Care Home: West Court Lodge

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What the care home does well People who move in to West Court Lodge only do so after the help and support they require has been identified. The manager has to be sure that the staff have the skills to provide the help required before someone moves in. This information is then used to provide a care plan. This document tells staff how they can support the individual whilst encouraging them to be independent. People are encouraged to remain active socially and to access local amenities. People living at the home said that they got on with the manager and they found her approachable at all times. People said `the staff are great they will do anything you ask within reason` and `I would tell Catherine if I was worried or upset and she would sort it out` Information is available to people about outside support services and independence is promoted. What has improved since the last inspection? Since the last inspection the outside of the building has been decorated and now creates a positive impression on people coming to the house. The manager has also improved the staffing levels and this now means that people in the home spend more time with the staff than previously. It also means that activities where people need support have increased as staff have more time to help with this. A heath professional spoken with said that in her opinion `staff were much more confident in their role and sought help more easily` She felt that this had been an improvement since the last inspection. What the care home could do better: CARE HOME ADULTS 18-65 West Court Lodge 6 West Street Scarborough North Yorkshire YO11 2QL Lead Inspector Pauline O`Rourke Key Unannounced Inspection 11th June 2008 10:00 West Court Lodge DS0000007829.V365450.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 West Court Lodge DS0000007829.V365450.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. West Court Lodge DS0000007829.V365450.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service West Court Lodge Address 6 West Street Scarborough North Yorkshire YO11 2QL 01723 507256 01723 501 656 manager.westcourtlodge@careuk.com 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) Care UK Mental Health Partnership Limited (Arc Healthcare Limited) Mrs Catherine Rayner Care Home 16 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (16) of places West Court Lodge DS0000007829.V365450.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Mental Disorder, excluding learning disability or dementia - Code MD, maximum number of places: 16 The maximum number of service users who can be accommodated is: 16 12th June 2007 2. Date of last inspection Brief Description of the Service: West Court Lodge is registered to provide residential social and personal care for 16 adults with mental health problems. The registered provider is Care UK Mental Health Partnership Limited (Arc Healthcare Limited) and the registered manager is Catherine Raynor. There are five floors with people’s accommodation located on all floors. The main lounge is on the ground floor and the dining room on the lower ground floor. The home does not have a passenger lift and is therefore only considered suitable for people who are fully ambulant. All of the bedrooms are for single occupancy. The home is conveniently situated for all main community facilities including the public transport network. The home does not have any grounds but is located adjacent to a public park. On-road parking is readily available for visitors. The current scale of charges for service users range from £359 to £460 a week. This does not include additional charges made, for example, for hairdressing, private chiropody and some personal toiletries. West Court Lodge DS0000007829.V365450.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 2 star. This means the people who use this service experience good quality outcomes. The key inspection has used information from different sources to provide evidence for this report. These sources include: • • • Reviewing information that has been received about the home since the last inspection. Information provided by the registered person on an Annual Quality Assurance Assessment A visit to the home by one inspector that lasted for five and a half hours. The inspector was accompanied by an ‘expert by experience’ for three hours of the visit. An ‘expert by experience’ is a person who, because of their shared experience of using services, and/or ways of communicating, visits a service with an inspector to help them get a picture of what it is like to live in or use the service. During the visit to the home twelve people who live there, and four staff were spoken with. Care records relating to four people, four staff members and the management activities of the home were inspected. Care practices were observed, where appropriate, and time was also spent watching the general activity within the home. This enabled the inspector to gain an insight of what life is like at West Court Lodge for the people living there. The Registered Manager was available to assist throughout the visit and was available for feedback at the close. What the service does well: People who move in to West Court Lodge only do so after the help and support they require has been identified. The manager has to be sure that the staff have the skills to provide the help required before someone moves in. This information is then used to provide a care plan. This document tells staff how they can support the individual whilst encouraging them to be independent. People are encouraged to remain active socially and to access local amenities. People living at the home said that they got on with the manager and they found her approachable at all times. People said ‘the staff are great they will do anything you ask within reason’ and ‘I would tell Catherine if I was worried or upset and she would sort it out’ Information is available to people about outside support services and independence is promoted. West Court Lodge DS0000007829.V365450.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: 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. West Court Lodge DS0000007829.V365450.R01.S.doc Version 5.2 Page 7 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 West Court Lodge DS0000007829.V365450.R01.S.doc Version 5.2 Page 8 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 People who use the service experience good quality outcomes in this area. People who come to live at West Court Lodge are provided with sufficient information to help them make an informed decision. Their needs are fully assessed and the needs of the current population are taken in to account before an admission is made. