Care Home: Westwood Lodge

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What the care home does well There were adequate amounts of staff on duty to meet residents` needs. Good recruitment procedures are followed and staff are thoroughly screened before they are employed at the home. All residents` and relatives` questionnaires returned praised the hard work and caring attitude of the staff. One relative said that staff "always have a kind word and smile, it makes such a difference". Medication was well managed. All records were up to date. The medication storage room was clean and tidy.Records about residents care were good. All care needs were clearly identified and planned for. The personal and differing needs of residents were noted and care planned accordingly. One health professional who completed a questionnaire said that the staff at the home always sought and followed advice where needed. All health and safety checks for the home were up to date. The place smelled fresh and looked clean and tidy. Residents` bedrooms wee very personal, some were locked at their request, and all looked comfortable. Good efforts are made to consult with residents and their relatives. The manager regularly sends out quality surveys. An annual audit of the home is carried out to make sure good standards are maintained. Complaints received were acted upon quickly and well documented. Residents knew who to complain to, they said they would complain to "the boss, the nurse or a senior carer". Residents` monies were properly managed. The food tasted good. There was enough of it and all residents had a choice of meal. There were plenty of fresh fruit and vegetables used. Residents said they liked the food. In their questionnaires relatives confirmed that they had seen staff helping residents to eat. The home had a nice relaxed atmosphere. Staff seemed to know residents very well and coped well with the occasional episode of challenging behaviour or personal differences between residents. What has improved since the last inspection? All of the requirements made at the last inspection have been met. There are a lot of activities on offer. Individual records are kept of residents` interests and hobbies. Attempts are made to meet these through the activities plan. A residents` committee has been set up to encourage residents to have control over issues affecting them in the home. The building looks better and more comfortable for residents. Some areas have been redecorated and new carpets bought. CARE HOMES FOR OLDER PEOPLE Westwood Lodge 7 Bentinck Villas Elswick Newcastle Upon Tyne Tyne & Wear NE4 6UR Lead Inspector Janet Thompson Unannounced Inspection 24th October 2007 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Westwood Lodge DS0000000408.V354649.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. Westwood Lodge DS0000000408.V354649.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Westwood Lodge Address 7 Bentinck Villas Elswick Newcastle Upon Tyne Tyne & Wear NE4 6UR 0191 273 3998 0191 272 4148 rolandairey@ukonline.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) The Care Consortium (1997) Limited Mr Brian Albert Cauwood Care Home 46 Category(ies) of Dementia (38), Mental disorder, excluding registration, with number learning disability or dementia (8) of places Westwood Lodge DS0000000408.V354649.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Only rooms 30 to 37 are registered for the 8 younger residents category MD, aged 35 years and above. The registered person may provide the following category of service only: Care home with nursing - Code N To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia - Code DE. No more than 38 places. 3. Mental Disorder - Code. No more than 8 places. The maximum number of service users who may be accommodated is 46. 21st August 2006 Date of last inspection Brief Description of the Service: Westwood Lodge is a care home with nursing. Providing care for older people and adults with enduring mental health problems. Care in the home is provided by Registered Mental Nurses supported by care staff. The home is owned and managed by The Care Consortium (1997) Ltd, a local company that specialises in providing services for clients with mental health needs. The home is situated in Bentinck Road in the west of the city of Newcastle upon Tyne, close to local shops and good public transport links. The building is comprised of an older stone built structure over three floors, with a newer brick built annexe of two floors. The majority of bedrooms are single accommodation and there are a number of toilets and bathrooms. Throughout the building there are a number of lounge and dining room facilities. There is a separate kitchen and laundry room facility. Westwood Lodge DS0000000408.V354649.R01.S.doc Version 5.2 Page 5 The philosophy of care is to support the residents in their activities of daily living and to provide for their mental and physical health needs. More information about the service, including previous inspection reports can be found at the home in the entrance foyer. The fees for the home range from £383-£484. Westwood Lodge DS0000000408.V354649.