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Inspection on 17/04/07 for Wispington House

Also see our care home review for Wispington House for more information

This inspection was carried out on 17th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

This home provides a pleasant, homely and clean environment for residents who live here. The care staff are a competent team who were observed to be kind and polite when speaking to residents. There is a staff training programme which ensures that all mandatory training is undertaken. The home also encourages all staff to undertake a national recognised training in care of the elderly. Meals are varied, well balanced and choices are available. Information relating to service users dietary needs and daily menu requests are available in resident`s files. The home has an activities worker who works six hours per week, split between three days. Positive comments were received from both residents and visitors regarding the quality of care delivered at this home.

What has improved since the last inspection?

The home continues to look for ways to improve its service to residents in the home. This has been seen in the continuing upgrading of the residents care plans and pre-admission care assessment forms. The manager has also introduced a social history of residents in which she has engaged residents and their families in detailing the lives and expectations of residents. The home continues to maintain the fabric of the home to a high standard as well as the grounds, which residents were seen to use during this inspection.

What the care home could do better:

On the 05/05/06 the home changed its categories to enabled people diagnosed with dementia to be admitted to this establishment. This was on the understanding that a risk assessment was undertaken in relation to the garden area, which leads onto a busy main road. Risk assessments were seen in resident`s files to have been completed. However, fencing which was to be erected to help ensure the safety of residents has not been undertaken. The provider has not fully addressed this requirement. Records relating to ensuring that residents night-time care were not complete and there was no other evidence which showed that night time care had been undertaken. Medication in one resident`s room who self medicates was not kept in a safe place (in a lockable cabinet). Training profiles did not evidence that domestic staff have undertaken infection control training to ensure that they are aware of the risks of infectious diseases and how to combat them.

