Inspection on 11/03/08 for Inglewood (Wigton)

This inspection was carried out on 11th March 2008.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Inglewood (Wigton) 31/08/06

Inglewood (Wigton) 22/03/06

Inglewood (Wigton) 04/10/05

Inglewood (Wigton) 14/06/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Inglewood (Wigton) Lowmoor Road Wigton Cumbria CA7 9QL Lead Inspector Diane Jinks Unannounced Inspection 11th March 2008 10:00 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 Inglewood (Wigton) DS0000035221.V356401.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. Inglewood (Wigton) DS0000035221.V356401.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Inglewood (Wigton) Address Lowmoor Road Wigton Cumbria CA7 9QL 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) 016973 66158 016973 66159 www.cumbriacare.org.uk Cumbria Care Mr David Edkins Care Home 40 Category(ies) of Dementia - over 65 years of age (9), Old age, registration, with number not falling within any other category (40) of places Inglewood (Wigton) DS0000035221.V356401.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The service must at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. A maximum of forty older people (OP40) may be accommodated of whom nine may have dementia (DE(E)9). The staffing levels for the home must meet the Residential Forum Care Staffing Formula for Older Adults by 1st April 2004. 31st August 2006 Date of last inspection Brief Description of the Service: Inglewood is a care home providing accommodation and care for up to 40 older people, 9 of whom may have dementia. The home is operated by Cumbria Care, an internal business unit of Cumbria County council, and is situated close to the centre of Wigton. The home is divided into four living areas or units, each having a lounge/dining room and a small kitchen area with bedrooms, toilets and bathrooms nearby. Other communal lounges and sitting areas are available and can be used by people who want a quiet area. There is also a designated area for those who wish to smoke. There is a passenger lift, handrails, grab rails and assisted bathrooms and toilets to help people in their day-to-day lives. The home has pleasant garden areas including a central courtyard, a secure garden area and a small car park to the front of the home. A large room at the home is used to provide day care for older people from the local community. People living at the home may also use this room during the evening, weekends and for special events. The home produces a guide to the services and facilities provided by the home and this is available on request from the manager. The scale of charges range from £326.00 - £434.00 per week (March 2008), subject to an assessment. Inglewood (Wigton) DS0000035221.V356401.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The assessment of this service took place over several weeks and included a visit to the home. People using this service, staff, visitors and relatives were asked for their views and opinions about the home, either during the visit or by completing questionnaires. The manager completed an Annual Quality Assurance Assessment, which helped verify information throughout the inspection process. What the service does well: The home provides a warm, safe and friendly environment for the people who live there. People who may be considering moving into Inglewood receive a full assessment of their care needs. This helps to ensure that the home will be suitable and able to fully meet their needs and expectations. People using this service say that Inglewood is ‘just like home. Its very comfortable and the staff will get you anything you want.’ ‘The staff are very helpful and friendly.’ People living at the home say that the food is generally very good too, ‘you get a choice of two things and there is always a lot of variety.’ The service is very good at ensuring that there are plenty of things to do at the home if a person chooses to join in. ‘Entertainers and singers come into the home, there are books, jigsaws and games and if you want papers or magazines they can be delivered or someone will go out and fetch one for you.’ Comments from relatives are also very positive. One person said ‘My mother has been in care over 2 years and I feel she has every comfort she could have had at home.’ Another person said ‘The residents are cared for as family would if they were in their own home’ Staff feel that they get suitable training and support to help them do their job well. Comments included; ‘Training is always available for every aspect of our work and is kept up to date. I have regular supervision with the manager, but if I have any queries or problems I know I can speak to him at anytime about this.’ Inglewood (Wigton) DS0000035221.V356401.R01.S.doc Version 5.2 Page 6 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. Inglewood (Wigton) DS0000035221.V356401.R01.S.doc Version 5.2 Page 7 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 Inglewood (Wigton) DS0000035221.V356401.R01.S.doc Version 5.2 Page 8 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): Standards 1 and 3. Standard 6 is not applicable to this service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using this service have their health and social care needs assessed prior to moving into Inglewood. This helps to make sure that the home will be suitable and able to meet their needs and expectations. EVIDENCE: The home has a Statement of Purpose, which is available from the manager, together with copies of the latest inspection reports. There is an area in the main entrance hallway where information about the home and other services is readily available to both people using this service and their visitors. People participating in the inspection of the service say that they received sufficient information to help them make a decision when choosing Inglewood. Inglewood (Wigton) DS0000035221.V356401.R01.S.doc Version 5.2 Page 9 One person taking part in the assessment of this service said ‘‘I was taken around the home by staff and I liked the place. It is near lots of facilities clinic, shops, cafes, bowling, church and market. I do not wish to move away from all the facilities. I have a scooter to go to all these places. It is near my family for visits - if I moved away from everything I would miss my independence’. The manager stated that all prospective residents are invited to visit Inglewood or have a trial stay before making the decision to move into the home. The home has an assessment process, which helps them to decide