Inspection on 01/05/07 for Windsor Care Home

This inspection was carried out on 1st May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Windsor Care Home 07/03/06

Windsor Care Home 06/09/05

Windsor Care Home 22/02/05

Windsor Care Home 24/08/04

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

CARE HOMES FOR OLDER PEOPLE Windsor Care Home Queen Street Padiham Lancashire BB12 8JW Lead Inspector Mrs Julie Playfer Unannounced Inspection 1st May 2007 09:00 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 Windsor Care Home DS0000009453.V330658.R02.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. Windsor Care Home DS0000009453.V330658.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Windsor Care Home Address Queen Street Padiham Lancashire BB12 8JW 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) 01282 772799 F/P 01282 772799 Mrs Sharon Anita Han Care Home 20 Category(ies) of Dementia - over 65 years of age (20) registration, with number of places Windsor Care Home DS0000009453.V330658.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7th March 2006 Brief Description of the Service: Windsor Care Home is registered with the Commission for Social Care Inspection to provide personal care and accommodation for 20 Older People with Dementia. The home is a detached property set in its own grounds. There is a wellmaintained and attractive front garden, which is accessible to residents. Accommodation is provided on two floors in 8 single rooms and 6 double rooms. Access to the second floor is eased by a stair lift. Communal space is provided in two lounges, two dining rooms and one sitting/dining room. Written and pictorial signs had been placed on communal rooms to aid orientation around the home. The main dining room is designated as a smoking area outside meal times. At the time of the inspection, the fees were £361.00 per week, there was no added amount charged for privately funded residents. Additional charges were made for hairdressing, dry cleaning, personal newspapers and name tapes. Information was made available to prospective residents by means of a statement of purpose and service users guide. The guide was usually given to prospective residents and/or their relatives on viewing the home or at the point of assessment. Windsor Care Home DS0000009453.V330658.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A key unannounced inspection, which included a visit to the home, was conducted at Windsor Care Home on 1st May 2007. At the time of the inspection there were 12 people accommodated in the home. The inspection comprised of spending time with the residents, looking round the home, looking at the residents’ care records and other documents and discussion with the staff and the registered person. As part of the inspection process the inspector used “case tracking” as a means of gathering information. This process allows to the inspector to focus on a small group of people living at the home. Prior to the inspection the registered person completed a questionnaire, which provided useful information and evidence for the inspection. Satisfaction questionnaires were sent to the home for the residents and their relatives. Nine questionnaires were returned from relatives/visitors to the home and four questionnaires were received from the people who live in the home. In addition a survey was sent to visiting health professionals to the home, one form was returned. What the service does well: The admission procedures involved a full assessment of peoples’ needs. This enabled the registered person and prospective residents to determine whether or not the home could meet their needs. Each resident had a plan of care. This document provided details about the residents’ personal and healthcare needs, which meant the staff had guidance on how best to meet the residents’ needs. Residents spoken to felt they received a good standard of care and the staff respected their rights to privacy and dignity. The residents described the staff as “very nice” and “excellent” and one person said “I’ve no grumbles at all, the staff are really good”. Varied, nutritious and well-presented meals were served. All the residents spoken to said, the meals were “very good” and confirmed there was always plenty to eat, with a choice each mealtime. Visitors were welcome in the home at any time and the residents were supported to maintain good contact with their family and friends. All the relatives and visitors who completed a questionnaire expressed satisfaction with the overall care provided. One person commented “I can’t fault it” and another person said, “The home provides a very happy and caring environment”. Windsor Care Home DS0000009453.V330658.R02.S.doc Version 5.2 Page 6 Residents were provided with clean and nicely decorated bedrooms that were well-maintained. All the residents spoken to said, they felt the home was kept clean and was comfortable. A high percentage of staff had achieved NVQ level 2 or above, this meant the staff had received the necessary training to enable them to carry out their caring role effectively. Good arrangements were in place for the supervision of staff, which ensured staff were given the opportunity to discuss their work and future training needs. The registered person had developed a quality assurance system, which was based on the outcomes for the people living in the home. This meant the residents and their relatives were able to have some input into the future development of the service. 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. Windsor Care Home DS0000009453.V330658.R02.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 Windsor Care Home DS0000009453.V330658.R02.