Inspection on 29/11/06 for Wintofts Residential Home

This inspection was carried out on 29th November 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Wintofts Residential Home 27/08/08

Wintofts Residential Home 31/05/07

Wintofts Residential Home 22/02/06

Wintofts Residential Home 27/09/05

Wintofts Residential Home 17/02/05

Wintofts Residential Home 12/08/04

Wintofts Residential Home 06/03/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

Abbey The

Grayling

Pennine Camphill

Snydale Care Home

Muston Road (70)

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

CARE HOME MIXED CATEGORY MAJORITY OLDER PEOPLE Wintofts Residential Home Wintofts Farm Lendales Lane Pickering North Yorkshire YO18 8ED Lead Inspector Gill Sample Key Unannounced Inspection 29th November 2006 10:00 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 Wintofts Residential Home DS0000007831.V323900.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. Wintofts Residential Home DS0000007831.V323900.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wintofts Residential Home Address Wintofts Farm Lendales Lane Pickering North Yorkshire YO18 8ED 01751 4752333 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Sylvia Rosalind Robson *** Post Vacant *** Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (6), Old age, not falling within of places any other category (4) Wintofts Residential Home DS0000007831.V323900.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Service Users to include upto 6 LD, upto 6 LD(E) and upto 4 OP up to a maximum of 6 Service Users. The National Care Standards Commission must be consulted in advance of the admission of any new service user. No emergency placements may be accepted. No service user who is not independently mobile may be accommodated above ground floor level. 22nd February 2006 Date of last inspection Brief Description of the Service: Wintofts Farm offers residential accommodation to a maximum of six service users who can be accommodated by virtue of a learning disability or old age and infirmity. It is situated on a working arable farm. The accommodation for service users is provided in part of the adapted farm buildings. The registered provider and her family occupy other parts of the premises. The home is on two floors with bedrooms and facilities on both floors and sitting and dining space is on the ground floor. The registered provider and her staff provide personal care, catering, laundry and domestic services. As the home’s location is secluded, being over two miles down a narrow lane, access to any outside facilities would depend on the provision of private transport as there is no public service to and from the home. The registered provider has a motor vehicle for use by service users. The local social services department provides transport to day care placements. The home is owned and managed by Mrs Sylvia Robson. Information is given to new and existing service users to the home detailing the accommodation, facilities and services provided. In October 2006, the weekly fee was quoted by the provider as being between £325.00 and £375.00 per week. Additional charges not covered by the fee are holidays, transport and some toiletries. Wintofts Residential Home DS0000007831.V323900.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report gives the findings of a random inspection made on 3rd May 2006 to check on the assessment of service users prior to admission to the home, and also the findings of a key inspection of the service including a site visit which was made on 29th November 2006. The inspection focussed on certain key standards which are identified in the report. A total of seven hours was spent at the home. There were four residents living at the home. Prior to the visit, the registered manager had provided written information about the service to the Commission and the background history of the home was analysed using records held at the Commissions York office. At the visit, general areas of the premises were seen and two bedrooms, the living area, the bathroom and laundry. Some written records were also examined and practice was observed during the visit. Individual discussions were held with residents, the registered provider Mrs. Sylvia Robson and a member of staff. Written comment cards were distributed to service users at the visit. What the service does well: What has improved since the last inspection? Mrs. Robson has now obtained the recognised qualification for registered managers of care services. The quality assurance system now includes written questionnaires as part of the formal feedback on the service. Wintofts Residential Home DS0000007831.V323900.R01.S.doc Version 5.2 Page 6 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. Wintofts Residential Home DS0000007831.V323900.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) Wintofts Residential Home DS0000007831.V323900.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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 and 6 (Older People) Standard 6 does not apply. Standard 2 (Adults) Quality in this outcome area is good. Prospective service users can be assured that they will have chance to experience the service and that their individual needs will be assessed and recorded prior to entering the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At an inspection of the service on 3rd may 2006, one service user’s record was examined. Pre admission information was recorded in relation to a recently admitted service user. A care plan had been obtained from the care manager detailing the person’s care needs. Further records made by the manager detailed personal history, existing health conditions and medication taken. Wintofts Residential Home DS0000007831.V323900.R01.S.doc Version 5.2 Page 9 At a visit to the service on 29th November 2006, case tracking of four service users confirmed good practice. An assessment had been made of the person and their needs and where a care manager had referred, their care plan was used as a basis for providing care. Records showed that service users had been involved in their own assessment and a service user confirmed that their family had been able to visit the home prior to them moving in. Written information about the home was available for service users. There was evidence that Mrs. Robson had responded to the expressed wishes of service users. For example, she had bought a car so that staff could take out one service user who had said that they wished to go out on visits and to provide transport for all service users. Wintofts Residential Home DS0000007831.V323900.