Inspection on 29/10/07 for Wainford House Residential Care Home

This inspection was carried out on 29th October 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Wainford House Residential Care... 08/10/08

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Oak Ridge

Sun Court Nursing Home

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Bilney Hall

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Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Wainford House Residential Care Home 1-3 Saltgate Beccles Suffolk NR34 9AN Lead Inspector Julie Small Unannounced Inspection 29th October 2007 10:20 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 Wainford House Residential Care Home DS0000069663.V353921.R02.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. Wainford House Residential Care Home DS0000069663.V353921.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wainford House Residential Care Home Address 1-3 Saltgate Beccles Suffolk NR34 9AN 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) 01502 714975 01502 711389 info@saltgate.wanadoo.co.uk Farrington Care Homes Ltd Mrs Emma Elizabeth Mary Bye Care Home 28 Category(ies) of Dementia - over 65 years of age (3), Old age, registration, with number not falling within any other category (28) of places Wainford House Residential Care Home DS0000069663.V353921.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection New service, the last inspection when the home was owned by Wainford Homes UK Ltd was 8th May 2007. Brief Description of the Service: Wainford House, Saltgate is a listed town house, located in an old part of the town centre of Beccles. The building has been extended and now accommodates twenty-eight older people in twenty-four single rooms and two double rooms. Twenty-one of the rooms have en-suite facilities. There are three dining rooms situated close to each other, a large lounge to the front of the building and a pleasant conservatory to the rear, which has views over the gardens and down to the river Waveney that flows nearby. The home is in close proximity to a range of local shops, churches, public houses and public transport connections. The home is owned by Farrington Care Homes Ltd from 1st June 2007. Wainford Homes UK Ltd previously owned the home. Information provided by the manager during the inspection was that the fees for the home range between £341 and £450.00 per week, depending on the funder and the level of care required by the resident. Wainford House Residential Care Home DS0000069663.V353921.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on Monday 29th October 2007 from 10.20 to 16.00. The inspection was a key inspection which focused on the core standards relating to older people and was undertaken by regulatory inspector Julie Small. The report has been written using accumulated evidence gained prior to and during the inspection. The home’s registered manager was present during the inspection and provided the requested information in a prompt and open manner. The manager said that service users were referred to as residents, this term will be used throughout the report. During the inspection observation of work practice was undertaken. Seven residents, one visitor and four staff members were spoken with. Records viewed included three resident, three staff recruitment, training and health and safety records. Further records viewed are detailed in the main body of this report. Prior to the inspection an annual quality assurance assessment (AQAA) questionnaire and staff, visitors and residents surveys were sent to the home. None had been returned at the time of writing this report. What the service does well: The home was clean, comfortable and well maintained. Resident’s bedrooms viewed reflected their choices and individuality. Interaction between staff and residents was observed to be positive and professional. When communicating with residents, staff were observed to position themselves to their level, for example if the resident was seated the staff member positioned themselves to the resident’s eye level. The choice and variety of food provided was good. The inspector joined the residents for lunch and the food was tasty and well presented. The manager and the staff who were spoken with had a good knowledge of resident’s individual needs and preferences. The home was fully occupied and staffed at the time of the inspection. The manager reported that there were no staff vacancies. Wainford House Residential Care Home DS0000069663.V353921.R02.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. Wainford House Residential Care Home DS0000069663.V353921.R02.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 Wainford House Residential Care Home DS0000069663.V353921.R02.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): 1, 3, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents can expect to be provided with the information they need to make an informed choice about where to live and that they have their needs assessed prior to moving into the home. The home does not provide an intermediate care service. EVIDENCE: The Statement of Purpose and Service User’s Guide was viewed and had been updated to reflect the changes in ownership of the home. The document clearly identified information about the home, facilities and care provided, staffing and information about fire safety and the complaints procedure. The document included details of the manager and their qualifications and experience. Wainford House Residential Care Home DS0000069663.V353921.R02.S.doc Version 5.2 Page 9 Three resident’s records were viewed and all held needs assessments completed prior to them moving into the home completed by the home and by the local authority. The home’s pre-admission needs assessments included details of the name, address, reasons for admission, medical and health needs, medication, wellbeing, abilities, religious observance and interests. There had been a recent application for variation which was for the home to provide accommodation for three service users with dementia, which had been accepted. Where prospective resident’s had a dementia diagnosis there was documentation from health professional and the local authority regarding their specific needs and well being. The manager reported that they visited the prospective service users in their home and undertook the assessment, which provided information which indicated if the home could meet their needs. A resident who had recently moved into the home was spoken with and they said that they liked the home and that the staff had welcomed them. The resident said that they knew about the home and that the manager had visited them before they moved in. Wainford House Residential Care Home DS0000069663.V353921.R02.