Inspection on 26/09/06 for WCS - Dewar Close

This inspection was carried out on 26th September 2006.

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

WCS - Dewar Close 28/02/06

WCS - Dewar Close 06/09/05

WCS - Dewar Close 06/12/04

WCS - Dewar Close 11/06/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE WCS - Dewar Close 5 Beech Drive Bilton Rugby Warwickshire CV22 7LT Lead Inspector Mr Kevin Ward Key Unannounced Inspection 26th September 2006 07:55 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 WCS - Dewar Close DS0000004262.V312886.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. WCS - Dewar Close DS0000004262.V312886.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service WCS - Dewar Close Address 5 Beech Drive Bilton Rugby Warwickshire CV22 7LT 01788 811724 01788 816253 admin@wcsdewar.fa.co.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) Warwickshire Care Services Limited Care Home 37 Category(ies) of Old age, not falling within any other category registration, with number (37) of places WCS - Dewar Close DS0000004262.V312886.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th February 2006 Brief Description of the Service: Dewar Close provides long-term residential care for 37 frail older people and day care for up to a further eight older people. Accommodation for service users is on three floors, which are all accessible via a slow moving lift. There are two or three lounge/dining areas on each floor. In addition to three staircases, there is a shaft lift. An assisted bath and shower plus two toilets are available on each floor. 22 of the bedrooms have private en-suite toilets and wash hand basins. The home provides a range of equipment designed to promote independence and to enhance the health, safety and welfare of service users. There is a loop system fitted in the main lounge on each floor as well as raised toilet seats, grab rails and specialist equipment to assist with moving and handling. Library books are also available in large print. A significant number of service users’ private rooms can accommodate wheelchair users. The main kitchen, laundry, offices and day care facility for eight older people are located on the ground floor of the accommodation. A small kitchenette is provided for the use of service users, staff and visitors in the main lounge/dining room on each floor. The gardens have been landscaped and provide accessible seating areas for service users. There are seats just outside of the main entrance to the home. This inspection focused on assessing the main key Standards and on reviewing progress to meet the requirements that were made at the last inspection. As part of the inspection process the inspector reviewed information about the home that is held on file at the Commission such as notifications of accidents and incidents. A pre inspection questionnaire was also sent to the manager to complete to provide more information about the home. The inspection involved meeting most of the people living at the home and case tracking three people. Case tracking involves looking closely at people’s care records and checking how their needs are being met in practice. The inspection also involved talking with most of the support staff on duty, in addition to the housekeeper, the WCS - Dewar Close DS0000004262.V312886.R01.S.doc Version 5.2 Page 5 administration officer, the manager, deputy manager, a district nurse and a relative visiting the home. A number of records, such as care plans, staff files and fire safety records were also sampled for information as part of this inspection. The fees for the home range between £375 per week and £394 per week. The fees do not include the purchase of personal items such as newspapers, personal toiletries, clothing, chiropody and hairdressing. WCS - Dewar Close DS0000004262.V312886.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. What the service does well: Before people move into the home their needs are assessed by the manager and people’s are given information to help them to decide if the home is the right place for them to move to. Well detailed care plans are in place for people, which take account of their history and likes and dislikes, as well as their needs. This helps staff to get a clear picture of the person as an individual, as well as providing them with the information they require to meet people’s care needs properly. The people living at the home spoke positively about the service and the staff that support them. One person said, “The staff are lovely they can not do enough for you”. Comments by people living at the home and entries in people’s health records confirmed that support is given for people to gain access to relevant health services, such as GP, chiropodist and community nurses etc. The home works well with the local community nurses to meet peoples’ needs. Staff are provided with medication training and monitoring systems are in place for ensuring that staff follow safe medication procedures. The people at the home are encouraged to take part in planning outings and activities with support from volunteer relatives who help to run meetings at the home. Recent activities have included trips to parks, a garden fete, regular Bingo, cards, dominoes and scrabble. A number of people were seen to enjoy chats at mealtimes and two people explained how they enjoy doing the crossword together each day. A Church of England service takes place at the home and a representative from the local Catholic Church also visits to offer communion where required. There are currently no people of other religions at the home. The manager explained that she would be committed to meeting the needs of anyone from another cultural and religious background if they chose to move into the home. The people living at the home spoke very positively about the quality of the food they receive. A choice menu is in place at the home containing 2 main mealtime options. People can also choose to have something different if they don’t want the choices on offer that day, such as a filled baked potato or a salad. The main lunchtime meals were attractively presented and well cooked. Suitable procedures are in place for dealing with complaints. Regular meetings provide an opportunity for the manager to check that people are happy and to respond to any concerns and the complaints procedure is