CARE HOMES FOR OLDER PEOPLE Wispington House 41 Mill Lane Saxilby Lincoln Lincs LN1 2QD Lead Inspector Mr Doug Tunmore Key Unannounced Inspection 17 April 2007 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 Wispington House DS0000002480.V333249.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. Wispington House DS0000002480.V333249.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wispington House Address 41 Mill Lane Saxilby Lincoln Lincs LN1 2QD 01522 703012 01522 704547 trevor.brock@eurotelonline.com 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) Mr Trevor William Brock Mrs Heather May Brock Mrs Heather May Brock Mr Trevor William Brock Care Home 26 Category(ies) of Dementia (3), Old age, not falling within any registration, with number other category (26) of places Wispington House DS0000002480.V333249.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered to provide personal care for service users of both sexes whose primary needs fall within the following category:Old age, not falling within any other category (OP) - 26 Dementia - over 65 years of age (DE(E)) - 3 The maximum number of service users to be accomodated is 26. 2. Date of last inspection 19th July 2006 Brief Description of the Service: Wispington House is a detached property, a former farmhouse, adapted to provided accommodation and care for up to 26 older people. The home is situated in large grounds set back from the main road of the village of Saxilby, which has local facilities within walking distance for the more able residents. The City of Lincoln is approximately four miles away. This homes brochure states our aim is to enhance your quality of life by helping you to lead a full and active life as you would expect living in your own home. The home is managed by the proprietors and operates as a family run business, with the proprietor’s son in law also involved in the management of the home. Accommodation is provided on the ground floor and the first floor with a chair lift available to residents accessing this floor. There are twenty single rooms two with en-suite facilities and three double bedrooms provided one being a flat with its own lounge, kitchen and en-suite facility. Both owners, one of whom is the registered care manager, have daily involvement in the running of this home. The current scale of charges at this home is from £335.00 to £370.00. Additional costs are made for hairdressing, chiropody, holidays and newspapers. These are all private arrangements and the individual residents meet these costs. Wispington House DS0000002480.V333249.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced and took into account any previous information held by CSCI including the homes previous inspection reports, their service history, the homes pre-inspection questionnaire and residents questionnaires sent to the home by the Commission prior to this inspection. The site inspection consisted of case tracking a sample of three resident’s records and assessing their care. The Commission sent residents questionnaire forms to the home prior to this inspection and four were returned. The site inspection consisted of talking to three residents and tracking their care which, including looking at their records and assessing their care. The inspector also spent time with the administrator, the assistant care manager, two visitors and one senior carer. A partial tour of the home and a review of a sample of the records were also included. What the service does well: What has improved since the last inspection? The home continues to look for ways to improve its service to residents in the home. This has been seen in the continuing upgrading of the residents care plans and pre-admission care assessment forms. The manager has also introduced a social history of residents in which she has engaged residents and their families in detailing the lives and expectations of residents. The home continues to maintain the fabric of the home to a high standard as well as the grounds, which residents were seen to use during this inspection. Wispington House DS0000002480.V333249.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. Wispington House DS0000002480.V333249.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 Wispington House DS0000002480.V333249.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 & 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are admitted into the home only after a full needs assessment has been carried to ensure that their needs can be met. Prospective residents have information to help them make a choice of where to live. EVIDENCE: A review of all information available prior to this inspection including a previous inspection report dated July 06 and evidence seen at this inspection in residents files and care plans showed that the home does not admit residents without a care needs assessment being undertaken. Prospective residents are also written to by the home confirming whether they can meet the residents care needs or not. One resident stated that she had attended this home for three-day visits over a period of three weeks where she was assessed as to her care needs. A Wispington House DS0000002480.V333249.R01.S.doc Version 5.2 Page 9 second resident who was accessing respite care also confirmed that she was assessed during her first stay at the home as she lives a long way away. Both residents confirmed that their families had visited this home prior to their admission and their families also dealt with all the paper work. All but one questionnaire confirmed that residents had information about the home prior to admission and that they had received a contract. The files of those residents who were being case tracked contained a current contract setting out the terms and condition of their stay. The home sent nine quality assurance questionnaires dated March 06 (QA) to the Commission in July 06 and one comment was that ‘all staff made us feel welcome and made sure mum was comfortable in her room’. One relative confirmed that they had received a letter confirming that the provider could meet her relatives needs and they had also received the providers terms and conditions. The visitor further commented that the manager visited her relative in hospital prior to admission and that ‘staff have been absolutely excellent with her’. This home does not provide intermediate care. Wispington House DS0000002480.V333249.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 adequate. This judgement has been made using available evidence including a visit to this service. Medication management systems must ensure service users are not at risk through medication not kept secure. Records are not kept relating to intimate care provided which means residents are at risk of not having their needs met. EVIDENCE: This inspection found that residents have individual care plans, which evidenced that health care professionals have seen residents in relation to their health care needs. Resident’s files also describe their health and welfare needs. Care plans outlined risk assessments, nutritional and dependency assessments An inspection in July 06 evidenced that a resident sees a physiotherapist, which is privately funded. Resident’s files seen in this inspection confirmed that they have access to GPs, community nurses and the chiropodists. Wispington House DS0000002480.V333249.R01.S.doc Version 5.2 Page 11 One visitor confirmed that the provider has taken her relative to the hospital. and ‘that everything is done for her’. Care plans also evidenced that they have been reviewed on a monthly basis or sooner depending on changing needs. The reviews and care plans of residents