Inspection on 30/05/07 for Wamil Court

This inspection was carried out on 30th May 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

Wamil Court 21/02/06

Wamil Court 12/07/05

Wamil Court 03/02/05

Wamil Court 03/01/04

Wamil Court 12/11/03

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

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 Wamil Court Wamil Court Wamil Way MILDENHALL Suffolk IP28 7JU Lead Inspector Mary Jeffries Unannounced Inspection 30th May 2007 1:15 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 Wamil Court DS0000037380.V344155.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. Wamil Court DS0000037380.V344155.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wamil Court Address Wamil Court Wamil Way MILDENHALL Suffolk IP28 7JU 01638 714751 01638 712664 marcia.hyland@socserv.suffolkcc.gov.uk 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) Suffolk County Council Mrs Marcia Lynne Hyland Care Home 33 Category(ies) of Dementia (15), Dementia - over 65 years of age registration, with number (2), Old age, not falling within any other of places category (18) Wamil Court DS0000037380.V344155.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is able to accommodate two named service user over the age of 65 with dementia, as per variation applications V34076 and V36357. 21st February 2006 Date of last inspection Brief Description of the Service: Wamil Court is a purpose built home for older people, situated in a quiet road not far from the centre of Mildenhall in Suffolk. It is a single storey building laid out around a central courtyard and has been completely refurbished and adapted to provide care for up to 33 residents. All residents who live at the home have their own bedroom with facilities. The home is divided into four units each of which has a lounge, dining room and kitchenette. Two units are for people with a diagnosis of dementia and the other two offer residential care to older people. There is a large communal lounge called the function room and a number of small seating areas around the home that offer quiet away from the main lounges. There are two laundry rooms, a hairdressing room, a small conservatory and a bar on site. Wamil Court is also the home to two cats. Wamil Court is owned and managed by Suffolk County Council. The current charge is £385.00 per week. Wamil Court DS0000037380.V344155.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection, which focused on the core standards relating to older people. The report has been written using accumulated evidence gathered prior to and during the inspection. The inspection was conducted in the afternoon and took four hours. The inspection was facilitated by the Registered Manager. There were 31 residents living at the home at the time of the inspection, and two vacancies. A pre-inspection questionnaire was provided in February 2007. Seven relatives and three residents responded to a survey sent out to them at the same time. Three residents were tracked, including two who had been recently admitted. These residents were seen and spoken with, and a number of other residents were spoken with more briefly. Care staff and domestic staff participated. What the service does well: The home offers an excellent environment and a stable, well qualified and caring staff group. The home is very well managed. Residents can expect to have a comprehensive care plan based on a preadmission assessment, and for their health needs to be met. Residents can expect to live in a well managed home with a happy and open atmosphere. They can expect for their opinion to be sought in respect of decision making about daily routines. Food is good and choices are provided and opinions sought. Residents’ preferences and choices are responded to. Residents can expect to feel able to complain and to have complaints properly dealt with. They can expect their health and safety to be well protected. Wamil Court DS0000037380.V344155.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Wamil Court DS0000037380.V344155.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Wamil Court DS0000037380.V344155.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,6,Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents can expect to be fully assessed before being admitted to the home; they cannot be assured they will have all of the information they require to make an informed decision. EVIDENCE: An up to date Service Users’ Guide had been produced since the previous inspection; it did not include a copy of terms and conditions or a standard contract, although the manager advised that they normally give this to prospective residents. It did not include a reference to the latest inspection report, although this was freely available in the foyer of the home. It did not include reference to the most recent service user survey. Two recently admitted resident were tracked. Both had a full social care single assessment and a home’s assessment on file. The other resident tracked just had a home’s preadmission assessment on file. The manager advised that even Wamil Court DS0000037380.V344155.R01.S.doc Version 5.2 Page 9 if a single assessment is not available, all team leaders have been advised that they must do an assessment prior to admission. Since the last inspection, a variation had been approved for the home to accommodate an additional two residents with dementia; these are accommodated on a mainstream unit. The home supplied a revised Statement of Purpose at this time. It was established that all of the residents with dementia, including these two were aged over 65 years at the time of admission. Wamil Court DS0000037380.V344155.