Inspection on 19/12/06 for Badgers Wood

This inspection was carried out on 19th December 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Badgers Wood 15/12/05

Badgers Wood 28/06/05

Badgers Wood 12/08/04

Badgers Wood 18/05/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Badgers Wood Badgerswood Slade Road Ottershaw Surrey KT16 0JN Lead Inspector Vera Bulbeck Unannounced Inspection 19th December 2006 10:00 Badgers Wood DS0000034871.V324676.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 Badgers Wood DS0000034871.V324676.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. Badgers Wood DS0000034871.V324676.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Badgers Wood Address Badgerswood Slade Road Ottershaw Surrey KT16 0JN 020 8541 8800 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) Surrey County Council - Adults & Community Care Mr Christopher John Mahoney Care Home 20 Category(ies) of Dementia (1), Learning disability (15), Learning registration, with number disability over 65 years of age (3), Sensory of places impairment (2), Sensory Impairment over 65 years of age (2) Badgers Wood DS0000034871.V324676.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Accommodation and services may be provided to named persons aged 65 years and over with the prior written agreement of the CSCI. The matters detailed in the attached schedule of requirements, must be completed within the given timescales. Accommodation and services may be provided to named persons aged under 65 years with the prior written agreement of the CSCI within the category of Dementia 15th December 2005 Date of last inspection Brief Description of the Service: Badgers Wood is a large detached care home situated in the village of Ottershaw in Surrey. The home is owned and managed by Surrey County Council. Accommodation is arranged over two floors and there are two respite rooms. There is a communal lounge with separate dining area and a large kitchen. The home has a computer suite on the ground floor. There is a wellmaintained garden with barbecue area and ample garden furniture. Car parking spaces are available to the front of the premises. Badgers Wood DS0000034871.V324676.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first site visit to be undertaken by the Commission for Social Care Inspection as part of a key inspection. Mrs Vera Bulbeck, Regulation Inspector, carried out the inspection. The registered manager Mr Chris Mahoney was present. The inspection took 6 hours commencing at 10.00am and finishing at 16.00. There are currently fifteen residents living in the home, and the majority of the residents have lived in the home for some time. Six residents were in the home on the day of the site visit. The remaining residents were at various day centres. The residents arrived home at different times of the day and the inspector had the opportunity to speak with a number of residents. The majority of the residents are mobile and some are able to undertake light duties set out by the home. The home is situated on two floors and the more able residents are able to undertake the stairs. The home is without a chair lift, however, management takes careful consideration to the suitability of residents living on the top floor. The staff members on duty on the day of the site visit were spoken to and one member of staff commented the home is operating an open management style and the staff team feel supported and work together as a stable team. A full tour of the premises was undertaken. Three care plans and three staff files were inspected. Ten comment feedback cards were received from the residents and two comments stated they were not always familiar with the agency staff on duty. Nine relative/visitors feedback cards were received and two stated they were not aware of the complaints procedure and one person stated at times staffing levels are low. Another person stated that more activities and outings are required particuarly for respite residents. The fees are £628.00 per week per resident. The inspector would like to thank the residents and staff members for their time, assistance and hospitality during the inspection. The service users living in the home wish to be called residents, therefore service users will be referred to as residents throughout the report. Badgers Wood DS0000034871.V324676.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: The management of the home to ensure all staff are trained and aware of COSSH regulations. On the day of the inspection it was found that cleaning materials had been left in the kitchen and bathroom in unlocked areas. It was also noted in a residents bedroom, however, the bedroom door was locked Steps were taken immediately by the manager to ensure the hazardous substances were removed and locked in the appropriate cupboard. The inspector would advise the management of the home to ensure a risk assessment has been undertaken on the resident who likes to have a cleaning spray stored under the wash basin in his bedroom. Badgers Wood DS0000034871.V324676.R01.S.doc Version 5.2 Page 7 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. Badgers Wood DS0000034871.V324676.R01.S.doc Version 5.2 Page 8 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 Badgers Wood DS0000034871.V324676.R01.S.doc Version 5.2 Page 9 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): 2. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Resident’s needs and aspirations are fully assessed and documented prior to admission and on an ongoing basis in regular reviews. EVIDENCE: Residents are admitted to the home following a full needs assessment, which is undertaken by the deputy manager. The deputy manager explained that she has a format for assessing residents to ensure the home can meet resident’s needs. This was evidenced by sampling, written records and discussion with the staff on duty. There are three vacancies in the home, the home is also used for respite residents and there are two bedrooms allocated for this purpose. The placing of any new resident needs careful consideration as the majority of residents have lived in the home for some time. It was noted in resident’s files that a number of risk assessments have been undertaken. Badgers Wood DS0000034871.V324676.R01.S.doc Version 5.2 Page 10 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): 6, 7 and 9. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The residents’ individual plans are clear and comprehensive including details of needs and goals. They also incorporate known or indicated preferences and choices, and include risk assessments. EVIDENCE: Staff stated that residents are supported to make decisions affecting their lives in a number of ways. Each resident has an allocated key worker, who is trained to offer one to one support and who knows the resident well and understands his or her needs. The residents confirmed this during discussions. Residents meetings are held to enable residents to make decisions and choices, for holidays and outings. For example residents spoke of attending the meetings and notes of a meeting were seen. Resident’s individual choices of meals were recorded on their own individual menu plan. Badgers Wood DS0000034871.V324676.R01.S.doc Version 5.2 Page 11 Staff advised that information is provided to residents to assist with decisionmaking and this is in a format to suit their individual needs. All residents are involved with their care planning and sign to indicate they agree with their care plan. Full details including reasons of residents who are unable to hold a key to their bedroom, need to be included in their care plans. Three residents are able to go out alone and use public transport. Badgers Wood DS0000034871.V324676.R01.S.doc Version 5.2 Page 12 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): 12, 13, 15, 16 and 17. Quality in this outcome area is Excellent. This judgement has been made using available evidence including a visit to this service. Resident’s rights and responsibilities are recognised. EVIDENCE: Staff stated that they actively encourage and support residents to be independent, to make their own choices and to live their lives as they wish, as far as they are able. Household routines are undertaken by the residents with staff support to enable residents to share their home’s facilities and to maintain harmony within the household. The degree to which residents are involved in the running of their home is described in the statement of purpose. It was observed, that staff knock before entering residents bedrooms and that personal care is offered discreetly. Residents are addressed in the way that they prefer. Residents are registered on the electoral roll. One resident has a Badgers Wood DS0000034871.V324676.R01.S.doc Version 5.2 Page 13 part time job at a local school. Some residents attend the College of Further Education. Leaflets regarding concerts, cinema and a number of other activities are available in the home for residents to see and request if they wish to go on any trips. Several residents have requested they go out on day trips rather than have a holiday. There were a number of photographs in the hallway of days out and holidays of last year and previous years. All the residents went on holiday this year some went to stay in a guesthouse in Somerset and several more residents went to the New Forest and stayed in a small hotel. Another small group of residents went to Weymouth and stayed in a small hotel. Several trips have been organised these include a coach trip to London and first stop was to the London Aquarium and then on to see the Christmas lights. Another trip was to Portsmouth on a coach. A member of staff took one resident to visit his elderly mother. Another resident has a sister in Germany and is able to keep in contact with via the Internet and emails on a regular basis. This year he was able to travel to Germany on his own to stay with his sister and family. Arrangements were made with the airline for the resident to travel alone, and the inspector was informed the airline were exceptionally good and there were no problems with any of the arrangements made. The staff member informed the inspector that the majority of residents do not have a designated care manager. As most of the residents have been in the home for a number of years. If required the management of the home can contact the duty manager and they would provide a duty care manager. The menus are planned by the individual residents on a regular basis this normally takes place at residents meetings. One resident informed the inspector that residents are involved with the menu planning and eat healthily. Food intake and nutritional content is monitored and all residents are weighed monthly. Comments from residents regarding food were very positive and those residents spoken to stated they enjoy the food at Badgers Wood. There are three residents living in the home that are diabetic and diet controlled. The dietician is involved and all staff has undertaken Food Hygiene training. The main food shopping for the home is undertaken via the Internet, and is delivered by the store. Badgers Wood DS0000034871.V324676.R01.S.doc Version 5.2 Page 14 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): 18, 19 and 20. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Personal care and healthcare support and assistance is planned and was seen in care notes, to be provided, where needed, in a respectful and sensitive manner. However, reference to personal hygiene items need to be documented appropriately. Sound policies and practices are in place for the administration and management of medication. EVIDENCE: The inspector was informed by a resident they are able to choose when to go to bed and when to get up and are supported to choose their own clothes, hairstyles and other aspects of personal grooming. The residents visit the local G.P when necessary and residents have an annual health check. All residents have had a flu jab and the community nurse from the PCT visits on a regular basis to support residents. All residents have good support from the medical team as well as other professional health care people, including the dentist, optician, chiropodist and physiotherapist. The system for medication administration was seen and was generally carried out to a high standard. Medication is stored in each individual residents bedroom in a locked cabinet on the wall. The Medication Administration Badgers Wood DS0000034871.V324676.R01.S.doc Version 5.2 Page 15 Record (MAR) sheets were seen and no gaps in the recording were noted. Staff stated the deputy managers, who report in turn to the registered manager, monitor the MAR sheets. Any recurring gaps or errors would be referred to the manager, and this would be discussed at a supervision meeting. It was pleasing to see that guidelines are in place for medication that is given “as required”. A photograph of each resident is provided with the MAR sheets to guide staff to the correct resident and a medication information sheet gives details of the medications for each resident. A signed consent form by the resident was also filed with the medication records for all residents who are able to self medicate. Staff stated that any additional entries to the MAR sheet, which have been handwritten on, are signed by the member of staff making the entry and by a second member of staff who checks that it is correct. This had been carried out. Two staff sign the MAR sheet for all medication given and for the receipt of medication into the home. Sample signatures of all staff that administer medication were held with the MAR sheets for ease of reference. Management of the home should retain of copy of the medication returned to the pharmacy. Badgers Wood DS0000034871.V324676.R01.S.doc Version 5.2 Page 16 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): 22 and 23. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. All required policies, procedures and practices are in place to ensure that residents are safeguarded, as far as reasonably possible, from harm or abuse, and to ensure that residents feel their views will be listened to. EVIDENCE: There were no recorded complaints in the home since January 2006, the member of staff stated the home had not received any complaints. Records seen indicated that complaints would be responded to within the guidelines. The homes complaints procedure for residents is in pictorial form and some residents confirmed they would be able to use it when necessary. The complaints form is written with widget symbols and easy for residents to understand. Each resident has a copy in his or her bedroom. All relatives have also received a copy of the complaints procedure. All staff has completed the training for vulnerable adults. The registered manager confirmed that as part of the induction process staff undertakes the training. Staff spoken to, stated that they had undertaken training in the protection of vulnerable adults and would report any concerns they had to the manager. Staff said they would be willing and able to report any concerns and “would go to any level to protect residents”. There are currently two systems operating for residents finances, the majority of residents money is paid directly into their personal bank account. For six residents the finances are paid directly to Surrey County Council (SCC) and the Badgers Wood DS0000034871.V324676.R01.S.doc Version 5.2 Page 17 resident’s finances are monitored and controlled by SCC and resident’s money is held in a central account. The Administrator and Finance Co-Coordinator working in the home, manages any personal allowance money for all the residents. Records were checked and details of all transactions were observed and found to be well documented. However, management of the home need to review the present two systems running concurrently for the control and management of residents finances. All residents have a metal cupboard on the wall of their bedroom for keeping valuables or medication if necessary. Badgers Wood DS0000034871.V324676.R01.S.doc Version 5.2 Page 18 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): 24 and 30. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The location and layout of the home is suitable for it’s stated purpose. It is accessible, safe and well maintained. The home was found to meet residents’ individual and collective needs in a comfortable and homely way. EVIDENCE: The premises were found to be clean and hygienic, all staff to be congratulated on the cleanliness of the home . All the residents have their own bedroom. Bedrooms had been made personalised with pictures and posters, televisions, music and radio facilities and individual bedding and soft furnishings. One resident showed the inspector his bedroom, of which he was justifiably proud. It is pleasing to see that each room is individually decorated and residents are supported to choose the colour schemes to suit their preferences. The vacant rooms will be redecorated in a choice of colours by the prospective new resident. Badgers Wood DS0000034871.V324676.R01.S.doc Version 5.2 Page 19 There were a few areas that require attention, one is the ceiling in room 102 needs attention, and it would appear there has been a leak causing the tiles to be stained. All communal areas in the home need to have paper hand towel dispensers fitted, to ensure the risk of cross infection is eliminated. The communal areas of the home consist of a lounge on the ground floor and a lounge on the first floor, and a separate dining room and kitchen on both floors. The garden to the back of the home is very pleasant and well maintained, with a very smart built in BBQ. Badgers Wood DS0000034871.V324676.R01.S.doc Version 5.2 Page 20 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): 32, 34 and 35. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. All interactions observed between staff and residents evidenced a high degree of respect. Staffing is kept under review and provided to meet the needs of the residents at all times. EVIDENCE: It was pleasing to note that staff have a good understanding of the residents needs, are respectful and have a good rapport with the residents. On the day of the site visit three staff were on duty from 07.00am until 15.00 and from the after noon shift only two staff are on duty. At weekends there are four care staff on duty all day to enable residents to go out. There are currently three staff vacancies in the home. The home has a domestic person who works on a part time basis for four mornings a week, cleaning all communal areas. Staff recruitment files are up dated and contain all the relevant documents as detailed in Schedule 2 of The Care Homes Regulations 2001. All staff has had a criminal record bureau (CRB) check and Protection of Vulnerable Adult (POVA) check prior to starting work in the home. It is imperative that up dates to CRB Badgers Wood DS0000034871.V324676.R01.S.doc Version 5.2 Page 21 are undertaken. The registered manager confirmed that all staff has a copy of the General Social Council & Care, code of conduct document. A number of staff has completed NVQ Level 2 & 3 and a number of staff is in the process of completing these awards. All staff has undertaken a number of courses and the majority are up to date with all other mandatory training. Staff supervision was seen to be undertaken on a regular basis, and staff are provided with a copy. The management of the home has produced a training programme, to enable management to identify when staff require up dates to their training. A number of training courses have been undertaken and all new staff receive an induction programme, which is covered over the first week and the second week shadowing another member of staff. Any specialist training required by staff is considered by the management of the home. There is one member of staff on waking night duty and one staff member sleeping in. The rota indicates the designated member of staff administering medication. Badgers Wood DS0000034871.V324676.R01.S.doc Version 5.2 Page 22 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): 37, 39 and 42. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The management approach in the home provides an open, positive and inclusive atmosphere. The home has a quality assurance and monitoring system in place that is based on seeking the views of the residents. EVIDENCE: The registered manager is qualified, experienced and competent to manage the home and has completed the registered manager award. The home has an effective quality audit monitoring system in place. The registered manager completes a regular inspection on the home. The home has produced a yearly residents/relatives survey in pictorial form, to establish if improvements can be made to the home. Every month there are regular meetings for residents who are able to express their views and contribute towards the performance review. However, it was disappointing that the Regulation 26 visits were not up to date and the last recorded visit was dated Badgers Wood DS0000034871.V324676.R01.S.doc Version 5.2 Page 23 06/01/06. These visits should be undertaken on a monthly basis and copies of the report should be available in the home for inspection purposes. One resident spoken to on the day of the site visit was very complimentary about the home, he stated the staff are very helpful and always ready to provide support and understanding. He also said the staff are really good and he is able to speak with any member of staff, particuarly if he has a problem and it is always sorted out. The records observed on the day of the site visit were found to be well documented and kept up to date. This included certificates for the testing of Legionella, gas, electrical and a number of other areas tested. All cleaning materials must be stored appropriately at all times. However, the deputy manager removed the items immediately into the lockable storage area. All Staff need further training to ensure they are aware and understand the importance of COSHH regulations. The fire folder should contain details of any information that may be relevant in the event of an emergency. Badgers Wood DS0000034871.V324676.R01.S.doc Version 5.2 Page 24 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 3 2 X 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 3 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 X 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X X X 3 X X 3 X Badgers Wood DS0000034871.V324676.R01.S.doc Version 5.2 Page 25 No 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 2 Standard YA39 YA42 Regulation 26 13 Requirement A designated person undertakes monthly visits and a report on the home is available. All cleaning materials must be stored in a lockable facility at all times. Timescale for action 26/01/07 19/12/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 Refer to Standard YA20 YA23 YA24 YA42 Good Practice Recommendations The management of the home to ensure a record of medication returned to the pharmacy is held in the home. To review the systems and procedure of residents finances. The ceiling in the guest room needs attention. All communal areas to have paper hand towels available. Badgers Wood DS0000034871.V324676.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Badgers Wood DS0000034871.V324676.R01.S.doc Version 5.2 Page 27 - 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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