Inspection on 21/08/06 for Windmill Care Centre

This inspection was carried out on 21st August 2006.

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

Windmill Care Centre 25/07/08

Windmill Care Centre 30/08/05

Windmill Care Centre 14/04/05

Windmill Care Centre 18/10/04

Windmill Care Centre 04/05/04

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Windmill Care Centre 104 Bath Road Slough Berkshire SL1 3SV Lead Inspector Ruth Lough Unannounced Inspection 21st August 2006 09:45 X10029.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 Windmill Care Centre DS0000011024.V308930.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 and Care Homes for Adults 18 – 65*. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Windmill Care Centre DS0000011024.V308930.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Windmill Care Centre Address 104 Bath Road Slough Berkshire SL1 3SV 01753 213010 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) manage.windmill@lsc.co.uk Life Style Care Plc Post Vacant Care Home 53 Category(ies) of Dementia (23), Old age, not falling within any registration, with number other category (17), Physical disability (13) of places Windmill Care Centre DS0000011024.V308930.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. That Service User Categories DE and OP must be aged 60 years or over on admission 30th August 2005 Date of last inspection Brief Description of the Service: This purpose-built Nursing Home for 53 residents caters for people with frailty associated with older age including mental frailty. It also caters for younger people with physical disabilities. The accommodation is arranged over three floors with separate facilities on each level including lounges, dining rooms and kitchenettes. There are two lifts that service the floors and basement. The catering, laundry, hairdressing and sensory room facilities are located in the basement. All bedrooms are single rooms with en suite facilities. Windmill Care Centre DS0000011024.V308930.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 inspection visit that took place over one day on the 21st August 2006. The inspection included a review of information provided by the home and service user surveys returned prior to the visit. 23 of 53 service users responded. Documents and records available on the day were read. Service users and visitors opinions of the service were also obtained during the day visit. The current range of charges are from £650 to £750. 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 Windmill Care Centre DS0000011024.V308930.R01.S.doc Version 5.2 Page 6 contacting your local CSCI office. Windmill Care Centre DS0000011024.V308930.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Health and Personal Care Daily Life and Social Activities Complaints and Protection Environment Staffing Management and Administration Scoring of Outcomes Statutory Requirements Identified During the Inspection Older People (Standards 1–6) (Standards 7-11) (Standards 12-15) (Standards 16-18) (Standards 19-26) (Standards 27-30) (Standards 31-38) Adults 18 – 65 (Standards 1–5) (Standards 6, 9, 16 and 18–21) (Standards 7, 15 and 17) (Standards 22–23) (Standards 24–30) (Standards 31–35) (Standards 8, 10 and 37–43) Windmill Care Centre DS0000011024.V308930.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 (Older People) and Standards 1 – 5 (Adults 18 – 65) are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. (YA NMS 1) Each service user has a written contract/ statement of terms and conditions with the home. Each Service User has an individual contract or statement of terms and conditions with the home. (YA NMS 5) No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Prospective Service Users’ individual aspirations and needs are assessed. (YA NMS 2) Service users and their representatives know that the home they enter will meet their needs. Prospective Service Users know that the home they choose will meet their needs and aspirations. (YA NMS 3) Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Prospective service users have an opportunity to “test drive” the home. (YA NMS 4) Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. 6. The Commission considers Standards 3 and 6 (Older People) and Standard 2 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 OP,2 YA Quality in this outcome area is good. That service users needs are assessed comprehensively before they are admitted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care files of 3 service users were reviewed. All the files supported that comprehensive information is obtained both from the service users and the referring social services before admission to the home. The assessment process includes obtaining personal information, the health and social care Windmill Care Centre DS0000011024.V308930.R01.S.doc Version 5.2 Page 9 needs of the individual and their mobility and safety risk assessments. Staff also record service users mental health and social preferences and interests. Service users, who were able, confirmed that they had had their needs assessed prior to admission to the home. Windmill Care Centre DS0000011024.V308930.