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Inspection on 03/08/06 for Westwood

Also see our care home review for Westwood for more information

This inspection was carried out on 3rd August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Staff are ensuring that they can meet the assessed needs of prospective residents prior to their admission to the home. The individual care plans appear comprehensive and are being reviewed on a regular basis to ensure that staff always have up to date information of what assistance and support each resident requires. The multidisciplinary staff team in the intermediate care unit appear to be providing an excellent service to support and encourage people to return to their own homes. All of the residents spoken with during the inspection were full of praise for the services provided by the home. They said that the staff are always friendly and respectful and confirmed that they ensure that residents privacy and dignity is maintained at all times. The observed interaction between residents and staff was of a very good standard. The residents who were asked said that they are very happy with their bedrooms and confirmed that they had been encouraged to personalise them with small items of furniture, photographs, ornaments etc. People said that they find the home to be comfortably furnished and pleasantly decorated. One person said that the accommodation is like ` a four-star hotel`. The home was very clean and appropriately tidy on the day of this visit.The homes manager is very well qualified and experienced and ensures that the home is run in the best interest of the residents. The residents and staff spoken with confirmed that the manager seeks their views about the way in which the home operates. Well over 50% of the care staff have completed NVQ level 2 or above. (This is good practice). The registered person was able to demonstrate a clear commitment to staff training and development. The aspects of health and safety, assessed as part of this visit, had all been well maintained and are helping to ensure that the residents live in a safe environment.

What has improved since the last inspection?

Since the last inspection the manager has revised the information provided to prospective residents. This literature is comprehensive and contains sufficient information to enable prospective residents to judge whether the home will meet their needs. The records of receipt and disposal of medication are now being well maintained. The door to the laundry was locked at the time of this visit helping to ensure that residents` health and safety is not put at risk from access to hazardous substances and foul linen. The homes emergency lighting system is now being tested every week and the results of the tests accurately recorded in the homes Fire records.

What the care home could do better:

CARE HOMES FOR OLDER PEOPLE Westwood Talbot Road Worksop Nottinghamshire S80 2PG Lead Inspector Richard Ramsden Key Unannounced Inspection 3rd August 2006 10:00 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 Westwood DS0000036258.V303364.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 DS0000036258.V303364.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Westwood Address Talbot Road Worksop Nottinghamshire S80 2PG 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) 01909 533690 01909 533691 Nottinghamshire County Council Mrs Melanie Anne Ward Care Home 60 Category(ies) of Dementia (15), Dementia - over 65 years of age registration, with number (15), Old age, not falling within any other of places category (60), Physical disability (15) Westwood DS0000036258.V303364.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Out of the total number of beds (60), there will be 15 beds for DE 55 and over and/or DE(E) Out of the total number of beds (60), 15 may be used for PD 55 and over A maximum of 5 PD 55 years and over, only to be accomodated outside of the intermediate care unit Service users shall be within category OP Date of last inspection 17th November 2005 Brief Description of the Service: Westwood is a purpose-built two-storey home which is owned by Nottinghamshire County Council and jointly funded by the local Primary Care Trust (PCT) in respect of the intermediate care unit, health care professionals are employed to work on that unit The home is registered to provide personal care and accommodation for 60 residents. 30 residents receive long-term care, 15 places are allocated for respite care and a further 15 beds for Intermediate care. There is a 20 place day centre attached, for which the manager has overall responsibility. The home is located on the outskirts of the centre of Worksop, where there are many facilities for shopping and socialising. There is a passenger lift providing access to the first floor, and the home is arranged in four separate units each having its own adapted bathroom, dining room, lounge and kitchenette. The grounds are pleasant and securely enclosed with perimeter fencing. The monthly accommodation charges for those residents who are self funding would be £1508 per calendar month. A copy of the most recent inspection report is available in the home. Westwood DS0000036258.V303364.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One Inspector completed this unannounced visit over one day it took approximately 8 hours. It included the inspection of care and other records, a discussion with the registered manager, one team leader, a member of care staff and the cook. The inspector spoke with six residents and two visitors to the home. A partial tour of the building was also completed. Prior to completing this visit the inspector assessed the homes previous inspection reports, the service history and the Pre-inspection information provided by the registered manager. What the service does well: Staff are ensuring that they can meet the assessed needs of prospective residents prior to their admission to the home. The individual care plans appear comprehensive and are being reviewed on a regular basis to ensure that staff always have up to date information of what assistance and support each resident requires. The multidisciplinary staff team in