Inspection on 16/11/06 for Warwick House

This inspection was carried out on 16th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Other inspections for this house

Warwick House 09/10/07

Warwick House 04/10/05

Warwick House 18/05/05

Warwick House 22/11/04

Warwick House 14/06/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Warwick House Warwick House Bonsall Avenue Littleover Derby Derbyshire DE23 6JW Lead Inspector Angela Kennedy Key Unannounced Inspection 16th November 2006 09:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Warwick House DS0000035936.V320147.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. Warwick House DS0000035936.V320147.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Warwick House Address Warwick House Bonsall Avenue Littleover Derby Derbyshire DE23 6JW 01332 718720 01332 718720 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) www.derby.gov.uk Derby City Council Caroline Brighouse Care Home 28 Category(ies) of Old age, not falling within any other category registration, with number (28) of places Warwick House DS0000035936.V320147.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. That 6 beds be registered for intermediate care only. Date of last inspection 4th October 2005 Brief Description of the Service: Warwick House is a 28 bedded home for older people situated in Littleover, a suburb of the city of Derby. The home has been refurbished to provide six places for intermediate care and will provided twenty two places for respite care over a phased period. The property was purpose built and is owned by the local authority, Derby City Council. Service users’ bedrooms are situated on the first floor, which is accessed by stair lift and passenger shaft lift. The intermediate care bedrooms are situated on the ground floor and are en suite. All bedrooms are attractively decorated and personalised. Communal areas are bright and décor is of a good standard. There is a garden area with patio and outdoor seating. Support services are in place with a choice of General Practitioners, and visiting district nurses, chiropodist, dentist and optician. Community psychiatric nurse, occupational therapist, physiotherapist and dietician are accessed as required. Staff training takes place to inform and enable staff to care for service users appropriately. Transport is arranged for those service users wishing to go out and in house entertainment is arranged. The Fees for respite care/ short term care at Warwick House at the time of this inspection were: £94.45 to £296.00 per week dependent on personal savings. Warwick House DS0000035936.V320147.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced key inspection, which means the service was assessed against all of the key national minimum standards. This inspection included a thematic enquiry as part of a national pilot scheme. This consisted of asking a number of standardised questions to a sample of residents. The registered person was informed and the agreement of the resident was sought before asking a set of questions about the care they received. The inspection took place over a 6-hour period. The care records were looked at for three residents and these three residents were spoken with to ascertain their views and opinions on the care and support provided to them. Two staff files were looked at and these two staff were spoken with to determine their opinions on the care provided to residents and the training and support given to them. Other records examined included the complaints received and the action taken, the activities provided and undertaken by residents, the medication practices of the home, the meals provided and the safe working practices in place. What the service does well: Warwick House is a well managed home that provides a safe and comfortable environment for the people living there. All of the residents spoken with felt they received a good standard of care and this included the intermediate care service provided at the Cherry Tree unit. Many of the staff team have been employed at Warwick House for many years, which ensured a stable, and secure environment was maintained for the residents. Warwick House DS0000035936.V320147.R01.S.doc Version 5.2 Page 6 Care plans and the majority of risk assessments seen provided sufficient detail to inform staff of the care and support required by each resident. The rapport between residents and staff was observed and demonstrated an open, positive and caring atmosphere. What has improved since the last inspection? What they could do better: Although a quality assurance system is in place at Warwick House this requires further development to ensure the views of visiting professionals are sought, and any actions taken following the information received from residents and other interested parties are fed back to residents, relatives and visiting professionals. Activities in the home were available but further development is needed to ensure that residents are aware of the various activities available within Warwick House. Further development is required to the medication practices to ensure that safe working practices are in place at all times. Please contact the provider for advice of actions taken in response to this Warwick House DS0000035936.V320147.R01.S.doc Version 5.2 Page 7 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. Warwick House DS0000035936.V320147.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Warwick House DS0000035936.V320147.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents had the information needed to make an informed choice about Warwick House, however further development is required to ensure the terms and conditions of residency are kept up to date. Resident’s needs are assessed before they move into Warwick House to ensure their needs can be met. EVIDENCE: Three residents files were looked at. All three residents had assessments in place that had been undertaken before they had moved into Warwick House. One of the residents lived at Warwick House on a permanent basis and the needs assessment in place had been undertaken prior to admission. Warwick House DS0000035936.V320147.R01.S.doc Version 5.2 Page 10 Another resident came into Warwick House for respite care therefore a needs assessment was undertaken before each admission to ensure any changing needs were identified and to determine their needs could be met. The third resident whose file was looked at was accessing Warwick House for intermediate care. This was provided within a separate area of Warwick House called Cherry Tree unit, which provided rehabilitation facilities and specialist input from occupational therapists, physiotherapists and care staff. A full assessment had been undertaken