Inspection on 12/07/05 for Wall Hill

This inspection was carried out on 12th July 2005.

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

Wall Hill 27/04/10

Wall Hill 18/02/10

Wall Hill 22/10/09

Wall Hill 15/06/09

Wall Hill 26/07/07

Wall Hill 14/08/06

Wall Hill 24/10/05

Wall Hill 23/11/04

Wall Hill 12/07/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Wall Hill Broad Street Leek Staffordshire ST13 5QA Lead Inspector Irene Wilkes Unannounced 12 July 2005 10:00 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 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. Wall Hill E51-E09 S5030 Wall Hill UI V.238216 12.07.05 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Wall Hill Address Broad Street Leek Staffordshire ST13 5QA 01538 399807 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Wall Hill Care Home Limited Mrs Susan Jane Briand CRH 31 Category(ies) of MD 1 registration, with number MD(E) 9 of places OP 31 PD 9 PD(E) 9 Wall Hill E51-E09 S5030 Wall Hill UI V.238216 12.07.05 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 9 PD - 1 of whom may be minimum age 50 years on admission. 1 MD minimum age 55 years on admission. Date of last inspection 23 November 2004 Brief Description of the Service: Wall Hill is a care home that is registered for 31 older people, 9 of whom may have needs associated with a physical disability, and 9 of whom may have mental health needs. Th ehome is located close to the centre of Leek, which has a wide range of community facilities. Close to the home itself there isa large supermarket and there are also pubs and other amenities. There is good access to local transport, and the home also has its own minibus, a well used and popular facility. The home was opened in 1992 and consists of a 2 storey building that has undergone considerable refurbishment to meet the needs of the service users. There are 29 single bedrooms, and 26 of these have en-suite facilities. There is 1 double bedroom. The rooms are pleasantly decorated and furnished, and have been personalised by the service users to reflect their individual tastes and interests. A range of attractive communal sitting areas are provided at Wall Hill, with four lounge areas and a large and attractive dining room that opens onto the rear grounds. There are ample toilet and bathing facilities in addition to the en-suite bedrooms. The home is set in large grounds that are well maintained and easily accessible. Wall Hill E51-E09 S5030 Wall Hill UI V.238216 12.07.05 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over a part day in July 2005, and was completed by 1 inspector. The home is currently full, with 31 people being in residence. A tour of the home and grounds was undertaken. 2 of the 3 proprietors were present at the time of the visit. They both play a full part in running the home. The third proprietor is the named Registered Manager but she was not present on this occasion. Full discussion was held with the 2 proprietors, and 2 other staff that were on duty in the afternoon were spoken to in varying degrees. There was 1 visitor to the home during this visit. The care plans of 4 service users were examined in detail. The information contained in them was cross referenced with the service users to further confirm this evidence, and further clarification about life in the home was sought in varying degrees from the other service users. In this way a fuller picture of what it is like living at Wall Hill was built up. Staff practice was observed throughout the inspection. Staff records regarding training were seen, as were records relating to medication, staff rotas and maintenance. What the service does well: The service users living at Wall Hill are always willing to speak to the inspector, and at this visit while the majority of people were spoken with, most discussion was held with the ladies who were sitting in the main lounge. All of them were full of praise for the home, the care that they receive, and the staff. They all considered that full attention was paid to meeting their health needs and that should they require a GP there was no hesitation towards them getting the care that they needed. They also considered that staff show them great respect and that they always listen to their wishes. ‘I don’t know what other such places are like, but I would say that this must be the best’ was how 1 lady put it. Service users said that they enjoyed their food. ‘The meals are very good. We always have a choice. We can have anything that we want and plenty of it’ was a typical comment received about the food. Mealtimes are relaxed occasions which service users find enjoyable, chatting both with each other and with the staff in the dining room that overlooks the pleasant grounds. Wall Hill E51-E09 S5030 Wall Hill UI V.238216 12.07.05 Stage 4.doc Version 1.40 Page 6 Service users confirmed that their family and friends were always made very welcome at the home. A visitor who came while this was being discussed also endorsed this. There were no complaints from any of the residents at Wall Hill during the visit, and no complaints had been received by the home since the last visit. Considerable effort is made by the home to provide a range of activities for the service users that will meet their varied tastes and interests. The home has its own minibus that is used at least weekly to take those who wish to for a drive into the countryside. Various musical sessions are organised, there is bingo at least once a week, and a visitor with a dog goes into the home to allow contact with a pet that would perhaps be missed otherwise. There is a wide range of jigsaws and other table pastimes available. What has improved since the last inspection? What they could do better: While records were available to show that the home undertakes a fire drill on a 3 monthly basis, it became apparent that the timing of the drills is not varied enough to allow for every member of staff to partake in a drill on at least a 6 monthly basis. The home is required to address this. Basic