Inspection on 06/09/07 for Whitwood Grange

This inspection was carried out on 6th September 2007.

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

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

Other inspections for this house

Whitwood Grange 08/12/09

Whitwood Grange 20/09/06

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Whitwood Grange Smawthorne Lane Castleford WF10 4ES Lead Inspector Tony Brindle Key Unannounced Inspection 6th September 2007 11:30a Whitwood Grange DS0000066146.V339962.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Whitwood Grange DS0000066146.V339962.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Whitwood Grange DS0000066146.V339962.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Whitwood Grange Address Smawthorne Lane Castleford WF10 4ES 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) 01977 667725 kleeder@whitwoodcare.co.uk Wheatley Construction Mr Keiran Leeder Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Whitwood Grange DS0000066146.V339962.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th September 2006 Brief Description of the Service: Whitwood Grange is a new building offering high quality accommodation to any new prospective service user. This building is situated on a main road in Castleford close to community facilities, shops and leisure facilities. Offering 12 bedrooms, with adequate lounge, kitchen, and garden space. The bedrooms are not only all ensuite but offer en suite bathroom facilities. There is adequate car parking facilities, and the building offers disabled access. The current fees for September 2007 range from £2000 to £2700 per week per person. Information about the home is available to people via the Statement of Purpose, Service User Guide and the last inspection report, all of which are available in the home’s reception and are given to both people who enquire about living at the home, and those who currently live at the home. These documents also give people information about the Commission for Social Care Inspection. Whitwood Grange DS0000066146.V339962.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit started at 11:30 hours and ended at 17:00 hours. This was a very positive and enjoyable visit. There was the opportunity to speak to people living at the home as well as the registered manager and care staff. The records of three people were seen and included assessments, care plans, daily and medical records and the record of activities. Five staff records were also seen and included application forms, references, police checks, training and supervision records. A sample of people’s medications and finances were checked and a look around the home was undertaken. Other information considered was the home’s returned Annual Quality Assurance document and surveys that were returned Commission for Social Care Inspection. From the six surveys that were sent to people living at the home, 4 responded. Six relatives were sent surveys and 4 responded. Three out of 8 healthcare/social care professionals responded to our survey. The feedback received was positive. People living at the home said: “I like living here it’s great.” “Whitwood Grange is good ‘cos the staff take you out a lot.” “I like it here, the staff are nice and help me to do things I like to do.” At the last inspection, a quality rating of adequate was awarded to the home because of concerns over staff not having the right pre-employment checks. If this issue had not been raised, the home would have been awarded a quality rating of good. As the issues raised at the last inspection have been resolved, the quality rating has changed from adequate to excellent. The inspector would like to take the opportunity to thank the manager and his staff team for their hospitality, and people using the service and their relatives for their patience and co-operation throughout the visit. What the service does well: The home is well run and there are good systems in place to ensure people are kept safe and that their views and opinions are listened to, and acted upon. Staff are well trained and undergo the correct employment checks before they start work with people. The numbers of staff working in the home reflect the assessed needs of people living there. People live in a comfortable home that is kept clean and tidy. Whitwood Grange DS0000066146.V339962.R01.S.doc Version 5.2 Page 6 People are given information about how to complain about the service they receive. If they are unable to complain themselves, there are good systems in place to protect people, and to respond if others raise concerns or questions about how someone is being cared for and supported. People receive high levels of individualised care and support that meets their personal care needs and healthcare needs. People take part in a range of activities based on their own individual interests, and taking part in these activities enables people to use community facilities, and meet family and friends. The meals provided at Whitwood Grange are liked and suits people’s individual tastes. The care and support people need is recorded in an individual plan of care which is used by the staff to help people make decisions about their daily life, and understand the risks that might be linked to those decisions. People who come to live at Whitwood Grange have their needs assessed before they move in, so that the staff know how to support and care for the person, and meet their individual needs. What has improved since the last inspection? What they could do better: Standards have been maintained, and the manager and staff are encouraged to continue to strive for excellence in all the work they do to care and support people living at the home. Whitwood Grange DS0000066146.V339962.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Whitwood Grange DS0000066146.V339962.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Whitwood Grange DS0000066146.V339962.