Inspection on 10/07/08 for Windmill Court

This inspection was carried out on 10th July 2008.

CSCI found this care home to be providing an Adequate 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

Windmill Court 11/07/07

Windmill Court 07/12/06

Similar services:

The Vicarage

Fairfields Country Rest Home

7 Hyde Road

5 Seafield Road

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

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

CARE HOMES FOR OLDER PEOPLE Windmill Court St Minver Wadebridge Cornwall PL27 6RD Lead Inspector Mandy Norton Unannounced Inspection 10th July 2008 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Windmill Court DS0000067809.V364506.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. Windmill Court DS0000067809.V364506.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Windmill Court Address St Minver Wadebridge Cornwall PL27 6RD 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) 01208 863831 01208 862890 windmillcourt@mmnh.orangehome.co.uk Thomas Henry Mallaband Limited Care Home 34 Category(ies) of Old age, not falling within any other category registration, with number (34), Physical disability over 65 years of age of places (34), Sensory Impairment over 65 years of age (34) Windmill Court DS0000067809.V364506.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One (1) named service user under the age of 65 years to be admitted. Date of last inspection 11th July 2007 Brief Description of the Service: Windmill Court is registered to provide personal care with nursing for up to 34 service users in the category of OP (Old age), PD (Physical disability) and SI (Sensory Impairment). The home is set within its own grounds just outside St Minver (approximately 5 miles from Wadebridge). All rooms are all single occupancy and all except one have en-suite facilities, comprising toilet and wash hand-basin. The premises offer modern accommodation and level access throughout. Communal space consists of a lounge, conservatory and a dining room. There are rural views from the rear of the home. The grounds comprise of a variety of garden areas, including an enclosed patio with a seating area in an inner quadrant that is accessible by wheelchair, there is a large garden to the rear with paths and seating. The home is owned by the Maria Mallaband Care Group, who own a number of homes on the North of England. The fees range from £675 – £705 per week (correct July 2008). Each person is issued with a contract once a settling in period has been achieved. A copy of the Statement of Purpose and previous inspection report are displayed in the entrance foyer. Windmill Court DS0000067809.V364506.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This unannounced inspection took place from 10.30 am until 3.30 pm on the 10th July 2008. The inspection was conducted with the administrator and the nurse in charge. A tour of the home was carried out a number people living in the home and staff members were spoken to and observed during the visit. This report contains information taken from comments and observations made on the day. There were 30 people living in the home at the time of the inspection. What the service does well: What has improved since the last inspection? The Statement of Purpose has been updated and is available in the entrance foyer as well as being given to people when they move in. The recording systems in place for controlled medicines and medicines used in a syringe driver have been reviewed and improvements introduced. Windmill Court DS0000067809.V364506.R01.S.doc Version 5.2 Page 6 Most staff members have had adult protection /safeguarding training. The induction programme and National Vocational Qualification training also include information about adult protection/safeguarding. The new manager is introducing a system to ensure that supervision sessions (one to one meetings) and appraisals continue to be carried out as required. 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. Windmill Court DS0000067809.V364506.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 Windmill Court DS0000067809.V364506.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): 1, 2 & 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use this service have good information about the home in order to make an informed decision about whether the service is right for them. The personalised needs assessment means that people’s diverse needs are identified and planned for before they move to the home. The home is not registered to provide intermediate care. EVIDENCE: A Statement of Purpose was clearly on display in the entrance foyer. The one examined was updated in January 2008 it included up to date information about the staff group and their qualifications, fees, facilities available, a complaints procedure and the results of the quality assurance assessment from Windmill Court DS0000067809.V364506.R01.S.doc Version 5.2 Page 9 march 2007. A copy of the previous report was also clearly displayed in the entrance foyer. The administrator and the nurse in charge said that the manager or the deputy manager visit people in their current setting (where possible) to assess their needs prior to them moving into the home. The information gathered during the assessment forms the basis of the care plan when they move in. One completed pre admission form examined had a great deal of information about the person, their needs and their lifestyle prior to needing care. One person spoken to had moved in recently and had made the decision with her family and from information provided by the home. Windmill Court DS0000067809.V364506.