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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 (Older People) 6, 9, 16, 18, 19 and 20 (Adults) Quality in this outcome area is good. Service users can be assured that their needs will be continuously assessed, that their decisions will be respected and that they will be able to improve their personal skills in a safe manner with the support of staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the visit to the service on 3rd May 2006, one service users record was seen. A care managers care plan was in place according to individual requirements. The registered manager had made further records detailing social and medical Wintofts Residential Home DS0000007831.V323900.R01.S.doc Version 5.2 Page 11 history. A review with care manager was to be arranged after six weeks at the home. There was evidence that the registered manager was addressing the long term and emerging health care needs of the service user, and a draft letter to the general practitioner was seen to highlight these and request advice. Risk assessment documents recorded where any risk had been identified, assessed and the action taken to minimise risk. At the visit to the service on 29th November 2006, care records showed that the four service users resident at the time of the visit were treated individually. Observation of practice throughout the visit to the service confirmed that service users make their own decisions and choices. One service user had a cold and was being cared for in her room, another was seen getting up for breakfast mid morning. A carer arrived at the home to provide one to one support to one service user. This carer said that she would normally take the service user out in the home’s car on trips to towns in the area. Care records examined confirmed good practice. Individual records set out the areas of support needed and the areas of personal development for individual service users. For instance, one service user said that they wished to work on numeracy skills and had been supported to attend a local course in Pickering. She said “it’s hard work to do but I can usually fiddle it all out”. Wintofts Residential Home DS0000007831.V323900.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 (Older People) 12, 13, 15 and 17 (Adults) Quality in this outcome area is good. Service users can be assured that their needs will be continuously assessed, that their decisions will be respected and that they will be able to improve their personal skills in a safe manner with the support of staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the visit to the service on 29th November, 2006, care records showed that two service users attend day centre activities in Scarborough and one service user did voluntary work on two days in two separate charity shops in Pickering. One service user spoken with said that the continued her previous contacts Wintofts Residential Home DS0000007831.V323900.R01.S.doc Version 5.2 Page 13 with the church and community in Castleton, and care records contained correspondence booking transport and accommodation to enable this service user to do this. Service users have specific staff time dedicated to providing one to one activities or pastimes. Care records examined confirmed good practice. Individual records set out the areas of support needed and the areas of personal development for individual service users. For instance, one service user said that they wished to work on numeracy skills and had been supported to attend a local course in Pickering. She said “it’s hard work to do but I can usually fiddle it all out”. Practice observed at the visit confirmed that service users are given choice about what they would like to eat. Lunch was seen being served to one service user in the sitting room and to others in their own rooms. The planned menu included a variety of meals offered. Wintofts Residential Home DS0000007831.V323900.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 (Older People) 22 and 23 (Adults) Quality in this outcome area is good. Service users are able to make a complaint using information provided by the home and are protected by the awareness of staff of potential abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Policies and procedures on how service users can complain about their service and about the protection of vulnerable adults are in place. Service users are involved with others outside the home, such as day centre activities, and have opportunities to express any concern to the registered provider, who provides the majority of care and support at the home and demonstrated an in depth knowledge of service users. Records showed that the registered provider advocates for the needs of service users to ensure that for example that their medication is appropriate. Wintofts Residential Home DS0000007831.V323900.