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): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect that their health, personal and social care needs are set out in an individual plan of care, that their health needs are fully met, that they are protected by the home’s medication procedures and that they are treated with respect. EVIDENCE: Three resident’s care plans were viewed and they provided details regarding their needs and actions staff should take to meet their needs. The care plan included details regarding their mobility, personal hygiene, preferred name, key people in their lives and their preferences. The care plans were regularly reviewed and updated and there were documents which identified how, why and when the care plans had been changed, for example at times of illness. One care plan viewed explained how the service user should be supported Wainford House Residential Care Home DS0000069663.V353921.R02.S.doc Version 5.2 Page 11 when bathing and dressing, taking particular care with their one shoulder, where they had suffered a previous injury. The daily records were viewed and detailed the resident’s well being and actions throughout the day. The daily records identified where residents had made choices about their lives, such as with what they wanted to eat and do during each day. There were risks assessments in each resident’s records viewed, which identified risks that may arise in their daily living and methods of minimising the risks. There were risk assessments for waterflow skin condition, manual handling and falls risk assessments. One resident used bed rails and there records contained a risk assessment and consent from a family member to use them for their safety. The resident’s records viewed provided clear information of health care visits and treatments, including dental, medical, chiropody, from the district nurse and optical. The records included records of regular weight checks. One record viewed included details of how the home had sought the support of a continence professional for the resident who was incontinent during the night. Where residents had been diagnosed with dementia there were records detailing their condition, other professionals involved in their care and one record held a report from a mental capacity advocate. The home’s medication storage, records and lunchtime medication administration was observed. Medication was stored in MDS (monitored dosage system) blister packs in a secure trolley, which was secured to the wall when not in use. The controlled medication was stored in a secured metal cabinet inside a secured cupboard. Homely medicines and medication which was not stored in the MDS was in a locked cupboard. The home had a fridge for storage of medication which should be refrigerated. Records of regular fridge temperature checks were viewed. The medication records were viewed and clearly identified medication prescribed for each resident. There were no gaps identified in the records viewed. A staff member clearly explained the procedure for ordering, storage, administration and disposing of medication. Training records viewed evidenced that staff that administered medication had been provided with training. The manager and a staff member spoken with said that they were undertaking a distance learning certificated course on the safe handling of medicines. During the medication round and throughout the inspection, staff were observed to knock on bedroom doors before entering and they asked for the resident’s permission for the inspector to look at their bedroom. They introduced the inspector to residents and explained why they were in the Wainford House Residential Care Home DS0000069663.V353921.R02.S.doc Version 5.2 Page 12 building. When communicating with residents, staff were observed ensuring they were in a position to undertake effective communication. For example, when residents were seated, staff positi0oned themselves to the eye level of the resident. Interaction between residents and staff was observed to be friendly, respectful and professional. Residents spoken with confirmed that the staff treated them with respect and respected their privacy. Wainford House Residential Care Home DS0000069663.V353921.R02.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect to be provided with the opportunity to participate in activities, that they are supported to maintain contacts with family and friends, that they are supported to make choices and that they are provided with a nutritious diet. EVIDENCE: The resident’s care plans viewed identified their interests, hobbies and any religious worship which they enjoyed and participated in. The daily records and activity records viewed evidenced when they had participated in activities, such as bingo, religious venues and eating out. A permanent activity co-ordinator had been employed at the home since the last inspection. During the inspection they were observed encouraging residents to participate in the activities. Wainford House Residential Care Home DS0000069663.V353921.R02.S.doc Version 5.2 Page 14 The activity programme and book was viewed which identified which residents had participated in activities and observations of the activity co-ordinator. Activities included games, nail painting, bingo, quizzes and films. Residents spoken with said that there was plenty to do and that the activities co-ordinator kept them busy. Residents said that they were doing nail painting on the afternoon of the inspection which they enjoyed. A resident was observed talking to another resident about how they had bought some nail hardener and went up to their room to get it for the activity. The discussions observed evidenced that the residents looked forward to the activity. A resident said that the home were planning to eat out at a local hotel in November, which they were looking forward to. The manager reported that the home had new games for use in activities which included a giant connect four game. Residents reported that their family and friends could visit the home and were made welcome. Resident’s daily records viewed evidenced where they had maintained contact with family and friends. During the inspection several visitors were observed visiting residents. Staff were observed to be friendly and welcoming to the visitors. The manager was observed providing information to a family member about a resident’s well being. A visitor was spoken with and said that they were happy with the care that their family member received and that the staff were very good. Residents spoken with said that they could bring their personal possessions into the home if they wanted to and each bedroom viewed reflected their individuality. They said that they chose what they wanted to do