had been signed and dated by the carer and the resident/representative. The questionnaires also showed that residents/relatives felt that staff are always available when they need them. It was noted that the residents were supported in completing the Commissions questionnaires by relatives. Written comments were that ‘my relative is well cared for by cheerful caring staff’ and the owners and manager are readily available’. Care plans were seen and it was found that information is available regarding resident’s likes and dislikes. This area of care planning is centred around a personal profile of a resident written by the home, which addresses the residents culture and family history. The care plan identifies preferences and those aspects of resident’s daily living requirements and expectations. Care plans have also established the intimate care needs of residents and what help they require when bathing or toileting and how their privacy and dignity can be maintained. One resident commented that ‘ I can wash myself the staff help me into the bathe and they come and get me out and dry me’. One senior carer demonstrated that she had knowledge of the homes personal care policy and confirmed that she had undertaken the induction process when she started work at this home. The homes night care records were seen for two nights and did not evidence that residents are changed and washed when required. The senior officer on duty confirmed that no record had been made for the last week of residents being changed at night. The minutes of the team meeting held on the 10/07/06 showed that there were concerns expressed that residents were not being assisted with personal care when needing this at night time. The manager has reminded the carers of their duties and the providers are to undertake night-time visits and record their findings, taking action if required. The community pharmacist visited the home on the 16/12/05 and recorded that storage and stock control is carried out appropriately and spot checks on medication records. Resident’s medication cassettes and medication sheets were seen and found to be an accurate record at the time of this key inspection. Those residents who self medicate have risk assessments, which they have signed and dated. A tour of the home found that medication was kept in a cupboard, which was not fitted with a lock. A tour of the home did not find any medication potted up in residents bedrooms. The minutes of the staff meeting dated 23/03/07 evidenced that the registered manager had reminded care staff to observe the residents taking medication and record it on the Wispington House DS0000002480.V333249.R01.S.doc Version 5.2 Page 12 medication sheets. The majority of care staff have undertaken learn direct medication training with Lincoln College. Residents questionnaires received back from the home showed that three felt that they always get the medical support that they need and one felt that she usually did. Wispington House DS0000002480.V333249.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Relatives and friends of residents are made welcome in this home by the carers. A range of stimulating activities are available to residents which they can benefit from. Choices of meals are available at this home, which are planned monthly in consultation with service users. EVIDENCE: Four residents questionnaires showed that there are activities and they are usually available and one resident felt that they are sometimes available to her. One resident commented that she goes for a walk every day and attends communion every month. She stated that she does not access other activities. The home has an activities worker who works six hours per week split between three days. The activities diary was seen and evidenced that an activity takes place on a daily basis. Photographs were seen in the dining room showing Easter parade bonnets had been made by residents. Residents at lunch Wispington House DS0000002480.V333249.R01.S.doc Version 5.2 Page 14 commented that they enjoyed making the bonnets and that they had great fun on the day. One the day of this visit a planned residents meeting was held. One resident stated that she had attended this meeting and the last meeting on the 23/05/06. She confirmed that she feels enabled to voice her views about issues affecting her care. The notice board evidenced that the provider wanted suggestions from residents for a venue for the planned holiday this summer. In the July 06 inspection the manager confirmed that she took three residents to Norfolk for three days. Both Visitors confirmed that they are made welcome at the home and said that they are regular visitors. One resident confirmed that she makes refreshments for her visitors in her own kitchen. The senior carer on duty confirmed that residents are taken out for walks into the village when the weather is nice. Two residents stated that there are activities in the home and occasionally join in if they feel they want to. Resident’s questionnaires evidenced that one always liked the meals and three usually liked the meals. The regulator asked five residents during lunch about the quality of the meals. They all commented that the meals are very good and a choice is available. The cook confirmed that she was aware of resident’s dietary needs and has a list of their likes and dislikes. Wispington House DS0000002480.V333249.R01.S.doc Version 5.2 Page 15 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. Residents are kept safe by good policies, procedures and staff knowledge. Staff are aware of how to respond to a complaint or an adult protection allegation. EVIDENCE: The home has displayed the service users guide, which contains the homes complaints procedures in the main entrance. The home has a detailed complaints procedure. The homes pre-inspection questionnaire evidenced that one anonymous complaint had been made since the last inspection. The complaint related to medication being left in resident’s bedrooms. The provider investigated this complaint and has written to the commission with their findings. This complaint was substantiated. Resident’s questionnaires recorded overwhelmingly that they were aware of how to make a complaint and knew who to speak to if they were unhappy. The homes pre-inspection questionnaire showed that safeguarding vulnerable adults training has been undertaken on October 05 with further training planned for 2007. Wispington House DS0000002480.V333249.R01.S.doc Version 5.2 Page 16 Previous visits have found that the home has Lincolnshires Adult protection procedures, as well as the homes whistle blowing policy. The senior carer on duty confirmed that she would inform the manager if she had any concerns regarding the treatment of residents. On the 08/03/07 a case conference was held regarding an anonymous allegation of an abuse. There was no evidence of abuse, however a number of good practice recommendations were made. Both residents seen stated that they feel safe at this home, with one commenting that ‘if I wish I can lock my door’. Wispington House DS0000002480.V333249.R01.S.doc Version 5.2 Page 17 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): 19,26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are satisfactory standards of décor and general maintenance within the home, and there are good standards of hygiene and cleanliness. Individual residents are at risk from the busy main road due to inadequate safety provision. EVIDENCE: The home has a maintenance record which records work that has been undertaken since the last inspection. The fabric of the home was seen to be in very good repair both internally and