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 is good. This judgement has been made using available evidence including a visit to this service. The practice regarding the planning and delivery of care means that people can be sure that their health and personal care needs will be met. EVIDENCE: Care plans examined had a lot of relevant information about the individual and their health and personal care needs. They were up to date and had been regularly reviewed. The care staff complete daily records about a persons welfare and detail what personal care activities have been completed during each shift. The trained nurses then complete the ongoing care plan and incorporate the up to date information. A tour of the home showed that equipment necessary for the promotion of tissue viability and prevention and treatment of pressure sores was available and staff spoken to said that they felt they had enough equipment to meet peoples current needs. The nurse in charge described the access the home has Windmill Court DS0000067809.V364506.R01.S.doc Version 5.2 Page 11 to other health care professionals such as McMillan nurses, dentists and opticians. The care plans examined had details of such visits recorded in them. A GP visited the home during the inspection as requested by the nurse in charge and she said they have a good relationship with local GP surgeries. The home have recently moved to using a blister pack system for administration of medicines they are stored in a locked trolley kept in the treatment room. The controlled drugs are stored and recorded correctly and the drugs fridge has its temperature measured and recorded daily as required. Medicines that are no longer in use are removed by a licensed contractor. The creams and lotions seen in individual rooms all had prescription labels on them. Medicine administration sheets had been completed properly and the GP’s are asked to complete a specific form if they are prescribing drugs for use in a syringe driver so that their use can be carefully monitored. Staff were heard interacting with people living in the home appropriately and providing support and help in a discreet manner. People spoken to said that the staff are very kind, polite and treat them very well. The nurse in charge said that the home are dealing more with palliative care recently and that they will soon be introducing the end of life care initiative called The Liverpool Care Pathway (a system that is designed to help health care professionals care for somebody as they wish without continually asking them the same questions). Windmill Court DS0000067809.V364506.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 is good. This judgement has been made using available evidence including a visit to this service. Activities within the home and community mean that people have an opportunity to participate in stimulating and motivating activities. Meals and mealtimes are not rushed making them an enjoyable, social occasion for people. EVIDENCE: The activities schedule was displayed around the home as were some of the items of pottery and paintings that some of the Service Users have done. Entertainers are bought into the home regularly and the maintenance man takes people out, usually on a Thursday, in a minibus to local beaches and areas of interest where they often stop for a drink or an ice cream. There is also an ‘entertainments officer’ employed and on the day of the inspection there was a poetry reading in the afternoon, several people spoken to were looking forward to it. Each room has its own TV and people can order there Windmill Court DS0000067809.V364506.R01.S.doc Version 5.2 Page 13 own newspapers and magazines (for which they are responsible for the cost). There is a communal TV and DVD player in the lounge and there is also a selection of books to read. According to the Statement of Purpose the mobile library visit once a fortnight also. There are number of highly dependant people living in the home who cannot join in the activities but staff make an effort to spend time with these people on a one to one basis if staffing levels or health allow. The gardens are spacious and full of a variety of plants for people to enjoy with wide ranging views at the back of the home.. There is easy access to the outside areas and seating for people to use. The maintenance man was mowing the large lawn during the inspection and acknowledged that some weeding needed to be done. The recent bad weather has prevented this from happening. The administrator said that because a large number of people now require help with their meals it has become a very busy time for staff. As they don’t want to rush people at mealtimes two sittings have been introduced. The first one for people who need help and the second for those who are more independent. But still need supervision. People can have their meals in their rooms or in the dining room. Staff spoken to said that this system is less stressful for the staff and the Service Users. People spoken to said that the meals are very good and that there is always choice. One person said she liked the daily menus on the table and being able to choose from it. The cook said that cakes are home made when possible and that the menus are reviewed regularly with peoples likes being taken into account. She said they are able to use local providers for fruit, vegetables and meat and feels that they provide good quality. The tea time sandwiches were being prepared during the inspection it was noted that they were having the crusts removed and were being presented in a very nice fashion, the cook said that people preferred no crusts and they were likely to eat what is served to them if it looks nice. Special diets are catered for and snacks and drinks are available 24 hours a day. There was fresh fruit in a bowl in the dining room for people to have at anytime. Windmill Court DS0000067809.V364506.