Inspection on 19/08/08 for 60 Wood Lane

This inspection was carried out on 19th August 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

60 Wood Lane 22/06/07

60 Wood Lane 03/05/06

60 Wood Lane 24/01/06

60 Wood Lane 01/07/05

60 Wood Lane 04/01/05

60 Wood Lane 13/07/04

60 Wood Lane 14/01/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 08/11/2008.

CARE HOME ADULTS 18-65 60 Wood Lane Sonning Common Oxfordshire RG4 9SL Lead Inspector Marie Carvell Unannounced Inspection 19 August 2008 3.20pm th 60 Wood Lane DS0000013219.V365161.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 60 Wood Lane DS0000013219.V365161.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 60 Wood Lane DS0000013219.V365161.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 60 Wood Lane Address Sonning Common Oxfordshire RG4 9SL 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) 01189 722080 jenny.pearce@new-support.org.uk www. Dimensions-uk.org Dimension (UK) Ltd Mrs Jennifer Pearce Care Home 3 Category(ies) of Learning disability (3), Learning disability over registration, with number 65 years of age (3) of places 60 Wood Lane DS0000013219.V365161.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The total number of persons that may be accommodated at any one time must not exceed 3 22nd June 2007 Date of last inspection Brief Description of the Service: 60 Wood Lane is a three-bedroom house situated in a residential area of Sonning Common, close to shops and other amenities. It provides accommodation and care for up to three adults with a learning disability, either under or over 65 years of age. All those being supported are admitted on a permanent basis. The physical dependency of those being supported is increasing as they become older and consideration is being given as to how these needs can be met in the future. Social and Community Services purchase all the places in the home. The home is owned and managed by Dimensions (UK) Ltd. a charitable organisation that provides residential, supported living and outreach services for adults with a learning disability. The current charges are £654.00 per person per week. Extras include podiatry and hairdressing and those being supported buy their own toiletries, papers and magazines and pay transport costs out of their own weekly allowance. 60 Wood Lane DS0000013219.V365161.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This inspection of the service was an unannounced ‘Key Inspection’. We arrived at the service at 3.20pm and was in the service until 6.50pm it was a thorough look at how well the service is doing. We took into account detailed information provided by Jenny Pearce, in the form of the Annual Quality Assurance Assessment (AQAA) this is a self-assessment and summary of services questionaire that all registered services must submit to the Commission each year and any information that we have received about the service since the last inspection. The AQAA was received by us in April 2008. We asked the views of the people who use the service and other people seen during the inspection. Three responses were received from service user surveys and three responses from staff, sent out by us to the home. We looked at how well the service was meeting the standards set by the government and has in this report made judgements about the standards of the service. Time was spent with the three service users, the member of staff on duty and a member of staff on duty at another of the organisations homes. A tour of the premises was carried out and a sample of records required to be kept in the home were examined, including case tracking of service user’s files and other records required to be kept in the home. In addition we spent time observing how care was being delivered to the service users. At the last inspection carried out in June 2007, three requirements and five good practice recommendations were made. The requirements were that sufficient staff must be employed to meet the assessed needs of the service users, staff records must evidence that all pre-employment checks have been carried out and that the manager must be given sufficient time to carry out her management responsibilities. The good practice recommendations were that consideration is given to meal planning to avoid a repetition of foods, served at consecutive meal times, that all staff are provided with training/updating in the home’s whistle blowing policy, that 50 of staff are trained to National Vocational Qualification training (NVQ) level 2, that consideration is given to the current practice of staff working long shifts and the reviewing of policies and procedures. Brief feedback was given to the member of staff on duty. 60 Wood Lane DS0000013219.V365161.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? All care plans and risk assessments have been updated using new documentation. From the evidence seen and from discussion with service users, a varied well balanced and nutritious diet is provided. Food stocks were plentiful with vegetables, salad and fruit. 60 Wood Lane DS0000013219.V365161.R01.S.doc Version 5.2 Page 7 Since the last inspection one part time support worker has been recruited to work between this home and a second home. Since the last inspection all policies and procedures have been reviewed and updated as necessary. Reports written following an unannounced visit to the home, by a provider representative were available in the home and are completed monthly. What they could do better: The manager is advised to review safe bathing procedures in the home with staff and individual service users. The right to be alone is generally respected by staff, who do not enter bedrooms without service user permission. We observed the member of staff on duty cleaning the communal bath, whilst a service user was using the bathroom with the door open. Staffing levels are minimal, three part time and four full time support workers are in post to cover two care homes. One support worker has left since the last inspection and a second experienced support worker, we were told is due to leave at the end of August/ September. Bank support workers, who work for day services, provide some cover to the home as overtime, when necessary. The duty roster demonstrated that there is usually only one member of staff on each shift. All staff must be provided with training/updating in the home’s whistle blowing policy and safeguarding adults from abuse. It is not evident that the manager has sufficient time to carry out her administrative and management responsibilities at Wood Lane, as she also provides direct care to service users, when covering shifts alone at both care homes and providing sleep in duties at both homes. 