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11 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 have a care plan based on their assessment that is up to date and of which staff are aware. They can expect to be treated with dignity and respect throughout their stay at Wamil Court. EVIDENCE: All three residents tracked had care plans based on their assessments. The home’s Statement of Purpose details the arrangements for reviews of the plans. One of the residents had monthly reviews on file, the others had not been in the home sufficiently long to have had a review. Residents’ records contained details of their final wishes. Care plans recorded whether residents chose to have room keys. Care plans included manual handling risk assessments, skin assessments and weights and nutritional screening. The daily records were appropriate and informative. Wamil Court DS0000037380.V344155.R01.S.doc Version 5.2 Page 11 Records inspected contained details of appointments with a range of health professionals including GP, chiropodist and district nurse visits. One of the residents had arrangements for new glasses and teeth made within the last month. One resident who responded to the CSCI survey stated that they had been “ well looked after during illness.” All three residents who sent in surveys reported that they always received the medical support they needed. Staff were observed interacting patiently with residents to ensure they were comfortable and where they wanted to be. A carer spoken to on Aspen had a good knowledge of two residents needs who were tracked. They explained that because they worked on the two dementia units only they had a good knowledge of all of the residents on them. The most recently admitted had settled in well and was content. Residents appeared well groomed and clean. Though out the afternoon most of the residents on the dementia units were seen to be awake, talking in small groups or talking to staff or watching TV, and moving around freely. The medicine administration records for Aspen unit were inspected. Records Contained photographs of residents; there were no omissions. There was a list of signatures of all staff trained to give medication at the front of the MAR sheets folder and medication that was refused was kept to be destroyed and a record made. The Registered Manager advised that they had been working on ensuring records were properly completed, as they had had a period when there had been some omissions. The medication policy was seen and contained guidance for assessment of residents who wished to self medicate and for the covert administration of medication. All seven relatives who responded to the CSCI survey in February 2007 had only positive comments to make. These included, “ Great to know …… is in such good hands”, “ Wamil Court is a very good home, they look after…. Very well. Hope the home never changes”, and staff are friendly and committed to the health, welfare and care of residents.” The files of the residents tracked contained details of their final wishes. A member of staff explained that if they did not wish to talk about this was entered. They gave an account of the procedures followed at the recent death of a resident. They advised that the family stayed all night at the end, and explained that the home would get them a room if possible, and would get them meals if it is near the end. The carer stated that relatives are never hurried to clear a room, and that they would never pack up a resident’s belongings, that the relatives come and do it unless they feel they can not face, and ask staff to help. They advised that they had assisted with this for a recently deceased resident, and with relative’s permission took the best items of their clothes to a charity shop. There was a letter in the homes complaints and compliments book dated May 2007 which had been written by a relative following their mothers death which Wamil Court DS0000037380.V344155.R01.S.doc Version 5.2 Page 12 read, “….compliments for all staff and for Wamil, for care, respect, devotion and understanding given to mum and the family” Wamil Court DS0000037380.V344155.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15,Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect exercise choice in their daily lives, to be enjoy a good range of activities and good food within the home, and that their elatives will be made to feel welcome. EVIDENCE: The home has two activity workers posts, although one of these was vacant at the time of the inspection. Activities are provided by the activity workers in a large function room and all residents are able to attend. Residents advised that activities had been held in the morning of the day of the inspection; the room contained materials in preparation for a summer fete which was due to be held on the 9th June. In addition to this staff on the individual units participate in activities with residents. A member of staff advised that two days a week a trolley with small items for sale, toiletries etc. was taken round the home by staff. On the notice board in the home there was a weekly plan of activities, with something arranged for every week day, including bingo, a film show and preparing for the fete. There was also a notice of activities throughout the