CARE HOMES FOR OLDER PEOPLE
Whincroft 18 Glen View Road Burnley Lancashire BB11 2QN Lead Inspector
Mrs Marie Dickinson Unannounced Inspection 10:00 14 & 21 August 2007
th st 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 Whincroft DS0000061077.V340846.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. Whincroft DS0000061077.V340846.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Whincroft Address 18 Glen View Road Burnley Lancashire BB11 2QN 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) 01282 453158 01282 425983 Mrs Linda Jane Harris Vacant post Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Whincroft DS0000061077.V340846.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. The home is registered for a maximum of 25 service users to include:*up to 25 service users in the category of OP (Old age, not falling within any other category). The bungalow may only be used to accommodate a married couple. Date of last inspection 5th October 2006 Brief Description of the Service: Whincroft is a family run care home, offering 24-hour personal care and accommodation to 24 older people. The house is a semi-detached property located in a residential area on a fairly busy road on the outskirts of Burnley. There are attractive enclosed gardens, accessible to residents, on-street parking, and a bus stop outside the home. On the upper ground floor there is a lounge with conservatory, two dining rooms and seating in the entrance hallway. There is a shared lounge and four self-contained units on the lower ground floor. Various aids are provided to help with mobility and independence, such as handrails and facilities for disabled people in bathrooms. Bedroom accommodation is on three levels, on the lower and upper ground and first floors. There are 16 single and 4 double rooms, 11 bedrooms have ensuite facilities. Some of the rooms (units) are fitted with kitchenettes. Star lifts are available, to help residents to access first floor and lower floor bedrooms. The home provides recreational activities and outings. At the time of this inspection visit the range of fees was £342.50 to £386 00 and £394 32 privately funded. There were additional optional charges for hairdressing, chiropody, and toiletries. Written information about Whincroft is available at the home. Whincroft DS0000061077.V340846.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. A key unannounced inspection was conducted in respect of Whincroft on the 14th and 21st August 2007. The inspection involved getting information from an Annual Quality Assurance Assessment completed by the provider, staff records, care records and policies and procedures. It also involved talking to residents, staff on duty, the provider/manager, and an inspection of the premises including resident’s bedrooms. Three relatives and five residents provided written comments direct to the Commission giving their view of the services provided. Areas that needed to improve from the previous inspection were looked at for progress made. The home was assessed against the National Minimum Standards for Older People. What the service does well:
Before people are admitted to the home their needs were assessed. They were consulted about the level and type of care they required and could visit the home to look for themselves at the facilities offered. Important information needed to support them in every day living was recorded and used to decide if Whincroft could provide the right care, staff expertise and facilities needed. Good care planning meant residents had their assessed and changing needs met in a way that was suitable to them. Residents benefited the support of a named worker referred to as a Key worker who took responsibility to make sure care needs for individuals was personalised. Assessments linked well to care plans. These included health, personal and social care needs. Relatives who sent written comments considered their relatives well cared for. Comments made during the inspection included; ‘the residents are well looked after’. ‘I have never had any problem. They keep me up to date with what’s going on’. Most residents considered they received the care and support they needed and staff were available when needed. Healthcare needs were also monitored. Medication practice, policies and procedures, and staff training, reduced the risk of errors being made. There were no unnecessary rules imposed on residents and their routines in the home were flexible and special to them. Residents were generally satisfied with the activities and entertainment provided at the home. Birthdays and festive celebrations were catered for. Catering arrangements were to the
Whincroft DS0000061077.V340846.R01.S.doc Version 5.2 Page 6 resident’s satisfaction. Comments were made such as ‘we always have a choice’, ‘it’s very good’, and ‘no complaints’. Visiting times were flexible so friends and relatives could call at different times, the residents could see people in private. Relatives visiting said they were always made to feel welcome at the home. The complaints procedure was clear which helped residents/relatives have confidence to raise any concern they may have. There were policies and procedures, and appropriate training for staff in professional conduct and adult protection issues. This meant residents rights, safety, and welfare was promoted. The home was very clean and fresh smelling. The communal areas were nicely decorated and furnished in a homely way; the gardens were attractive well maintained and appreciated by the residents. Some residents had brought their own furniture with them when they came to live at the home and were ‘delighted’ with this. The level of staffing maintained, training provided, and supervision of staff was good which meant competent qualified staff cared for residents. The residents considered the staff as being ‘very good’. One resident said ‘the nice thing about here is how people are cared for. It is beyond words and you couldn’t write down the things I see when that special care is provided’. Staff were happy in their work and valued how the management ‘make sure we are happy when we come to work and comfortable with the job we are doing’. A high percentage of staff were trained in National Vocational Qualifications in care and training was generally being given high priority. External assessors commented ‘learning and development is very well organised’. ‘staff feel confident in their roles and have a positive attitude to continuous learning and development’. There was a warm and friendly atmosphere in the home. Team work amongst staff and management was good with everyone working together for the benefit if the residents. Residents appeared to be very happy and as one resident said, ‘If you travelled the length and breadth of Burnley you’d not find a better home.’ What has improved since the last inspection?
