Inspection on 24/04/07 for Whitfield Care Home

This inspection was carried out on 24th April 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

Whitfield Care Home 22/04/08

Whitfield Care Home 08/11/06

Whitfield Care Home 28/06/06

Whitfield Care Home 06/02/06

Whitfield Care Home 11/08/05

Whitfield Care Home 08/03/05

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

CARE HOMES FOR OLDER PEOPLE Whitfield Care Home 107 Sandwich Road Whitfield Dover Kent CT16 3JP Lead Inspector Joseph Harris Key Unannounced Inspection 24th April 2007 09:30 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 Whitfield Care Home DS0000063744.V334971.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. Whitfield Care Home DS0000063744.V334971.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Whitfield Care Home Address 107 Sandwich Road Whitfield Dover Kent CT16 3JP 01304 820236 01304 825861 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 Kanagaratnam Rajaseelan Mr Kanagaratnam Rajamenon Mrs Shirley D Brooke Care Home 30 Category(ies) of Old age, not falling within any other category registration, with number (30) of places Whitfield Care Home DS0000063744.V334971.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th November 2006 Brief Description of the Service: The Whitfield Care Home is a large detached residence, which is registered to provide care for 30 older people. It is located in the village of Whitfield and is set back from the main road that runs through the village. At the front of the home there are parking facilities for several cars, and at the rear there is a small lawned area for residents use. Local shops and a post office are nearby, and there are also several public houses and take-away food premises. There is a regular bus service to the village. The town and port of Dover is within easy driving distance, with Deal, Sandwich, Canterbury, and Ramsgate just a little further afield. The current fees for the service at the time of the visit range from £303.25 to £431.00 per week. Information on the Home’s services and the CSCI reports for prospective service users, will be detailed in the Statement of Purpose and Service User Guide. Whitfield Care Home DS0000063744.V334971.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key unannounced inspection process culminated with a site visit on 24th April 2007 starting at 9:30am and finishing at around 4:30pm with the visit lasting for around 7 hours. During the course of the visit discussions were held with a number of service users, visitors, staff, the deputy manager and the registered manager. A range of documentation was examined including records relating to service users, staff, health and safety issues and other records relating to the running of the home. A tour of the premises was also undertaken. What the service does well: What has improved since the last inspection? The home has continued to make some significant improvements addressing all the requirements made at the previous inspection and taking on board recommendations and advice. The registered manager has completed work on updating and reviewing all of the service user plans, which now address assessed needs and provide good guidance for staff. Similarly there is a positive risk management process in place, which encourages independence and promotes responsible risks. The range of activities within the home has continued to be developed and the registered manager plans to continue to expand this aspect of the service over the coming months. Significant work and investment has been put into the updating, redecoration and refurbishment of the home. A number of issues were raised at the last inspection and from an Occupational Therapy report, which have all been addressed and the action plan developed by the home in relation to the premises has been adhered to. Staffing levels in the home have improved and the level of needs of the current service user group has reduced. Whitfield Care Home DS0000063744.V334971.R01.S.doc Version 5.2 Page 6 There have also been improvements with regard to staff training with over 50 of the staff team now being NVQ trained and the process of updating mandatory training is almost complete. There is now a registered manager in post who has demonstrated a positive and proactive approach to the management of the home. Quality assurance processes have continued to be developed and the home has addressed shortfalls with regard to health and safety issues. 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. Whitfield Care Home DS0000063744.V334971.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Whitfield Care Home DS0000063744.V334971.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 and 6. Quality in this outcome area is adequate. Service users are provided with adequate information to make an informed choice about moving into the home and their needs are suitably assessed prior to moving in. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager is in the process of ensuring that all service users have an up to date contract covering the terms and conditions of residency. The contract in place adequately addresses key issues including fees, rooms occupied and additional fees. However this document would benefit from review as some details are omitted including CSCI details. Clarity regarding the fees charged for each individual and a breakdown of services attributing to those fees should also be included. The home should also ensure that all contracts are signed and agreed with each service user and/or their representative where appropriate. The cost of residency in the home has given Whitfield Care Home DS0000063744.V334971.R01.S.doc Version 5.2 Page 9 rise to 2 recent complaints and it was noted that there is an apparent disparity between charges for different individuals with costs ranging from £303.25 for Social Service funded residents to £431.00 for private residents. Refer to requirement 1. Three service user files were examined, which all demonstrated that the home conducts a thorough assessment of service user’s needs prior to admission. A format for assessment has been developed by the service, which addresses all care and support needs and is used in conjunction with care management information where appropriate. A plan of care is developed in each case based on the needs assessment and additional information. The home does provide short-term and respite care as and when beds are available. At the time of the site visit two people were receiving respite care. A discussion was held with one of these individuals who stated that they received good quality care and that it was a preferred option than going into hospital. A visiting friend said, “the care has been good; the staff are really helpful”. Residents receiving respite care are enabled to maintain their independence through positive care planning and are supported by staff to return home. The home does not have dedicated respite care facilities. Whitfield Care Home DS0000063744.V334971.