Inspection on 12/07/07 for Westwood

This inspection was carried out on 12th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 but made no statutory requirements on the home.

Other inspections for this house

Westwood 27/07/06

Westwood 13/10/05

Westwood 25/04/05

Westwood 08/10/04

Westwood 30/06/04

Westwood 23/04/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Westwood 9 Knoyle Road Brighton East Sussex BN1 6RB Lead Inspector Elizabeth Dudley Key Unannounced Inspection 10:00 12th July 2007 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 Westwood DS0000014260.V343232.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. Westwood DS0000014260.V343232.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Westwood Address 9 Knoyle Road Brighton East Sussex BN1 6RB 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) 01273 553077 Mr Mohamed Saber Sadek Mrs Sadek Mr M S Sadek Mrs Somaya Sadek Care Home 29 Category(ies) of Old age, not falling within any other category registration, with number (29) of places Westwood DS0000014260.V343232.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The number of service users accommodated must not exceed twentynine (29) The service users will be aged sixty-five (65) or over on admission Date of last inspection 23rd January 2007 Brief Description of the Service: Westwood is a privately owned residential home, registered to provide personal care for 29 older people. The building consists of two semi-detached properties converted for its current use. Accommodation is presented across three levels, ground, first and second floors, accessed by a shaft lift. This includes seventeen single and three double bedrooms, seventeen of these 20 rooms having en-suite facilities. The home has communal facilities that include a lounge/dining room and an attractive garden that has access for wheelchairs. Situated in a residential area on the outskirts of Brighton, it is close to a main bus route and local parks. Although there are no car parking facilities at the home, all adjoining roads have unrestricted parking. Current fees charged range between £273 to £475 per week, this information was received from the provider on the 12th July 2007. Extra services not included in the fees include hairdressing and chiropody, details of the charges for these can be obtained from the home. Westwood DS0000014260.V343232.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection took place on the 12th July 2007 and was facilitated by Mr M Sadek, owner and manager. Thanks are extended to Mr Sadek and the residents and staff at the home for their courtesy and help during the inspection. Prior to the inspection ten questionnaires were sent to residents and visitors to the home and two to health care professionals. At the time of writing this report one questionnaire from a health care professional has been returned. Any comments from future questionnaires returned will be addressed at the next inspection. During the course of the inspection eight residents and four members of staff were spoken with, a tour of the home was undertaken and documentation including care plans, medication records, personnel and staff training files, catering records and health and safety information was examined. The owner of the home returned the Annual Quality Assurance Assessment as required by the CSCI before the inspection took place and this contained information, which helped to inform the inspection. Comments received from residents were mainly positive, with residents saying, “I wouldn’t like to have to move from here”. “ The food is beautiful and the staff are friendly and nice”. “ We get choice of meals and they are well cooked, the staff know what I like and don’t like”. “ It can be very boring here, there is not much going on. “ Staff do some games with us such as bingo and cards and we had a dance the other week, the owner danced with some of us and they made a film of it and we watch it”. A social worker that visits the home at regular intervals said that the residents seem happy and do not seem to have any worries about the home. The atmosphere in the home is comfortable and friendly and staff are very empathetic towards the residents. What the service does well: The service provides personal care for older people within a friendly and homely atmosphere. The majority of the staff have worked at the home for a number of years allowing residents experience a continuity and security. Westwood DS0000014260.V343232.R01.S.doc Version 5.2 Page 6 The home has a well-maintained garden, which all residents can access and enjoy and several residents said how much they enjoyed using this. What has improved since the last inspection? What they could do better: The care plans, although showing some improvements, require to reflect the care required to meet the current and changing needs of the residents. Staff must sign and date all parts of the care plans in order to maintain the accuracy of recording, identify the member of staff making that record and to reference when changes took place. Issues around medication administration including medications being signed in to the home, prescription creams and eye drops not being left in residents rooms and the recording of complete signatures on controlled drug records need to be addressed. Residents are now informed of what is on the set menu for meals each day, but alternatives to the set menu should also be shown which would benefit the residents by enabling them to make choices. Whilst there has been much improvement to the cleanliness and maintenance of the home this is marred by the provider keeping unused items of equipment, furniture and other items in residents rooms, lounges and on the patio. This is not only unsightly and prevents residents from enjoying the home and their rooms to the full, it is a safety hazard and in the case of disused mattresses left under beds, an infection control hazard. Westwood DS0000014260.V343232.R01.S.doc Version 5.2 Page 7 Residents washcloths and towels left in bathrooms may lead to cross infection if used on another resident, and the placing of unwrapped continence aids in the open waste bins in the bathrooms and toilets is both unpleasant for other users and may lead to cross infection. Mandatory training for staff must be kept up to date and staff must be supervised to ensure that they put into practice what they have learned. 