the intermediate care unit appear to be providing an excellent service to support and encourage people to return to their own homes. All of the residents spoken with during the inspection were full of praise for the services provided by the home. They said that the staff are always friendly and respectful and confirmed that they ensure that residents privacy and dignity is maintained at all times. The observed interaction between residents and staff was of a very good standard. The residents who were asked said that they are very happy with their bedrooms and confirmed that they had been encouraged to personalise them with small items of furniture, photographs, ornaments etc. People said that they find the home to be comfortably furnished and pleasantly decorated. One person said that the accommodation is like ‘ a four-star hotel’. The home was very clean and appropriately tidy on the day of this visit. Westwood DS0000036258.V303364.R01.S.doc Version 5.2 Page 6 The homes manager is very well qualified and experienced and ensures that the home is run in the best interest of the residents. The residents and staff spoken with confirmed that the manager seeks their views about the way in which the home operates. Well over 50 of the care staff have completed NVQ level 2 or above. (This is good practice). The registered person was able to demonstrate a clear commitment to staff training and development. The aspects of health and safety, assessed as part of this visit, had all been well maintained and are helping to ensure that the residents live in a safe environment. What has improved since the last inspection? What they could do better: The homes medication systems are generally well managed, however the temperature in the room in which medication is stored must be recorded every day. The temperature must not exceed 25°C as medication can deteriorate if stored above this temperature. Westwood DS0000036258.V303364.R01.S.doc Version 5.2 Page 7 The staff should consult with residents about the type and frequency of activities and entertainment they would like the home to provide. Residents must be kept informed of the date and time at which activities are being provided. Senior staff must be aware of the process that people should follow if residents or their representatives asked to see residents’ personal files. The manager must ensure that details of all complaints are accurately recorded. 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. Westwood DS0000036258.V303364.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 DS0000036258.V303364.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,6. The literature supplied prospective residents contains sufficient information to enable them to make an informed choice as to whether the home will be able to meet their needs. All residents who have been admitted to the home on a long-term basis have been provided with written contracts/ terms and conditions of residence. The homes staff ensures that they can meet the assessed needs of prospective residents by obtaining full written assessments prior to their admission to the home. Westwood Care Home provides appropriate intermediate care facilities. “Quality in this outcome area is excellent. This judgment has been made using available evidence including a visit to the service”. Westwood DS0000036258.V303364.R01.S.doc Version 5.2 Page 10 EVIDENCE: The literature supplied prospective residents has been updated and now contains all the required information to enable residents to make an informed choice as to whether the home will meet there assessed needs. All of the residents’ records viewed as part of this visit showed that Terms and Conditions of Residence documents had been provided and that people were signing to confirm that they had read and agreed with them. (This is good practice). It was ascertained that the residents receiving intermediate care are not provided with a contract, however they do sign an agreement to confirm that they will participate in a rehabilitation program. The manager has agreed to explore the possibility of providing some form of Terms and Conditions of Residence documentation for these residents. Three residents care plans were assessed during this visit and each contained a preadmission assessment, which had been completed by a social worker. The manager confirmed that she is now writing to prospective residents informing them that having regard to the assessment, the care home is suitable for the purpose of meeting their needs, in respect of health and welfare. The home has a separate unit, which provides intermediate care and helps to maximise residents’ independence and enable them to return home. Two residents in the intermediate care unit said that the multi disciplinary staff team have worked extremely hard to rehabilitate them, sufficiently to enable them to return to their homes. They were full of praise for the services provided with in this unit. Westwood DS0000036258.V303364.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10. Residents individual care plans contain sufficient information to ensure that staff are always aware of what support and assistance each resident requires. Resident’s health care needs are being met. The homes medication is very well managed, however staff must record the temperatures in all the rooms where medication is stored on a daily basis, to ensure that resident’s medication does not deteriorate and become less effective. Residents feel that they are treated with respect and their right to privacy is upheld. “Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service. Westwood DS0000036258.V303364.R01.S.doc Version 5.2 Page 12 EVIDENCE: Three residents care plans were viewed as part of this inspection, the care plans appeared to address the issues highlighted in the residents assessment process. There was evidence that staff are completing fluid input and output charts as well is turning records for one person who is being cared for in bed. It was recommended that staff are reminded to complete these charts as part of the care planning process. It was noted that all of the care plans viewed had been reviewed and when necessary updated each month