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 25 and 26 (Older People) 24 and 30 (Adults) Quality in this outcome area is good. Service users live in a clean and well maintained environment though the air temperature needs to be suitable for service users’ needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: General areas of the home were seen, two bedrooms, the bathroom and the home’s laundry facilities. All were clean and hygienic, the decoration was in good order and provided a homely setting in which to live. One bedroom and Wintofts Residential Home DS0000007831.V323900.R01.S.doc Version 5.2 Page 16 the sitting room were cool at 16 degrees and 20 degrees Celsius when checked and one service user commented “I feel the cold, I have bad circulation”. Temperatures were warmer when re-checked later in these areas. The home’s laundry is located in part of a barn and the Mrs. Robson said that she intends to refurbish the laundry area by creating an enclosed space to contain washing facilities. She explained that this is still at the planning stage and may incorporate a ground floor bathroom for which there is planning permission. Telephone contact was made with the Environmental Health Officer during the visit and the Mrs. Robson was advised to take advice during the development of the laundry to ensure that it meets the standards of the Environmental Health Department. Wintofts Residential Home DS0000007831.V323900.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 (Older People) 32, 34 and 35 (Adults) Quality in this outcome area is adequate. Service users can be assured that their needs will be met by staff who are trained though proper checks need to be made when recruiting staff so that service users are protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staffing rotas supplied prior to the visit showed that staff are on duty at peak times of the day to provide personal care to assist service users to get up washed and dressed each morning and to provide one to one activities inside and outside the home. Care was seen being given to one service user who was ill when the visit to the service was made. One member of staff was spoken with. She confirmed that she had undertaken training in health and safety topics and was undergoing distance learning in the care of people with dementia. She confirmed she has an NVQ Level 2 in care. Staff records contained copies of training certificates. Wintofts Residential Home DS0000007831.V323900.R01.S.doc Version 5.2 Page 18 Examination of staff files confirmed practice in the recruitment and selection of staff. In one instance a criminal records disclosure had been accepted from a staff member’s previous employer rather than being taken up by Mrs. Robson for employment at the home. Advice was given to Mrs. Robson about using an umbrella body to obtain new criminal records disclosures. The application form seen had space for only one reference to be identified by any applicant. In one staff record, two references had been obtained, one of which was a character reference, though there had been opportunity to take up references from other care settings. One reference had been received after the date on which the member of staff started work at the home. Wintofts Residential Home DS0000007831.V323900.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 (Older People) 37, 39 and 42 (Adults) Quality in this outcome area is adequate. Service users can be assured that their views will be recognised and that they will have opportunities to influence the service being provided. Systems are in place at the home to ensure that the health and safety of service users is being addressed though assessment of risk needs to be reviewed. This judgement has been made using available evidence including a visit to this service. Wintofts Residential Home DS0000007831.V323900.R01.S.doc Version 5.2 Page 20 EVIDENCE: Mr. Robson has obtained an NVQ level 4 in management and care. The philosophy of the home is apparent in the way in which care is provided in that service users are supported to make choices and their needs are met by the service. Mrs. Robson has made efforts to ensure that the service addresses service users’ needs. For instance, she has bought a car so that a service user who wishes to retain contact within a specific area can do so. A staff member spoken with said “I like working here. I feel part of the outfit”. There is a quality assurance system in place based on a written questionnaire which service users complete. These were seen on records examined. Care records noted the expressed wishes and dislikes of service users. The system for handling service users’ money was seen and was in order. A staff member had separately recorded the expenditure when out with a service user, including payment for petrol when the home’s car was being used. The layout of the home means that service users need to walk over outside areas which pose a risk of slipping or tripping because of uneven surfaces. Mrs. Robson said that she tried to keep paths clear of leaves so that risk of slipping was reduced. A risk assessment of the outside areas of the home was seen dated August 2004, and was in need of review. Wintofts Residential Home DS0000007831.V323900.R01.S.doc Version 5.2 Page 21 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 2 26 3 STAFFING Standard No Score 27 3 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No Score 31 3 32 X 33 3 34 X 35 3 36 X 37 X 38 1 Wintofts Residential Home DS0000007831.V323900.R01.S.doc Version 5.2 Page 22 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP29 Regulation 19 Schedule 2 Requirement A criminal records disclosure at enhanced level must be obtained prior to the appointment of new staff. Two written references must be obtained prior to the appointment of new staff. A risk assessment on the outside areas of the home must be carried out so that the grounds are maintained in a way which reduces potential risk to service users. Timescale for action 29/11/06 2 OP38 23(2)(o) 31/12/06 Wintofts Residential Home DS0000007831.V323900.R01.S.doc Version 5.2 Page 23 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 OP25 OP26 OP29 Refer to Standard Good Practice Recommendations The air temperature of the home should be kept at a comfortable temperature suitable to service users’ needs. Advice should be taken from the Environmental Health Department on the refurbishment of the home’s laundry facilities. When references are obtained on potential staff these should be from other care settings if these are available. Wintofts Residential Home DS0000007831.V323900.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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. 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