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. Westwood DS0000014260.V343232.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 Westwood DS0000014260.V343232.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): 1.2.3.4.5.6. People who use the service experience good quality outcomes in this area’ Prospective residents are assessed by the manager and can visit the home prior to their admission. Documentation within the home requires amending in order to fully inform residents of life within the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Statement of Purpose contains all information required to comply with the regulations. The service user guide whilst meeting the regulations would benefit residents if it were more “user friendly” and contained more information about the daily life in the home. Westwood DS0000014260.V343232.R01.S.doc Version 5.2 Page 10 All residents have received a statement of terms and conditions, which complies with the regulations. The owner/ manager assesses prospective residents prior to their admission to the home. This assessment is thorough and addresses the psychological health and personal care needs of the residents and is used to inform the care plan and staff prior to the resident’s admission to the home. Following the assessment the owner/manager should inform residents in writing of the whether the home can meet their needs. All residents are admitted for a months’ trial period and prospective residents and their representatives can visit the home prior to the residents’ admission. Staff employed at the home are experienced in the care of the older person. The home accepts residents for respite care but not for intermediate care. Westwood DS0000014260.V343232.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): 7.8.9.10.11 People who use the service experience adequate quality outcomes in this area. Care planning does not always reflect the current needs of the residents and the actions required to meet these need, and there was no information to indicate involvement of residents in formation of the care plans. Whilst generally safe practice in the administration of medication was observed, some practices may put residents at risk. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the inspection six (33 ) of the resident’s care plans were examined in depth. The care plans are formed from the pre-admission assessment undertaken by the manager and have been reviewed on a regular basis. Although the Westwood DS0000014260.V343232.R01.S.doc Version 5.2 Page 12 formation of the initial care plan was good and gave clear instructions on how assessed needs were to be met, reviews did not indicate current needs and some care plans showed that substantial change in the care needs of the residents had not resulted in a new or changed care plan. Care plans did not show any reference to the original social services assessment or any reference to instructions received from General Practitioners or District Nurse’s visits. Two partially sighted residents had no care plan to address sensory deprivation, nor was there evidence of staff training in this area. Few care plans showed any involvement by the residents or the representatives in the formation of the care plan, and residents spoken with were not aware of what information it contained. Some care plans did not include a photograph of the resident. The care plans addressing social needs require to be more in depth and to include how the social needs and interests of the resident are to be met. Daily records of residents were in place and identified the care needs of the residents and the care that had been given to meet these needs. All parts of the care plan, including the records of doctor’s visits require to be dated and also to have the full signature of the member of staff recording the information. Residents spoken with said that they were “Looked after very well” and “Staff know what needs to be done to keep me comfortable”. Poor manual handling techniques were observed; this was also brought up as a comment from a visitor prior to the inspection. This was discussed with the manager who stated staff were due manual handling training but the appropriate equipment was available. The manager must ensure that staff use this equipment when moving residents and also that the manual handling technique required is included in the care plan Risk assessments are required when a resident is using bedrails; this must include the reason why these are required. All staff have received medication training but the MAR charts did not identify the amount of medication received into the home or whether anyone had checked this.’ Controlled drug records show incomplete staff signatures – staff must sign with both their surname and forename. It is good practice for handwritten medications entered onto the medication chart following a new prescription to have two signatures of staff. Westwood DS0000014260.V343232.R01.S.doc Version 5.2 Page 13 Drugs were stored securely. Eye drops and prescription cream were found in a resident’s room, both these items required storing in a fridge and also to be stored securely. Discussion relating to this was held with manager. All drugs had been signed for following administration and staff were seen to be practising a safe administration method. Residents said that they were treated with dignity and their privacy is respected. There was a good interaction seen between staff and residents, with staff showing friendliness and empathy to residents. Few residents have a phone but residents have the use of the house phone and there is a pay phone in the entrance hall. The home will keep residents who are terminally ill if they can meet their needs, and information received from Social services is that they readily contact social services and the health care professionals if they have decided that they are not meeting the residents needs. District nurses provide the equipment and nursing care for these residents and instruct the staff on how to care for the resident, and although individual staff were aware of, and implementing the care required as directed by the nurses, staff have not updated the residents care plans to address the deterioration in the residents condition and the impact this will have on their care. Westwood DS0000014260.V343232.