to ensure that staff always have up-to-date information about the care and support each resident requires. (This is good practice). The residents spoken with during this inspection said that they believe their health care needs are being appropriately met. The records viewed as part of this visit confirmed this. The homes medication systems are generally very well maintained however the temperature records in one of the rooms in which medication is stored showed that the temperature was in excess of 25°C for most of July 2006. The records had also not been completed for four days in July. The manager stated that they are having reflective film fitted to the office windows (where the medication is stored) and that if there are consecutive warm days the medication will be removed to the treatment room which is airconditioned. This should alleviate the storage problems. The manager stated that all staff that administered medication have completed appropriate accredited training. The homes controlled medication was checked at random and had been well maintained. All of the residents spoken with during the inspection said that the staff are always friendly and respectful and ensure that their privacy and dignity is maintained at all times. Westwood DS0000036258.V303364.R01.S.doc Version 5.2 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15. The home is providing a reasonable variety of activities and entertainment however some residents said that they would like more activities. People are encouraged to maintain contact with family and friends. Where possible residents are encouraged to make decisions about their individual lifestyles. All of the residents spoken with during this visit said that they enjoy their food provided by the home. “Quality in this outcome area is good. This judgment has been made using available evidence in including a visit to the service”. EVIDENCE: The home is now providing a reasonable variety of activities and entertainment, however the activities are not well advertised and many of the people were unaware what activities are provided and in some cases whether they are eligible to attend these activities. Staff should continues to discuss with residents the type and frequency of activities they would like to have provided and ensure that the activities available are prominently displayed throughout the home. Westwood DS0000036258.V303364.R01.S.doc Version 5.2 Page 14 Two visitors to the home were spoken with during this visit; one person said that as they work shifts they visit their mother at unusual times and often dont see the members of staff on the unit. They did however say that the staff are friendly and helpful. The second visitor said that the home is ‘marvellous’ and that his family could never have coped without the services the home provide. The residents spoken with confirmed that they can have visitors at any time and that their visitors are always made very welcome. Residents are asked as part of the admission process, how they wish to manage their finances; this is also reassessed during the review process. All residents have been provided with literature informing them of the procedures they should follow if they wish to have access to their personal records or contract a local advocate. (This is good practice). When a team leader was asked about the procedure residents or their representatives must follow if they wish to see residents’ personal records she were unclear as to which records people could have immediate access to. Staff must have a working knowledge of the access to records procedure, to ensure that they comply with the Data Protection Act. All of the residents spoken with said that the food provided by the home is of a very good standard. They confirmed that there is always a choice of food and that alternatives will be provided if they do not want the food suggested on the menu. One person said that she has all her meals in her room and that the staff who assist her always ensure that mealtimes are an enjoyable occasion. (This is good practice). Westwood DS0000036258.V303364.R01.S.doc Version 5.2 Page 15 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. Residents believe that their complaints would be taken seriously and that appropriate action would be taken. The homes complaints records support this view. Informal complaints must be recorded in a central book or file to provide an overview of the nature and frequency of complaints received. The registered person is taking appropriate action to protect residents from abuse. “Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service”. EVIDENCE: The homes complaints procedure is available to residents,’ staff and visitors. The records show that there has only been one complaint since the last inspection. This complaint was appropriately investigated and was not substantiated. One visitor to the home stated that they had complained about the cleanliness of the carpet in her mothers bedroom, she confirmed that the carpet had been cleaned following her complaint. However this had not been recorded as a complaint and the manager was unaware that this issue had been raised as a complaint. Westwood DS0000036258.V303364.R01.S.doc Version 5.2 Page 16 The home must keep a record of all complaints detailing the investigation and where appropriate any action taken. The complaints records must provide an overview of the nature and frequency of all complaints received by the home. The residents spoken with believe that their complaints would be taken seriously and were confident that the manager would take appropriate action. The inspector was informed that there had been no incidents of abuse in the last 12 months. The home has an appropriate Whistle blowing procedure and the member of staff spoken with during the inspection, was clear about her responsibilities to report all incidents. Westwood DS0000036258.V303364.