Inspection on 01/09/08 for Willow Court Care Home

This inspection was carried out on 1st September 2008.

CSCI found this care home to be providing an Excellent service.

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

Willow Court Care Home 07/09/06

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 09/11/2008.

CARE HOMES FOR OLDER PEOPLE Willow Court Care Home Croft Lane Cherry Willingham Lincoln Lincs LN3 4JW Lead Inspector Vanessa Gent Unannounced Inspection 1st September 2008 16.15 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 Willow Court Care Home DS0000066045.V370826.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. Willow Court Care Home DS0000066045.V370826.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Willow Court Care Home Address Croft Lane Cherry Willingham Lincoln Lincs LN3 4JW 01522 595391 01522 595954 willowcourt@schealthcare.co.uk www.southerncrosshealthcare.co.uk Apta Healthcare (UK) Ltd 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) Mrs Lorian Lucy Walcott Care Home 54 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (54) of places Willow Court Care Home DS0000066045.V370826.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. APTA Healthcare (UK) Limited is registered to provide personal and nursing care at Willow Court Care Home for service users of both sexes whose primary needs fall within the following categories:Up to 20 service users over the age of 65 years, under the category DE(E) can be accommodated in the home Up to 54 service users over the age of 65 years, under the category OP can be accommodated in the home The maximum number of service users to be accommodated at Willow Court Care Home is 54 7th September 2006 2. Date of last inspection Brief Description of the Service: Willow Court is a purpose-built, single storey care home, providing nursing and personal care for up to fifty-four people of both sexes over 65 years of age. It is owned by APTA Healthcare Ltd, a subsidiary of Southern Cross Healthcare Ltd. The home is situated in the village of Cherry Willingham, Lincolnshire, two and a half miles from Lincoln city centre. Within the village and walking distance, there is a pub, parish church, library, village hall, shop-cum-post office, pharmacist, hairdresser, fish and chip shop, tearooms and a Chinese takeaway. An hourly bus service runs throughout the day, every day except Sunday and passes near to the home’s entrance. The accommodation consists of fifty-four single bedrooms, of which forty-four are ensuite with toilet and washbasin. Communally, there are four lounges, two dining rooms, which are incorporated into the lounges, six bathrooms and three toilets. Each of the bathrooms has a toilet. The home also has more secure facilities for caring for people who experience confusion or dementia difficulties. There is a central courtyard and surrounding gardens, which are accessible to people, and there is ample car parking space to the front. The home has a minibus for those people wishing or needing to use this facility. The manager’s philosophy of care is to treat people as individuals and give them as much independence, with support as they want and choose. Willow Court Care Home DS0000066045.V370826.R01.S.doc Version 5.2 Page 5 The weekly fees charged by the service range from £394.00 to £560.00, depending on individual need. People pay for their own hairdressing and chiropody charges, personal newspapers and magazines. Information about these costs, as well as the day-to-day operation of the home, can be found in the home’s statement of purpose and service user guide. These documents and a copy of the last inspection report are available to people who live there and for those interested in coming to live at the home. On the day of our inspection visit, fifty-three people were living at the home. Willow Court Care Home DS0000066045.V370826.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. An unannounced visit was made to the home as part of our key inspection. It started at 16.15 and lasted five hours. As part of our review and assessment of the service the manager was asked to complete a manager’s self-assessment questionnaire called the Annual Quality Assurance Assessment (AQAA). This was being completed at the time of our inspection visit, and the information we needed was provided appropriately in discussion with the manager during the inspection visit. We also send out some questionnaires to people who use services before we visit to ask for views about how the home is being run. All the information we received, as well as that which we hold about the service, was used to plan the visit and produce this report. The main method of inspection we used was called ‘case-tracking’. This involves choosing a proportion of residents, and tracking the care they receive through the checking of records, discussion with them, the care staff, any visitors and observation of care practices. Our visit to the home focused on whether key standards had been met and to check on how people feel about the service provided. The care received by four people was followed in detail to ensure their health, safety and welfare needs were fully met and that they were supported to maintain their dignity, autonomy and choice. Also, during our visit, we looked at the outcomes experienced by people who have dementia related needs. In order to do this, we used a process known as Short Observational Framework Inspection (SOFI). We spoke with staff on duty and several people in communal areas and their own rooms, including those whose care we were following closely. People talked about their experience of living at the home. Any comments we received will be mentioned in the main body of this report. Some personal records, known as care plans, general house records and staff records were looked at, and the way care was given to the people was observed. We saw most areas of the home and watched the evening meal being served to and taken by the people who live there. The manager was present for most of our inspection visit. Willow Court Care Home DS0000066045.V370826.R01.S.doc Version 5.2 Page 7 What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Willow Court Care Home DS0000066045.V370826.