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Care Home: Westdene Residential Home

  • 15-19 Alliance Avenue Albert Avenue Hull East Yorkshire HU3 6QU
  • Tel: 01482506313
  • Fax: 01482573985

Westdene is a large and extended Victorian House in Hull close to local shops and amenities and on a bus route into the town centre. The home provides care and support to thirty older people with a broad range of needs including dementia. The home has two floors serviced by a through floor lift and stairs, one set of which has a chair lift. The home has 28 single bedrooms and 1 shared room. Fifteen of the bedrooms are en-suite. There are two bathrooms upstairs and a bathroom and shower room downstairs. There are ample toilets throughout the home. The home has two lounges and a large dining room set out with individual tables to seat four to six people at each. There is a monitor in the dining room to alert staff to visitors at the rear of the building. The proprietor has plans to convert one corner of the dining room into a sitting area. The home also has a pleasant quiet area on the landing with chairs, occasional tables and a television. The home has an enclosed garden, a patio area and a car park to the rear of the building. The current weekly fees range from £348.00 to £392.30; there is maximum third party top up fee of £25.00 dependent on peoples needs, this is negotiable. Items not included in the fee are hairdressing and newspapers if people prefer alternatives to the one provided. The manager confirmed that the proprietor paid for service users to have chiropody care.

Residents Needs:
Old age, not falling within any other category, Dementia

Latest Inspection

This is the latest available inspection report for this service, carried out on 2nd October 2008. CSCI found this care home to be providing an Good service.

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

For extracts, read the latest CQC inspection for Westdene Residential Home.