whether the home will be suitable for a person and whether they will be able to meet their needs and expectations properly. The sample of care records looked at show that people have their health and social care needs assessed prior to moving into the home. People living at the home have a Cumbria Care contract. This provides them with further information about the home and the terms and conditions of their residency at Inglewood. Inglewood (Wigton) DS0000035221.V356401.R01.S.doc Version 5.2 Page 10 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): Standards 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home generally have their health and social care needs met. There are some gaps in care records, which means that their needs may not always be met consistently. EVIDENCE: A sample of four care records was looked at during this visit. They contain information about each individual. Assessments and care plans generally identify the assistance needed by each person in their daily lives. The documents also recognise the level of each individual’s independence. People living at the home are encouraged to remain as independent as possible. Inglewood (Wigton) DS0000035221.V356401.R01.S.doc Version 5.2 Page 11 Although the care records all contain care plans, which identify individual care needs, there are some gaps in the records. This may mean that people do not receive consistent support or may be placed at risk from harm. For example, one person moved into the home three weeks prior to our visit and does not have a completed care plan. Potential hazards have been identified but clear instructions and strategies for staff to follow have not been recorded. This was particularly noted where people may be susceptible to pressure sores, have safety equipment in place or may have behaviour, which can at times be challenging. Some records are not always kept up to date as frequently as they should be especially where checks are made weekly or monthly. Some of the staff spoken to had a good knowledge of the people in their care and were able to give verbal updates. Records show that people have access to other health care professionals including doctors, community nurses, the dietician, chiropodists and opticians. Although there are sometimes difficulties in obtaining dental treatment, the person in charge know how to access dental treatment for residents and some residents attend a private dentist. Some of the comments made by people using this service include: • • • I am very satisfied with the care received. I cant fault the care staff who tend my needs.’ ‘All the staff and supervisors are all caring and helpful. I am able to talk to them and ask advice.’ ‘I am very pleased with the care my dad has received, he has improved since going in Inglewood.’ The medication storage and recording systems were looked at during this visit. Medication is stored securely at the home and in a clean, tidy and organised manner. There are suitable arrangements to ensure the safe storage and management of medicines that may be liable to mis-use. Medicines are supplied by the pharmacy mainly in colour coded monitored dosage systems. Other medicines are clearly labelled with the person’s name, the name of the medicine and the dosage to be administered. There is a medication policy in place at the home and staff with the responsibility of administering medicines have undertaken training. These measures help ensure that the administration of medication is carried out safely. Medication record sheets (MAR) are also supplied by the pharmacy and generally provide clear and accurate information. There was one discrepancy on a MAR chart that needed to be updated by the pharmacy. Inglewood (Wigton) DS0000035221.V356401.R01.S.doc Version 5.2 Page 12 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): Standards 12, 13, 14 and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home demonstrates that people are treated with respect and dignity. People living at Inglewood are enabled to maintain their independence and make real choices about their daily lives. EVIDENCE: The manager indicates that improvements have been made at the home with regard to the activities and to the choice of meals and food available. People living at the home are encouraged and supported to live their preferred lifestyle. An activities co-ordinator is employed at the home and there are a wide variety of activities and seasonal events available throughout the year. Details of activities and forthcoming events are posted around the home together with a monthly newsletter about the activities and events happening at the home. Someone who lives at the home produces the newsletter. Inglewood (Wigton) DS0000035221.V356401.R01.S.doc Version 5.2 Page 13 Some of the people who use this service were spoken to during this visit, others completed questionnaires. They say that there are plenty of opportunities at the home to take part in social and leisure activities if they want to. They were very complimentary about the work of the activities coordinator. They said that ‘there is always something going on such as traditional games, dominoes, cards, Scrabble, quizzes and jigsaws’. The most recent addition to the home is a computerised, interactive games machine. People spoke of playing virtual tennis, golf, bowling and boxing with great enthusiasm. Coffee mornings are arranged, local people come in from outside and residents say it gives them the opportunity to ‘catch up with the local gossip’. Communion is held at the home once a month and some people attend the local chapel each Sunday. There are books and newspapers available and people say that if they want something ‘you only have to ask staff and they will get it for you’. People may see their visitors in their own room, one of the communal areas or one of the many private little alcoves around the home. The people spoken to agreed that the staff respect their privacy and rights to choose. Local sschools visit regularly and invite residents to their concerts. Mothers Union groups also visit. One relative thinks that the home ‘goes beyond the call of duty, my aunt was 100 last month and the Beeches lounge was decorated for the occasion with a large party laid on for her. Birthdays are celebrated regularly, and a diamond wedding celebration was held for a couple recently.’ There are plans for the home to re-locate. This will mean that the standard of the accomodation will greatly improve. Larger bedrooms with en-suite facilities are planned. However, many of the comments received from people who use this service and their relatives express concerns about the proposed re-location of the home. People are worried that the town will not be so accessible, some were worried about the public transport facilities to and from the proposed site of the new home. One person said ‘It is near lots of facilities I do not wish to move away from all the facilities.’ Another person commented ‘service users independence must also be recognised and be high up the listing with privacy and dignity when finding a new site. This I feel strongly about, but it doesnt seem to get mentioned much at meetings.’ Many people living at Inglewood like to go out to get shopping, newspapers, etc for others, this must be a good thing. Others like to be taken to the market or into the town ‘to get bits and bobs.’ The manager has started to hold consultation meetings with the people that live at the home, their families and staff that work at there. Where necessary the services of advocates are being sought to help ensure everyone is able to understand the plans and express their views about them. Inglewood (Wigton) DS0000035221.V356401.R01.S.doc Version 5.2 Page 14 Most of the people taking part in the inspection said that they always like the food that is provided at Inglewood. They say that the menus have changed a little but there are still two choices at the main lunchtime and teatime meals and there is a good variety. Throughout the day there are snacks and drinks available – ‘you only need to ask and the staff will get anything you want, they are very good.’ Some people at the home need to eat food that has been pureed. An example of their lunchtime meal was seen. It was all mashed together and did not look appealing or tempting. There were some staff helping people to eat their meals, best practice in some of these areas was not always observed and we discussed this with the person in charge. Inglewood (Wigton) DS0000035221.V356401.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): Standards 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service has complaints and adult protection processes in place. This helps to ensure that people using this service are safeguarded and protected from harm or abuse. EVIDENCE: Staff are aware of the comments and complaints policies in place at the home. Dealing with complaints is part of the staff training and induction programme. There are policies and procedures in place to help ensure that people are supported in raising concerns and that their concerns are dealt with appropriately. People using this service generally indicate that if they have any concerns or complaints they can talk to the staff and they are dealt with quickly. There were some comments received to indicate that this is not always the case. Some people have complained about disruptions at times during the night. They feel that this problem has not been dealt with properly. There are procedures in place at the home to help ensure that people are protected from harm or abuse. Staff have received training in the subject of safeguarding adults and the home knows who to contact and what they should do if allegations of this nature are ever made. Inglewood (Wigton) DS0000035221.V356401.R01.S.doc Version 5.2 Page 16 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): Standards 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is maintained to a high standard and provides a safe and comfortable environment for the people that live there. EVIDENCE: The home provides accommodation for 40 people in single occupancy rooms. The rooms are maintained to a clean and pleasant standard and people are able to personalise their own space with some of their own possesions such as pictures, ornaments, televisions and small items of furniture. Inglewood (Wigton) DS0000035221.V356401.R01.S.doc Version 5.2 Page 17 The home provides a warm, safe and comfortable environment for the people that live there. Comments received from some of the people that live there or their relatives include: ‘The care home makes the residents feel like they are at home, it’s very friendly, also are allowed to take things from their own home, pictures, ornaments etc.’ ‘They create the ambience that makes Inglewood feel like home,’ and ‘we have very good cleaners, our rooms are cleaned regular. All the home is kept fresh and clean every day.’ The toilets, bathrooms and corridors are fitted with equipment to help promote maximum independence and meet the needs of those people who may also have a disability.The home has an annual home improvement plan, which is agreed with the Accommodations Manager and Home manager. This helps to ensure that the home is kept at a good standard. On the day that we visited the home, the painters and decorators were carrying out work in the entrance hallways and stairs. Other areas of the home have already been decorated and some carpets and furniture have been replaced. The home employs housekeepers in addition to the care staff. This helps to ensure that the home remains clean and hygienic. The laundry and kitchen were looked at briefly and were in a clean, tidy and well-organised condition. There are facilities at the home for people who wish to smoke. This room would benefit from a review, taking into account the recent changes to smoking legislation to ensure that it fully meets the requirements. Outside the home are pleasant garden areas, which residents can access in the better weather. Inglewood (Wigton) DS0000035221.V356401.R01.S.doc Version 5.2 Page 18 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): Standards 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The recruitment processes in place at this service are good. This helps to ensure that people using this service are supported by suitable staff. EVIDENCE: The home adheres to robust corporate staff recruitment and selection procedures. A sample of three staff files was looked at. They confirm that staff do not start work in the home until the results of all the necessary checks have been made. This helps to ensure that only suitable people are recruited to work at the home. The manager says that staff are very loyal to their individual units and that this helps to ensure continuity of care for the people that live at the home. Over half of the care staff at the home have gained a National Vocational Qualification (NVQ) in care and others are in the process of obtaining this qualification. Inglewood (Wigton) DS0000035221.V356401.R01.S.doc Version 5.2 Page 19 Staff training records show that staff have participated in other training