Food Hygiene training is provided for all staff that have any part in the preparation of food, but is not provided to those who only serve the food. While this training is not currently a requirement for the latter group of staff through Health and Safety legislation, it is generally considered to be good practice for it to be made available for all staff that have any contact with food provision in any capacity. The provision of such training is therefore not a requirement of this report, but is recommended as good practice. Wall Hill E51-E09 S5030 Wall Hill UI V.238216 12.07.05 Stage 4.doc Version 1.40 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. Wall Hill E51-E09 S5030 Wall Hill UI V.238216 12.07.05 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Wall Hill E51-E09 S5030 Wall Hill UI V.238216 12.07.05 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 Service users receive a thorough assessment of their needs prior to them moving into the home. EVIDENCE: The individual files of 4 service users were seen, and these including 2 service users who had been admitted since the last inspection visit. Each of the files showed that there had been a thorough assessment of their needs undertaken that followed on from the Community Care Assessment undertaken by the Social Services Department prior to the referral being made to Wall Hill. A discussion was held in general with a number of service users who were sitting together in one of the lounges. The group included 1 of the service users who had most recently been admitted. Everyone confirmed that their needs had been appropriately assessed prior to them moving into Wall Hill, and that they had been advised that the home could meet their needs. Discussion with the manager at this visit, and previous visits confirmed that an assessment of need was always completed prior to any service user moving into the home. Wall Hill E51-E09 S5030 Wall Hill UI V.238216 12.07.05 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9 and 10 The home has the individual needs of each service user at heart, and appropriate care is provided to meet those needs in a way that service users like. This means that they feel safe living at Wall Hill and confident in the staff. EVIDENCE: The individual files of the 4 service users that were being tracked for inspection purposes were looked at in depth. Each showed that their care needs relating to health, personal and social care had been appropriately recorded. The care plans have individual sheets for addressing the various aspects of need, with tick boxes to be filled in for the aspect of care required by the individual service user, and these were completed in every case. Records showed that the care plans are reviewed on a monthly basis. The home is reminded to complete the ‘additional comments’ section on the care plans, or undertake a further risk assessment where this would clarify further for staff how the care should be provided. The care plans have sections to record all health professional appointments, such as GP visits, District Nurse, chiropody, dental, ophthalmic etc. These were complete in every instance. The daily contact sheets also recorded how each Wall Hill E51-E09 S5030 Wall Hill UI V.238216 12.07.05 Stage 4.doc Version 1.40 Page 11 person was each day, and there was an audit trail to show if someone was not well that the GP had been contacted. Discussions with the service users evidenced that they consider that their health needs are well met by the home. During these discussions a District Nurse visited, and whilst there was not opportunity to ask her views about the home, the proprietors were later heard talking about the Nurse visit and the needs of the service user, and the requirements for his care were promptly recorded in the care plan. The home has sound procedures in place for the receipt, storage, provision and recording of medication given. Part of the medication round was seen, and the staff member followed good practice in checking records (MARS sheets) prior to giving the medication, and noting that the service user had taken the medication before recording the same on the chart. One service user whose care was tracked self medicates for 1 of her prescribed medicines. An appropriate risk assessment for this was in place, as well as appropriate storage being provided. Service users were extremely complimentary about the home and the staff and the way that they are treated. 1 of the newest residents said ‘I don’t know what other such places are like, but I would say that this is the best.’ Several service users have lived at the home for a number of years now, and each said that the staff continue to treat them well, that they are on hand if required but allow each person their privacy and opportunity to be as independent as they can. A staff member was asked about the care practices in the home, and it was clear that she had a good understanding of the needs of the service users and how to uphold their privacy and dignity. Wall Hill E51-E09 S5030 Wall Hill UI V.238216 12.07.05 Stage 4.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14 and 15 Service users choose the pattern of their day and the lifestyle that they wish, having a range of activities provided that they choose according to their own tastes. They are encouraged to retain control over their lives and to accept visitors as they please, and they enjoy their meals and mealtimes. The attention to individual choice paid by the home means that the service users are contented with their lives at Wall Hill. EVIDENCE: All of the service users spoken with said that they enjoyed their lifestyle in the home and that they could make their own choices about how they conducted their day. In group discussion all said that they got up in the morning when they wanted, that breakfast was flexible anytime up until 10am, and that they all went to bed at different times depending on their preference. There is a range of activities provided, including a fun mobility exercise session once a