Care plans had improved and were clearly written. They informed staff what they had to do for each resident. This meant residents were cared for as they wished. Medication was managed safely and staff responsible for this task had been trained. Whincroft DS0000061077.V340846.R01.S.doc Version 5.2 Page 7 To make sure staff know what to do to keep people safe they had been trained in adult protection and had access to policies and procedures including a whistle blowing policy. Long term investment in the home showed plans had been made to upgrade two bathrooms in the near future, which meant residents would have the benefit of good bathing facilities. 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. Whincroft DS0000061077.V340846.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 Whincroft DS0000061077.V340846.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): 1,2,3,4,5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information and opportunities to visit the home were given to people that helped them decide if the facilities and services could meet needs and preferences. Contracts issued, protected residents rights by informing them about the terms and conditions of living at the home. Assessments were completed properly which helped plan personalised care. EVIDENCE: Comments from most residents completing surveys; indicated they had received enough information about the home before they moved in. Since the last inspection there had been a number of admissions. Records made during the admission process showed how the home managed this. The pre-admission assessment was thorough and covered all aspects of personal, health and social care needs and abilities. Records of three people recently admitted to the home had their needs assessed by Social Services, that provided initial
Whincroft DS0000061077.V340846.R01.S.doc Version 5.2 Page 10 care plan information, and contained sufficient details essential to plan the right care for individuals. It was the homes policy that before anyone is admitted they are given an opportunity to visit and look at the home and meet the staff. Sometimes this is not possible and a representative of the resident is invited to look around on their behalf. Information recorded on the pre inspection assessment completed by the manager showed all residents had been issued with a contract. Residents placed in the home by the local authority were given a contract for financial arrangements for payment. This was in addition to the service user guide, that outlined the terms and conditions of residency in the home. Most new residents had received letters assuring them of a place at the home. The range of needs of residents had been considered. Staff training programme-included full induction and essential training for example, moving and handling, and protecting vulnerable adults. Training staff was ongoing as part of staffs development in providing care. Records kept, showed staff consulted other professionals such as visiting district nurses, and General Practitioners to support resident care. Whincroft DS0000061077.V340846.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. Care plans written for residents helped staff to provide the right personal care for residents. Healthcare was monitored and residents were satisfied their care needs were met, and considered staff were respectful to them. Medication was managed safely. EVIDENCE: The majority of residents’ surveys indicated that they ‘always’ receive the care and support they needed and those spoken with made positive comments about the care and attention at Whincroft. They also considered staff were available when needed. Staff worked to a key worker system, having responsibility to make sure care needs were personalised for residents. A new care planning system was in place. Staff considered them to be much easier to use and the information much more accessible. A brief record was made of residents past history. This
Whincroft DS0000061077.V340846.R01.S.doc Version 5.2 Page 12 helped staff to understand people as individuals, their likes, and dislikes. Each resident had a plan of care based on an assessment of need and outlined action to be taken to meet those needs, frequency, and person responsible. Resident’s wishes for daily living was recorded and provided sufficient detail for staff to follow and the assistance each resident required with personal care. For example ‘is quite able to wash face and hands and in time when confidence improves may manage to do more’. Communication difficulties had also been considered such as ‘Hearing is poor, needs staff to speak in a normal clear voice’. Staff were also instructed to be mindful of peoples privacy. Records showed reviews were being carried out regularly. Resident’s benefited additional specialist support where needed. This included healthcare. Pressure care was promoted and pressure-relieving aids were used on medical advice. Risk assessments had been completed for moving and handling and were used as guidance for staff to help care for residents safely. The rights of residents to be treated with dignity and respect was included in staff training. Rresidents spoken to generally felt the staff respected their right to privacy and made complimentary remarks about the staff, such as ‘very good’, ‘helpful’ and ‘do an excellent job’. The home operated a monitored dosage system for the administration of medication. Information received at the Commission showed a number of staff had been trained in medication procedures. Records showed the receipt, administration, and disposal of medication was managed efficiently. Whincroft DS0000061077.V340846.R01.S.doc Version 5.2 Page 13 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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The residents had a degree of independence, opportunity to take part in activities, and make choices and decisions about their lives. Visiting arrangements were good. Residents were offered a balanced, varied, and nutritious diet that provided for their tastes and choices. EVIDENCE: Residents said there were no rules imposed on them. Their preferences in respect of choice in relation to routines of daily living was recorded in care plans. They had their own routine personal to them. For example, times for getting up and going to bed. Staff were made aware of what to do and what was expected of them, such as ‘goes to bed when she is ready. Will ring for assistance if required’. And ‘likes to change her clothes every other day and will ring for assistance in the morning’. Residents considered staff gave them as much time as they could. Comments from residents and relatives showed visiting arrangements to be satisfactory. They all felt they could see their relative in private. One relative visiting said she came every day and was always made to feel welcome. She was offered a drink and was comfortable in the home. Staff were always