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Willow Court Care Home DS0000066045.V370826.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, [Standard 6 N/A]. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are provided with enough information to help them choose if they want to live at the home. The assessment processes used help to ensure that the care team can meet each new person’s individual needs. EVIDENCE: The manager showed us that the homes statement of purpose and service user guide, along with a copy of the latest inspection report, are always made available in the foyer. Each person who lives there or is interested in coming to live at the home is given a copy. People told us that they had enough information before they moved into the home to make a knowledgeable and confident decision about moving in. The care plans created by the care team showed that pre-admission assessments are completed with anyone choosing to come to live at the home. In the surveys we sent out before making our visit people told us that they Willow Court Care Home DS0000066045.V370826.R01.S.doc Version 5.2 Page 10 had enough information about the home before they moved in. People in the home also confirmed this during our visit. The manager at Willow Court showed that the home does not provide an intermediate care service. Willow Court Care Home DS0000066045.V370826.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are cared for appropriately and with dignity. Their needs are met by clear care plans, appropriate liaison with other professionals and safe medication practices. EVIDENCE: The care plans we looked at detailed all health and personal needs. Care staff told us and showed, by their caring practices, that they know how to provide support using care plans actively. Information also clearly showed the nurses and senior staff review peoples plans monthly, together with the person where they indicate they want to be involved. One person told us they know what their care plans are about and that they can help to review them if they want. We were told that if people become poorly, staff would get permission from the person and call the right professional needed, and also tell their relative straight away. People told us that medical support is always provided immediately as and when it is needed. Willow Court Care Home DS0000066045.V370826.R01.S.doc Version 5.2 Page 12 The manager told us that the care team encourages people to live as independently as they choose with support. All those living at the home at the time of our visit needed some assistance to take their medications. Records available showed that the supplying pharmacist audits the medication practices regularly and reports back to the manager. We saw the last monitoring review, which was positive. They also supply training for the staff who administer the medicines to ensure they maintain safe medication practices. The manager and staff members told us they really benefit from regular medication updates to help improve their knowledge and skills. The manager told us she reviewed together with staff ways to continue to improve the safety of medication administration. For example, Staff now wear red tabards with “Do not obstruct. Medication Administration in progress” written on the front. The manager said this helps the staff to protect residents when they are receiving support and that the staff responsible are clear about their role and are not interrupted. We saw that individual medicines were kept in a locked facility in their own rooms for safer administration. The manager showed she also now does a bi-monthly audit of medication practices alternately on each unit. People said they are treated with respect. We saw the staff behaving in a considerate, patient way with people when giving support. There was a positive rapport between staff and people throughout the visit time at the home. One person said, “I think this is the best place to live. The staff are great. They’re really nice to us. I wouldn’t want to live anywhere else.” Willow Court Care Home DS0000066045.V370826.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People are supported in a dignified way, with respect and choice in all aspects of their ‘home-life’. They are treated well and in the way they want by a thoughtful and conscientious manager and staff team. EVIDENCE: Two activity organisers help to provide dedicated time for activities, supported by all the staff team. The director of a national charity supporting activities in care homes ranging from, “I am delighted to support Willow Court. They really are a role model for other settings when it comes to Activity Provision. I have witnessed myself the personalised activity they provide when I was asked to run a training day there earlier this year” and “The residents I spoke to clearly enjoyed their lifestyle. There was evidence around of the many ideas [the activity organiser] has implemented”. Willow Court Care Home DS0000066045.V370826.R01.S.doc Version 5.2 Page 14 The manager told us, “We feel it is essential to find out what is important to the residents so we ask them. Then we take them where they want to go, or do what they want to do with them”. A wide screen, plasma television enables people with a visual impairment to see it more clearly. It also has a DVD player and people have the use of a camcorder to record activities and special events. Some of the numerous activities popular that are popular were described by the manager. She told us, “There has been suggestions made for more outside speakers to come into the home next year. One person is very popular with her history of Lincoln and district. One of the resident’s relatives gives film shows of life in Lincoln when he and his wife where more mobile. A friend of Willow Court has given a talk on his collection of Ink Pens.” People said they enjoy being taken on outings, some of which are shared with people from ‘sister’ homes in the Lincolnshire area. The