60 Wood Lane DS0000013219.V365161.R01.S.doc Version 5.2 Page 8 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. 60 Wood Lane DS0000013219.V365161.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 60 Wood Lane DS0000013219.V365161.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2. Quality in this outcome area is good. All service users are assessed prior to moving into the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There has been no new service users admitted to the home since the last inspection. Service user records have previously evidenced that a full needs assessment was obtained on the prospective service user prior to admission to the home for a trial period. 60 Wood Lane DS0000013219.V365161.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6,7 and 9. Quality in this outcome area is good. Service users have detailed care plans and are as involved as much as possible, with decision making. Appropriate risk assessments are in place. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans are completed with input from the service user, key worker and the service user’s representative, as appropriate. All care plans have recently been updated using new documentation. Care plans are regularly reviewed and annual meetings are held to ensure that any changing needs are identified. Care managers (social workers) and family members are also invited to attend annual reviews and generally are able to be present. Risk assessments are in place and have recently been updated using new documentation. Risk assessments support care plans and are used to inform staff of the ability of service users to make informed choice and decisions. It was noted that during the inspection, whilst the member of staff on duty was 60 Wood Lane DS0000013219.V365161.R01.S.doc Version 5.2 Page 12 preparing the evening meal, one service user who requires support with bathing, was able to have a bath, without the member of staff being aware. This was putting the service users at potential risk. The manager is advised to review safe bathing procedures in the home with staff and individual service users. 60 Wood Lane DS0000013219.V365161.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,15,16 and 17. Standard 17 was subject to a good practice recommendation at the last inspection. Quality in this outcome area is good. Service users are assisted to make informed choices regarding all aspects of their daily life. This is sometimes dependent on staff resources. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each service user has a weekly programme of activities. Daily activities are recorded in service user’s daily diaries. The home has a vehicle, which is shared with another care home. The use of the vehicle is restricted as only two members of staff are able to drive. One service user works six days a week at a local farm and has done so for many years, another service user attends day services for two days per week and a third service user attends day services for one morning per week. Time was spent with the three service users. Two service users said that they enjoyed watching television and knitting and had 60 Wood Lane DS0000013219.V365161.R01.S.doc Version 5.2 Page 14 recently been on holiday. Any planned activities outside the home are dependent on agreement of all service users wishing to participate, as there is only one member of staff on duty. At the inspection, plans were being made for two service users to accompany service users from another home to go out to the local pub. One service user in each home did not wish to go, this involved either the service user visiting another care home for a while or the service user from the other care home staying with the service user at Wood Lane, to ensure that one member of staff is able to accompany service users to the pub and the second to stay with the service users not wishing to join the group. Service user’s rights and responsibilities are respected and this is recorded in service user meeting minutes and service user records. The right to be alone is generally respected by staff, who do not enter bedrooms without service user permission. We observed the member of staff on duty cleaning the communal bath, whilst a service user was using the bathroom with the door open. Visitors to the home are made welcome. Service user birthdays and other events in the home always include an invitation to friends and relatives. Service users are encouraged to maintain regular contact. The home has recently installed a telephone, which with pictorial signs assists service users to use the telephone to call friends and family independently. Daily routines are relaxed and appear to be flexible to meet the wishes and preferences of the service users. However, this is dependent to a degree on the number of staff on duty and may require service users to accompany the member of staff and other service user when providing transport to day centres, shopping etc. As in many other care homes, there is a wider range of racial, ethnic and faith backgrounds represented within the staff group compared with the current service users. From the knowledge we have about the home, the home may be able to provide a service to meet the needs of individuals of various religious, racial or cultural needs. At the last inspection a good practice recommendation that consideration be given to meal planning to avoid repetition of foods, serviced at consecutive meal times. We joined service users for the evening meal. Service users told us that the menu is agreed each week. Service users are involved with the weekly shopping trip. Records of food eaten are recorded in service user diaries. The member of staff on duty asked each service user what vegetables they would like. Service users were involved with food preparation and setting the table, the food was attractively service and service users were offered second helpings. Service users said that the food served was very good and that they enjoyed all the meals. From the evidence seen and from discussion with service users, a varied well balanced and nutritious diet is provided. Food stocks were plentiful with vegetables, salad and fruit. 