Care Home: Westcott House

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What the care home does well The home ensures that pre- admission assessments are carried out on all new and potential clients with only those who needs can be met, being admitted to the home. The health needs of clients are well met with evidence of good multi disciplinary working taking place. Staff provide personal support to clients in such a way that promotes and protects the individuals privacy and dignity. Activities are arranged according to client`s choice. Mealtimes are unhurried and all meals are home cooked with an alternative option being available for each mealtime. There is an efficient complaints procedure in place and the homes processes and staff training should protect clients in the event of an allegation of abuse. The location and layout of the home are suitable for its stated purpose. All areas of the home are accessible to clients. The home has a staff team that have the necessary skills and experience to the meet the needs of current clients. Staff training is on going and is appropriate to the level of needs of current clients. The management and administration of the home is good, with evidence of consideration being given to clients and/or relatives opinion. What has improved since the last inspection? The home have complied the two requirements made at the last inspection in December 2006 in accordance with the Care Homes Regulations 2001 (as amended 2006). The home has reviewed the emergency admission procedures to ensure the safety and well being of clients admitted to the home. . The home has improved the day-to-day activities offered at the home to ensure that clients have individualised activities that are stimulating and meaningful.Dining arrangements have been reviewed to offer clients more individualised support at meal times. The home has continued to implement a refurbishment and maintenance programme to ensure that the home continues to accommodate and care for clients in a clean and homely setting. Garden and patio facilities and features have been improved to offer clients an interesting place to spend time. The home has improved the recruitments policy and the staff induction programme to provide staff with the appropriate skills and experience to support clients safely. The home have revised and developed new systems of invoicing. Two senior managers have undertaken a Masters degree in Dementia the learning of which will be benefic9ial to the clients and staff working in the home. CARE HOMES FOR OLDER PEOPLE Westcott House Guildford Road Westcott Dorking Surrey RH4 3QD Lead Inspector Suzanne Magnier Unannounced Inspection 23rd January 2008 08:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Westcott House DS0000013368.V356077.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. Westcott House DS0000013368.V356077.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Westcott House Address Guildford Road Westcott Dorking Surrey RH4 3QD 01306 881421 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) info@westcotthouse.co.uk Mrs J Charalambous Mr Y Charalambous Mr Eduardo Dela Cruz Care Home 54 Category(ies) of Dementia (0), Mental disorder, excluding registration, with number learning disability or dementia (0), Old age, not of places falling within any other category (0) Westcott House DS0000013368.V356077.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home with nursing only - (N) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) Dementia (DE) 2. Mental disorder, excluding learning disability or dementia (MD). The maximum number of service users to be accommodated is 54. Date of last inspection 18th December 2006 Brief Description of the Service: Westcott House is registered to provide nursing care for up to 54 older people is located in the village of Westcott, which is in close proximity to the town of Dorking. The home is a large property situated in its own grounds. The home consists of the main house and an adjoining annexe. There are a total of 39 single bedrooms, 35 of these having en-suite facilities, and 7 shared rooms, of which 4 have en-suite facilities. There are communal areas consisting of lounges and a separate dining area. A large conservatory in between the main building and annexe is used as a centre for activities. A passenger lift provides access to all floors. The gardens are spacious with patio areas. All parts of the property are accessible for wheelchairs. Car parking is available in the grounds of the property. Weekly fees for the home range from £446.00 to £900.00 Westcott House DS0000013368.V356077.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 Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the care home was an unannounced ‘Key Inspection’. Some additional standards were assessed and have been included within the report. Ms S Magnier Regulation Inspector carried out the inspection and the Proprietor and senior staff represented the service. For the purpose of the report the individuals using the service prefer to be addressed as clients. The inspector arrived at the service at 08.00 and was in the home for eight hours. It was a thorough look at how well the home is doing. It took into account detailed information provided by the home and any information that CSCI has received about the service since the last inspection. The Commission did not send questionaires to people associated with the service. The use of an ‘expert by experience’ (who is a person who visits the service with the inspector to help the get a picture of what it is like in or use the service) was also not used as part of this inspection. The home had supplied the commission with a documented Annual Quality Assuranec Assessemnt (AQAA) some detail of which has been included within the report. A number of clients living at the home have communication difficulties, so their responses were assessed by observing their facial expressions, body language, listening and requesting staff to interpret the individuals own way of communicating and observing client and staff interactions. Additional information was also sought from talking with visitors to the home during the inspection. The inspector looked at how well the service was meeting the standards set by the government and has in this report made judgements about the standard of the service. Documents sampled during the inspection included the homes Statement of Purpose and Service User Guide, care plans, daily records and risk assessments, medication procedures, staff files, a variety of training records, health and safety records, and several of the homes policies and procedures. Westcott House DS0000013368.V356077.R01.S.doc Version 5.2 Page 6 The commission noted that