Care Home: Westwood

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What the care home does well Westwood provides care to people with memory problems. Before people move in, staff make sure they know what care the person will need. The care people need is written down and kept up to date, and people who use the service are involved with this. People say they can make their own decisions and can live independent lives. Staff help them to do so as safely as possible and allow people to take risks in, and ownership of their normal day-to-day living activities. Daily life is not restrictive. The home provides a good variety of food and caters well for special diets. People like the food. Staff help people to keep healthy and to feel secure. They look after medication safely. Staff are open to listening to any concerns. People feel comfortable with raising concerns and say the home acts on them. What has improved since the last inspection? Management and staff have worked extremely hard to introduce more robust risk assessments within care documentation, and includes the individual within the care process. There has been greater emphasis placed on promoting equality and diversity issues through staff training, and there has been investment within the fabric of the building through redecoration which improves the visual appearance of the building. There continues to be emphasis placed on people`s rights - particularly in relation to the `Mental Capacity Act` and the `Deprivation of Liberties Safeguards`. What the care home could do better: The only area of criticism regarding the service is in relation to the decorative standard of the actual physical environment. However, the proprietors plan to continue with ongoing decoration as and when finances become available. Inspecting for better lives Key inspection report Care homes for older people Name: Address: Westwood 284 Bath Road Worcester Worcestershire WR5 3ET     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Nick Richards     Date: 2 9 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 28 Information about the care home Name of care home: Address: Westwood 284 Bath Road Worcester Worcestershire WR5 3ET 01905353866 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Zinnat Esmail Downer,Mr Anthony Harold Downer care home 12 Number of places (if applicable): Under 65 Over 65 12 12 12 dementia old age, not falling within any other category physical disability Additional conditions: 0 0 0 The Home may accommodate two named people who have needs outside of this category and were resident before 13 December 2005. Date of last inspection Brief description of the care home Westwood Residential Care Home is registered to provide personal care for up to twelve older people who are frail, who may have a physical disability and who may experience a dementia type illness. The home may also accommodate two people with mental health needs. The premises is a large, detached bungalow that has been adapted and extended for its present purpose as a residential care home, and is situated in a pleasant residential area of Worcester. Local amenities that are within walking distance of the house include a church, post office, and a public house, and the home is also on a bus route to the city centre, which is approximately one mile. The area at the front of the house provides parking facilities for several cars, and there is a large, well-maintained, lawned garden to the rear of the property. The home is owned Care Homes for Older People Page 4 of 28 Brief description of the care home and run by Mr & Mrs Downer, who live on the premises, in their own private accommodation together with their two children. The fees range from #1400.00 to #1580.00 per month. The stated aim of the home is to provide an excellent standard of personal care, and a sense of belonging, security and comfort as close as possible to that which the individual might enjoy in their own home. Care Homes for Older People Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The visit was carried out over one day - the home did not know we were going to visit. This was the homes first key inspection since the previous one in January 2008. A key inspection is where we look at those areas that we, the commission, consider to be important when providing quality care. The focus of inspections we, the commission, undertake is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of Care Homes for Older People Page 6 of 28 practice and focuses on aspects of service provision that need further development. Prior to the fieldwork visit taking place a range of information was gathered to include notifications received from the home. This included surveys completed by the people living there, staff working within the home and professional people who visit the home. We also looked at the information submitted to us by the home in the form of an AQAA. This stands for Annual Quality Assurance Assessment. An AQAA is a document that the home has to send to us, and helps them to assess their home, identify what they do well, identify the things they are not so good at, and it tells us what they are going to do to help improve things within the home. Three people who live in the home were case tracked. This involves establishing individuals experience of living in the care home by meeting or observing them, discussing their care with staff, looking at care files, and focusing on outcomes. Tracking peoples care helps us understand the experiences of people who use the service. The people who live at the home, the manager and the staff were spoken to. Time was spent observing care practices, interactions and support from staff. We looked at the premises during a walk around the home, and we also looked at care, and health and safety records. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 28 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: 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 and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who want to move into the home can be confident that their needs will be comprehensively assessed prior to moving into the home, and their rights will be safeguarded after they move into the home. When people are admitted as an emergency admission, the home makes sure peoples rights are safeguarded. Evidence: During our visit we looked at the way the home gives information to people who want to move into the home. People that we spoke to all said that somebody from the home came to meet and assess them before they moved into the home. This is important because the home can decide whether they feel they can meet the needs of people before a decision is made to move in. We talked to several people about their experiences when they moved into the home. Each person was very happy about their experience of being Care Homes for Older People Page 10 of 28 Evidence: introduced to, and moving into the home. People told us that either they, or their relatives