Inspection on 14/01/08 for Woodbury Court

This inspection was carried out on 14th January 2008.

CSCI found this care home to be providing an Good service.

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

Other inspections for this house

Woodbury Court 17/01/07

Woodbury Court 12/01/06

Woodbury Court 04/08/05

Woodbury Court 15/10/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Woodbury Court Tavistock Road Laindon Basildon Essex SS15 5QQ Lead Inspector Sharon Thomas Unannounced Inspection 14th January 2008 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Woodbury Court DS0000061614.V357839.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. Woodbury Court DS0000061614.V357839.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodbury Court Address Tavistock Road Laindon Basildon Essex SS15 5QQ 01268 564230 01268 564231 woodbury.court@runwoodhomes.co.uk www.runwoodhomecare.com Runwood Homes Plc 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) Ms Karen Allen Care Home 93 Category(ies) of Dementia - over 65 years of age (66), Old age, registration, with number not falling within any other category (27) of places Woodbury Court DS0000061614.V357839.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th January 2007 Brief Description of the Service: Woodbury Court is a purpose built two-storey establishment, which accommodates 93 older people. The home has surrounding grassed areas, a secure patio area and a large car park. The 1st floor and part of the ground floor accommodates residents with dementia. Another unit on the ground floor accommodates residents over the age of 65 years, whose difficulties may be more physical. All bedrooms are single and have en suite facilities. Laindon town centre is situated near to the home. Woodbury Court has a statement of purpose and service users guide available. Information about the home and most recent inspection report are available to residents/visitors in the homes lobby area and in the visitor’s area of the home. The home charges between £520.00 and £570.00 a week for the service they provide. There are additional charges for chiropody, hairdressing, personal items and newspapers/magazines. This information was given to us in January 2008. Information about the home can be obtained by contacting the manager. Inspection reports are available from the home and from the CSCI website www.csci.org.uk Woodbury Court DS0000061614.V357839.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This unannounced site visit inspection was undertaken on 10th January 2008, and focused on all of the Key standards. The inspection took a total of 6 hours to complete and was carried out by two inspectors from the Commission for Social Care Inspection (CSCI). The registered manager is due to leave this service to manage another service within the organisation and is currently inducting the newly appointed manager into post. The evidence contained in this report was gathered from discussions with the manager, people living in the home, staff and relatives, a visit to the home, observation of residents interaction with staff, questionnaires completed by people living in the home, their relatives and professionals visiting the home and information contained in the Annual Quality Assurance Assessment (AQAA) sent by the provider to the Commission for Social Care Inspection (CSCI). During the site visit we had the opportunity to speak with two relatives visiting the home, seven people living in the home and six members staff. There was also a tour of the premises. On the day of our visit the atmosphere in the home was relaxed warm and welcoming and we were given every assistance from the manager and the staff team to undertake the inspection visit. The people living in the home who spoke with us praised the staff team and the homeliness of Woodbury Court and said…”I really feel like this is home”, “the staff are so kind and make me feel relaxed”, and “the home is always warm and welcoming I can’t wait to get back when I go out”. What the service does well: The information held in the home about peoples’ needs and wishes is well written and understandable so that staff can deliver a high standard of care. Care staff are friendly and work well as a team. Senior staff provide good support to the manager and are well informed of what care people need. People living at Woodbury court enjoy a good programme of activities that provides them with a fulfilling lifestyle. Woodbury Court DS0000061614.V357839.R01.S.doc Version 5.2 Page 6 The menu in the home provides people with a well-balanced and varied diet. Staff provide good home cooked food that is enjoyed by people living in Woodbury Court. The team, regardless of their role within the home all appear to be active in improving the quality of care. The service carries out a comprehensive assessment of needs for those people thinking of going to live there. Staff receive good training and support that helps them to improve the standards of care for the people living in Woodbury Court. What has improved since the last inspection? What they could do better: There are some minimal medication recording issues that need to be addressed. These issues need to be monitored by the management. Documents relating to complaints must be filed accurately. Woodbury Court DS0000061614.V357839.R01.S.doc Version 5.2 Page 7 The staff induction process must be clearly documented and show what training staff have undertaken before and during their probationary period. 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. Woodbury Court DS0000061614.V357839.R01.S.doc Version 5.2 Page 8 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 Woodbury Court DS0000061614.V357839.R01.S.doc Version 5.2 Page 9 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): 3 and 6: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People choosing to live at Woodbury Court receive sufficient information about the home, it aims and the services it provides, and they may be confident that their needs will be assessed before moving in. EVIDENCE: The policies and procedures of the home provide evidence that it meets the requirements expected for the admission of any new person choosing to live there. A statement of purpose, service users guide and the last inspection report is available to people and their relatives before visiting the home. The manager reported that the senior staff undertake the task of assessing people with an interest in living in Woodbury Court. The AQAA states that a needs assessment is completed for all new prospective residents before they move into the home to make sure that the service can meet their needs. The Woodbury Court DS0000061614.V357839.R01.S.doc Version 5.2 Page 10 admission assessment document is very substantial, with questions across a variety of aspects of an individual’s lifestyle that gives a wide view of the individual and how the service will need to support them. The plans of care for two of the newest admissions into the home were examined and these had all of the information that you would expect to see for a successful admission. National Minimum Standard 6 does not apply, as the home does not offer intermediate care. Woodbury Court DS0000061614.V357839.