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Inspection on 19/12/06 for Westonia Court

Also see our care home review for Westonia Court for more information

This inspection was carried out on 19th December 2006.

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

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

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

What the care home does well

CARE HOME ADULTS 18-65 Westonia Court London Road Bedford Bedfordshire MK42 0QE Lead Inspector Ms Louise Trainor Unannounced Inspection 19th December 2006 02:00 Westonia Court DS0000014982.V322011.R01.S.doc Version 5.2 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 Westonia Court DS0000014982.V322011.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 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. Westonia Court DS0000014982.V322011.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Westonia Court Address London Road Bedford Bedfordshire MK42 0QE 01234 350641 01234 348938 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.macintyrecharity.org MacIntyre Care Carol Davison Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Westonia Court DS0000014982.V322011.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd November 2005 Brief Description of the Service: Westonia Court provided accommodation to eight adults with a learning disability. The home has been formed from part of an existing sheltered housing scheme for older adults. It was, however, completely self-contained and consisted of a main house with two storeys, which had been the wardens accommodation. This was attached to what had originally been independent bed-sitting rooms on two storeys. The main house had a communal lounge/diner, an activity room, quiet room, and office. There was a corridor to the service users rooms, on which was sited the laundry. The home had an enclosed garden and patio facility. The home was situated on a main road about one mile from Bedford town centre, with all the facilities provided by a large town, including a bus station and railway station. The annual fees for this service range from £43,175.00 - £50,648.00 Westonia Court DS0000014982.V322011.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first Key Inspection for this year. It was an unannounced visit and was carried out on the 19th of December 2006 by Lead Inspector Louise Trainor between the hours of 14:15 hours and 20:15 hours. This was the first ever visit to this service by this particular inspector, and a full tour of the premises took place. This home has a small but dedicated team of six permanent staff. During this visit the inspector had the opportunity to meet all of these staff, and interview two of them more thoroughly. Two new relief support workers have recently been appointed to this service, and their files were brought over from the head office at Ampthill for the inspector to examine. There are presently seven service users living at Westonia Court, as there is one vacancy. The inspector met all the service users, with the exception of one who had already gone home for the Christmas period. Two particular service users were picked at random by the inspector for tracking. This involved viewing all the documentation relating to their care, visiting them in their personal bed sit areas and chatting with them informally. The manager was present throughout the inspection, and documentation relating to medication, service users’ finances and recent Protection of Vulnerable Adult issues, was made available for inspection. The inspector would like to thank everyone involved for their assistance and support during the inspection. What the service does well: Prior to any admissions being considered they are first fully assessed to ensure that all the individuals’ needs and goals will be successfully addressed and met within this environment. Prospective service users are then invited to visit the home, and overnight/weekend stays are arranged. This enables the team to assess how compatible an individual would be with the rest of the service users. Only then is a permanent placement considered. Service users have contracts and agreements in place that are clearly signed and dated. One service user file seen was in a pictorial format, to ensure it was understood. All service users have a very detailed file that contains in depth information relating to their needs, their personal goals, and the level of the support they require achieving them. Service users have a weekly meeting, where they are encouraged to voice their opinions and contribute their own ideas about daily life. It is through this Westonia Court DS0000014982.V322011.R01.S.doc Version 5.2 Page 6 meeting that menus are planned and activities / outings are arranged. The staff also use this meeting as an opportunity to educate service users about matters such as healthy eating, and it also helps them to learn to listen and respect others’ opinions, and learn the art of how to compromise. All the service users attend an adult day centre four days a week, and spend one day a week in Westonia Court focusing on individual personal development, which may include shopping, laundry or other daily living tasks. When they return from work at approximately 16:30 hours, they are free to pursue any activities they wish. Service users have been encouraged to attend the local churches and have had some involvement with local community / leisure centres. Medication Administration Record (MAR) sheets were viewed and checked against stocks remaining in the home and all reconciled correctly. Documentation and observations of care practices indicate that service users receive personal support, appropriate to the individual to ensure that their physical and emotional health needs are fully met. Service users and their representatives are encouraged to offer their views and opinions on all aspects of their life, and are protected from abuse, neglect and self harm by the policies and procedures that are in place. This service provides a safe and comfortable homely environment for its service users, Their individual bed sits promote independence, and are decorated and furnished to reflect individuality and to suit their individuals’ needs and lifestyles. There is a structured annual training plan in place. This lists fifteen statutory training session including; Moving and Handling, Fire, Medication and Protection of Vulnerable Adults for all staff. These have refresher updates every one, two or three years. There are also seven service –specific training sessions that are attended by all staff. These include Epilepsy, Makaton and Autism. This is a well run home with strong leadership from the Head of Care and Senior Support Worker, providing both support and guidance for the team. The service users best interests are safeguarded and protected by the policies and procedures that are in place. What has improved since the last inspection? Westonia Court DS0000014982.V322011.R01.S.doc Version 5.2 Page 7 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. Westonia Court DS0000014982.V322011.