Inspection on 07/12/06 for Dysons Wood House

This inspection was carried out on 7th 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

Dysons Wood House 22/11/05

Dysons Wood House 22/06/05

Dysons Wood House 01/02/05

Dysons Wood House 17/08/04

Dysons Wood House 26/02/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Dysons Wood House Dysons Wood Tokers Green Caversham Reading RG4 9EY Lead Inspector Sally Newman Unannounced Inspection 7th December 2006 09:15a Dysons Wood House DS0000013079.V322245.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 Dysons Wood House DS0000013079.V322245.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. Dysons Wood House DS0000013079.V322245.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Dysons Wood House Address Dysons Wood Tokers Green Caversham Reading RG4 9EY 0118 9724553 0118 9723479 dw@disabilities-trust.org.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Dysons Wood Trust John Spiller Care Home 15 Category(ies) of Learning disability (15) registration, with number of places Dysons Wood House DS0000013079.V322245.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd November 2005 Brief Description of the Service: Dysons Wood House is a residential centre registered for 15 young adults with autistic spectrum disorders. There are two units providing accommodation on one large site with extensive grounds and a sensory room. The service is located in a rural area of South Oxfordshire and near to the facilities of Reading. Transport is available to access community resources and for service users to attend a day centre which is managed by the provider, the Disabilities Trust. Due to the nature and diversity of autistic spectrum disorders, Dysons Wood House provides a service for young adults with challenging behaviours and complex needs. Fees are £1699.30 per week base rate. This includes 50 hours one-to-one care per week. Additional one-to-one care is costed according to individual needs. Dysons Wood House DS0000013079.V322245.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an inspection that was conducted over the course of three days and included a visit to the home, which was for a duration of 7¼ hours. Information was provided by the home prior to the visit and information held by the Commission was used in the completion of this report. A range of records was sampled throughout the course of the visit. In addition surveys were provided to all the service users and their relatives. Surveys were also sent to various professionals involved with the home. One service user survey and five relatives surveys were returned. Information was provided by a general practitioner and a care manager and the results of all returned surveys have been incorporated into the findings of the report. During the course of the visit time was spent with the manager and the assistant manager. A brief discussion was held with the unit general manager who outlined some development proposals for the home. A tour of the premises was undertaken and eight service users were seen and spoken to. Four staff members were spoken to in private including one of the two team leaders. The parents of one service user were introduced to the inspector and the parents of another service user were spoken to in private. In addition the inspector was introduced to a pharmacist who was visiting the home in order to provide some staff training and a visiting occupational therapist and care manager were each seen in private. The provider has a range of polices and procedures relating to equality and diversity. All staff attend diversity training at the commencement of employment. Care plans have been designed to take account of individual needs and cultural and religious choices. From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service that meets the needs of individuals of various religious, racial or cultural backgrounds. This home provides a specialist service to people with autistic spectrum disorder. The service is particularly effective at dealing with challenging behaviour in a way that promotes independence and maintains the dignity of the individual. All core standards are comfortably met with health care and staff training being of a particularly high standard. The manager is open, competent and professional in his dealings with all parties and he is supported by a well-trained and committed staff team. What the service does well: The emphasis on person centred planning is very good. Provides comprehensive documentation which supports the work of the service. Dysons Wood House DS0000013079.V322245.R01.S.doc Version 5.2 Page 6 Human resources support to staff is good. The opportunities for external activities is good and continuing to develop. Clinical input including speech and language therapy is very good. Staff training is of a high quality. What has improved since the last inspection? 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. Dysons Wood House DS0000013079.V322245.R01.S.doc Version 5.2 Page 7 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 Dysons Wood House DS0000013079.V322245.R01.S.doc Version 5.2 Page 8 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. Prospective service users’ needs and aspirations are appropriately assessed prior to a place being offered. EVIDENCE: All prospective service users are visited by a member of the management team or a representative from the organisation according to the geographical location of the individual. There is dedicated documentation which is completed as part of the assessment process. This documentation is designed to capture the most relevant information about the background and needs of the individual. Additional information is obtained from all relevant parties such as relatives, health care professionals and care management. If the assessment concludes that the service can meet the needs of the prospective service user, the information gathered is used to inform the initial care plan which is then closely monitored and reviewed once the individual moves into the home. Dysons Wood House DS0000013079.V322245.R01.S.doc Version 5.2 Page 9 Assessment information for the most recent service user could not be provided because it was being held by the psychology department. This was unusual and had resulted because of a late decision to place the individual at Dysons Wood. However, the inspector accepted evidence from the manager that appropriate and comprehensive information had been obtained, and which he had seen, prior to the move to the home. This was supported by the fact that the care plan seen by the inspector was detailed, to the same standard as other care plans and provided clear guidelines for staff Dysons Wood House DS0000013079.V322245.