Whincroft DS0000061077.V340846.R01.S.doc Version 5.2 Page 14 available to speak to and she could stay when there were any celebrations such as birthday parties. Some of the residents were getting out and about with support from families and friends. There had not been any residents meetings held recently, but people had been consulted individually about matters, which affected them. Resident’s interests had been recorded in their care plans. An activities programme for the month was displayed in the home. Residents spoken with said there was usually something planned each afternoon, but lately it was a bit quiet. Most however were generally satisfied with the activities that had been provided, which included dominoes, music, books, DVDs, movement to music exercises and visiting entertainers. Newspapers were delivered each day and the mobile library supplied a stock of books for the home. Plans were being made for a birthday celebration during the week. The residents had been encouraged to bring their own personal possessions and furniture with them. Some were managing their own affairs; relatives were supporting others. There was information on display in the home about advocacy agencies. Written comments from residents showed an overall satisfaction with the food served. During inspection residents made varied comments about the food such as ‘lovely’, and ‘very good’. There was a choice of meals offered and portions served were generous. Menus seen showed a varied diet was provided. Records were kept of meals served. Most people had breakfast served in their bedrooms. The dining rooms provided pleasant eating areas for the residents, and individual place settings and floral centrepieces gave a welcoming touch for them. Meal times were observed as being unhurried and relaxed. Staff were observed being courteous and attentive when serving meals. Whincroft DS0000061077.V340846.R01.S.doc Version 5.2 Page 15 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. The complaints procedure was clear which helped residents/relatives have confidence to raise any concern they may have. There were policies and procedures, and appropriate training for staff in professional conduct and adult protection issues. This meant residents rights, safety, and welfare was promoted. EVIDENCE: Residents spoken to said they had no complaints against the staff. Staff were described as being ‘very good’. One relative visiting said she would know who to speak to if unhappy about anything, but up to present never had any reason to make a complaint, as the management and staff were very good and available to speak to. The complaints procedure was given to residents when they were admitted to the home. This was in the service user guide. No complaints had been made at the home, or referred to the Commission. A complaints recording system was in place. Staff working at the home said they were trained in adult protection and were aware of the abuse policies and procedures, which included whistle blowing.
Whincroft DS0000061077.V340846.R01.S.doc Version 5.2 Page 16 Staff confirmed they had regular contact with the manager who worked regularly with them. Any concern would be reported directly to her. Whincroft DS0000061077.V340846.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, 21,24,26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were provided with a warm, comfortable, clean, safe, environment that suited their needs. EVIDENCE: When people are admitted to Whincroft, they can bring with them items of furniture and personal effects to be accommodated in their bedroom. Two residents recently admitted were delighted with this arrangement as the manager and staff had managed to create their living arrangements similar to their home. Residents spoken with were satisfied with the accommodation overall. The lounge and dining rooms were pleasant and the conservatory a popular place to sit. Whincroft DS0000061077.V340846.R01.S.doc Version 5.2 Page 18 Chair lifts were fitted on two staircases enabling people easier access around the home. Plans were in place to continue to decorate bedrooms and to upgrade two bathrooms. Generally the bathrooms and toilets met with residents’ needs. Residents who sent written comments to the Commission considered the home to be ‘always clean and fresh smelling’. One visitor commented during inspection ‘no matter what time I visit, everywhere is clean and I have never smelt any bad odour in the home.’ At inspection the home was found to be very clean and free from unpleasant odours. Laundry facilities were clean and organised. Infection control training was provided for staff. Whincroft DS0000061077.V340846.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): 27,28,29,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing levels were satisfactory in aiming to ensure the resident’s needs are effectively and safely met. Recruitment practices were mainly satisfactory in protecting residents. Staff received training and daily supervision, which meant they had the skills and knowledge to care for residents. EVIDENCE: Observations made during inspection showed staff were always available for residents when needed. The manager had maintained a written staff rota. These showed how the level of staffing was arranged to support residents. Most residents who sent written comments to the Commission considered staff were always available when they needed them. During inspection residents spoke highly about the staff and the work they did. For example ‘did an excellent job’ and ‘you could travel the length and width of Burnley and you’d not find better’. Since the last inspection there had been new staff employed. Records showed mainly good recruitment practice was carried out. However more attention was needed regarding having a written reference to support verbal references received. Generally staff files showed recruitment checks to be complete. Satisfactory references and Criminal Record Bureau (CRB) and Protection of
