Inspection on 04/02/08 for Willowdale Lodge

This inspection was carried out on 4th February 2008.

CSCI found this care home to be providing an Good 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

Willowdale Lodge 05/02/07

Willowdale Lodge 07/12/05

Willowdale Lodge 27/07/05

Willowdale Lodge 03/02/05

Willowdale Lodge 29/11/04

Willowdale Lodge 09/03/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Willowdale Lodge 21 Cromer Road Southend On Sea Essex SS1 2DU Lead Inspector Ann Davey Unannounced Key Inspection 4th February 2008 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 Willowdale Lodge DS0000015566.V358269.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. Willowdale Lodge DS0000015566.V358269.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Willowdale Lodge Address 21 Cromer Road Southend On Sea Essex SS1 2DU 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) 01702 469547 No Fax (13.09.01) willowdale@hotmail.co.uk Mrs Sara Emma Quick Mrs Sara Emma Quick Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14), Terminally ill (14) of places Willowdale Lodge DS0000015566.V358269.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. Nursing and personal care to be provided for up to 14 older people. Terminally ill to include service users over the age of 55. No more than four service users under the age of 55, who require terminal illness care to be accommodated at any one time. Nursing care for service users with a terminal illness shall not exceed 14. Maximum number to be cared for shall not exceed 14. No more than two service users who are under the age of Fifty-Five years and who require general nursing care to be accommodated at any one time. 5th February 2007 Date of last inspection Brief Description of the Service: Willowdale Lodge provides personal care with nursing and accommodates for up to fourteen older people. The home is situated in a residential area of Southend on Sea, close to shops, public transport and the seafront. The home provides five shared bedrooms and four single bedrooms, a lounge area and dining room. Residents also have access to a rear garden. The range of fees for accommodation at the home are £550.00 - £675.00 per week depending on the type of bedroom requested and the level of care required. Additional charges should be discussed directly with the home. A copy of the home’s Statement of Purpose and Service User’s Guide is available from the home upon request. The home also has an attractive coloured leaflet that provides details about the home. Willowdale Lodge DS0000015566.V358269.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating of this service is 2 star. This means the people who use this service experience good quality outcomes. This was a key unannounced site visit that started at 9.30am and finished at 4.45pm. The last key inspection took place on 4th February 2007. The home had completed and returned their Annual Quality Assurance Assessment (AQAA) to us (CSCI) prior to the inspection. This document gives homes the opportunity of recording what they do well, what they could do better, what has improved in the previous twelve months as well as their future plans for improving the service. The outcome of this inspection reflected the information and detail within the AQAA. The home’s current registered manager is also the owner. Since September 2007, a senior member of staff has undertaken the ‘day to day’ management duties and responsibilities. Their application to become the registered manager of the home was ready to be sent to the Commission. For the purposes of this inspection, this senior member of staff as been referred to as the ‘manager’ throughout this report. The owner, the manager, nine members of staff, one visitor, a visiting professional and seven residents were spoken with during the inspection. Surveys were left with the home for staff, residents, relatives and social/health professions to complete and return to us. Comments and views received will be included in the next inspection report. The day spent in the home was pleasant and staff were co-operative and helpful. The inspection process was undertaken with ease. Throughout the inspection, care practices were observed and a random selection of records viewed. A notice advising any visitors to the home that an inspection was taken place was displayed. One visitor introduced themselves to us. All matters relating to the outcome of the inspection were discussed with the owner and manager. They took notes so that development work could be started where necessary. Full opportunity was given for discussion and/or clarification both during and at the end of the inspection. Willowdale Lodge DS0000015566.V358269.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Willowdale Lodge DS0000015566.V358269.R01.S.doc Version 5.2 Page 7 Information within the AQAA acknowledges some of the main areas that need improvement. For example, the document states ‘further improvement to record keeping, development of more activities and general redecoration of the home’. In addition, the manager should assess the current monitoring systems to ensure that medication recording practices and documentation such as residents consent forms (within care plans) are maintained in line with the home’s stated policies and guidance. 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. Willowdale Lodge DS0000015566.V358269.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 Willowdale Lodge DS0000015566.V358269.