Inspection on 04/09/07 for The Willows

This inspection was carried out on 4th September 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.

Other inspections for this house

The Willows 06/06/06

The Willows 21/11/05

The Willows 16/06/05

The Willows 03/12/04

The Willows 21/05/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE The Willows 74 Station Street Rippingale Lincs PE10 0SX Lead Inspector Sue Hayward Unannounced Inspection 4th September 2007 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 The Willows DS0000002467.V347120.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. The Willows DS0000002467.V347120.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Willows Address 74 Station Street Rippingale Lincs PE10 0SX 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) 01778 440773 willripp2@aol.com Mrs Ellen Floyd Mr Anthony Paul Floyd Mrs Ellen Floyd Mr Anthony Paul Floyd Care Home 31 Category(ies) of Dementia - over 65 years of age (4), Old age, registration, with number not falling within any other category (27) of places The Willows DS0000002467.V347120.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th June 2006 Brief Description of the Service: The Willows is situated in the village of Rippingale, six miles north of the town of Bourne. The village has a pub, shop/post office, church, GP surgery and a village hall. It is within easy reach of Bourne, which has a wide range of shops and amenities. The home is registered for thirty-one older people including up to four who have needs associated with dementia. The original house has been extended and accommodation is provided on two floors. Stairs or a passenger lift enables rooms on the first floor to be reached. There are a variety of communal areas including three lounges, a reading room, a sun lounge and two dining areas, one of which has a bar. There are nineteen single bedrooms, two of these having en-suite facilities and three twin bedrooms with en-suite facilities. The gardens are spacious and enclosed. The rear of the property is laid to flower beds and lawns, with a furnished patio area. There is a raised pond, a summerhouse and a barbeque area. The property also has a driveway and car parking area. There is an adjacent building containing offices, a laundry and a large room used as a training venue. The home has achieved and maintained the Investors in People award. The owner/managers live in a house within the grounds. Information provided at the time of this visit confirmed that the current range of fees is £348 - £431 per week. Hairdressing, newspapers, drinks from the homes bar and items from the homes shop are charged separately. Inspection reports are available in the home. The Willows DS0000002467.V347120.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit to the home formed part of a main inspection focussing on standards, which have the potential to affect residents’ health and welfare. It lasted six and a half hours. Information that the Commission for Social Care Inspection (CSCI) holds such as the history of the service and records of any incidents notified to the CSCI was taken into consideration. Prior to the visit, “Have your say about” surveys were received from six residents. All had been completed with the support of either relatives or staff. Four relatives also returned surveys giving their opinions about the quality of the service. In addition one of the owner/managers, had forwarded an annual quality assurance self-assessment form. This gave important information, which was also used in the planning of the inspection and the compilation of this report. The visit included following the care of four residents with a range of needs through checking their records, and speaking to three of them as one did not wish to meet with us on this occasion. In addition general discussion was held with a relative who was visiting as well as four other residents whose care was not being followed in depth on this occasion. Three staff were interviewed and short periods of observation were spent at various times of staff carrying out their duties. The planning of the visit was carried out initially with one of the owner/managers where it was agreed that general outcomes of the visit would be discussed with the senior staff member on duty at the end of the visit . A follow up telephone discussion was then held with one of the owner/managers after the visit. What the service does well: This home is well managed with a consistent team of staff who have training opportunities to ensure that they have the knowledge and skills to provide appropriate care to meet residents’ needs. Comments from residents and relatives who had completed surveys and who were spoken to during the visit were on the whole very positive about the care and accommodation provided. For example, “I am satisfied” and “ I am well looked after. It is a caring, clean and friendly environment and a lovely The Willows DS0000002467.V347120.R01.S.doc Version 5.2 Page 6 garden. The efficient, willing and friendly staff (of all disciplines) are a credit to the Willows” and ““the senior staff are very good at their jobs and the rest you can see are being very well trained”. Resident’s also said, “I don’t think I have made the wrong decision coming here” and “it’s a home from home”. Residents made comments, which indicated that they found their rooms comfortable and they had been able to make them more homely with their own personal effects. There is an on-going programme of maintenance and redecoration. Visitors are made welcome and a good rapport between residents, their relatives and staff was observed. A relative commented “you could not want for a more friendlier and caring place”. What has improved since the last inspection? What they could do better: No matters were raised during this inspection that indicated standards in the home were not being met, however residents would benefit from further improvements in some areas. The manager demonstrated she is aware of areas that do need developing, for instance redecoration of a shared room and provided information as to how this is to be addressed. Whilst staff have a good knowledge of the needs of residents, care plans and risk assessments in some instances need to include more detail about how needs are to be met. This is particularly important information should staff need to refer to it for guidance. Again information was provided to show that this matter has been addressed The Willows DS0000002467.V347120.