Inspection on 23/03/07 for Wellesley

This inspection was carried out on 23rd March 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Wellesley 30/01/06

Wellesley 27/07/05

Wellesley 01/02/05

Wellesley 14/10/04

Wellesley 03/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Wellesley Landkey Road Barnstaple Devon EX32 9BZ Lead Inspector Susan Taylor Key Unannounced Inspection 23rd March 2007 10:15 Wellesley DS0000022097.V327170.R01.S.doc Version 5.2 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 Wellesley DS0000022097.V327170.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 Adults 18-65. 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. Wellesley DS0000022097.V327170.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wellesley Address Landkey Road Barnstaple Devon EX32 9BZ 01271 373755 NONE 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) Mr Nigel Duncan McCowen Smith Mr Nigel Duncan McCowen Smith Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Wellesley DS0000022097.V327170.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th January 2006 Brief Description of the Service: Wellesley is a home for 10 adults with learning difficulties, offering plenty of space for individual privacy. The home is suitable for people who like companionship, personal space, social and physical activities and who need help with personal care and life skills. The home is situated in an Edwardian house set in large walled gardens on the main road in Newport. Barnstaple is within easy reach. Access is level and current service users have no need for an internal lift. The home is comfortably furnished and well decorated. Wellesley DS0000022097.V327170.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 of Wellesley under the ‘Inspecting for better lives’ arrangements. The inspector was at the home with people for 8½ hours. The purpose for the inspection was to look at key standards covering: choice of home; individual needs and choices; lifestyle; personal and healthcare support; concerns, complaints and protection; environment; staffing and conduct and management of the home. The inspector looked at records, policies and procedures at the office. A tour of the home took place. Surveys were sent to all ten people that live at Wellesley, staff and two health and social care professionals: 100 of the people living at the home; 100 of staff and 100 health and social care professionals responded to the survey. The comments of the people who responded are included within the report. As at January 2007, the fees ranged between £310 and £513 per week for personal care. People funded through the Local Authority have a financial assessment carried out in accordance with Fair Access to Care Services procedures. Local Authority or Primary Care Trust charges are determined by individual need and circumstances. General information about fees and fair terms of contracts can be accessed from the Office of Fair Trading web site at www.oft.gov.uk What the service does well: People that live at Wellesley say that it is well run and “feels like home”. Other people such as professionals that support people who live there also hold this view. There is an inclusive atmosphere, in which people are encouraged to live their lives to the full. Also people say that they make decisions about what they want to do day to day and are helped to plan for the future. They do this through regular meetings. There is a good choice of appetising and well-balanced meals at the home. People were listened to and their likes and dislikes taken account of. The activities, events and work that people do are tailored to their likes and dislikes. People said that family and friends are also made welcome. Relatives also said that the Wellesly is friendly and welcoming. Wellesley DS0000022097.V327170.R01.S.doc Version 5.2 Page 6 There are policies and procedures that protect vulnerable people, including dealing with complaints. People know how to make complaints and say that they can voice their concerns and feel that staff listens to them. Appropriate checks are done before staff are allowed to work with the people that live at the home. Visitors to the home and people living there said that all of the staff are kind, caring and respectful. The manager encourages care staff to do training so that they all keep up to date and understand how to care for people that live at the home. In terms of health and safety, people say that they feel safe at Wellesley. home is clean, comfortable and well maintained. The What has improved since the last inspection? What they could do better: Staff need to build upon their skills and experience by updating themselves about adult protection procedures. Once they have done this they will be able to put their learning into practice and ensure that people living at Wellesley are protected from potential abuse. The training and development plan should be reviewed to ensure that domestic staff are included, particularly with regard to training about health and safety issues. Please contact the provider for advice of actions taken in response to this Wellesley DS0000022097.V327170.R01.S.doc Version 5.2 Page 7 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. Wellesley DS0000022097.V327170.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Wellesley DS0000022097.V327170.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People living at the home are supported and encouraged to be fully involved in the assessment process at Wellesley. EVIDENCE: Three care files demonstrated that comprehensive assessment information had been obtained. Assessments had been regularly reviewed with the individuals concerned. 