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, 4 and 5 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The admission procedure was well managed. The people who live in the home had their needs properly assessed and they were provided with appropriate written information to enable them to make an informed choice about where to live. EVIDENCE: Written information was available for the people who live in the home in the form of a statement of purpose and service users guide. The guide was presented in a suitable format and was readily accessible in the hallway. Relatives had also been issued a copy of the guide. Both documents provided useful information about the services and facilities provided in the home. All residents were issued with a statement of terms and conditions of residence or contract. It was noted the contract had been signed by the residents and/or Windsor Care Home DS0000009453.V330658.R02.S.doc Version 5.2 Page 9 their representative and included information about the current level and payment of fees. The ‘case tracking’ process demonstrated the residents had their needs assessed prior to admission to the home by a social worker and/or the registered person. Copies of the preadmission assessments were seen on the residents’ files. The registered person had also informed the residents in writing that, having regard to the assessment, the home was suitable for meeting their needs. Prospective residents were actively encouraged to spend some time in the home prior to making the decision to move in. One person spoken to recalled his first visit to the home and said, “When I first came in, I liked everything about it”. The person confirmed he was introduced to the other residents and members of staff. Windsor Care Home DS0000009453.V330658.R02.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care received by the people living in the home was based on their individual needs. The systems in place to manage medication were well organised and the residents were protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: From the case files seen, it was evident each person had a plan of care, based on their assessment of needs. The plans set out the action to be taken by staff to ensure the residents’ needs were met and were used as working documents in the home. It was evident the plans had been reviewed once a month and updated in line with any changing needs. The plans were detailed and written in a suitable format for staff to understand. Personal profiles had been incorporated into the care plans and provided details about past life experience. There was documentary evidence to indicate the relatives were involved in the care of their relative and had participated in the care planning process. This approach was reflected in the questionnaire responses received from relatives/visitors, which indicated they were all kept up to date with Windsor Care Home DS0000009453.V330658.R02.S.doc Version 5.2 Page 11 important issues affecting their friend or relative. One person commented, “I am always kept well informed”. The care plans were supported by records of personal care, which provided information on changing needs and any recurring difficulties. All records seen described the residents’ needs in respectful terms. The residents’ preferences about how they wished their care to be provided were sought, wherever possible. Risk assessments in respect to moving and handling, pressure sores and nutrition had been incorporated, where necessary, into the care plan documentation. The assessments included management strategies to manage, reduce or eliminate an identified risk. Healthcare needs were appropriately assessed and were included in the care plan. There was evidence to indicate the residents had access to NHS services and advice from specialist services had been sought as necessary, for instance the District Nursing Team and the Continence Service. A separate chart was maintained to monitor the residents’ weight. However, whilst the registered person had a full understanding and knowledge of the residents’ healthcare needs, the written guidance for staff on how to meet the healthcare needs was not always detailed. Prior to the inspection, a survey was sent to visiting healthcare professional staff. One form was returned. This person expressed satisfaction with the service and commented, “They provide an excellent service for elderly people who have a dementia and who have a moderate degree of challenging behaviour”. The residents spoken to felt the staff respected their rights to privacy and dignity and all made complimentary remarks about the staff, for instance one person said the staff were “excellent – they do what I want them to do”. The residents, who completed the questionnaires prior to the inspection, also made positive comments about the staff, for instance one person commented, “The staff are always willing to listen and help with anything in their power”. The staff were observed to interact with the residents in a positive manner and they referred to the residents in their preferred term of address. Policies and procedures were in place to cover all aspects of the management of medicines. The home operated a monitored dosage system for the administration of medication, which was dispensed into cassette trays by a local pharmacist. All records seen in respect to the receipt, administration and disposal of medication were complete and up to date and all staff designated to administer medication had received accredited training. Windsor Care Home DS0000009453.V330658.R02.