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. The Willows DS0000002467.V347120.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 The Willows DS0000002467.V347120.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): Standards 1 & 3. Standard 6 does not apply. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good systems in place to introduce and assess residents, which ensures their care needs are identified and can be met prior to admission. Information about the home is readily available. EVIDENCE: Since the last inspection visit the statement of purpose and welcome guide has been reviewed to ensure it reflects accurate information about the service. This information was on display and the welcome guide was also seen in a resident’s room. Information contained in these documents include reference to residents being able to practice their preferred religion and lifestyles such as how smoking and alcohol is managed in the home All care records checked demonstrated that an assessment of need had been carried out and this had involved obtaining information via visits to prospective The Willows DS0000002467.V347120.R01.S.doc Version 5.2 Page 10 residents and from other professionals. Care plans had been developed identifying residents assessed needs. A resident who had recently been admitted to the home confirmed he had had the opportunity to visit beforehand and to talk in-depth with the manager. Comments from surveys received indicated that residents and their relatives felt that they received sufficient information to help them decide whether the home was suitable for them. The Willows DS0000002467.V347120.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): Standards 7- 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans reflect the individual needs of residents and how to meet them to ensure their health and welfare and take into account their personal preferences but would benefit from being more detailed in some instances. Medication is managed in a satisfactory way, which promotes the safety of residents. Residents’ privacy and dignity is respected. EVIDENCE: All residents’ records checked contained care plans and risk assessments covering matters such as personal hygiene, moving and handling and communication needs. They had been developed in conjunction with residents if able or their relatives and signatures had been obtained to demonstrate this. The Willows DS0000002467.V347120.R01.S.doc Version 5.2 Page 12 They included information about resident’s individual needs such as their particular religious beliefs, their dietary needs and preferences and their preferred lifestyles and routines. Some care plans varied in the amount of detail included, for example a resident who self-administers part of his medication with staff supervision had not been included specifically on the care plan. This matter has since been addressed. That said, staff seen as a group were all aware of the way in which the residents medication needed to be monitored and they explained in detail their role to support the resident to administer his own medication. Those records checked had been reviewed on at least a monthly basis. Staff had a good knowledge of the needs of the residents they were asked about. A relative commented that staff listened and responded to residents’ requests about their preferences for example her relative had asked whether she could have a lock on her bedroom door and this was provided. A resident made the comment indicating they felt “well looked after”. Records and discussion with residents, relatives and staff demonstrated that residents’ health is well monitored. Equipment was seen available around the home such as hoists and wheelchairs to meet residents’ needs. Staff were observed giving out some of the lunchtime medicines and a safe process was followed. In addition storage arrangements were checked and were found to be satisfactory. Staff have training prior to being able to administer medicines. Medication records were well maintained and up to date. Discussion with residents indicated that they felt their privacy and dignity was respected and staff were noticed to be polite and courteous. Information provided by the manager confirmed that privacy and dignity and respecting residents different needs and their lifestyles was included as part of staff training The Willows DS0000002467.V347120.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): Standards 12 - 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from a range of social and leisure activities, which are arranged according to their needs and preferences. The meals provided are well balanced and take into account residents personal preferences and special dietary requirements. Visitors are made welcome and residents have as far as possible choices as to how they lead their lives. EVIDENCE: Notices and information was around the home informing residents and visitors of forthcoming events. Comments from residents and staff indicated some of the social activities and events that take place. For example visits from entertainers, Church services, dominoes and manicures. In addition there were a variety of books on display and information about a forthcoming family The Willows DS0000002467.V347120.R01.S.doc Version 5.2 Page 14 day that was being planned. There is a