Inspection on 08/05/07 for Westwards House Residential Care Home

This inspection was carried out on 8th May 2007.

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

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

Other inspections for this house

Westwards House Residential Care... 16/01/06

Westwards House Residential Care... 09/08/05

Westwards House Residential Care... 14/12/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Westwards House Residential Care Home 18 Croston Road Garstang Lancashire PR3 1EN Lead Inspector Ms Jenny Hughes Unannounced Inspection 8th May 2007 11:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Westwards House Residential Care Home DS0000061814.V332447.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Westwards House Residential Care Home DS0000061814.V332447.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Westwards House Residential Care Home Address 18 Croston Road Garstang Lancashire PR3 1EN 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) 01995 602055 01995 600967 whblhc@btconnect.com BLHC Westwards House Limited Mrs Janet Houlker Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Westwards House Residential Care Home DS0000061814.V332447.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 16th January 2006 Date of last inspection Brief Description of the Service: The home is a two storey purpose built care home in the centre of the town of Garstang, where there is easy access to local transport links. There is a small car park at the front of the home, and easy parking in the roads alongside the home. There are attractive gardens at the rear of the property, with lawns, patio area, flower beds and a water feature, where people can sit and enjoy the sunshine. The home provides personal care for older people, and is equipped to suit the needs of the people who live there. For example, a stair lift has been installed, and ramps are provided for wheelchair access. There are fifteen single and two double rooms, most of which are ensuite. Toilets and bathrooms are conveniently located. There is sufficient communal space, made up of two lounges, a dining room, and a conservatory. The home has a no smoking policy. Three cooked meals a day are provided, with varied choices, and snacks and any dietary needs are also catered for. Some activities take place, and entertain most people who live at the home. Staffing is provided over 24 hours, every day of the year. As at 8th May 2007, fees ranged from £390 to £420 a week. Further details on fees are available from the manager. Westwards House Residential Care Home DS0000061814.V332447.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced site visit to the home, in that the owners and manager were not aware that it was to take place. The site visit was part of the key inspection of the home. A key inspection takes place over a period of time, and involves gathering and analysing written information, as well as visiting the home. The length of the visit was for 3 hours. Before the visit took place, the manager was asked to complete a preinspection questionnaire, and surveys were received from people who live at the home and their relatives, and visiting professionals. During the site visit, some staff records and peoples’ care records were viewed, alongside the policies and procedures of the home. The registered manager was on leave at the time of this visit, and an experienced senior carer was in charge of the day-to-day running of the home in her absence. The senior carer, people who live at the home, and care staff, were spoken to, along with visitors who called during the day. Their responses are reflected in the body of this report. A tour of the home was made, viewing lounges, dining room, bedrooms and bathrooms. Everyone was friendly and cooperative during the visit. What the service does well: The home provides a very warm, welcoming and homely place for people to stay, and visit. The decoration around all of the home is of a high standard, clean and fresh, with the smaller lounge areas enhancing the friendly, family atmosphere in the home. Bedrooms are well furnished, with matching décor and bed linen giving residents a cosy private space to sit if they wish. The home has some experienced staff who lead by example, encouraging good practices and attitudes in any new staff. Staff training is ongoing at all levels, to make sure their knowledge in caring for people is as up to date as possible. Westwards House Residential Care Home DS0000061814.V332447.R01.S.doc Version 5.2 Page 6 Staff were seen to be tactful and gentle in their approach to providing care, being aware of individual needs. Residents were happy to approach staff if they needed something. Assessments and care plans are clear and detailed, for staff to understand how best to look after each individual. They show all areas of need, alongside their likes and dislikes and preferred daily routines. Daily records are detailed and complete. Visitors are welcome at any time, with communal space available to have private chats. Meals are home-cooked, varied, with well-balanced choices. They are well presented, with meal times being pleasant and unrushed. Residents stated that, “The care could not be better”, and “We could not wish for a better place”. Relatives responded very positively in a survey, some comments being: “We think it is an excellent home, and the costs are reasonable” “I feel that the manager and staff strive at all times to create a homely atmosphere. Visitors are always made welcome at any time” “Provides good quality food and provides stimulation” And finally “It is comforting to know that my mother is so well cared for by such conscientious staff. I feel fortunate to have found her a place in such a well run home” What has improved since the last inspection? What they could do better: The company, and the manager and her staff, are aware that there are always areas to improve on, and constantly address ways in which the service can develop to improve the quality of life for the people who live at the home. Westwards House Residential Care Home DS0000061814.V332447.R01.S.doc Version 5.2 Page 7 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. Westwards House Residential Care Home DS0000061814.V332447.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Westwards House Residential Care Home DS0000061814.V332447.