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Inspection on 11/01/07 for Woodbank House

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

This inspection was carried out on 11th January 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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

There is a lively and friendly atmosphere within the home. During the visit residents were observed to be following their preferred routines. Residents confirmed that the routines within the home were flexible; one commented, " I can do as I wish". A good programme of activities was in place for residents who wished to take part. Residents were happy with the level of activities provided in particular visiting the local trades and labour club on a regular basis. `Music for health` sessions had recently commenced at the home. Residents were enjoying this addition to the planned activities. The menu was varied and a balanced diet was provided to maintain residents health. The home has recently been awarded a `certificate for excellent standard of hygiene` in recognition of the standards of hygiene and food hygiene practices within the kitchen. Residents spoken to felt able to talk to the staff or managers should they have any concerns in relation to their care. Residents continue to benefit from the management approach of the home. The staff said that there was good teamwork, which promoted a relaxed and friendly atmosphere.

What has improved since the last inspection?

The care plan format has been updated. The information seen was detailed ensuring that the care needs of the residents could be fully met. The staff responsible for administering medication was being supervised on a regular basis, to ensure that medication was being administered appropriately. The water temperatures in the home had been checked and adjusted. Water temperatures were checked weekly, promoting a safe environment for residents. Since the last visit all staff had received adult protection and infection control training. The manager had continued to develop the quality assurance system. The assistant manager had commenced medication audits weekly health and safety audits were taking place.

CARE HOMES FOR OLDER PEOPLE Woodbank House 317 Chesterfield Road Sheffield South Yorkshire S8 0RT Lead Inspector Jayne Barnett – Middleton. Key Unannounced Inspection 09:35 11th January 2007. 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 Woodbank House DS0000003031.V312411.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. Woodbank House DS0000003031.V312411.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodbank House Address 317 Chesterfield Road Sheffield South Yorkshire S8 0RT 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) 0114 255 1822 0114 250 7004 none Mrs Jacqueline Margaret Byron Mrs Eileen Byron Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places Woodbank House DS0000003031.V312411.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. One service user, named on the variation application form dated 5.11.03 and who is under the age of 65, may live at the home. The service may admit persons between the ages of 60 and 65 years. Date of last inspection 21st February 2006 Brief Description of the Service: Woodbank House is registered to provide residential care for twenty six older people. It is privately owned. The home is situated in a residential area of Sheffield with easy access to public transport, shopping centres, pubs, post office and clubs. The home is a two storey older property. Access is provided by a lift to upstairs rooms. There are fourteen single bedrooms and six double rooms. There is a large well-kept garden to the rear of the property and a car park. The fees for care at the home at 19th September 2006 are between £303 and £325 per week. Items not covered by the fee include newspapers, hairdressing and private chiropody. The homes statement of purpose and service user guide is available. Woodbank House DS0000003031.V312411.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection conducted by Jayne Barnett-Middleton. Prior to the visit contacts made to The Commission For Social Care Inspection, the homes service history and a pre-inspection questionnaire were examined. Ten service user questionnaires were sent to residents prior to the visit, of which three were returned. A fieldwork visit took place from 9.35 am until 15.45 pm. Opportunity was taken to make a tour of the premises, inspect a sample of records including care plans, residents’ finances and staff recruitment files. The inspector spoke in detail to the manager, assistant manager and the staff on duty about their knowledge, skills and experiences of working at the home and to five of the residents about their views on aspects of living at the home. The inspector wishes to thank the managers, staff and residents for their assistance and time throughout the inspection process. What the service does well: There is a lively and friendly atmosphere within the home. During the visit residents were observed to be following their preferred routines. Residents confirmed that the routines within the home were flexible; one commented, “ I can do as I wish”. A good programme of activities was in place for residents who wished to take part. Residents were happy with the level of activities provided in particular visiting the local trades and labour club on a regular basis. ‘Music for health’ sessions had recently commenced at the home. Residents were enjoying this addition to the planned activities. The menu was varied and a balanced diet was provided to maintain residents health. The home has recently been awarded a ‘certificate for excellent standard of hygiene’ in recognition of the standards of hygiene and food hygiene practices within the kitchen. Residents spoken to felt able to talk to the staff or managers should they have any concerns in relation to their care. Residents continue to benefit from the management approach of the home. The staff said that there was good teamwork, which promoted a relaxed and friendly atmosphere. Woodbank House DS0000003031.V312411.R01.S.doc Version 5.2 Page 6 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. Woodbank House DS0000003031.V312411.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 Woodbank House DS0000003031.V312411.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3. The home does not offer intermediate care. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to the service. Resident’s needs were assessed prior to their admission, confirming that the service was appropriate to meet the residents individual needs. EVIDENCE: Three care plans were checked all of which contained a full needs assessment, which had been carried out by an appropriate professional, prior to a placement being offered. The staff from the home also visited prospective residents to carry out a homes assessment, enabling staff to formulate a plan of care and confirming that the service was appropriate to meet the residents’ individual needs. Residents and their relatives were invited to look around the home, stay for a meal and meet residents and staff, before they moved in to help them decide if it was the right place for them. Six weeks after admission to the home, residents and their representatives were given the opportunity to discuss their care and to confirm that their care needs were met. Woodbank House DS0000003031.V312411.R01.S.doc Version 5.2 Page 9 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 at least once during a 12 month period. 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 from evidence gathered both during and before the visit to the service. Residents’ individual needs were assessed and their changing needs were reflected in their plan of care. Risk assessments were in place, which identified the individual risks that were presented to residents and the care that staff needed to provide to promote the residents safety and wellbeing. Resident’s physical and emotional needs were met. There was evidence that a range of healthcare professionals regularly visited the home to meet the resident’s healthcare needs. In general the procedures for the safe storage and administration of medication in place, protected the health, safety and welfare of the residents. Woodbank House DS0000003031.V312411.R01.S.doc Version 5.2 Page 10 EVIDENCE: Three care files were checked all of which were detailed and included the residents physical needs, emotional needs and medical history. Risk assessments had been devised for all residents. Those checked identified the individual risks that were presented to residents on a daily basis including falls, nutrition and moving and handling. The residents care needs had been reviewed at least monthly with the involvement of the resident, where able to. Information provided prior to the visit demonstrated that residents had good access to a range of healthcare professionals including their general practitioner, optician and district nurses. Residents spoken to during the visit said that their healthcare needs were met. One described in detail of the support that they needed due to their health commenting ‘ the staff are good to me, I only have to ask for help and they come’. Three residents, via the survey, said that they usually or always received the care and support that they needed. Residents were observed to be cared for in a manner that respected their privacy and dignity. Residents seen were clean, appropriately dressed and it was evident that residents who required help to wash and dress had been assisted with this in a manner that respected their dignity. The staff described how they promoted the residents dignity for example knocking on residents bedroom doors prior to entering, and detailing the practices that they carried out when assisting residents with their personal care. Medication was checked on a sample basis. Since the last visit the assistant manager had commenced monthly audits of the medication. The staff responsible for administering medication were also being supervised on a regular basis, to ensure that medication was being administered and signed for appropriately. In general the systems in place for recording the receipt of medication received were good. However, some medication, received in the monitored dosage cassettes, was not consistently being signed for when received. When the premises were checked one prescribed cream was being stored in an unlocked cupboard, potentially compromising the safety of the residents. This was securely stored, at the time, by the assistant manager. Woodbank House DS0000003031.V312411.R01.S.doc Version 5.2 Page 11 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 at least once during a 12 month period. 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 from evidence gathered both during and before the visit to the service. The routines within the home were varied and flexible which met the residents’ individual needs, promoting their choice and independence. Social activities were planned for residents who wished to participate. Residents were encouraged to maintain contact with their family, friends and the local community as they wished, enabling them to continue to be included in community and family life. The mealtimes observed were relaxed and unhurried. A good choice of menu was offered and special dietary needs were catered for, promoting the resident’s health and wellbeing. Woodbank House DS0000003031.V312411.R01.S.doc Version 5.2 Page 12 EVIDENCE: There is a lively and friendly atmosphere within the home. During the visit residents were observed to be following their preferred routines. The majority of residents were spending time in the lounge areas provided either watching television, socialising with other residents or taking part in a music to movement session. Residents confirmed that the routines within the home were flexible; one commented, “ I can do as I wish”. A good programme of activities was in place for residents who wished to take part. Planned events included Bingo, professional entertainment, shopping trips and regular outings to the local countryside. The assistant manager said that ‘music for health’ sessions had recently commenced at the home and that residents were enjoying this addition to the planned activities. Residents spoken to said that they were happy with the level of activities provided commenting that the enjoyed the bingo, card games and in particular visiting the local trades and labour club on a regular basis. Three residents, via the survey, said that there was always or usually enough activities available at the home. Residents confirmed that they were able to see their visitors in private. Those spoken to said their visitors could come at any time, and that the home