Care Home: Westdene Residential Care Home

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What the care home does well During our visit we found that Mr Dulloo continues to provide a good level of care at Westdene with the emphasis on it being a warm, friendly and homely environment. Mr Dulloo has developed a reputation amongst the residents and their relatives of being very approachable and willing to listen to their concerns. When we asked a relative what they thought the care home does well, they told us, "Mr Dulloo communicates well, he is very approachable and friendly. I have never had reason to doubt that my relative is well looked after. Mr Dulloo is always incredibly cooperative and maintains a sense of humour throughout!" What has improved since the last inspection? Mr Dulloo has provided staff working in the care home with a range of training to ensure they have the necessary knowledge and skills to meet the needs of residents. Mr Dulloo has fitted covers to radiators throughout the care home. Mr Dulloo is also in the process of fitting valves to the hot water supply. This means that the risk of residents scalding themselves on excessively hot water or on excessively hot radiators has been minimised. Mr Dulloo has made improvements to the way staff are recruited to work at Westdene. This means that vulnerable residents have been protected from possible abuse. What the care home could do better: Improvements need to be made to care records. Care plans need to be reviewed more regularly and residents consulted as part of this process. Care plans need to include clear information and directions to staff with regard to what they should do to meet the needs of individual residents. This will mean that care records will be up to date and reflect the current needs of residents. It will also mean they include the wishes and preferences of individual residents so that staff will know what is expected of them. Improvements need to be made to the way staff administer medication. This will mean residents will not be at risk of being given the wrong medication. Bedroom doors need to be fitted with locks. This will mean residents will afforded privacy when using the en-suite facilities. CARE HOMES FOR OLDER PEOPLE Westdene Residential Care Home 1 Rye Close Worthing West Sussex BN11 5EG Lead Inspector David Bannier Unannounced Inspection 29th January 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 Westdene Residential Care Home DS0000061453.V355826.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. Westdene Residential Care Home DS0000061453.V355826.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Westdene Residential Care Home Address 1 Rye Close Worthing West Sussex BN11 5EG 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) 01903 247808 01903 709480 westdene@hotmail.com Mr Mohammed Khalil Dulloo Mr Mohammad Khalil Dulloo Care Home 14 Category(ies) of Old age, not falling within any other category registration, with number (14) of places Westdene Residential Care Home DS0000061453.V355826.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A total of 14 service users may be admitted, of whom one named service user under the age of 65 years may be accommodated. 18th July 2006 Date of last inspection Brief Description of the Service: Westdene is a care home registered to accommodate up to fourteen residents in the category (OP) old age, not falling within any other category. It provides personal care only. Westdene is a large detached two-storey property that has been extended and adapted for its current use. It provides accommodation in shared and single bedrooms located on the ground and first floors. A dining room and lounge are located on the ground floor. The property is located in a quiet cul de sac just off the seafront in Worthing. It is approximately half a mile from the town centre and its amenities. The fee levels range from £259 to £498 per week. Additional charges are made for hairdressing, chiropody and newspapers. The registered provider is Mr M K Dulloo. He is also the registered manager, and is responsible for the day to day running of the care home. Westdene Residential Care Home DS0000061453.V355826.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection has followed the Inspecting for Better Lives methodology and is called a key inspection as it assesses those standards determined by the Commission as key standards. This inspection will also determine the frequency of inspections hereafter. The registered provider returned an Annual Quality Assessment Form (AQAA) prior to the inspection. As there was a delay in its return it was not possible to send out surveys to residents and their relatives. However, we spoke to some relatives by telephone after we had completed our visit. This helped us to form an opinion of the care and services provided. The information obtained from these discussions will be referred to in this report. A visit to Westdene was made on Tuesday 29th January 2008. As this was an unannounced inspection the care home had no notice of this visit. We met and spoke to four residents in order to form an opinion of how it is to live at the care home. We also met and spoke to three staff on duty in order to find what it is like to work at Westdene. We viewed some of the accommodation and observed care practices. Some records were also examined. The visit lasted approximately seven hours. Mr Dulloo was present during our visit and kindly assisted us with our enquiries. What the service does well: During our visit we found that Mr Dulloo continues to provide a good level of care at Westdene with the emphasis on it being a warm, friendly and homely environment. Mr Dulloo has developed a reputation amongst the residents and their relatives of being very approachable and willing to listen to their concerns. When we asked a relative what they thought the care home does well, they told us, “Mr Dulloo communicates well, he is very approachable and friendly. I have never had reason to doubt that my relative is well looked after. Mr Dulloo is always incredibly cooperative and maintains a sense of humour throughout!” Westdene Residential Care Home DS0000061453.V355826.