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, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans accurately reflect the changing needs and personal goals of service users. Service users are encouraged and supported to make decisions about their lives. Promoting independence by taking managed risks is an inherent feature of this service. EVIDENCE: Evidence was provided from perusal of records, from discussion with the manager and staff and from the feedback in surveys. Five care plans were seen by the inspector. The manager advised that the care plans had been revised since the last inspection and he felt that the arrangement of the information provided clear guidelines for staff and gave a concise and up to date account of individual needs. Dysons Wood House DS0000013079.V322245.R01.S.doc Version 5.2 Page 11 Care plans are reviewed formally every six months or more frequently if required. A full review with care management is conducted each year where relevant professional input is requested. Perusal of the care plans and discussion with staff confirmed that reviews are held regularly and key workers are expected to co-ordinate and fully participate in the process. A visiting care manager was seen by the inspector in private. She confirmed that she had attended a review in day services and had found the key worker professional, assertive and confident. She also regarded the multi-disciplinary input to service users as excellent. The parents of one service user were spoken to in private and confirmed that they are very happy with the service and felt confident that their son’s needs were met appropriately. They described a good relationship with the nominated keyworker who they felt kept them well informed of developments and issues. The use of prompt cards developed and designed to be used on a key fob had proved extremely valuable in communicating with service users. This had reduced the frustration resulting when service users felt that they were not understood. All service users are encouraged and supported to make decisions for themselves where possible. Likes and dislikes are recorded in the care plan and discussion with staff indicated that the preferences of individual service users are well known and understood. Any restrictions on choice are taken in the best interests of the individual concerned and are clearly documented in the care plan. The home benefits from dedicated psychology involvement which provides detailed professional assessment and guidelines for managing challenging behaviour with particular individuals. The manager confirmed that before a service user is offered a place information is obtained regarding any specific behavioural needs and the risks associated with these behaviours. This information is used to inform the initial risk management strategies employed by the home. Risk assessments were in evidence within individual care plans and were individually focussed according to need and particular activities and circumstances. Documents clearly indicated review dates and all those seen were up to date and signed. Dysons Wood House DS0000013079.V322245.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, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are encouraged and supported to take part in a range of activities including participating in the community according to their assessed needs. Personal and family relationships are supported and the rights and responsibilities of service users are recognised. The food provided is healthy and varied. EVIDENCE: Evidence was provided from the results of surveys, from discussion with the manager and staff and from perusal of records. The home benefits from a dedicated day co-ordinator who advised the inspector that, since her appointment earlier this year she had spent considerable time, together with service users and their keyworkers, identifying activities and potential placements of value with individual needs at Dysons Wood House DS0000013079.V322245.R01.S.doc Version 5.2 Page 13 the forefront of thinking. She had negotiated with local colleges and had experienced some success in accessing courses for specific service users. The range of activities currently on offer included a dedicated day care service run by the organisation and situated a short drive from the home. This service was shortly to be expanded to provide evening activities including an evening disco. There are future plans for the creation of a sensory garden with work commencing in the New Year. The day service provides a three-monthly newsletter for parents and relatives which keeps them informed of future events. A pantomime was being held before Christmas to which a significant number of parents had indicated that they would attend. One service user spoken to was to play a main part in the pantomime and was clearly excited at the prospect. One service user spoken to advised the inspector that he worked in a charity shop each Monday which he enjoyed very much. This individual was particularly interested in writing and staff were trying to get some of his work published. In addition, activities are organised by the home’s staff on a regular basis and includes picnics, walks and pub & restaurant visits which are accessed by public transport where appropriate. One relative survey stated that they felt that there were no holidays on offer and that too much time was spent sitting around doing nothing. This was discussed with the manager who advised that holidays were arranged but, due to the needs of certain individuals, they were not always appropriate. Every effort was made to provide stimulating activities for service users. However, not all individuals wanted to join in and their right to choose was respected. Dysons Wood House DS0000013079.V322245.