60 Wood Lane DS0000013219.V365161.R01.S.doc Version 5.2 Page 15 60 Wood Lane DS0000013219.V365161.R01.S.doc Version 5.2 Page 16 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18,19 and 20. Quality in this outcome area is good. Service user’s personal and healthcare needs are well met and trained and competent staff deal with medication safely and appropriately. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users physical and personal care needs are detailed in care plans and are recorded in service user records. These records are maintained to a high standard and are also recorded in an appropriate format for service users to understand. All service users are registered with a local GP practice. Regular health checks and routine screening and treatments are offered by the practice and service users regularly see the practice nurse for blood tests and other advice and treatments. Details of the outcome of these appointments and any changes in treatment or medication are well documented in the care plans and daily records. 60 Wood Lane DS0000013219.V365161.R01.S.doc Version 5.2 Page 17 The home has robust medication policy, procedure and practice guidance in place. Staff are aware of their responsibilities in relation to the safe administration of medication and have been appropriately trained. Comments made on survey received from service users, completed with assistance from staff included: ‘ Staff help me do things I want to do on a daily basis’ ‘ All my days are filled with things I want to do’ ‘The staff treat me as an individual’ 60 Wood Lane DS0000013219.V365161.R01.S.doc Version 5.2 Page 18 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23. Standard 23 was subject to a good practice recommendation at the last inspection. Quality in this outcome area is adequate. The home has a complaints procedure in alternative formats for service users. Staff need to be aware of the home’s safeguarding adults procedures and whistle blowing policy. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a recently updated complaints procedure in place and it is available in alternative formats. Service users spoken to said that if they were unhappy, then they would speak to a member of staff. The home has not received any complaints since the last inspection and we has not received any information regarding complaints about this service since the last inspection. There are policies and procedures in place for safeguarding adults from possible abuse and whistle blowing. One member of staff said that she had received training about three years ago about safeguarding adults from abuse and the home’s whistle blowing policy and felt that she/he would benefit from a further training/updating. A second member of staff, working at another care home, said that she/he was not confident about the home’s safeguarding adults from abuse procedure or whistle blowing policy. A good practice recommendation was made at the last inspection that all staff be provided with 60 Wood Lane DS0000013219.V365161.R01.S.doc Version 5.2 Page 19 training/updating in the home’s whistle blowing policy. This has not been actioned. No adult protection investigations have been undertaken since the last inspection and no referrals have been made for inclusion on the POVA (Protection of Vulnerable Adults list). The home has recently received a verbal compliment that the garden looked nice. 60 Wood Lane DS0000013219.V365161.R01.S.doc Version 5.2 Page 20 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30.Quality in this outcome area is good. Service users live in a comfortable and homely environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is in good decorative order and furniture is of a good standard. Service users expressed their satisfaction of the home and its facilities. One bedroom was seen at the invitation of the service user and was well furnished and reflected the personality of the service user. The home is comfortable, domestic in size and homely. One bedroom has recently been redecorated. The home was found to be clean, well maintained and free from unpleasant odours. There is a cleaning schedule in place, which was seen to be up to date. 60 Wood Lane DS0000013219.V365161.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32,33,34,35. Standards 33 and 34 were subject to requirement at the last inspection and 32 and 33 were subject to good practice recommendations. Quality in this outcome area is adequate. Staffing levels are stretched to meet the needs of the service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection one part time support worker has been recruited to work between this home and a second home. The home continues to have vacancies for a full time senior support worker and part time support worker posts. At the time of this inspection one support worker was on duty from 7.30am until 3.00pm, having slept in on the premises the previous night and a second support worker working 2.30pm until 10.00pm, then sleeping in on the premises and working from 7.30am until 3.00pm the following day. The duty roster covers the two care homes. Staffing levels are minimal, three part time and four full time support workers are in post to cover two care homes. One support worker has left since the last 60 Wood Lane DS0000013219.V365161.R01.S.doc