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26. The accommodation is purpose built and maintained to a very good standard. At the time of this visit the home was clean and there were no offensive odours. The enclosed courtyard garden is well maintained and accessible by all residents. EVIDENCE: A partial tour of the premises was completed as part of this visit. The purpose-built accommodation is comfortably furnished and well decorated. All of the residents spoken with during this inspection said that they liked their bedrooms and confirmed that they could use them at any time. One person spends all their time in their bedroom. People confirmed that they had been encouraged to personalise their bedrooms with small items of furniture photographs and ornaments. One person said that the accommodation in the home is better than that provided in a four-star hotel. Westwood DS0000036258.V303364.R01.S.doc Version 5.2 Page 18 All of the residents spoken with said that the home is always kept very clean and tidy. The door to the laundry was locked at the time of this visit ensuring that residents’ health and safety is not put at risk. The laundry is large and well equipped with washable wall and floor coverings. It was recommended that appropriate COSH data sheets and the relevant sections of the homes Infection Control Policy be displayed in the laundry so that staff can have easy access to them. The inspector has been informed by the manager that this information is now available in the laundry. Westwood DS0000036258.V303364.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. The staff rotas provided show that adequate staffing levels are being maintained. The homes recruitment policies and practices are supporting and protecting residents. The manager was able to demonstrate the homes commitment to staff training and development. “Quality in this outcome area is good. This judgment has been made using available evidence including a visit to the service”. EVIDENCE: The staff rotas provided prior to this inspection and those viewed on the day of inspection showed that sufficient staff are being provided to comply with previously agreed staffing levels. The residents spoken with confirmed that although the staff are always busy they still find time for social interaction. The personal records of two recently recruited members of staff were assessed as part of this visit. The records contained all the required information. Out of a total of 43 members of care staff 28 had completed their NVQ level 2 or above. This means that 67 of the staff holds a recognised qualification. Westwood DS0000036258.V303364.R01.S.doc Version 5.2 Page 20 (This is good practice). An impressive amount of staff training has been provided since the last inspection. Westwood DS0000036258.V303364.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38. The homes manager is well qualified and experienced. The home is run in the best interests of the residents. Residents’ financial interests are safeguarded. Where checked the health and safety of residents and staff are promoted and protected. “Quality in this outcome area is good. This judgment has been made using available evidence in including a visit to the service”. EVIDENCE: The registered manager has been a unit manager for over 10 years and has been the manager at Westwood Care Home for five years. She is well qualified and has completed the Registered Managers Award. Residents and staff said that the manager is a very approachable that they feel they could discuss any Westwood DS0000036258.V303364.R01.S.doc Version 5.2 Page 22 issues with her and that she actively seeks their views about the way the home is run. Quality monitoring systems are in place, which show that the residents and stakeholders in the community are being encouraged to express their views about the services provided by the home. The manager was able to demonstrate how the social services corporate business plan will be used to monitor and improve the individual services within the home. She will be producing an annual development plan for the home in the near future. The residents financial records and records of items handed in to safe keeping were checked at random and all were well maintained. The aspects of health and safety, assessed as part of this inspection, had been satisfactorily maintained. The homes emergency lighting is now being tested each week and the results of the tests accurately recorded in the homes Fire records. The manager confirmed that there are no issues outstanding from the last visits of the Fire Prevention Officer or the Environmental Health Officer. The Pre-inspection information provided by the manager indicates that equipment is being regularly checked and serviced at appropriate intervals. Westwood DS0000036258.V303364.R01.S.doc Version 5.2 Page 23 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 4 3 3 X X 4 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 4 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 Westwood DS0000036258.V303364.R01.S.doc Version 5.2 Page 24 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. 1. Standard OP9 Regulation 13 (2) Requirement It is required that staff record the temperature in the rooms in which medication is stored each day. The temperature must not exceed 25°C. The temperature must also be recorded in every bedroom where medication is stored, if the guidance states that the medication must be stored below 25°C (Timescale of 17/11/05 not fully met). It is required that the Registered Person consults with residents about the types of activities, entertainment and outings they would like to participate in. Residents must be kept informed when these activities will be provided. It is required that staff are made aware of the procedure they must follow if a resident or their representative asks to see a residents personal records. It is required that the registered person keep a record of all complaints, detailing the DS0000036258.V303364.R01.S.doc Timescale for action 03/08/06 2. OP12 16 (2) (m) 18/09/06 3. OP14 Data Protection Act 1998 Schedule4 (11) 03/08/06 4. OP16 03/08/06 Westwood Version 5.2 Page 25 investigation and where appropriate any action taken. 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 Westwood DS0000036258.V303364.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Westwood DS0000036258.V303364.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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