requirements made during the previous inspection in December 2006 had been complied with. From the evidence seen by the inspector it is considered that the home would be able to provide a service to meet the needs of clients who have diverse religious, racial or cultural needs. What the service does well: What has improved since the last inspection? The home have complied the two requirements made at the last inspection in December 2006 in accordance with the Care Homes Regulations 2001 (as amended 2006). The home has reviewed the emergency admission procedures to ensure the safety and well being of clients admitted to the home. . The home has improved the day-to-day activities offered at the home to ensure that clients have individualised activities that are stimulating and meaningful. Westcott House DS0000013368.V356077.R01.S.doc Version 5.2 Page 7 Dining arrangements have been reviewed to offer clients more individualised support at meal times. The home has continued to implement a refurbishment and maintenance programme to ensure that the home continues to accommodate and care for clients in a clean and homely setting. Garden and patio facilities and features have been improved to offer clients an interesting place to spend time. The home has improved the recruitments policy and the staff induction programme to provide staff with the appropriate skills and experience to support clients safely. The home have revised and developed new systems of invoicing. Two senior managers have undertaken a Masters degree in Dementia the learning of which will be benefic9ial to the clients and staff working in the home. 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. Westcott House DS0000013368.V356077.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 Westcott House DS0000013368.V356077.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): 1, 3, 5, 6. People who use the service experience good quality outcomes in this area. This judgement has been made using a range of evidence including a visit to this service. The home provides well-written information regarding the services provided by the home and offers the opportunity of visits to the home for prospective clients in order that they can make an informed choice about moving to Westcott House. The homes admission and assessment procedures ensure that client’s needs are appropriately identified and met. EVIDENCE: The homes Statement of Purpose and Service User Guide were well documented to inform prospective clients and their representatives about what the home offers, the management and staffing structures of the home, the accommodation and services available, the staff members level of training and how people could complain if they were unhappy with the service provided. Westcott House DS0000013368.V356077.R01.S.doc Version 5.2 Page 10 During the inspection a prospective client’s representative was shown around the home by a staff member in order to find out if the home could meet the prospective clients needs. The staff confirmed that prospective clients are offered the opportunity and choice if they would like to have a trial period at Westcott House prior to their stay in order to ensure that people felt included in their admission to the home. Three pre admission assessments, which had been completed by the homes registered manager, were sampled and evidenced that robust arrangements are in place to ensure that the home would meet the needs of prospective clients. The AQAA advises that the home have reviewed the emergency admission procedure to the home No intermediate care is offered by the home. Westcott House DS0000013368.V356077.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9,10. People who use the service experience good quality outcomes in this area. This judgement has been made using a range of evidence including a visit to this service. Clients are offered a good provision of health care and personal support by the home. All care is administered in way that protects the individual’s privacy and dignity. Medication procedures ensure that all necessary precautions are taken to ensure errors do not occur and that medications are stored and administered safely. EVIDENCE: The care plans had been developed from the pre assessment documentation and included the client’s care and support needs. The care plans were well written to allow the reader to gain a good overview of clients medical, social and personal care needs including complexities in communication and behaviours. Due to some clients complex needs the staff informed the inspector that care plans are devised with the client’s and their families involvement where possible and reviewed regularly to reflect any changes in the clients needs. Westcott House DS0000013368.V356077.R01.S.doc Version 5.2 Page 12 The care plans evidenced that regular and appropriate health care appointments are attended and the General Practitioner (GP) visits the home each week and when necessary. Through sampling care plans it was evident that the home has maintained good working partnerships with health care professionals which include visits from the opticians, dentists, chiropodists, occupational therapists and ongoing psychiatric support when required to ensure that clients health care needs continue to be met. Details of any specialist interventions required e.g. for the management of nutrition, skin integrity, diabetes are specified and recorded in clients care plans. The proprietor explained that the home had made changes in the homes routine to ensure that all clients were provided with sufficient nutrition and their body weights are monitored regularly to indicate weight loss or gain. Records confirmed that the above intervention had positive effect on client’s body weight and general sense of wellbeing. Suitable risk assessments are in place for all areas of the client’s daily life in order to promote independence whilst ensuring the person’s safety and wellbeing. Daily care records were professionally written and maintained to reflect the individual clients needs and care provided. The registered manager showed the inspector that the home has good, clear procedures in place for the monitoring and recording of all medicines administered and those entering and leaving the home. Staff training in medication has been conducted and all staff that administers medicines had been certificated as safe to do so. Staff were observed providing personal support to clients in such a way that promoted and protected the clients privacy and dignity. Visitors to the home stated that the staff were ‘exceptional’ and ‘kind and considerate’ and ‘nothing is too much trouble’. It was observed that clients generally responded favourably to staff and the staff demonstrated a knowledge and understanding of client’s welfare and support. Throughout the day the inspector observed that clients were addressed in a polite and courteous way by staff. Some clients said they liked being in the home and especially liked being at the centre during the day. Westcott House DS0000013368.V356077.