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s health, personal and social care needs are well met. The home has a documented plan of care that the person, or someone who knows them, has been involved in making. People can be confident that they will be cared for in the way in which they wish. The medication systems used in the home are safe and protect the people who live there. EVIDENCE: The previous inspection report required the home to improve the care plans that they use. Upon examination of the documentation held in the home it is evident that the manager and staff team have worked very hard to improve the quality of the information contained in the care plans and are to be commended for their efforts. There is a care plan in place for each person along side a good standard of risk assessments. There is evidence that consultation with the person takes place and that their choices are included in the plan of care. These documents are signed by the individual or their relative to show that the care that is to be provided, is agreed upon. Looking through Woodbury Court DS0000061614.V357839.R01.S.doc Version 5.2 Page 12 care plans it is evident that specialist needs are catered for and that appropriate equipment is provided, and in place for those individuals that need it. Care plans contain sufficient detail that makes sure that staff will be able to support people in ways that they prefer. There is a good system in place to monitor people who fall; experience pressure sores and have other health related issues. All residents have access to a GP, district and community nursing, chiropody, optician, audiologist and dental practices. Medication is stored within lockable cabinets. Controlled drugs are being maintained in accordance with agreed procedures. Record sheets have been correctly recorded and signed for with the exception of two gaps in recording. In response to the previous inspections requirement the home has an additional member of staff in place to assist with the administration of medication. Staff spoken with around medication issues and systems are experienced, professional and competent. Staff who administer and stock and check medication are all fully trained to do so. The AQAA states that all staff dealing with medication have completed a training course and are competent in the administration of medication. Records examined confirm that staff have received training around the safe storage and administration of medication. The home’s system for checking, monitoring, ordering, disposal and booking in of and accounting for medication are all to a good standard. The manager states in the AQAA that people are treated with respect at all times and are addressed by staff by their chosen name. Observations on the day of the inspection confirm that staff are courteous and treat people with respect. Staff spoken with demonstrate a positive attitude and a real affection for the people they are caring for. Staff confirmed to the inspectors what respect and dignity meant in a care setting and they are fully committed to this aspect of care. People spoken with said …”the staff are very gentle and caring” and …”they always treat me with a great deal of respect”. Woodbury Court DS0000061614.V357839.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. Each person is treated as an individual and Woodbury Court responds to their religious, social and cultural needs on a daily basis. The home supports people to follow their personal interests and activities. Visitors are warmly welcomed into the home. The home provide people with a well-balanced and nutritious diet that offers choices. EVIDENCE: The home’s activity programme offers a variety of social activity that is suitable to the needs of the people living there for example bingo, board games, and reminiscence for people with dementia, craft sessions and sing-along sessions. The care plans sampled detailed the social and leisure needs of the individual. We saw people spending time in various parts of the home, communal areas and in their bedrooms. People spoken with said that the home provides a variety of activities in line with what they enjoy doing. One person said, …“I like watching other people playing the games” …”I prefer not to do the things that they do here but I like the bingo ”, one relative commented …”my [Mum] has lots of things to keep her occupied and she seems to enjoy herself”. Woodbury Court DS0000061614.V357839.R01.S.doc Version 5.2 Page 14 We observed carers spending time with people doing art activities and playing quoits. One carer encouraged a group of people to join in with a game throwing hoops over pegs and the carer tried to involve as many people as possible, going round and supporting them in turn. There was music in the background, songs from the 40s and 50s, and some people were joining in with the songs. A carer talked about bingo with one person and asked others if they wanted to join in the activity. The activities planner is displayed on the notice board and shows the range of structured and individual activities that are available, including arts & crafts, music sing-along, hand massage & nail care, painting, jigsaws, bean bag target games and cookery. The planned activity taking place was musical bingo. One of the activities co-ordinators spoken with said, as well as the organised group activity, they do one-to-one activities with people, sometimes in the sensory room where people can relax. One person in the home writes books, reminiscences and articles and they have just set up a poetry group. People living in Woodbury Court say that their relatives can visit at any time, and they can meet with them in the privacy in their bedrooms. A visiting relative spoken with said they are “happy with the home” and “there seems to be plenty to do”. There are planned