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Westonia Court DS0000014982.V322011.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. New referrals to this service are thoroughly assessed to ensure their needs can be fully met and that they are compatible with the other service users. They are also invited and encouraged to ‘test drive’ the service prior to permanent placement being offered. EVIDENCE: Discussions with the manager revealed that this home has not had a new service user for many years, in fact during the seven years working for this home the manager has not received any new admissions. However she was able to discuss in depth the protocols that are in place, and that she is going to be implementing for the first time in order to fill the present vacancy that has arisen. Prior to any admissions being considered they are first fully assessed to ensure that all the individuals’ needs and goals will be successfully addressed and met within this environment. Prospective service users are then invited to visit the home, and overnight/weekend stays are arranged. This enables the team to assess how compatible an individual would be with the rest of the service users. Only then is a permanent placement considered, involving input from: the service user, the family and representatives of the service user, social Westonia Court DS0000014982.V322011.R01.S.doc Version 5.2 Page 10 workers and other specific professionals as appropriate. All placements are then reviewed on a regular basis to ensure the placement is successful. Service user files that were inspected contained contracts / agreements with MacIntyre Care, and had been signed by the service user and a Company representative. One of the contracts that was seen, was in pictorial format ensuring that the service user concerned could clearly understand its’ content. Westonia Court DS0000014982.V322011.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Individual care plans identify changing needs and personal goals, and all activities are clearly risk assessed so that service users independence is promoted to its full potential. EVIDENCE: All service users have a very detailed file that contains in depth information relating to their needs, their personal goals, and the level of the support they require to achieve them. These are reviewed regularly with Annual meetings that involve families and other involved disciplines, Link Worker meetings every six to eight weeks and interim meetings as and when required. One file that was examined contained the following documentation, and much more besides. Guidelines for communication with this service user, ‘life long learning timetable’ (that included activities from horse riding and swimming to cooking and domestic cleaning), Leisure likes and dislikes, community likes and Westonia Court DS0000014982.V322011.R01.S.doc Version 5.2 Page 12 dislikes, family tree and special dates list, numerous risk assessment, cultural and faith needs, Service User achievements, Continence advisor documentation, psychology reports, a last wishes questionnaire, a yearly aims and objectives form and a monthly summary sheet. This documentation gave a very clear picture of this service user as an individual, and gave a clear understanding of the care and support required to ensure that her needs and goals were achieved and that she was being developed to her full potential. Risk assessments that were in place for this service user were related to; bathing alone, water temperatures, Behaviour, relationships, making allegations and accessing the community to pursue her special hobby. These were all essential for this service user to maintain an appropriate and safe level of independence. Service users have a weekly meeting, where they are encouraged to voice their opinions and contribute their own ideas about daily life. It is through this meeting that menus are planned and activities / outings are arranged. The staff also use this meeting as an opportunity to educate service users about matters such as healthy eating, and it also helps them to learn to listen and respect others’ opinions, and learn the art of how to compromise. Westonia Court DS0000014982.V322011.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16, 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. This service promotes the service users personal development. Interaction in the local community is encouraged through participation in age and peer appropriate leisure activities of the individuals’ choice. EVIDENCE: All the service user at this home appeared happy, at ease in the company of the staff and fellow residents, and generally well cared for. All the service users attend an adult day centre four days a week, and spend one day a week in Westonia Court focusing on individual personal development, which may include shopping, laundry or other daily living tasks. When they return from work at approximately 16:30 hours, they are free to pursue any activities they wish. On the evening of the inspection there was a variety of activities in progress during the evening, one service user was being assisted to wrap Christmas presents, two were playing a game of bingo, one was rug making, and one was Westonia Court DS0000014982.V322011.R01.S.doc Version 5.2 Page 