week, bingo, several types of musical sessions such as a sing along to an organist and guitarist, and a visitor comes to share his enjoyment of his with the residents. In addition the home has a minibus to take the service users out for a drive in the country on one day a week. Those spoken with were very pleased to have been taken into the town the Saturday before the visit to watch a parade conducted by the local churches around the town, and those that wanted to had visited the shops whilst there. A couple of the service users Wall Hill E51-E09 S5030 Wall Hill UI V.238216 12.07.05 Stage 4.doc Version 1.40 Page 13 spoke individually to the inspector about their lifestyles, which confirmed the findings of the group discussion. Each care plan has a record sheet showing the activities enjoyed by the service users and the dates of attendance. All spoken with confirmed that they could receive visitors at any time. A visitor told the inspector that she was always made most welcome, and this has also been stated at every previous visit by others coming to the home. The service user and visitor on this occasion chose to sit in the lounge with others for a while, and then went to the bedroom of the resident for some privacy. All but one of the service users at Wall Hill either have relatives who manage their financial affairs, or they see to their own. The one service user has confirmed in the past that the procedures followed to manage his finances are of his choosing. These financial arrangements were not inspected at this visit. It was pleasing to note, however, that a service user was being taken into town by one of the proprietors to conduct some financial transactions in private, just as the inspector was arriving. She confirmed the willingness of the proprietor to do this for her. Service users also said that they were allowed to bring their own possessions into the home, and evidence was seen in each care plan of a list of service users’ personal property. Service users were unanimous that the food is excellent. It was a hot day for the visit, and they enjoyed a salad for lunch that looked appetising and nutritious. Residents confirmed that the food at every meal was enjoyable, and that there was always a choice provided. ‘The meals are very good. We always have a choice. We can have anything that we wish, and plenty of it’ was how it was expressed. The menu records were not inspected at this visit, but they have been seen on every other occasion and have always showed a good variety of well-balanced food. The dining room is very pleasant with doors that open on to the grounds, and the dining tables were well set out, with a small floral arrangement on each table, napkins etc. Service users confirmed that there is a flexible breakfast time. They said that they tended to sit down together for all other meals as that suited them, but they were confident that should they not feel like eating at a particular meal they would be free to choose something later without any problems. Wall Hill E51-E09 S5030 Wall Hill UI V.238216 12.07.05 Stage 4.doc Version 1.40 Page 14 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 The home has sound procedures in place to respond to complaints or to any allegation of abuse. This means that service users are confident in management and know that should they have any issues that they will be fairly dealt with. EVIDENCE: There have been no complaints received by the home. Service users said that should they have any concerns or complaints they would feel comfortable raising these with the manager and /or other proprietors, and they felt that they would be addressed competently and fairly. The home has an appropriate Complaints Procedure that is available in the Service User Guide that is given to all residents. A member of staff was questioned about her understanding of abusive practice and she answered appropriately all of the questions asked of her. She confirmed that she knew that the home had a Whistle-blowing Policy that would be followed should she or any other member of staff feel that they needed to alert the manager to any poor practice, but that this had never arisen. The service users all said that the staff treated them very well. Wall Hill E51-E09 S5030 Wall Hill UI V.238216 12.07.05 Stage 4.doc Version 1.40 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 26 The home is very clean, pleasantly decorated and well equipped. This means that the service users are not exposed to any hazards and take pleasure in their surroundings. EVIDENCE: Wall Hill always presents as a very comfortable, pleasant and safe home in which to live and at this inspection there was no exception. A full tour of the home was made, including communal areas, kitchen, laundry, bathrooms and toilets and a service user’s bedroom. The general décor was very pleasant as were the fixtures and fittings, with comfortable lounge chairs that met the needs of the service users, and a well-equipped and pleasant dining room. The 1 service user bedroom seen was very homely and personalised with private possessions. All carpets and floor coverings were appropriate, and no tripping hazards were seen. The maintenance record book was examined and this showed that all routine maintenance was up to date. The building complies with the requirements of the fire service and environmental health department. Wall Hill E51-E09 S5030 Wall Hill UI V.238216 12.07.05 Stage 4.doc Version 1.40 Page 16 The proprietor advised that a record book is kept in the office and if any defects with any equipment etc. are noticed by a member of the staff team they are required to make a note of this in this book. The proprietor then takes prompt action to address any issues noted. Externally there are well maintained grounds, with adequate space for car parking and areas for the service users to sit out. A number of service users were doing so at the visit which took place on a warm summer day, and there was provision of tables with parasols to protect them from the heat. It was observed during