Whincroft DS0000061077.V340846.R01.S.doc Version 5.2 Page 20 Vulnerable Adults (POVA) register check had been applied for, prior to employment. On appointment members of staff were issued with a contract of terms and conditions of employment. In addition to induction training provided for new staff, all staff were trained in essential mandatory training such as moving and handling. Senior staff were also trained in medication administration. Information received at the Commission showed that a high percentage of staff had completed National Vocational Qualification in care level 2 and above. Staff had a written training assessment and profile. Staff felt supported to do their job well. ‘They tell us if things are right or wrong. They go into detail to explain how to do things better’. And ‘the manager will tell us if something is wong, but not in a critical way, more just reminding us to help us improve.’ Whincroft DS0000061077.V340846.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): 31,33,35,36,38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was organised and managed efficiently with guidance and support given to staff. This contributed towards resident’s quality of life experience in the home being positive. Formal quality assurance systems were not sufficient in reviewing and developing the home. Safeguards were in place to promote health and safety of residents, visitors, and staff. EVIDENCE: Mrs Harris has several years’ experience of managing a care home and had completed NVQ (National Vocational Qualifications) level 4 and the Registered Managers award. She is supported in her role by appointed senior staff.
Whincroft DS0000061077.V340846.R01.S.doc Version 5.2 Page 22 There was evidence of a continuing investment to improve overall standards in the home, such as improving the environment and staff training. Quality assurance systems were in place, such as Investor In People award. Many examples of good practice was noted such as ‘the capabilities of the managers have been clearly defined, which will help to provide the basis of assessment of manager learning, and development needs and plans’. And ‘there is a very good balance between the support and guidance provided for staff and encouragenent for them to take responsibility.’ Staff considered management were ‘very good at looking after us. They make sure we are happy when we come to work and comfortable with the job we are doing’. There was evidence staff were consulted about any proposals for change and their views considered. ‘Staff were aware of their contribution to the home being important.’ Staff were given regular formal supervision. To support an open and inclusive management approach, formal meetings for residents and staff should be arranged. Insurance cover was in place to meet any loss or legal liabilities. The home encouraged residents/relatives to manage their own financial affairs. Residents who are able manage their own finances continue to do so. Some money was managed for residents wanting this service. Records were kept of transactions made on behalf of people providing a clear audit trail. Records seen showed systems were in place to manage residents’ pensions, monies and charges and payments. Secure storage was available. The health, safety, and welfare of residents and staff had been considered. The home had a good range of policies and procedures and practice aimed at keeping everyone safe. Written working procedures and training opportunities were available to support development of good care practice. All new staff members were receiving induction and essential training. Information received at the Commission showed equipment had been serviced and that installations and maintenance checks were ongoing. Health and Safety risk assessments had been completed and health and safety policies were available. Whincroft DS0000061077.V340846.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 3 3 3 3 N/A 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 3 X X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 3 X 3 Whincroft DS0000061077.V340846.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? YES 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 3. Standard OP29 OP33 Regulation 19 Schedule 2 24(1)(2) Requirement Timescale for action 30/09/07 Two written reference must be obtained for all new employees to support verbal references. The registered persons must look 30/10/07 at how their Quality Assurance system reviews and improves the quality care at Whincroft. They must supply a copy of the home’s quality of care review and improvement report to the Commission and make the report available to service users. (Previous timescales of 10/6/05, 31/10/05 and 31/03/06, 31/01/07 not met) 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 Refer to Standard OP33 Good Practice Recommendations Formal staff meetings should be introduced to give staff opportunity to discuss and agree on issues that may occur during the course of their work.
DS0000061077.V340846.R01.S.doc Version 5.2 Page 25 Whincroft 2. OP33 Residents group discussion meetings should be reintroduced. Records should be kept of informal one to one meetings with residents who prefer this method of communicating their views. Whincroft DS0000061077.V340846.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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
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