What the care home does well The home make sure that every one who is thinking about moving into the home are properly assessed by people who are trained to do this so that their needs can be met and the staff can look after them properly. The home makes sure that there are enough activities going on for the people who live there to choose from and that they go out on a regular basis. The home employs someone specifically for this job. They also make sure that relatives are made welcome, and people can see each other in private if they want to. The home makes sure that the people who live there live in comfortable surroundings and that the home is clean, tidy and nicely decorated. When people move into the home they can bring items which are dear to them and mementos; they can also bring items of furniture with them as long as these are not too big. The home makes sure that any prospective employees are properly checked before they come to work at the home, this ensures the safety of the people who live there. The home always makes sure there are enough staff on duty to meet the needs of the people who live there. The home makes sure that the staff are well trained and encourage them to go on further special training about things like dementia, diabetes, how to recognise any signs of abuse and how to report this. This makes sure they have the proper skills to meet the needs of the people who live at the home and keep them safe. What has improved since the last inspection? The home has met all the previous requirements set by the CSCI and there is only one recommendation made as a result of the inspection. The home now makes sure they do all the proper checks on some one before they come to work at the home. This makes sure the people who live at the home are protected from harm. When the home assess someone to see if any thing they do during their daily lives puts them at risk; for example if they have poor mobility, if they need help with standing or protection from falling out of bed; they now record this and do a thorough risk assessment. The risk assessment is updated and is changed, as the person`s needs change. This helps the staff and person to stay as independent as possible but also protects them from any harm. What the care home could do better: The home needs to make sure they only give out medication to the people who live there which has got a proper label on it from a pharmacist and has been dispensed properly. CARE HOMES FOR OLDER PEOPLE Westdene Residential Home 15-19 Alliance Avenue Albert Avenue Hull East Yorkshire HU3 6QU Lead Inspector George Skinn Key Unannounced Inspection 09:00 2nd October 2008 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 Home DS0000000875.V370130.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 Home DS0000000875.V370130.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Westdene Residential Home Address 15-19 Alliance Avenue Albert Avenue Hull East Yorkshire HU3 6QU 01482 506313 01482 573985 westdene@westdene.karoo.co.uk 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) Mrs Margaret Every Mrs Heather Burns Care Home 30 Category(ies) of Dementia - over 65 years of age (30), Old age, registration, with number not falling within any other category (30) of places Westdene Residential Home DS0000000875.V370130.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th October 2007 Brief Description of the Service: Westdene is a large and extended Victorian House in Hull close to local shops and amenities and on a bus route into the town centre. The home provides care and support to thirty older people with a broad range of needs including dementia. The home has two floors serviced by a through floor lift and stairs, one set of which has a chair lift. The home has 28 single bedrooms and 1 shared room. Fifteen of the bedrooms are en-suite. There are two bathrooms upstairs and a bathroom and shower room downstairs. There are ample toilets throughout the home. The home has two lounges and a large dining room set out with individual tables to seat four to six people at each. There is a monitor in the dining room to alert staff to visitors at the rear of the building. The proprietor has plans to convert one corner of the dining room into a sitting area. The home also has a pleasant quiet area on the landing with chairs, occasional tables and a television. The home has an enclosed garden, a patio area and a car park to the rear of the building. The current weekly fees range from £348.00 to £392.30; there is maximum third party top up fee of £25.00 dependent on peoples needs, this is negotiable. Items not included in the fee are hairdressing and newspapers if people prefer alternatives to the one provided. The manager confirmed that the proprietor paid for service users to have chiropody care. Westdene Residential Home DS0000000875.V370130.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 that the people who use this service experience good quality outcomes. The key inspection has used information from different sources to provide evidence. 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 (AQAA) Comment cards returned from people who live at the home, relatives and staff A visit to the home carried out by one inspector. A site visit was carried out which lasted 5 hours. We spoke with the people who live at the home, their relatives and staff. Records relating to the people who live at the home, staff and the management activities of the home were inspected. During the visit care practices were observed, where appropriate, and time was also spent watching the general activity within the home. The manager was available throughout the visit to assist. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations – but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. What the service does well: The home make sure that every one who is thinking about moving into the home are properly assessed by people who are trained to do this so that their needs can be met and the staff can look after them properly. The home makes sure that there are enough activities going on for the people who live there to choose from and that they go out on a regular basis. The home employs someone specifically for this job. They also make sure that relatives are made welcome, and people can see each other in private if they want to. Westdene Residential Home DS0000000875.V370130.R01.S.doc Version 5.2 Page 6 The home makes sure that the people who live there live in comfortable surroundings and that the home is clean, tidy and nicely decorated. When people move into the home they can bring items which are dear to them and mementos; they can also bring items of furniture with them as long as these are not too big. The home makes sure that any prospective employees are properly checked before they come to work at the home, this ensures the safety of the people who live there. The home always makes sure there are enough staff on duty to meet the needs of the people who live there. The home makes sure that the staff are well trained and encourage them to go on further special training about things like dementia, diabetes, how to recognise any signs of abuse and how to report this. This makes sure they have the proper skills to meet the needs of the people who live at the home and keep them safe. 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. Westdene Residential Home DS0000000875.V370130.R01.S.doc Version 5.2 Page 7 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 Home DS0000000875.V370130.R01.S.doc Version 5.2 Page 8 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&6 People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. EVIDENCE: We looked at a sample of files, which belonged to the people who live at the home, and we saw that these contained copies of assessments undertaken by the placing authority and the home. This assessment information is then used to write a care or support plan describing what staff need to do to look after each person. At the last inspection it was noted that the home had not got the person or their representative to sign the assessments or the care plans. We saw that this had been addressed on those files we looked at. The files contained letters which Westdene Residential Home DS0000000875.V370130.R01.S.doc Version 5.2 Page 9 had been provided to the person in which the home stated that they could meet their needs. The home does not provide intermediate care, which is a specialist service aimed at maximising people’s independence and return home after a hospital admission. Westdene Residential Home DS0000000875.V370130.