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Inspection on 19/04/07 for Goodwood Orchard

Also see our care home review for Goodwood Orchard for more information

This inspection was carried out on 19th April 2007.

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

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

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Goodwood Orchard residential home provides a very pleasant environment for the residents to live in. The care staff and the manager are well trained to meet the needs of the residents and show empathy and support to the residents when looking after them. `The manager and the staff will do anything for us` `They are dedicated to the residents and will do over and above to look after them`

What has improved since the last inspection?

Statutory training for the staff is in place and recorded on a training matrix. This makes sure that the staff receive the required training and easy for the manager to see what training is needed. Hot water signs have been placed beside all taps where the water is hotter than the recommended temperature. Water temperatures are checked each time the residents have a bath or a shower. Hot water outlets have been checked and risk assessed for the residents. These measures will protect the residents from being scalded by the water.

What the care home could do better:

The findings of the inspector during the visit were discussed with the manager at the end of the visit. The residents` care plans should be agreed and signed by the resident or their family. This would make sure that they are aware of the care to be given and that they are happy with it. The policies and procedures should be updated and regularly reviewed to make sure that they have any changes in them, which could affect the care of the residents. The hot water temperature for each individual tap should be recorded when regularly tested. The Commission for Social Care Inspection should be informed of all incidents that have happened in the home or to the residents. This will make sure that they are aware of how the home is managing incidents that may affect the residents well being. The staff should have formal supervision as often as the regulations require and that they are recorded. This process gives the staff and their `line manager` the opportunity to have individual discussions about work and training needs.