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 is good. This judgement has been made using available evidence including a visit to this service. Formal complaints and reporting of abuse policies and procedures are in place. They are available to all staff at all times. People feel their concerns are listened to and acted upon so they raise concerns or make complaints when they should meaning people don’t accept a service if it doesn’t meet their needs. EVIDENCE: The complaints procedure was seen displayed in the entrance foyer and is in the Service Users Guide. It is comprehensive and gives options of who to contact and timescales for responses to be made. There have been no complaints to the home or to the Commission in the last 12 months. Staff files examined showed that most staff have attended adult protection (safeguarding) training and records seen showed that further training is booked for remaining staff in the near future. People spoken to said they knew who to approach about making a complaint it was necessary. Staff spoken to felt disappointed that when representatives from head office come to visit the home they don’t spend time talking to staff Windmill Court DS0000067809.V364506.R01.S.doc Version 5.2 Page 15 on the floor to find out if they have any concerns. This has been bought to the attention of the people that visit and it is hoped that this will improve. Windmill Court DS0000067809.V364506.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): 19,21,23,24 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The ongoing attention to health and safety and people’s welfare means that people have a homely, comfortable and generally safe environment in which to live. EVIDENCE: The home is purpose built on one level, it presents as welcoming, homely and clean. There are 34 single rooms all with en-suite facilities. The Statement of Purpose says that ‘all rooms are provided with a television, nurse call system, fire detection, bed, wardrobe, chest of draws’ and central heating with thermostatic controls. Peoples rooms seen were personalised with furniture, ornaments and photographs that they had bought in with them. People spoken to said they Windmill Court DS0000067809.V364506.R01.S.doc Version 5.2 Page 17 liked their rooms and felt comfortable. Call bells were within reach of those people able to use them. A number of rooms had profiling (electric) beds in them. The nurse in charge said that there is a programme of replacement of beds ongoing. Staff spoken to said the profiling beds are very useful when caring for people who need to be moved and handled, they are more comfortable for the Service User and safer for the staff. Communal space consists of a dining room, a lounge (with a communal TV and DVD player) and a conservatory. There are large grounds surrounding the home which are used by the people living in the home and people who live in the bungalows also on site. Seating is available and there is easy access for people who use mobility aids. A number of people use the dining room for their meals. The tables are laid properly and the menu is put on each table for people to choose their main meal. There are toilets and bathrooms, with adaptations to meet the needs of the current Service Users, throughout the home accessible to everybody. All doors have not yet been fitted with individual locks but the Statement of Purpose says that to maintain privacy an dignity keys to bedrooms and a secure place for valuables can be provided. The maintenance man said that he checks water temperatures regularly and showed records kept that confirmed this. Samples of water are routinely sent off for testing for Legionella and the home is then are provided with certificates to say it is clear. The home has a mechanical sluice. The laundry is suitable for its purpose and has hand washing facilities. On the day of the inspection the sluice cycle washing machine was due to be changed as the current one is not working properly. There was some confusion as contractors had removed it and were expecting a new one to be delivered that they were to install that day. But it arrived at another destination and was not going to arrive at Windmill Court until the next day, meanwhile the dirty washing was building up. The contractors re installed the old one with the hope that it would continue to work until the next day. There was some frustration amongst the staff as they felt if they were able to use the local contractors that they had in the past the machine would have arrived and been fitted in a much more timely fashion without the need for numerous phone calls and the concerns about the amount of washing that was building up. It is advised that for 34 people many of whom are highly dependant and spend a long time in bed one washing machine (with a specified programme ability to meet disinfection standards) is not Windmill Court DS0000067809.V364506.R01.S.doc Version 5.2 Page 18 sufficient and consideration should be given to providing a second sluice cycle washing machine. Windmill Court DS0000067809.V364506.R01.S.doc Version 5.2 Page 19 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. The provider shows a responsible attitude and implements changes and improvements in order to keep improving quality and outcomes for people living in the home. The staffing levels need to be reviewed to ensure people’s needs are being met at all times. EVIDENCE: On the day of the inspection there was one trained nurse (although there are usually 2) and 7 care staff on duty supported by domestic, catering, administrative and maintenance staff.. Overnight there is usually 1 trained nurse and 2 carers. Care staff spoken to said that some days when there are only 6 care staff it is really hard to get everything done properly and feel like they are rushing. The home had 30 Service User on the day of the inspection and 4 empty beds. One person spoken to said that she sometimes has to wait to be taken to the toilet once she has rung the bell and this can make her anxious as she is on water tablets and needs ‘to go’ another person commented that she sometimes goes to bed later than she would like as the Windmill Court DS0000067809.V364506.R01.S.doc Version 5.2 Page 20 staff are busy when she would really like to go. Both people said the staff were wonderful and nothing was too much trouble but they did seem to have too much to do sometimes. It is advised that staffing levels are reviewed