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. How the inspection was carried out: Before the visit we looked at: Information we have received since the last inspection visit. How the service dealt with any complaints or concerns since the last visit. Any changes to how the home is run. The manager’s views of how well they care for people. The views of people and professionals who use the service and their relatives or friends. This was given to us in the form of questionnaires. Twenty were sent out and nine returned. During the unannounced visit we: Talked with some of the staff. Looked at the information about people who use the service and how well their needs are met. Looked at other records the home is required to keep. Checked that staff had the knowledge, skills and training to meet the needs of the people they care for. Looked around the building to make sure it was clean, comfortable and safe. Checked what improvements had been made since the last inspection visit. The manager was present at the inspection. What the service does well: There were adequate amounts of staff on duty to meet residents’ needs. Good recruitment procedures are followed and staff are thoroughly screened before they are employed at the home. All residents’ and relatives’ questionnaires returned praised the hard work and caring attitude of the staff. One relative said that staff “always have a kind word and smile, it makes such a difference”. Medication was well managed. All records were up to date. The medication storage room was clean and tidy. Westwood Lodge DS0000000408.V354649.R01.S.doc Version 5.2 Page 7 Records about residents care were good. All care needs were clearly identified and planned for. The personal and differing needs of residents were noted and care planned accordingly. One health professional who completed a questionnaire said that the staff at the home always sought and followed advice where needed. All health and safety checks for the home were up to date. The place smelled fresh and looked clean and tidy. Residents’ bedrooms wee very personal, some were locked at their request, and all looked comfortable. Good efforts are made to consult with residents and their relatives. The manager regularly sends out quality surveys. An annual audit of the home is carried out to make sure good standards are maintained. Complaints received were acted upon quickly and well documented. Residents knew who to complain to, they said they would complain to “the boss, the nurse or a senior carer”. Residents’ monies were properly managed. The food tasted good. There was enough of it and all residents had a choice of meal. There were plenty of fresh fruit and vegetables used. Residents said they liked the food. In their questionnaires relatives confirmed that they had seen staff helping residents to eat. The home had a nice relaxed atmosphere. Staff seemed to know residents very well and coped well with the occasional episode of challenging behaviour or personal differences between residents. What has improved since the last inspection? All of the requirements made at the last inspection have been met. There are a lot of activities on offer. Individual records are kept of residents’ interests and hobbies. Attempts are made to meet these through the activities plan. A residents’ committee has been set up to encourage residents to have control over issues affecting them in the home. The building looks better and more comfortable for residents. Some areas have been redecorated and new carpets bought. Westwood Lodge DS0000000408.V354649.R01.S.doc Version 5.2 Page 8 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. Westwood Lodge DS0000000408.V354649.R01.S.doc Version 5.2 Page 9 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 Westwood Lodge DS0000000408.V354649.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3, standard 6 does not apply. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People have their needs and wishes assessed before they move into the home to ensure staff can meet their needs. EVIDENCE: In questionnaires relatives confirmed that they had enough information about the home before they chose it. One relative said the paperwork relating to nursing or residential care was confusing but it was unclear as to whether this was paper from care managers or the homes own information. The information the home provides does seem clear. There were relatives looking around the home at the time of inspection. Routines and procedures were being explained to them. Residents admitted to the home do have their needs assessed. Information from other professionals is included in this. The needs assessment forms part of the care planning. The information is good enough that care plans can be Westwood Lodge DS0000000408.V354649.R01.S.doc Version 5.2 Page 11 written before a resident is admitted. This enables the staff to have immediate access to information about residents’ needs and how to manage them. Good information was recorded and residents’ individual needs were clear. These included resident’ wishes regarding how they wish to be addressed, social and emotional need and any gender preferences they expressed. Westwood Lodge DS0000000408.V354649.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of care planning is good and gives a good level of information to staff to support meeting residents needs. Care is planned with residents in a way they prefer and in a sensitive manner. EVIDENCE: Four plans of care were examined. Two of the people whose care plans were seen were also spoken with or seen by the inspector. This is called case tracking. The care plans contained enough information about residents to enable staff to meet their needs. All care plans contained up to date information and had been regularly evaluated. Care plans that were case tracked showed a good reflection of the residents’ current needs. Care plans reflected the diverse range of residents’ abilities, likes, dislikes, social needs and aims as well as their physical needs. The information was written clearly and was easy to understand. This enabled all staff to have access to good information about the residents in their care. One relative commented how the care had Westwood Lodge DS0000000408.V354649.R01.S.doc Version 5.2 Page 13 improved the physical condition of her relative. Another relative confirmed that staff keep residents “clean, safe, warm and well cared for”. Residents looked clean and well cared for. There was evidence in care plans that residents can see a doctor when they need to. Other health professionals such as psychologists, therapists, opticians and dentists had been involved in the care of residents. None of the residents in the home were suffering from pressure sores. The nurse in charge showed a clear understanding of residents’ physical and psychological needs. In a questionnaire a visiting professional to the home said “staff always ask advice and carry out instructions relating