14 watching television. Others were in their bed-sits either listening to music or watching television. There was a very homely / comfortable atmosphere throughout the home and interactions between staff and service users were well balanced with relationships being viewed as informal but respectful. Weekend activities for these service users, usually takes the form of outings. This may be a trip shopping, bowling or to the cinema, the service users make the decisions. They are well known to some local shops and pubs, and attempts have been made to encourage integration with a local school, although this has been a more challenging goal. Service users have been encouraged to attend the local churches and have had some involvement with local community / leisure centres. One of the service users who has a particular interest in music and singing, has been to see choirs and musicals and has been involved in singing in other homes. The service users are presently excited about the forthcoming Christmas period, and all have plans to be with family or friends on Christmas day. They had recently performed their own Nativity Concert, which ‘Santa’ attended and awarded certificates of personal achievement to the service users. The meals in the home are planned by the service users with the guidance of the staff, who integrate education around healthy eating into weekly house meetings. The meals are prepared and cooked by the staff with some assistance from service users. However on the day of the inspection there did not appear to be any input from the service users. Westonia Court DS0000014982.V322011.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20, 21 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Documentation and observations of care practices indicate that service users receive personal support, appropriate to the individual to ensure that their physical and emotional health needs are fully met. EVIDENCE: None of the service users who live at Westonia Court retain, administer or control their own medication; the staff manages this aspect of their care. All staff with the exception of a new relief worker are trained and competent in the Administration of Medication. Medication Administration Record (MAR) sheets were viewed and checked against stocks remaining in the home and all reconciled correctly. There are no controlled drugs in use in this home at present. Some of the service users have medical conditions such as Epilepsy that impact quite heavily on their daily lives. However all staff are trained and competent in dealing with seizures and the after effects. They are managed effectively and efficiently and with minimal fuss so not to disrupt routines Westonia Court DS0000014982.V322011.R01.S.doc Version 5.2 Page 16 within the home. During the inspection one service user suffered a seizure, and it was noticeable how well the staff were ‘tuned in’ to these service users’ needs and how quickly they responded, dealing with the incident efficiently. Westonia Court DS0000014982.V322011.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users and their representatives are encouraged to offer their views and opinions on all aspects of their life, and are protected from abuse, neglect and self harm by the policies and procedures that are in place. EVIDENCE: There is an appropriate complaints procedure in place, and it is summarised in the service user guide. A single sheet is on display in the day area of the home, advising service users of what to do if they are not happy with any aspect of their life in the home. Service users indicated in conversation that they would know what to do and who to speak to if they were unhappy. There had not been any complaints to this service since the last inspection a year ago. However there had been three Protection of Vulnerable Adult issues referred for investigation. Documentation indicated that the correct procedures had been followed relating to actions involving both staff and service users to resolve these issues effectively. Minutes from strategy meetings and statements from various parties concerned were available for inspection. It is not appropriate to disclose any further details relating to these incidents as this would identify individuals that had been involved. Westonia Court DS0000014982.V322011.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. This service provides a safe and comfortable homely environment for its service users, Their individual bed sits promote independence, and are decorated and furnished to reflect individuality and to suit their individuals’ needs and lifestyles. EVIDENCE: This home provides a clean, safe and homely environment for its’ service users. The entrance is secured by a wooden gate that can only be opened from the inside, so that service users and staff are always aware when someone enters the premises. The communal area on the ground floor is comprised of a small dining room / lounge, a kitchen, and a toilet. A corridor leads around the ground floor, where there is also a laundry room and the staff ‘sleep in’ room. The appropriate Registration and insurance certificates were all on display in this area. There was also a large picture rota on display, which allowed service users to see Westonia Court DS0000014982.V322011.R01.S.doc Version 5.2 Page 19 who was coming on duty. This picture rota was prepared each week by one of the service users. It was her special job on a Saturday. This corridor led to a lobby with four individual bed-sits. There was a staircase leading to the first floor and four more bed-sits. Also on the first floor there are two office areas, (one of which has a computer that is used by some of the service users in learning development sessions) and a small craft room. The lounge/ dining room is cosy, and is made homely by a clock and other displayed craft projects that have been made by the service users, however it is rather cramped if all the service users decide to watch a movie together. There is only room for four service users to sit in comfortable chairs. There is also a large dining table to seat eight in this room. The manager is presently in discussion about how the communal space in this home could be reviewed to suit the service users needs more efficiently. Two of the service users allowed the inspector to visit them in their personal bed-sits. Each had a spacious bedroom area, a small kitchenette and a small bathroom. Both were decorated and furnished in a way that reflected the individual, their personality and their personal preferences. One service user was clearly an Elvis Presley fan and had numerous posters of his idol on the wall. He also had a small electric organ in his room, which he was happy to show off with a tune for the inspector. The second service user, also a music fan, was watching a DVD of Cliff Richards, and singing along to it. Both of these personal areas had photographs and personal assets which clearly reflected personal life history events, and things that were meaningful to its’ particular resident. Westonia Court DS0000014982.V322011.