Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 03/04/07 for St Williams Residential Care Home

Also see our care home review for St Williams Residential Care Home for more information

This inspection was carried out on 3rd April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

What has improved since the last inspection?

The home continues to provide a high standard of care and a well maintained home, where people can live comfortably in nice surroundings. The manager has acted on recommendations made during the last couple of key inspections, such as installing a number of automatic door closures that allow doors to be propped open safely. BUPA has also started to address the issues that were identified during the thematic inspection, which will help to make sure that people have detailed information about their fees and contracts for living in the home.

What the care home could do better:

BUPA has already started to review the current arrangements for contracts and providing people with information about their fees. However, these arrangements are not yet fully in place, so the requirement and recommendation made during the thematic inspection have been repeated in this report. It is also recommended that staff receive specific training on abuse and protection, rather than relying on these important issues being covered when staff do their National Vocational Qualifications (NVQ`s). The home is already making improvements to the facilities it has to store medication, in response to the recent pharmacy inspection undertaken by the Primary Care Trust.

CARE HOMES FOR OLDER PEOPLE St Williams Residential Care Home Cornwall Avenue Darlington Durham DL1 2LJ Lead Inspector Rachel Dean Unannounced Inspection 3rd April 2007 09:30 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 St Williams Residential Care Home DS0000000825.V332704.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. St Williams Residential Care Home DS0000000825.V332704.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service St Williams Residential Care Home Address Cornwall Avenue Darlington Durham DL1 2LJ 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) 01325 486166 01325 482337 www.bupa.co.uk BUPA Care Homes (GL) Ltd Mrs Elizabeth Mary Wilson Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places St Williams Residential Care Home DS0000000825.V332704.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th January 2006 Brief Description of the Service: St Williams is a care home providing residential care for up to twenty-two older people. BUPA Care Services purchased the home in 1997. St. Williams is a former convent and is a large detached property situated at the top of a cul-de-sac, in a residential area of Darlington. Accommodation is provided on two floors, with a passenger lift giving access to both floors. Seven single rooms are situated on the ground floor and a further thirteen single and one double room are located on the first floor. One of the bedrooms has an en-suite, and communal toilets, bathrooms and a shower room are situated throughout the building. There are two lounges and a dining room on the ground floor and a small quiet lounge on the first floor. The residents of St. Williams are able to enjoy the benefits of the wellmaintained garden to the front of the house, which provides a safe, pleasant environment and access to fresh air. The weekly fees charged by the home range from £334 to £408. Additional charges are made for hairdressing (e.g. cut & blow dry £8) and private chiropody £10. Up to date information about fees should always be sought directly from the home’s manager. St Williams Residential Care Home DS0000000825.V332704.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of St Williams Care Home and took place on 3rd April 2007. The inspection focused on all of the key outcome areas for service users. During this inspection five residents and two visitors were spoken to about their experiences of living in and visiting the home. Five people living at the home completed and returned a survey about life at St Williams and six relatives completed a survey about the home. A senior carer and another member of care staff were spoken to about working in the home and the service provided to residents. A number of records kept by the home were also inspected and the inspector made observations while she was in the home. This included observing lunch time and spending time observing and talking to people in one of the lounges during the afternoon. Discussions were had with the manager throughout the inspection. A different inspector had also visited St Williams on 9th and 10th January 2007 to conduct a Thematic Inspection: a short, focused inspection that looks in detail at a specific theme. The thematic inspection considered the outcomes for service users under National Minimum Standards 1, 2, 3 and 16. In particular it looked at the quality of information given to people about the care home and whether people experience open and fair conditions of care. The findings of this thematic inspection, although available separately, have been incorporated into this report. They will also be used as part of a wider focussed investigation that CSCI is carrying out about the information that people get about care homes for older people. This report will be published later in 2007 and will be used to help us respond to the recommendations contained within the Office of Fair Trading’s market study, ‘Care homes for older people in the UK’. Further information on this, and thematic inspections, can be found on our website: www.csci.org.uk. What the service does well: The people living in the home and their relatives think very highly of the care provided at St Williams. Examples of the positive comments made about the care include ‘I can not praise the staff of St Williams enough. Placing your beloved parent in a care home is not a decision anyone wants to make, but I feel my mother has the best that can be provided. The home is always immaculate, sweet smelling and the food excellent. Well done to all’, ‘oh they’re very good, looking at what you want or what they think you’ll want, it makes all the difference’, ‘they’re marvellous, they chat to you’, ‘I feel the staff are like an extended family. My mother would not have reached 97 I am sure St