passed to new people and their relatives when they are moving into the home. Staff have been WCS - Dewar Close DS0000004262.V312886.R01.S.doc Version 5.2 Page 7 trained in adult abuse procedures so that they are able to recognise and report any suspicions of abuse should this happen. Overall the home is very clean and comfortable and well equipped to meet the needs of people with disabilities. The home provides good wheelchair access throughout the building, including ramps at the doorways, lift, hearing loop systems and lifting equipment. The home is well maintained and regularly checked to ensure that it is kept at a good standard for people. The home provides suitable staffing levels to meet the needs of people living at the home and reviews the staffing levels as needs change. Staff are provided with a comprehensive range of training to equip them for the their work. The home is very well managed and the views of the people living at the home are routinely sought about everyday matters that affect their lives, e.g. meals, activities. 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. WCS - Dewar Close DS0000004262.V312886.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection WCS - Dewar Close DS0000004262.V312886.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 This judgment has been made using the available evidence, including a visit to the service. The judgement for this outcome group is good. People’s needs are fully assessed and they are provided with information about the home to help them make an informed choice when deciding to move to the home. EVIDENCE: Comments by the manager and care manager (deputy) explained that people’s needs are always assessed before they move in and this normally takes place within 72 hours of receiving referral information from social workers. Comments by a person who had recently moved into the home confirmed that she had been visited in hospital before moving in and explained that a relative had visited the home on her behalf before she moved in. Information contained in people’s care files confirmed that people’s needs are fully assessed and that they are provided with contracts of terms and conditions and relevant information about the home as part of the process of moving to the home. WCS - Dewar Close DS0000004262.V312886.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 This judgment has been made using the available evidence, including a visit to the service. The judgement for this outcome group is good. People are provided with the support they require to meet their personal and healthcare needs in a manner that respects their privacy and dignity. EVIDENCE: Four people’s care plan files were sampled. The files contain detailed, helpful information explaining people’s needs. The care plans cover a comprehensive range of personal care need and health care needs. Each area of care is risk assessed, e.g. risk of falling, skin care and where risks are identified clear directions and guidance are in place for staff to follow. Comments by two people living at the home confirmed that they have been involved in their care reviews. Information in people’s care review notes also verified that the home seeks to involve relatives and other relevant people in the review process. Comments made by a district nurse indicate that the home makes appropriate use of the district nursing service and that staff of both services work well together. Entries in people’s health records and comments by staff confirmed that people are supported to gain access to relevant health professionals where required, such as dietician, GP, district nurse, dentist, optician, etc. This was WCS - Dewar Close DS0000004262.V312886.R01.S.doc Version 5.2 Page 11 also verified by comments made by people living at the home. People’s health records were seen to contain evidence to confirm that where extra care is required it is correctly monitored and recorded, e.g. turning charts and body charts were seen for one person who previously had a sore that was treated by nursing staff, which had now healed. Similarly everyone’s food intake is recorded in detail to ensure that they are eating well and that their nutritional needs are met. Secure trolleys are in place for the safe storage of people’s medication. The contents of two trolleys were examined and found to be well ordered and organised. Comments by shift leaders responsible of giving out medication confirmed a good understanding of the medication procedures. Systems are in place to account for medication in the home and a sample examination of recent medication sheets indicates that medication is properly recorded as given. Staff were seen to administer medication to people in accordance with safe practice. The staff giving out medication confirmed that they had recently received training and been properly assessed as competent to administer medication to people. This was verified in staff training records. The people living at the home spoke affectionately about the staff that support them. Staff were seen to be polite and friendly towards the people living at the home and be on hand to offer assistance when it was required. People were assisted to rise at a gentle pace in a relaxed fashion and to receive unhurried support at breakfast time. The people living at the home were seen to be well groomed and dressed in well laundered, age appropriate clothing, indicating that they supported to maintain a good self-image. People’s personal care needs are carried out behind closed doors demonstrating that staff show a suitable regard for people’s privacy and dignity. WCS - Dewar Close DS0000004262.V312886.R01.S.doc Version 5.2 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 the following standard(s): 12,13,14 and 15 This judgment has been made using the available evidence, including a visit to the service. The judgement for this outcome group is good. People are provided with opportunities to make choices about their everyday lives and to enjoy a satisfactory range of activities. People are provided with mealtime choices so that they enjoy the food provided and their nutritional needs are met. EVIDENCE: Comments by people living at the home confirmed that they have a choice about where they go in the home and what they choose to do. Some people were seen to sit together and chat or read papers and some said