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 (Older People) and Standards 6, 9, 16, 18 –21 (Adults 18-65) are: 7. The service user’s health, personal and social care needs are set out in an individual plan of care. Service Users know their assessed and changing needs and personal goals are reflected in their individual plan. (YA NMS 6) Also Service Users are supported to take risks as part of an independent lifestyle. (YA NMS 9) Service users’ health care needs are fully met. Service Users physical and emotional health needs are met. (YA NMS 19) 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, retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicine. (YA NMS 20) Service users feel they are treated with respect and their right to privacy is upheld. Service Users rights are respected and responsibilities recognised in their daily lives. (YA NMS 16) Also Service Users receive personal support in the way they prefer and require. (YA NMS 18) Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The ageing, illness and death of a Service User are handled with respect and as the individual would wish. (YA NMS 21) 8. 9. 10. 11. The Commission considers standards 7, 8, 9 and 10 (Older People) and Standards 6, 9, 16, 18, 19 and 20 (Adults 18-65) are the key standards to be inspected at least once during a 12 month period JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 OP, 6,9,16,18,19 and 20 YA Quality in this outcome area is good. The service users are provided with the health and personal care they need. Service users are protected by the safe medication practices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Windmill Care Centre DS0000011024.V308930.R01.S.doc Version 5.2 Page 11 Service users and relatives gave positive remarks about the care and medical support they or their relative received. Comments such as “I always get the support I need”, “Good place to come for support” and “Staff are always available if you have any questions” were given. For medical care, again comments were “ The Dr has attended my mother several times. The staff have been very efficient in calling him” and “good feedback from staff”. The service users files selected were of two (One YA and one OP) more recently admitted service users and one ( OP) who had been in the home since 2004. The home use documents called the “Lifestyle Plan” that are developed from the pre- admission assessment process. This care plan includes risk assessments for pressure areas, continence, mental health, nutrition and the service user’s dependency level. They also use monitoring tools for catheter care, wound charts and baseline observations. The contents of the care plans are detailed and they are reviewed on a monthly basis. The staff daily records are concisely written but greater emphasis could be made to record the outcomes of the individual’s day. External healthcare is accessed for service users for dental, hearing and eye care and visits are recorded separately in the care plans. The company have employed a Tissue Viability Nurse to assist staff to provide care for those service users who have compromised skin and pressure areas. There are systems in place for safe medication practices and secure facilities for the storage of medication. The medication is supplied in a Monitored Dosage System by a local pharmacy that also regularly audits the medication held. The Registered nurses are provided with training to maintain their medication practice. Service users commented that staff were friendly and helpful and that staff treated them well. Staff were observed knocking on bedrooms doors before entering and were also polite and respectful when communicating with service users. Windmill Care Centre DS0000011024.V308930.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 (Older People) and Standards 7, 11– 15 and 17 (Adults 18-65) are: 12. 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 have opportunities for personal development. (YA NMS 11) Also Service Users are able to take part in age, peer and culturally appropriate activities. (YA NMS 12). Also Service users engage in appropriate leisure activities. (YA NMS 14) Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service Users are part of the local community. (YA NMS 13) Also Service Users have appropriate personal, family and sexual relationships. (YA NMS 15) Service users are helped to exercise choice and control over their lives. Service Users make decisions about their lives with assistance as needed. (YA NMS 7) Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Service Users are offered a healthy diet and enjoy their meals and mealtimes. (YA NMS 17) 13. 14. 