Williams Residential Care Home DS0000000825.V332704.R01.S.doc Version 5.2 Page 6 if it hadn’t been for their care. They look after her the same as I would have if I’d been able to’. The home is well maintained and provides comfortable and homely accommodation. People are able to bring some of their possessions into the home, so that their bedrooms are individual and homely. The home is kept very clean and tidy. Comments made about the home included ‘everything’s nice and cosy, like home’, ‘it’s immaculate’, ‘always clean and tidy, they’re hoovering and what not every day’ and ‘it’s always spotless’. The home has a very stable staff team, who are trained and able to do their jobs. Comments from relatives included ‘staffing levels seem fine – apart from the occasional sickness, never seen a shortage’, ‘they are extremely conscientious and concerned, genuinely so’ and ‘I am amazed at all the skills the staff have. They are a super team and very efficient’. Comments made about the staff by people living in the home included ‘they’re marvellous’, ‘they chat to you’ and ‘they all treat me fine, never had any trouble’. St Williams also benefits from an experience and qualified manager, who helps the home be well organised and focused on providing good care. What has improved since the last inspection? What they could do better: BUPA has already started to review the current arrangements for contracts and providing people with information about their fees. However, these arrangements are not yet fully in place, so the requirement and recommendation made during the thematic inspection have been repeated in this report. It is also recommended that staff receive specific training on abuse and protection, rather than relying on these important issues being covered when staff do their National Vocational Qualifications (NVQ’s). The home is already making improvements to the facilities it has to store medication, in response to the recent pharmacy inspection undertaken by the Primary Care Trust. St Williams Residential Care Home DS0000000825.V332704.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. St Williams Residential Care Home DS0000000825.V332704.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 St Williams Residential Care Home DS0000000825.V332704.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Everyone who moves into St William’s has had their needs assessed before admission. People are provided with information about the service and their terms and conditions. However, some of this information needs to be more specific. EVIDENCE: Standards 1, 2 and 3 were inspected during the thematic inspection and a full report of this inspection is available on request. St Williams provides a large amount of information to people about the home and paying for care services. However, due to recent changes in regulation the home needs to make some changes to ensure that everyone has access to detailed information about their fees and who is responsible for paying them. The home’s Service User’s Guide must be updated to include information about terms and conditions, details of the total fee and any additional fees and how these are to be paid along with a St Williams Residential Care Home DS0000000825.V332704.R01.S.doc Version 5.2 Page 10 statement about whether this differs for people whose care is partly funded by others. Although it is acknowledged that privately funded service users receive a contract, people funded by the local authority should also be provided with a statement of terms and conditions at the point of moving into the home. The home’s written policies and procedures about admission should be amended accordingly. This inspection found that people only moved to St Williams after having their needs assessed and the manager was sure that the home could meet the person’s needs. Copies of these assessments were included in people’s care records and discussions with the manager and people who had recently moved to the home confirmed that good admissions procedures are in place. This means that people who move into St Williams can be confident that the home can meet their needs. St Williams does not provide specialist intermediate care, so this outcome area was not looked at. St Williams Residential Care Home DS0000000825.V332704.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 excellent. This judgement has been made using available evidence including a visit to this service. People receive care based on their individual care needs and preferences, which are recorded in detail their plan and record of care. Staff are dedicated and respectful, providing care and assistance that is based on each persons individual needs and wishes. EVIDENCE: Each person at St Williams has a plan and record of their care. This provides staff with detailed information about people’s individual needs, preferences and wishes. New care planning documents are being put in place to improve the existing system and the example seen had been completed to a very high standard, including very personal and detailed information about people’s needs and preferences. This is important so that people receive the individual service they need and want. People spoken to during this inspection were very complimentary about the care provided at St Williams. Comments included, ‘I think they give more (care than people need). When mam was ill St Williams Residential Care Home DS0000000825.V332704.R01.S.doc Version 5.2 Page 12 they sat with her periodically through the night and got her drinks etc. This made her and me feel very secure’ and ‘if the current standards are maintained we will be very happy to allow them to look after my mother’. Records showed that people receive the health care they need. For example, on the day of the inspection several people had visits from district nurses and the reasons for this was reflected in their care notes. People living in the home and their relatives confirmed that specialist care and attention is sought when necessary. For example, one person said that the home was ‘quick to recognise any changes in the mood of mum and act accordingly’, while someone else commented that ‘any concerns are relayed to me and staff are quick to alert doctors etc if they feel they are necessary for mam’. People felt that staff were professional, respectful and genuinely cared