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. The home ensures that the health and personal care needs of service users are met in a dignified and respectful manner. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager and deputy manager have worked well to update and review all individual service user plans. Three service user files were viewed at random all of which contained comprehensive assessments of need and the plans of care were developed in an individualised manner ensuring that clear guidance is in place to enable staff to meet needs consistently. There is evidence that the plans are reviewed on a monthly basis. In discussion with staff it was evident that there was a good understanding of each resident’s particular needs and how they should be met. The plans also showed evidence that where an individual’s needs have changed these changes are reflected. It was suggested that the home includes a signature sheet for residents to Whitfield Care Home DS0000063744.V334971.R01.S.doc Version 5.2 Page 11 evidence that they have read and been involved in the planning of care. A risk monitoring form has also been introduced defining the level and types of risk, which leads to a plan of care and risk management plan where the risk is considered to be medium or high. The home maintains clear healthcare records including appointment letters and notes of consultations with healthcare professionals and any outcomes arising from these. A number of healthcare monitoring tools are used including nutritional, pressure area and dependency rating scales. A record of visits from professionals and complimentary healthcare input is maintained including opticians, chiropodists and dentists. The registered manager reported that the home has positive working relationships with district nurses and GPs. Medication issues are appropriately managed within the home. All records were seen to be up to date and well-maintained. Storage facilities are adequate and are well organised. The home has adequate policies and procedures in place relating to all aspects of the medication process. Regular monthly audits are carried out in respect of medication issues. Staff who administer medication are provided with appropriate training and an update course has been booked for the near future. There is a controlled drugs cupboard and such medications are appropriately recorded and monitored. The registered manager is a registered nurse and, as such, has a good awareness of issues surrounding medication. The home ensures that staff are instructed through the induction process about the importance of treating all service users with dignity and respect. These principles were evident through observation of care practice with all staff demonstrating positive working relationships with service users. Additionally, residents commented on the quality of staff in the home with statements such as, “the staff are excellent”, “they are always cheerful and happy to help” and “the girls are lovely, I couldn’t fault them”. Residents also confirmed that they are able to make choices about their daily lives from the clothes they choose to wear to how they spend their time. Whitfield Care Home DS0000063744.V334971.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is adequate. Service users have opportunities to lead a varied and fulfilling life promoting choice and are provided with a healthy and balanced diet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has continued to make improvements regarding the range of activities available to service users. At the time of the inspection a music and movement group was taking place, which many of the residents confirmed that they enjoyed afterwards. Staff stated that they are able to organise activities most days including bingo and quizzes and that they have more time to spend with residents on an individual basis. Every month the home has a visiting entertainer, which residents stated that they look forward to. The registered manager stated that she hopes to increase the frequency of these events. A choir also visits the home from time to time to sing old music hall numbers. Residents stated that they feel that there is enough happening and that they feel occupied much of the time. A visiting clergyman holds monthly communion, although due to sickness this has recently lapsed, but plans are in Whitfield Care Home DS0000063744.V334971.R01.S.doc Version 5.2 Page 13 place to reinstitute this activity. Service users are able to attend local church services should they wish to do so. The home did employ an activities coordinator, but this individual has now left and it is recommended that this facility is re-instated with the emphasis on the activities person facilitating groups for small and larger groups. Refer to recommendation 1. Service users are able to maintain contact with families and friends. The home welcomes visitors at any reasonable times. Residents reported that their visitors are made to feel welcome and that they can meet in private should they wish to do so. A number of visitors were spoken with during the course of the visit who confirmed that they are made to feel welcome and kept informed. The home provides information regarding advocacy services (CROP) which was on view within the home and in service user files. Residents are encouraged to bring in any personal possessions they wish into the home and this was evident in a number of bedrooms viewed. There is an access to records policy. No service users continue to manage their own finances, this is done through appointees