to care and skin integrity”. She also confirmed that whenever she visited she noticed the care staff treat the residents with respect. Medication administration records were examined. Medication management was satisfactory. All administration records were correctly filled in. All files contained an identification photograph of each resident. All medications are checked and recorded on ordering and disposal. One amount of controlled drug was checked and found to be correct. Temperatures of the drugs fridge and treatment room were recorded and were within acceptable limits. The treatment room was clean and tidy. Residents do have keys to their own rooms if they wish. Several bedrooms were locked on the day of the inspection. Residents said they were treated respectfully. The inspector observed staff talking politely to residents and offering them choice about where to sit and what to do next. Westwood Lodge DS0000000408.V354649.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People living in the home are encouraged to be as independent as they wish. They access social activities in the home and wider community. Choice and rights are promoted. EVIDENCE: The provision and recording of social activities has really improved since the last inspection. Social care plans were very good. They were clearly written in plain English. These plans stated residents likes and dislikes, past hobbies and current abilities. They also explained the extent to which the resident had joined in various activities and whether they had enjoyed it or not. Between July 2007 and September 2007 residents had been able to join in twice weekly walks organised by a local charity for the ‘over 50’s’, a tour of St James’ Park, a day at the Durham Miners Gala, new age curling, a computer course, BBQ on the beach, food at Charlies Chinese, an outing to The Elephant on the Tyne, to South Shields to watch the Bootleg Beetles, fish and chip lunches, and a fun run/walk for sponsorship. They also regularly have an ‘after 6pm club’ and various in house activities. The computer course enabled Westwood Lodge DS0000000408.V354649.R01.S.doc Version 5.2 Page 15 residents to start their own website. Information on this is available in the home. Residents have recently formed a committee. The minutes of these were examined and showed that residents regularly choose what activities should be on offer. They are also encouraged to comment on anything in the home affecting them such as food, decoration etc. The manager reported that he had tried to involve relatives in these meetings but there were difficulties with timing and interest. He continues to offer this to relatives. One resident showed the inspector her room, which was very well personalised with memorabilia of her life. All bedrooms seen contained a lot of personal items including furniture. Care records did contain information about resident choices. Resident’s opinions are regularly sought through questionnaires, daily contact and meetings. Dining areas were well presented. Menus were varied and choices were always available. The food looked good. The main meal is served later in the day with a lighter lunch offered. The inspector ate lunch at the home and tasted all of the options for that day. They were all good. The food was tasty and well presented. The portion size was good. There were very few complaints from residents regarding food. The minutes of the residents’ meetings showed that they liked the food on offer. Residents all said they liked the food. One resident did say, “We get too much food”. In questionnaires relatives said, “the staff help people to eat and drink”. Relatives confirmed that staff give this assistance in a kind manner. Westwood Lodge DS0000000408.V354649.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clear procedures are in place to protect residents from risk of harm and enable their concerns to be effectively dealt with. EVIDENCE: The complaints procedure is available in each residents’ room. There has been one complaint since the last inspection. This was quickly resolved to the satisfaction of the complainant. Residents said they knew how to complain. They said they would complain to “the boss in white” “a nurse” or gave the name of a senior carer. Relatives said they had no cause for complaint and all concerns were quickly addressed. Adult Protection procedures are available in the home. All staff have received training in adult protection. There were no issues requiring referral to the adult protection team. Westwood Lodge DS0000000408.V354649.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 24 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The building is clean and generally well maintained. Recent refurbishment has resulted in a more comfortable setting for residents. EVIDENCE: The home was generally clean. There were no obvious smells anywhere. Some redecoration has taken place and is still ongoing. The top floors of the home were being painted during the inspection. The ground floor has been finished and looks clean and comfortable for residents. The home has passenger lifts and level access to most areas for residents. Parts of it are an older building and not purpose built. There are steps to negotiate in these areas, which are restricted for the use of younger ambulant residents only. Residents’ bedrooms were very well personalised. Some people had brought items of their own furniture and most had pictures and ornaments from home. Several residents kept their bedrooms locked. Westwood Lodge DS0000000408.V354649.R01.S.doc Version 5.2 Page 18 Some of the bathrooms, the laundry and the sluices needed a general tidy up. Some old chairs, no longer in use, were stored in the bathrooms. The sluices contained items that did not need to be there. There were a few areas of improvement needed in relation to infection control. The laundry needs to be redecorated to ensure that all of its surfaces are impermeable and easy to clean. The walls and floor in here were scuffed and in some places dirty. The shelves were chipped. All surfaces in the laundry should be easy to wash down to help prevent the spread of infection. It also requires some tidying and reorganisation to establish separation of dirty and clean items. Similarly some toilets and washbasins need their surrounds resealing for the same reason. Tiles in these areas need re-grouting or sealing with suitable paint. Foot operated waste bins need to be provided in all hand washing areas for disposal of paper towels. Some of the towels sheets and Kylies were faded and looked old. Kylies are used for promotion of continence. They have a limited wash life after which they no longer work. The manager had already identified these things as needing gradual replacement. Westwood Lodge DS0000000408.V354649.