CARE HOMES FOR OLDER PEOPLE Goodwood Orchard 304 Uppingham Road Leicester Leicestershire LE5 2BE Lead Inspector Thea Richards Key Unannounced Inspection 10:00 19th April 2007 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 Goodwood Orchard DS0000006308.V329673.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. Goodwood Orchard DS0000006308.V329673.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Goodwood Orchard Address 304 Uppingham Road Leicester Leicestershire LE5 2BE 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) 0116 2766239 0116 2766239 taylcar@aol.com Mr David Boulton Mrs Carole Boulton Mrs Carole Boulton Care Home 18 Category(ies) of Dementia - over 65 years of age (8), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (8), Old age, not falling within any other category (18) Goodwood Orchard DS0000006308.V329673.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service User Categories DE(E) & MD(E) No person who falls within categories/combined categories MD(E) or DE(E) may be admitted to the Home when 8 persons of combined categories MD(E) DE(E) are already accommodated in the Home Date of last inspection Brief Description of the Service: Goodwood Orchard Residential Home is a care home providing personal care and accommodation for 18 older people with a physical frailty and/or mental confusion. Carole and David Boulton own the home, with Carole working as the manager. The home is situated on the outskirts of Leicester in a residential area and is easily reached by private and public transport. There is parking available in the grounds of the home. The accommodation is a converted three storey detached house with a flat where the owners live on the second floor. There are two lounges and a dining room on the ground floor. There is a mixture of single and shared bedrooms on both floors and some of them have en-suite facilities. The first floor can be accessed by stairs or by a passenger lift. Outside there is a large well maintained garden with an aviary. A patio area with seating for the residents overlooks the garden and both are accessible for the residents. The home can be contacted by telephone, fax or email. The fees range from £319.00 to £398.98pw. There are extra charges for hairdressing, chiropody, newspapers and personal items. Goodwood Orchard DS0000006308.V329673.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection of a care home for older persons, which ended with an unannounced visit to the service. Before the visit the inspector spent three hours reviewing information received by the Commission for Social Care Inspection (CSCI) since the last inspection on the twelfth October 2005. The visit took place on the 19th April 2007 and lasted six hours. During the visit the inspector checked all the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called ‘case tracking’. Case tracking means that the inspector looked at the care provided to three of the residents. To achieve this, the residents and, where possible, their families were spoken with. The inspector spoke with the staff supporting their care and looked at the records relating to their health and welfare. With their permission the residents’ bedrooms were looked at. The inspector also checked how the home was run and organised. This included looking at staff records, training and how the staff are organised. The inspector looked at health and safety records, menus, minutes of meetings and the quality audit. The policy for handling complaints and how the home dealt with them were looked at. The inspector looked at how prospective residents and their families are given information about the services the home can offer and whether they are suitable for them. During the visit the inspector spoke with the manager, staff, residents, families and visitors. What the service does well: Goodwood Orchard residential home provides a very pleasant environment for the residents to live in. The care staff and the manager are well trained to meet the needs of the residents and show empathy and support to the residents when looking after them. ‘The manager and the staff will do anything for us’ Goodwood Orchard DS0000006308.V329673.R01.S.doc Version 5.2 Page 6 ‘They are dedicated to the residents and will do over and above to look after them’ What has improved since the last inspection? What they could do better: The findings of the inspector during the visit were discussed with the manager at the end of the visit. The residents’ care plans should be agreed and signed by the resident or their family. This would make sure that they are aware of the care to be given and that they are happy with it. The policies and procedures should be updated and regularly reviewed to make sure that they have any changes in them, which could affect the care of the residents. The hot water temperature for each individual tap should be recorded when regularly tested. The Commission for Social Care Inspection should be informed of all incidents that have happened in the home or to the residents. This will make sure that they are aware of how the home is managing incidents that may affect the residents well being. The staff should have formal supervision as often as the regulations require and that they are recorded. This process gives the staff and their ‘line manager’ the opportunity to have individual discussions about work and training needs. Goodwood Orchard DS0000006308.V329673.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. Goodwood Orchard DS0000006308.V329673.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 Goodwood Orchard DS0000006308.V329673.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): 2, 3. 6 is not applicable in this home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. To make sure that they will receive the right care, residents’ needs are well assessed prior to moving into the home by the completion of a pre-admission assessment and a visit to the home. EVIDENCE: The inspector checked the care records of three of the residents (with their permission) who were case tracked. All of the residents had received a Statement of Purpose and a Service Users guide. The Statement of Purpose and Service Users’ Guide provide all of the required information about the services offered and the Terms and Conditions that apply. Providing a comprehensive Statement of Purpose & Service Users’ Guide results in good information for the residents, making sure that they they can get the most suitable care. Goodwood Orchard DS0000006308.V329673.R01.S.doc Version 5.2 Page 10 One of the residents families spoken with told the inspector that they had a visit from the home manager before their relative was admitted. They confirmed that they were given the opportunity to visit the home before they came in. This makes sure that that the staff in the home have the the right information before the resident is admitted so that the resident gets the best care. It makes sure that the home can meet the residents needs and that the resident meets someone from the home who they can recognise. This makes the move into care easier to manage for them. Members of the staff spoken with said that they knew what the residents needs were before they moved in. The current registration certificate from the Commission for Social Care Inspection (CSCI) was displayed in the entrance of the home. An up to date insurance certificate was displayed in the entrance hall. Goodwood Orchard DS0000006308.V329673.