77 of people responding in a survey felt that they were ‘always’ involved in decision-making about their lives at Wellesley. Excellent examples seen demonstrated how this had been done with people in documents entitled ‘My life my plan’, which contained information about what people wanted to achieve and what their social networks were. The home had obtained a copy of the care plan produced for care management purposes for people. In a survey, healthcare professionals and three relatives considered that Wellesley meets the needs of people that live there and are satisfied with the care that they receive. Their written comments included ‘the staff treat them all like individuals due to the size and abilities of the group’. Wellesly ‘supports the clients very well. They seem to be aware of their needs.’ Wellesley DS0000022097.V327170.R01.S.doc Version 5.2 Page 10 Wellesley DS0000022097.V327170.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The philosophy of care at Wellesley is person centred. People living at the home have access to this information because the home has taken account of their diverse needs by using total communication formats. Financial systems protect the interests of people who need help to manage their money. The home manages to balance risks to promote the safety of people; whilst at the same time encourages people to be as independent as possible. EVIDENCE: Care plans were well maintained and in a ‘total communication format’. People said that their key workers spoke to them regularly about what their goals were. This was further verified in care documentation such as ‘My life my plan’, which contained information about what people wanted to achieve and what their social networks were. Good outcomes were observed whilst Wellesley DS0000022097.V327170.R01.S.doc Version 5.2 Page 12 tracking the care of three people. One person had suffered recurrent ear infections and records demonstrated that besides having regular medical treatment from the GP, the team had implemented preventative care such as encouraging the individual to wear specialist earplugs whilst swimming or showering. n a survey 100 of relatives verified that they were always consulted about any important issues about a person that they support who lives at the home. Their written comments included, ‘very good communication’ and [Wellesley staff have a] ‘sensitive caring approach’. In a survey 100 of people that responded verified that they make their own decisions about what they do during the day, during the evenings and at weekends. Additionally, staff responding in a survey wrote comments like ‘All the service users are treated really well and treated as individuals’ and [the home] ‘provides good care to the service users…’ Two people’s financial records were examined. The individual’s concerned told the inspector that they were satisfied with the way their money is handled in the home. All have their own bank and savings accounts and statements were seen which verified this. Balances were audited and found to be in order. Two signatures were seen on balance sheets denoting withdrawals. The home had policies or procedures about risk assessment and management. In practice comprehensive risk assessments had been completed and were seen in three files that were examined in detail. Each one clearly laid down ways to minimise identified risks and hazards, whilst at the same time encouraged people to be as independent as possible. On reading two out of three had been recently reviewed and the third was reviewed on the inspection day. Wellesley DS0000022097.V327170.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People living at Wellesly lead meaningful lives in ways that enable them to maintain family and personal relationships and develop new skills. There are few restrictions at Welllesly. Meals are well balanced, varied and take account of individual preferences and choices. EVIDENCE: Wellesley DS0000022097.V327170.R01.S.doc Version 5.2 Page 14 Four people were at home during the inspection and time was spent with each person. People living there lead very full lives on a social, educational and occupational level. This was demonstrated for example in a discussion with a service user who enjoys football who showed the inspector their themed bedroom. Additionally, another service user returned home later having been to college for the day. As people sat down for the teatime meal they told the inspector they were looking forward to spending the evening out at a local social club. Every person had an activity program that was in ‘Total Communication’ format. A wide range of local resources was used and people verified that these reflected their individual interest such as swimming, tap dancing or clubs. People were coming and going from the home all day having been to work, college, or other activities in the community. The closure of local day services was said to have been an upsetting period for people, but in collaboration with another local home imaginative and varied opportunities had been arranged that encouraged people to develop new skills. Planned events and outings that had taken place were documented in the minutes of meetings. In a survey relatives verified that they were made welcome to visit their relation at any time and could do so in private. Their comments included ‘they help him send birthday and anniversary cards to some 16 or so relatives’. The inspector observed both the lunch and evening meals. People were offered various choices at the lunchtime meal and then tended to opt for the hot meal in the evening. A record of meals provided had been recorded in a diary. Entries seen demonstrated that meals are varied. Individual dietary and preferences had been taken account of. Wellesley DS0000022097.V327170.