Care Home: Westleigh Avenue

Similar services:

• Ashlong House
• Norbury Crescent (30)
• Edenvale
• Wadham Avenue
• Chatsworth Care - Dawson House
• Cowden Road, 52 - 54
• Chatsworth Care - Tudor Lodge
• Foxley Lane (121a)

What the care home does well Supports residents to lead individual lives and to achieve goals that are important to them. Promotes residents` participation in their community. Supports residents to develop and maintain positive relationships with their friends and families. Provides a stable staff team that delivers care and support consistently. Provides an experienced management team that supports staff to do their jobs well. Works well with other professionals in delivering care where necessary. What has improved since the last inspection? Some residents have tried new activities. The home has taken on new staff that the manager says have settled in well. Some staff have completed National Vocational Qualifications. What the care home could do better: Cover all exposed pipework to prevent the risk of scalding. Take action to prevent damp seeping through to the interior of the building. Ensure that all bathrooms are adequately decorated and in a good state of repair. Ensure that equipment is not stored in bathrooms or communal lounges. Provide hand washing and drying facilities in all bathrooms and toilets to control the risk of infection. Arrange an inspection by an appropriately qualified person to demonstrate that the home`s electrical installation is safe. Demonstrate that the home`s water system is tested regularly to ensure residents` safety. Demonstrate that hoists and lifting equipment are tested regularly to ensure residents` safety. CARE HOME ADULTS 18-65 Westleigh Avenue 45 Westleigh Avenue London SW15 6RJ Lead Inspector Simon Smith Key Unannounced Inspection 19th September 2008 12:15 Westleigh Avenue DS0000010237.V364625.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Westleigh Avenue DS0000010237.V364625.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Westleigh Avenue DS0000010237.V364625.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Westleigh Avenue Address 45 Westleigh Avenue London SW15 6RJ 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) 020 8788 2111 /4356 020 8788 4356 leonard.opiti@mst-online.org.uk www.stepforward.org.uk Metropolitan Support Trust Ms Lorenza Hosten Care Home 14 Category(ies) of Learning disability (14) registration, with number of places Westleigh Avenue DS0000010237.V364625.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home Only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: 2. Learning disability - Code LD The maximum number of service users who can be accommodated is: 14 13th June 2006 Date of last inspection Brief Description of the Service: Westleigh Avenue is a purpose built care home for 14 people with learning disabilities, who may also have physical disabilities. The service is managed by the Metropolitan Support Trust, a registered social landlord with charitable status. The London Borough of Wandsworth has a block contract with the home. All residents have single bedrooms. There are four bathrooms and several communal living areas. The home is situated in a residential area near local community facilities, open spaces and public transport networks. There is parking for several vehicles at the front of the home, which is protected by CCTV. Westleigh Avenue DS0000010237.V364625.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 stars. This means the people who use this service experience good quality outcomes. We used evidence from a number of sources to make this judgement about the home. These included visiting the home unannounced and talking to residents, the manager and staff. We also looked at some written records, including residents’ care plans and staff files. We checked records of everything the home had reported to us since the last inspection. The manager completed and returned an Annual Quality Assurance Assessment (AQAA). Surveys were available to residents, relatives, staff and people with a professional involvement with the home. We received surveys from four residents who completed surveys with support from their keyworkers. We also received surveys from a relative, a healthcare professional and nine members of staff. Views and comments from surveys have been used throughout this report. The home met 28 of 32 National Minimum Standards assessed at this inspection. Four standards were almost met. What the service does well: What has improved since the last inspection? Some residents have tried new activities. Westleigh Avenue DS0000010237.V364625.R01.S.doc Version 5.2 Page 6 The home has taken on new staff that the manager says have settled in well. Some staff have completed National Vocational Qualifications. 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. Westleigh Avenue DS0000010237.V364625.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Westleigh Avenue DS0000010237.V364625.