in their daily lives, which was confirmed with daily records viewed. The menu was viewed, which was balanced and nutritious. There was a choice of meal, which included a vegetarian option. The inspector joined the residents for lunch and sampled the vegetarian option which was cheese and potato pie and vegetables, which was tasty. The other option was liver and bacon, potatoes and vegetables, which the majority of residents had chosen. Resident’s reported that their meal was good. Residents spoken with were complimentary about the meals at the home and said that they were provided with enough to eat. A resident said that they had recently had some teeth out and that staff had assisted them in softening their food to allow them to eat it when they had returned to the home. The residents were provided with a choice of dining areas, where they could enjoy their meals. The dining room tables were attractively laid and included clean fabric napkins, salt and pepper. Wainford House Residential Care Home DS0000069663.V353921.R02.S.doc Version 5.2 Page 15 Residents were observed to be provided with a range of drinks throughout the inspection. Resident’s specific dietary requirements were identified in their care plans. Wainford House Residential Care Home DS0000069663.V353921.R02.S.doc Version 5.2 Page 16 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. Residents can expect that their complaints are acted upon and that they are protected from abuse. EVIDENCE: The home had a complaints procedure, which included CSCI (Commission for Social Care Inspection) contact details. A summary of the procedure was included in the home’s statement of purpose. A complaint had been forwarded to CSCI from a previous resident’s family member, regarding their discharge and care, which was forwarded to the service to investigate and respond to. The response was forwarded to the complainant and copied to CSCI in a timely manner and was fully investigated. There had been no response received from the complainant. The manager explained that their record keeping had allowed them to investigate the concerns fully. During the inspection a resident spoke to the manager about wanting the ground floor window restrictor removed. The manager spoke to the resident immediately after a staff member had reported it to them. They reported to the inspector that they had offered a fan and explained the reasons for not Wainford House Residential Care Home DS0000069663.V353921.R02.S.doc Version 5.2 Page 17 removing the restrictor, which was for the prevention of intruders and the protection of all in the building. The resident asked to speak to the inspector and said that they were not happy with the outcome. However, the inspector noted that the manager had acted promptly, offered alternatives and sought to safeguard all individual in the building. The resident’s family member visited later in the day and the manager updated them on the concern and the alternatives provided. On arrival at the home the inspector was asked for identification and to sign the visitors book. The visitor’s book was viewed and showed that visitors routinely signed in and out of the home and staff were observed asking visiting professionals sign in the book during the inspection. Staff spoken with confirmed that they had received POVA (Protection of Vulnerable Adults) training and were aware of the procedure for reporting and recording any concerns or allegations of abuse. The home had clear POVA procedures. The training records viewed evidenced that all staff were provided with POVA training. Wainford House Residential Care Home DS0000069663.V353921.R02.S.doc Version 5.2 Page 18 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, 24, 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents can expect that they live in a safe, clean and well maintained environment. However, the home were acting to eliminate the unpleasant odour in one bedroom and the hall, which was present. EVIDENCE: The home was well maintained, homely and attractively furnished. There had been efforts made to ensure that the home was homely which included paintings on the walls and flowers in the communal areas. Residents spoken with were complimentary about the environment. Maintenance records were viewed and evidenced that when repairs were identified they were undertaken in a timely manner. The maintenance role had Wainford House Residential Care Home DS0000069663.V353921.R02.S.doc Version 5.2 Page 19 increased hours and there had been a newly appointed maintenance worker employed at the home. They were spoken with and explained their role and how repairs are reported and undertaken. There were records which showed that the maintenance worker had inspected the home for repairs and possible hazards and actions they had taken to Each bedroom had the resident’s personal memorabilia in them and reflected their choice and personality. Bedrooms provided a lockable drawer for resident’s use. Residents spoken with said that they were happy with their bedrooms. One resident raised concerns that the window restrictor was preventing the air flow in their bedroom. It was noted that the home was well ventilated and lighting was sufficient to meet the needs of residents. The laundry was viewed and it was clean and tidy. Washing machines provided adequate programmes to ensure that soiled laundry was laundered appropriately. There was an unpleasant odour of faeces in one bedroom and outside the room in the hall. A staff member and the manager was spoken with and stated that the resident was incontinent during the night and that they had recently replaced the bed and were planning to replace the carpet, which was cleaned three times a week. The home had sought support from an incontinence team who had provided ‘kylie’ sheets, which evidenced that the home were aware of the problem and were taking actions to minimise the odours. However, the odour was still present. During the inspection staff were observed undertaking good infection control procedures, which included hand washing and wearing protective clothing. There was a stock of disposable aprons and gloves available in the home. Communal bathrooms provided hand wash liquid and disposable towels. The home had recently purchased a stand aid hoist. A recently employed domestic staff member was spoken with and had a clear understanding of their job role. Wainford House Residential Care Home DS0000069663.V353921.R02.S.doc Version 5.2 Page 20 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. Residents can expect that they are supported by staff who are trained and competent to do their jobs and that they are protected by the home’s recruitment procedures. EVIDENCE: The staffing rota was viewed and showed that there were care staff