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 3 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home has a comprehensive assessment that is carried out for all residents. This means that a service is provided that is tailored to the individual’s needs and preferences. EVIDENCE: A new person living at the home said that she had plenty of information about the home before she moved in, although her family organised everything for her. “My daughter brought me to stay for a couple of weeks to see if I like it here. She said it was a really nice place. I met Janet (manager) when I arrived”. Individual records are kept for each of the people living in the home, and there is a set procedure for admitting someone to the home. Westwards House Residential Care Home DS0000061814.V332447.R01.S.doc Version 5.2 Page 10 The manager completes a comprehensive assessment of need with the prospective resident, and both sign to confirm agreement. Examples of these were seen on four selected files. The information was relevant, appropriate, and complete, detailing physical, psychological and social needs. The manager then can check that the staff are able to give suitable care to the person, before it is agreed that the home is the right place for them to live. This information then becomes a plan of care for daily living for each person, and a key worker is allocated to them. “They always answer questions raised and take appropriate action immediately, showing genuine concern at all times,” commented a relative. “I feel fortunate to have found her a place in such a well run home”, stated another. “We could not wish for a better place”, added a resident. Westwards House Residential Care Home DS0000061814.V332447.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The health and personal care needs are well met in this home. Residents benefit from the support of healthcare professionals. EVIDENCE: Individual care plans are available, identifying the areas of need for each person, and with clear instructions for staff on what they must do to meet that need. Any risk was clearly identified, followed by what action to take to manage it. This information was seen on the files viewed. One resident was identified who needed encouragement to exercise, and there was guidance for staff on how they could gently and tactfully do this. Daily reports made by staff on each person clearly note ‘action taken/required’ if needed. For example one person’s notes recorded they had started new Westwards House Residential Care Home DS0000061814.V332447.R01.S.doc Version 5.2 Page 12 medication following a GP visit. This all cross-referenced to the GP visit record, and the medication record, and the care plan update. Reviews of the care plans were seen to take place every month, more often if necessary. Residents spoken to were aware that they had a file holding their information, but said that they weren’t bothered about seeing it. Relatives confirmed they knew about the care plans, and they were kept informed on everything about their relative’s care in the home. Healthcare opportunities were offered equally to all individuals, and full records of any GP’s visits were seen for each resident, and visits from other professional services, such as district nurses, dentists, opticians, chiropodists, and physiotherapists were recorded. During this visit a hearing aid specialist came to the home to help and advise a resident. “The doctor calls whenever he is asked, when he is needed,” commented a resident, and “You only need to press a button for immediate attention” commented another. “It is excellent, and provides a caring atmosphere. My 97 year old relative is happy and content and receives all she needs in terms of food, drink, love, and care,” was a statement on a relative’s survey. Discussion with, and observation of, staff, confirmed that they were aware of the individual needs, and specialist needs, of the people living at the home. “They advise on how she’s been between visits, and we were contacted immediately when they had to call an ambulance for my mother” said a relative. Some people were sitting in the lounges or the conservatory, but some people preferred to stay in their rooms. Staff were seen quietly going about their work. They politely knocked on doors, and were seen to take time to carefully listen to people who struggled with communication. The local pharmacist has visited the home, and helped the manager to update their medication procedures. A lockable trolley contains the monitored dosage systems of those people taking medication, and other medication is clearly name labelled, and dated on opening. Records were up to date. The senior carer was seen administering people’s medication in the correct way over lunchtime. Medication awareness training is attended, and only trained staff administer medication. No one self medicates at the moment, although there is a Westwards House Residential Care Home DS0000061814.V332447.R01.S.doc Version 5.2 Page 13 procedure to follow if that is preferred, which includes a risk assessment, and the signing of a declaration of wishes. Westwards House Residential Care Home DS0000061814.V332447.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents experience a good quality of life in this area. The dietary needs of residents are catered for, with a balanced and varied selection of food available that generally meets residents’ tastes and choices. There are varied activities, and some residents are motivated and stimulated by joining in. EVIDENCE: The manager tries to identify individual hobbies and interests during the initial assessment, and the keyworker for each person then tries to support that interest in the home. Records are made of activities carried out with each person, which may simply be a chat, board games, crafts, or encouragement to join in group activities such as bingo, or sing a longs, although staff did comment that some people were happier not joining in. Westwards House Residential Care Home DS0000061814.V332447.R01.S.doc Version 5.2 Page 15 Activities are planned, for example for May the events include music and movement, a sing-a-long, bingo, a birthday tea, a visit from the PAT dog, cake making, a games afternoon, and religious services. “A programme is provided to let me know what is going to happen as entertainment or similar activities,” said a relative. A monthly newsletter lets everyone know what is happening in the home. It was a blustery wet day