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, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The personal support provided is individually focussed. The physical and emotional health needs are appropriately met. The arrangements for medication in the home are robust and protect service users. EVIDENCE: Evidence was provided from care plans and associated paperwork, from discussion with the management team, staff, relatives and visiting professionals. Five care plans were seen and they contained detailed information about the specific personal care needs of individuals. Staff spoken to confirmed that care plans provided clear guidelines to enable them to provide appropriate personal care to service users. During the course of the inspection a visiting occupational therapist was spoken to in private by the inspector. This individual confirmed that a detailed referral had been received and she had met with a psychologist prior to meeting the service user to undertake an assessment regarding bathing techniques. The key worker also assisted with Dysons Wood House DS0000013079.V322245.R01.S.doc Version 5.2 Page 15 the assessment and, overall, the occupational therapist was impressed with the level of professionalism presented by the service. The service benefits from a dedicated psychology team which provides specific advice in respect of individual service users. The service employs a psychiatrist who visits the home on a monthly basis and this individual was described by a GP in a returned survey as an expert who liaised with the surgery very effectively. All service users have regular health checks and their general health care needs are monitored carefully by staff. Staff spoken to demonstrated an in-depth knowledge of service users which enabled health concerns to be identified and promptly referred. The standard of health care provided by this service was considered to be high. The service has a contract with a local pharmacy for provided medications. Regular checks on the storage and administration arrangements are undertaken by a pharmacist. The latest pharmacy report was not available and the manager undertook to obtain a copy. Previous reports were seen and concluded that the home’s systems for managing medication were robust. Upon arrival at the home the inspector was introduced to a pharmacist who was visiting the home in order to undertake staff training. She was clearly familiar with the home and had visited in the past to inspect the medication arrangements and to provide staff training. Dysons Wood House DS0000013079.V322245.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, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The views and wishes of service users are taken seriously and, where appropriate, are acted upon. Service users are protected from abuse, neglect and self-harm. EVIDENCE: Evidence was provided from perusal of records, discussion with staff and the manager and from the results of surveys. The service is responsive to concerns and complaints. The manager provided several examples where concerns had been acted upon. There was evidence within complaints records that the organisation’s policy and procedures were adhered to. The Commission had received an anonymous complaint concerning a broken cooker and dishwasher since the last inspection. This complaint had been referred to the provider and action to remedy the problem had been undertaken promptly. One service user survey returned indicated that they did know what to do if they were unhappy. The manager was informed that one relative survey stated that they did not know how to make a complaint. The manager responded by saying that all relatives had been provided with an information pack. However, he would ensure that all relatives were updated on the complaints procedure. Dysons Wood House DS0000013079.V322245.R01.S.doc Version 5.2 Page 17 The home has a robust whistle-blowing policy which staff spoken to clearly understood. Examples were provided where staff had raised concerns about the possibility of abuse and the action taken and outcomes were provided for the inspector. All staff are expected to undertake protection of vulnerable adults training and there is a rolling programme of updates. The service is particularly well equipped at understanding and addressing challenging behaviour. There are robust procedures for managing service users’ money and the arrangements are independently audited. Dysons Wood House DS0000013079.V322245.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, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is as comfortable, homely and sas afe as possible. Throughout the home is clean and hygienic. EVIDENCE: Evidence was obtained from a full tour of the premises, perusal of records, discussion with the management team and staff. The home is subjected to a considerably high rate of wear and tear. There are two employed maintenance men who undertake repairs on a daily basis. There is a planned renewal programme and, since the last inspection, the external roof to the older part of the building has been renovated. During the tour the inspector was informed of forthcoming floor covering replacement and decoration recently undertaken or planned. Dysons Wood House DS0000013079.V322245.R01.S.doc Version 5.2 Page 19 Bedrooms were seen and were furnished to meet the needs of service users. The care manager confirmed that the bedroom of the service user was seen and she considered that the contents and decoration were suited to the service user and met their needs. Throughout the home was clean and hygienic. The laundry facilities were seen and provided industrial standard machines. There were clear procedures for the washing of soiled articles. Dysons Wood House DS0000013079.V322245.