Inspection on 15/11/06 for Wilfred Geere House

This inspection was carried out on 15th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Wilfred Geere House 02/03/06

Wilfred Geere House 13/12/05

Wilfred Geere House 15/03/05

Wilfred Geere House 31/08/04

Wilfred Geere House 04/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Wilfred Geere House 310 Highfield Road Farnworth Bolton Lancashire BL4 0PG Lead Inspector Stuart Horrocks Unannounced Inspection 15th November 2006 09:20 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 Wilfred Geere House DS0000031381.V312498.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. Wilfred Geere House DS0000031381.V312498.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wilfred Geere House Address 310 Highfield Road Farnworth Bolton Lancashire BL4 0PG 01204 337839 01204 337845 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) Bolton Metropolitan Borough Council Care Home 27 Category(ies) of Dementia - over 65 years of age (27) registration, with number of places Wilfred Geere House DS0000031381.V312498.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The Home is registered for a maximum of 27 service users to include:up to 27 service users in the category of DE(E) (Adults with Dementia over 65 years of age) The service should employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection. 2nd March 2006 Date of last inspection Brief Description of the Service: Wilfred Geere House is owned by Bolton Council and is run by the Social Services Department. The home can accommodate up to 25 older people with dementia care needs and two respite care beds are also available. The home is situated about two miles from Farnworth town centre and there is limited car parking nearby. All of the bedrooms are single and the residents are actively encouraged to personalise them. The home provides a good choice of lounges and a dining room, which are suitably decorated and furnished, and a separate hairdressing room is also available. The home is located in a residential area and a central sensory garden is presently under construction that will be easily accessible from the main building. There are shops nearby and there is a bus stop near the home, on route to the town centre, as well as easy access to the motorway network. A Service User Guide that describes the home’s services is readily available in the home and the staff gives other information about the home to new and prospective residents and their families verbally. A copy of the latest inspection report, the home’s Statement of Purpose and a copy of the latest quality assurance survey are also displayed in the home. At the time of writing this report the basic charge for accommodation and services is £394:00 per week with this being subject to negotiation to allow for individual circumstances. Additional charges are made for hairdressing, preferred toiletries and personal newspapers. Wilfred Geere House DS0000031381.V312498.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection, which included a site visit that was started at 9.20am on the 15th November 2006.It took place over one day and it lasted for about seven hours. The time was split between talking to senior staff and checking records, looking around the home, watching what was happening and talking to residents, a relative and other staff. Three residents, one relative and four staff were spoken with. The home manager was on leave on the day of this visit so a Care Supervisor (a senior worker) that was on duty and a Manager from another care home assisted with the inspection. A completed pre-inspection questionnaire was received along with nine feedback surveys from relatives. The care services (case tracking) provided to three specific residents were used a basis for the process of the inspection. What the service does well: What has improved since the last inspection? Wilfred Geere House DS0000031381.V312498.R01.S.doc Version 5.2 Page 6 Some progress has been made by the manager and the staff to make sure that the things, which needed improving from the last inspection, have been done. The home now tries to involve the residents and their families in the care planning process as much as is practically possible. A lot of improvements have been made to the building including decorating, new carpets and lighting and the appearance of bathrooms, toilets and bedrooms has been made better. 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. Wilfred Geere House DS0000031381.V312498.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 Wilfred Geere House DS0000031381.V312498.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): 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Pre-admission visits, and the initial assessment process, enable all parties, including potential residents and their relatives, to reach a decision as to whether the home will be able to meet their needs. The home does not provide intermediate (rehabilitative) care so Key Standard 6 does not apply. EVIDENCE: The care files of three residents relatively recently admitted to the home were checked for the required pre-admission needs assessment information. These records showed that their needs had been fully and comprehensively assessed before they came to live at the home. From this information the home was then able to decide whether these people’s needs could be met and a care plan is then put together. The staff said that new residents and their families are welcome to visit the home where they can spend some time, meet the residents and the staff, and Wilfred Geere House DS0000031381.V312498.R01.S.doc Version 5.2 Page 9 have a meal before deciding to live there. The manager or a senior member of the staff usually visits new residents either at home or in the hospital as a part of the assessment and admission process. In certain circumstances, when necessary new residents are gradually introduced to the home over a period of some weeks therefore allowing them to become used to the change of surroundings and routines. Wilfred Geere House DS0000031381.V312498.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 &10. Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. Proper arrangements are in place that ensures the residents health care needs are monitored and met. Individual care plans are also in place, which were up to date, regularly reviewed and provided the staff with the information needed to give a good standard of care. The home’s medication systems are satisfactory in ensuring that residents received medication as prescribed and care practices in the home ensure that the residents are treated with respect and their privacy and dignity is upheld. EVIDENCE: The care files of the three case tracked residents were looked at. These contained care plans that had been kept up to date monthly as is required. The care plans are properly laid out and they are easy to read and follow. Each plan contained details of health, personal and social care needs for the resident. Wilfred Geere House DS0000031381.V312498.R01.S.doc Version 5.2 Page 11 All of the above records also showed that the residents weight is also checked regularly. The staff said that they knew each residents needs by reading the care plans, which are readily available to them. Talking to residents and the staff and looking at records showed that the resident’s health care needs are taken care of and that when necessary health workers such as doctors, nurses and opticians are called. There was clear evidence of the involvement of the Mental Health services in the planning and review of individual care. A number of risk assessments are in place; these are presently reviewed at twelve monthly intervals. Whilst the inspector acknowledges that this frequency of reviewing is sufficient for the residents currently living at the home the manager is reminded that should resident circumstances change then the frequency of reviewing will need to be increased. The medications are securely stored in a locked room in a locked and tethered medication trolley. Lockable Controlled Drugs storage is also available although none were in use at the time of this inspection. The residents’ medicines are provided in pre-filled blister packs with preprinted prescription/recording sheets also provided. These records were found to be properly completed and to be up to date. The medications supplied are checked in to the home , and medicines returned to the pharmacy are also recorded. Identification photographs of each resident are kept with the medication administration records. Those staff that give out medicines have been given the necessary training for this task. The home has a satisfactory medicines policy and procedure that includes guidance for the self-administration of medicines and the use of homely remedies. No resident was dealing with their own medicines at the time of the inspection. The “Residents’ Charter of Rights” and various other documents reinforced the importance of staff treating residents with respect and dignity. Residents spoken with were all complimentary about how staff assisted them with personal care tasks and felt their privacy and dignity was respected at all times. This was also observed during the inspection. The care assistants interviewed were able to give good examples of how they promoted privacy and dignity in their daily care routines, for example knocking on bedroom doors before entering. The residents said that the staff had a “kind and considerate” manner and that the staff spoke to them in a “civil and courteous” way. Wilfred Geere House DS0000031381.V312498.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 & 15. Quality in this outcome area adequate. This judgement has been made using available evidence including a visit to this service. Although the residents have choice about their daily routines, and mealtimes are satisfactory the home does not offer enough sufficient social, cultural and recreational activities to keep the residents interested and stimulated. EVIDENCE: At this time the home does not have a formal written programme of social and recreational activities for the residents to take part in. The staff do provide some activities but these are being provided on an informal basis and they are not always occurring regularly. Individual records are kept of when residents take part in such activities but the completion of these also appeared to be somewhat irregular. A requirement of the last inspection was that “following consultation; a programme of activities must be arranged”. The manager has now compiled a wide-ranging list of social and recreational events and activities that are thought to be suitable for people with dementia care needs, and there was evidence that further information was being put together. The home now must put together a written activities plan and must use this regularly with up to date records being kept of when the residents have taken part. Wilfred Geere House DS0000031381.V312498.R01.S.doc Version 5.2 Page 13 The homes visiting arrangements are described in a variety of documentation including the home’s Statement of Purpose. In discussion the residents, a relative and staff confimed unrestricted visiting arrangements with visitors seen to be coming and going from the home at will. A visitor confimed that they were made welcome and that they were offered refreshments and could have a meal if they so wished. Issues regarding residents choice are described in a variety of documentation including the home’s Service User Guide and Statement of Purpose. Residents said that they had choice about such things as going to bed and getting up times, which clothes to wear, which lounge they sat in, how they spent their day and whether or not to participate in activities. For those residents who may have a limited ability to make decisions and choices about their day-today living arrangements the staff said that they try to assist the them with this by offering choices about such things as what clothing to wear, when to rise and retire and helping to choose from the menu. The residents are able to, and do bring personal items in to the home such as televisions, radios, photographs, pictures and ornaments. The home has a four weekly menu that offers a choice of good nourishing food with the main meal served at lunchtime and a lighter meal at teatime. Warm food is always offered at midday and a warm choice is usually available at teatime. Alternatives to the main menu are also available and it was apparent in discussion with the catering staff that they are well aware of individual resident’s likes and dislikes. The residents praised the food served generously saying that the food was “good”, “appetising”, that “you get enough to eat” and that “you can have something else” if you don’t want what is on the main menu. The residents also said that drinks and snacks were available at most times of the day. The inspector had a meal at lunchtime with the food found to be well presented and to be to a good standard. Meals were seen to be presented in an appealing manner with good portions offered. They are eaten in comfortable and attractive dining room that is situated close to the main kitchen. Wilfred Geere House DS0000031381.V312498.