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. The staff meet the care needs of the residents as identified in the care plans, which the residents and their families are happy with. EVIDENCE: Care plans for three residents were ‘case tracked and were found to contain good individual evidence of the care being given to them. There are records of the involvement of G.P.s, chiropodist, optician and dentist present, showing that thorough health care is being provided for the residents. There are records of the meals that the residents have eaten in a separate file,which makes sure that they are having an adequate diet. The residents are not being weighed at the moment, which would make sure that they are eating enough food to maintain their weight. The manager told the inspector that she was going to buy a new set of scales which the residents can sit on to be weighed Goodwood Orchard DS0000006308.V329673.R01.S.doc Version 5.2 Page 12 The residents and their families spoken with said that they could see the doctor and other health professionals when they needed to. The care plans seen had not been signed by the resident or their families. Signing the careplans would make sure that the resident and/or their families were aware of the care to be given and that they agreed with it. The daily record of care is up to date which makes sure that the residents receive the right care and the staff know what has happened to them during the day or night. The inspector observed residents being treated with dignity and respect when staff spoke with them. The staff were observed sitting with the residents helping them with their lunch and sitting talking with them in the lounge area. Staff seen giving care did so in the right way, giving the residents privacy where needed. Staff spoken with were aware of the care needs of the residents and the residents and the families spoken with were happy that all care needs were being met. There are risk assessments in place to cover all the identified risks for the residents. This makes sure that the residents and the staff are protected from any risks that have been identified, without restricting their activities. Medication records for the case tracked residents were in order. Medicines are given by members of staff who have had training to administer medicines. This was seen by the inspector and medicines were administered individually and the residents seen to be taking them. The staff spoken with were knowledgeable about the medicines and where to obtain information. They were also aware of the requirements for the receipt, storage and disposal of medicines. There is a policy in place for the residents who are able to look after their own medicines. However there are no residents looking after their own medicines at the moment. Goodwood Orchard DS0000006308.V329673.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): 12, 13, 14, 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have their social, spiritual and nutritional needs met. Their views are taken into consideration and acted on. EVIDENCE: There was evidence of some activites being provided for the residents, these were recorded in the residents files. Although there didn’t appear to be a very full programme of activity planned, the residents spoken with were happy with those arranged. On the day of the visit there was no formal activity taking place and the television was on all day in the lounges. The residents spoken with in the lounges said that it was always on, but they didn’t really watch it. The residents have a choice of meals every day and the cook was seen to be talking to all the residents to ask which meal they wanted that day. The inspector observed lunchtime in the dining room and all the residents said that they were enjoying their meal and that they always had a choice of meals. Goodwood Orchard DS0000006308.V329673.R01.S.doc Version 5.2 Page 14 The cook is not qualified but has a good understanding of the dietary needs of the residents including diabetic diets. She is about to start a National Vocational Qualification in catering. Visitors are made welcome in the home and some regularly take their relatives out. This was confirmed by visitors and families spoken with who told the inspector that they were made very welcome at any time. The inspector observed the welcome given to visitors when coming into the home which was warm and friendly. They are spoken with regularly on a one to one basis by the manager. The manager sees each of the residents on a one to one basis every day. There are annual quality audits to get the views of the residents and their families. The manager holds regular residents meetings, which have minutes taken. These practices ensure that the residents maintain contact with the community and their families and that views for improvements can be considered. There is a regular church service within the home which the residents enjoy and communion can be arranged for them if they wish it. The local Roman Catholic church arranges visits for those residents of that faith. These practices make sure that the pastoral care needs of the residents are met and that all Faiths are provided for. A hairdresser visits once a fortnight and the residents told the inspector that they really enjoyed her coming. Goodwood Orchard DS0000006308.V329673.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. There are systems in place to support and protect residents and staff are aware of the processes. EVIDENCE: There is a complaints policy in place which gives the details of how to complain and who to complain to if they needed to. The complaints book was looked at and there are no records of any complaints having been received since the last inspection on the 12th October 2005. There were many letters and cards of praise and thanks for the care that the home gives. The residents spoken with were happy that they would speak to the manager or a member of staff, if they had a problem and that it would be dealt with. Families and visitors spoken with on the day of the visit said that they were aware of the procedure to complain and would have no concerns about doing so. The staff spoken with knew how to deal with a complaint which was given to them, but told the inspector that none of them had ever needed to complain. The Commission for Social Care Inspection has received no complaints or concerns about this service since the last inspection on 12th Octber 2005. Goodwood Orchard DS0000006308.V329673.R01.S.doc Version 5.2 Page 16 The care staff spoken with were aware of ‘safeguarding adults’, the procedure to follow and would be prepared to ‘whistle blow’ if they thought that there was a need to. The staff confirmed that they had had training in safeguarding adults and this was confirmed by the training records held in the home. This makes sure that the residents are safe from any abuse and that any concerns are handled correctly. Goodwood Orchard DS0000006308.V329673.