they prefer to spend more time in their bedrooms. Two people explained how they enjoy doing the crossword together most days. In addition to the main lounges there are other small sitting areas where people can break away from the main group. Two people were seen to make use of a sun lounge in the home where they can enjoy each other’s company. An activities timetable was seen on the notice boards, which included opportunities for occasional outings and activities. A number of people said that they enjoy Bingo sessions in the daycare room and several people said that they enjoyed other activities, such as cards games, scrabble and dominoes. One man explained that he particularly enjoys completing complex jigsaws. Several people spoke positively about meetings that take place, (“Friends of Dewar Close”) which are WCS - Dewar Close DS0000004262.V312886.R01.S.doc Version 5.2 Page 13 chaired by two volunteer helpers (relatives of people at the home). The home continues to receive visits from young people at Rugby school. Records of recent meetings demonstrate that these meetings provided people with opportunities to review the menus, plan activities and comment on the home, making a positive contribution to the homes quality assurance programme. A Church of England service takes place at the home each month for people who wish to attend and a representative from the Catholic Church visits to provided communion where people require it. The manager explained that there is currently no one with other religious/cultural needs living at the home. The people at the home confirmed that visitors are welcomed and that they able to find a quiet / private space to meet with visitors if they wish to do so. People’s care review notes also demonstrate that relatives are encouraged to remain involved with people once they move into the home. A choice menu is in place at the home and displayed on the notice board in each unit. The people living at the home spoke very positively about the quality of food in the home and explained that if they do not want one of the options on the menu they are always offered an alternative, such as a jacket potato or salad. The main meal was seen to be well cooked, nutritionally balanced and served hot. The dining areas are attractively furnished, bright and airy and a number of people were seen to engage in friendly conversation at mealtime. The manager explained that there are currently no people with special dietary needs, with the exception of low sugar puddings provided to several people with diabetes. As previously noted, staff keep a very good record of people’s food intake to ensure that people are eating well and their nutritional needs are met. WCS - Dewar Close DS0000004262.V312886.R01.S.doc Version 5.2 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 the following standard(s): 16 and 18 This judgment has been made using the available evidence, including a visit to the service. The judgement for this outcome group is good. Suitable procedures are in place to help people to comment and complain and staff are appropriately trained to report any suspicions of abuse, in order that people are properly protected. EVIDENCE: There have been no complaints to the Commission since the last inspection. One complaint has been made directly to the home during the same period. An examination of the complaints log demonstrates that there are proper systems in place for investigating and recording complaints. Complaints books are available on each unit for people to use where they wish to do so. Comments by the people living at the home indicate that they prefer to discuss any concerns with the manager or staff. The manager explained that residents meetings are also used as a means of checking that people are happy so that any issues that arise can be followed up as necessary. Comments by staff on duty confirmed that they are provided with adult abuse training and are aware of how to report any suspicions of abuse or any concerns they might hold about the running of the home. There has been one adult abuse investigation at the home since the last inspection involving a person living at the home. This situation was appropriately managed and dealt with effectively under the Prevention of Vulnerable Adult procedures. Suitable risk assessment measures were put in place whilst this matter was resolved. WCS - Dewar Close DS0000004262.V312886.R01.S.doc Version 5.2 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 the following standard(s): 19 and 26 This judgment has been made using the available evidence, including a visit to the service. The judgement for this outcome group is good. People are provided with clean, comfortable accommodation that is well equipped to meet their personal needs. EVIDENCE: Overall the home provides good disability access throughout the building. The corridors are wide enough for wheelchair users to use and the bathrooms, shower rooms and toilets are quite spacious and well equipped to meet the needs of people with disabilities. The entrances and exits are ramped and a lift is in place to enable people to move between floors. There is a loop system fitted in the main lounges on each floor as well as raised toilet seats, grab rails and specialist equipment to enable staff to safely assist people who have mobility problems. Where necessary the home arranges for people to receive specialist equipment, e.g. mattresses, in keeping with their care planned needs. Library books are also available in large print. Overall the décor is in good condition and there is a rolling programme of decorating in the home to maintain good standards for people at the home. Very thorough checks of the WCS - Dewar Close DS0000004262.V312886.R01.S.doc Version 5.2 Page 16 home take place and are recorded so that any maintenance jobs can be promptly identified and addressed. The lounge and dining areas are attractively decorated and furnished. Good work has recently taken place to create a new, smaller dining room for a small number of people to use, as an alternative from the larger dining area. The home has attractive, well maintained gardens with furniture for people to sit down and relax during the summer months. Comments by staff and information in staff training records confirms that staff are provided with infection control training to support hygienic practices in