visited and experienced the home before they moved in. This helped people to get to know other people who use the service and get a feel about the service before they decided whether or not they wished to move in. The homes management had undertaken pre-admission assessments before people moved into the home. This gives the home the chance to look at peoples needs and decide whether they can offer a service to people that will meet their assessed needs. The pre-admission assessments were comprehensive and provided information that allowed staff to start planning for the persons care before they are admitted into the home. On some occasions, people had been admitted as an emergency, and the home did not have the opportunity to gather a lot of information about the people who were to come to live at the home. On these occasions, management had assessed the person and had gathered all the relevant information shortly after they had been admitted. This means that the home was able to provide the right care for people who had been admitted as an emergency. People using the service confirmed that the homes management had visited them before they moved into the home and talked to them about their needs and expectations. People also told us that they had been given a copy of the homes Service User Guide (hereafter referred to as the Guide). The Guide provides people with important information about the home and the service it aims to provide. The Guide is available to each person, and is held in their bedroom for reference purposes. We looked at both the Guide and the Statement of Purpose. Both documents were easy to understand, and contained the information people would need to help them make a decision about whether they would want to move into the home. The only piece of information missing from the Statement of Purpose and the Guide was the range of fees charged. We talked to management about this and were told that the fees would be included within both documents. Each persons representative had been given a copy of the contract to sign. The home had experienced some problems with contracts being signed and returned, but had made the necessary arrangements to try to encourage peoples representatives to sign and return them. This is important as a signed contract provides legal protection for both the person using the service and the service itself. The home communicates very well with people. People had been told when fees are to be increased, and we also saw documents that explained to people why their fees were being increased. Healthcare professionals spoke very highly about the social care within the home. one person said, I visit many different homes. This one has more of a community feeling Care Homes for Older People Page 11 of 28 Evidence: than most. Most residents interact well together, they all know each other personally and participate well as a group. I believe this is because they are well stimulated and because of the family like environment. This view was confirmed by the owner, Mr Downer who explained that they aim to run the home as a family home, which is supported by the Downers regular and consistent level of input and support. Care Homes for Older People Page 12 of 28 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they 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. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Arrangements ensure that the personal and healthcare needs of individuals are met so ensuring their health, well being and dignity. Evidence: During our visit the people we saw had been well supported with their personal care and clothing. They looked very smart. All the people living there were well dressed in individual styles that were reflective of their age, their cultural background, the weather and the activities they were doing. Records sampled showed that people had been regularly weighed to ensure they were not gaining or losing a significant amount of weight, which could be an indicator of an underlying health need. Records sampled showed that each person is registered with a local general practitioner, who visits them if they are unwell. Where appropriate health professionals, such as psychiatrists, dentists, audiologists, chiropodists and community Care Homes for Older People Page 13 of 28 Evidence: nurses are involved in the care of individuals. The outcome of any health appointments are recorded and records showed that staff follow the advice given to ensure individuals health and well being. One visiting healthcare professional returned a survey to us and confirmed that staff within the home have contacted mental health services for advice and discussion on improving residents health care needs. They have sought advice and involved other professionals when additional skills and experience are required. Several people who use the service confirmed that their physical and emotional health needs were being very well met. One person said, Its here that Ive been the happiest. The service works well to promote equality and diversity within the home. Each person is respected as an individual and staff work hard to ensure that their wishes are upheld or promoted. The vast number of staff within the home are female while the majority of people using the service are female. The home has ensured that peoples preferences about the gender of staff providing care has been sought and respected. Within the home, care staff help people who use the service to take their prescribed medication. Several people prefer to take responsibility for their own medication and have been risk assessed by the staff to ensure that they are safe to manage their own medication. We saw comprehensive risk assessments on peoples care files. One visiting healthcare professional told us They always discuss with myself and the client any ways which they may be able to help the clients mental and physical wellbeing. They have always implemented anything that has needed them to action. They meet all mental, physical and social needs by seeking relevant support from statutory and voluntary agencies when needed. All medication is administered in accordance with the homes policies and procedures. This ensures that people receive their prescribed medication safely. When people receive their medication, the care staff sign a drug administration record. This allows people to know that their medication has been managed safely, it also shows when, and why, medication has not been given to people. People using the service said that staff always help them with their medication, while one visiting healthcare professional said, The home manages this (the persons medication) very well involving the client as much as possible in the organising and administering of their medication. People using the service said that staff allow them to control their own medication and, if they do not want to take their medication, they do not have to. The homes manager said that people had the right to refuse medication and, when this happened, the staff would monitor closely the persons health condition to ensure that, if they became ill, a doctor could be contacted to review the individual. Care Homes for Older People Page 14 of 28 Evidence: Three people who use the service described the management of their healthcare as excellent, with one person saying Id give them 10 out of 10. We looked at the care one person had received in the final stages of their life. Staff had responded quickly and appropriately when the person had begun to deteriorate, and had contacted relevant healthcare professionals in response to the persons changing needs, along with the individuals next-of-kin. Staff had made sure that the person had been kept comfortable and they had also maintained the persons dignity. A letter of thanks had been subsequently sent to the home by the persons next-ofkin. Care Homes for Older People Page 15 of 28 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They 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. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are encouraged and supported to engage in social and recreational activities that refelect their individual preferences. Relatives and visitors are welcomed into the home and daily routines are unrestrictive. A good range of food is supplied, and the home caters well for peoples individual and collective dietary needs. Evidence: People we talked to said that they were happy with the daily routine. They said that they were free to get up an go to bed whenever they chose. They also said they were satisfied with the range of social and leisure activities provided in the home. These included music and movement sessions, a visiting musician, bingo and board games. Aromatherapy and manicure sessions are also arranged, and we saw staff helping several ladies with their nails at the time of our visit. We concluded that the ladies concerned enjoyed this activity and the banter they engaged in with the staff members. An Anglican priest visits the home every month to hold a service, and one person is supported to go to church regularly. The children of the registered providers do a Care Homes for Older People Page 16 of 28 Evidence: musical presentation for people on a regular basis, and there was evidence to show that opportunities for activities outside the home had increased. People using the service said that they were satisfied with the range of social, recreational and leisure activities and opportunities afforded to them. Several people went out with their family and friends, and we saw people visiting during our visit - all of whom were very complimentary about the home. One person described the service as excellent. Mrs Downer cooks the meals for people and prides herself on providing nutritionally balanced home cooking. None of the meals provided were fast or convenience foods. Uniqually, the home does not operate a menu system. All food provided is recorded down. The provision of food is based on the owners intimate and detailed knowledge about peoples preferences, their individual (and collective) likes and dislikes. The food provided centres around the preferences of people using the service and alternatives are always provided. Mrs Downer said that it was not unusual to cook several different meal options for people. The record of food provided showed that food was nutritionally balanced and varied. On the day of our visit, the lunchtime meal was homemade cornish pasties, boiled potatoes, fresh carrots and frozen peas followed by a strawberry mousse. People were seen enjoying the lunchtime meal, and confirmed this during conversation. People were using mealtimes as a social event, which was unhurried. One lady preffered to eat her meals in her bedroom and staff respected this choice. On person described the food as fabulous, and said that the only problem is we get too much!, while another five people who we spoke to all said that the food was good. Weight records confirmed that people were getting enough food as there was no evidence of any unintentional weight loss. Care Homes for Older People Page 17 of 28 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using the service are supported to express concerns, and are safeguarded by the homes open culture, complaints procedure and investment in staff training. Evidence: Each person living at the home has been given a copy of the homes complaints procedure. The culture within the home is open and allows and supports people to raise concerns. People that we spoke with said that if they had any concerns they would raise them with Mr or Mrs Downer. This was clearly supported by the record of concerns and complaints retained by the home. The complaints register contained several concerns raised by people using the service since the time of the homes last inspection. The concerns raised were very minor concerns (for example, somebody expressed a concern that their cup was too full of tea), and the records show what action staff have taken to resolve the concern/s. The fact that relatively minor concerns are recorded clearly demonstrates the culture within the home - one whereby staff and management are eager to make sure that everyone is happy and receive the service they want. Concerns are used by management to learn and adapt practice. One person who visits the home said that they have never needed to raise any concerns. Staff we spoke to all confirmed that they were aware of safeguarding procedures, and the home has a training programme that includes training about the Protection Of Care Homes for Older People Page 18 of 28 Evidence: Vulnerable Adults (POVA) and the Mental Capacity Act (which also includes training in relation to the Deprivation of Liberties Safeguards (DOLS). The training is being provided by an external agency who specialise in staff training. The home has copies of the local authoritys safeguarding protocol. This ensures that, should the home have need to raise a concern about safeguarding, they know the correct procedures to follow. Since the previous inspection we have been contacted once with a concern about the service. This was passed over to Mr and Mrs Downer to resolve and, during discussions with the proprietors, we are content that the issue is in the process of being resolved positively and satisfactorily. Mr Downer had met with the person who expressed the concern earlier in the week. Care Homes for Older People Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is clean, homely, safe and well maintained and meets the needs and expectations of those people living there. Evidence: Westwood is a large, detached bungalow that has been adapted and extended for its present purpose as a residential care home. The location and layout of the home is suitable for its stated purpose, and it is maintained in a comfortable and homely manner. People are accommodated on one level in eight single and two double bedrooms. The bedrooms are clean, well maintained