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People who come to live at Whitwood Grange have their needs assessed before they move in, so that the staff know how to support and care for the person, and meet their individual needs. EVIDENCE: All of the files seen on the day of the site visit included a very good preadmission assessment based on activities of daily living, which included past medical history as well as current needs. The records show that the manager and staff have a proactive approach to making admissions right for people, and are clear when they feel the home might not be able to meet the needs of a person. Feedback from people who completed our survey indicated that they were satisfied with the information they had been given about the home prior to moving in and were happy about the way their move had been carried out. The manager explained that decisions are based upon a wide range of evidence and the records show that people and their relatives are kept informed and involved in the decision making process as much as possible. One person living in the home spoke about being given the opportunity to Whitwood Grange DS0000066146.V339962.R01.S.doc Version 5.2 Page 10 spend time in the home before moving in. The manager said that this length of time is flexible and always led by the person using the service rather than being dictated by the staff. The manager confirmed that all the people living in the home receive a contract. The manager explained that he is currently supporting two people to make enquiries about how they can leave the home. The comments made by people living at the home, by staff and by people who responded to our survey, were supported by information found in documents within people’s individual files. Whitwood Grange DS0000066146.V339962.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The care and support people need is recorded in an individual plan of care which is used by the staff to help people make decisions about their daily life, and understand the risks that might be linked to those decisions. EVIDENCE: One person living at the home spoke about they regularly get involved in the planning and their care and support. This person said that they speak to the manager and staff about how they want to be spoken to, how they want to be supported when dressing, bathing and shopping. One staff member spoke about how plans set out in detail how a person is to receive positive individualised support. People who live in the home said that Whitwood Grange DS0000066146.V339962.R01.S.doc Version 5.2 Page 12 they are involved in decisions about the areas such as staff selection and the day-to-day life of the home. The records show that the care plans are based on a full and up to date assessment, and the plans are written in a person centred way and focus on people’s strengths and personal preferences. Information held within the plans shows that they are developed with the people living in the home. The manager sees the care plans as belonging to the people living in the home. People who live in the home said that they are involved in decisions about the areas such as staff selection and the day-to-day life of the home. The manager added that, if people wanted their care plan put into an alternative format, then this could be done. However, no one as yet has requested this. The records show that people living at the home have health action plans that are in an accessible format. Feedback from people who completed our survey indicated that they were satisfied with the ways in which their healthcare needs were supported; people living at the home said that the staff are very caring and always ask them how they would like to be looked after. Also, they said that the staff are very good at making sure that doctors’ appointments and district nurse visits are arranged. The comments made by people living at the home, by staff and by people who responded to our survey, were supported by information found in documents within people’s individual files. Whitwood Grange DS0000066146.V339962.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 15 16 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People take part in a range of activities based on their own individual interests, and taking part in these activities enables people to use community facilities, and meet family and friends. The meals provided at Whitwood Grange are liked and suits people’s individual tastes. EVIDENCE: Observations on the day showed that the routines of daily living and activities made available are flexible and varied to suit people’s preferences and capacities. People were seen to be given the opportunity to exercise their choice in relation to leisure and social activities, and food, meals and mealtimes. Feedback from people who completed our survey indicated that they were satisfied with the way that the staff supported their relative with making choices about meals, activities and the ways they can spend their time. Whitwood Grange DS0000066146.V339962.R01.S.doc Version 5.2 Page 14 Staff at the home said that people are able to have visitors at any reasonable time. This was confirmed by people living at the home. One person living at the home said that they are supported to go out to shops, clubs, pubs, cafes, walks and holidays. Staff at the home said that people living at the home can handle own financial affairs for as long as they wish to and added that people’s ability to manage their own affairs is monitored so that they can be fully supported in this area. People living at the home said they were encouraged look after their own money, and to bring their personal possessions with them when they moved into the home. A tour of people’s room confirmed this. Menus are on display showing that people have a choice of meals and snacks. One member of staff said that there is a varied menu on offer at Whitwood Grange which is suited to people’s individually assessed requirements. One member of staff said that meals are usually taken altogether but the times can be flexible depending on a person’s preferences. People living at the home said that they enjoy the meals that are provided, they confirmed that there is a good choice of hot and cold drinks, meals and sandwiches. Feedback from people living at the home indicated that they are given the opportunity to develop and maintain important personal and family relationships. One member of staff said that people are supported to access information and specialist guidance about issues such as intimate relationships. Discussion with the manager showed that individual rights and choices are promoted, and that people are supported to make informed choices about things such as lifestyle choices, relationships, activities and holidays. One person living in the home said that they were consulted about activities, holidays and their day to day choices. The comments made by people living at the home, by staff and by people who responded to our survey, were supported by information found in documents within people’s individual files. Whitwood Grange DS0000066146.V339962.