quarterly residents’ meetings and the minutes of the most recent meeting are displayed on the board. People in the home and relatives are invited to a ‘happy hour’ every Friday for drinks, music and a sing-along. The home arranged a monthly communion service and representatives of other faiths attended the home as requested. Religious activities include a fortnightly bible class and monthly church service. The home encourages people to maintain links with the local community. A carer explained that they have regular visits from the local school. Every fortnight people come in with a ‘patting dogs’ scheme and there are details of a telephone befriending service displayed on the notice board. Peoples’ rooms were seen and are personalised, showing that people could bring their personal possessions into the home with them. All rooms had locks and people are able to have keys to their room should they so wish. People spoken with said they were provided with choices in their daily lives (e.g. time in getting up, going to bed, where and what they ate, where they spent their time, etc.) People’s care files had information regarding their nutritional needs and dietary preferences, and the staff spoken with are fully aware of these. Kitchen staff spoken with showed that good practice regarding health and safety, hygiene and nutritional awareness is in place and that they are aware of individual’s needs. The home has a varied and nutritional menu with fresh fruit and vegetables provided each day. The kitchen is well maintained and food stocks Woodbury Court DS0000061614.V357839.R01.S.doc Version 5.2 Page 15 are plentiful. Food stocks examined confirm that a variety of food is available including fresh and frozen vegetables and fresh fruit. The meals provided are to a high standard and offered people a choice of appealing home cooked meals. Liquidised food is provided for people who have difficulty swallowing or chewing their food. The menu of the day was observed displayed on the notice board in a dining room. Relatives and people who completed surveys said, …“We have good food” …“I like the food” …“they will always have snacks at times suitable to people”. A relative spoken with said that their relative enjoys the food. The kitchen is clean and well organised with appropriate cleaning schedules in place that are adhered to. Woodbury Court DS0000061614.V357839.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in Woodbury Court know who to complain to and can be confident that the home takes complaints seriously. and The home safeguards people from abuse and takes the correct action if and when an allegation is made. EVIDENCE: The home has a complaints procedure that is included in the statement of purpose and service user guide and displayed in the reception area of the home. Feedback received from relatives indicated they knew there was a complaints procedure and who to refer to if they had a complaint. One said they had no issues of concern and another …“the staff deal with any issues quickly”. The complaints log was examined and some complaints had been received since the previous key inspection. The written information in the log was clear and gave an account of what the complaint was, what action the home took and the overall outcome of the complaint. However some of the information from different complaints were not filed correctly and this could result in the breaking of confidentiality issues. From discussion with the manager it was evident that any issues would be investigated and appropriate action would be taken as relevant. A visiting relative said that the family were given all the information they need and they would know how to make a complaint if they need to. Woodbury Court DS0000061614.V357839.R01.S.doc Version 5.2 Page 17 The home has a policy and procedures for safeguarding vulnerable adults and a whistle blowing procedure. The records confirmed that all care staff had received training in safeguarding adults in their care. From discussion with the manager it was evident that any allegations of abuse made would be appropriately referred and relevant procedures followed. There had been no allegations of abuse made since the previous inspection. The AQAA states that all staff are aware of the safeguarding adults process and how to respond to any form of suspected abuse. The recruitment process is thorough and Criminal Record Bureau Checks are obtained before employing staff. Staff training records confirm that staff have received training around safeguarding matters. Staff spoken with are able to show an awareness of their responsibilities around safeguarding vulnerable people in their care. Woodbury Court DS0000061614.V357839.R01.S.doc Version 5.2 Page 18 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 and 26: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Woodbury Court provides people with a well maintained home that is clean and warm, making it a safe and comfortable place in which to live. EVIDENCE: Woodbury Court is a large detached property that has been built to meet the needs of older people. The building is well maintained and decorated and furnished to a good standard. A partial inspection of the premises was made that included communal areas, all of the bathrooms, a number of individual bedrooms, the kitchen and the laundry. The home provides a secure, friendly and homely environment and people appear happy with their surroundings. Records provided evidence that the building complied with the requirements of the local fire and environmental health department. Peoples’ comments regarding the environment included, …“staff always keep the house clean and Woodbury Court DS0000061614.V357839.R01.S.doc Version 5.2 Page 19 tidy” and “the staff clean the home and it always smells nice” …”the home is well furnished and cosy”. In response to a previous CSCI requirement the home has put forward two members of staff who attend infection control training and bring this knowledge back to the staff team for their benefit. The AQAA states that the home has …“good maintenance in place, general and deep clean schedules in place”. There is a full time handy man to carry out minor repairs and there is a set of very good maintanence and safety check records in place in the home. The manager said the records are checked weekly to ensure work is completed. A tour of the premises confirmed that there is a good standard of cleanliness throughout the home. Staff are given training on infection control and are provided with specific clothing that makes sure that they are protected when carrying out their work. Woodbury Court DS0000061614.V357839.