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. People are treated with dignity and respect. The home works in partnership with other professionals to meet the healthcare needs of the people that live there. Wellesley has excellent systems for capturing medical information, which means that healthcare is individualised and takes account of people’s needs. EVIDENCE: In a survey 100 of people felt that staff listened and responded to their needs. The pre-inspection questionnaire demonstrated that the gender balance of people living at the home is relatively well matched to that in the staff team. In a survey of professionals, 100 of respondents felt that the home always followed their advice and managed the healthcare needs of people well. Wellesley DS0000022097.V327170.R01.S.doc Version 5.2 Page 16 Throughout the inspection, the inspector saw interactions towards people living at the home that were kind, caring and respectful. In a survey 100 of relatives responding felt that the care received by their relation was ‘always’ as planned. Their written comments included ‘the staff are extremely caring and supportive’. Medication Administration Record charts were in use and no gaps in the records were seen. Medicines had been administered as prescribed for two people whose care was tracked. All medicines were seen to be stored in a locked cupboard, which was securely affixed to the wall. Training records demonstrated that key staff involved in administering medication had received appropriate training. Additionally, the care worker administering medication told the inspector that all new staff was supervised and their competency assessed before being able to administer medication on their own. Wellesley DS0000022097.V327170.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People living at Wellesley are on the whole protected and able to voice their concerns, if they have any, safe in the knowledge that these will be dealt with in an appropriate manner. Training and development processes need to be reviewed so that any gaps in key skills such as safeguarding people are highlighted enabling the manager to promptly organise appropriate training as needed. EVIDENCE: 100 of people responding in a survey verified that they knew how to complain and who to speak to if they were unhappy. The procedure was displayed on the wall next to the kitchen. No complaints had been received since the last inspection. 100 of people responding in a survey felt well treated and listened to by the staff. The home had a written policy and procedure for dealing with suspected allegations of abuse. The inspector spent sometime observing interactions between staff and people living there. Staff engaged with people continuously at the right speed and demonstrated genuine warmth and attention, which people appeared to respond to and enjoy. Training records demonstrated that nearly all of the staff had attended a course covering the protection of vulnerable adults. One of the staff that the inspector spoke to individually Wellesley DS0000022097.V327170.R01.S.doc Version 5.2 Page 18 during the inspection said that the training opportunities were excellent and verified that they had yet to do the protection of vulnerable adults course. Staff spoken to had a clear understanding of the concepts of whistle blowing and adult protection issues. Wellesley DS0000022097.V327170.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People live in a comfortable, well-maintained home that is clean. The accommodation now provides single accommodation for all the people that live there. EVIDENCE: People showed the inspector their bedrooms, which reflected their individual tastes. One person said that they liked football and their room was full of memorabilia reflecting this interest. Touring the premises the inspector saw that the home was clean and generally well maintained. The manager showed the inspector three new bedrooms that had been created allowing all of the people living in the home to have a single bedroom. In one, occupied by a person with epilepsy the radiator guard had not been fitted. This was pointed out to the manager, who immediately rectified this by fitting the radiator Wellesley DS0000022097.V327170.R01.S.doc Version 5.2 Page 20 guard. 100 of people responding in a survey verified that their home was kept clean and fresh. Infection control measures such as hand washing had been discussed with people and staff. Safe systems were observed being followed with regard to separation of bed linen and clothing to maintain good infection control, whilst at the same time did not detract from some people being supported to participate in the process. Wellesley DS0000022097.V327170.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home achieved a good level of consistency for service users with a stable team of staff. Recruitment procedures are followed and ensure that staff that have been properly vetted cares for people living at the home. Additionally, there is a training and development culture at the home that is constantly being reviewed and ensures that people are cared for by staff with the right knowledge and expertise. However, domestic staff might also benefit from further training to include health and safety issues. EVIDENCE: Duty rosters examined prior to the inspection demonstrated that there had consistently been at least two staff on duty every day and at night (sleeping in). The inspector observed that staff were attentive and supported people in an unhurried way. Three personnel records were examined. The home had obtained satisfactory references including CRB and POVA pre-employment checks. Wellesley DS0000022097.V327170.R01.S.doc Version 5.2 Page 22 In the pre-inspection questionnaire, the manager verified that all of the staff holds NVQ level 2 or above therefore the home has exceeded the standard. All of the care staff that the inspector met verified that they had an individual portfolio and that their training needs are discussed through the supervision process and linked to the specific needs of people living in the home. However, there were no training records for domestic staff. The manager verified this also when the matter was discussed with him. All of the care staff responding in a survey indicated that the home provides funding and time for them to receive training. Most recent training included fire awareness, safe handling of medicines and dementia awareness. Wellesley DS0000022097.V327170.