15. The Commission considers standards 12, 13, 14 and 15 (Older People) and Standards 12, 13, 15 and 17 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 and 15 OP, 12,13,15 and 17 YA Quality in this outcome area is good. Service users expectations of how they wish to live are met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users confirmed that the majority of the time staff were able to provide support with a variety of activities should they wish to take part. They also stated that their wish to not join in was respected. Service users stated Windmill Care Centre DS0000011024.V308930.R01.S.doc Version 5.2 Page 13 that staff routinely informed them of the activities of the day. The current daily programme of activities is very varied and includes physical, mental and practical sessions like cake decorating, art work and gardening. Professional and local community groups attend the home providing musical events. Other activities include lunch at the pub, visits to the garden centre, and a local historical town. The service users and staff were enthusiastic about an outing to Bournemouth that occurred the week before. Activities are made available to all the service users irrespective of their age. The service users are asked on arrival to the home about their social activities preferences and interests in the assessment process. Some of the service users leisure choices are recorded minimally in the care plans. Choices of style of music, types of reading material and TV programmes are not noted. The home employs 2 members of staff to lead the provision of social and personal activities. Service users are supported to have visitors when they wish who can be received in either the various communal rooms or in the privacy of their rooms. The majority of the service users stated that they enjoyed the meals provided by the home. A minority commented that there could be “a little more variety, generally on the whole good under the circumstances”, “its ok” and “the food at this home is average it needs some improvement”. The manager has already identified that the menu and nutritional content need to be reviewed as service users have indicated during the last service user meeting that they would like greater variety and choice. The menu is on a regular rotational programme and the current menu plan provides a variety of traditional plain food such as roast meats, stews, and fish. There is always an alternative to the planned menu and staff ensure that service users are provided with these should they wish. Snacks such as sandwiches are provided at night – but no hot foods. Staff were seen to be supporting service users discretely with eating their midday meals. Windmill Care Centre DS0000011024.V308930.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 – 18 (Older People) and Standards 22 – 23 (Adults 18-65) 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 feel their views are listened to and acted on. (YA NMS 22) Service users’ legal rights are protected. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Service users are protected from abuse. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) The Commission considers standards 16 and 18 (Older People) and Standards 22 and 23 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Service users are complaints are listened to and handled appropriately. Service users are protected by the staffs knowledge, training and homes policy on abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users confirmed that they have the confidence to complain to staff should they have any concerns. The home has a process and recording tools that support the complaints procedure. The manager has recently implemented a record of comments for quality assurance processes but needs to ensure that formal complaints are monitored similarly. There have been 4 complaints in the last year – 3 have been investigated thoroughly. A recent complaint is still under investigation. Staff are provided with training and information about the protection of vulnerable adults in the induction training and in the regular training programme. Staff confirmed in discussion that they have a good Windmill Care Centre DS0000011024.V308930.R01.S.doc Version 5.2 Page 15 understanding of their roles in ensuring services users are protected and who they could speak to if they needed to if they have concerns. Windmill Care Centre DS0000011024.V308930.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 (Older People) and Standards 24 – 30 (Adults 18-65) are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) Service users have access to safe and comfortable indoor and outdoor communal facilities. Shared spaces complement and supplement service users’ individual rooms. (YA NMS 28) Service users have sufficient and suitable lavatories and washing facilities. Service Users toilets and bathrooms provide sufficient privacy and meet their individual needs. (YA NMS 27) Service users have the specialist equipment they require to maximise their independence. (YA NMS 29) Service users’ own rooms suit their needs. Service Users’ own rooms suit their needs and lifestyles. (YA NMS 25) Service users live in safe, comfortable bedrooms with their own possessions around them. Service users’ bedrooms promote their independence. (YA NMS 26) Service users live in safe, comfortable surroundings. Service Users live in a homely, comfortable and safe environment. (YA NMS 24) The home is clean, pleasant and hygienic. The home is clean and hygienic. (YA NMS 30) The Commission considers standards 19 and 26 (Older People) and Standards 24 and 30 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 OP, 24 and 30 YA Quality in this outcome area is good. The standard of the accommodation and environment of the home is kept clean and well maintained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Windmill Care Centre DS0000011024.V308930.R01.S.doc