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect to receive a comprehensive pre-admission assessment to ensure their needs are identified. EVIDENCE: The pre-admission documentation of two of the most recently admitted residents was viewed. Pre-admission assessments had taken place and interim care plans had been formulated. Residents’ views and wishes had been recorded. A resident confirmed to us that the manager had visited them prior to admission into Willowdale Lodge. This resident also confirmed that they had received information about the home prior to their admission. The home does not provide intermediate care. Willowdale Lodge DS0000015566.V358269.R01.S.doc Version 5.2 Page 10 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 and 11 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect to be involved in the planning of their care and to have a current plan of care that reflects their assessed needs. Residents can expect to experience safe medication practices and receive the services of the community health care team. EVIDENCE: Four care/nursing plans were viewed. Documentation reflected current assessed needs and the contents were noted to have been reviewed by a nurse on a monthly basis. Current individual risk assessments were in place. There was provision for individual residents to endorse their respective care plan. Some care plans had been signed by the residents, others were blank. The manager advised that they would review current practice to ensure that whenever possible, all residents would be invited to endorse documentation. From detail within care plans, it was clear that residents are consulted about aspects of their respective care. Information within care plan documentation reflected our observations of care practices on the day. Staff spoken with Willowdale Lodge DS0000015566.V358269.R01.S.doc Version 5.2 Page 11 reported that they have full access to care planning documentation. Staff were able to provide us with a good verbal overview of individual residents care requirements. Staff spoke in a respectful and dignified manner when referring to us about individual residents. No resident indicated that they were unhappy about privacy or dignity issues within the home. As with perhaps any large group of people, there was a mixed response about expectations of residential care from residents. However, all residents spoken with indicated that they felt their care and nursing needs were met by the home. The visitor spoken with was happy with the care provided to their relative. The manager advised that the current care planning documentation system was reviewed at the end of last year and improvements in the way recordings were made. The owner and manager reported that since then, night staff have taken ‘more of an interest’ in care plan documentation. The manager said that this had been evidenced by the way ‘night entries’ are now more detailed. The manager reported a good working relationship with all community social and health care professionals. Residents confirmed that the GP comes to the home to see them. Storage facilities for medication were appropriate. There were some anomalies noted within randomly selected medication administration recording sheets (MAR). These were in connection with hand written administration and dosage instructions not being endorsed by nurses in accordance with the home’s policy. Also, a tablet had been signed for as being given, but was still in the package. The manager addressed these matters during the inspection and assured that all nurses who take responsibility for medication practices would be reminded of the home’s policies and procedures. The home is registered to provided palliative care. Staff training records evidenced that staff receive appropriate training for this aspect of care. On most care plans individual resident’s ‘end of life’ views and thoughts had sensitively recorded. The home has achieved the Gold Standards Framework (GSF) for planning and delivering care and support to people who are reaching or have reached the end stage of life. The GSF scheme aims to provide the best care to people so they can experience a good life and death in their preferred place of choice. Willowdale Lodge DS0000015566.V358269.R01.S.doc Version 5.2 Page 12 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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect to receive a balanced diet and experience a lifestyle that reflects their choice. EVIDENCE: The manager said that since the last inspection, all staff have attended a teaching session on ‘activities’. Staff confirmed that the sessions had been helpful and understood that that ‘occupational activity’ is just as important as organised ‘physical activity’. The manager explained how this training is going to be developed further in the future. Each resident’s file now contains a ‘social care’ section that details personal interests. Residents spoke about recent social events that the home had organised. This included a musical entertainer and a professional entertainer who brought some ‘exotic pets’ to the home. The musical entertainer was a tremendous success and as a result, has been booked for two more sessions. Residents said that they are looking forward to the garden fete and garden party due to take place in August. On the 29th February, there is to be a quiz night with a fish and chip supper. The manager explained that social events Willowdale Lodge DS0000015566.V358269.R01.S.doc Version 5.2 Page 13 organised by the home are open for relatives to attend if they wish. The manager said that these events are well supported by relatives and they provide a good opportunity for staff to meet relatives and friends of residents informally. The manager explained that all residents have family or close friends who visit the home. The home does not have a designated visitors room but from discussion with residents and staff, this does not appear to be a problem. The home has details of an advocacy service displayed in the entrance hallway. A relative spoken with said that they were made to feel welcome when they visit the home. Residents confirmed that staff speak to them with respect and dignity. All confirmed that staff ask them about their personal choice and wishes. One resident said ‘staff are always interested in me as a person and ask me what I would like to do’. Another resident said ‘I can always talk to staff and they ask me if everything is ok’. Another resident said ‘staff listen to me’. One member of staff explained about the ‘cooking’ afternoons and another member of staff told us about other ‘in house’ popular activity events. The home has a well-stocked activities cupboard. Some residents choose to spent time in their bedrooms during the day and evening. We spent time talking to two residents who by choice or circumstances spent considerable time in the rooms. Both confirmed that they are always invited to ‘join in’ whatever activity is taken place and that staff are ‘always popping in’ or ‘are around’. Neither resident indicated that they felt isolated in their