social committee held monthly involving staff. Relatives and residents are also welcome to attend although the manager said that residents often chose not to be involved in this. Residents were observed to spend time in the garden and a relative said that staff enabled her relative, who had previously been in the catering industry, to help with the preparation of tables for meals, which she thought made her mother feel valued. A resident’s birthday was also in the process of being celebrated at lunchtime. Staff were aware of the interests of residents who were less well able to communicate them for example a resident who enjoys listening to classical music and this was included as part of her care plan. Most of the residents spoken to on the day described the meals as being “good” to “excellent” and one said that there was always plenty of food and drinks. There is a four weekly set menu any variations to this are recorded. A resident said that you could choose where you ate your meals. One resident said that she likes to sit on her own to have her meals and she was observed to be doing so at lunchtime. There were sufficient staff about at lunchtime to support residents with their meals. The Willows DS0000002467.V347120.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. There are satisfactory procedures in place to ensure residents are, as far as possible, protected and to ensure any complaints are appropriately addressed. EVIDENCE: There is a satisfactory complaints procedure in place. Surveys returned by staff and relatives indicated that they were aware of how to make a complaint. A relative said the staff kept in good contact with her. She said , “ You couldn’t want for a more friendlier and caring place” . A comment from a relative was “I am sure they would respond to any concerns if they had to. At this point there has been no need for any concern” and a resident commented, “Its hard to say what complaints I have here” Discussion with the manager indicated that there had been one concern raised since the last inspection in relation to the laundry. Records checked confirmed that appropriate action had been taken to deal with it and the matter had been resolved. There are a range of policies and procedures in place to ensure that residents are safeguarded. Residents spoken to said that they felt safe at the home and said they would feel comfortable to talk over any problems with staff. Staff The Willows DS0000002467.V347120.R01.S.doc Version 5.2 Page 16 gave a good account of the action they would take if any concerns were raised. A relative said “they listen to you here”. A sample of staff records checked demonstrated that there is a satisfactory staff recruitment procedure, which helps to protect residents. The manager confirmed that no money is currently held in safe keeping on behalf of residents. The Willows DS0000002467.V347120.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): 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. A clean, tidy and well-maintained environment is provided for residents where they are able to personalise their rooms. This helps to ensure residents live in a safe and comfortable environment. EVIDENCE: Those areas of the home seen on this occasion included two bathrooms, four bedrooms the lounges, dining room and kitchen. All areas were clean and tidy and smelt fresh. Residents said that they found their rooms to be comfortable and it was noticed that there was equipment in place to ensure their safety and privacy. For example one shared bedroom checked had screens in place, bed guards and a hoist. Radiators are guarded and there is a call bell system in place. The manager confirmed that they are looking into improving the call system through the use of a wireless system. The Willows DS0000002467.V347120.R01.S.doc Version 5.2 Page 18 Equipment was seen to assist residents who have mobility needs. Information provided prior to the visit confirmed that equipment such as hoists, the passenger lift and call bell system had been serviced within the past six months. Gloves and aprons were available for staff to use. This helps to ensure good hygiene and infection control standards. Staff had good knowledge of infection control precautions to follow. Residents made comments, which indicated that they found their rooms comfortable and had been able to make them more homely with their own personal items. Surveys received indicated that residents thought that the environment of the home was always fresh and clean for example “a caring, clean and friendly environment. Frequent changes of linen and lovely garden”, “it is very well kept” and “I’ve not seen it dirty”. There is an ongoing programme of maintenance and redecoration and there are well established and maintained gardens. Staff said that any necessary maintenance matters are dealt with promptly and the owner/manager was well aware of areas of the home that need attention such as redecoration of a shared room seen and how it is to be redecorated to cause the least disruption to residents whose room it is. It was also noted that an upstairs shower room and toilet did not have a lock or sign to ensure residents privacy when using it. The Willows DS0000002467.V347120.