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): 12,13,14,15. People who use the service experience good quality outcomes in this area. Activities have now improved but more diversity would benefit residents. Whilst the standard of the catering satisfies the expectations of the residents, a variety of fresh fruit and vegetables is not always available, and residents would benefit from more attention to detail when trays are being set up for meals. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Activities are taking place although these are restricted to in activities within the home including board games, reading, skittles, bingo or a musical entertainer coming in. They also had some residents involved in dancing recently in the lounge, which was popular The daily activity records have not been updated for six months and the activities programme seen in the main Westwood DS0000014260.V343232.R01.S.doc Version 5.2 Page 15 lounge would benefit residents if it were to be prominently displayed and the activities identified were changed to reflect the current week. The manager states that he plans to include some outings in the future. Ministers of religion are accessed as required and a layperson from a church visits regularly to give communion to one resident. The home has an open visiting policy and residents stated that their visitors were made very welcome. The home provides a good basic menu and on occasions the deputy manager makes cakes and puddings for the residents. The meal consists of three set courses but choices were not identified on the displayed menu. The staff are aware of the preferences of all the residents and offer them an alternative to the set menu if required. The staff are aware of cultural and religious requirements in diet and ensure that these are met. Suppers consist of a light cooked option and there are always sandwiches available. Residents all said that the food was nice, that they enjoyed their meals, and that they can have tea or other drinks on request . The kitchen was clean, with a new fridge/freezer recently been purchased and the records as required by Environmental Health Authority are in place. There was a recent Environmental Health Authority inspection and recommendations were made which the manager is in the process of fulfilling. Westwood DS0000014260.V343232.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16.18 People who use the service experience good quality outcomes in this area’ Complaints are dealt with in an open and transparent manner and residents feel able and comfortable to make complaints if necessary. Staff are aware of their role in safeguarding the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaints procedure and complaints record which details one concern, received from a social worker, in the past year. This was relating to the lack of activities, the manager addressed this. It is recommended that the minor concerns that the manager addresses as they occur, and the actions taken to address these, are recorded in the complaints record for future reference. Some Staff have had training in the safeguarding of adults and further training is planned for this year. There one adult safeguarding issue in the past year, this was addressed by the manager but not substantiated. Westwood DS0000014260.V343232.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19.20.21.22.23.24.25.26 People who use the service experience adequate quality outcomes in this area’ Residents are benefiting from ongoing maintenance and improvements to the home, but storage of furniture and other articles in lounges and rooms detract from resident’s enjoyment of the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are tangible improvements in some areas of the home regarding both general maintenance and refurbishment. Eight new bed bases and mattresses have been purchased and the manager stated his intention of purchasing Westwood DS0000014260.V343232.R01.S.doc Version 5.2 Page 18 more. Some areas have been redecorated and provided with new carpets, including a new stair carpet. There are still areas requiring general maintenance and the improvements that have been made are detracted by the storage of discarded furniture including wheelchairs, televisions, walking frames and pressure relieving cushions stored in the lounge area and on the patio. Mattresses, which have been replaced, are stored under the beds, which spoil the resident’s rooms and are also an infection control risk. Residents’ rooms are generally clean and residents are encouraged to bring in their own possessions to personalise their rooms. Although locks are on all residents room doors there is no evidence that residents have been asked if they wish to have a key or risk assessments in place for those that may wish to have a key. Water temperatures to residents’ outlets have been monitored and records identify that these fall within recommended parameters. The home has been assessed by an occupational therapist and recommendations have been addressed. The provider has put new assisted bathing chairs in both assisted bathrooms, ensuite bathrooms consist of a washbasin and w.c. A member of domestic staff has been employed recently and the home showed a marked improvement in cleanliness apart from the lounge area where the domestic obviously has difficulty in moving around all the objects stored there. The environmental health report makes recommendations regarding storage of food to prevent infection. Individual resident’s washcloths left in bathrooms and unbagged used continence aids in the waste bin in the toilet, can have implications on infection control. Westwood DS0000014260.V343232.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): People who use the service experience good quality outcomes in this area Whilst sufficient staff are on duty over the twenty four hour period to meet the assessed needs of residents this is insufficient when residents needs increase. Commencement of staff training relevant to care matters will benefit residents but failure to update mandatory training may put residents and staff at risk. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The duty rota and information from staff and residents show that there are sufficient staff to meet the assessed needs of the residents in the home. However staff and information received from other sources identified that there are difficulties in meeting the needs of residents when these substantially increase. Staff receive induction when they commence employment at the home, the provider uses the ‘ Core skills for care’ work book as well as a local home induction, and staff spoken with confirmed that they were using this. All new staff are supervised for the first week of employment. Four members (44 ) of staff are now undertaking National Vocational Qualification level 2 in care and one member of staff obtained this qualification Westwood DS0000014260.V343232.R01.S.doc Version 5.2 Page 20 . Medication training has not been updated and moving and handling training is now due to be updated. No staff have received any training in sensory impairment. First aid training and Food Hygiene training requires updating for some members of staff. Two new staff have recently commenced and confirmed that induction had taken place. Three personnel records (33 ) were examined and these confirmed that all references and other documentation as required by regulations were in place. Westwood DS0000014260.V343232.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31.32.33.34.35.36.37.38 People who use the service experience adequate quality outcomes in this area A quality monitoring system is in place, which gains viewpoints of residents and visitors to the home and uses these to review the service to meet their expectations. Lack of staff supervision could affect the standard of the service offered. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Westwood DS0000014260.V343232.R01.S.doc Version 5.2 Page 22 The owner/ manager has owned the home for over 20 years and is registered with the CSCI. He has no formal management qualification at present but attends all training sessions booked for the home. He stated at this inspection that he was considering undertaking the National Vocational Qualification level 4 in care and the Registered Managers Award. There is a friendly atmosphere within the home and residents spoke positively about the staff and the management of the home. A member of the social services team also confirmed that the atmosphere within the home is positive and caring and that residents do not have any concerns when either reviews or his frequent visits to the home take place. Quality monitoring takes place by questionnaires sent to residents and visitors and services offered by the home are reviewed in light of their comments. The manager undertakes audits around the home to ensure that services offered are reaching the required standard. The manager should consider giving the deputy manager access to the office to be used on occasions when he is not in the home and access to information is required, both at inspections and for the general running of the home. The Annual Quality Assurance Assessment received was informative and received by the due date. Staff meetings take place on a regular basis and are minutes are recorded, staff stated that they could make their views known and that these are usually acted upon. Staff supervision has not being taking place at regular intervals; this should commence to enable the manager to ensure that residents receive care that meets their expectations and to assess the staff’s objectives and goals. Policies and procedures have been reviewed recently. The manager holds money for safekeeping for residents and records are in place and are satisfactory. The home does not act as appointee for residents. The Annual Quality Assurance Assessment showed that all servicing of equipment and utilities has taken place. Electrical portable appliance testing is now due and will be addressed in the next month. Reports regarding accidents and incidents are being received by the CSCI as these occur and the accident records were in place and up to date. The manager should ensure that staff receive moving and handling training at annual intervals and that new staff undertake this prior to working with residents unsupervised. Observations made at inspection and a recent concern Westwood DS0000014260.V343232.R01.S.doc Version 5.2 Page 23 made known to the CSCI indicate that the manager ensures that staff are using correct practices when moving residents and the manager should consider this aspect of the care given to be a priority. The manager must ensure that all mandatory training takes place at the intervals required by the Health and Safety Executive. The home has been inspected by the Fire Authority and recommendations made have been addressed. Westwood DS0000014260.V343232.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 Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 1 2 3 3 3 2 3 2 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 x 3 1 2 2 Westwood DS0000014260.V343232.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes 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 OP4 Regulation Reg 14 (1)(d) Requirement That following the preadmission assessment prospective service users are informed in writing about whether the home can meet their needs. That the service user plan of care accurately reflects the current needs of the service user and the method of addressing these needs including any equipment to be used. That the plan of care is formed and reviewed in consultation with the service user. This is a previous requirement with a compliance date of 01/09/06 That the recording of controlled drugs includes the full signature of the persons checking and administering drugs. That individual prescription external medications are stored correctly in a manner that does not put other service users at risk. That the home’s policy for the receipt of medication is followed and that this is in line with pharmaceutical guidelines. DS0000014260.V343232.R01.S.doc Timescale for action 30/08/07 OP7 2. Reg 15 30/08/07 3 OP9 Reg 13(2) 30/07/07 Westwood Version 5.2 Page 26 4 OP38 Reg 13(5) That the manager ensures that all staff receive training in moving and handling and that information received in the training is put into practice 30/08/07 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 OP38 OP26 Good Practice Recommendations That equipment and mattresses that are no longer used are removed from areas used by the residents in order to prevent accidents and cross infection. Westwood DS0000014260.V343232.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Westwood DS0000014260.V343232.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. 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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