Willow Court newsletter also describes the very active lifestyle many of the people have, and the variety of outings enjoyed by residents with the help of staff, volunteers and relatives. During the World Olympic Games, Willow Court held its own version. They got the local newspaper involved and a photographer attended. The resulting pictures appeared in the newspaper, People told us they were pleased with this. The winners of the medals were very keen to show them to us at the inspection visit. The sensory garden created and provided for the benefit of all the residents, and particularly those with dementia needs, is described more fully in the section on the environment. In the visitor’s book, it indicated that many people visit people in the home regularly, which staff said helps to support and encourage the each individual. Staff told us they make visitors welcome and a visitor confirmed this. Residents told us they are given choice in everything they do. They have residents’ meetings to discuss among themselves how they wish to live their lives in the home. One person said, “I can’t think of anywhere better I would want to live; it’s the best here!” We were told that the provision of food is taken very seriously. There are hot and cold choices at every meal. All meals are clearly advertised to give people notice of the menu. Even then, people can choose items that are not on the menu. People who need assistance with their food are treated with dignity in a sensitive manner. Mealtimes are not rushed and are seen as social occasions by those who live there. Willow Court Care Home DS0000066045.V370826.R01.S.doc Version 5.2 Page 15 We observed staff helping people to take responsibility to pour their own hot tea at their meal table, to give them an extra sense of purpose and self-worth, which people told us they appreciated. The manager, in her self-assessment form, told us, “Residents are requesting more home made cakes and biscuits. The chef is aware and has provided a varied assortment of meals, cakes and puddings as requested.” Willow Court Care Home DS0000066045.V370826.R01.S.doc Version 5.2 Page 16 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 is good. This judgement has been made using available evidence including a visit to this service. People are protected by being able to voice any concerns, by being taken notice of, and by staff who are trained to prevent abuse and who demonstrated they are committed and caring at all times. EVIDENCE: We saw that any issues raised regarding the safety or comfort of people that the manager has received have been dealt with in the right way and the manager has kept records to show how she responds to concerns when they are raised. We have been informed of any action taken by the manager to investigate concerns. Responses to concerns have also been completed together with the appropriate local authority when needed. People told us that they know how to raise concerns but also that they are “very happy and do not need to complain”. Records provided information to show staff are trained from their induction onwards in how to keep people safe from harm and prevent abuse from occurring. Staff members told us how they would act to protect people by following the procedures in place. Willow Court Care Home DS0000066045.V370826.R01.S.doc Version 5.2 Page 17 Staff told us, “Most of us all work as a close team and get on well together. We all try to help each other out when we are short of staff due to sickness and things.” One person told us, “The staff are the best. And the manager is lovely. I feel safe; they [the staff] always aware of safety.” Willow Court Care Home DS0000066045.V370826.R01.S.doc Version 5.2 Page 18 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, 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People live in a comfortable, clean, well-maintained environment, which ensures they are cared for safely, as they wish and that they feel ‘at home’. EVIDENCE: Before we visited the home people told us in their survey responses that the home was always clean, tidy and fresh. We saw that all areas of the home had been recently decorated and people told us that they “like the colours and their surroundings”. A lot of thought has been put into creating as homely an environment as possible, especially on the unit that supports those with dementia needs. For example, peoples doors to their rooms have been fashioned to look like front doors, with imitation door knockers and letter boxes, all painted in colours that the people prefer. Willow Court Care Home DS0000066045.V370826.R01.S.doc Version 5.2 Page 19 The bathrooms are domestically decorated to look as homely as possible. The corridors in this unit have collage-style pictures that can be touched, to demonstrate different textures and domestic shapes and objects, to encourage recognition of familiar household items, for the benefit of the residents. One person said, “Ive got everything I want here; my own bathroom and a comfortable bedroom. It’s very cosy. And when I want company, I only have to go along to the lounge. I don’t need anything but I do have the help of the hoist when I want to get into the bath. The temperature of the water in my room is fine, lovely.” Outside the home, the gardens have been recently fashioned by the gardener, assisted by staff and volunteers and a sensory garden created in the central courtyard. The outside areas provide a safe haven, a tranquil area where people can feel calm, comfortable and happy. A donation to the home has helped to provide the funds for this project. The official opening of the garden was conducted this summer, with a wellknown guest poet to make the event more special and photographs were taken and displayed. The manager, staff and people who live at the home have plans to introduce more plants and intend to grow some vegetables and fruit that the residents can enjoy tending, picking and eating them themselves at the end of the season. The maintenance person keeps clear records, which showed us that all necessary measures and checks are in place to ensure the environment is safe to live in. Hygienic processes are used around the home that keep peoples physical health safe and well cared for. Willow Court Care Home DS0000066045.V370826.