Version 5.2 Page 17 Service users were complimentary about the laundry service and staff. The laundry area is kept very clean and tidy. Safety notices and guidance is placed in prominent places for all staff to read to ensure soiled and contaminated laundry is handled appropriately. The carpets and furniture are well kept, clean and tidy and the homes standard of decoration is good. Repairs and renewal are carried out on a regular basis. Service users and relatives commented that the home is usually kept clean and fresh smelling. The bathrooms and toilets are kept free of equipment and some of the bathrooms are decorated with themes. The décor on the 1st floor is colour coded to support those with memory loss to locate the bathrooms and toilets. All sinks have liquid soap and paper towels for hand-washing purposes. Hand cleansing gel is placed around the home for staff and visitors to use to support the infection control practices. Windmill Care Centre DS0000011024.V308930.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 (Older People) and Standards 31 – 35 (Adults 18-65) are: 27. 28. 29. Service users needs are met by the numbers and skill mix of staff. Service users are supported by an effective staff team. (YA NMS 33) Service users are in safe hands at all times. Service Users are supported by an effective staff team. (YA NMS 32) Service users are supported and protected by the home’s recruitment policy and practices. Service Users benefit from clarity of staff roles and responsibilities. (YA NMS 31) Also Service Users are supported and protected by the home’s recruitment policy and practices. (YA NMS 34) Staff are trained and competent to do their jobs. Service Users individual and joint needs are met by appropriately trained staff. (YA NMS 35) 30. The Commission considers standards 27, 28, 29 and 30 (Older People) and Standards 32, 34 and 35 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 OP, 32,34and 35 YA Quality in this outcome area is adequate. The recruitment process has not ensured that service users are fully protected. The training and supervision programme assists staff to carry out their roles effectively This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff rota supports that there are skilled and experienced staff on duty at all times in the home. Over 51 of care staff have an NVQ in care and there are 15 Registered nurses employed. Service uses stated that they were happy with the availability of the staff. One service user added that “they are very helpful”. Two relatives did comment that on occasions they felt that the communal areas were not supervised sufficiently by staff. The manager stated that very rarely is it necessary for the home to suppliment the staffing team by agency or bank staff. Windmill Care Centre DS0000011024.V308930.R01.S.doc Version 5.2 Page 19 The recruitment and employment files of three staff were reviewed. Prospective employees are required to complete an application form, health declaration and provide two referees. The application forms do not request full work history only the last ten years. One application was minus the last employer reference and had only a personal reference that has been completed by another employee of the home. CRB’s and POVA checks are completed and a health declaration from the individual is obtained. Copies of passports, birth certificates and NI numbers are kept. Interview notes are taken although not all are very detailed. Some of the applicants gaps in their work history are not explored and the reasons to employ not noted. Two staff files had copies of training and qualifications certificates that confirmed the training they had obtained. A registered nurse’s file had copies of their entry on to the Nurse and Midwifery Council register but not copies of their qualification and training certificates. All three had undertaken induction training when the commenced at the home. There is a full training programme for all grades of staff. Training provided this year has included, medication for the registered nurses, infection control, dementia, challenging behaviour, communication and supervision. There is a planned supervision programme. Staff have also had training to give them an understanding of the supervision process. Windmill Care Centre DS0000011024.V308930.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 (Older People) and Standards 8, 10, 23, 37 – 43 (Adults 18-65) are: 31. 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 a well run home. (YA NMS 37) Service users benefit from the ethos, leadership and management approach of the home. (YA NMS 38) The home is run in the best interests of service users. Service Users are consulted on and participate in, all aspects of life in the home. (YA NMS 8) Also Service Users are confident their views underpin all selfmonitoring, review and development by the home. (YA NMS 39) Service users are safeguarded by the accounting and financial procedures of the home. Service Users benefit from competent and accountable management of the service. (YA NMS 43) Service users’ financial interests are safeguarded. Service Users are protected from abuse, neglect and self-harm. (YA NMS 23) Staff are appropriately supervised. Service Users benefit from well supported and supervised staff. (YA NMS 36) Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. Service Users know that information about them is handled appropriately, and that their confidences are kept. (YA NMS 10) Also Service Users rights and best interests are safeguarded by the home’s policies and procedures. (YA NMS 40) and (YA NMS 41) The health, safety and welfare of service users and staff are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (YA NMS 42) 32. 