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, 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are competent and qualified. The home’s recruitment policy and practices are robust and protect service users. The standard of staff training is excellent. EVIDENCE: Evidence was obtained from records, discussion with the manager and staff and from the results of surveys. The home currently has 13 vacancies. Only regular agency staff are used, all of who must first attend the home’s own induction programme before commencing work. The ratio of staff to service users is considered sufficient by the manager and staff spoken with to meet the needs of service users. There are regular staff meetings that are minuted and include different levels of staff. Throughout the course of the inspection interactions between staff and service users were observed as respectful and appropriate. On occasions jokes were shared and the atmosphere was relaxed and friendly. Dysons Wood House DS0000013079.V322245.R01.S.doc Version 5.2 Page 21 Six staff files were seen. They were all organised to the same format and the use of sectioning made accessing information easy. The inspector was informed that staff files had been updated and reorganised since the last inspection. All information required by regulation was in evidence. Information provided by the service prior to the site visit confirmed that all Criminal Records Bureau checks older than three years were in the process of being updated. The use of recruitment checklists and records and evaluation of interviews is considered to be good practice. Records seen and discussions with staff showed that the home has a comprehensive, wide-ranging and continuous programme of staff training for which it is to be commended. This ranges from initial induction through to the LDAF foundation training and NVQ. All basic health and safety training is included in the programme, as well as an emphasis on autism specific input with a strong emphasis on communication and non-violent crisis intervention. All staff have an individual training profile which fits into the training and development plan for the service. Staff spoken to confirmed that they are encouraged and supported to attend training. Future training courses include first aid, food hygiene, recruitment and selection, asbestos course and completion of documentation. Dysons Wood House DS0000013079.V322245.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, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is very well run and the views of service users directly influence the development of the service. The health, safety and welfare of service users and staff are promoted and protected. EVIDENCE: Evidence was provided from the perusal of a range of records, from discussion with members of the management team, staff, relatives and visiting professionals. Dysons Wood House DS0000013079.V322245.R01.S.doc Version 5.2 Page 23 The manager is competent and professional. He is due to commence the Registered Managers award in January 2007. The manager has worked at the home in various roles for several years and is familiar with the philosophy and aims and objectives. The results of surveys and from discussions with staff and visitors to the home indicated that the manager is highly regarded and was described as fair and approachable. The service is accredited with the National Autistic Society, which requires an annual in-depth inspection by external NAS assessors. Part of the process involves ascertaining the views of service users and their families. There was evidence that a representative of the Trust had visited the home and reported in writing on its conduct on a monthly basis. The inspector saw records of monthly service user meetings where service users’ views were clearly expressed. The home produces regular newsletters for staff and service users’ families. Previous requirements and recommendations made by the Commission have been addressed promptly and on occasions prior to the completion of the site visit. The manager confirmed that health and safety is considered to be a high priority by the service. Information provided by the service prior to the site visit indicated that regular checks are undertaken including water temperatures, fire safety, heating and electrical appliances and wiring. A recent health and safety audit arranged by the organisation resulted in recommendations. The home has an action plan in place to address all recommendations made. Staff training includes health and safety and individual staff have been identified to take responsibility for ensuring that certain health and safety checks are undertaken. Accident records were seen. It was noted that accidents were recorded on the organisation’s own formats. It will be required that the Environmental Health Department is consulted as to whether this documentation is compliant with the regulations. During the tour of the premises it was noted that intumescent strips on fire doors had been painted over. It will be required that the Fire Authority be consulted to establish whether the intumescent strips remain effective. Dysons Wood House DS0000013079.V322245.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 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 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 3 33 X 34 3 35 4 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 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 3 X 3 X X 3 X Dysons Wood House DS0000013079.V322245.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? N/A 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 YA42 YA42 Regulation 23 (4) 23 (5) Timescale for action To consult with the Fire Authority 31/01/07 regarding fire protection provision within the home. To consult with the 31/01/07 Environmental Health Department regarding best practice in relation to the recording of accidents. Requirement 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 Dysons Wood House DS0000013079.V322245.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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 Dysons Wood House DS0000013079.V322245.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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