Inspection on 20/01/09 for Westwood Park

This inspection was carried out on 20th January 2009.

CSCI found this care home to be providing an Adequate service.

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

Westwood Park 18/01/10

Westwood Park 27/10/09

Westwood Park 23/01/07

Westwood Park 08/11/05

Westwood Park 07/07/05

Westwood Park 07/12/04

Westwood Park 17/08/04

Westwood Park 03/03/04

Westwood Park 19/11/02

Similar services:

Abbey The

Snydale Care Home

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

CARE HOMES FOR OLDER PEOPLE Westwood Park 4 Langholm Close Beverley East Yorkshire HU17 7DH Lead Inspector Jo Bell Key Unannounced Inspection 20th January 2009 09:30 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 Park DS0000019737.V373843.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 Park DS0000019737.V373843.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Westwood Park Address 4 Langholm Close Beverley East Yorkshire HU17 7DH 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) 01482 862170 01482 888570 Londesborough Health Care Limited Manager post vacant Care Home 51 Category(ies) of Dementia - over 65 years of age (51), Old age, registration, with number not falling within any other category (51) of places Westwood Park DS0000019737.V373843.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd January 2007 Brief Description of the Service: Westwood Park is a privately owned care home that is registered to accommodate and care for 51 older people, including those with dementia. The company own another care home in a nearby town. Information about the home is provided to service users and others in the home’s statement of purpose and service user guide. Fees paid are £375 per week and there is an additional charge for hairdressing, beauty therapy, private chiropody, toiletries and newspapers. Private accommodation is provided in 47 single rooms and two shared rooms, and there are various communal rooms available. The home is close to local amenities such as shops, banks, cafes, public houses and transport facilities. All areas of the home are accessible to service users via the provision of a passenger lift, a stair lift and ramps. The garden has been specially designed to meet the needs of the people living at the home and is attractive and easily accessible. There is a small car park available for visitors and staff. Westwood Park DS0000019737.V373843.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations, but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. We went to the home without telling them that we were going to visit. This report follows the visit that took place on Tuesday 20th January 2009. The visit lasted from 09:30 until 15:30. The purpose of the visit was to make sure that the home was operating and being managed in the best interests of people living there. Information has been used from different sources for this report. These sources includeReviewing information that has been received about the home since the last inspection. The annual quality assurance assessment. This is information, which details what has happened during the past 12 months. Surveys were sent out but none were returned. Notifications (Regulation 37) relating to incidents in the home affecting people using the service. Details of complaints and allegations raised by people connected to the service. Details of a random visit in February 2008, following issues raised regarding care practices. Progress of the previous recommendations made at the last site visit. At the site visit one inspector spent 6.0 hours at the home. During this time observations of care practices took place. People using the service were spoken with along with some relatives. Discussions with the new manager regarding meeting needs, mealtimes, protecting people and the environment took place. The lunchtime meal was observed and time was spent inspecting care plans, looking at individual rooms and reviewing a selection of health and safety Westwood Park DS0000019737.V373843.R01.S.doc Version 5.2 Page 6 information. Staffing and management issues were discussed and feedback was given to the manager at the end of the inspection. What the service does well: What has improved since the last inspection? What they could do better: The overall running of the home could be better, more robust quality assurance systems would help the service identify areas for improvement and ensure people using the service have their views and opinions heard and acted upon. The medication system could be more effective. A pharmacy referral has been made due to issues regarding administration, record keeping, stock balances and lack of a medication audit. The dining experience for people could be improved on. More attention to detail is needed regarding effective communication and discussion about the food and drink on offer. Staffing levels overnight could be reviewed. This will ensure people can have their needs met. Record keeping at this time also needs improving. The care plan and risk assessments could be more detailed and contain specific information regarding a person’s needs. Staff training records need improving as it is unclear what mandatory training staff have received, this could have a negative impact on people using the service. The home could deal with complaints more effectively. Westwood Park DS0000019737.V373843.R01.S.doc Version 5.2 Page 7 The manager’s understanding of safeguarding could be improved upon. This will ensure the correct action is taken if an allegation of abuse occurs. 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 Park DS0000019737.V373843.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 Park DS0000019737.V373843.