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home are protected by recruitment and selection procedures that are properly followed. Staff are supported through training and supervision to provide care to people in a way that meets their individual needs. EVIDENCE: The usual staffing for the home is: Through the day: One qualified nurse and four carers downstairs. One qualified nurse and seven carers upstairs. At night: One qualified nurse and four carers. The off duty rosta for the home showed that these staffing levels were being met. Over 50 of the home’s staff are qualified to NVQ level 2 or above. A training programme is in place. This provides an overview of training achieved and required. Staff reported that they have done or been offered training. All statutory training is up to date. A data sheet is available to show the training received and due for staff. This currently covers four areas: fire safety, food hygiene, first-aid and moving and handling. The inspector recommended that this be extended to include other subjects such as infection control, NVQ and health and safety. Westwood Lodge DS0000000408.V354649.R01.S.doc Version 5.2 Page 20 Four staff recruitment files were examined. Two were for new staff members, one for a registered nurse and one for existing care staff. All files showed that a suitable application form had been used. Two references were obtained. Criminal Records checks and Adult Protection checks were done. There was evidence that staff’s identity had been checked. The home aims to give all applicants an equal opportunity of employment. Standard forms are in place to ensure that everyone goes through the same process at application. The home has one staff file that does not contain two references. This is for a carer who has worked at the home for 16 years. The inspector agreed that to seek a reference for this person now would be pointless. This agreement is to be recorded on that file. All of the questionnaires received commented positively on the attitude and abilities of staff. These comments have mostly been reflected in other areas of this report. People said that staff seemed “competent and knowledgeable”. A health professional said “if they don’t know the answers to my questions they find me someone who does”. The comments in the questionnaires were good about all staff, nurses, carers, kitchen, cleaning, laundry and odd job man. Westwood Lodge DS0000000408.V354649.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run which benefits the people who live there. They are consulted about what goes on in the home through meetings and day-to-day contact. People living in the home and staff are protected through good health and safety procedures and checks. EVIDENCE: The manager is an experienced Registered Mental Nurse who has managed the home for over three years. He has obtained NVQ level 4 in 2003. He has many years experience of working with the client group, prior to becoming manager he was deputy home manager. The manager is registered with CSCI. Westwood Lodge DS0000000408.V354649.R01.S.doc Version 5.2 Page 22 The manager and staff attempt to run the home in the best interests of the residents by consulting them about issues affecting their lives. Residents meetings are held. Resident surveys are regularly carried out. The manager stated that he likes to be out and around the home as much as possible to keep close contact with residents. The good comments reflected in all questionnaires received are a reflection of good management. Records relating to resident’s monies were checked. Accounts are held individually. Receipts are kept for all expenditure. Two signatures are obtained for all transactions. Staff have received training in health and safety. A quality assurance system is in place. This includes auditing of safety as well as quality of records and procedures. Fire safety checks and tests were up to date. Checks of internal equipment, window closures and hot water temperatures were also up to date. Safety certificates were available for gas systems, water chlorination and electrical appliances. There were no unsecured hazardous substances. All fire exits were clear. There were no obvious trip hazards. Generally the systems for managing the home were well organised. Westwood Lodge DS0000000408.V354649.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 Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 4 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X 3 X X X 4 X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Westwood Lodge DS0000000408.V354649.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 OP26 Regulation 13(3) Requirement Ensure all surfaces in working areas are impermeable to infection. Ensure that hand wash areas are suitably equipped. Remove all non-used items from work areas and residents bathrooms. Timescale for action 01/12/07 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 OP26 OP30 Good Practice Recommendations Replace faded kylies, towels and sheets. Expand the training programme to reflect all training done. Westwood Lodge DS0000000408.V354649.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Westwood Lodge DS0000000408.V354649.R01.S.doc Version 5.2 Page 26 - 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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