prior to admission to determine that the needs of this resident could be met. The findings of the thematic enquiry questions asked to one resident at Warwick House were: The resident confirmed they had an up to date copy of the service user guide and said that they had received information since coming to the home about any changes to the cost of their care. The resident confirmed that they had a written contract of Terms and Conditions of residency and said that the contract had changed since they had first come to Warwick House. All three residents files were looked at and only one of these residents had written Terms and Conditions within their files. These Terms and Conditions were dated October 2005. There was evidence within this residents files of Terms and Conditions from previous years and it was stated by the deputy assistant unit manager that new Terms and Conditions were due to be sent out. The terms and conditions seen within this residents file had been signed and dated by the resident. The resident who accessed Warwick House for respite did not have Terms and Conditions within their file. The deputy assistant unit manager stated that residents accessing Warwick House for respite would have their Terms and Conditions at home and not within their personal files. The resident spoken with confirmed this and said their terms and conditions were up to date. The resident accessing Warwick House for intermediate care did not have any contract or Terms and Conditions in place within their personal files as their care was provided by a specialist health care team that was funded by the Derby City intermediate care service. Warwick House DS0000035936.V320147.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s health, personal and social care needs were set out within their plans of care and their dignity and privacy was maintained. In general the medication practices were good but further work is required to ensure that the risk assessments in place for residents who self administer their medication provide clear evidence regarding each resident’s capacity for self administration of medication. EVIDENCE: All of the three residents files seen had comprehensive care plans in place that had been formulated from their needs assessments. Warwick House DS0000035936.V320147.R01.S.doc Version 5.2 Page 12 The care plans were detailed and provided staff with the information required to ensure the care and support required was provided to each residents. Care plans seen covered all areas of need such as, personal care which included oral hygiene and foot care, nutritional needs, accommodation, domestic tasks, personal assistance, technical aids, communication, health and mental health (which looked at accessing health services such as chiropodists, general practioners, opticians, hearing services, dentists, district nurses, physiotherapists, occupational therapists and psychiatric services), mobility, carers needs, personal counselling, social life, employment and education, financial, transport and criteria for measuring success. From these care plans risk assessment had been developed and covered nutrition including monitoring of weight. The frequency of monitoring of weight was undertaken on each visit for the resident accessing Warwick House for respite and on a monthly basis for the resident who lived permanently at Warwick House. Other assessments in place included falls assessments, moving and handling assessments and general risk assessment looking at areas of need identified within the care plans. The resident accessing the Cherry Tree unit had care plans and risk assessments in place that focused on their rehabilitation needs, this included a personal handling plan and personal handling risk assessment and a dependency assessment which was regularly reviewed to determine the residents level of dependency, this then determined the on going level of support required. Evidence was in place to demonstrate that all three residents had signed in agreement of their care plans. All care plans were dated and signed by the staff and all had been reviewed on a monthly basis or more frequently if required, this demonstrated that any changing needs could be identified and the appropriate action taken to ensure each residents needs could be met on a continuous basis. The medication practices at Warwick House were looked and in general were found to be satisfactory. Medication Administration records were seen and corresponded accurately with each individuals prescribed doses and the pharmaceutical instructions provided on medication. However on handwritten instructions two signatures had not been provided. This was discussed with the deputy assistant unit manager and clarified that both the member of staff writing out the prescribed medication instructions and the member of staff checking the hand written instructions should sign to evidence that this has been done. Warwick House DS0000035936.V320147.R01.S.doc Version 5.2 Page 13 Disclaimers regarding the self-custody of medication and assessments were in place for residents who chose to self-administer their medication. Some of these assessments did not clearly demonstrate the resident’s ability to manage their own medication. This was discussed with the deputy assistant unit manager and it was agreed that the wording used should be amended to clearly demonstrate that individual residents had the capacity to safely retain and administer their medication. Residents spoken with were very complimentary regarding the care and support they received from the staff team. Residents were addressed by their preferred name and this was observed on the day of inspection. Two pay phones were available within private rooms for residents use and other rooms were also available for residents if they wished to have some privacy or a private conversation with visitors or friends. All three of the residents spoken with confirmed that staff were respectful and maintained their dignity both when assisting with any personal care needs and at any other time. Warwick House DS0000035936.V320147.