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents were able to exercise choice and control over their lives and maintained good contact with their family and friends. The residents were provided with a nutritious diet according to their assessed requirement and choice. EVIDENCE: The residents said the routines were flexible and they were able to get up and go to bed at a time of their choosing. Breakfast and supper was served to meet the preferences of the residents. The residents’ interests were documented in the assessment and care plans. A broad range of activities were planned and implemented by the staff. Records were maintained of activities arranged in the home, which included, arts and crafts, menu planning, dominoes, music and singing, discussion and videos. In addition, a professional entertainer visited the home every six weeks. Some residents had also been on trips to see a music hall event and a musical and to see the illuminations at Blackpool. The residents were consulted about the activities provided in the home as part of daily discussion and at the residents’ meetings. Windsor Care Home DS0000009453.V330658.R02.S.doc Version 5.2 Page 13 Visitors were welcome at the home and there were no restrictions placed on visiting times. The residents were able to entertain their guests in any area of their choice, including their bedrooms. All the relatives/visitors who completed a questionnaire were satisfied with the overall quality of care. Comments included, “I can’t fault it” and “Staff are very well coordinated and are always ready to give help and assistance”. It was part of the ethos of the home to fully support the relationships between the residents and their families and relatives were invited to participate in all activities, trips and celebration days such as Christmas and birthdays. Residents spoken to described the meals as “very good” and “lovely”. They also said there was always plenty to eat and the food was a good quality. There was a choice of food at every mealtime and residents were asked what option they preferred. One resident commented, “They have a menu and they always ask you what you want”. The meal looked appetising on the day of inspection and was well presented. Drinks and snacks were served at set times throughout the day and other times on request. Residents were observed asking for drinks during the inspection and were promptly served by the staff. The menu was displayed in the dining room. Windsor Care Home DS0000009453.V330658.R02.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Systems were in place to ensure any concerns of residents would be acted upon. Policies and procedures were in place to respond effectively to any allegations or suspicions of abuse. EVIDENCE: Both informal and formal arrangements were in place to ensure the registered person and staff listened to and acted on the views and concerns of residents. This was achieved during daily conversation, one to one discussion, satisfaction questionnaires and residents’ meetings. The residents spoken to said, they felt comfortable expressing their views and were aware of whom to speak to in the event of a concern. A copy of the complaints procedure was displayed behind wardrobes doors in each of the bedrooms and included in the service users guide. The procedure contained the necessary information should a resident or their representative wish to raise a complaint with the home or direct to the Commission. Since the last inspection the registered person had received one complaint, which had been sent direct to the Commission. The registered person had investigated the complaint and written a report detailing the outcome of the investigation. The policies and procedures for safeguarding vulnerable adults were available and provided guidance to staff should they suspect or witness any harmful practice. These issues were incorporated into the induction training and staff Windsor Care Home DS0000009453.V330658.R02.S.doc Version 5.2 Page 15 received specific tuition as part of their NVQ training. Staff spoken to were aware of whom to refer any incident to and the various agencies involved. Windsor Care Home DS0000009453.V330658.R02.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents were provided with a clean, comfortable and well- maintained environment. EVIDENCE: Windsor Care Home is a detached property set in its own grounds. The home is located close to local shops and other amenities. Accommodation is provided in eight single bedrooms and six shared bedrooms. None of the bedrooms had an ensuite facility. The home also provides four bathrooms with one assisted baths and seven toilets. Since the last inspection a new walk in bath had been installed in the first floor bathroom. Communal space is provided in two lounges, two dining rooms and one sitting/dining room. The residents had free movement around the home and were able to choose where they wished to spend their time. Windsor Care Home DS0000009453.V330658.R02.S.doc Version 5.2 Page 17 Since the last inspection, several improvements had been made to the premises. These included the installation of a new stair lift and the redecoration of six bedrooms. New flooring/carpets had also been fitted in four bedrooms and the hallway. Externally the garden had been landscaped, new garden furniture had been purchased and work had been carried out on the roof tiles over the kitchen area. It was evident from a partial tour of the home that residents had personalised their rooms with their own belongings and decoration was good throughout. The residents said their rooms were comfortable and warm. Residents had been provided with aids and adaptations to assist their independence skills, these included grab rails, handrails and raised toilets. The stair lift provided access to the first floor accommodation. The provision of specialist equipment was determined by the needs of the people living in the home. Residents had access to a well maintained garden at the front of the property. The garden looked very attractive and residents said they enjoyed sitting on the patio area in fine weather. Radiators had been fitted with guards. To prevent scalding all water outlets, including the baths and showers had been fitted with preset valves to guarantee water was delivered close to 43°C. The home was clean and odour free at the time of the inspection. A resident spoken to said, “It is always very clean”. The systems for maintaining hygiene included procedures for infection control. Plastic aprons and gloves were available for staff when undertaking care duties. There was a separate laundry room, which had sufficient and appropriate equipment to meet the needs of the residents. Windsor Care Home DS0000009453.V330658.R02.