courses to help them work with and understand the needs of the people who use this service. Staff are provided with induction training and basic training such as manual handling, adult protection, fire safety and training in the administration of medicines. Some staff have also received training in specialist subjects to help them understand the special needs of people who may have dementia or mental health illnesses, for example. The community nurse has provided the home with information on pressure area care, including an information book. One of the supervisors said that they were trying to organise some training for staff on this subject. This will help ensure that the gaps identified in the care planning system are addressed. Two members of staff have attended Mental Capacity Act training but would appreciate further instruction to help ensure that they understand this legislation in relation to the role that they perform at the home. Some of the care staff were spoken to during our visit to the home and others completed questionnaires. Some of their comments included: • • • ‘Cumbria Care has a very good induction, which is followed up with plenty of courses to keep you up to date.’ ‘The manager, supervisors and staff all work together ensuring the service users needs are met.’ ‘There is always an opportunity to do training and we also have useful inhouse training which keeps us up to date with care needs and changes. We are doing equality and diversity training at the moment, this is a mandatory course so all staff will have to attend this course.’ The staff were generally very positive about the training and support that they receive to help them do their job properly. Inglewood (Wigton) DS0000035221.V356401.R01.S.doc Version 5.2 Page 20 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): Standards 31, 33, 36 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using this service benefit from a home that is run and managed in an open and positive manner. EVIDENCE: The home is run by a qualified and experienced manager. The manager was not on duty on the day of this visit but the supervisors in charge were knowledgeable about the service and the people who live and work at the home. They were able to provide access to the information and records asked for. Inglewood (Wigton) DS0000035221.V356401.R01.S.doc Version 5.2 Page 21 The manager ensures that people using this service are consulted about their views and opinions. Satisfaction surveys are completed annually and include not only the people living at the home but also their relatives, doctors, nurses and social workers. This helps the manager to assess a wide range of views and opinions when trying to make improvements to the service. Residents and relatives meetings also take place on a frequent basis. These meetings are particularly important at this time as the home falls into the first phase of Cumbria Care’s modernisation programme. This means that the home has been recommended for replacement by a new and up to date building. People living at the home indicate that they are being consulted and kept up to date on these developments. The manager states that all the people living at the home will be offered advocacy services to help ensure that their views and best interests are properly represented. Some of the comments received during the inspection of this service indicate that people who use this service, their relatives and staff are concerned about some of the proposed plans. A sample of the home’s safety records was looked at during our visit. They show that regular maintenance checks are carried out to help ensure the continued health and safety of people living and working at the home. All the catering staff at the home have received training in safe food handling and a large number of staff have completed training in the control of infection. This training also helps to manage health and safety within the home. There are no qualified first aiders at the home but most of the staff have completed the emergency action training. This training includes some instruction on basic first aid procedures. This is an area that manager should look to make improvements to. Staff at the home regularly receive supervision and have their practice monitored. This helps to make sure that staff are working safely and in line with the policies and procedures of the service. Some comments from staff included; ‘I have regular supervision with the manger, but if I have any queries, problems etc I know I can speak to him at anytime about this.’ ‘We have regular supervision. We are given the chance to put forward any problems or issues or express any training needs and make sure we are up to date with policies and procedures etc.’ ‘If there are any issues that need attention in between supervision our managers door is always open and he always has time to sort out any problems we may have, he is very approachable.’ Inglewood (Wigton) DS0000035221.V356401.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X 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 X 3 X X 3 X 3 Inglewood (Wigton) DS0000035221.V356401.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP15 Regulation 16 Timescale for action You must ensure that food, 30/04/08 including pureed meals, is presented in an attractive and appealing manner. (Previous timescale of 09/10/06 not met) Care plan recordings must be 30/04/08 more detailed when specialist needs are identified. Management plans must be developed to guide staff and ensure a consistent approach. This will help ensure that all aspects of the person’s needs are met appropriately. Requirement 2. OP7 15 Inglewood (Wigton) DS0000035221.V356401.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP19 Good Practice Recommendations A review of the arrangements that are in place for people living at the home would benefit from a review. This should take into account the recent changes to smoking legislation to ensure that arrangements fully meet the requirements. It is strongly recommended that serious consideration is given to the arrangements in place at the home with regard access to first aid for both the people that live or work at the home. 2 OP38 Inglewood (Wigton) DS0000035221.V356401.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North West Regional Contact Team Unit 1, 3rd Floor Tustin Court Portway Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © 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 Inglewood (Wigton) DS0000035221.V356401.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!