the home. Overall the home is very clean and free form any unpleasant odours and cleanliness in the home is well monitored and managed via routine management monitoring checks, which are recorded. Protective clothing was seen to be available in various parts the home that staff made use of as appropriate. The housekeeper was able to explain suitable procedures for the safe management of continence laundry Modern washing machines are available with appropriate wash programmes and wash disposable bags are available for managing soiled laundry. WCS - Dewar Close DS0000004262.V312886.R01.S.doc Version 5.2 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 This judgment has been made using the available evidence, including a visit to the service. The judgement for this outcome group is good. Staff are well trained to equip them to carry out their roles effectively and are available in sufficient numbers to meet people’s needs. Satisfactory recruitment procedures are in place to ensure that staff are suitable to work at the home. EVIDENCE: The manager reports that since the last inspection the home has reviewed the staffing compliment and increased the number of care staff on duty to 6 instead of 5 staff during waking hours. This was verified in the home’s rotas. In addition to the care staff the home employs a housekeeper, administrator, catering and cleaning staff, in addition to the manager and care manager (deputy manager). Comments by the people living at the home confirmed that staff are helpful and prompt to respond to their concerns. Information provided by the manager on the pre inspection questionnaire and training records and comments made by staff confirm that staff receive an excellent range of training opportunities. Over 67 of staff are reported to hold NVQ level 2 qualifications (or higher level qualifications) and more staff are in the process of taking this training. Staff are also provided with ongoing refresher training in health and safety subjects, as well as training more directly related to the specific care needs of the people at the home. Examples of training provided in the last 12 months include, first aid, person centred care, abuse, medication, fire safety, Parkinson’s disease, infection control, pain management, diabetes, communication, risk assessment and induction training. Staff training needs WCS - Dewar Close DS0000004262.V312886.R01.S.doc Version 5.2 Page 18 are identified in individual development plans, which form the basis for the home’s overall training plan. The recruitment files of two recent starters were examined. Both files contained information to confirm new staff complete that an equal opportunities interview process and are properly vetted before starting work. This includes taking up references and a Criminal Record Bureau Check to ensure that staff are safe to work at the home. WCS - Dewar Close DS0000004262.V312886.R01.S.doc Version 5.2 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 This judgment has been made using the available evidence, including a visit to the service. The judgement for this outcome group is good. The work of the home is well monitored and managed, and takes account of the opinions of the people that live there, so that they are able to have a say in everyday issues that affect them. EVIDENCE: The manager currently holds the Registered Managers Award and the National Vocational Qualification, level 5 in care and is well qualified to carry out her managerial responsibilities at the home. The home has good quality assurance systems, which include ways of gaining the opinions of the people at the home about the service they receive. This includes regular meetings chaired by relatives as well as seeking people’s views about a different aspect of the service, each month, as part of the care review process. Regular monthly visits take place are being carried out by a WCS - Dewar Close DS0000004262.V312886.R01.S.doc Version 5.2 Page 20 senior manager to ensure the home is running properly and thorough monitoring checks of various aspects of the home are also carried out by the manager and the housekeeper to ensure the home is safe and well maintained for people to live in. People’s personal monies are stored away safely and a clear record of expenditure is kept so that it is possible to check how people’s money has been spent. The manager explained that only she and the administrator have access to people’s cash. Expenditure records are being completed to account for any money spent by people but the expenditure record is not always signed. The manager carries out periodic checks of people’s finances and signs the expenditure record as confirmation of her monitoring check. The manager confirmed that everyone at the home receives support from outside of the home to manage their finances, either from their relatives or legal representatives. The manager confirmed that periodic audits of people’s monies are also carried out by the organisation’s finance officers to check that the home is managing people’s money properly. The pre inspection questionnaire completed by the manager indicates that all relevant health and safety checks are carried out by the home. The fire log was checked. These records indicate that fire alarms and lights are tested at the correct frequencies and that drills are carried out at the home. The housekeeper and the manager at the home confirmed this. A record is routinely completed to monitor the temperature of the hot water in the home to ensure that it kept at a safe and comfortable temperature for people to use. WCS - Dewar Close DS0000004262.V312886.R01.S.doc Version 5.2 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x 3 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 WCS - Dewar Close DS0000004262.V312886.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP35 Good Practice Recommendations Ensure that the expenditure record is signed by every time a financial transaction takes place involving service users monies. WCS - Dewar Close DS0000004262.V312886.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB 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 WCS - Dewar Close DS0000004262.V312886.R01.S.doc Version 5.2 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. 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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