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): Standards 27 - 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are satisfactory staffing arrangements in place to meet the current needs of residents and staff are well trained to ensure they have the knowledge and skills to provide the appropriate care for residents. Residents are as far as possible protected by a thorough staff recruitment process. EVIDENCE: Discussion with staff and the manager confirmed that there had been some changes to staffing arrangements since the last inspection visit. There is no longer a deputy manager. Instead there are four senior staff that take on additional responsibilities to manage the home in the absence of the manager. This is felt to be beneficial for staff development and there were no comments from residents to indicate that this arrangement had affected the quality of care provided. Staff confirmed they only take on extra responsibility after appropriate training. Resident questionnaires identified they felt staff “always” or “usually” received the care and support they needed. A resident commented “I am well looked after. The efficient, willing and friendly staff (of all disciplines) are a credit to the Willows”. Surveys also confirmed that resident’s opinion was that staff The Willows DS0000002467.V347120.R01.S.doc Version 5.2 Page 20 were always or usually available when needed. Relatives described staff as being approachable and felt staff gave the support and care that was expected and agreed. A further comment read “The senior staff are very good at their jobs and the rest you can see are being very well trained”. Staff felt that staffing levels were sufficient to meet the needs of residents and they felt valued and supported. There is a supervision and appraisal system in place and policies on equal opportunities. Rotas checked and staff comments showed that there are normally seven care staff on in the mornings, five in the afternoons and two wakeful staff at night with one on call. Staff were observed for a short period during lunch and a good rapport was noticed between staff and residents. Residents were not rushed to finish their meal and staff responded appropriately to any requests. Records of staff recently employed showed that they had been recruited safely. Satisfactory criminal record bureau checks had been received prior to their employment and all staff follow an induction-training programme when they start work. Staff said that they had a range of training opportunities some which are updated on a regular basis and others which are more specific to meet the needs of residents for example manual handling, first aid, medication, fire training and diabetes. Information supplied prior to the inspection indicated that over 50 of staff have achieved a nationally recognised vocational qualification in care at level 2 or above, which is above minimum standards. Comments from residents on the day were positive about their relationships with staff. The Willows DS0000002467.V347120.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): Standards 31,33,35 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home continues to be well managed and led by the owners who have daily input into it. This helps to ensure residents’ health and safety is promoted. There are satisfactory processes in place to ensure that residents’ financial interests are safeguarded. EVIDENCE: Both the owner/managers have a very active role in the operation of the home and residents and relatives comments indicated they knew who was in charge and would feel comfortable to raise any matters if they needed to. The Willows DS0000002467.V347120.R01.S.doc Version 5.2 Page 22 They have appropriate qualifications and experience to manage the service, one is a registered nurse and has completed a registered managers award as well as having achieved qualifications enabling her to train others. Quality assurance systems in place include two monthly staff meetings and monthly social committee meetings, monthly staff supervision meetings and there is a staff appraisal system in place. The service has also achieved Investors In People, which is a quality award. The manager confirmed that a recent audit had been carried using questionnaires with residents about an aspect of the service and forwarded a copy of the report to the commission. A relative felt that the manager and staff were always available to speak to and that she could comment on the quality of the service provided informally. She also commented, “I couldn’t want for a more friendlier and caring place”. Staff spoken to said that they feel supported and valued by the owners and receive appropriate training with regular updates. Sample of records checked confirmed that policies are in place to promote health and safety. There is a comprehensive policy and procedure manual which staff can refer to as needed; this includes procedures in relation to health and safety matters. Risk assessments were also in place relating to fire safety and the environment. Records were in place demonstrating that maintenance matters are regularly checked and serviced. Residents said they felt safe in the home and a visitor spoken with confirmed that staff listen to comments any suggestions made. There was only one comment as to how the service may be improved from the surveys received and this related to providing a bigger car park, although there are a number of spaces already provided and no problem was encountered with parking on the day of the visit. Another resident spoken to said, “it’s a home form home and I’ve no complaints” Other comments made in relation to what the service does well included, “Everything seems fine”, “they look after the well being of residents”, “performs well in all areas and creates an atmosphere of loving care and concern”. Through discussion the manager demonstrated a positive approach and responded promptly to address any matters raised. The Willows DS0000002467.V347120.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 3 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 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 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 X X 3 The Willows DS0000002467.V347120.R01.S.doc Version 5.2 Page 24 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. 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. Refer to Standard Good Practice Recommendations The Willows DS0000002467.V347120.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 The Willows DS0000002467.V347120.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!