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Improvements need to be made to care records. Care plans need to be reviewed more regularly and residents consulted as part of this process. Care plans need to include clear information and directions to staff with regard to what they should do to meet the needs of individual residents. This will mean that care records will be up to date and reflect the current needs of residents. It will also mean they include the wishes and preferences of individual residents so that staff will know what is expected of them. Improvements need to be made to the way staff administer medication. This will mean residents will not be at risk of being given the wrong medication. Bedroom doors need to be fitted with locks. This will mean residents will afforded privacy when using the en-suite facilities. Westdene Residential Care Home DS0000061453.V355826.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Westdene Residential Care Home DS0000061453.V355826.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 Westdene Residential Care Home DS0000061453.V355826.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 and 6 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The care needs of all prospective residents have been assessed before moving into this care home. EVIDENCE: The names of four residents, who had been admitted on a permanent basis, were identified for case tracking purposes. Records seen showed that, before admission, residents’ care needs had been assessed by Mr Dulloo. The system being used consisted of a checklist in which boxes have been ticked. The checklist included physical care needs such as mobility, washing, dressing, toileting, sight, help with eating and hearing. The checklist also included memory, speech, mental condition, personality, special dietary needs, cardiac problems, arthritis and respiratory problems. Westdene Residential Care Home DS0000061453.V355826.R01.S.doc Version 5.2 Page 10 Information gathered from the assessment process has been transferred into care plans. There was no evidence of residents being consulted during this process. We discussed this with Mr Dulloo who said he would ensure this is done in future. Care staff on duty were spoken to as a group. Following discussions about the needs of identified residents, the staff team were able to demonstrate they were fully briefed about the care residents required and what was expected of them. We met several residents during our visit who told us they were very happy with the care provided. Westdene Residential Care Home DS0000061453.V355826.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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The resident’s health, personal and social care needs are set out in an individual plan of care. Residents’ health care needs have been met. Residents are not protected by the home’s practices for administering medicines. Residents feel they are treated with respect and their right to privacy is upheld. EVIDENCE: Westdene Residential Care Home DS0000061453.V355826.R01.S.doc Version 5.2 Page 12 Care plans have been drawn up from the information gathered when residents’ needs were assessed. The care planning system includes risk assessments for manual handling, pressure area and nutritional assessments. It also records visits to each resident by doctors and other health care professionals together with any treatment prescribed. However, care plans were last reviewed about twelve months ago. This means that care plans do not always reflect residents’ current care needs. When care plans have been reviewed residents, or their relatives have not been consulted. This means that care plans do not include residents’ wishes with regard to how they want their care to be provided. We also noted that care plans do not have clear instructions to staff with regard to how residents’ needs should be met. We discussed this with Mr Dulloo, who agreed to ensure care plans are reviewed and they include more information about residents’ wishes and preferences when receiving personal care. Residents we spoke to during our visit confirmed they receive the care and medical support they need. One resident commented, “The carers are all very good and very kind. Some are very loving! I need assistance when I use the shower”. Care staff on duty were spoken to as a group. Following discussions about the needs of identified residents, the staff were able to demonstrate they were fully briefed about the care residents required and what was expected of them. We saw staff providing care in a manner which respected the individual wishes of residents and also ensured their dignity and privacy has been maintained. Staff were courteous when speaking to residents and ensured doors were closed when personal care was being provided. The registered provider informed us that evidence of the home performing well was that, “Our clients are satisfied with our service; their relatives praise our efforts.” Appropriate systems have been put in place for the recording, storing, handling, and disposal of medication. Medication is stored safely and securely. There was no evidence of medication being stock piled. Medication record sheets were seen. They were up to date and in good order. We were shown how staff administer medication. This includes taking medication out of a container marked with directions by the dispensing pharmacist into another, unmarked container, before giving the medication to the resident. This is known as pre administering medication. It is considered to be dangerous as residents may not be given the right medication. We spoke to the manager about this and advised him to instruct the staff to administer medication to residents directly from marked containers. The manager agreed to take this up with staff who are responsible for administering medication. Westdene Residential Care Home DS0000061453.V355826.