helped them maintain contact. The menu was varied and a balanced diet was provided to maintain residents health. Choices were offered on a daily basis. The cook said that they did spend time with residents, at the time of their admission, to discuss the menus their dietary needs, likes and dislikes and preferred portions. The lunchtime meal observed was relaxed and unhurried. The staff was supporting residents who needed assistance to eat in a discreet and sensitive manner. The meals served were well presented and looked appetising. The home had recently been awarded a ‘certificate for excellent standard of hygiene’ in recognition of the standards of hygiene and food hygiene practices within the kitchen. In general residents spoken to during the visit were happy with the quality of food provided commenting “its very good, we get a good choice” and “ I only have to tell the staff if I don’t like what is on offer”. Three residents, via the survey, said that they usually enjoyed the meals provided. Woodbank House DS0000003031.V312411.R01.S.doc Version 5.2 Page 13 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 inspected at least once during a 12 month period. 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 from evidence gathered both during and before the visit to the service. The residents were confident that any concerns or complaints would be listened to and dealt with appropriately. The homes adult protection policy and procedure promoted the protection of residents from harm or abuse. EVIDENCE: Since the last inspection no complaints have been to the Commission For Social Care Inspection or to the home. Resident meetings were held at regular intervals, giving them the opportunity to voice any concerns that they may have. Residents spoken to during the visit said that they had no complaints. All said that they felt able to talk to the matron or managers should they have any concerns in relation to their care. One relative, via a survey, commented that they had no complaints yet felt that the managers were approachable should they ever need to complain. Three residents, via the survey, said that they knew how to complain. Two commented that had never had any complaints as ‘I just have to ask the staff’ Woodbank House DS0000003031.V312411.R01.S.doc Version 5.2 Page 14 The home had an adult protection policy and procedure and the Department of Health Guidance No Secrets. Since the last visit all staff had received adult protection training. All staff spoken to had a good knowledge of the types of abuse that may occur and the action that they would take to protect the residents. The home had made no referrals to the protection of vulnerable adults register since the last inspection. Woodbank House DS0000003031.V312411.R01.S.doc Version 5.2 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is Good. This judgement has been made from evidence gathered both during and before the visit to the service. The environment within the home was well maintained and clean, providing a comfortable environment for residents to live. All areas of the home were accessible. Homely touches had been provided to create a comfortable environment. Communal areas were well maintained, and residents’ bedrooms were well decorated and personalised. EVIDENCE: The building was clean and free from offensive odours. There were a number of lounges and a large dining room for residents to use providing sufficient sitting and dining space. There was a pleasant garden, and garden seating was provided for residents’ enjoyment. Woodbank House DS0000003031.V312411.R01.S.doc Version 5.2 Page 16 At the previous visit water temperatures at sink outlets were high potentially compromising the safety of the residents. Subsequent to the inspection the manager informed the Commission for Social Care Inspection that the water temperatures in the home had been checked and adjusted. The manager said that water temperatures were checked weekly, promoting a safe environment for residents. Several bedrooms were seen, all of which were clean, tidy and had been personalised by the residents. Residents said that on their admission they had been able to bring small items of furniture with them enabling them to create a homely environment. Areas seen during the visit were clean, tidy and odour free. Since the last visit staff had attended Infection Control training, ensuring that they had a good knowledge of hygienic practices and managing the control of infection. Sufficient domestic staff was employed. The domestic staff said that they were provided with the appropriate equipment to enable them to main a good level of cleanliness. Three residents, via the survey, said that the home was ‘always’ clean and fresh. Woodbank House DS0000003031.V312411.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28.29 and 30. Quality in this outcome area is Good. This judgement has been made from evidence gathered both during and before the visit to the service. The ratio of staff provided was sufficient to meet the needs of the residents. A good training and development programme was in place. Regular training opportunities were available enabling staff to keep up to date with practice and changing legislation. Training records do need updating to reflect the training that the staff has undertaken. Good progress has been made in the staff achieving a National Vocational Qualification level 2 or 3 in care, enabling them to develop their knowledge and promote good care practices. The homes recruitment procedures require some improvement to fully promote the protection of the residents. Woodbank House DS0000003031.V312411.R01.S.doc Version 5.2 Page 18 EVIDENCE: Fours weeks rotas were checked which demonstrated that sufficient staff was provided to meet the general and specific needs of the residents. In the main the home had four staff on duty in the morning, three on duty on the afternoon shift and two night care staff. Residents said that, in their opinion, there was enough staff available to meet their needs commenting “ there is always someone around” and “ I only have to press my buzzer and they will come”. Three residents, via the survey, said that there was usually or always staff available when they needed them. In general residents spoke positively of the staff and the care that they received. Comments included “ they treat us well”, “ they are very good” and “ helpful”. The staff confirmed and training records demonstrated that they received regular training to meet the general and specific needs of the residents. The manager, via the pre inspection questionnaire, said that a range of training had taken place since the last visit. This included First aid, Food Hygiene, Infection Control and Adult Protection. Excellent progress has been made in the staff achieving a National Vocational Qualification in care. 60 of the staff team hold a NVQ level 2 or 3 in care. Several staff who had achieved the NVQ level 2 award were in the process of completing a level 3 award. A training matrix was in place to evidence the training that the staff had received. The matrix seen did indicate that some staff was in need of Moving and Handling refresher training. The assistant manager is qualified to train the staff moving and handling techniques and good practice. Separate records were maintained to evidence that the staff had received refresher training. The assistant manager was advised to update the training matrix to ensure that it was and accurate reflection of the training that the staff had undertaken. Three staff files were checked two of which were for staff who had recently commenced employment at the home. The files seen, for the recently recruited staff, contained the two forms of identification application form and two references. However, the staffs’ full employment history was not recorded. One file seen, for a member of staff recruited in 2004, identified that the member of staff had commenced employment at the home prior to a satisfactory Criminal Records Bureau check being received. Woodbank House DS0000003031.V312411.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38. Quality in this outcome area is Good. This judgement has been made from evidence gathered both during and before the visit to the service. Residents continue to benefit from the management approach of the home. The manager has continued to develop a formal quality assurance system. Systems to safeguard residents’ financial interests were improved. The homes policies and procedures promoted the health, safety and welfare of residents and staff. Woodbank House DS0000003031.V312411.R01.S.doc Version 5.2 Page 20 EVIDENCE: The staff spoke highly of the manager, assistant manager and the support that they received. Those spoken to felt that there was good teamwork, which promoted a relaxed and friendly atmosphere. The residents spoken to during the visit were satisfied with the care that they received and felt comfortable to talk the manager if they needed to. During the visit the manager informed the inspector that she intended to resign post in March 07 and that the assistant manager would be taking over the role as manager. The staff team said that they were sad to see the manager leave, yet were confident in the assistant managers abilities to take over the role as manager. Since the last visit the manager had continued to develop the quality assurance system. The assistant manager had commenced medication audits and the manager said that weekly health and safety audits had commenced. Residents and their relatives had been consulted, via a questionnaire, to give their opinion of the service that they received for example the activities available, quality of food and the attitude of the staff team. Information from the questionnaires did need collating and any areas of improvement identified. The manager was advised to include this information in the homes service users guide. Resident meetings were held regularly enabling them to comment on the service that they received and to suggest any ideas for improvement. The owner carries out monitoring of the service to ensure that the home is working within the law and the homes policies and procedures. Reports of these visits are sent to the Commission For Social Care Inspection and detail the areas covered, which include the environment, care planning and residents views about the service. Residents’ were able to maintain control over their finances if they wished and had the capacity to do so. The financial records of three residents’ were inspected. Written records of all transactions were maintained with a receipting mechanism and signatures. Since the last visit regular audits of residents finances had taken place. There was a secure facility for the safekeeping of monies and valuables on behalf of the resident. Information provided prior to the visit demonstrated that all major systems and equipment had been routinely serviced to promote a safe environment. Fire alarm checks were being carried out records demonstrated that staff was receiving regular fire drills. However, the records seen did require more detail to evidence the time of the drill, the type of drill that had occurred and the action taken by the staff. Woodbank House DS0000003031.V312411.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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Woodbank House DS0000003031.V312411.R01.S.doc Version 5.2 Page 22 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 OP9 Regulation 13 Requirement Records of medication received into the home must be maintained. Medicines, including prescribed ointments, must be securely stored. Staff must not commence employment at the home until a satisfactory enhanced CRB disclosure has been carried out. Staff files must include their full employment history. The reason for any gaps in employment must be recorded. Records of fire drills must detail the type of drill conducted and the action that the staff has taken. Timescale for action 31/03/07 2. 3 OP9 OP29 13 19 11/01/07 31/03/07 4 OP29 19 30/04/07 5 OP38 13 31/03/07 Woodbank House DS0000003031.V312411.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 Refer to Standard OP30 OP33 Good Practice Recommendations Staff training records should be updated to accurately reflect the training that the staff has undertaken. The results of surveys conducted should be included in the homes service users guide. Woodbank House DS0000003031.V312411.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Sheffield Area Office Ground Floor Unit 3 Waterside Court Bold Street Sheffield S9 2LR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Woodbank House DS0000003031.V312411.R01.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. 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!