment procedures must be reviewed and strengthened to ensure protection of residents. A count must be kept of all medication and where variable dose medication prescribed the dose given recorded. Provide in all shared bedrooms privacy curtains and at least 2 chairs. Review and take steps to reduce the number of residents for which the Manager is appointee. Timescale for action 25/11/05 2 YA29 23(2)(n) 31/12/05 3 4 YA24 YA34 23(4) 19(1) & Sched 2. 13(2) 25/11/05 25/11/05 5 YA20 25/11/05 6 7 YA26 YA41 23 20(3) 31/12/05 31/12/05 Weston House DS0000008258.V268553.R01.S.doc Version 5.0 Page 23 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 41 6 Good Practice Recommendations Support resident in application for DLA payments. Continue to update care planning information. Weston House DS0000008258.V268553.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Stafford Office 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 DS0000008258.V268553.R01.S.doc Version 5.0 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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