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People are in safe hands with well-trained and caring staff to ensure their comfort and well-being is maintained. But there are currently not enough staff on duty to enable staff to give people a more equal opportunity to engage with them and receive the attention they need. EVIDENCE: We observed the care given to people on the unit that cares for people with dementia during their evening activities. We saw that those people who participated in the activities were treated with respect and in a helpful, friendly and happy manner. We saw that the activities take up a lot of staff time. Some people had chosen not to take part in the activities provided. We observed that more staff on duty on this unit would have provided more time for staff to interact with those people who chose not to join the group activities. Both residents and staff told us they felt there are not always enough staff on duty. During our visit, the bells to summon help from the staff were left ringing for some time before they were answered. Staff on one of the units said they work hard and do manage but added, “we’re rushed off our feet and we don’t always have enough time to be with some of the residents who depend on us more because they are in bed. We get very tired. We just do not get enough time to give unhurried attention.” Willow Court Care Home DS0000066045.V370826.R01.S.doc Version 5.2 Page 21 We discussed these concerns with the manager who confirmed that she would undertake a review of staffing with the staff and providers. Since our visit we have been informed by the manager that the home owners have agreed that an additional full time staff member will be added to the team by the 1st October 2008 and that this will provide more time for staff to support people. The manager agreed to tell us as soon as the new staff member starts in post. Staff records show they are safely recruited, with all the checks in place that are required by law. Staff told us and their records confirmed that their induction is thorough and they feel confident to care safely for people at the end of their probation period. Staff said they are encouraged to obtain nationally recognised qualifications, and continue to study for further levels to maintain their interest and efficient practice. We saw that the staff training programme was thorough and supported the staff to care safely and efficiently for people. Staff told us that they enjoy the training and support they receive. The manager keeps a training matrix to audit that all staff are up-to-date with the skills necessary for them to do their jobs well. Willow Court Care Home DS0000066045.V370826.R01.S.doc Version 5.2 Page 22 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, 32, 33, 35, 36, 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is run in the interests of the residents and staff. Residents feel safe, happy and enjoy living at the home. Staff are supported by an enthusiastic and skilled manager. EVIDENCE: The manager told us that she works mostly in her managerial role, unless sickness leaves the caring staff short of a worker. The manager said if this occurred she had the skills to support the care team in their roles as well as manage the home properly. The manager has been registered by us to run the home and throughout our visit the she showed she has been enthusiastic in her efforts to make people Willow Court Care Home DS0000066045.V370826.R01.S.doc Version 5.2 Page 23 comfortable, feel at home and give support to the staff team. People told us they are very fond of the manager; that she is “lovely, super”, “kind, thoughtful” and “always there for them.” Staff said the manager is always available, that her open-door policy makes them feel more confident in their work, that she is very supportive and they in return are happy to support her. Records showed that the providers visit the home, unannounced, on a regular basis, to check on how people feel about the service available and provided. The manager, in her self assessment, told us, “I carry out formal in order to receive feed back, and during and after the residents’ meeting, action plans are written out, and the issues highlighted are resolved in a timely way. The outcomes are relayed to the residents/relatives. Minutes of the meetings and action plans are distributed to each resident and relative.” Where people have asked for support with their personal finances, the manager holds personal allowances and keeps clear records with receipts for each transaction. The manager has regular staff one-to-one meetings which staff told us they appreciate and which supports them in their work. Records were available to show these meetings take place. Records we looked at during our visit to the home also confirmed that health and safety measures to keep people safe and comfortable are in place, checked and documented and the policies and procedures of the home updated annually. Willow Court Care Home DS0000066045.V370826.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 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 4 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 4 X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 X 3 3 X 3 Willow Court Care Home DS0000066045.V370826.R01.S.doc Version 5.2 Page 25 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 OP27 Regulation 18(1)(a) Requirement Staff must be provided in sufficient numbers and skill mix to support the needs of people at all times, taking into account the dependency needs and the layout of the building. Timescale for action 15/09/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Willow Court Care Home DS0000066045.V370826.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Willow Court Care Home DS0000066045.V370826.R01.S.doc Version 5.2 Page 27 - 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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