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The residents’ benefited from well-trained and competent staff. However, the recruitment procedure was not sufficiently robust for the full protection of the residents. EVIDENCE: The registered person maintained a staff rota, which indicated which staff were on duty and how many hours they had worked. All staff providing personal care were aged over 18 and all staff left in charge of the building were aged over 21. The number of staff on duty was sufficient for the number of people living in the home. All new employees undertook an in house induction programme and where appropriate a “Skills for Care” induction. The latter provided underpinning knowledge for NVQ level 2. At the time of the inspection the equivalent of 80 of the care staff were trained to NVQ level 2 or above. The deputy manager had also achieved NVQ level 4 in Care. Staff were supported and encouraged to attend both internal and external training courses. All established staff had completed a course about the care of people with dementia called “Yesterday, today and tomorrow”. This course was accredited by the Alzheimer’s Society. The registered person operated a recruitment and selection procedure for new staff, which reflected current legal requirements. The files of three employees, Windsor Care Home DS0000009453.V330658.R02.S.doc Version 5.2 Page 19 who had commenced work in the home during the last 12 months, were examined. All staff had completed an application form and had attended the home for a face-to-face interview. Appropriate police checks and written references had been sought and received prior to the staff commencing work in the home. However, it was noted that two applicants had not provided a full working history or a satisfactory written explanation of the gaps in their employment. Windsor Care Home DS0000009453.V330658.R02.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management approach promoted positive relationships between the staff and the residents and the overall atmosphere was open and friendly. Systems were in place to monitor the quality of the service and the health, safety and welfare of the residents and staff was protected. EVIDENCE: The registered person has the overall responsibility for the management of the home and had completed NVQ level 4 in Management. The registered person is also a Registered General Nurse and an NVQ assessor. The registered person had undertaken periodic training to update her knowledge and skills whilst managing the home. Since the last inspection, the registered person had been elected onto the committee of local Alzheimer’s Society Group and updated fire training. Windsor Care Home DS0000009453.V330658.R02.S.doc Version 5.2 Page 21 Relationships within the home were good and staff spoke about the residents with respect. The residents valued the help and support they received from the staff, who they described as “very good” and “friendly”. There was a programme in place for staff supervision and the topics discussed during supervision were recorded on a suitable format. In addition to supervision, staff were given an appraisal of their work performance, which included a discussion about the policies and procedures and future training needs. The home achieved an Investors in People Award in December 2001, which was reaccredited in 2005. The registered person had developed a quality assurance system to monitor the quality of the service received by people living in the home. Satisfaction questionnaires had been distributed to residents, their relatives and visiting professional staff in February 2007. The results of the questionnaires had not been collated at the time of the inspection. However, the results from the questionnaires distributed in 2006 had been collated and published and an annual development plan had been produced. The residents were consulted on a daily basis and were supported to express their views. The residents also had the opportunity to attend residents’ meetings. The minutes of the latest meetings were viewed during the inspection. Appropriate arrangements were in place for handling money, which had been deposited with the home by or on behalf of a resident. A random check of monies was found to be correct. Records were also maintained in respect to the amount of fees charged and received. There was a set of health and safety procedures available, which included the safe storage of hazardous substances. Staff received health and safety training, which included moving and handling, food hygiene, first aid and fire safety. The registered person and two members of staff had also completed an infection control course. Documentation seen during the inspection and information contained in the pre inspection questionnaire indicated the electrical, gas and fire systems were serviced at regular intervals. The fire log demonstrated the staff and residents were involved in fire drills and staff had received instruction about the fire procures during their induction. Risk assessments had been carried out in respect to safe working practice topics. Arrangements were in place to record accidents and incidents in the home. Windsor Care Home DS0000009453.V330658.R02.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 4 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X 3 Windsor Care Home DS0000009453.V330658.R02.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP29 Regulation 19 Sch 2 (6) Requirement All new employees must provide a full employment history, together with a satisfactory explanation of gaps in employment, to ensure the full protection of the people living at the home. Timescale for action 01/05/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP8 Good Practice Recommendations The guidance for staff relating to the residents’ healthcare needs should be more detailed, to ensure the staff are fully aware of how best to meet these needs. Windsor Care Home DS0000009453.V330658.R02.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Windsor Care Home DS0000009453.V330658.R02.S.doc Version 5.2 Page 25 - 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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