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 & 18. Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. The home has a clear complaints system that ensures that concerns are speedily dealt and good protection of vulnerable adults guidance and staff training in this topic makes sure that residents are protected from abuse. EVIDENCE: The home has a Bolton Metro Boro Complaints/Comments/Compliments leaflet and poster both of which advise on the steps to be taken when someone wishes to make a complaint. Copies of the above leaflet are included in the home’s useful and informative Service User Guide (residents information guide) that is also available in the home. The home has a proper record for writing down complaints. No complaints have been made either to the home or to the CSCI since the last inspection in March 2006. Discussion with residents and a relative showed that they would feel comfortable about raising concerns and that they would “talk to the staff” if they had any worries. It was clear in discussion with staff that they knew what steps to take should a resident make a complaint. A number of staff said that if “they couldn’t sort things out at the time” then they would inform the manager about the problem. There are written procedures and policies covering adult protection, whistle blowing, the none acceptance of gifts, borrowing money and legacies and the home has a full copy of the Bolton inter-agency Safeguarding Policy. Wilfred Geere House DS0000031381.V312498.R01.S.doc Version 5.2 Page 15 Looking at records showed that the staff had been given training in adult protection procedures. In discussion the staff confirmed that they had received such training and they were aware of the different sorts of abuse and they also understood what they should do if they suspected that someone was being abused. Wilfred Geere House DS0000031381.V312498.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 & 26. Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. Following a major refurbishment the standard of furnishing, fittings and decoration within the home is of good quality providing homely, safe, welladapted, clean and comfortable surroundings for residents. EVIDENCE: Wilfred Geere House is well maintained both to the inside and to the outside. Most areas of the home have been fully refurbished during the last year; this work includes improvements to the electrical system, the fitting of new handbasin vanity units in bedrooms and the redecoration of bedrooms and corridors and lounges. Carpets have been renewed throughout, as has the lighting. Shower and bathrooms have been fully refurbished and new furniture provided. A central sensory garden is presently under construction that will be easily accessible from the main building. Wilfred Geere House DS0000031381.V312498.R01.S.doc Version 5.2 Page 17 The three case-tracked resident’s bedrooms were checked. All were found to be properly decorated, furnished and equipped and these residents and the relative spoken with were satisfied with the standard of the accommodation provided. There is good accessibility around the building with ramps,assisted baths and other equpment provided. Aids and adaptation are provided in bedrooms, bathroom and toilets. Although the home has a properly equipped laundry this room is rather cramped which the inspector was given to understand has led to some health and safety issues, which are presently being dealt with. The building was clean and tidy throughout and was free from any offensive odour therefore providing a pleasant place to live. Wilfred Geere House DS0000031381.V312498.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 & 30. Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. Enough staff is provided to make sure that the residents are properly looked after and the staff are properly trained to give the care that the residents need. EVIDENCE: Staff recruitment (Standard 29) could not be checked as Bolton Council does this work centrally therefore no staff recruitment records are kept at the home. The outcome for this Standard was therefore not assessed. However the CSCI undertook a random sample of staff personnel files in the spring of 2005 to check on the vetting arrangements for care staff working in regulated services. The findings of this sample were that Bolton Local Authority operates a sound employment procedure and that care staff are properly recruited. Discussions with the staff also showed that they had been properly and safely recruited.Looking at staff rotas showed that as well as employing care staff, the home also employs domestic, laundry, catering and maintenance staff. Staff morale was good with staff saying that “we enjoy our work”, they also said that they “get on”(together) and that there is a “good team spirit”. Wilfred Geere House DS0000031381.V312498.R01.S.doc Version 5.2 Page 19 The inspector was told that the home usually has four care staff available throughout the day with a Care Supervisor also being on duty during this period. The manager is also present from 8.45am to 5.0pm from Monday to Friday. Three staff cover the night time period with on call support being provided. The home uses a recurring rota to allocate staff to their working days with a “live” rota being used to accommodate changes. Examination of a “live” rota for a two-week period in November 2006 showed that the above figures are usually achieved although this sometimes requires overtime working and the use of bank or agency staff. In discussion the general feeling amongst the staff was that the above-described staffing levels are in the main sufficient to meet the needs of the residents although some of the staff did point out that at times when dependency levels increase that they are “a bit pushed” to meet everyone’s needs. The home is required to have 50 of the care staff with NVQ level 2 qualifications or above by the end of 2005. Of the 24 care staff employed at the home 18 have got a National Vocational Qualification at Level 2 or above with three other staff presently undertaking NVQ assessment at Level 3. 