year, coinciding with national events and holidays, such as the Queens Wamil Court DS0000037380.V344155.R01.S.doc Version 5.2 Page 14 birthday, Pancake Day, and a summer trip to Felixstowe with fish and chip supper. A singer had attended the home recently for a celebration in the clubroom. Twenty six of the 27 residents responding to the homes own ’ quality assurance survey conducted in January 2007 advised that they always feel they have enough say in when they get up and go to bed. One stated they sometimes were. Twenty-six also stated that staff allow them to be as independent as possible. Menus for two weeks were provided with the pre inspection questionnaire. They showed a good range of traditional main meals, and a choice of breakfast including cooked breakfasts. Simple breakfasts of cereal and toast are prepared in the unit kitchenettes. Porridge and cooked breakfast are prepared in the main kitchen, staff advised that they let the kitchen know if this was wanted. One of the cooks was spoken with at the inspection. They advised that there was always a choice of main meal, although these were not detailed on the menus, they were listed in folders on each individual unit. They advised that a survey had recently been carried out to elicit residents’ views about the food, and that they do this every three months. The cook was asked if they varied the menus as a result of this, they advised that after the last survey they had introduced lasagne, which had never been on the menu, as one resident had stated they missed this particular meal since coming to the home. On the day of the inspection the main dish of the day had been chicken curry with fresh vegetables. The cook advised that there were no vegetarians at that time, but that they do special puddings for some residents who are diabetic. Residents spoken with were satisfied with the food, including the most recently admitted resident who was tracked; they did qualify this however by stating that they eat anything! At the residents’ meeting held in May the only concern about food stated was that the porridge could be “hit and miss”. Residents requested a cheese and wine function at this meeting; the manager and the cook both said this would be arranged. The cook advised that a residents are asked what meal they want on their birthday and that this is then prepared for the whole unit, including a cake if the resident wants one. They spoke about a recent birthday celebration meal for a resident who was over a hundred, which was held in the function room and which every one was invited to attend. This resident spoke to the inspector of enjoying this function, and photographs were seen. Twenty-six of the 27 residents responding to the homes own quality assurance survey conducted in January 2007 advised that they are always asked what they would like to eat each day. Wamil Court DS0000037380.V344155.R01.S.doc Version 5.2 Page 15 Residents’ files recorded the name, relationship and contact details of their next of kin. Daily records noted when a resident had had a visitor. There were some visitors in the home on the day of inspection. Residents and staff said there was no restriction on visiting and residents could entertain their guests where they chose. Twenty-six of the 27 residents responding to the survey advised that their relatives were always welcomed into the home. All seven relatives who provided information to the CSCI in February 2007 confirmed that staff welcomed them into the home, and confirmed that they could see their relative in private. They also all confirmed that they were kept informed of important matters affecting their relative / friend, although one commented that information was not forthcoming unless they asked for it, and that they sometimes found it hard to find a carer to speak with. One relative added a comment, “ …we have only good comments, both on the level of care given by the dedicated staff and also for the facilities and activities provided.” The Service User Guide states that Church visits are available, thanks to volunteers from the local church. A newsletter from a local church was on display in the home. Wamil Court DS0000037380.V344155.R01.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): 16,17,18,Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can expect to be able to make a complaint and have it dealt properly. EVIDENCE: Five of the seven relatives who provided information to the CSCI in February 2007 advised that they were aware of the home’s complaints policy. Two residents spoken with said they felt confident they would be able to make a complaint if they needed to, but one said it was very unlikely they would need to, explaining they could always talk to the carers and there were meetings they could go to raise concerns. The home maintained a complaints log; only one complaint had been received and it was recorded in the log as being resolved. Information on this was available in the residents’ records, but was not referred to in the log. All the staff spoken with were clear about their responsibilities in relation to any concerns or suspicions of abuse. The staff training files contained evidence that POVA training had taken place. The manager advised that advocates were not used, although they had been in one case where a resident needed assistance with finances. Wamil Court DS0000037380.V344155.