rooms. We had several discussions with the cook who was on duty. The cook was enthusiastic about their work and demonstrated a good understanding of how important it was to prepare a wholesome and a varied diet for residents. The majority of residents were complimentary about the variety and quality of food provided. Residents who felt that sometimes the food was not up to their expectation, confirmed that on these occasions staff on duty did what they could to address the situation. Each resident has an individual daily nutrition record. Records sampled over the past three weeks demonstrated that residents are provide with a varied menu. Entries for breakfast included porridge, toast, yoghurt, cornflakes, bacon sandwiches and a cooked breakfast. Lunch entries included lamb casserole, fish pie and roast pork. For desserts there had been apple pie and custard, mandarin flan with ice cream, chocolate orange trifle, rice pudding and chocolate sponge and custard. For tea, entries included egg on toast, salt beef sandwiches, ham /prawn rolls, smoked salmon sandwiches and ravioli. Records recorded details of any special diets that some residents were on which reflected details on their respective care plans. Late afternoon whilst speaking to a resident in their bedroom, we overheard a member of staff going into various rooms giving residents a choice of what they would like on their crumpets for tea. One resident was overheard to say ‘oh that’s good, I’ll look forward to that’. Willowdale Lodge DS0000015566.V358269.R01.S.doc Version 5.2 Page 14 Willowdale Lodge DS0000015566.V358269.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect to have any concern or complaint dealt with appropriately and to be protected by the home’s safeguarding adults from harm’ procedures. EVIDENCE: The complaints procedure displayed was noted to provide the previous address of the local CSCI office. The manager amended the details during the inspection and checked other documentation to ensure that the current local CSCI address was in place. The home has an established method of recording any concern raised. These records showed the detail of the concern, how it was investigated and the outcome. Concerns that had been raised by either relatives or residents since the last inspection had been resolved amicably and the home had no outstanding issues. The manager spoke of ensuring that there are good lines of communication between staff, residents and visitors that hopefully would prevent misunderstandings which they felt could lead to a complaint being made. Residents’ spoken with indicated that they would have no difficulty in raising any issue of concern with either the manager or a member of staff. One resident said ‘they ask me if everything is alright’ and another resident said ’….I know how to complain if I needed to……and would be happy to do so…….I’m not worried about that’. During the visit, a visitor told us they were unhappy about a particular aspect of care that had happened that morning. With the visitors consent, we spoke to a member of staff about this Willowdale Lodge DS0000015566.V358269.R01.S.doc Version 5.2 Page 16 who immediately apologised to the visitor and resident and addressed the matter. Within the AQAA, it is stated ‘the current (complaints) system works well, but should we feel it no longer addresses the complaints, it would be reviewed’. Records evidenced that staff have attended ‘safeguarding adults from harm’ training courses. Care staff spoken with understood that if they suspected any abuse they had a duty to report it immediately to a senior member of staff/nurse. Senior staff/nurses understood that they had a duty to report any matter to the relevant authorities in line with the home’s policy and that of the local authority. Willowdale Lodge DS0000015566.V358269.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 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect to live in a clean and comfortable environment. EVIDENCE: On arrival in the morning a member of staff politely asked if we would ‘sanitise’ our hands for the wellbeing and protection of residents. Staff should be commended on this good practice. During the day several partial tours of the home were made. We felt that the home had a warm and homely feel. Bedrooms were clean and personalised. Communal areas were comfortable. The kitchen and utility areas were orderly. The lounge area was in the process of being redecorated. The lighting in this room is to be changed and a new carpet laid. Redecoration work will then be undertaken in the dining area and in the hallways, stairwells and corridors. Residents will have new dining furniture and new carpets in these areas. Residents have the use of a pleasant garden and paved area. Willowdale Lodge DS0000015566.V358269.R01.S.doc Version 5.2 Page 18 There are bolted ‘gates’ on the top of each stair well. The manager advised that the Fire and Rescue Service have seen this and reported that they do not pose an obstruction in the event of a fire. It is strongly recommended that the manager obtains written confirmation about this from Fire and Rescue Service. It is important that the manager also ensures that an adequate risk assessment is carried out and put in place. We noticed that some of the bedding ‘had seen better days’. This was discussed with the manager who said that this matter would be looked at and bedding would be replaced where necessary for the comfort of residents. In particular, some pillows were seen to be out of shape and rather ‘lumpy’. Call bells were seen to be placed in easy reach of residents by individual beds. During a discussion with three staff around the dining rooms table, a call bell was heard. A member of staff immediately excused herself and went to answer it. Three residents who spent much of the day in their respective bedrooms were spoken with. All reported that they were happy in their rooms and had ‘everything I need’. During the morning period a pleasant CD was being played in the lounge. The style and type of music was clearly pleasing to residents. The hallway area contained a notice board and a table with useful and interesting items of information for residents and visitors. The home was warm and ventilation throughout was comfortable. There were no unpleasant odours in the home. Willowdale Lodge DS0000015566.V358269.