33. 34. 35. 36. 37. 38. The Commission considers standards 31, 33, 35 and 38 (Older People) and Standards 37, 39 and 42 (Adults 18-65) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 OP, 37,39 and 42 YA Quality in this outcome area is good. The home ensures that service users are protected by safe working practices and that the staff are managed well. Windmill Care Centre DS0000011024.V308930.R01.S.doc Version 5.2 Page 21 This judgement has been made using available evidence including a visit to this service. EVIDENCE: The new manager is a Registered Nurse who has had several senior roles within nursing and the company that owns the home. She has already completed management induction programme including abuse training and is registered to commence NVQ 4 in September. She is also in the process for applying to be the registered manager for the home. The home and the company undertake a service user satisfaction survey on an annual basis and there are regular service users meetings where they are able to contribute to how the home is run. Through a recent meeting the home has already identified that the meals and menu planning does not always meet service users wishes. The home has a secure system of handling service users personal spending monies for toiletries, hairdressing, chiropody and newspapers if they are unable to manage these themselves. A small amount of spending money is kept in individual envelopes in the home and any larger sums are kept centrally at head office. The account’s are reviewed routinely by the company auditor’s and service users are provided with statements of their financial status regularly. There is no facility for service users to access their monies at weekends or Bank Holidays unless prior arrangements have been made. Staff have been supplementing service users from their own pockets until they are reimbursed later. Service users did not express concerns about access to their money. The home does not have one specific safe storage place for valuables deposited out of office hours but they do provide receipt’s if this occurs. Service users are able to have a lockable space in their rooms should they wish. The inspector was informed that the activities staff are responsible for the purchase of service users personal toiletries from a local supermarket. The staff use loyalty card for this supermarket when purchasing these items and the points/ monies raised are used to obtain goods for the activities in the home. The home does not have a specific policy for the use of loyalty cards when purchasing on service users behalf or for their consent for this to occur. The home has training and information available for staff for safe working practices. The company provides policy and procedure manuals for staff that are kept in the nurses stations on each floor. However, old policy documents have been left and not removed therefore staff could be using the wrong documents for information. The home has systems in place for the monitoring of the water, power and equipment in the home that are usually carried out by the maintenance staff. Fire testing and drills occur. The method for recording the safety and maintenance checks is disorganised as they can be found in Windmill Care Centre DS0000011024.V308930.R01.S.doc Version 5.2 Page 22 various filing systems and checks by management to ensure that they are on schedule do not occur. Safety notices are on display around the home. Windmill Care Centre DS0000011024.V308930.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 3 3 4 X 5 X 6 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 ENVIRONMENT Standard No Score 19 3 20 X 21 X 22 X 23 X 24 X 25 X 26 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 3 34 X 35 3 36 X 37 X 38 3 Windmill Care Centre DS0000011024.V308930.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP29 Regulation 19 Requirement That the recruitment process is carried out in accordance to the homes policy. Timescale for action 30/09/06 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 4 Refer to Standard OP7 OP12 OP16 OP35 Good Practice Recommendations Greater information about the daily outcomes for service users could be recorded in the care plans. That service users interests are recorded in more detail. That a complaints monitoring tool/log is implemented for quality assurance purposes. That the home reviews the processes to access service users monies and the safekeeping of their valuables out of office hours. Windmill Care Centre DS0000011024.V308930.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks RG7 4SA National Enquiry Line: 0845 015 0120 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. Windmill Care Centre DS0000011024.V308930.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!