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provided with activities that satisfy their recreational interests and needs. Residents maintain contact with family and friends as they wish. Residents are helped to exercise choice and control over their lives. Residents receive a wholesome appealing balanced diet in pleasing surroundings. EVIDENCE: Mr Dulloo informed us that he does not organise activities and entertainment for residents on a regular basis. This is because residents have told him they do not want this. However, over the Christmas period a range of seasonal activities and entertainments had been organised. This included carol singers Westdene Residential Care Home DS0000061453.V355826.R01.S.doc Version 5.2 Page 14 and a party for residents and their relatives. We were shown photographs of the events and also of dinner on Christmas day. They demonstrated that residents and their relatives enjoyed the food and the celebrations that had been laid on for them. Mr Dulloo also informed us that, if residents wanted him to arrange activities or events he would be prepared to do so. Whilst visiting Westdene we noticed that residents enjoy individual activities such as watching television, listening to music, knitting, reading books and papers and generally talking to each other. One resident enjoys growing herbs for use in the kitchen. Residents told us they were quite content with the lifestyle this care home provides them. Mr Dulloo has informed us that one area he has identified which could be improved upon is, “Spend more time with residents and have more activities.” Staff on duty were seen to ask residents what they wanted. Whilst discussing the needs of residents, staff on duty made clear to us the importance of ensuring residents take control wherever possible. They ensure residents choose what they wish to wear and what they wish to do during the day. Residents and their relatives told us said they are able to keep in touch with their families and friends. They are made welcome and offered refreshments when they arrive. Mr Dulloo showed us cards he had received thanking him and his family for their hospitality. The main meal of the day consisted of chicken casserole, mashed potatoes, broccoli, carrots and swede followed by apple crumble and custard. We sampled the meal and found it to be very tasty. It was also presented in an appealing manner to encourage and stimulate residents’ appetite. Where residents do not want the meal provided an alternative is provided. We advised the manager to ensure the alternative is recorded so that he could demonstrate a choice of meal is provided. Residents are encouraged to take their meals in the dining room. This ensures mealtimes are an enjoyable social occasion. The surroundings were very comfortable and tables were attractively presented. Some residents required assistance with their meal. Assistance is provided where necessary ensuring residents’ dignity is maintained. If residents are unwell or do not wish to come to the dining room they can have meals in their own room. We saw menus of food provided which confirmed that residents have been provided with a varied, wholesome and nutritious diet. Residents told us they were satisfied with the food provided. One resident commented, “Whilst it is not the same as my own cooking, it is acceptable. I get enough of what I want.” Westdene Residential Care Home DS0000061453.V355826.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. The registered provider has taken appropriate steps to ensure any complaints made by residents, their relatives or friends will be listened to, taken seriously and acted upon. The registered provider has taken appropriate steps to ensure residents are protected from abuse or neglect. EVIDENCE: During the last inspection we found that the home’s complaints procedure was included in the Statement of Purpose, which has been given to all the residents. A complaints book, where any complaints received are recorded, was in the hall next to the visitors’ book. We spoke to several residents during this visit who told us that, if they wished to make a complaint, they would speak to Mr Dulloo. We were also informed that they found Mr Dulloo was approachable and that he would listen to any concerns they had. Residents and their relatives also told us that they were confident that he would look into Westdene Residential Care Home DS0000061453.V355826.R01.S.doc Version 5.2 Page 16 their concerns and, where possible, he would take action to make any necessary improvements to the services provided. According to the information Mr Dulloo has supplied us before our visit, he has received no complaints in the last twelve months. Mr Dulloo has kept a record of all training that staff have received. We looked through this and found that all staff have been provided with appropriate training in identifying all forms of abuse and reporting any allegations made. Staff on duty were able to tell the inspector about different types of abuse and to whom they should report any instance they may find. Information supplied by the registered provider confirmed that, “All staff are trained in the protection of vulnerable adults (POVA) and work to these regulations.” Westdene Residential Care Home DS0000061453.V355826.