Inspection on 26/06/08 for Woodcote

This inspection was carried out on 26th June 2008.

CSCI found this care home to be providing an Excellent 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

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOME ADULTS 18-65 Woodcote Western Road Crediton Devon EX17 3NH Lead Inspector Louise Delacroix Unannounced Inspection 26th June 2008 09:25 Woodcote DS0000071100.V363928.R01.S.doc Version 5.2 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 Woodcote DS0000071100.V363928.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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Woodcote DS0000071100.V363928.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodcote Address Western Road Crediton Devon EX17 3NH 01363 775068 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) woodcote@dchs.org Guinness Care and Support Ltd Mrs Angela Marie Bailey Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Woodcote DS0000071100.V363928.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: 2. Learning disability (Code LD) The maximum number of service users who can be accommodated is 6. Date of last inspection 18th April 2007 Brief Description of the Service: Woodcote is owned by Guinness Trust and provides personal care for up to six older people who have a learning disability. The home is reasonably close to Crediton town centre and is on a bus route. Access is through the grounds of Crediton Hospital, with plenty of parking. The facilities and design of the home are such that it would not be suitable for anyone with more than a minor physical disability. There are spacious communal rooms, a bedroom, kitchen, laundry/utility room, and toilet on the ground floor. The remaining bedrooms and bathroom facilities are upstairs. All bedrooms have hand basins. There is a large, pleasant and secluded accessible garden with two summerhouses. The report for the home is displayed in the dining room. The current scale of charges is £662.47 per week. General information about fees and fair terms of contracts can be accessed from the Office of Fair Trading web site at http:/www.oft.gov.uk/ Woodcote DS0000071100.V363928.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 3 star. This means the people who use this service experience excellent quality outcomes. The inspection was unannounced and lasted four and half hours. During the inspection three people living at the home were case tracked. This meant we looked at the peoples’ individual plans of care, and spoke with the staff who care for them. This enables us to better understand the experience of people living at the home. As part of the inspection process we like to ask people living, working and visiting the home their opinion on how the service is run, and so we asked for surveys to be distributed. We received four surveys from people living at the home who had help from staff to complete them, five surveys from visitors to the home and four surveys from staff, which we have incorporated into this report. The people living at the home have complex communication skills, so we observed the interaction between people and the staff to build a picture of what it is like to live at the home. The manager also completed an Annual Quality Assurance Assessment (AQAA) prior to the inspection, and we have included information from this in the report. What the service does well: The manager ensures that the home can meet the needs of prospective residents before they move in, by gathering information and inviting people to visit. Care records are up to date, well written and show that the home respects the individual needs of the people living there. Staff practice respects people’s individuality and ensures that people are helped to make decisions, and where this is not possible, the manager ensures that appropriate people are contacted to act as advocates. The home provides an excellent range of social and leisure opportunities for each person living at the home, including an annual holiday. People living at the home are supported to maintain relationships with the people that matter to them. People eat well in a relaxed and friendly atmosphere, and the routine of the home is flexible and respects the privacy of the people living there. The manager ensures that people have access to appropriate health and social professionals, whose advice is adopted by the home. Medication is well managed. Woodcote DS0000071100.V363928.R01.S.doc Version 5.2 Page 6 Relatives told us that the home provided an ‘excellent ‘ service and one person said that ‘I only wish that Woodcote had been around years ago’ and said that their relative ‘lived in a great community of people who love (them)’. Another said ‘I cannot praise Woodcote staff enough for their care and attention and giving us peace of mind’. There have been no complaints about the home, and staff are clear about their responsibility to report poor practice. Woodcote is homely and attractive with a well-kept garden, and the bedrooms reflect the personalities of the people living there. The home is clean and odour free. The staff are at the home are skilled and caring in their approach creating a relaxed atmosphere. A staff member said it is a ‘ very calm home, no hustle and bustle’. The recruitment procedures are robust and help keep people safe. The home is well run by an experienced and skilled manager, who ensures there is good communication. The home is well maintained with safety checks in place. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Woodcote DS0000071100.V363928.