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The registered manager is experienced and qualified to run the home and does so effectively for the people who live there. Quality assurance systems are evident and ensure that people’s views are respected in this home. Similarly, people’s interests are safeguarded and efficiently managed. Health and safety is generally managed well, which ensures that the people living there are protected. However, domestic staff might also benefit from further training to include health and safety issues. EVIDENCE: Wellesley DS0000022097.V327170.R01.S.doc Version 5.2 Page 24 The registered manager’s portfolio verified that he has attained the Registered Manager’s Award and NVQ level 4 in Care and Management. All of the staff, relatives and healthcare professionals and people that live at the home responding in a survey feel that Wellesly is well run. The atmosphere in the home is inclusive. Minutes of meetings held with people that live demonstrated that they are consulted about all aspects of their life there and that their views are listened to. 100 of people responding in a survey verified that the staff listened to them. Other communication systems were in place, which included regular staff handovers and regular staff meetings; minutes of these were seen and contained positive reassuring messages for the staff team. Two health and social care professionals responding in a survey indicated that the home communicates clearly and works in partnership with them. An annual development plan had yet to be written that makes links to people’s needs in the home and meeting the national minimum standards and regulatory requirements. The manager told the inspector that an internal audit had recently been carried out, during which a survey had been carried out with everyone that had involvement with the home. The inspector saw a selection of these, which were very positive. The manager said that he was dealing with minor issues that had been raised and the inspector saw evidence of this. Minutes of meetings held in the home with staff and the people living there verified that these are held regularly and keep everyone appraised of what is happening there and an opportunity to be fully involved in the decision making process. Professionals responding in a survey were satisfied with the overall care of people living in the home. The pre-inspection questionnaire completed by the manager verified that contractors had carried out maintenance to hoists, electrical, gas, fire and water systems during the last 12 months. Comprehensive Health & Safety policies and procedures were seen, including a poster displayed stated who was responsible for implementing and reviewing these. Certificates seen on files examined verified that staff had attended infection control, manual handling and fire training in the past 12 months, with exception of domestic staff (as discussed under previous section). The fire log was examined and demonstrated that fire drills, had taken place regularly. Similarly, the fire alarm had also been regularly checked. People living at the home told the inspector that the alarm was regularly checked. During a tour of the building a first floor fire exit was obscured by furniture, this was immediately removed. First aid equipment was clearly labelled. Some of the staff on duty verified that they held a current first aid qualification having completed the National Vocational Qualification in Care. Electrical appliance checks and risk assessments had been reviewed in the last twelve months. Data sheets were in place and staff spoken to understood the risks and how to minimise these in respect of chemicals used in the building mainly for cleaning and infection Wellesley DS0000022097.V327170.R01.S.doc Version 5.2 Page 25 control purposes. The home has an accident procedure that had been followed. Entries tracked by the inspector established that appropriate action had been taken following reported accidents. The manager told the inspector that he regularly audited accidents and incidents occurring in the home to ensure that these were kept to a minimum. Wellesley DS0000022097.V327170.R01.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 x 2 4 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 x 3 x LIFESTYLES Standard No Score 11 x 12 4 13 4 14 4 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 x 3 x 3 x x 3 x Wellesley DS0000022097.V327170.R01.S.doc Version 5.2 Page 27 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 2 3 Refer to Standard YA23 YA35 YA42 Good Practice Recommendations Review training and development measures to ensure that gaps in key skills such as safeguarding people are highlighted and promptly addressed. Extend the training and development to include domestic and other support staff working at the home. Domestic and other support staff working at the home should have health and safety training, including an induction that covers key policies and procedures. Wellesley DS0000022097.V327170.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Devon Area Unit D1 Linhay Business Park Ashburton Devon TQ13 7UP 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 Wellesley DS0000022097.V327170.R01.S.doc Version 5.2 Page 29 - 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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