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18 19 and 20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People receive high levels of individualised care and support that meets their personal care needs and healthcare needs. EVIDENCE: Observations of the day showed that the care given at Whitwood Grange is person led with the staff listening to people attentively, acknowledging what is important to the individual, and ensuring that they are kept informed of what is going in the home, and in relation to the care they are receiving. Staff were seen to respect people’s preferences. One person living in the home said that the staff do listen to them, and help them in relation to their medication, healthcare appointments and any problems that they may want to talk through. The records show that the manager has in place a policy and procedure relating to the receipt, recording, storage, handling, administration and Whitwood Grange DS0000066146.V339962.R01.S.doc Version 5.2 Page 16 disposal of medicines. On checking a sample of the medication, all the records and quantities were found to be in good order. One member of staff said that people can take responsibility for their own medication if they wish, following a risk assessment. Feedback from people who completed our survey indicated that they were satisfied with the way they were supported in relation to medication. The comments made by people living at the home, by staff and by people who responded to our survey, were supported by information found in documents within people’s individual files. At the last inspection, a quality rating of adequate was awarded to this section, following concerns relating to incorrect quantities of medication being held in the home. Following the inspection, the issue was resolved and it was shown that the inspector had incorrectly counted the medication. This section should have been given a rating of good. Whitwood Grange DS0000066146.V339962.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. If people are unable to complain themselves, there are good systems in place to protect people, and to respond if others raise concerns or questions about how someone is being cared for and supported. EVIDENCE: The manager said that there is a simple and clear complaints procedure, and was able to explain the stages and timescales for the process. Feedback from people who completed our survey indicated that they were fully aware of who to complain to over issues at the home. The manager said that the service has not had any formal complaints since it opened. The manager went on to talk about the procedures that are in place for responding to the suspicion, or evidence, of abuse or neglect. One member of staff was able to talk through the process, explaining how allegations and incidents of abuse are reported and followed up by the manager and how staff make sure that they record all the information relating to allegations of and suspicions of abuse. Feedback from people who completed our survey indicated that they were satisfied that the staff at the home were aware of how to respond to incidents of alleged abuse. People living at the home said they felt safe and comfortable Whitwood Grange DS0000066146.V339962.R01.S.doc Version 5.2 Page 18 and knew who to speak to if they were unsure about a situation or the way someone was behaving. One member of staff spoke about the regular training and supervision they receive to make sure staff are fully aware of the policies and procedures provided in relation to protecting and safeguarding the rights of people living at the home. This person was able to talk about how to recognise signs of abuse and how to respond appropriately. One person living in the home said that said that they would not have a problem going to a member of staff if they felt unsafe. Observations made on the day indicated that the views and experiences of people living at the home are valued, with staff members talking things through with people such as what they want to do during the day, what they want to eat, where they want to go, how they are feeling about a situation. The manager explained that some of the people who live at Whitwood Grange from time to time do challenge the service. He added that this is displayed either verbally or physically. The records show that people have very detailed behaviour management plans that show the staff how to support a person who is challenging or becoming distressed. The manager explained that restraint is only used a last resort, and the records support this: staff use deflection and de-escalation techniques first and, if these do not work, low level restraint is used. One member of staff said that they are well trained in this technique. The records show that the manager and staff record and report all incidents of restraint, and the manager explained that he signs off all the incidents forms. He added that this gives him the opportunity to read through the report, and check to see if procedures were followed correctly. The records show that he and the staff do get the opportunity to talk through the incident in order to check that the person at the centre of the incident was supported correctly. The number of incidents where restraint has been used has been quite high but the records show that these have decreased recently. The manager explained that, as the staff have got to know people better and understand their non-verbal communication, de-escalation and deflection techniques have been more effective. The records show that the local council organised a safeguarding meeting to discuss allegations made by a member of the public that a staff member slapped a person living at the home while they were out in the community. The records show that this meeting did not take place. The manager said that there was no evidence to support the claim. The manager explained that the council have not pursued this issue. The comments made by people living at the home, by staff and by people who responded to our survey, were supported by information found in documents within people’s individual files and the home’s policies and procedures. Whitwood Grange DS0000066146.V339962.