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 2, 4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are assessed before they move into the home. Residents are able to move in on a trial basis. Each resident has a written contract with the home. Residents get support to move on if the home no longer meets their needs. EVIDENCE: The home’s AQAA states that “New service users are admitted only on the basis of a full assessment undertaken by the social worker and care home manager”. The care plans checked during the inspection contained assessments carried out by the home manager or deputy manager. Residents’ files also continued a copy of the home’s Residents’ Guide and a tenancy agreement that set out their rights and responsibilities. All residents move in initially on a six week trial basis. The manager said that and that the home communicates with residents’ care managers during this Westleigh Avenue DS0000010237.V364625.R01.S.doc Version 5.2 Page 9 period and there is a formal review at the end of the trial to assess the home’s suitability. The inspector spoke to one resident who had just moved into the home. He said that he had been given good support to settle in and that he was happy with his decision to move to the home. It has been identified that the service is no longer the most appropriate for one resident due to changes in her needs. The manager said that a number of multidisciplinary meetings had taken place to discuss this issue and identify a more appropriate placement. Westleigh Avenue DS0000010237.V364625.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are person-centred and reflect individual needs and interests. Residents receive good support to make informed choices about their lives. The home supports residents in taking manageable risks. EVIDENCE: Each resident has an individual care plan which identifies their strengths, skills, needs and preferences about the support they receive. The plan also identifies any other professionals involved in the resident’s care. The home is committed to providing a person centred service and there was good evidence that staff support residents to identify, achieve and review individual goals. The manager said that each resident has an identified support Westleigh Avenue DS0000010237.V364625.R01.S.doc Version 5.2 Page 11 network. Network meetings take place regularly and are co-ordinated by the resident’s keyworker. Staff support residents to make informed decisions about their lives. Residents’ are able to choose the way in which they spend their time and have individual programmes that reflect their interests and preferences. The service involves significant others, such as family members and care managers, where appropriate about residents’ care. The home carries out risk assessments to enable residents to take risks as part of an independent lifestyle. Residents’ files contained risk assessments in areas that were relevant to them. These had been carried out recently, in June 2008, and had a review date set. Westleigh Avenue DS0000010237.V364625.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ have individual programmes that reflect their needs and interests. Residents have active social lives and are involved in their local community. Residents receive good support to maintain relationships with their friends and families. Residents’ rights and responsibilities are promoted in their daily lives. The home’s menu is varied and designed to meet residents’ needs. EVIDENCE: Westleigh Avenue DS0000010237.V364625.R01.S.doc Version 5.2 Page 13 Most residents access day services at a resource centre during the week. Those that choose not to have access to some one-to-one support to enable them to pursue their own interests. Residents are involved in their local community, making use of shops, pubs, banks and other resources, and receive good support to maintain relationships with their friends and families. The AQAA states that one resident is supported to go to temple regularly. There was evidence that residents have active social lives and opportunities to take part in a wide range of activities and interests including trips to sports events, restaurants, theatres and social clubs. Residents also have the opportunity to take an annual holiday. Residents’ rights and responsibilities are promoted in their daily lives. Interaction between staff and residents was positive during the inspection and staff addressed residents with respect. Residents are able to choose how they spend their time at the home and to have privacy when they want it. Most residents are out for lunch during the week at day services. A cook prepares evening meals for residents six days a week. Residents said that they often choose to have a takeaway on a weekend. Residents are consulted about the food provided and can have alternatives to the menu if they wish. There was evidence that the home had sought the input of professionals including a speech and language therapist where residents have specific needs around eating. Westleigh Avenue DS0000010237.V364625.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive personal support in the way they prefer. Residents have access to appropriate health care and treatment when they need it. The home works well with other professionals in making sure residents receive good care. Medication is stored and administered safely. EVIDENCE: Staff on duty had a good knowledge of residents needs. There is good guidance for staff in their work to make sure that residents receive consistent care in the way they prefer. The manager said that the home has good links with and support from the local community team including occupational therapy, speech and language therapy, psychiatry and psychology. Westleigh Avenue DS0000010237.V364625.R01.S.doc Version 5.2 Page 15 There was evidence that residents who experience specific healthcare conditions are regularly monitored by appropriate healthcare professionals. Healthcare professionals have also visited the home to provide training for staff in managing conditions experienced by residents. One resident needed medical treatment on the day of inspection. Staff responded appropriately and managed the situation professionally, ensuring that all necessary information was available to medical staff and that the resident’s medication was ready. Medication was stored appropriately at the time of inspection and there are written procedures governing the administration of medication. Staff who administer medication attend training before they are authorised to do so. One member of staff has responsibility for managing medication. All medication coming into or leaving the home is recorded. A sample of medication records was checked and found to be accurate. The home has an agreement with the supplying pharmacist for advice and two inspections each year of the home’s medication arrangements. The last inspection took place in June 2008. Westleigh Avenue DS0000010237.V364625.