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: There have been no new admissions to West Court Lodge since the last inspection. The manager confirmed that the admissions process was no different than at the last inspection. This means that anyone looking to live at West Court Lodge is subject to a multi disciplinary assessment carried out by the placing agency. This information is supplemented by a further assessment carried out by the manager or her deputy. Both of the assessments cover all aspects of the individual’s life and are the base of an initial care plan for admission to the home. People said they had been able to visit the home before deciding to live there and had discussed their needs with the manager. People currently living in the home are asked about their opinion of people looking to move in to the home and this information is used as part of the decision making process about someone’s suitability to live in the home. The manager also takes in to account the mix of people within the home and the West Court Lodge DS0000007829.V365450.R01.S.doc Version 5.2 Page 9 available staffing in relation to the needs of someone looking to live at West Court Lodge. West Court Lodge DS0000007829.V365450.R01.S.doc Version 5.2 Page 10 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 People who use the service experience good quality outcomes in this area. People are involved in decisions about their lives and are consulted about the care and support they receive. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The case files seen each contained a detailed care plan. The plans contained detailed information about mental health needs, personal care, social care, dietary needs, medication requirements and religious needs. The focus of the plans is about personal living skills and is about developing these skills. The plans are reviewed every six months and relevant health and social care professionals are invited to attend these reviews, as are families. People spoken with were aware of their plans and said that they discussed them with their key worker regularly. The care plans identified areas of risk either through someone’s behaviour or physical limitations and how staff should deal with the identified risks. West Court Lodge DS0000007829.V365450.R01.S.doc Version 5.2 Page 11 During the inspection people were seen to make decisions about their daily life. People approached staff to discuss their money, what activities they were doing that day or their medication. One person spoken with by the ‘expert by experience’ expressed a view that the holiday they were going on was expensive. The manager later clarified that the person concerned had made their own decisions about how they got to and from the holiday destination and this was where the extra cost was incurred. An alternative method of transport had been offered at no cost to the person concerned but they decided to go with their own choices. Information about people’s finances and the support they required was detailed in their care plan. As part of their care plan staff are supporting people to maintain their own personal hygiene and the cleanliness of their own rooms. There was recently a situation where someone from the home went missing for a short while and all the necessary procedures in place were implemented. The person concerned returned to the home after several days away. West Court Lodge DS0000007829.V365450.R01.S.doc Version 5.2 Page 12 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, 14, 15, 16 and 17 People who use the service experience good quality outcomes in this area. People have a varied programme of social activities that encourages them to develop personal skills and remain independent. The meals provide a balance between healthy eating and people’s preferences ensuring they have a balance and nutritious diet. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: People in the home have a weekly plan of activities that they enjoy and these are aimed at helping maintain their general well being. These activities included, excursions to places of interest, shopping, quizzes, scrabble and going to local parks. Several people attend a local day centre whilst others have started swimming to help their general health and well-being. A day out at Old Trafford was displayed in the dining room and the minutes from the house meetings contained evidence that people are encouraged to go on an individual holiday. People also have access to advocacy services if they require them. People are encouraged to keep their rooms clean and tidy as West Court Lodge DS0000007829.V365450.R01.S.doc Version 5.2 Page 13 part of the development and maintenance of their daily living skills. During the inspection people were coming and going as they wished and accessing local community services. People are encouraged to maintain and develop links with their families and staff are supporting one person to trace their family through the Red Cross. There is also information displayed in the dinning room about advocacy services available to people if they should wish to seek independent support. These links are clearly identified in their care plan. During the visit the ‘expert by experience’ was accompanied to the rooms of several women’s rooms. On two occasions the member of staff ignored the requests of the occupants to leave them alone whilst at the third room she waited until the occupant answered the door. Staff should always wait for a response when knocking on a person’s bedroom door, unless there are clear reasons identified in the care plan not to do so. People in the home can access all areas of the home. People told the ‘expert by experience’ that they could go out but staff liked to know when they would be back. One person said that they went out swimming and golfing and they had been to the Sea Life Centre. The menus seen indicated that the meals provided are varied and nutritious. There is a mix of healthy meals with ‘fast food’ type meals all based on the likes and dislikes of people living in the home. Since the last inspection a second cook has been employed in the home and people in the home said that this has led to an improvement in the quality of the food provided. It also means that people with differing dietary needs can now be catered for. The breakfast meal is a leisurely meal and people come down for their breakfast when they are ready. This meal is usually continental in style and people help themselves to cereals and drinks