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. People who use the service experience excellent quality outcomes in this area. This judgement has been made using a range of evidence including a visit to this service. Clients are able to enjoy a full and stimulating lifestyle with a variety of options to choose from. The home provides a wide range of social, cultural and recreational facilities, including specialist diets to residents, with resident’s choice and wishes being respected. Visitors are welcomed to the home to maintain contact with their family members. EVIDENCE: The home has their own day activity centre, which is situated centrally in the home and to which all clients have access if they choose to. Clients and visitors to the home confirmed that there were a variety of activities available and that staff were flexible in allowing clients to choose the level of activities they attended. The activities room was bright, welcoming and appropriately furnished. A documented list of activities is available to clients and activities include painting, artwork, developing scrapbooks, reminiscence, watching DVD’s and Westcott House DS0000013368.V356077.R01.S.doc Version 5.2 Page 14 videos of chosen subjects of interest, jigsaws, music sessions, sing-along, sharing coffee time, and reading the daily newspaper. The AQAA acknowledges that the home wish to develop more outings away from the home and are looking to employ one other staff member to work alongside the activity coordinator to offer activities over a seven day period. Additionally the proprietor advised that the home are developing hairdressing and pampering room in order that clients can enjoy this experience in a designated setting. Clients were observed to interact well with the activities coordinator and other staff. The atmosphere in the activities centre was relaxing and calm and clients were observed reading the paper, chatting to relatives, doing jigsaws and painting. The home have a cockatiel called Fred who to the homes amusement has learnt to mimic the sound of the telephone and who’s cage is situated by the activities centre doorway so he receives a lot of attention by people passing by. Some clients who chose to smoke were supported to a designated room to enjoy their cigarette. The home have an enclosed garden and patio area which clients and their relatives can use. The proprietor advised that barbeques and garden parties are held each year and clients participate in making decorations etc for the special occasions. Several clients commented that they enjoyed coming to the activity centre and enjoyed doing what they liked in the different surroundings. Client’s religious and spiritual wishes are observed and arrangements are in place for interdenominational clergy to visit the home and meet with clients. Contact with family and friend’s is positively encouraged with visitors being able to attend the home at any time and in accordance with the client’s wishes. Several visitors were at the home and each spoke highly of the homes management and the care their relative or friend received. The visitors described that they felt confident in the care and support their relative received and felt that clients were very well cared for at the home. Visitors advised that they are informed of important issues about their relatives care and continued to feel included in their relative’s life. The home’s menus were available and offered what was considered a Well-balanced meal. All meals are home cooked with an alternative option available for each mealtime. Mealtimes can be varied and the home has made arrangements for two meal sittings to promote clients rights to privacy and respect. Visitors to the home were advised by staff that if they would be welcome to have meals at the home. Visitors spoken with stated that the food is good and the chef goes out of his way to speak with clients about what they Westcott House DS0000013368.V356077.R01.S.doc Version 5.2 Page 15 would like to eat. Special diets are provided and drinks and snacks were seen to be available at all times. The dining area in the home was noted as spacious. Two meals, which consisted of breakfast and the midday meal, were observed during the inspection and it was noted that there was as ample quantity and meals were attractively presented in specialised crockery. Mealtimes were observed to be unhurried and individual staff were available to clients who needed additional support, which was given in a dignified manner. Westcott House DS0000013368.V356077.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The clients are protected by the homes complaints and safeguarding adults procedures. EVIDENCE: The home has an established complaints procedure. The proprietor advised that all complaints received by the home are fully investigated and the records kept by the home evidenced this. No complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection. Several clients and visitors told the inspector that they were confident that the manager or staff would deal with any concerns or complaints they may have. Records sampled indicated that staff had attended safeguarding vulnerable adults training and for newly recruited staff this had been included in the induction programme and ongoing training provided by the home. Both Criminal Record Bureaux checks (CRB) and Protection of Vulnerable Adult (POVA) checks are carried out on all new staff. The home has a copy of the Surrey County Council Multi-agency Procedures for the Safeguarding Vulnerable Adults. One safeguarding referral had been have Westcott House DS0000013368.V356077.R01.S.doc Version 5.2 Page 17 been made since the previous inspection and had been satisfactorily concluded. Westcott House DS0000013368.V356077.R01.S.doc Version 5.2 Page 18 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, 24, 26. People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home provides accommodation for client’s that is safe, personalised homely, hygienic and odour free, whilst infection control procedures are adhered to at all times. EVIDENCE: The location and layout of the home remains suitable for its stated purpose. The home is well maintained and all areas of the home, including the enclosed garden and patio are accessible to clients. An extensive re furbishment and decoration programme remains ongoing and the home was viewed as pleasantly decorated and providing a homely environment