for the people living in the home. Comments made about the staff at St Williams included ‘they’re marvellous, they chat to you’ and ‘I feel the staff are like an extended family. My mother would not have reached 97 I am sure if it hadn’t been for their care. They look after her the same as I would have if I’d been able to’, ‘carers appear to be focused on those they care for’, ‘nothing is too much trouble. All staff are cheerful and very willing’, ‘and ‘ (I) feel staff at St Williams are consistent with good care’. A pharmacist inspector from the local Primary care Trust visited St Williams on 31st January 2007. This visit included checks into how well the home stored, managed and assisted people with their medication. This showed that overall medication is managed safely at the home and that there are areas of good practice, such as ‘excellent communication written onto the medication charts’. However, the pharmacist did recommend that the home re-considered where medication is stored, due to concerns about drugs being exposed to warm temperatures. Discussions with the home’s manager showed that action is being taken to make sure that medication is always stored within safe temperature parameters. St Williams Residential Care Home DS0000000825.V332704.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. People living at St Williams have a lifestyle that suits them, with staff supporting people to have choice and control over their daily lives. People are able to maintain contact with family and friends and the home provides people with a varied and nutritious diet. EVIDENCE: The home’s deputy manager helps to coordinate regular activities for people living in the home. Currently care staff help with activities and social events, in addition to their care tasks. However, the manager confirmed that the home will soon be employing a part time activities coordinator. People living in the home confirmed that they could regularly join in with bingo, games and other activities if they wished. Some people were reading newspapers and magazines during the inspection and one person explained how the home helped her get the ‘talking newspapers’ now that she couldn’t see very well. Visitors and people living in the home also spoke highly of the staff and the way they chatted and interacted with residents. People also confirmed that St Williams Residential Care Home DS0000000825.V332704.R01.S.doc Version 5.2 Page 14 they could attend religious services if they wanted to and care plans included information about people’s social interests and religious practices. A number of regular visitors to the home were spoken to during the inspection. These people spoke highly of the home, said that they were always made to feel welcome and that there were no unreasonable restrictions on visiting times. Five relatives returned surveys about St Williams, all saying that the home ‘always’ supported people to live the life they choose. One person living in the home commented that ‘they (the staff) are very good, always looking at what you want or what they think you’ll want, it makes a big difference’. Staff who were spoken to showed respect for the people they were looking after and a relative commented that staff were genuinely ‘conscientious and concerned’ when looking after her relative. People were observed eating their lunchtime meal. The dinning room had a pleasant and relaxed atmosphere and the tables were set nicely. Staff were seen to provide polite and sensitive assistance and asked what people wanted to eat and drink. The meals that were provided looked home cooked and appetising. Comments made about the food at St Williams included ‘oh, it’s good, I’m right in favour of the food’ and ‘the teas are beautiful, I don’t have the cooked version, I have sandwiches, the homemade cakes are lovely’. During the afternoon staff were observed to provide hot and cold drinks and a selection of biscuits and fresh apple and banana for people to eat. St Williams Residential Care Home DS0000000825.V332704.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. People are aware of how to raise concerns or complaints about the service and feel confident their concerns will be dealt with properly. EVIDENCE: Information about complaints is displayed on the home’s notice board and in the home’s Statement of Purpose, Welcome Pack and brochures. The people spoken to and those who returned surveys confirmed they were aware of how to raise any concerns or complaints and all expressed confidence that any complaints they had would be taken seriously. Comments made by people included ‘I’ve never had to do this (make a complaint) in 15 years’ and ‘the staff and manager are very approachable’. Policies and procedures are also in place to help protect service users and staff from harm and abuse. The staff spoken to during this inspection said that they would feel comfortable reporting any concerns that they had to the manager. However, staff also said that they had not received any specialist training on recognising and reporting abuse, except while doing National Vocational Qualification (NVQ) training, and training records appeared to confirm this. St Williams Residential Care Home DS0000000825.V332704.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): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. St Williams provides people with a well maintained, pleasant and homely place to live. The home is kept very clean and tidy. EVIDENCE: During this inspection a tour of the building was made, so that the inspector could see how well the building was being maintained. The home was nicely decorated, with comfortable furnishings and a relaxed and homely atmosphere. The manager explained how there is a continual programme of redecoration and how people were involved in choosing colour schemes if their room is redecorated. Bedrooms were each decorated individually and had people’s personal possessions in them, making the rooms homely and individual. One person living in the home commented that ‘everything’s nice and cosy, like home’. St Williams Residential Care Home DS0000000825.V332704.R01.S.doc Version 5.2 Page 17 The home was found to be very clean and tidy, with no unpleasant smells. The service users spoken to confirmed that their rooms were very comfortable and that the home was always kept clean and tidy. Comments made about the home included ‘it’s immaculate’, ‘always clean and tidy, they’re hoovering and what not every day’ and ‘it’s always spotless’. St Williams Residential Care Home DS0000000825.V332704.