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, 20, 23, 24, 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in a pleasant home, which is run in their best interests. EVIDENCE: The registration certificate from the Commission for Social Care Inspection was displayed with a current certificate of insurance. The inspection reports are available in the office. Goodwood Orchard is a converted house on the outskirts of Leicester. There are two lounges and a dining room. The home is very well maintained, clean and free from any unpleasant odours and it gives the residents a pleasant place to live in. Goodwood Orchard DS0000006308.V329673.R01.S.doc Version 5.2 Page 18 The gardens and patio areas are very well kept and easy for the residents to get to in the better weather. The bathrooms are clean, tidy and free of any hazards. One of the bathrooms had unnamed toiletries in it, which could cause difficulties if a resident with confusion drank them. There could also be a cross infection problem if items are used for more than one resident. This was discussed with the manager and she removed all the items before the end of the visit. With their permission the case tracked residents bedrooms were looked at by the inspector. They provided good accommodation, which had been personalised with the resident’s belongings and a resident spoken with was said that ‘she was very pleased with her room’. The bedrooms were clean and well maintained. The residents who shared a bedroom had this discussed with them and their families before they moved in. The residents could be given privacy with the use of screens if they wished it. There was evidence of equipment such as hoists having been provided to help in the care and comfort of the residents. The mnager told the inspector that a plumber regularly visits the home and checks the hot water temperatures in the home, however there are no records kept to confirm this. There are records in place to show that the bath temperatures are tested when the residents have a bath, which makes sure that the temperatures are at a level, which will avoid the risk of the residents being scalded. This was discussed with the manager and the registered providerwho told the inspector that they would put these records in place. There were no further outstanding safety or maintenance issues seen on the tour of the premises. Goodwood Orchard DS0000006308.V329673.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. The residents’ needs are met and their safety protected by the recruitment policy and by the training that is in place. EVIDENCE: There is evidence of a good skill mix of staff to make sure that the residents have the right care. The duty rota reflected the number of staff on duty. The residents, staff and visitors spoken with felt that there were always enough staff on duty to look after them properly. Three staff files were looked at by the inspector and the required information was complete in all the files. This included evidence of identification, adequately completed application forms, two written references and Criminal Records Bureau checks. There was evidence of staff training including induction and the staff spoken with confirmed that they received regular training in moving and handling. They said that they had training in first aid, food hygiene and medicine training. Goodwood Orchard DS0000006308.V329673.R01.S.doc Version 5.2 Page 20 There is a record of training held by the manager with the certificates in the training file. The home has had several members of staff leave, which has reduced the numbers of staff holding a National Vocational Qualifications(NVQ) in care at level two or above. A member of staff has been employed who is an NVQ assessor and several more staff are about to commence the training which will increase the numbers to the required level. The Manager has completed the registered managers award through the National vocational award programme. The National Vocational Qualification is a qualification for care staff to make that they receive the right training in the needs of the resident group whom they are caring for. Goodwood Orchard DS0000006308.V329673.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, 32, 33, 36, 37, 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in a home, which is run in their best interests. There are areas of record keeping which need attention, to maintain the supervision of staff and communication with the Commission for Social Care Inspection. EVIDENCE: The manager was available throughout the visit to the home. The manager has owned the home for five years and has recently completed the Registered managers award (RMA). Goodwood Orchard DS0000006308.V329673.R01.S.doc Version 5.2 Page 22 The staff receive training to make sure that they can care for the residents safely whilst protecting them from any abuse. This was confirmed by available records, the manager and by staff spoken with. The manager had been unaware of the requirement to send the Commission for Social Care Inspection (CSCI) notifications for some incidents that had happened to the residents. The inspector had a discussion with her about this requirement and the manager assured the inspector that she would start to send them in immediately. There was evidence of some staff supervision taking place, but not as often as is required. There is excellent communication between the manager and the staff who she sees frequently on an informal basis. This was confirmed by the manager and by the staff spoken with. The process of formal supervision time gives the staff and their ‘line manager’ the opportunity to have individual discussions about work and training needs. The manager told the inspector that she would start regular supervision which would be recorded. There are regular meetings held with the staff to pass on and exchange information. The manager holds regular meetings with the residents and their families as well as one to one discussions both to pass information on and to listen to their views and opinions. There are annual quality questionaires sent out to residents and their families to gain their views about the home. These practices allow the manager and the responsible person to respond to the residents and the staff’s needs. Residents finances are entirely handled by their families with the home holding no money for them. There are policies and procedures in place for the home, but they have not been reviewed or updated for several years. This was discussed with the manager who said that she would update them immediately. Records for the maintenance of fire equipment, fire drills and training were found to be in place and up to date. Goodwood Orchard DS0000006308.V329673.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 X 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 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 2 3 3 X 3 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X 2 2 3 Goodwood Orchard DS0000006308.V329673.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? None 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. Standard Regulation Requirement Timescale for action 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. 5. Refer to Standard OP7 OP19 OP36 OP37 OP37 Good Practice Recommendations The manager should encourage the residents and/or their families to sign the care plans to make sure that they agree with the care that is planned. The manager should make sure that the temperatures of the water outlets are recorded. The manager should make sure that the formal supervision of staff is increased to the required level and that it is recorded. The manager should make sure that the policies and procedures in the home are updated and regularly reviewed. The manager should make sure that notifications for all incidents affecting the well being of the residents are sent to the Commission for Social Care Inspection. Goodwood Orchard DS0000006308.V329673.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Goodwood Orchard DS0000006308.V329673.R01.S.doc Version 5.2 Page 26 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!