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 live in a safe, well-maintained environment. The home is exceptionally clean and hygienic. EVIDENCE: The private accommodation of several residents was viewed along with the communal areas, including the dining room and the lounge. These areas were clean, decorated and furnished in a comfortable manner meeting the needs of the residents accommodated. Bedrooms have also been appropriately decorated. Residents have been encouraged to bring personal effects and small items of furniture in order to make bedrooms as individual as possible. Westdene Residential Care Home DS0000061453.V355826.R01.S.doc Version 5.2 Page 18 Residents told us they were very satisfied with the accommodation provided. They told us they were very comfortable and found Westdene to be very homely. One resident commented, “I like to stay in my room – where it is quiet.” We noted that each bedroom included an en-suite WC. The facility was provided in a cubicle with a curtain to screen the user from the rest of the room. Mr Dulloo informed us that this was how he purchased the care home. As the care home had been registered with the previous owners no changes had been made to the facilities. We discussed this with Mr Dulloo during our visit. We considered how the facility could be improved to ensure residents’ privacy and dignity is maintained. We recommended that doors to bedrooms should be fitted with a suitable lock. This would mean residents could lock their door when using the facility. We also noted that the doors to some bedrooms had been fitted with a glass pane. In one instance the en-suite WC was located directly in front of the door. The door to one bathroom had also been fitted with a glass pane. Whilst the glass was opaque it was still possible to see body shapes from the outside when the door was shut. We discussed with Mr Dulloo how improvements could be made to maintain residents’ dignity and privacy. We recommended that a curtain is fitted in front of the glass pane, which could be drawn when necessary. We also visited the kitchen area, the laundry, and several bathrooms. We noted that all areas of the premises have been maintained to a very good state of cleanliness. Mr Dulloo confirmed with us that policies and procedures are in place for staff to follow to ensure the risk of cross infections is reduced. The home also has a contract with a waste disposal company for the collection and disposal of clinical waste. Information supplied by Mr Dulloo prior to our visit indicated that the premises has been visited by the Fire Officer and Environmental Health officer to ensure it is safe and meets requirements in terms of fire safety and health and safety regulations. Mr Dulloo confirmed that any shortfalls identified have been rectified. Equipment such as gas installations, electrical wiring and equipment have been regularly checked and maintained to ensure they are safe to use. Mr Dulloo has informed us that they “continue to maintain a safe and wellmaintained environment. Over the next 12 months we will continue to achieve our maintenance schedule, ensuring the environment is kept to its current standard.” Westdene Residential Care Home DS0000061453.V355826.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. The registered provider has ensured there is sufficient staff on duty with the appropriate mix of skills to meet the needs of residents accommodated. This also ensures residents are in safe hands at all times. Residents are supported and protected by the home’s recruitment policy and practices. The registered provider has ensured staff are trained and competent to do their jobs. EVIDENCE: On the day of our visit there were two care staff on duty. In addition there was a cook, who was responsible for preparing and cooking hot meals for residents. There were no dedicated cleaning staff, and care staff were carrying out cleaning duties such as vacuuming and dusting. Westdene Residential Care Home DS0000061453.V355826.R01.S.doc Version 5.2 Page 20 We were given a copy of the staff rota. This showed there are two care assistants from 8am to 6pm each day. This is reduced to one care assistant form 6pm until 8am the following morning when two care assistant’s return. We noted that Mr Dulloo is covering nighttime shifts in the home. We discussed this with Mr Dulloo in order to satisfy ourselves there are sufficient numbers of staff on duty to provide the care to residents. Mr Dulloo informed us that, currently he is accommodating nine residents out of the possible fourteen places he is registered for. Several care records of residents were examined in order to understand the level of care required by residents. We spoke to residents, their relatives and observed care practices. Residents and their relatives told us they were very satisfied with the care provided. They told us they felt well cared for and were safe. We concluded that the current staffing levels Mr Dulloo is providing is sufficient to meet the needs of the residents accommodated. However, Mr Dulloo is advised to review this in the future, when he admits more residents. We saw the recruitment records of staff who have started working at the care home since our last visit. These records demonstrated that Mr Dulloo has obtained appropriate checks, including criminal record (CRB) checks. This means that vulnerable residents are protected from possible abuse. In one instance, where Mr Dulloo has recruited someone from overseas, he has obtained police checks from their country of origin. We discussed this with Mr Dulloo in order to satisfy ourselves that residents are being protected. We recommended that