and nicely personalised, and nine of the rooms had en suite facilities. The communal areas of the house included a quiet room, a dining room, two lounges and a large covered patio area. People using the service described the home as a home from home and its the closest thing you can get to home. You get treated like one of the family. The domesticity and size of the building makes it relatively unique as it functions as a family unit. People said that they made good use of the buildings, and there were enough toilets and bathrooms available for their use. One person said, if it was a large home, I wouldnt want to live here but its small and we feel and get treated as members of the family here. Care Homes for Older People Page 20 of 28 Evidence: The space within the building is deceptive as there is plenty of communal space for 12 people to live comfortably. At lunchtime we saw people having their lunch in the dining room, which is domestic in design and layout. The area was suitably spacious for all those people using the room. We were also shown a quiet lounge where the owners children practice and play music for the enjoyment and benefit of people using the service. Since the time of the previous inspection the owners have provided two large flat screen televisions with blu-ray players to watch movies on. There is a programme of routine maintenance available which shows what the home intends to do over the coming 12 months to improve the environment. Some areas were in need of a bit of redecoration as the decor was beginning to look a bit tired, but this had already been identified as an area to address over the next few months. We saw examples of where rooms had been redecorated and refurbished as they became empty. The owners told us that they had planned to introduce a hearing loop system for people who are hard of hearing in the main lounge. They intended to undertake this work in December 2008, but were awaiting finances to put this plan into action. Care Homes for Older People Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent 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 to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There were enough staff in the home, and they had good working relationships with people who use the service. Appropriate checks were carried out on staff before they began work in the home, to reduce the risk of employing unsuitable staff. Staff held qualifications suited to their work, and undertook further training. Evidence: We looked at how the needs of people living at the home were met through the provision of appropriately skilled staff. We talked to people using the service and the staff working at the home, and looked at staff records, training records and duty rotas. Westwood is fairly unique in as much as the owners and their family live on-site and have a very high profile within the day-to-day operations of the home. This means that they are both aware of peoples needs and are vigilant with any change in needs. Mr and Mrs Downer cover day and night shifts and, therefore, have a good knowledge of peoples care needs throughout the 24-hour period. For example, during the Christmas week, they each worked 98 hours at the home with support from five carers (the home employs a total of seven carers (including Mr and Mrs Downer). There are waking staff working in the home throughout the 24-hour period in numbers that are consistent with the needs of the people using the service. Because Mr and Mrs Downer want to provide consistent care, they choose to cover all shifts using their own staff and not Care Homes for Older People Page 22 of 28 Evidence: use agency staff. Care staff are flexible and work various shifts including, for example, 8am to 6pm, 2pm to 9pm, 2pm to 10pm and 9am to 2pm. The flexibility in staffing allows the home to respond flexibility to peoples needs. We talked to several staff, and we were told (its) lovely here, and that the staff care very much about the residents. People using the service praised the staff, telling us that nothings too much for them, staff are very good, theyll do anything for you and theyre wonderful, all of them. People told us how quickly staff responded if they need them. We were told you dont have to wait for anything. Theyre very kind. The home kept full and up to date records of staff training. These records showed that basic training took place in a range of topics, including Protection of Vulnerable Adults, Manual and People Handling, Infection Control Health and Safety, Food Hygiene, First Aid, Fire Safety Dying, Death and Bereavement and Dementia Awareness. This means that staff working within the home are well equipped to meet the needs of the people using the service. We looked at how well people are protected through the homes recruitment process. The staff files we examined all proved that the home is taking the correct steps to ensure that only people who are suitable to work with vulnerable adults work at the home. Care Homes for Older People Page 23 of 28 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management arrangements ensure that the people living at Westwood benefit from a well run home and their views are considered. The health, safety and welfare of the people living there is promoted and protected so ensuring their safety and well being. Evidence: The management arrangements within the home are unique as both owners play an active part in the day-to-day running of the home. The spirit of the home is based on family, and, when interviewed, Mr Downer told us that he viewed the people using the service as his family. Mr Downer is the registered manager of the service and is suitably qualified and experienced to manage the service. The home has up-to-date records detailing how its responsibility to ensure the health and safety of people using the service has been met. Risk assessments are conducted on a specific basis for each person using the service and there are generic risk Care Homes for Older People Page 24 of 28 Evidence: assessments available within the home. All accidents and incidents are monitored closely and action is taken to prevent further accidental occurences happening when or should an accident occur. This helps to ensure that people are protected from avoidable harm, but they are also allowed and supported to take risks which promote their independence. One person that we spoke to summarised the homes management arrangements as follows; The main thing is, being in a home, that youve got caring people who own it. Weve certainly got that. Mr and Mrs Downer theyre both very kind and caring people - means a lot to someone like me who has no one. Care Homes for Older People Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 26 of 28 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 27 of 28 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 28 of 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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