independent of the home. The home provides a healthy and balanced diet with a range of available choices at every mealtime. All of the service users spoken said that the food is of an excellent quality and that they are asked what they want for their main meal every day. It was also stated that if they do not like what is on the menu then the cook will arrange for more alternatives. Fresh fruit, snacks and drinks are available at all times. The main cook has worked in the home for many years and demonstrates a very good understanding of individual needs and catering for special diets. A menu record is maintained. The nutritional needs of service users are monitored and referred appropriately if a concern is apparent. The home has recently redecorated the dining room and the lunch time meal was observed, which was a relaxed and unhurried affair. Staff assist service users where required in a discrete and sensitive manner. The cook and kitchen assistant order all the food and stated that they have a good budget to purchase good quality produce, which was evident from the food in stock and order sheets. Two of the three cooks have achieved intermediate food hygiene certificates and the third cook is due to take her course in the near future. A recent environmental health officer visit gave the kitchens a positive report and the kitchens have been renewed and redecorated in recent months. Whitfield Care Home DS0000063744.V334971.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is adequate. Service users views and complaints are listened to and acted upon. Service users are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaints procedure in place that service users and their relatives are given a copy of on admission. The procedure is also clearly displayed within the home and a copy of the procedure is also in each bedroom. A record of complaints is maintained although this needs to be reviewed. The complaint is logged, but the outcome of each complaint is not always clearly recorded. Refer to recommendation 4. There have been two complaints since the last inspection both concerning the increase in fees within the home for individual service users. One complainant also contacted the Commission for Social Care Inspection and stated, following the outcome of the complaint that she felt the home owners had listened to and acted upon her concerns. The home has policies and procedures in place relating to the protection of vulnerable adults against forms of abuse. All staff have also attended courses surrounding adult protection and POVA. The manager is a trained trainer in adult protection and abuse awareness and demonstrated a sound knowledge Whitfield Care Home DS0000063744.V334971.R01.S.doc Version 5.2 Page 15 and understanding of these issues. She is due to update her own training in the near future. There have been no adult protection alerts since the last inspection. Whitfield Care Home DS0000063744.V334971.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 24 and 26. Quality in this outcome area is adequate. Service users live in a safe, comfortable and well maintained environment, which is clean and hygienic. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Significant steps have been taken to continually improve the environment since the last inspection and the providers of the home are investing substantially in the upkeep and development of the premises. A number of requirements were made in respect of the environment at the previous inspection all of which have been addressed. A programme of redecoration is on going which has included bedrooms and communal areas. A new carpet has been laid in the main lounge, which has improved the ambience of the room and eliminated any offensive odours. A number of carpets have also been Whitfield Care Home DS0000063744.V334971.R01.S.doc Version 5.2 Page 17 renewed throughout the home. The extended part of the building on the ground floor has now been connected to the central heating system and all the bedrooms are in the process of being redecorated and refurbished as vacancies occur. New locks have been fitted to all bedroom doors and service users are asked whether they wish to retain a key. The strip lighting in areas of the home has been replaced providing more homely lighting. Windows on the ground floor have been replaced where required and fitted with appropriate restrictors. The dining room has also been redecorated. Some works are planned for the coming months including the landscaping of the garden and the installation of a sluice room on the first floor. In general the home has worked exceptionally hard to improve the environment and it is evident that the service providers have demonstrated a clear commitment to investing in the upkeep and improvement of the home. The home is clean and hygienic and appropriate precautions are taken to control the spread of infection. All bedrooms have been fitted with paper towel and soap dispensers at the request of a KCC contracts monitoring officer, which, this inspector feels, detracts from the homely nature of individual bedrooms. Similarly, a request had been made to provide locked cabinets in bedrooms for all resident’s toiletries. Whilst locked facilities should be provided the need to lock toiletries should be risk assessed on a case by case basis. The home has adequately laundry facilities for the needs of the service and it was reported that the home complies with water fittings and supply regulations. The home was subject to a recent Environmental Health Officer visit, which provided positive feedback and met required regulations. The home also meets the regulations of the fire safety department. Whitfield Care Home DS0000063744.V334971.R01.S.doc Version 5.2 Page 18 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 and 30. Quality in this outcome area is adequate. Service users are supported by adequately numbers of suitably trained and competent staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are adequate numbers of staff on duty at all times, although it is advised that these staffing levels are kept under constant review and adjusted as service user’s needs change or numbers increase. Currently the home operates with three care staff on duty throughout the day and night. The deputy manager