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): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s social and recreational interests were met and residents maintained contact with their family and friends and were encouraged to maintain their independence. The meals provided were of a good quality. EVIDENCE: There was no activities coordinator employed at Warwick House, therefore activities were organised by the manager and staff on duty. The activities provided included sing a longs, karaoke, dominoes, armchair exercises, skittles, jigsaws and connect. Some of the games such as connect and card games were large to enable residents with visual impairment to use them. At the time of the inspection a local artists had been funded to work with residents at the home creating various paintings. Some of these paintings were Warwick House DS0000035936.V320147.R01.S.doc Version 5.2 Page 15 on display within the home and it was stated by the artist that he planned to display the resident’s artwork within the local area. Community transport was organised for resident’s trips out such as shopping trips and meals out including a Christmas meal out that had been arranged for the residents who lived at Warwick House on a permanent basis and those residents accessing respite. Residents spoken with felt that the activities provided were adequate, although one resident did say that it was only on this respite visit that he had realised there was a games room with different games available. This was discussed with the deputy assistant unit manager. The deputy assistant unit manager discussed plans that were in place to speak with each individual resident regarding the activities they would like to participate in. Visiting time at Warwick House was open although the deputy assistant unit manager stated that visitors were asked to avoid visiting at meal times if possible to avoid any disruption to meals. Residents spoken with said they were able to receive their visitors within their private accommodation or within the communal areas as they chose. As stated earlier there were several quiet rooms that could also be used to entertain visitors if residents wished to use them. Although none of the residents used advocacy services they were advertised throughout the communal areas of Warwick House. The Church of England provided religious services at Warwick House on a monthly basis, however the deputy assistant unit manager confirmed that if any resident required a visit from any other religious denomination then this would be organised. It was also confirmed that one resident attended their local church each week. Mealtimes at Warwick House were; breakfast from 8.30am onwards, lunch at 12.15pm, evening meal at 4.15pm and supper at 9pm. The menus were looked and demonstrated that a variety of breakfast cereals and toast were available at breakfast, two choices were available at lunchtime and evening meals. It was noted that on some occasions the alternative at the main mealtime was soup. Discussions took place with the deputy assistant unit manager as to whether soup was considered to be substantial as a main meal even when bread was provided as an accompaniment. The lunchtime meal was sampled and found to be of a good quality. Warwick House DS0000035936.V320147.R01.S.doc Version 5.2 Page 16 Three residents were spoken with regarding their opinions on the quality and variety of meals provided. Two of the residents stated that they were very happy with the meals provided and found them to be of good quality. One resident stated that some of the meals were not to her taste and therefore she preferred to purchase some items of food, which the staff would then prepare for her. This resident also felt that there was too many casserole type meals on the menu and stated that she would like to see more variety in the types of meals provided. These issues were also discussed with the deputy assistant manger who confirmed that resident’s opinions would be sought regarding the choice and variety of meals provided. Warwick House DS0000035936.V320147.R01.S.doc Version 5.2 Page 17 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s were confident that their concerns were listened to and the practices in place demonstrated that residents were protected from abuse. EVIDENCE: Warwick House had received two complaints within the last twelve months; both of these complaints had been addressed, although the outcome regarding one of these complaints was not recorded. This complaint had been dealt with recently and discussions with the deputy assistant unit manager confirmed that the registered manager was awaiting confirmation from the local authority regarding any action taken. No adult protection referrals or investigations had been undertaken or made regarding Warwick House within the last twelve months. The findings of the thematic enquiry questions asked to one resident at Warwick House were: Warwick House DS0000035936.V320147.R01.S.doc Version 5.2 Page 18 The resident confirmed that they had received written information that told them how to make a complaint and they felt that they had all the information they needed to enable them to raise any concerns they had about their care. Warwick House DS0000035936.V320147.R01.S.doc Version 5.2 Page 19 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): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s lived in a safe, clean and well-maintained environment. EVIDENCE: A tour of the building was undertaken to ascertain the standards of décor, maintenance, safety and hygiene. A wet and a dry laundry room were provided. One room housed two washing machines and two tumble dryers and the other room was used for drying clothes on hangers that could not be tumbled dried and storing clean washing in preparation for returning them to the individual resident. Residents had their own-labelled laundry basket for this purpose. Warwick House DS0000035936.V320147.R01.S.doc Version 5.2 Page 20 The communal areas were seen and provided a comfortable environment for residents and three residents private accommodation was seen and provided all of the required provisions and furnishings. One resident whose room was seen lived at Warwick House on a permanent basis and their room was personalised with their own belongings, which demonstrated their individuality and personal taste. New storage units had been fitted within the toilets and some new furniture had been purchased for the bedrooms and communal areas such as new chairs, cupboards and worktops and new beds, mattresses and headboards. Warwick House DS0000035936.V320147.