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): 19,20,21,23,25,26 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents can expect to live in a very pleasant well maintained home with very good shared and individual facilities. EVIDENCE: A tour of the home was undertaken. The home is all on one level with wide corridors and easy access. The home provides plenty of communal space, previous records show that the lounges on each of the units in total provide 155 square meters, and for 33 residents the standard requires 140 square meters. The communal areas are attractively decorated, and furnished, and are homely. Residents are accommodated on four units, but can access the rest of the home freely. Activities are provided in a large function room, and residents leave their units to attend these. There is a bar in the home, which a resident confirmed is sometimes open, and is open for functions. There is also a veranda. During the afternoon of the inspection one resident was seen sitting Wamil Court DS0000037380.V344155.R01.S.doc Version 5.2 Page 18 in an armchair in the hall, watching the comings and goings at the home, and a number of residents were seen moving between units. The home was seen to be in a good state of repair and decoration. The garden area was checked and found to be attractive and well maintained. The home was clean and free from odour on the day of the inspection; bathrooms were clean and tidy and contained paper towels and liquid soap, and bathrooms and corridors were free of clutter. The kitchen was clean and tidy on the day of inspection. The cook confirmed information provided by the manager that a new system of labelling opened food had been introduced. There was no opened food stored in the refrigerator at the time of the inspection. A system was in place to record temperature of vans delivering raw meat. A relative who replied to the CSCI survey in February 2007 stated, “ “ A well run, clean and friendly environment.” Another, whose relative had been at the home for twelve months commented, “Everywhere is always spotlessly clean and tidy.” Fire doors are in place on all bedrooms which are automatically linked to the fire alarm system. All of the 33 rooms are single and have en-suite toilet and shower facilities. The room of a resident on a dementia unit was found to be very attractive, clean and personalised, and had a very good aspect. The resident said that they liked their room very much. The gardens were found to be in good order, there were potted plants and planters outside of one of the dementia care units, and staff advised that they had assisted residents to do these. A resident who was sharing in this discussion added, “yes, and we have our lunch out there sometimes.” On this unit there were photographs of breakfast choices, and a folder of alternative meals that could be selected. There is a residents’ only smoking room which is well ventilated and wherein residents are visible to staff. The home has a number of environmental risk assessments for potential hazards around the building and to cover the use of wheelchairs, the use of electrical equipment, bathing residents and making beds. All 27 residents responding to the homes own quality assurance survey conducted in January 2007 agreed that the environment is always warm, welcoming, clean and homely. Wamil Court DS0000037380.V344155.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): 27,28,29,30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents can expect to be cared for by a well-qualified stable staff group, who have been properly recruited. They can be confident that the staff receive regular update training and are competent to do their jobs. EVIDENCE: All seven relatives who provided information to the CSCI in February 2007 confirmed that in their opinion there were always sufficient staff on duty. A resident who was asked about this replied, “ I suppose so, there always seems to be someone there when you need them.” Twenty five of the 27 residents responding to the homes own ’ quality assurance survey conducted in January 2007 agreed that staff always listen to them and give them time, 2 commented that they sometimes did. The home was adequately staffed on the day of the inspection. A member of staff advised that two carers cover two units where residents with dementia live. The PIQ stated that one relief carer had been employed since the last inspection, and detailed that their Criminal Records Bureau record check had been obtained a month prior to their start date. This record was checked and found to be in order. The file contained appropriate pre-employment checks, identity verification and a photograph. No other new staff had been recruited. Wamil Court DS0000037380.V344155.R01.S.doc Version 5.2 Page 20 Three other staff files inspected contained a recent photograph of the staff member, and the provider’s response to the previous inspection noted that this was the case with all staff files. The files also contained evidence of training attended. Staff spoken with advised that they received regular supervision, however some of the staff files did not contain records of this. These missing records were all supervised by the same member of staff, and the manager advised that they had understood that these were up to date. Following the inspection they contacted the CSCI to advise that they had establishes staff had borrowed these records to complete their Personal Development reviews. Other notes in place were seen to be signed and dated. The home had a training plan / profile for 2007/8. The plan