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Woodcote DS0000071100.V363928.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): We looked at standard 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home ensures that it can meet the needs of people moving to the home. EVIDENCE: There have been no new admissions since the last inspection. Last time we visited the home, we saw that there was good information on the file showing that the home had obtained as much information as it could prior to a prospective resident moving in. According to the home’s AQAA, the person was able to visit the home several times before they moved in. Woodcote DS0000071100.V363928.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): We looked at standards 6,7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are cared for in an individual manner by wellinformed staff, who support them to make decisions and take risks. EVIDENCE: Staff told us that they are always given up to date information about the needs of the people they care for. They told us this was through handovers, the home’s communication diary and care plans. We observed staff receiving an update as they came on duty. We looked at three care plans for people living at the home, and saw that they reflected the individual nature of each person and that they were up to date. The plans give comprehensive detail of people’s care needs and provide clear guidance to staff. There are also individualised procedures for people’s behaviour that impacts negatively on other people living and working at the home, and we saw staff adopting the approach outlined in people’s care plans. Woodcote DS0000071100.V363928.R01.S.doc Version 5.2 Page 10 We saw that the care plans are reviewed regularly, show the involvement of others and that they reflected our discussions with staff and the manager. All of the relatives or advocates that responded to our survey told us that the care home always meets the needs of the people living at the home. Comments included ‘yes, the care home meets all the needs, care and social in every way, very efficiently and friendly atmosphere’ and ‘it is home from home. Lovely local people looking after him and always cheerful’. People living at the home have complex communication needs, but we observed that staff know people well and are able to communicate effectively with them. Relatives told us about how choice is promoted and how people’s individuality is respected. One person commented that their relative ‘is not forced to partake as (my relative) would get agitated. They know (my relative) limitations’. We saw during the inspection that people living at the home were encouraged to make decisions by being offered choices including how to spend their time, whether they watch the television and what they would like to drink. People’s care plans also promote choice and decision-making by the people living at the home. Where this is linked to complex issues, the manager has sought the support of professionals and family members to act as advocates, and this is documented. We saw from care plans and from our discussions with staff that risks have been identified and guidance provided for staff. We saw that the manager has been pro-active at seeking advice to manage behaviour that challenges the service. Staff talked about how they felt supported with this issue, and had found it useful having training in understanding specific behaviour. Risk assessments are up to date and change to reflect the individual’s needs. Woodcote DS0000071100.V363928.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): We looked at standards 12,13,15,16 and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides an excellent range of opportunities for the people living there to participate in social and leisure activities, and ensures that they are able stay in contact with the people that matter to them. People living at the home are supported to eat well, and have their rights respected. EVIDENCE: The home continues to work hard to ensure that people living at the home have access to activities that stimulate them and interest them. Care plans, photographs and daily records show that people regularly participate in a variety of outings and activities, including social clubs and massage sessions. People working at the home demonstrated how they recognised the individual needs of people and how this may change over time, and told us about how they respond to people’s changing needs. The manager has worked hard to Woodcote DS0000071100.V363928.R01.S.doc Version 5.2 Page 12 ensure that people living at the home have access to different groups of people i.e. through a social group instigated by the home or through a dance class or activities in Exeter. On the day of the inspection, two people went out to another local home for a social activity, one person spent time in the garden drawing, one person went with the manager to the High St and another spent time looking at a book in the lounge. From the home’s AQAA, discussion with the manager and staff and from looking at care plans, we could see that the people living at Woodcote are part of the local community and have access to the resources within it. A staff member told us that the home helps give people ‘a dignified and independent lifestyle’. A visitor said that they have noticed ‘a huge change’ and that their relative ‘speaks more and is much more settled. I’m always delighted to hear (my relative) goes to the pub for a shandy with their keyworker’. They told us their relative also goes on holiday. Another person commented that staff ‘understand all their disabilities