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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect to be cared for by a team of trained and well-recruited staff. EVIDENCE: A clear staff rota was made available for inspection. The rota showed that there is a minimum of one nurse and two care staff on duty throughout the day. In addition, the home employs domestic, cooking and maintenance staff. At night there is a minimum of one nurse and one carer on duty. At the time of the inspection, twelve residents were accommodated. There was evidence that these numbers were sufficient to meet the immediate presenting needs of those residents accommodated. The manager said that the home has a one full time and one part time carer vacancy and one part time nurse vacancy. Existing staff currently fill these hours. Residents assessed needs had been recorded and staff were able to demonstrate that they had a good understanding of individual care and nursing needs. Staff wore practical clean uniform style dress with ‘easy read’ name badges attached. Staff throughout the day engaged well with us. Residents made comments such as ‘staff are interested in me’, ‘I can talk to staff’, ‘staff listen to me’, ‘staff come up (to my room) and talk to me’ and ‘they always ask me if I’m ready to get up or not’. A visitor indicated that they had no concerns Willowdale Lodge DS0000015566.V358269.R01.S.doc Version 5.2 Page 20 about staffing arrangement in the home. The visiting professional said that the home ‘was a nice place to work in’. The majority of staff have worked in the home for a long time and this provides continuity of care for residents. This is reflected with the AQAA that states ‘many staff have been in post for over five years. This gives us a reliable and dedicated team. The team is keen to learn and improve’. We asked staff why they liked working in the home. Many of the individual responses were shared by the majority. Staff liked the atmosphere in the home, the style of management and their working conditions. Staff confirmed that they receive supervision, attend staff meetings and training sessions. Staff said that they felt supported and described it as a ‘happy home’ to work in. The manager appreciated that many of the staff were ‘long standing and established’ and said that they worked well together as a team. The home provides good training for staff. The manager said that they liked the fact the staff will come and ask for specific training or awareness sessions. Staff impressed us during our discussions as being open to all aspects of training or awareness sessions. This means that the care provided to residents is based on sound instruction and teaching. The manager was able to provide a clear record of all training undertaken by staff since the last inspection and a list of training booked for the future. Records of recent staff meeting and staff supervision sessions were available. The manager explained the arrangements in place to ensure that all night staff receive supervision and training sessions. The recruitment records of the two most recently recruited members of staff were seen. Records were in good order. Willowdale Lodge DS0000015566.V358269.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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect to live in a home that is well managed. EVIDENCE: Since September 2007, the ‘manager of nursing care’ has taken responsibility for the day-to-day management of the home. An application to become the registered manager had been completed and was due to be sent to our registration team for processing. The current registered owner and manager continues to play an active part in the home, but has now delegated all management roles and responsibility. The owner reported that since the appointment, the home has made considerable progress on a number of issues. For example, more activity events for residents, medication issues have been addressed and staff training/awareness sessions are ongoing and Willowdale Lodge DS0000015566.V358269.R01.S.doc Version 5.2 Page 22 relevant. Staff reported that they felt comfortable with the current management style and residents indicated that they no concerns about the way the home is managed. The AQAA states that ‘the service runs efficiently’ and that ‘staff and residents appear happy. This is supported by good staff retention and minimal complaint record. Policies and procedures are regularly reviewed and updated. We try to remain aware of all changes happening in the sector to maintain efficiency’. The owner of the home completed the last Annual Quality Development Plan in February 2007 and work is being undertaken to produce another one. A random selection of service and maintenance certificates were noted to be current. The manager was able to demonstrate that the home has current safe working and environmental risk assessments in place. Records demonstrated that regular checks are carried out on fire systems, emergency lighting systems and fire alarm tests. A random selection of accident records was seen. Information on these records corresponded with detail on daily care records. The home safe keeps residents personal monies if requested. Each resident had a ‘personal allowance record’ that was well maintained. The manager advised that resident could have a personal safe in their bedrooms if preferred. There was evidence that residents are consulted on a regular basis about various aspects of their care. For example, on admission residents are provided with a questionnaire about their likes and dislikes and more recently a survey has been undertaken to seek the their views and opinions on social activities. Willowdale Lodge DS0000015566.V358269.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 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 3 X 3 Willowdale Lodge DS0000015566.V358269.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. 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 Willowdale Lodge DS0000015566.V358269.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Willowdale Lodge DS0000015566.V358269.R01.S.doc Version 5.2 Page 26 - 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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