for clients. Westcott House DS0000013368.V356077.R01.S.doc Version 5.2 Page 19 The AQAA advised that the home have purchased special chairs for the comfort of clients and improved garden facilities and features, which have benefited clients. The home have plans to develop a sensory garden for clients to enjoy. Clients spoken with said that they liked their bedrooms, which were viewed during the tour of the premises to be clean and personalised. The communal areas of the home were bright, spacious and comfortable offering a homely environment. The home has an infection control policy in place and staff are trained in infection control procedures and were observed adhering to infection control measures. There is a daily cleaning schedule in place and the home was exceptionally clean and odour free throughout. The proprietor advised that the home employs a staff member to make the beds each morning and visitors to the home commented that the standard of cleanliness and hygiene was excellent. Westcott House DS0000013368.V356077.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The staffing levels of the home were considered adequate to meet the current needs of clients. The clients are fully protected by the homes recruitment policies and procedures. Staff are trained and competent to do their jobs. EVIDENCE: The home had a relaxed atmosphere and staff were observed to undertake their tasks in a quiet and orderly manner. The inspector observed staff interactions with clients all of which were professional and supportive. Comments received during the day from clients and visitors included that the staff were always supportive and kind and seem competent in their jobs, nothing is too much trouble and they do their jobs very well and how visitors to the home were impressed with the home and find the carers helpful. The staffing levels of the home were evidenced and considered adequate to meet the current needs of the clients. The home employs a twenty-six full time staff and fourteen part time staff and eleven ancillary staff. Whilst sampling the care plans the inspector observed that there was written evidence to support that the residents were offered Westcott House DS0000013368.V356077.R01.S.doc Version 5.2 Page 21 respect of their privacy and dignity through the home offering gender specific care. The proprietor demonstrated that she recognised the diverse needs of the staff group regarding their training needs and records indicated that the ongoing training programme offered mandatory and specialised training for example management of continence and catheter care, palliative care, infection control, challenging behaviour and dementia training. Staff induction training is conducted in line with Skills for Care and 50 of the care staff have achieved their National Vocational Qualification (NVQ) in care with the home seeking to offer NVQ to the housekeeping staff. Staff recruitment files were viewed and it was evidenced that these files contain all items required under the Care Homes Regulations 2001. The home has an Equal Opportunities policy in place and is an equal opportunities employer. Westcott House DS0000013368.V356077.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 38. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The management of the home is robust to ensure the safety and wellbeing of clients. Clients are consulted regarding the running of the home and their health and financial interests are safeguarded. EVIDENCE: The proprietor, and the registered manager of the home both have many years relevant experience in nursing and caring for older people. The proprietor and senior manager have recently completed studying for a master’s degree in Dementia studies and advised the inspector that this had had a beneficial and positive impact for the clients and staff. Westcott House DS0000013368.V356077.R01.S.doc Version 5.2 Page 23 The proprietor works at the home each day to support the registered and senior managers and the staff team. There were clear lines of management accountability during the day of the inspection and staff demonstrated an understanding of the roles and responsibilities of people employed. All persons spoken with during the inspection spoke highly of the abilities and knowlegde of the proprietor and managers and staff morale was good. Comments from visitors to the home included that all staff were polite and friendly and the management and staff were wonderful and very caring and that staff show genuine concern for the welfare of each of the clients and do their best to make sure people are well cared for and happy. It was noted that the proprietor and all staff had a good rapport and knowledge of each of the clients and were seen to listen to the client’s views and opinions. Clients and visitors spoken with said that the proprietor and all staff were friendly, approachable and always took the clients or their representatives concerns or comments about the home seriously. The home has a Quality Assurance procedure and the proprietor explained that questionnaires are distributed annually to clients and their representatives and other people associated with the home residents in order to continue to monitor and audit the service provided and offer continued improvement. The proprietor explained that in some instances the home takes some responsibility for client’s finances and the proprietor and senior managers only access these. Records were sampled which evidenced appropriate safekeeping, receipts detailing purchases and a regular audit of the accounts. Records indicated that health and safety checks are maintained, fire safety equipment and records were documented and equipment serviced. The sluice and laundry areas were noted to be clean and tidy. Clinical waste was appropriately stored to reduce infection in the home and hand-washing facilities were available for staff. Special arrangements have been made for the collection of clinical waste. Westcott House DS0000013368.V356077.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 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 3 X 3 X 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X 3 X 4 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 X X 3 Westcott House DS0000013368.V356077.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. Refer to Standard OP38 Good Practice Recommendations Dates of review should be inserted on all policies and procedures. Westcott House DS0000013368.V356077.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email:inspection.southeast@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 Westcott House DS0000013368.V356077.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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