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): 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. St Williams has a stable staff team who are well trained and conscientious in their work. Safe and thorough recruitment procedures make sure that staff are safe to work with vulnerable people. EVIDENCE: Staff rotas showed that there are a reasonable number of staff on duty at all times. Staff comments about staffing levels in the home included ‘we are kept going, but nobody has to wait. We are short staffed today, but we’ve coped fine because everybody just helps each other’ and ‘staffing levels are fine, the odd hiccup due to sickness, but it doesn’t happen very often’. Comments from relatives included ‘staffing levels seem fine – apart from the occasional sickness, never seen a shortage’, ‘they are extremely conscientious and concerned, genuinely so’ and ‘I am amazed at all the skills the staff have. They are a super team and very efficient’. Comments made about the staff by people living in the home included ‘they all treat me fine, never had any trouble’. Staff are encouraged to complete National Vocational Qualifications (NVQ) in care and some staff had just completed their NVQ training at the time of the inspection. Discussions with staff confirmed that training is also provided on St Williams Residential Care Home DS0000000825.V332704.R01.S.doc Version 5.2 Page 19 fire safety, food hygiene, manual handling and infection control, and that specialists like the district nurses or dieticians are often involved in people’s care and provide information to staff. Training records were available to show what training had been provided. A selection of three staff records were inspected, particularly their recruitment records. St Williams has a very stable staff team and has not recruited any new staff for some time. The records that were inspected showed that staff had gone through a thorough recruitment process, including a Criminal Records Bureau disclosure and two written references. St Williams Residential Care Home DS0000000825.V332704.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): 31, 33, 35 & 38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed and run in the best interests of people living there. People’s financial interests are safeguarded and people’s health and safety is protected. EVIDENCE: St Williams has an experienced and well qualified manager. People described her as being approachable and fair. Comments made about the manager included ‘(she) keeps you right, but in a fair way’, ‘very approachable’ and ‘the home keeps me well informed and is very approachable if I have questions’. The home appears to be well run and organised. St Williams Residential Care Home DS0000000825.V332704.R01.S.doc Version 5.2 Page 21 The home has in place ways of monitoring it’s own performance and making sure the home is providing a good service. Regular checks are carried out, both in the home and by external BUPA staff. Customer satisfaction surveys are also used, to make sure that people living in the home are happy with the service they are getting. The most recent survey results were available and showed a very high satisfaction rate and the staff in the home were committed to providing respectful and individual care and attention. BUPA policies and procedures are in place for assisting people to manage their personal allowances, where they are not able to or do not wish to do this for themselves. This system includes a pooled account for keeping residents money and a pooled cash float that is available in the home so that people can access money when they wish to. The pooled bank account has been set up to provide individual balances for each resident and to calculate the interest owing to each person. Receipts and records of transactions are kept and an internal and external audit system has been set up to safeguard people. Suitable arrangements are in place, including staff training and policies and procedures, to help keep people living and working in the home safe. Maintenance records were randomly checked and found to be well organised and up to date. This included regular servicing of equipment and regular checks of water temperatures and fire safety equipment. Since the last inspection a number of automatic door closures have been fitted, so that people can safely prop doors open with out being at increased risk in the event of a fire. St Williams Residential Care Home DS0000000825.V332704.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 2 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 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 4 X 3 X 3 X X 3 St Williams Residential Care Home DS0000000825.V332704.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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 OP1 Regulation 5(1) Requirement The home’s Service User’s Guide must be updated to include information about terms and conditions, details of the total fee and any additional fees and how these are to be paid along with a statement about whether this differs for people whose care is partly funded by others. This requirement and timescale was made during the thematic inspection. Timescale for action 30/07/07 St Williams Residential Care Home DS0000000825.V332704.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 OP2 Good Practice Recommendations Although it is acknowledged that privately funded service users receive a contract, people funded by the local authority should also be provided with a statement of terms and conditions at the point of moving into the home. The home’s written policies and procedures about admission should be amended accordingly. This recommendation and timescale was made during the thematic inspection. It is recommended that staff receive specific training on abuse and protection, rather than relying on these important issues being covered in NVQ training. 2. OP18 St Williams Residential Care Home DS0000000825.V332704.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 St Williams Residential Care Home DS0000000825.V332704.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!