75 of the staff are therefore trained to the required level or above with the above target being met. Discussion with the staff and looking at records showed that there is a strong commitment to staff training within Bolton Local Authority. The staff gave examples of the wide range of training that they had done. This included induction to the job training, NVQ assessment, the giving out of medicines, safe moving and handling, fire safety, food hygiene and first aid. The provision of this training was confirmed when looking at staff training paperwork. The inspector and the home’s senior staff discussed the way that staff training is presently recorded. The inspector suggested that the development of a stafftraining matrix would assist the manager in seeing what training had been completed, the date it had been done and what other training the staff needed to undertake. Wilfred Geere House DS0000031381.V312498.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): Quality in this outcome area good. This judgement has been made using available evidence including a visit to this service. The manager of the home provides leadership and support for the staff to ensure that the residents receive a satisfactory standard of care and the health, safety and welfare of residents is promoted through safe working practices and the training of staff. EVIDENCE: The home manager (Mr R Crowe) is a qualified social worker and he has achieved the required NVQ Level 4 Registered Managers Award. Mr Crowe has suitable and extensive experience of working within various residential care settings and he is in the process of being registered with the CSCI for this particular service. Wilfred Geere House DS0000031381.V312498.R01.S.doc Version 5.2 Page 21 A requirement of Standard 33 is that care homes must use quality assurance systems that are largely based on seeking the views of residents to measure their success in meeting the home’s aims and objectives. In August 2006 the home sought the views of the residents’ families by the use of survey questionnaires. 12 survey forms were returned with most of them scoring positively for the questions that asked about how well the home is meeting the residents’ needs. These results were then analysed with action being taken to deal with any issues raised. A point raised as requiring action was that the home needs to provide more stimulating and structured activities for the residents to take part in. The inspector understands that these surveys are to be routinely repeated at six monthly intervals. The inspector reminds the manager that in future these surveys must not only include the views of relatives, but also the residents and other interested parties (GP’s, social workers etc A number of survey questionnaires were sent out to the residents, relatives and health workers (GP’s, district nurses etc) before the inspection. These questionnaires give these people the opportunity to comment upon various aspects of the services provided by a care home. At the time of writing this report nine questionnaires had been returned; the bulk of these were generally complimentary about the accommodation, the services and the care provided at Wilfred Geere House. One person said “The staff are exceptionally pleasant and welcoming” and another person said, “The home is very clean and homely and the food is very good”. The home holds money for a number of residents for safekeeping. This system was checked with the details found to be properly written down and with the correct amounts of money kept. Secure storage is available for the safekeeping of money and of any valuable items. Information obtained from the pre-inspection questionnaire showed that the homes fixtures, fitting and equipment is properly maintained and regularly serviced apart from that for the home’s fixed electrical systems where it was unclear as to whether this certificate is still valid. This document was issued in November 1998 and was then given a three year expiry date. This was since amended in November 2002 with the expiry date also altered, and it is now unclear as to whether the certificate is still current. The inspector therefore requires that this situation be clarified with the relevant information being sent to the CSCI. Apart from the above the home is safely maintained with fire precautions tests done weekly and the details of accidents are properly recorded. Looking at paperwork and conversations with staff confirmed that they had been provided with the necessary training so that they can work safely. Wilfred Geere House DS0000031381.V312498.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 X 3 X X 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 2 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 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Wilfred Geere House DS0000031381.V312498.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? 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 OP12 Regulation 16 Timescale for action The Manager must ensure that a 31/12/06 social and recreational activities programme is formulated, displayed and operated. The Manager must ensure that 31/12/06 when residents participate in social and recreational activities that this is recorded. The manager must ensure that 31/12/06 the homes quality assurance process includes the views of the residents and other interested parties (GP’s, social workers etc). The Manager must clarify as to 31/12/06 whether the home’s fixed electrical wiring certificate is valid and current and notify the CSCI of the findings. Requirement 2 OP12 16 3 OP33 24 4 OP38 13 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 Good Practice Recommendations DS0000031381.V312498.R01.S.doc Version 5.2 Page 24 Wilfred Geere House 1 Standard OP30 The Manager should give consideration to the development of a training matrix that can be used to show any gaps in staff training and also to show when training needs to be updated. Wilfred Geere House DS0000031381.V312498.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 Wilfred Geere House DS0000031381.V312498.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. 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