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): 3 (Standard 6 is not applicable) People who use this service experience adequate outcomes in this area. People are assessed prior to admission, though this could be more detailed to ensure the home is aware of individual needs. We have made this judgement using a range of evidence including a visit to this service EVIDENCE: An assessment of people’s needs is completed if the person has a care manager or is privately funded. These detail health, personal, nursing, social and mental health needs. The three pre-admission assessments looked at confirmed that a senior person completes an assessment before an individual moves to the home. This is to check what type of care and support the person needs and whether the staff have the skills and knowledge to provide that care if the individual chooses to move there. The process also reassures the individual and their family that they will receive the right support. The format used was appropriate and helped staff gather a range of information. It was evident though that some information was missing, one section asked for comments from either staff or the person being assessed. Westwood Park DS0000019737.V373843.R01.S.doc Version 5.2 Page 10 This was left blank, and it was unclear what specific needs people had prior to coming into the home. Staff that carry out the assessments have different understandings of how the form should be completed. A more consistent approach is needed, and more effective communication with the individual will ensure all their needs are understood, and can be met. Westwood Park DS0000019737.V373843.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 People who use this service experience adequate outcomes in this area. People do not consistently have their personal and healthcare needs met. Improvements in the medication system are needed which will minimise the risk of harm to people. We have made this judgement using a range of evidence including a visit to this service EVIDENCE: People were observed throughout the morning, some people looked clean and well cared for whilst others had dirty fingernails and teeth. Staff need to ensure all aspects of personal care are considered and met. Three care plans were looked at during this visit. These describe the care and support people need to stay in charge of their own lives as much as possible. The plans looked at contained a lot of information and there were written assessments as to whether people were at risk of developing pressure sores, of losing weight because of poor appetite or a health problem or needing help with moving and handling. However the risk assessments had not been reviewed in the past 12-24 months, the care some people needed had not been updated and whilst plans were reviewed and evaluated on a monthly Westwood Park DS0000019737.V373843.R01.S.doc Version 5.2 Page 12 basis this did not include checking whether the risk assessments and care plans remained relevant. This meant that staff were not aware of people’s current needs. One person had a risk assessment, which identified confusion, and risk of trips and falls, but there was no explanation as to how this was going to be managed. People did not routinely have a nutritional assessment in place, this would help identify if people were under or over weight. There was evidence of visits from healthcare professionals (Doctors/Nurses and chiropodists), and daily progress was recorded. The home is aware of how to report accidents and injuries under Regulation 37. The nighttime records were discussed with the manager. Currently a carer is signing a sheet to confirm checks are in place for all forty-two people. This is not detailed enough and the person delivering the care should sign for this instead of another person on their behalf. A previous random inspection in February 2008 confirmed that improvements were needed in recording and following healthcare information. This was evident at this visit. Privacy and dignity was generally observed regarding personal care. Staff were knocking on doors prior to entering and staff spoke to people using the service in a polite manner. People are able to have a private telephone fitted in their rooms. Medication The medication system was inspected with a senior carer. A range of issues were identified where improvements are needed. Three medication charts inspected showed that there were omissions on different days where staff had not signed for medication administered. One person had four medications, which had not been signed for on one particular day, (prednisolone, glucosamine, gabapentin and levothyroxine). Another person had three medications prescribed. One person had a hand written entry of Paracetamol every 6 hours, there was no date or signature or times written when the tablet needed to be administered. There were two gaps where it was unclear if this tablet had been offered. The controlled drug book was inspected, one person was prescribed oxycodone, and the dosage was not written down. A count of tablets confirmed there were 129 tablets, though the records stated there should be 137 tablets available. Staff confirmed that when a sealed box of tablets is sent to the home no one opens the box to check how many tablets there are. One person had extra 7 tablets in a bottle of medication and these tablets had been mixed with some tablets from another bottle (yellow and white tablets). Currently stock balances or medication audits are not undertaken. The system in use at present is putting people at risk of harm. As a result of the issues identified a referral to the CSCI Pharmacy Inspector has been made. This Westwood Park DS0000019737.V373843.R01.S.doc Version 5.2 Page 13 person will visit shortly and complete a review of all the medication in the home and the systems used. Westwood Park DS0000019737.V373843.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 this service experience adequate quality outcomes in this area. People participate in some activities and visitors are welcomed. Staff generally encourage autonomy and choice, though the dining experience could be better. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: People have access to a limited amount of activities. There are books, newspapers, music and games available. During the site visit no other activities were observed taking place. People spoken with confirmed they did not go outside very much and trips outside Beverley had not taken place recently. The care plans inspected did contain information regarding people’s hobbies and interests though this was not always considered and acted upon. Visitors were welcomed into the home and religious and cultural needs could be catered for. The daily routines did vary for different people but staff need to have a greater understanding of how to encourage autonomy and choice. Three people spoken with said they got up when staff told them to, one person said “I go to bed when staff say I have to”. The annual quality assurance assessment contained limited information regarding equality and diversity and the different activities available. Westwood Park DS0000019737.V373843.R01.S.doc Version 5.2 Page 15 The lunchtime meal was observed (upstairs). The dining area is light and airy and has a pleasant view into the garden area. Tables, which seat four people at once, are in place and chairs with arm supports were observed. Material napkins are available and plastic glasses. The menu is not displayed either in on the wall or on the table. Staff speak to people in the morning to ask what they would like for lunch. People were observed eating lamb crumble and vegetables. The portion sizes were suitable and staff were heard discussing small and large portions for different people. However, overall the dining experience for people needed improving. One person was left sitting at the table in a very low chair, another person using the service asked a member of staff to deal with this. Some people were not offered a drink until they had their main course. Staff did not ask people if they would like gravy with their main course, this was automatically put on. One member of staff put the food on the table and did not speak to the person who was about to eat it. This happened on five occasions. Some people had dementia and no explanation was given regarding the type of food served. One person who was sat at the table said “good morning” to their neighbour. Staff overhearing this then went into the corridor with other staff mocking this person, as it was the afternoon not the morning. One carer gave someone a drink in such a hurry they offered no explanation to the choice of drink and placed it on the edge of the table making it difficult for the person to reach. Moving and handling was observed, because of the layout of the dining room it is sometimes difficult for staff to manoeuvre wheelchairs. One person was brought into this area and only one brake was put on the wheelchair whilst the person got up and tried to walk to the dining chair. Westwood Park DS0000019737.V373843.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 this service experience adequate quality outcomes in this area. People have their concerns listened to, but these are not dealt with in a timely manner. Generally staff are alert to signs of abuse. This helps keep people safe. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: The home has a complaints procedure in place. During the past 12 months the Annual Quality Assurance states there have been 3 complaints made with 66 been dealt with within the expected timescales. The majority of complaints should be dealt with promptly and effectively. One complaint was made to The Commission, which resulted in a random inspection in February 2008, part of this was upheld and requirements were made regarding aspects of health and personal care. People in the home knew how to complain but were unsure if they had seen the complaints procedure. No safeguarding referrals have been made and whilst people looked safe, staff do need to improve their knowledge regarding different types of abuse and the action to take if an allegation is made. Though some training has taken place regarding vulnerable adults. The manager also needs to familiarise himself with the local authority’s policies and procedures to ensure suitable action is taken if an incident arises. Westwood Park DS0000019737.V373843.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 & 26 People who use this service experience adequate quality outcomes in this area. People live in a comfortable environment, though some areas need updating. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: People generally like living in the home. Rooms inspected looked clean and well maintained. There are areas in the home that need updating, some of the corridors and communal areas could benefit from re-painting. The annual quality assurance states that washable floorings and more carpets have been fitted. There is now an estates manager who oversees two homes. The home is set in a pleasant area of Beverley and has accessible gardens. One person said, “I have a lovely room”, another person “it could do with a lick of paint”. The home have employed a second domestic assistance to ensure the home is free from odour. The upstairs lounge and one toilet downstairs smelt of urine. One bathroom was out of order and the ground floor shower room was full of Westwood Park DS0000019737.V373843.R01.S.doc Version 5.2 Page 18 trolleys and skips which would make it extremely difficult to use. Staff also need to complete infection control training. Staff were observed using hand washing techniques and wearing protective clothing when needed. People spoken with confirmed that they have their clothes washed and ironed by the home and this is done in a timely fashion. Westwood Park DS0000019737.V373843.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): 27,28,29 & 30 People who use this service experience adequate quality outcomes in this area. People are cared for by staff that are safely recruited, though they need more robust induction training to ensure individuals needs are understood and met. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: At the site visit there were forty-two people using the service. Some of which have dementia care needs. There are senior carers and carers who are supported by ancillary staff. On a morning there is approximately one member of staff for eight people. On a night-time there is one member of staff per fourteen people. This needs to be reviewed as currently the staffing levels may mean people do not receive the care they need. As the nighttime records are insufficiently detailed it is unclear what care people are receiving during this time. People spoken with stated staff are variable, generally call bells are answered promptly and staff know how to care for people. Staff are safely recruited and this was confirmed when inspecting staff files. Two references, a police check and vulnerable adults check is completed prior to a new staff member starting work in the home. Some staff have completed an NVQ Level 2 in care, but this is not the majority of care staff. Staff complete an orientation to the home when they start work but the formal induction is been developed. This will cover all aspects of care practices and health and safety and will be equivalent to Skills for Care. Westwood Park DS0000019737.V373843.R01.S.doc Version 5.2 Page 20 Currently staff are not allocated a mentor and staff supervisions are not fully implemented. The new manager is aware that these systems need to be put in place. This will help ensure staff develop and become more skilled and experienced in caring for older people with dementia care needs. Westwood Park DS0000019737.V373843.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): 31,33,35 & 38 People who use this service experience adequate quality outcomes in this area. The home is not consistently run in the best interests of the people using the service. Aspects of health and safety and the quality assurance need improving to ensure people are not put at risk of harm. We have made this judgement using a range of evidence including a visit to this service. EVIDENCE: The home appointed a new manager in September 2008. He is experienced in working with older people and has previously specialised in mental health care. He has also completed a registered manager’s award and is hoping to become registered with The Commission shortly. The manager is aware that there are improvements needed in record keeping, the quality assurance system and health and safety. Westwood Park DS0000019737.V373843.R01.S.doc Version 5.2 Page 22 Currently monthly visits by the provider take place, though this information is limited. The annual quality assurance assessment did not describe what other monitoring processes there are in place. Staff speak to people on a daily basis and identify if they are happy or need anything. However, no formal process is in place. Care plan or medication audits are not in place and there is no environmental audit undertaken to confirm if people are safe. Residents meetings have previously taken place and the home does have staff meetings. The whole quality assurance system needs reviewing to incorporate a range of audits and checks. This will help the service improve. Personal monies were discussed. People spoken with confirmed that the home can hold money on their behalf and this may be used for toiletries or newspapers. Clear records were kept for each person and individual wallets were in place. Health and safety in the home was discussed and training records were inspected. Staff confirmed that they have completed some training, but the record keeping could not confirm this. Fire training, infection control and moving and handling records were incomplete and the manager did not have an overview of which staff needed training and when this was due. A sample of water temperatures were taken, these were within the expected range, but the home does not routinely record these temperatures, which means the water could be too hot and staff would not necessarily be aware of this. Safety certificates were in place for contracted equipment and some policies had been updated in January 2008 as discussed in the annual quality assurance assessment. Westwood Park DS0000019737.V373843.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 x x 2 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 1 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 x 18 2 3 x x x x x x 2 STAFFING Standard No Score 27 2 28 2 29 3 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x 2 x 3 x 1 1 Westwood Park DS0000019737.V373843.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. 2. Standard OP7 OP9 Regulation 15 13(2) Requirement Care plans must be effectively completed and reviewed. A complete review of the medication system must take place. This will identify where areas of improvement are needed. The smell of urine must be eradicated from the lounge area upstairs and the toilet downstairs. Staff must be aware of all infection control procedures. An effective quality assurance system must be implemented. This will help ensure the service identifies and acts on areas for improvement. Records relating to service users must be completed accurately and in a timely manner. Records relating to mandatory training must be up to date so it is clear what mandatory training staff need. Timescale for action 20/02/09 03/02/09 3. OP26 13(3) 20/02/09 4. OP33 24 20/03/09 5. OP37 17 10/02/09 6. OP37 / OP38 17 20/02/09 Westwood Park DS0000019737.V373843.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. 6. Refer to Standard OP3 OP8 OP12 OP16 OP18 OP15 Good Practice Recommendations A more consistent and detailed approach is needed when completing a pre-admission assessment. Risk assessments should be regularly reviewed to reflect a person’s current need. Residents should be encouraged to take part in chosen activities and to retain interests and hobbies. Complaints should be dealt with in a timely manner, this will give people confidence in the way complaints are handled. The manager needs to familiarise himself with all safeguarding procedures. The dining experience at lunchtime should be reviewed. More communication is needed between staff and people using the service, and a better explanation of the food and drink on offer should be given. A review of the night time staffing levels should take place. The induction procedure needs to be fully implemented. This will help staff understand their responsibilities, and help them develop their skills further. Completion of NVQ Level 2 will also assist with staff development. The manager should be registered with The CSCI. Regular testing of water temperatures should take place. This will identify any areas where the water is too hot or too cold. 7. 8. OP27 OP30 OP29 9. 10. OP31 OP38 Westwood Park DS0000019737.V373843.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Park DS0000019737.V373843.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. 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