on duty twenty four hours each day. The manager confirmed that the home was fully staffed. There had been increased staffing hours provided since the last inspection which included increased maintenance staffing hours, increased domestic support, which resulted in a further domestic staff employed at the home, a permanent activities co-ordinator and increased staffing at weekend morning shifts. A senior staff member had been promoted to assistant manager which provided increased managerial support. Staff spoken with said that there was sufficient staff on duty at all times and said that if there were instances of sickness, the shift would be covered straight away. Wainford House Residential Care Home DS0000069663.V353921.R02.S.doc Version 5.2 Page 21 Staff said that they were given opportunities to participate in training and development activities and listed training which they had attended, which included POVA, first aid, manual handling, fire safety, dementia and safe handling of medication. A staff member said that some members of the staff team were undertaking a distance learning course on safe handling of medicines. Training records viewed confirmed that the staff team were provided with the training explained by staff and including induction, dementia, care planning and food hygiene. The domestic and kitchen staff had been provided with POVA training and with distance learning courses including nutrition, food and hygiene and health and safety. A previous requirement was that a Skills for Care induction be provided to newly recruited staff members. The manager showed the inspector a workbook for the common induction standards which the service had provided to newly recruited carers. The home were actively working toward the target of 50 of staff to have achieved a minimum of NVQ (National Vocational Qualification) level 2 by 2005. Seventeen care staff worked at the home and three had achieved a minimum of NVQ level 2 and seven were working on their awards. Three staff recruitment records were viewed and included the required information, including two written references, evidence of POVA checks, CRB (Criminal Records Bureau) checks, application form and identification. Wainford House Residential Care Home DS0000069663.V353921.R02.S.doc Version 5.2 Page 22 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 adequate. This judgement has been made using available evidence including a visit to this service. Residents can expect that the home is managed by a person who is able to discharge their duties fully, that their financial interests are safeguarded. They cannot be assured that regular monitoring of the home is undertaken, due to Regulation 26 reports not being available in the home for inspection. The health, safety and welfare of residents is promoted and protected. EVIDENCE: The manager had experience working in the care profession and had shown their ability to undertake the registered manager role through the registration process undertaken by CSCI. The manager had not achieved an NVQ level 4 in Wainford House Residential Care Home DS0000069663.V353921.R02.S.doc Version 5.2 Page 23 management or care. The training records viewed evidenced that they had regularly attended training courses which updated their knowledge. They were undertaking a distance learning course in safe handling of medicines. The manager was spoken with and it was noted that they had a clear understanding of their work role and were receptive to the inspection process. There was evidence viewed of regular fire safety checks and evacuation. During the inspection there were fire safety workers in the home undertaking a fire safety equipment inspection and service. They were observed providing training on the fire safety system to the newly recruited maintenance worker. Health and safety related records were viewed and there was documentary evidence which included electrical appliance testing, gas safety checks and water temperature checks. Staff training records evidenced that staff were provided with health and safety related training such as manual handling, infection control, COSHH (control of substances hazardous to health), fire safety and food hygiene. Resident’s records viewed identified the arrangements for their financial affairs and details of their financial appointee. During the inspection a resident’s family member was observed talking to the manager about services the resident had received such as hairdressing and how much they needed to pay. The manager talked through the payments required and showed the family member a breakdown of their spending. The safeguarding of resident’s finances clear and records were well maintained. A previous requirement was that the results from a previous resident’s survey, undertaken prior to the last inspection, be published and made available to residents. The home had since been taken over by another company. The manager explained that the providers were planning to undertake a quality assurance activity, including surveys, which would be relevant to the changes that have been actioned. There were no Regulation 26 visit reports available in the home for inspection. The manager said that their line manager had visited the home on several occasions and monitored records and spoken with residents. They said that they had spoken to the manager on the telephone and they had said that they had undertaken the visits and the reports were in their possession. However, the records were not available and the activity could not be evidenced. Wainford House Residential Care Home DS0000069663.V353921.R02.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 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 3 X 2 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Wainford House Residential Care Home DS0000069663.V353921.R02.S.doc Version 5.2 Page 25 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. 2. Standard OP26 OP33 Regulation 16(k) 26 Requirement The home must be free from offensive odours Visits by the registered provider as laid down in Regulation 26 must be undertaken and the reports must be available in the home for inspection. This is a repeat requirement from the last inspection. Timescale for action 30/11/07 30/11/07 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 OP31 Good Practice Recommendations It is recommended that the manager undertake NVQ level 4 in management and care or equivalent. Wainford House Residential Care Home DS0000069663.V353921.R02.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Colchester Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Wainford House Residential Care Home DS0000069663.V353921.R02.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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