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. EVIDENCE: We looked at four care plans, which belonged to the people who live at the home. We saw that personal support is provided in accordance with the care plan; these contained risk assessments around the area of falls, tissue viability, nutrition and diet, and mobility. We saw that the care plans are updated regularly and any changes in the persons needs are well documented. We saw that the care plans contained comprehensive assessments about areas of daily living which might pose a risk to the people who live at the home; these too were updated on a regular basis. Bed rails are no longer used by the home, they now use ‘bed bumpers’ if someone is at risk of falling out of bed Westdene Residential Home DS0000000875.V370130.R01.S.doc Version 5.2 Page 11 which do not exacerbate the risk to the person. The home also ensure the floor is protected if the person were to fall out of bed. We saw that the people who live at the home can access healthcare professionals like doctors and nurses when needed, some people also have input from specialist nurses like community psychiatric nurses (CPN). Some people have involvement with psychiatrists, specialist social workers, physiotherapist and dieticians. When we spoke with the staff they were clear about how to maintain peoples dignity and uphold their rights. We saw that the staff were sensitive to peoples needs when undertaking any personal tasks and were sensitive and patient when dealing with those people who have dementia. At no time did we hear any of the staff using any derogatory language or belittling any one in any way. We looked at the way the home handles and stores medication. We saw that the way this was done ensures the safety of the people who live at the home. The medication was stored in the proper cabinets and secured in a separate storage area. The staff make sure that correct medication has been supplied by the pharmacist when it is delivered and any mistakes are quickly rectified. The staff make sure that the recording of the medication is up to date and gives a clear indication that the medication has been administered. The recording also indicates when the medication has not been given and why. All of the staff who give out medication have had the proper accredited training and we saw certificates which confirmed this. At the last inspection it was noted that two signatures were not present on the medication record sheets when staff were hand writing information on to them. We saw that one entry had not been signed by two members of staff; this was rectified on the day. The rest we saw were correct. We saw that an emergency nurse had visited one of the people who live at the home and had given the home some medication for them to take. The emergency nurse had given the home medication which did not have the proper label on it and the home should not have accepted this. The matter is being taken up with the local primary health care trust (PCT) as to the poor practise of the emergency nurse. Westdene Residential Home DS0000000875.V370130.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender including gender identity and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. EVIDENCE: When we spoke with the people who live at the home they said they could make choices about activities, food, how to spend their time and when to get up and go to bed. The home encourages contact with relatives and friends. We saw that visitors were made welcome to the home and had good relationships with the staff. Westdene Residential Home DS0000000875.V370130.R01.S.doc Version 5.2 Page 13 The home employs an activities organiser and we saw that a selection of activities are arranged for the people who live at the home to take part in if they wish; these included reminiscence, one to one discussions, bingo, quizzes, table games, dominoes, crosswords, nail care and carpet bowls. Advertisements around the home told us that that entertainers visit regularly and during the summer months trips out are booked, weather permitting. During our visit there was much excitement over the manager’s dog giving birth to a litter of puppies. This was obviously something the people who live at the home had been looking forward to and had been involved with. When we spoke with the people who live at the home about the food they told us it was very good. One person said “there is always plenty of it and there is always a choice” “it’s second to none very nice”. Lunch, on the day we visited, was nicely presented and looked wholesome and nutritious. Staff helped those people who required assistance when eating in a relaxed unhurried manner. Westdene Residential Home DS0000000875.V370130.R01.S.doc Version 5.2 Page 14 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 this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. EVIDENCE: We saw that 2 complaints have been received by the home since the last inspection. We saw that these had been fully recorded, investigated and appropriate action taken. The CSCI have received no complaints about the home since the last inspection. The home has not been subject to any safeguarding referrals or investigations. In discussion with the people who live at the home they were aware that they had the right to make complaints and told us that they would talk to their key worker or the manager. The home has a policy and procedure for safeguarding adults and the staff interviewed were aware of this, all had received training about Protection Of Vulnerable Adults (POVA). This is updated on regular basis. Westdene Residential Home DS0000000875.V370130.R01.S.doc Version 5.2 Page 15 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): People who use this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. EVIDENCE: The home continues to be generally clean and tidy. The home has a programme of maintenance and redecoration with set time scales. These are being achieved and the majority of the home has been redecorated since the last inspection. People continue to be able to bring items with them when they move into the home. Communal space consisted of two lounges, a quiet area on the first landing and a dining room set out with individual tables and chairs. People who live at the home could access an enclosed garden and a further patio area. There was a monitor in the dining room to alert staff to visitors at the rear of the building. Westdene Residential Home DS0000000875.V370130.R01.S.doc Version 5.2 Page 16 There were two bathrooms upstairs and a bathroom and shower room downstairs. There were ample toilets throughout the home. Westdene Residential Home DS0000000875.V370130.R01.S.doc Version 5.2 Page 17 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 this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. EVIDENCE: There is a satisfactory staff rota in place that records the role of each member of staff. The staffing levels are based on the needs of the people who live at the home. There is a cook on duty each day as well as a kitchen assistant, and other ancillary staff. This enables care staff to concentrate on assisting people with personal and social care activities. There is a separate rota for night staff. Training records indicated that that more than 50 of the staff are trained to NVQ level 2 which includes training on equality and diversity and an awareness of abuse. The recruitment and selection procedures are robust and all checks are undertaken prior to staff commencing work at the home. The staff files looked at contained references from previous employer; an application form which identified gaps in employment and a completed Criminal Record Bureau (CRB) Westdene Residential Home DS0000000875.V370130.R01.S.doc Version 5.2 Page 18 check. The home now in place stringent supervision arrangements for those staff who work at the home under a first POVA check until a full CRB check comes through. There is a training and development plan in place that shows all staff have undertaken core training and that some staff undertake more specialised training such as Challenging Behaviour, Dementia and Palliative care. We saw that staff records include information about individual training achievements and a copy of training certificates is kept on their file. Staff have refresher training as appropriate to ensure that their skills and knowledge are kept up to date. All staff have received mandatory training in Health and safety, Manual handling, Basic Food Hygiene, First Aid and Fire. Staff receive regular supervision and developmental opportunities are given for the staff to attend further training. When we spoke with staff they said they found the training excellent and where pleased that the owners and manager encouraged them to attend lots of training. They felt this gave them the skills needed to care for the people who live at the home. Westdene Residential Home DS0000000875.V370130.R01.S.doc Version 5.2 Page 19 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 this service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. EVIDENCE: The manager of the home is registered with the Commission for Social Care Inspection (CSCI) and holds the Registered Managers Award. When we spoke with the people who live at the home they said she was approachable and they Westdene Residential Home DS0000000875.V370130.R01.S.doc Version 5.2 Page 20 felt confident that they could go to her him if they had any concerns. The staff also said he was approachable and they could go to her for advice or guidance. The home consults with the people who live there on a regular basis. The home also sends regular surveys to relatives and visiting health professionals. A full audit report is made based on the findings of the surveys and this identifies areas of improvement for the coming year. The home continues to be well maintained and all safety certificates were up to date. The staff are trained in health and safety and all of their mandatory training is updated as required. Westdene Residential Home DS0000000875.V370130.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 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 4 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 Home DS0000000875.V370130.R01.S.doc Version 5.2 Page 22 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 OP9 Good Practice Recommendations All the medication which is given out by the staff should have a proper label on it which instructs the staff on how to safely administer the medication. Westdene Residential Home DS0000000875.V370130.R01.S.doc Version 5.2 Page 23 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 Westdene Residential Home DS0000000875.V370130.R01.S.doc Version 5.2 Page 24 - 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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