the tour of the accommodation and throughout the visit that all parts of the home were clean and hygienic. Service users said that they were very pleased with all parts of the environment. Wall Hill E51-E09 S5030 Wall Hill UI V.238216 12.07.05 Stage 4.doc Version 1.40 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 29 and 30 The home has sufficient numbers of well trained staff to meet the needs of the service users. EVIDENCE: Staff rotas were discussed and evidenced that 4 care staff are on duty each morning when the home is at its busiest, 2 staff and the manager or another proprietor cover the afternoon/evening shift, and there are 2 waking night staff and 1 sleep in each night. The staff complement and their deployment were discussed with some staff members and some of the service users, and each said that they considered that there were generally sufficient staff available to meet the service users’ needs. Wall Hill does not employ senior care staff or a key worker system, but there is a stable staff team, and the majority of care staff are trained to NVQ 2 or 3. 2 new staff were in the process of being appointed, and it was pleasing to note that whilst all their recruitment paperwork was being addressed they had been invited to the home to observe the care being provided throughout a number of shifts. It was confirmed by the proprietor that no–one would commence work on the rota in the home until CRB and all other recruitment requirements were in place. 2 staff files were inspected and these showed that appropriate recruitment practices had been followed. Wall Hill E51-E09 S5030 Wall Hill UI V.238216 12.07.05 Stage 4.doc Version 1.40 Page 18 Evidence of staff training was discussed. The staff files provided evidence that induction and foundation training to National Training Organisation standards is provided, together with all mandatory training. A training matrix is held on the computer to show when training is due. Courses for moving and handling and basic first aid are planned for September when the current certificates for a number of staff expire. Wall Hill E51-E09 S5030 Wall Hill UI V.238216 12.07.05 Stage 4.doc Version 1.40 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 and 38 EVIDENCE: There are 3 proprietors who work ‘hands on’ at Wall Hill, with 2 of them (1 as the named manager) taking responsibility for care practice within the home and the other being responsible for other administrative work, repairs etc. Service users and staff report that they like this arrangement, as there is nearly always someone in authority available at the home. The care plans showed evidence that the views of the service users are sought regarding the operation of the home. They are asked to complete a ‘Resident Feedback Form’ that asks questions regarding all aspects relating to their care. Service users also said that they felt that they could talk freely to the proprietors about the home, and that they are asked informally on a regular basis if they are happy with the facilities and services. Wall Hill E51-E09 S5030 Wall Hill UI V.238216 12.07.05 Stage 4.doc Version 1.40 Page 20 The home is well run, but on the few occasions that any requirements are identified at inspection these are always acted upon within the agreed timescale. Service users are always made aware of any announced inspections. Every effort is always made by the proprietors to welcome the inspector into the home, and to afford access to all of the service users on a private basis. Elements of practice in the home relating to health, safety and welfare were inspected. Fire safety records showed that regular checks had been made of fire alarms, fire fighting equipment etc. A proprietor had recently undertaken a Fire Risk Assessment Course at the Fire Service. A member of staff was asked about fire safety procedures and she had a good understanding of the issues raised, and was fully aware of the site of fire extinguishers when she was questioned on this. Whilst regular fire drills take place on a 3 monthly basis, it became apparent that the time of the fire drills needs to be rotated to ensure that all of the staff benefit from at least 2 fire drills in every 12 month period. This is a requirement of this report. Other areas that could affect health and safety were examined on a sample basis. PAT (Portable Appliance Testing) was up to date, as was the lift maintenance, gas servicing and the examination of the manual hoists. There was appropriate testing of water temperatures, and all aids and adaptations were secure/well maintained. A discussion was held regarding basic food hygiene training. It was finally agreed that the current training of all staff who handle food is appropriate and meets legislative requirements, but the training of other staff who only serve the prepared food is recommended by the inspector, following further advice from the Environmental Health Department. Wall Hill E51-E09 S5030 Wall Hill UI V.238216 12.07.05 Stage 4.doc Version 1.40 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 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 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x x x x 2 Wall Hill E51-E09 S5030 Wall Hill UI V.238216 12.07.05 Stage 4.doc Version 1.40 Page 22 Are there any outstanding requirements from the last inspection? 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 38 Regulation 23(4) Requirement Ensure that the timing of fire drills are varied so that all staff take part at least once every six months. Timescale for action 30/9/05 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 38 Good Practice Recommendations Provide basic food hygiene training for all staff Wall Hill E51-E09 S5030 Wall Hill UI V.238216 12.07.05 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 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 Wall Hill E51-E09 S5030 Wall Hill UI V.238216 12.07.05 Stage 4.doc Version 1.40 Page 24 - 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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