at this visit, so no one was sat out in the attractive garden you could see through the conservatory window, with its seating, water feature, and sensory garden to smell and touch. People were mainly sat in the lounges waiting for lunchtime, watching people and traffic passing by, or reading newspapers or books. “The library van calls as well. I like to read”, said a resident. The full visitors’ book showed the regular visits from friends and family, and some residents said relatives often called for them to go out for a drive. “I feel that the manager and staff strive at all times to create a homely atmosphere. Visitors are always made welcome at any time and are encouraged to participate in the resident’s activities” commented a relative. One resident enjoys typing letters to her friends and family in the privacy of her room, another said she likes the staff to call and have a chat and a laugh and joke with her, “you couldn’t get a better place than this – I’m telling you. They’ll do anything for you, you only have to ask and it’s done. I had a Horlicks and some toast the other night because that’s what I fancied. And look at that lovely calendar on my wall. The manager put that up for me” A well looked after cat roams in and out of the home. Residents said they liked to watch it, “I don’t think it goes out much – it just likes to sleep in the warm – like us!” “It’s lovely here”, said a resident, “Do you know one of the girls took me to see a person who has moved to another home who I was friendly with. She said she’d take me again as well. And look at that I made at Easter” she added, pointing at a crafted birds nest, with small chocolate eggs in. Meals are served in the dining room, although residents can eat in their own room if they wish, which was the case for a couple of people during the inspection visit. Particular likes and dislikes of residents are noted during their initial assessment, and special dietary needs are recorded in the kitchen. There is a four weekly menu in place, with other choices available alongside. The cook is experienced in providing meals in a home environment. “The kitchen is very open to the dining room, so you can clearly see if people aren’t eating or not happy – although all of them seem to enjoy most of the food – we don’t throw much away let’s put it like that!” The cook was seen later sat Westwards House Residential Care Home DS0000061814.V332447.R01.S.doc Version 5.2 Page 16 at a table with a resident, chatting and encouraging her gently to eat her lunch. The residents clearly felt able to tell staff if they did not like something, and staff tried to make suggestions. Specialised meals were sometimes made if they were a favourite of individual residents, for example a curry or pasta dish. The mealtime was very calm and unhurried. Westwards House Residential Care Home DS0000061814.V332447.R01.S.doc Version 5.2 Page 17 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are confident their concerns will be listened to and acted upon. Staff have an understanding of Adult Protection issues, which protect residents from abuse. EVIDENCE: There is a complaints procedure in place, with a complaints book to record any complaints, which may come to the manager’s attention. The home’s complaints book has no records of a complaint. The senior carer commented that any minor concerns are dealt with immediately, to try and keep the residents as happy as possible in their home, and cause least distress. These may be little worries that residents have, such as a television being too loud in a resident’s room, or someone sitting in a favourite chair, things which staff can try to address straight away. Responses from surveys show that relatives and people living in the home know how to make a complaint. Staff spoken to were clear on what to do if they had any concerns about a person’s welfare, and it was clear from records that training on the protection of vulnerable adults had taken place. People at home said that they felt safe and well looked after. Westwards House Residential Care Home DS0000061814.V332447.R01.S.doc Version 5.2 Page 18 Westwards House Residential Care Home DS0000061814.V332447.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 and 26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The standard of the environment in this home is very good. It provides residents with an attractive, homely and comfortable place to live. EVIDENCE: There is a well-maintained and protected garden area at the rear of the home, with lawns and plants, seating, a sensory garden to smell and touch, and a water feature, making it an extremely pleasant spot to sit in the warm weather. The environment is very homely, comfortable and warm. The front lounge, which overlooks the road into the town centre, has comfortable supportive Westwards House Residential Care Home DS0000061814.V332447.R01.S.doc Version 5.2 Page 20 seating, with bookshelves holding books of a variety of subjects for anyone to read. Residents in there were chatting or reading quietly. The second lounge holds a large settee and easy chairs, and a recently updated and new television and video/DVD recorder, along with a large selection of videotapes to choose from. The large conservatory overlooking the garden gives another alternative place to sit and enjoy the view, or the company. The bedrooms were very cosy and personalised, with matching décor and bed linen making a final touch. Residents own ornaments, pictures, and in some cases small pieces of furniture, made each room special to its owner. “I’m very happy with my room. Look at it”, said a resident, “what more could I ask for?” “It seems a bit small when you’re used to a big house, and I’ve had to get rid of a lot of my things, but I’ve kept special things that mean something, and lots of photographs on my wall are my memories. My family call all the time as well. And they’ve put new flooring in my en-suite – it’s much better. And I couldn’t manage a big place anyway. This is nice for me.” commented another resident. Staff record any minor maintenance needs they find, such as a light bulb to replace, or a toilet seat loose, and the maintenance man deals with them as soon as possible. The records viewed showed the date the request was recorded, and the task was generally signed as dealt with in the next couple of days. A programme of monitoring the larger maintenance needs of the home is in place, and as well as replacing floor covering in the en-suites, four of the bedrooms have been redecorated, and had new carpets. The laundry area is away from food storage and preparation, and was clean and tidy, with laundered, named, clothing hanging ready to be returned to its owners. This area is close to the dining area, but staff spoken to were aware of the correct way to work to prevent and control infection. All of the home was clean and fresh. Staff were in the middle of their routine of cleaning and vacuuming at the time of the visit. Westwards House Residential Care Home DS0000061814.V332447.