Inspection on 26/06/07 for Well Springs Nursing Home

This inspection was carried out on 26th June 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

Well Springs Nursing Home 20/06/06

Well Springs Nursing Home 21/02/06

Well Springs Nursing Home 14/06/05

Well Springs Nursing Home 08/02/05

Well Springs Nursing Home 17/08/04

Well Springs Nursing Home 03/03/04

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Staveley Birk Leas Nursing Home

Carentan House

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

CARE HOMES FOR OLDER PEOPLE Well Springs Nursing Home 122 Leylands Lane Heaton Bradford West Yorkshire BD9 5QU Lead Inspector Paula McCloy Key Unannounced Inspection 26th June 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Well Springs Nursing Home DS0000042143.V333460.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. Well Springs Nursing Home DS0000042143.V333460.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Well Springs Nursing Home Address 122 Leylands Lane Heaton Bradford West Yorkshire BD9 5QU 01274 488855 01274 544801 sueseal@btconnect.com 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) Rossefield Nursing Homes Limited Ms Ann Spence Care Home 52 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (52), of places Physical disability (10) Well Springs Nursing Home DS0000042143.V333460.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th June 2006 Brief Description of the Service: Well Springs provides nursing care for 52 people, male and female, predominately over the age of 65 years. Accommodation is provided in both single and shared rooms on the ground and first floors. There is a large lounge and two conservatories on the ground floor. The home is situated in the Heaton area of Bradford approximately 2 miles from the city centre. Local shops and amenities are situated close to the home. The detached property is set in extensive private gardens with parking space provided within the grounds. The weekly fees range from £329.00 to £675.00. Hairdressing, chiropody, newspapers, taxis and personal requests are not included in the fees. Well Springs Nursing Home DS0000042143.V333460.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The last inspection of the home took place on 20 June 2006. We have not made any visits to the home since then. This inspection was carried out to assess the quality of care provided to people living at the home. I carried out the inspection over two days and spent approximately 10.5 hours in the home. On the first day of the inspection I spent two hours in the morning in the downstairs lounge watching and recording the care being given to a small group of people with dementia. Using this observational tool, as part of the inspection process, helped me to understand the experiences of people living in the home who aren’t able to communicate their views because of their dementia or communication difficulties. During the visit I spoke to 5 people who live in the home, 2 relatives, 7 staff and the manager. I observed care staff delivering care, looked at various records and looked around the home. The home completed a pre-inspection questionnaire and the information provided has been used in this report. Comment cards were sent to 26 people living at the home, 26 relatives, and 4 GPs; these cards provide an opportunity for people to share their views of the service with us. Information received in this way is shared with the home without identifying who has provided it. Sixteen people living at the home and ten relatives and two GPs wrote to us with their comments. Their comments received have been used in this report. What the service does well: Well Springs is a well managed home that is run in the best interests of the people who live there. Anyone thinking of moving into Well Springs can go and look around and get written information about the home, the service user guide. If they decide to move in staff from the home will carry out an assessment to make sure that they can meet that person’s needs and arrange a day for admission. Well Springs Nursing Home DS0000042143.V333460.R01.S.doc Version 5.2 Page 6 People get a contract/statement of terms and conditions document, this means that they are given information about their rights and obligations. Each person has an individual care plan that sets out what care and support they require from staff. Staff are vigilant and care plans are updated, as people’s needs change. Staff are also quick to involve doctors and other specialists for advice. Relatives said ‘my relative is comfortable and well cared for.’ ‘On the whole I think Well Springs do a great job and as a family we are very grateful for their care of our relative.’ People look well cared for. All the people who live in the home spoke well of staff and they felt that they were kind and caring. One person living at the home said ‘everything is lovely and staff are very good.’ Activities are arranged on a regular basis to keep people stimulated. One relative said ‘my mother is very happy at Well Springs she seems to be always laughing and she loves the food and the shows that they have.’ People can follow their own routines and relatives and friends are welcome to visit at any time. Meals at the home are good. People living at the home and relatives all said that the food was good. If people living at the home and/or relatives are not happy about the service they are getting there is a complaints procedure. People were aware of the procedure and said that they would be able to raise any concerns and that they felt any problems would be resolved. One relative said ‘comments regarding my mother’s care have always been well received and acted upon.’ The home is clean, tidy, comfortable, and well maintained. People living at the home and their relatives all said that the home was kept fresh and clean. The staff are friendly and well trained. Staff enjoy working at the home and feel they work well as a team. I asked some of the staff if they would be happy for a relative of theirs to live in the home, they all said yes. What has improved since the last inspection? Staff have worked hard to develop the care plans. These now show in detail what staff must do to meet people’s needs and that their needs are being met. Activities are given a high priority and there is something on offer for people everyday to keep them stimulated. All of the staff have completed adult protection training. They are very clear about what they should do if they think there is anything happening that is not in the best interest of the people living there. This means that people are being kept safe. Well Springs Nursing Home DS0000042143.V333460.R01.S.doc Version 5.2 Page 7 The quality assurance questionnaires are being analysed and published. This means that everyone can find out what people think of the home. 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. Well Springs Nursing Home DS0000042143.V333460.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 Well Springs Nursing Home DS0000042143.V333460.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 5 (standard 6 does not apply) People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People receive information about the home before they move in and can visit to see for themselves if they think the service can meet their needs. Staff make sure that anyone thinking of moving in is fully assessed. This makes sure that staff are confident they can meet people’s needs before they move into the home. People are given a written contract/terms and conditions of residence document which gives them details of their rights and responsibilities. EVIDENCE: The statement of purpose and service user guide is available from the home. These documents give people a lot of information about the home and the service they offer. Well Springs Nursing Home DS0000042143.V333460.R01.S.doc Version 5.2 Page 10 People are issued with a contract/terms and conditions of residence document when they move into the home. In the surveys 10 people living at the home said that they didn’t have a contract and 2 people didn’t know if they had one. Four people said they did have a contract. This was discussed with the general manager who said that contracts were always issued but relatives often dealt with them. This is the reason that some people may be unaware that there is a contract in place. Individual records are kept for people living at the home. The records for the two people recently admitted showed that staff from the home had completed a full assessment of their needs before they moved in. This information had then been used to formulate the care plans to ensure that the people’s identified needs were met. One of the nurses who completes the assessments said that when he has assessed someone he discusses their needs with the registered manager and then they decide if they can offer them a place, taking into consideration the needs of the people already living there and the staffing levels. Staff said that they encourage people to come and have a look around the home, although it is more usual for relatives to do this. This gives people the opportunity to see the home for themselves and decide if it is suitable for them. One person living at the home said ‘I was able to visit the home prior to taking up residence, which was very helpful.’ The ten relatives that responded to the survey said that they had enough information about the service to help them make decisions. The home does not provide intermediate care. Well Springs Nursing Home DS0000042143.V333460.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Individual care plans are detailed and give staff the information they require to meet people’s needs. The health care needs of people are being met with health care professionals being involved as necessary. People’s medication is well managed which promotes good health. Personal support in this home is given in a way that promotes and protects people’s privacy and dignity. EVIDENCE: Care plans are well organised and it is easy to find relevant information quickly. The care plans set out in detail what action needs to be taken by staff to ensure people’s needs are met. Staff are vigilant and new care plans are developed, as people’s needs change. Details of people’s life history and interests are also noted. Care plans are reviewed on a monthly basis and there was evidence of people being involved in the planning process. All Well Springs Nursing Home DS0000042143.V333460.R01.S.doc Version 5.2 Page 12 sixteen people living in the home, who completed a survey, confirmed that they get the right care and support and the medical help they need. Care plans are being reviewed monthly. All ten relatives told us in the surveys that they were kept up to date with important issues affecting their relative. They made the following comments: ‘I feel the care for the service users is very good. The staff seem to be committed and I am kept informed about any events or changes with my father.’ ‘I feel happy with the care my father receives and feel confident he is ok when I am not with him.’ People’s health care needs are being identified and met. Staff are vigilant and GPs and other health care professionals are involved as necessary. Details of any visits by health care professionals are clearly documented in the care plan, together with the advice that has been given. New care plans are put in place as peoples needs change for example the GP had visited one person and prescribed treatment, a new care plan had been put in place that clearly informed staff what they needed to do. One relative said ‘my mother has been well cared for by nurses when her foot had an ulcer.’ Another relative said ‘my mother has a lot of chest infections and the doctor and staff always look after her well.’ All of the necessary risk assessments had been completed and showed what staff need to do to make sure risks to people using the service are minimised. For example one person using the service can exhibit unpredictable behaviour. There was a detailed plan in place about how staff should support them to minimise the risk to both the individual and to others. The medication system is well managed. People are receiving their medication at the prescribed times and records are well maintained. One GP said ‘staff appear to be meticulous about medication ordering and recording medication and that consideration is given to the most acceptable form of medication, for example, tablets or syrup.’ People looked smart and well cared for. People spoke well of staff and they all felt they were kind and caring. Well Springs Nursing Home DS0000042143.V333460.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s preferences in relation to the routines of daily living are respected. Activities are provided to keep people stimulated. Relatives and friends feel welcome to visit at any time. The meals at the home are good. EVIDENCE: The care plans contain information about people’s past lives, interests, achievements and activities they like. Staff respect people’s preferred routines for example one person said that she likes to go to bed after lunch and staff always make sure this happens. When people move in they are asked specifically about their spiritual needs. Religious services are held at the home for those people who wish to attend. One person said that she regularly attends the services that are held in the home. Staff were seen to take time listening to people and dealing with requests. For example they were having difficulty trying to understand what one person Well Springs Nursing Home DS0000042143.V333460.R01.S.doc Version 5.2 Page 14 wanted. They saw that she was uncomfortable, but could not find out what she wanted. The found another member of staff who could talk to this person in Polish. The problem was then resolved. I spent two hours in the downstairs lounge observing a small group of people who were unable to tell me about their care and support. During this time care staff were in and out of the lounge on a regular basis, checking that people were alright and giving out drinks and biscuits. Staff were very patient and kind with everyone, helping people with their drinks without rushing them and chatted to each person. Staff explained to people what they were doing when moving them. There were a few occasions when staff came into the room and didn’t speak to anyone. If staff spoke to individuals each time they were in the room this would increase people’s contact with staff even more and add to their overall care. This was discussed with the registered manager. She has taken this up with the staff who responded positively to this observation. The television was on in the lounge. Staff asked people if they wanted the TV on or if they would prefer some music. Music was put on and when another person asked for the television staff negotiated with them for the television to be put on after the music had finished. This meant that everyone got what they wanted. Activities are provided everyday. Outside entertainers are booked every month. There is a notice board in the hallway that gives details of the activities on offer. On the days of the visits people played bingo and some people were painting. Staff record what activities people have been involved in. The registered manager is going to look at the activities programme to make sure that everyone is receiving suitable and regular stimulation. In the surveys all 16 people living in the home said that activities take place on a regular basis. One relative said ‘My mother loves the shows that they have.’ Relatives confirmed that they can visit at any time and that they are made to feel welcome. One relative said ‘staff are normally very welcoming to visitors and are always available if we need to talk to them.’ All sixteen people living at the home that completed a survey said that the food was good. One relative said ‘The food is fantastic and there are always carers to assist residents at meal times when necessary.’ People can have their meals in one of the dining rooms, lounge or their bedrooms. Relatives can also stay for a meal if they want to. Two new chefs have just started work at the home. The registered manager has new menus to introduce and wants to make sure that there is a choice of main meal at lunchtime. She is also looking at changing the times of the meals and the way that they are served. She wants the meal times to be more social occasions for the people living there. Well Springs Nursing Home DS0000042143.V333460.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home’s complaints procedure is well publicised and people are confident that that any concerns will be listened to, taken seriously and acted upon. Staff have a good understanding of adult protection issues which means people are protected from any abuse. EVIDENCE: The complaints procedure is on display and detailed in the statement of purpose. In the surveys everyone said they knew about the complaints procedure and who to talk to if they had any concerns. The complaints log showed that two complaints have been made in the last 6 months. These have been sorted out and resolved. People said that if they had any concerns they would feel able to raise these with the registered manager. They were also confidant that they would be listened to and that any concerns would be resolved. Relatives said ‘the matron or nurse are always available to discuss problems.’ ‘When I have asked for extra treatment this has been provided.’ All of the staff have attended adult protection training and the local adult protection procedures are available. All staff spoken to were able to detail exactly what they would do if they felt any practices in the home were not in Well Springs Nursing Home DS0000042143.V333460.R01.S.doc Version 5.2 Page 16 the best interest of the people living there. This means that people are being kept safe and protected from any abuse. Well Springs Nursing Home DS0000042143.V333460.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 & 26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People live in a clean, safe, comfortable, well maintained home. EVIDENCE: The home is situated in the Heaton area of Bradford about 2 miles from the city centre. There are shops, a chemist, pubs and fish and chip shop within walking distance. The home is set in its own gardens and grounds. There is a car park and seating outside for people to use in nice weather. The most recent environmental health inspection made some recommendations about the kitchen, which have all been dealt with. Well Springs Nursing Home DS0000042143.V333460.R01.S.doc Version 5.2 Page 18 The home was very clean and there were no unpleasant odours. Everyone that completed a survey said that the home is always clean and fresh. One relative said ‘the home is clean and well presented.’ The laundry system is good. The laundry assistant puts people’s clothing away. Everyone living at the home looked well dressed and their clothing well cared for. There have been no infection control issues at the home. Well Springs Nursing Home DS0000042143.V333460.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. There are enough staff on duty to meet the needs of the people living there. Staff are receiving appropriate training to meet people’s needs. Any new staff are thoroughly checked to ensure that they are suitable to work with older people. EVIDENCE: The duty rotas are arranged to provide 2 nurses and 7 care staff on duty from 8.00am – 2.00pm, 2 nurses and 6 care staff on duty from 2.00pm – 5.00pm and 2 nurses and 5 care staff from 5.00pm – 8.00pm. The manager works in addition to these staffing levels. At night there is one nurse on duty with 4 care staff. Staff said they were working well as a team and that they enjoyed coming to work. Staff also said that the registered manager is very approachable and that they can talk to her about anything. Staff are well trained and competent to do the job. There are 24 care staff working at the home, 14 are qualified to NVQ (National Vocational Qualification) level 2 or 3 in caring for older people. There are a further 7 care Well Springs Nursing Home DS0000042143.V333460.R01.S.doc Version 5.2 Page 20 staff in the process of doing this training. Care staff said that they are offered any relevant training courses. Recruitment procedures at the home are robust. Staff files confirmed that the necessary checks are completed to ensure the suitability of new staff. Well Springs Nursing Home DS0000042143.V333460.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, 33, 35 & 38 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. The home is well managed and run in the best interests of the people living there. People are involved in the running of the home and consulted about their care and support. Practices in the home promote the health, safety and welfare of the people living there and staff. EVIDENCE: The registered manager is a registered nurse who has also completed the registered manager award. She works supernumerary to the rota. People are consulted about the running of the home in residents’ meetings, through the quality assurance questionnaires and at the monthly reviews of Well Springs Nursing Home DS0000042143.V333460.R01.S.doc Version 5.2 Page 22 their care plans. The results of the most recent quality assurance survey have been published and are available at the home. Residents’ meetings are held every three months and the manager acts on any issues or suggestions they have. One person living at the home said ‘there are regular meetings with staff and the owner to discuss problems and matters such as diet.’ One relative said ‘since October 2006 there is a quarterly meeting for patients and carers to hear from the owner and senior staff about what is being done regarding the building and events.’ The registered manager does not hold any money for people living at the home. People or their relatives are invoiced for any additional services they have like hairdressing and chiropody. There is a written Health and Safety policy. Staff receive moving and handling, health and safety, food hygiene, fire safety, first aid and infection control training. The fire alarms are tested weekly. The service reports for the passenger lift and hoists were seen and were all up to date. Well Springs Nursing Home DS0000042143.V333460.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 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 X 3 X 3 X X 3 Well Springs Nursing Home DS0000042143.V333460.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Well Springs Nursing Home DS0000042143.V333460.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Well Springs Nursing Home DS0000042143.V333460.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!