works from 7am – 5pm from Mon-Fri and the registered manager is duty during office hours. The care team is supported by a cook and kitchen assistant seven days a week, a team of domestic staff with at least one person on duty every day and a part-time maintenance man. The dependency levels of the current service user group have reduced since the last inspection with only one individual, following needs assessment, being considered as having high level care needs. Refer to recommendation 2. The home has continued to work positively in supporting staff to achieve National Vocational Qualifications. Over 50 of the staff team have now got an NVQ level 2 or above with 11 out of 18 staff having achieved this. In discussion with staff members it was evident that good care principles are put into Whitfield Care Home DS0000063744.V334971.R01.S.doc Version 5.2 Page 19 practice. This was supported by comments from residents such as, “the staff are ever so friendly, they seem happy and relaxed” and “the staff are excellent, I have nothing but praise for the work they do”. Staff were observed to be thoughtful when working with residents, had developed friendly and amiable relationships and were sensitive to the needs of each individual. 3 staff personnel files were randomly inspected including a recent employee and an employee recruited through an overseas agency. All files examined contained all the required documents including CRB and POVA checks, two written references, completed application forms and proof of identity amongst other things. The files have been audited and are well managed. It was noted that the references obtained for the employee from overseas were addressed to ‘Whom it may concern’ and they should be specific to the home. It is advised that this issue is taken up with the recruitment agency and the registered manager takes reasonable steps to ensure the validity of all references in such circumstances. Refer to recommendation 3. The registered manager and homeowners have continued to develop and implement a positive staff training programme. The majority of staff have now completed all the required mandatory training and evidence was available to demonstrate that the remaining staff have been allocated places on these courses by June 2007. Additional training has taken place or is planned including Adult Protection, Dementia care awareness and supervision amongst others. A 3-day course covering a range of topics had also been arranged for senior carers. Whitfield Care Home DS0000063744.V334971.R01.S.doc Version 5.2 Page 20 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 and 38. Quality in this outcome area is good. Service users benefit from a well managed service that promotes the interests and safety of all residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has now been in post for approximately 6 months and has made a positive impact on the home. She has a great deal of experience in the field of healthcare in both practitioner and management roles. She is a Registered Nurse and has also completed her registered manager’s award. Staff and service users commented on her approachability and favourably about her management style. She has shown an ability to delegate tasks Whitfield Care Home DS0000063744.V334971.R01.S.doc Version 5.2 Page 21 appropriately and has provided good and necessary leadership throughout the running of the service. Continuing improvements have been made with regard to quality assurance processes. Regular monthly monitoring visits are conducted by the Area Manager and copies of these are retained on file. A series of service user satisfaction questionnaires have been completed and collated into a report. This has proved a largely positive exercise, although some advice was given in further developing this aspect of the quality assurance process. All Service users financial records were well maintained, up to date and accurate. The home does not take on appointee roles for residents, but does provide a safe keeping service, which is appropriately managed. Safe working practices are suitably promoted in the home. The majority of staff have received all required mandatory training with further training booked over the coming months. All health and safety service certificates were inspected and up to date including NICEIC electrical wiring certificate, CORGI gas safety, PAT tests and waste contracts amongst others. Fire safety logs and accident records were well maintained and up to date. The home has developed appropriate environmental risk assessments, which are regularly reviewed. Monthly health and safety audit is completed and appropriate action taken in response to highlighted shortfalls. Whitfield Care Home DS0000063744.V334971.R01.S.doc Version 5.2 Page 22 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 2 3 X X 3 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 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 3 2 2 X X X 3 X 3 STAFFING Standard No Score 27 2 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Whitfield Care Home DS0000063744.V334971.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP2 Regulation 5, schedule 4. Requirement Contracts covering terms and conditions of residency need to be provided for and signed by all service users/representatives and contain all information including fees and additional costs. Timescale for action 01/06/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard OP12 OP27 OP29 Good Practice Recommendations To continue to develop a structured programme of activities and reconsider the appointment and role of an activity co-ordinator. To ensure that staffing levels are kept under constant review reflecting the needs and numbers of service users at all times. To take reasonable measures to ensure the validity of all staff recruitment references with particular regard to staff employed through overseas agencies. To ensure that all complaints are clearly recorded with DS0000063744.V334971.R01.S.doc Version 5.2 Page 24 4. OP16 Whitfield Care Home details of the action taken, outcome of complaints and timescale. Whitfield Care Home DS0000063744.V334971.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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. 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