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People live in a comfortable home that is kept clean and tidy. EVIDENCE: A tour of the home showed that its location and layout is suitable for its stated purpose, and that it is accessible and well maintained. It was noted that the home was free from offensive odours throughout and that there are systems in place to control the spread of infection. Laundry facilities are sited so that soiled articles, clothing and infected linen are not carried through areas where food is stored, prepared, cooked or eaten. Appropriate hand washing facilities are available; the records show that there is an appropriate infection control policy and procedure in place. Discussions with people indicated that they are encouraged to see the home as their own. It is a very well maintained, attractive property and one person Whitwood Grange DS0000066146.V339962.R01.S.doc Version 5.2 Page 20 living at the home said that, even though they would prefer to live in their home town, they like Whitwood Grange, and like the fact that they have their own room and can personalise it. A look at people’s rooms confirmed that they can personalise them. Whitwood Grange DS0000066146.V339962.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are well trained and undergo the correct employment checks before they start work with people. The numbers of staff working in the home reflect the assessed needs of people living there. EVIDENCE: The rota shows that the staffing numbers and skill mix of qualified and unqualified staff on duty are linked to the assessed needs of the people living in the home. The manager explained that the number of care staff trained to NVQ level 2 or equivalent is currently 81 , which is well above the 50 target suggested within the National Minimum Standards. The rotas show that the service has enough staff available at all times to support the needs, activities and aspirations of the people using the service as described in people’s individualised and person centred care plans. The manager talked through the recruitment procedure which is based on ensuring the protection of the people living at the home. He confirmed that two Whitwood Grange DS0000066146.V339962.R01.S.doc Version 5.2 Page 22 written references are obtained before appointing a member of staff, and any gaps in employment records are explored. At the last inspection, there was a concern over new staff not having the right checks on them before they started work. The manager explained that new staff are now confirmed in post following completion of a satisfactory police check, and satisfactory check of the Protection of Vulnerable Adults register and Nursing register. One member of staff said that they receive good levels of training in areas such as health and safety, fire safety, movement and handling, safeguarding, and food hygiene. Another staff member talked about receiving training on the principles of care, safe working practices, the organisation and safeguarding people, and added that they do also get specialised training to help them with their job in areas such as care planning, dealing with challenging behaviour, epilepsy and person centered support. Feedback from people who completed our survey indicated that they believed that the staff were well trained. People living at the home confirmed that they are involved in the recruitment and selection of staff. Observations indicate that there is a diverse staff team that has a balance of skills, knowledge and experience to meet the needs of people who use services. The comments made by people living at the home, by staff and by people who responded to our survey, were supported by information found in documents within people’s individual files. At the last inspection, concerns over the number of hours people were working were raised and concerns over inadequate staffing recruitment checks were pointed out to the manager. These have now been resolved, with the manager undertaking the correct checks and the staff working in line with the working time directive. Whitwood Grange DS0000066146.V339962.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37 39 and 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well run and there are good systems in place to ensure people are kept safe and that their views and opinions are listened to, and acted upon. EVIDENCE: The manager of Whitwood Grange is registered with the Commission and has the appropriate qualifications and experience to manage the home. He explained how he meets the aims and objectives of the service by ensuring that there are effective quality assurance and quality monitoring systems in place to measure all aspects of the delivery of the care and support provided by the staff team. The manager spoke about how he is involved in spot checks Whitwood Grange DS0000066146.V339962.R01.S.doc Version 5.2 Page 24 and quality monitoring which give him evidence that systems are working and that the health and safety of people are promoted. Feedback from people who completed our survey indicated that they feel safe living in the home, and that they believe it is well run. Staff members who were spoken with said the manager is a good listener and makes sure that they, and the people living in the home, are involved in all aspects of life at Whitwood Grange. The staff say that there is an atmosphere of openness at Whitwood Grange, where people’s opinions matter. One member of staff said that people’s view are sought about how the manager and staff are supporting people and written records produced. They added that, if people wanted things to be done differently or changed, then their views would be taken on board. The manager added that an example of this was the work he and the staff were doing in trying to support people living at the home to move out, after they had expressed an interest to move back to their home town. Another staff member talked about the different safety systems there are in place that help to make sure that people’s wellbeing is promoted, such as fire alarm testing, medication checks, risk assessments, care planning, care reviews and health and safety audits. One staff member was able to talk about how accidents, injuries and incidents are recorded and reported to the manager and appropriate authorities when necessary. The comments made by people living at the home, by staff and by people who responded to our survey, were supported by information found in documents within people’s individual files and the home’s own policies, procedures and recording systems. Whitwood Grange DS0000066146.V339962.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 33 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Whitwood Grange DS0000066146.V339962.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Whitwood Grange DS0000066146.V339962.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 Whitwood Grange DS0000066146.V339962.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!