externally. Bedrooms were personalised and one resident stated that she liked living in her flat. Wispington House DS0000002480.V333249.R01.S.doc Version 5.2 Page 18 Previous visits in July 06 and September 06 did not find that action had been taken to ensure that residents would not get to the busy main road, through the open and unfenced garden. The condition of registration stated that ‘the garden is not enclosed or secure a risk assessment must identify how residents are to be kept safe. It was the understanding of the commission that a fence would be erected, which would be in keeping with the home and would provide a safe barrier for residents. The registered manager stated this would be reviewed and further information sent to the commission. The home employs three domestic workers who each work 20 hours per week. The training file did not evidence that the domestic workers had undertaken any training on infection control. Residents and visitors alike said that the home is clean and there are no unpleasant smells. Staff were seen throughout the visit to be wearing protective clothing when supporting residents with their personal care needs. No unpleasant odours were detected during this visit. The residents survey was overwhelming in that they confirmed that the home always smells nice and is clean and tidy. Visitors seen on the day confirmed that the home is free of unpleasant odours. One resident commented that ‘the home is always very clean I have no grumbles at all’. Wispington House DS0000002480.V333249.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 Good. This judgement has been made using available evidence including a visit to this service. Adequate staff numbers are on duty to meet the needs of residents during the day and night at this home. EVIDENCE: Two care workers personnel files were seen and evidenced that appropriate checks are undertaken for the safeguarding of residents. The home has distributed to all carers The General Social Care Council Codes of Practice, which sets out responsibilities as care workers looking after vulnerable adults. A senior carer confirmed that the recruitment procedures of the service were clear about what was involved at all stages and was robust in the following of its procedures. The administrator confirmed that procedures relating to the recruitment of new staff had been undertaken as required by law. The homes pre-inspection questionnaire showed that mandatory training is undertaken as well as training relating to the care of residents who have dementia. Training has also been highlighted for 2007, which includes moving and handling, first aid and safeguarding vulnerable adults. Certificates seen at Wispington House DS0000002480.V333249.R01.S.doc Version 5.2 Page 20 this inspection confirmed that professional trainers had undertaken some of the training. The homes pre-inspection questionnaires evidences that over 50 of carers have NVQ (National Vocational Qualifications) which means that the home meets the ratio of 50 of care staff trained to level 2. It was also evidenced that Skill For Care induction training is also undertaken with all new carers who do not have an NVQ qualification. The questionnaire completed by residents showed that they felt that they receive the care that they need and staff are available when they need them. One resident stated ‘if I ring my buzzer staff come straight away’. The homes pre-inspection questionnaire and the rota evidenced that there are nineteen care staff and five ancillary workers. Both owners work in the home and their son in law is the homes administrator. The duty rota showed that adequate staff numbers are on duty to meet the needs of residents during the day and night shift. A senior carer was of the opinion that there are enough staff and that they spend time with residents especially in the mornings. The administrator confirmed that there is extra staff cover from 5:00 pm to 7:00 pm. Wispington House DS0000002480.V333249.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): 31,33, 35, & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Management approaches and arrangements are in place to ensure the health, safety and welfare needs of residents are met. EVIDENCE: The manager has the Registered Managers Award in management and has also completed her NVQ level 4 in care. She has been a qualified nurse for twentysix years and worked in residential care for twenty-two years. She was able to demonstrate during past inspection visits a sound knowledge base as to running a care home and was seen to have a caring attitude to the residents. Wispington House DS0000002480.V333249.R01.S.doc Version 5.2 Page 22 Positive comments were received from residents, visitors and carers alike regarding the way in which the manager runs this establishment. The minutes of the last residents meeting held in February 07 was seen and showed that residents are empowered to voice their opinions and the manager addresses any concerns. The minutes also show that residents are asked about the running of the home and how things could be made better. The home has sent out ‘next of kin & family questionnaires and seven have been returned. Two were picked at random and it was found that positive comments were received. Written comments were ‘full praise to the providers and all staff. The best care I have ever seen in a very friendly home’. ‘I would just like to say how pleased our family is that mum is in a beautiful home with caring staff’. The home does not handle any of the resident’s monies. All payments are made by direct debit or standing order. Personal allowances are kept by residents themselves or their relatives. Both residents and visitors confirmed that either the family or in some cases a resident deals with their own finances. There are a range of policies and procedures available in the home relating to fire safety and fire risk assessments. The homes pre-inspection questionnaire evidenced that fire alarm, fire drills and emergency lighting checks have been undertaken. Care staff also receive fire training as part of the homes initial training and as a regular training event. Wheelchairs that were in operation were seen to have footrests in place. Wispington House DS0000002480.V333249.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 2 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 2 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Wispington House DS0000002480.V333249.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? yes 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 OP19 Regulation 13 (4)(a)(b)( c) Requirement The registered person must ensure that; all parts of the home to which service users have access are so far as reasonably practicable free from hazards to their safety. This requirement is only partially met and another timescale has been set. Medication must be kept in a locked facility for those residents who self medicate to ensure that it is kept safe from other residents. Records must be kept relating to intimate care provided to resident at night to ensure that these needs are addressed. Domestic workers must receive training relating to infection control to ensure that they are fully trained to have knowledge of and combat possible infection. Timescale for action 25/06/07 2. OP9 13(2) 25/06/07 3. OP10 12(4)(a) 25/06/07 4. OP26 13(3) 25/06/07 Wispington House DS0000002480.V333249.R01.S.doc Version 5.2 Page 25 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Wispington House DS0000002480.V333249.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Wispington House DS0000002480.V333249.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!