Version 5.2 Page 22 inspection and a second experienced support worker, we were told is due to leave at the end of August/ September. Bank support workers, who work for day services, provide some cover to the home as overtime, when necessary. The duty roster demonstrated that there is usually only one member of staff on each shift. It was not possible to see either staff personnel records or training records as the manager was on leave. At the last inspection a good practice recommendation was made that action should be taken to achieve 50 of staff to NVQ level II, this is being addressed. We were advised that two support workers have completed NVQ level II or level III and two support workers have almost completed NVQ training. Bank support workers now are able to access NVQ training. At the last inspection a requirement was made that sufficient staff must be employed to meet the assessed needs of the service users and a good practice recommendation was made that the practice of staff working from 2.30pm followed by a sleep in and then a 7.30am until 3.00pm, should be reviewed. This results in staff being on duty in the home for twenty four hours. Jenny Pearce wrote to us to say that staff are happy with the shift pattern and service users also like the arrangement as they can make plans that evening with the member of staff for the next day, she also feels that the staffing levels are adequate to meet the needs of the service users. It is recommended that these shift patterns be kept under review. At the last inspection a requirement was made that staff records must evidence that all pre- employment checks have been carried out and that a formal interview takes place. We are aware that this requirement has been complied with and the recruitment of new staff will be looked at, during the next inspection of the home. It was not possible to look at staff training records or the home’s training and development programme. These will be looked at, during the next inspection of the home. The member of staff on duty confirmed that regular staff meetings are held and we were able to see evidence of the most recent staff meeting on the 15th July 2008. Comments made on survey received from members of staff included: ‘ Information is shared via the communication book, personal diaries and staff handovers’ ‘The care and support provided for the people comes first and foremost’ ‘Provides a warm and welcome and clean home. Good and balanced meals’ 60 Wood Lane DS0000013219.V365161.R01.S.doc Version 5.2 Page 23 60 Wood Lane DS0000013219.V365161.R01.S.doc Version 5.2 Page 24 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37,39 and 42. Standard 37 was subject to a requirement at the last inspection and standard 42 was subject to a good practice recommendation. Quality in this outcome area is adequate. The manager needs to be provided with sufficient time and resources to manage the home effectively. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is managed by a well qualified and experienced manager. Jenny Pearce also manages a second care home and divides her time between the two services. In addition Jenny Pearce supports a service user who lives in the community. It is not evident that she has sufficient time to carry out her administrative and management responsibilities at Wood Lane, as she also provides direct care to service users, when covering shifts alone at both care 60 Wood Lane DS0000013219.V365161.R01.S.doc Version 5.2 Page 25 homes and providing sleep in duties at both homes. This was subject to requirement at the last inspection and has not been complied with. It was noted on the duty roster for week ending the 7th and 14th September 2008, due to staff shortages, Jenny Pearce was rostered to work five shifts each of the weeks, working alone and providing direct care to service users. In addition she was also providing on call cover to a second care home. The home does not have a deputy manager or senior support worker to deputise during Jenny Pearce’s two week leave, we were advised that the Area Manager was on call during the day and the organisations out of hours service at other times. A quality assurance survey is currently being carried out. Surveys complete by service users need to be completed by mid September 2008. The results of the surveys once received and collated will be available to made available to service users, their representatives and other interested parties. The future of Wood Lane as a care home in being reviewed and it is likely that the service will move into supported living in the near future. Since the last inspection all policies and procedures have been reviewed and updated as necessary. Reports written following an unannounced visit to the home, by a provider representative were available in the home and are completed monthly. A sample of records relating to health, safety and welfare were examined and seen to be maintained to a good standard. Each member of staff has a delegated area of responsibility. 60 Wood Lane DS0000013219.V365161.R01.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 2 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 2 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 3 X 60 Wood Lane DS0000013219.V365161.R01.S.doc Version 5.2 Page 27 YES 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 YA23 Regulation 13 Requirement All staff working in the home must be provided with training/updating in safeguarding adult procedures and the home’s whistle blowing policy. The registered manager must have sufficient time to carry out her management responsibilities. The previous timescale of 22/08/07 has not been complied with. Timescale for action 19/10/08 2. YA37 24 19/09/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 60 Wood Lane DS0000013219.V365161.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 60 Wood Lane DS0000013219.V365161.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. Re-publishing this information is in breach of the terms of use of that website. 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