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The numbers and skill mix of staff adequately meet the needs of residents and staff had the required training to enable them to meet the resident’s needs. Resident’s were supported and protected by the recruitment practices in place. EVIDENCE: The staffing rotas were examined to determine the number of staff on duty per shift. Three care staff was on duty in the morning and afternoon. Two of these staff worked with the residents who lived permanently at Warwick House or were having respite care. The other member of staff supported the residents within Cherry Tree unit. Throughout the night two care staff were on duty. One of the residents spoken with did not feel there was sufficient staff on duty throughout the night and stated that sometimes resident’s had to wait as staff can be busy, although this resident stated that they did not have to wait for staff if they needed them throughout the night. Warwick House DS0000035936.V320147.R01.S.doc Version 5.2 Page 22 Other resident’s spoken with felt that the numbers of staff on duty were able to meet their needs. The recruitment and training documents for two members of staff were seen. Both staff had the required recruitment records in place this included satisfactory criminal records bureau checks, two satisfactory references and satisfactory identification documents. Both members of staff had undertaken mandatory training as required and both had up to date first aid certificates and had undertaken training that was relevant to the specific needs of the residents. These two staff were spoken with and both confirmed that the training provided was very good and refresher training was given as required, both staff demonstrated a good knowledge of their residents needs. Both staff confirmed that the support and supervision provided by the manager and senior staff was good. Both staff were key workers for individual residents and they discussed their responsibilities within this role. Fourteen care staff were employed at Warwick House and over 50 of these staff had achieved a National Vocational Qualification (NVQ) in care at level 2 or above. The kitchen staff also had NVQ’s at level 2 in cooking and in hospitality and 1 domestic staff also had an NVQ at level 1. Induction training was undertaken by all new staff, which met the National Training organisation workforce training targets. Warwick House DS0000035936.V320147.R01.S.doc Version 5.2 Page 23 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The registered manager has the qualifications and experience required to manage the service efficiently, however further development is required to the quality assurance systems to demonstrate how feedback is provided to residents. Residents financial interests were safeguarded and the health, safety and welfare of residents and staff was promoted and protected. EVIDENCE: The registered manager was not on duty on the day of inspection, however the staff spoken with were very complimentary regarding the leadership skills of Warwick House DS0000035936.V320147.R01.S.doc Version 5.2 Page 24 the manager and stated that she was always available to provide professional support. The registered manager has achieved an NVQ at level 4 and the Registered Managers Award. The Quality Assurance systems at Warwick House were looked at and evidence was in place to demonstrate that satisfaction questionnaires were sent out to residents on a regular basis. Residents meetings were also held regularly and evidence was in place to demonstrate that resident’s opinions and wishes were listened to; an example of this was that two residents were to attend fire training as requested. No evidence was seen to demonstrate that the views of visiting professionals had been obtained regarding their opinion of the care and services provided at Warwick House. No systems in place to feedback the actions that were being taken following consultation with residents. This was discussed with the deputy assistant unit manager and agreed that a newsletter to residents and their families could provide feedback on actions taken following consultation with residents. The financial transaction records of residents were seen and all transactions had been recorded accurately with two signatures obtained at each transaction, this demonstrates that safe working practices were in place to ensure residents financial interests were safeguarded. Some of the safe working practices undertaken at Warwick House were assessed and all seen were found to be satisfactory, this included service certificates for the fire alarm systems and emergency lighting. Weekly fire alarm tests were undertaken to ensure the fire alarm points were in good working order and daily visual inspections of the fire fighting equipment was undertaken along with visual checks of fire exits to ensure they were accessible and free from obstructions. Other information provided by the registered manager prior to this inspection included information regarding the electrical wiring certificate that had been issued in December 2001, and therefore was in date until December 2006. This information also stated that a new emergency call system had been installed in July 2006 and that hoists and other adaptations had been serviced in May and June 2006. Warwick House DS0000035936.V320147.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 2 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Warwick House DS0000035936.V320147.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? 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 OP2 Regulation 5A, 5B Requirement All residents should have an up to date written contract/statement of terms and conditions that includes the fees payable and the method of the payment of fees and the person or persons by whom the fees are payable. The quality assurance system must seek the views of visiting professionals and other relevant parties. (Previous timescale of 01/08/04 and 01/12/05 not met) The results of surveys must be published and made available to current and prospective residents. Timescale for action 31/05/07 2. OP33 24 (1) 31/05/07 3. OP33 24 (1) 31/05/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Warwick House DS0000035936.V320147.R01.S.doc Version 5.2 Page 27 No. 1. 2. 3. Refer to Standard OP27 OP33 OP9 Good Practice Recommendations Consideration should be given to specifying more domestic staff hours for tasks such as laundry. Informal views about the home should be collated to assist with quality assurance. All hand written medication administration record (MAR) charts should be checked, signed and dated by two people. Risk assessments for residents who self-administer their medication should provide clear evidence of the resident’s capacity for self-administration of medication. There should be a wider range of activities arranged at a frequency to suit residents’ needs and residents should be informed of the activities available. Consideration should be given to the optional meal available at lunchtime to ensure it is a substantial alternative. Consideration should be given to the variety of meals available to ensure a similar dish is not offered as the alternative option. 4. OP9 5. OP12 6. OP15 7 OP15 Warwick House DS0000035936.V320147.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Warwick House DS0000035936.V320147.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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