states that 55 of care staff have NVQ 2, and list five further staff due to qualify within this period. This same figure is included in he pre inspection questionnaire (PIQ) supplied to the CSCI in February 2007. The training plan includes a schedule for refresher training in manual handling, fire safety, food hygiene, person centred care and vulnerable adults, the PIQ tested that a three day dementia course had been provided within the last twelve months. A member of staff spoken with advised that they had attended dementia training at Kerrison and were currently doing the Otley College course on dementia. They spoke with enthusiasm about what they had learnt on this course. The PIQ detailed four members of a 34 strong staff team having left in the previous twelve months, and a stable staff team, the vast majority of whom had worked at the home for many years. Wamil Court DS0000037380.V344155.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): 31,32,33,34,35,38 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 live in a well managed home with and open atmosphere and for their opinion to be sought in respect of decision making about daily routines. They can expect their health and safety to be well protected. EVIDENCE: Evidence that Marcia Highland, the Registered Manager, had achieved an NVQ4 since the last inspection was seen. Details of regular residents’ and relatives’ meetings were posted in the home. Thirteen of the 27 residents responding to the homes own ’ quality assurance survey conducted in January 2007 advised that they are always felt they had Wamil Court DS0000037380.V344155.R01.S.doc Version 5.2 Page 22 enough in the running of the home, ten that they sometimes were, and three that they were not. A copy of the home’s newsletter was provided. This contained details of new staff, residents’ birthdays, and forthcoming events. There was a positive atmosphere in the home, one carer described their work as the best job they had ever had. A relative provided the comment, “ a very happy place for….to be in”, and another, “I find Wamil Court and it’s staff very helpful, professional and friendly.” One resident who responded to the CSCI survey stated, under the section enquiring if there was anything else they wanted to tell us, “A very happy home.” A copy of a residents’ quality assurance survey conducted in January 2007 was provided. This showed overwhelmingly positive responses, some of which are detailed in other sections of this report. The manager was unable to provide copies of Regulation 26 visits for a number of months, they advised that these had not always taken place. Some residents have their own bank or building society accounts, which are dealt with via families, but the vast majority have an account through Suffolk County Council. In the administration corridor a policy was pinned up on a notice board under a heading – policy of the month, and staff were asked to read it and sign to show that they had read it. The policy on display was Heat wave action. The home has a comprehensive COSHH reference folder that lists all the chemicals found inside and outside the building. There is a description of the substance, typical reactions to it, treatment in an emergency and the correct disposal of it. A member of staff advised that during the overlap of staff at and around handover, it was the responsibility of one member of staff to go round and check all fire doors are closed. The fire safety folder was inspected, it contained evidence of training, regular drills, regular emergency lighting testing, and a fire risk assessment. Records of hot water temperatures are maintained, they contained two readings, the initial one up to 46 degrees Celsius, which reflected that when first turned on, baths taps spurted a small amount of hotter water before settling down to an acceptable temperature. Wamil Court DS0000037380.V344155.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 2 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 3 3 X 3 X 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 X 3 2 3 3 Wamil Court DS0000037380.V344155.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. 1. Standard OP1 Regulation 5(a)-(f) Requirement The revised Service User Guide must include all of the information required by regulation to ensure prospective residents have enough information to make an informed choice about living at the home. Regulation 26 visits must take place, to ensure that the service is monitored. Timescale for action 31/07/07 2. OP33 26 31/07/07 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 OP16 Good Practice Recommendations The complaints log should clearly record whether a complaint is upheld or withdrawn or not upheld, or alternatively a reference to where records detailing the outcome and actions can be found. The benefits of the use of advocacy should be considered. Records of formal supervision must be retained on file and copies rather than originals provided to staff who require them, so that the home retains its employment records DS0000037380.V344155.R01.S.doc Version 5.2 Page 25 2. 3. OP17 OP36 Wamil Court and staff are able to review any requirements and agreements they have. Wamil Court DS0000037380.V344155.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 Wamil Court DS0000037380.V344155.R01.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. 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. 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