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Appropriate procedures are in place for the management of complaints. Staff attend training in the recognition, prevention and reporting of abuse. EVIDENCE: The Metropolitan Support Trust has an appropriate complaints policy, which is available in Plain English and symbol assisted versions. There is also a Whistleblowing procedure, which enables staff to report any concerns about they have about poor practice. There have been no complaints about the home since the last inspection. The home works within the ‘Joint Policy on Suspected Abuse of Vulnerable Adults’, which provides guidance for staff in the recognition and reporting of abuse. There was evidence that several training sessions in the Protection of Vulnerable Adults have been run for staff in 2008. Westleigh Avenue DS0000010237.V364625.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24, 25, 27, 28 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ bedrooms reflect individual tastes and interests. Residents have access to communal living and dining space. Exposed pipework must be covered to prevent the risk of scalding. Equipment must be stored appropriately and not in communal rooms. Some bathrooms need improvement to ensure that residents are comfortable and safe when they use them. Soap and hand towels must be provided in all bathrooms and toilets to control the risk of infection. EVIDENCE: Westleigh Avenue DS0000010237.V364625.R01.S.doc Version 5.2 Page 18 45 Westleigh Avenue is a single storey, purpose built home situated near local community facilities, open spaces and public transport networks. All residents have a single room which they can personalise as they wish. There is a large living/dining area, which was the focus of socialising when residents returned from their day activities on the day of inspection. The kitchen adjoins the dining area. There is also a smaller lounge with a pool table. This room was being used to store equipment at the time of inspection. This equipment should be removed so that residents can enjoy the lounge. Exposed pipework in a number of rooms was very hot to touch. This must be covered to prevent the risk of scalding. See Requirement 1. An overflow pipe was running constantly onto an exterior wall, including the wall of a resident’s bedroom. This must be addressed to prevent damp seeping through to the interior of the building. The overflow pipe appeared to be running because the adjacent gutters need unblocking. See Requirement 2. There are enough toilet and bathroom facilities to meet residents’ needs but some of these need improvement to ensure that residents are comfortable and safe when they use them. The bath panel needed replacing in one bathroom and discoloured paintwork needed repainting. The door of this room needed minor repairs to a small hole. See Requirement 3. Some bathrooms were being used to store wheelchairs, commodes and other equipment. These items must be removed to ensure that bathrooms are safe for use. See Requirement 4. The manager said that a cleaner is employed for four hours a day but that care staff are also involved in cleaning the home. The home was clean at the time of inspection but some bathrooms and toilets had no soap or hand towels, which presents a risk of infection. See Requirement 5. Westleigh Avenue DS0000010237.V364625.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 32, 33, 34, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a stable staff team. Staff communicate well with one another. Staff are appointed following an appropriate recruitment and selection procedure. Staff have access to appropriate training and good support to do their jobs. EVIDENCE: Most of the staff team has worked at the home for some time. This means that residents’ care is provided by people who know them well. The survey received from a relative said, “I have confidence in the carers”. The survey also said that staff have learned about residents’ conditions and provide good care as a result. Two staff have joined the home in the last six months. Westleigh Avenue DS0000010237.V364625.R01.S.doc Version 5.2 Page 20 All staff have a job description for their role and are expected to observe the General Social Care Council (GSCC) code of conduct. Staff are appointed subject to the successful completion of a probationary period. Staff surveys reported that they had been given a good induction when they started work and have good support from managers to do their jobs. There are good systems of communication amongst staff, such as handovers between shifts, a clear shift plan and a communication book. There was evidence that team meetings take place regularly and that these are used by staff to discuss issues affecting