and help (my relative) to lead as happy a life as possible’. We saw evidence of a regular annual holiday from photos on people’s individual files. The manager clearly recognises the importance of this holiday in the lives of people, and she spoke to us about the ethos that she promotes within the staff group to help create a relaxed and flexible atmosphere. People told us that the home always helped them keep them in contact with their relatives. They told us ‘ postcards, photographs, cards – very, very good indeed. Thank you’ and ‘yes with letters, cards, photographs and invitations to social events and we are welcomed as visitors at all times’. They also said that that they always get enough information about the home and are always kept up to date with important issues. A relative told us ‘Woodcote are very good at making family members welcome when they visit – much appreciated’. We observed how staff adapt to people’s routines rather than the routine of the home dictating what people should do. For example, one person chose to go back to bed in the morning and have their breakfast at a different time. For another person who has become physically and mentally frail, staff have adopted a slower pace in the morning and a later starting time for their social group to ensure that they feel relaxed and unhurried. We saw how people make their own routines in the home and have free access to their rooms and communal areas, as well as to the garden. Staff demonstrated through their practice and their discussions with us how they respect people’s privacy and people’s need for their own personal space to express their sexuality. We also saw how people are encouraged to help maintain the home and take a pride in their own room and its cleanliness or by going shopping to buy food for the house. Woodcote DS0000071100.V363928.R01.S.doc Version 5.2 Page 13 We saw from one person’s care plan how specialist advice had been sought regarding problems with swallowing and we observed how the speech and language therapist’s advice was recorded in the person’s care plan, and that staff were generally following the advice. During the inspection, people were having their breakfast and then later their lunch. The atmosphere at breakfast was calm and relaxed while at lunchtime people living at the home appeared to respond well to a more lively discussion with the staff group, who ate with them. We heard staff discussing what meals they could prepare with local in season vegetables, and saw from the menu plans that staff ensure a range of meals. Staff training records show that staff have up to date food hygiene certificates. Woodcote DS0000071100.V363928.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): We looked at standards 18,19 and 20. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staff provide individual and skilled support to the people living here, and medication is well managed to help keep people safe. EVIDENCE: From discussions with staff, through observation and looking at care plans, we saw how people receive personal support to meet their individual preferences and to maintain their dignity. For example, how they like to have their hair dried or how they like to be supported when they walk around the home by staff offering reassurance and guidance. One person’s behaviour has meant that staff need to take precautions when providing help with bathing, there is clear guidance in the person’s care plan and staff were able to describe how they were aware of the need to maintain the person’s dignity despite the outcome of the risk assessment. Relatives told us that the care home always give the support and care that they expected. We looked at how people’s healthcare needs are met. Notes from people’s daily records show that staff pick up on people’s mental and physical needs, and that people’s weights are monitored and maintained. We saw good evidence Woodcote DS0000071100.V363928.R01.S.doc Version 5.2 Page 15 from care plans and discussions with staff of how the manager and her team have consulted with health professionals and followed their advice i.e. speech and language therapist, social workers and dentist. Staff were positive about recent training on autism, and the support they received from their manager and local health and social care professionals. One person’s care plan showed how their diabetes was being managed with clear guidance for staff and advice from the local surgery. We observed staff giving medication in a safe manner, saw that medication records are well kept and that medication is stored safely. We saw that staff have received training in medication practice and the manager showed us the paperwork for planned refresher training. There is guidance on homely medication, an updated list of staff signatures and instructions for bank or agency staff; all of which is good practice. Woodcote DS0000071100.V363928.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): We looked at standards 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Well-trained and competent staff safeguard people living at the home. EVIDENCE: We have received no complaints about the home, and according to the home’s AQAA there have been no complaints received by the home either. In their surveys people living at the home told us that staff would recognise they were unhappy by their body language and observing their moods. We observed this during the inspection. All the relatives told us that they knew how to make a complaint but that the general feeling was that this had never been necessary. Staff told us they were clear about what to do if a relative or person living at the home had a concern. Staff were also clear about their duty to report poor practice and knew who they could contact to do so. We saw from records that staff had received training in this area. Woodcote DS0000071100.V363928.