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home operates a good recruitment policy, which ensures that only people who are suitable for this type of work are offered an appointment. Training is provided and this means that residents are provided with appropriate care and attention. EVIDENCE: The manager was on leave, and the senior carer was unable to access staff files, for direct viewing. The home has a recruitment policy and procedure in place, which states that all new staff must have appropriate references, and a disclosure from the Criminal Records Bureau (CRB). Staff were spoken to, and confirmed that they had a formal interview, and started employment after their CRB disclosures had been returned. The last visit had shown that the procedures are followed correctly, and the manager had provided clear information prior to this visit, detailing staff employed at the home, the date recruitment checks were made, and the start dates of the staff. Westwards House Residential Care Home DS0000061814.V332447.R01.S.doc Version 5.2 Page 22 General records showed that staff had attended induction training, and follow up courses included moving and handling, safe handling of medication, dementia care, continence awareness, first aid, and infection control. Staff said that there was “plenty of training”, and records also showed that the manager also attends courses. The standard requires 50 of staff to hold NVQ qualifications or equivalent, which the home achieves, until those qualified leave their employ to further their career. Presently, three of the twelve care staff hold an NVQ in care award, (25 ), with seven more attending the courses, which will result in 83 of staff then being qualified. Two overseas staff hold nursing qualifications. “As a group, the staff seem to have all the requisite skills and knowledge needed,” stated a relative. “They’re really good here. My mobility’s not good, but they are always there to help”, said a resident. The rota shows which shift the care staff are working each day, and there were appropriate numbers of staff on duty to meet the needs of the people living in the home. As well as care staff, the team includes catering and domestic staff, plus a maintenance person. It is a diverse staff team, from different cultures and with different expertise and experiences, which they share with each other. “As a whole I find all the staff very honest, hardworking, conscientious, courteous and very helpful”, said a relative. Westwards House Residential Care Home DS0000061814.V332447.R01.S.doc Version 5.2 Page 23 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35 and 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The systems for consulting with residents and their families are good, with a variety of evidence that shows that resident’s views are both sought and acted upon. Systems and practices in the home promote and safeguard the health, safety and welfare of the people using the service. EVIDENCE: There are systems used in the home to regularly audit and monitor standards, and to get feedback from residents and their families on their level of satisfaction with the service. Westwards House Residential Care Home DS0000061814.V332447.R01.S.doc Version 5.2 Page 24 Residents and staff confirmed a survey is sent out by the manager and the organisation, although the latest one was unable to be examined, as the manager was absent at the time of this visit, and staff left in charge had no access to them. Some residents said their family helped them to complete the surveys, but said they would always “Tell Janet” if they didn’t like something. Past visits have evidenced the regular use of surveys and feedback from residents and visitors. Staff said they also had a survey to complete re their satisfaction with the company and the training offered. The home has been successful in achieving the Investors in People Award, which recognises achievements in developing and training staff. Staff meetings take place, and staff said that they all received a copy of the minutes to their meetings. Both staff and the residents said that they felt able to discuss any issues with the manager. “I’m just getting used to being here – it’s very nice though. They make sure I’m alright, and the manager is very down to earth - I like that,” stated a resident. Policies are reviewed, and since the last visit 8 policies have been updated. These were seen at this visit. Good communication systems are in place between the staff and the manager, and the manager and the company head office. The staff left in charge confirmed that daily reports of pertinent events, which affect the residents, are completed by senior care staff. These are for the manager to view and monitor, and then to produce a weekly report, which is sent to head office. This report may be about issues, for example, around maintenance needs, accidents, and hospital admissions. Records and staff confirmed the regular fire training for staff. The Accident Book was viewed and was completed correctly. The information provided by the manager prior to this visit confirmed that all maintenance and servicing checks of equipment were up to date. Westwards House Residential Care Home DS0000061814.V332447.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 4 X X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 X X 3 Westwards House Residential Care Home DS0000061814.V332447.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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. Refer to Standard Good Practice Recommendations Westwards House Residential Care Home DS0000061814.V332447.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Westwards House Residential Care Home DS0000061814.V332447.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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