residents. The manager said that there are always at least four staff on duty plus the manager or deputy manager and any one-to-one staff. There are waking and sleep in staff at night. On call support is available to staff out of hours. Some staff surveys said that the home can be slow to increase staffing levels when residents’ needs change. One member of staff said that some residents need more one-to-one support. The home must ensure that residents’ needs are regularly reviewed and that staffing levels reflect any increase in needs. Staff have access to appropriate training, including support to complete National Vocational Qualifications and training in mandatory areas such as the Protection of Vulnerable Adults, food hygiene, moving and handling, fire safety, medication and infection control. Staff surveys said that they had been asked to provide two references and Criminal Records Bureau (CRB) Disclosures before they started work at the home. The staff files checked during the inspection contained appropriate documents including CRB Disclosures, references and proof of identity. Westleigh Avenue DS0000010237.V364625.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 38, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management team provides good support to the team and enables staff to contribute their opinions. There is a commitment to keeping residents informed about issues that affect them and to seeking their views. Some important health and safety checks are overdue and must be arranged to ensure that residents’ safety is maintained. EVIDENCE: Westleigh Avenue DS0000010237.V364625.R01.S.doc Version 5.2 Page 22 The management team comprises a full time manager and two full time deputy managers, all of whom have worked at the home for some time. The manager and deputy managers share the supervision of the staff team. Staff said that they have good support from their managers and that they are encouraged to have their say about how the home is run. There was evidence that residents’ meetings are held monthly, supported by staff, and that these meetings are used to give residents information and to seek their views about issues that affect them. Residents are also able to contribute their ideas using a Suggestion Box. There was evidence that staff check the fire alarm system weekly using different call points. A fire risk assessment was carried out in June 2008. The home’s fire fighting equipment was serviced in June 2008. The fire alarm and emergency lighting system was checked by an engineer in July 2008. The Landlord’s Gas Safety Record was issued in June 2008 and portable appliance testing was carried out in November 2007. The Electrical Installation Report for the home was issued in April 2004. The report states that reinspection should take place within three years. An electrical inspection is therefore overdue and must be arranged as soon as possible. See Requirement 6. An Environmental Services Officer of the Council carried out an inspection of the home in August 2008 and noted “inadequate Legionella controls” and found “no evidence of annual water testing”. The Metropolitan Support Trust must demonstrate that the home’s water system is tested regularly to ensure residents’ safety. See Requirement 7. The Environmental Services Officer also noted that there were no current certificates to demonstrate testing of hoists and lifting equipment. The Metropolitan Support Trust must demonstrate that this equipment is tested regularly to ensure residents’ safety. See Requirement 8. Westleigh Avenue DS0000010237.V364625.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 X 27 2 28 3 29 X 30 2 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X X 2 X Westleigh Avenue DS0000010237.V364625.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA24 Regulation 13(4) Timescale for action The Registered Person must 30/10/08 ensure that exposed pipework is covered to prevent the risk of scalding. The Registered Person must take 30/10/08 action to prevent damp seeping through to the interior of the building. The Registered Person must 30/10/08 ensure that all bathrooms are adequately decorated and in a good state of repair. The Registered Person must 30/10/08 ensure that equipment is not stored in bathrooms. The Registered Person must 15/10/08 provide hand washing and drying facilities in all bathrooms and toilets to control the risk of infection. The Registered Person must 30/10/08 arrange an inspection by an appropriately qualified person to demonstrate that the home’s electrical installation is safe. The Registered Person must 30/10/08 demonstrate that the home’s water system is tested regularly to ensure residents’ safety. The Registered Person must 30/10/08 DS0000010237.V364625.R01.S.doc Version 5.2 Page 25 Requirement 2 YA24 23(2)(b) 3 YA27 23(2) 4 5 YA27 YA30 23(2)(l) 16(2)(j) 6 YA42 23(2) 7 YA42 23(2) 8 YA42 23(2)(c) Westleigh Avenue demonstrate that hoists and lifting equipment are tested regularly to ensure residents’ safety. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA28 YA33 Good Practice Recommendations Remove the equipment stored in the small lounge so that residents can enjoy the room. Ensure that staff numbers reflect any changes in residents’ needs. Westleigh Avenue DS0000010237.V364625.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection London Regional Office 4th Floor Caledonia House 223 Pentonville Road London N1 9NG 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 Westleigh Avenue DS0000010237.V364625.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!