Mr Dulloo also obtains a CRB check with effect from the day any person from overseas started living in this country. Mr Dulloo has not kept records of induction training provided to newly appointed staff. We discussed this with Mr Dulloo and recommended that he does keep a record of such training. Staff training records, consist of copies of attendance certificates. They demonstrated that training Mr Dulloo has provided for staff has included mandatory training such as fire safety, food hygiene, adult protection, first aid and health and safety. Staff on duty confirmed the training they had received. According to information supplied by Mr Dulloo 90 of the staff he employers either hold the hold the National Vocational Qualification in care (NVQ) at level 2 or above, or are currently working to towards it. Mr Dulloo also confirmed that what has improved over the last 12 months is that, “All staff have completed the mandatory training like POVA, Infection Control, Fire Safety, Food Handling, Health and Safety and First Aid.” We have also spoken to residents and their relatives who have told us they believe staff at this care home have the right skills and experience to look after people properly. Westdene Residential Care Home DS0000061453.V355826.R01.S.doc Version 5.2 Page 21 Westdene Residential Care Home DS0000061453.V355826.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 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Westdene has been well managed and has been run in the best interests of residents. Residents’ financial interests are safeguarded. The health, safety and welfare of residents and staff are promoted and protected. EVIDENCE: Westdene Residential Care Home DS0000061453.V355826.R01.S.doc Version 5.2 Page 23 Mr Dulloo is the registered manager. He has demonstrated through the registration procedure that he has the necessary skills and experience to manage Westdene. We have spoken to residents and their relatives who have told us Mr Dulloo is approachable and will listen to their views. One resident commented, “ I get on very well with the owners. They keep the house very clean. They also make sure we are clean as well.” One relative told us “Westdene is a very well run, caring environment, which the residents regard as home.” Mr Dulloo provided us with information that stated what he does well is, “The home is run in the best interests of the residents whose health, safety and welfare is promoted and protected.” We asked Mr Dulloo about the systems he uses to monitor the quality of the care and services provided. He showed us that he has purchased an appropriate tool with which to carry this out. He has sent and had returned satisfaction questionnaires from residents, relatives, staff and other stakeholders such as visiting doctors and other health care professionals. He has also recently reviewed the policies and procedures used in the home. However, it was not clear what they had been reviewed against. We discussed this with Mr Dulloo and we recommended that he visits our website to obtain up to date information about good practice guidance and also where there have been changes to the legislation which affects the running of a care home. We spoke to some residents who confirmed they manage their own finances or get help from their relatives. Others told us that Mr Dulloo looks after their money for them. We also spoke to Mr Dulloo who was able to show us that he has kept appropriate records of the money he is keeping on behalf of identified residents. Mr Dulloo is also looking after a cheque-book and a bank account book for a resident. We recommended that Mr Dulloo keep a record of these items as valuables so that it is clear that he has them in his possession. We also looked at records of incidents and accidents that had occurred to residents. Mr Dulloo was able to confirm that, where necessary, we had been notified of such incidents. The purpose of these notifications is to enable us to monitor such incidents and events and the action taken by the care home to ensure residents receive appropriate care and treatment. Whilst we found no evidence of poor care or neglect Mr Dulloo was unable to demonstrate he had kept records of the treatment provided to a resident if they required first aid or hospital treatment. We discussed this with Mr Dulloo and recommended that he keep a record of such treatment provided in residents’ individual care plans. Mr Dulloo agreed to keep such records in future. The premises have been well maintained, ensuring a safe environment in which residents can live and staff can work. The registered provider has supplied information that indicates equipment such as boilers, other gas installations and electrical equipment have been regularly serviced and maintained. Residents have told the inspector that they are very satisfied with the accommodation and services provided. According to training records staff Westdene Residential Care Home DS0000061453.V355826.R01.S.doc Version 5.2 Page 24 have been provided training in such subjects as fire safety training, moving and handling, food hygiene, infection control, health and safety. Staff on duty, who were spoken to confirmed the training they had received. Westdene Residential Care Home DS0000061453.V355826.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 2 8 3 9 2 10 3 11 X 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 X X 3 Westdene Residential Care Home DS0000061453.V355826.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Westdene Residential Care Home DS0000061453.V355826.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Westdene Residential Care Home DS0000061453.V355826.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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