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have safe and appropriate support as there are enough competent staff on duty at all times. EVIDENCE: The staff rota received after the site visit reflected that the home was providing the correct level of staffing based on the home’s assessment of people’s needs. The home had an appropriate number of day care and night care staff and additional numbers were on duty during busy periods. The home does not use agency staff to cover absence as it will use a member of the permanent staff team or a member of the bank staff ready to work on stand by, this results in people being cared for by a consistent team of carers. Three members of staff spoken with said they are supported to do National Vocational Qualifications (NVQ). Two have completed the award and one has just started. The training matrix shows that out of a total of 53 care staff, 20 have completed NVQ at level 2 and a further nine are in the process of undertaking the award. The recruitment process used in Woodbury Court is rigorous. The personnel files of two recently employed staff were inspected. Both had evidence that the required checks had been obtained (two satisfactory references, CRB/POVA checks) and copies of birth certificates, passports, and photographs obtained Woodbury Court DS0000061614.V357839.R01.S.doc Version 5.2 Page 21 before the individual’s commenced employment at the home. All had received a statement of terms and conditions of employment. Staff spoken with said …”I could not start work until all my checks had been done”, …”all staff have to have checks carried out and no one is allowed to start work until they have been done”. A further four personnel records examined confirm that the recruitment process is robust enough to ensure people living in the home benefit from appropriately recruited staff. The files are well organised, all contain a photograph of the staff member, two written references, job description, employment history and relevant proofs of identity. The files contain a ‘Recruitment Process Checklist’ that is completed by interviewers to ensure they meet the regulatory requirements as set out in Schedule 2. The manager reported that all staff recently employed had completed the Skills for Care Common Induction Standards; records were inspected and were found to be confusing. They did not clearly state the path that the member staff had taken during their induction. The home had an established training programme. Staff training certificates are kept in the individual personnel files. Records viewed confirmed that all staff had completed training on Protection of Vulnerable Adults. Staff spoken to said…”the training I have had is great, and I find any training very helpful to me” …”the training is up to date and I go on all that is offered to me”. A further three members of staff spoken with all made positive comments about training; one said the training is, “really superb”. One said they have had training including Manual Handling, First Aid and dementia training and they also have completed NVQ2. An up to date training matrix shows that the home provides a range of training that includes Dementia, Practical Fire Safety, First Aid, Food & Hygiene, Heath & Safety, Infection Control, Moving & Handling, NVQ2, NVQ3 and Protection of Vulnerable Adults. Personnel records examined confirm that staff receive a range of training that results in the staff being able to give safe and appropriate care to people living in the home. Staff are sent written instructions when they have been booked on any training explaining that it is compulsory to attend. Woodbury Court DS0000061614.V357839.R01.S.doc Version 5.2 Page 22 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 and 38: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Woodbury Court is competently managed and run in the best interests of the people who live there. Good health and safety standards are maintained that promote and protect the people living and working there. EVIDENCE: The manager runs the home in a calm, competent and efficient manner. The staff confirm that they are confident in her skills and find her accessible and approachable. The registered manager had substantial experience in care and has been employed as manager since the home opened. The manager is undertaking an NVQ level 4 Registered Manager award qualification and is planning to finish this by mid 2008 she and has undertaken some updated training. Woodbury Court DS0000061614.V357839.R01.S.doc Version 5.2 Page 23 The home has an established quality assurance system in place that is supported by Runwood Homes. The home is in the process of producing a written report and a copy will be sent to the CSCI when this is available. The people living in the home, relatives and staff are involved in the user surveys and the information gathered from those surveys has been used to enhance the quality of life within the home. The manager confirmed that for the majority of people, their relatives or solicitors are responsible for the management of their funds with the home holding only personal allowances for individuals. The accounts and records for four people’s personal allowances was examined during the visit. The accounting system for these was accurate and well maintained. The records relating to the maintenance of equipment such as lifts, fire equipment and electrical supplies were examined and were accurate and up to date. The service provides health and safety training as part of the annual training planned for each staff member and staff were aware of their responsibilities in maintaining the health and safety of themselves, their colleagues and the people living in the home. Woodbury Court DS0000061614.V357839.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 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 Woodbury Court DS0000061614.V357839.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard OP9 Regulation 18 (a) Timescale for action The medication administration 14/01/08 records used in the home must be accurate and up to date at all times, a system of monitoring this should be considered. Requirement RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP16 Good Practice Recommendations Complaint records held in the home should be filed in the appropriate files to ensure that issues of confidentiality are upheld. 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