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35, 36 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The recruitment procedure is closely adhered to so that service users are well supported and protected. The staff team appears dedicated, well trained and competent so that service users, joint and individual needs are appropriately met. EVIDENCE: There is a small, well established team of dedicated staff who work in this home. The team comprises of a ‘Head of Care’, a senior support worker and four support workers. The shifts are covered by two support workers between the hours of 07:30 and 22:00. There is then one support worker on ‘sleep in duty’. There is a ‘Head of Care On Call’ system in place. The Head of Care and the Senior Support Worker combine the administration / paperwork with their care duties. All staff are involved in the care planning process in this home, and are all allocated ‘Link Workers for certain service users. There are two newly appointed relief support workers that are presently going through an induction period, and there are two full time support workers presently undergoing CRB and reference checks before their posts are confirmed. Westonia Court DS0000014982.V322011.R01.S.doc Version 5.2 Page 21 The files of the two newest recruits were examined during the inspection and all appropriate documentation was in place. Records indicated that all staff received supervision every six to eight weeks. Staff that the inspector interviewed talked positively about their supervision and the support and benefits that they gain from it. There is a structured annual training plan in place. This lists fifteen statutory training session including; Moving and Handling, Fire, Medication and Protection of Vulnerable Adults for all staff. These have refresher updates every one, two or three years. There are also seven service –specific training sessions that are attended by all staff. These include Epilepsy, Makaton and Autism. Individual staff are also working on NVQ modules and Personal Development Portfolios. Staff that were interviewed during the inspection were very comfortable and confident in their roles, and clearly felt well supported by the team. Westonia Court DS0000014982.V322011.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40, 41, 42, 43 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. This is a well run home with strong leadership from the Head of Care and Senior Support Worker, providing both support and guidance for the team. The service users best interests are safeguarded and protected by the policies and procedures that are in place. EVIDENCE: Both the Head of Care and the Senior Support Worker have been at this home for a substantial time. They are both service user focused, ensuring that service users health, safety and welfare is paramount. They lead a team that share their passion and understanding of the care they are promoting. Westonia Court DS0000014982.V322011.R01.S.doc Version 5.2 Page 23 This is a team that work effectively to achieve a good standard of care and there appears to be a mutual respect amongst staff of all grades and service users. Service users and their representatives are involved in the planning of their care, and in fact all aspects of their life in the home. The service users all have a money- box that is locked, and kept in a locked cupboard in the office. Two individuals’ boxes were inspected. All transactions were clearly documented, dated and signed, and receipts were present to correspond with all transactions, this included receipts for purchases from shops and also for cash withdrawals. These receipts have the signature of two staff on them. The Head of Care monitors the quality of care through; service user meetings, questionnaires to service users and their representatives, Area Manager monthly visits and ‘Improving Our Service’ questionnaires. The inspector saw some of the responses from these questionnaires. The feedback from families included comments such as: “Very good, very professional”. “It has a lovely homely feel about it”. “Information is always up to date and ---- is always consulted about any changes”. “----- is always happy, relaxed and well dressed”. There was also a feedback sheet from another professional that works with a service user on particular issues, and her comment read. “I have always been impressed with the care principles in this home”. Records are well maintained, and there are appropriate policies and procedures in place, which are understood and adhered to by staff. Westonia Court DS0000014982.V322011.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 3 3 3 3 Westonia Court DS0000014982.V322011.R01.S.doc Version 5.2 Page 25 No 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA24 Good Practice Recommendations The Responsible should consider the review of the areas in the home dedicated to communal use. Westonia Court DS0000014982.V322011.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Bedfordshire & Luton Area Office Clifton House 4a Goldington Road Bedford MK40 3NF 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 Westonia Court DS0000014982.V322011.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. 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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