while staff assist them with toast preparation. At lunch time staff prepare a snack meal and a hot meal is provided in the early evening. Fresh fruit is available in the dinning room at all times and people were seen to be helping themselves to the fruit. People spoken with during the day said that the food was good and they enjoyed their meals. Several people also said they enjoyed eating out on a regular basis. The ‘expert by experience’ looked in the dry goods store cupboard during their look around the building. They noticed that some dry goods had been opened but had not been transferred to proper storage containers the subsequent result was that some dry goods were spilling out in to other goods. West Court Lodge DS0000007829.V365450.R01.S.doc Version 5.2 Page 14 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 People who use the service experience good quality outcomes in this area. People’s health and personal care needs are met through regular monitoring by staff and input from health and social care professionals. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The care plans clearly identified the level of support and supervision required by the individual concerned. Staff are encouraged to provide minimal support with the emphasis of support being on enabling and encouraging people to look after themselves. Support where required is provided in a sensitive way. It is the responsibility of the key workers to work with people to ensure they maintain good levels of personal care. People were seen to be dressed in their own clothes and appropriately for their age. They usually buy their own clothes, sometime with support from staff or advocates. This allows them a sense of independence and they can make their own choices. People spoken with during the inspection said they could see their GP on request and that staff helped them when they were not well. Feedback from one professional said ‘staff listen to advice given and the liaison between health professionals and the home has improved in the last twelve months’ West Court Lodge DS0000007829.V365450.R01.S.doc Version 5.2 Page 15 they also felt that ‘staff were more confident in approaching the health professionals when there was a problem’. A monitored dosage system is in place and the storage and administration of this medication was seen to be appropriate. People are encouraged to come to the office for their medication at all times and it is given in private. During the inspection someone living in the home told the ‘expert by experience’ that staff had on one occasion refused him or her their medication as a punishment. The manager was asked about this and she strongly denied that staff would do this and said they had probably run out of some medication and were unable to dispense it when requested. Staff who administer medication have received training through a distance-learning course in the safe handling of medicines. There is a dedicated fridge for medicines, these were stored appropriately. There are no controlled drugs held at the time of this inspection. None of the people currently at West Court Lodge are assessed as being capable of managing their own medication. West Court Lodge DS0000007829.V365450.R01.S.doc Version 5.2 Page 16 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 People who use the service experience good quality outcomes in this area. People using the service can access the complaints system and other support services. People are protected from abuse through staff training and staff recruitment procedures. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: There is a complaints policy in place and people who spoke to the expert by experience said that if they had any problems or were unhappy about something in the home then they would tell the manager. They all said that when they had raised any concerns they had been dealt with quickly and to their satisfaction. A questionnaire is sent out annually to staff people who live in the home and associated professionals to monitor anonymously whether people have any concerns about the general running of the home. Information about external advocacy services is available to people in the home to contact if they are unhappy with the support they receive at West Court Lodge. All of staff have had training in the safeguarding of vulnerable adults and those spoken with were aware of their responsibilities if they suspected any form of abuse occurring. The training is provided every two years and it was recommended that the manager look at providing updated training in-house on a more regular basis to ensure that all staff remain vigilant and aware of the procedures in place. There have been no allegations of abuse since the last visit. Staff have also received training in mental health, challenging behaviours and methods of restraint used in the home. No one has been subject to restraint since the last visit. A multi disciplinary adult protection West Court Lodge DS0000007829.V365450.R01.S.doc Version 5.2 Page 17 policy is in place and staff were aware of this policy. All staff are subject to rigorous employment checks to ensure their suitability to work with vulnerable people. West Court Lodge DS0000007829.V365450.R01.S.doc Version 5.2 Page 18 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 People who use the service experience good quality outcomes in this area. People live in a comfortable, safe environment. However some of the internal décor could be improved to promote respect for the people living at West Court Lodge. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: West Court Lodge is situation the south side of Scarborough and is a large building in keeping with the community around it. The exterior of the building has recently been decorated and presents a more positive image for people living there. There is a CCVT camera located at the front entrance for safety reasons. The monitor is situated on the lower ground floor and allows staff to monitor people entering and leaving the building. The communal areas of the home were reasonably clean. The carpets in all communal areas were dirty and badly stained. These carpets contribute to the general drabness of the corridors something highlighted by the ‘expert by experience.’ All of the bedrooms were seen and the majority of them were decorated to high standard and contained furniture and personal items as wanted by the West Court Lodge DS0000007829.V365450.R01.S.doc Version 5.2 Page 19 occupant. Where a room was not decorated to a high standard staff are working with the occupant to try and improve this. All of the bedrooms are for single occupancy. There are only two rooms on one floor and a gentleman and a female occupy them and they were both happy with their rooms and the position of them in the house. A maintenance plan was seen and small works are completed quickly whilst others are carried out when funding is available. There is no passenger lift in the building and so ambulant people can be accommodated. This is reflected in the Statement of Purpose. A separate outside area has been created for people who smoke. Smoking is not allowed in any area of the home and people have been told they will be fined if they are caught smoking in the house. The ‘expert by experience’ spent some of their time looking at the environment and observed the following: • The dining room had seating for 12 people and they felt it was in need of updating. • One of the fire exits had two bicycles stored in front of it and was presenting an obstruction. When this was brought to the attention of the manager the bicycles were removed. • Some of the bedrooms appeared to be a little neglected, and were not as clean as they might have been. • In one bedroom the occupant was unable to open their window to its fullest and the occupant was finding they were too hot. The laundry is appropriate for the needs of the people who live at West Court Lodge and those who can are encouraged to do their own laundry with support. People spoken with liked living at West Court Lodge and said they were happy with their own rooms. One person admitted they didn’t like doing domestic tasks and this was reflected in the state of their own room. West Court Lodge DS0000007829.V365450.R01.S.doc Version 5.2 Page 20 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 People who use the service experience good quality outcomes in this area. Staff who have been thoroughly vetted and who receive training and support to carry out their role support people in the home. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: Since the last inspection staffing levels have increased to include two activities organisers and an extra cook. Staff said that this increase staffing levels had freed up the support staff to provide more one-to-one support or group support. Whilst one member of staff is responsible for administering the medication a worker who has combined responsibilities for support work and domestic support supports the remaining support worker. People said that staff had more time to spend with them and this allowed them to get out more. This was reflected in the daily records and care plans seen. The ‘expert by experience’ also spoke with staff but found their responses to be one-word answers and they did not try to engage positively in conversation about their role. Staff also operate as key workers for individuals and they were aware of their roles and whom they worked with in the home. West Court Lodge DS0000007829.V365450.R01.S.doc Version 5.2 Page 21 Four staff files were seen and they contained an application form, two references, a Criminal Records Bureau disclosure and records relating to supervision and training. This included training to assist with their roles and covered topics such as; mental health, moving and handling, abuse, breakaway training, infection control. People in the home said that the ‘staff are lovely and do anything you ask’ and ‘they respect your privacy in your own room’. During the day the interactions between the staff and people in the home were seen to be relaxed, respectful and friendly. It was clear that staff have a good knowledge about whom they are providing support for. West Court Lodge DS0000007829.V365450.R01.S.doc Version 5.2 Page 22 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 People who use the service experience good quality outcomes in this area. People live in a well managed home where annual audits are carried out to ensure the quality remains high. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The Registered Manager operates an open door policy to people living in the home and staff. During the day she was observed interacting with people in a relaxed and friendly manner. People said that they would have no problems approaching her as she always took their concerns or comments seriously. Staff also thought she was a good manager as she tries to be accessible to them when at work. She has been able to increase the staffing levels in the last year. This has enabled support staff to spend more time with people living at West Court Lodge. West Court Lodge DS0000007829.V365450.R01.S.doc Version 5.2 Page 23 Care UK carry out an annual audit covering the home, staff and manager every year and the results form an improvement plan. Information is also taken from the staff meetings and general house meetings for the people who live at West Court Lodge. In-house activities are also planned through these forums. Due to the change is staffing the external activities have increased and each person has an annual holiday provided by Care UK. The manager assists several people with their finances. Records are properly maintained and Care UK audits them each year. People can access their money when either the manager or the deputy manager is on duty. All the appliances had recent safety certificates and staff have had training in all aspect of health and safety in the workplace. Where necessary risk assessments are in place for the environment, and for people who live at West Court Lodge. All incidents and accidents are recorded and when necessary reported to the Commission of Social Care Inspection. West Court Lodge DS0000007829.V365450.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 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 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X West Court Lodge DS0000007829.V365450.R01.S.doc Version 5.2 Page 25 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. 1. 2. 3. Refer to Standard YA17 YA23 YA24 Good Practice Recommendations Staff should ensure that dry goods are properly stored when they have been opened to prevent spillage in to other foodstuffs. Staff should have regular training in Safeguarding procedures to ensure they remain up to date with local practice. The internal décor should be updated to ensure that the discoloured carpets on the stairs and in the hallways are treated and the paintwork is refreshed. Staff should be vigilant and ensure the fire doors remain unobstructed. West Court Lodge DS0000007829.V365450.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 West Court Lodge DS0000007829.V365450.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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