again to ensure that sufficient numbers of staff are always on duty at peak times of activity. Three staff files were examined and contained all the information required including 2 written references, a CRB check (the administrator was asked to make sure staff who have been employed for some time have a CRB check stored in their staff file), interview records and in 2 cases induction records. The files also included evidence of appraisals and supervision sessions. The new manager is putting systems in place to ensure that these continue to be done when scheduled. All files contracts of employment and training certificates for numerous courses and study days including; health and safety, infection control, fire safety and manual handling. The numbers of care staff achieving National Vocational Qualifications is over 50 . At least 2 of the trained nurses are National Vocational Qualification assessors so people are supported ‘in house’ when they are working towards their qualification. Windmill Court DS0000067809.V364506.R01.S.doc Version 5.2 Page 21 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 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The procedures the provider has in place are generally designed to meet the needs of the service, and to continually improve the service the home offers to meet the needs of the people that live there. EVIDENCE: The manager has been in post since February 2008 (she has submitted an application to the Commission to be the registered manager). It is her first management post although she has worked at the home for some time. She qualified as a nurse in 1980 and is soon to start studying for a Registered Managers Award. She has support from head office (Maria Malaband Care Group – www.maria-mallaband.co.uk) by way of visits from the area manager Windmill Court DS0000067809.V364506.R01.S.doc Version 5.2 Page 22 and a member of the HR team on a regular basis. The staff spoken to knew the lines of accountability within the organisation, some of them are disappointed that when people from ‘head office’ come to visit (from Leeds) they don’t spend much time ‘on the floor’ talking with staff, some of whom have found the change to working for a corporate organisation a little daunting. This has been bought to the attention of the area manager so they hope this will improve. There is a formal quality assurance system in place. The results of the last one conducted in March 2007 are included in the Statement of Purpose for everybody to see. Policies and procedures are available to staff at all times and are updated regularly. They were not looked at in detail during this inspection. The administrator demonstrated the procedures in place for dealing with peoples money. She said that they try not to be involved in peoples personal allowances if possible. For those they do manage records are kept of income, and outgoings and receipts are kept as well as computer records for auditing purposes. The money is kept securely in the safe and is accessible to people when they want it. Staff files examined had evidence of supervision (one to one) sessions being carried out. The manager is putting strategies in place to ensure theses continue on a regular basis. All records seen were well constructed, up to date and stored securely. Staff files and training records seen showed that statutory training takes place as required. This includes fire safety, food hygiene, moving and handling and first aid. A selection of routine servicing and maintenance documents were seen confirming that people’s health and safety is promoted and protected. The maintenance man is responsible for ensuring that ongoing/routine in house maintenance is carried out in the home and the bungalows that are also on site. He collects prescriptions, takes people out on their weekly mini bus trips and is responsible for managing the extensive grounds. It is recommended that during the staffing level review consideration be given to increased maintenance/gardening hours to ensure the obviously heavy workload continues to be managed effectively and consistently. A selection of general and individual risk assessments, the accident book and the fire log book were examined and found to be up to date. Windmill Court DS0000067809.V364506.R01.S.doc Version 5.2 Page 23 Windmill Court DS0000067809.V364506.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 3 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 3 X 3 3 X 2 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 2 2 3 X 3 X X 2 Windmill Court DS0000067809.V364506.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 Staffing levels (including ancillary staff|) must be reviewed again to ensure that sufficient numbers of staff are always on duty at peak times of activity. Timescale for action 31/10/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP26 Good Practice Recommendations Consideration should be given to providing a second sluice cycle washing machine as a back up for when one is broken and to reduce the burden of washing on the care staff. The manager should continue with her application to CSCI to become the registered manager. She should also continue to study for a Registered Managers Award. The representatives from Maria Mallaband Care Group who make regular visits to the care home should consider spending more time getting to know the staff who work at DS0000067809.V364506.R01.S.doc Version 5.2 Page 26 2. 3. OP31 OP32 Windmill Court 4. OP38 the care home so as to understand some of the frustrations they have now they are working for a corporate provider. As part of the staff review consideration should be given to increasing the number of maintenance/ gardening hours to ensure the obviously heavy workload continues to be managed. Windmill Court DS0000067809.V364506.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Windmill Court DS0000067809.V364506.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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