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): We looked at standards 24,25 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Woodcote is a well cared for, clean and homely place for people to live. EVIDENCE: Woodcote has a homely and relaxed feel to it with domestic fixtures and fittings, some of which have been adapted to meet people’s individual needs. The house is attractively decorated and contains pictures and ornaments belonging to the people that live there, as shown by people’s list of personal possessions. The rooms are light, bright and airy. There is an attractive and well cared for garden which has a choice of seating and two summerhouses. People’s rooms reflected their individual interests, and staff told us how people had been involved in choosing colours and fabrics for their rooms. The house was clean and odour free. The utility room is well equipped and tidy. Staff told us they have received training in infection control and could explain what steps they took to reduce risks to people living and working at the home. Woodcote DS0000071100.V363928.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): We looked at standards 32,34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home benefit from a skilled and caring staff team who have been recruited in a manner to help make the home a safe place to live. EVIDENCE: Relatives and advocates praised the staff in their CSCI surveys telling us that they had the right skills and experience to look after people properly. One relative said ‘I’m always reassured how staff interact with my relative and my relative’s response to them. The positive improvements in my relative’s general presentation would suggest that staff skills and experience are appropriate’. Another person said ‘they have the right cheerful manner in coaxing clients to do things. There is a lovely atmosphere in this home. No one looks pressurised but I am sure they all work jolly hard to keep it so good’. We observed sensitive and well thought out practice by the staff and the manager during our inspection. People living at the home looked relaxed and at ease with the people that care for them. Staff told us that the training they received was relevant to their role, helped them meet people’s individual needs and kept them up to date with new ways Woodcote DS0000071100.V363928.R01.S.doc Version 5.2 Page 19 of working. They also said that their manager met with them regularly to give them support and discuss how they were working. One staff member spoke positively about their induction and we saw evidence of how they were supported during this period through discussion with the manager and looking at records. Staff records show that people have access to mandatory training to help keep their practice up to date, and more specialist training to meet the individual needs of people living at the home. We saw that training is being planned for breakaway training and gentle teaching to increase the staff group’s confidence and competence. The home generally has a robust recruitment procedure as shown by the file for the most recently recruited staff member with ID, references and police check in place. The staff member confirmed they worked supernumerary initially to allow them to observe practice and get to know people living at the home. Staff told us that appropriate recruitment checks had been carried out before they started work and that their induction had been very good. They told us that training was relevant to their role, helped them meet people’s individual needs and kept them up to date with news ways of working. They also said that their manager met with them regularly to give them support and discuss how they were working. . Woodcote DS0000071100.V363928.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): We looked at standards 37,38,39 and 42. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well managed with a commitment to improvement, with practices that help keep the people living there safe. EVIDENCE: The registered manager, Angela Bailey has many years of experience of working with people with a learning disability but also undertakes training to update her practice. She is also actively involved in the care of people living at the home and provides a good role model for other staff, which we observed on the day of the inspection and through discussion with Angela. A relative told us ‘it is a very well run home under Angela Bailey and her team. Long may it last’. While another relative commented ‘we are very pleased with the overall running of the home and all the caring friendly staff – excellent Woodcote DS0000071100.V363928.R01.S.doc Version 5.2 Page 21 always’. We were also told ‘this care home is a good example of how homes should be run’. Staff told us in their surveys that there was always good communication within the home and we observed this during the day. Staff told us that they felt well supported by each other and the manager. The home’s quality assurance is to a high standard with questionnaires being sent to people living and working at the home, advocates and visiting professionals. The manager has collated these responses, which we could see were positive. The home holds regular staff meetings to enable staff to contribute to the way the home is run. The manager has completed a comprehensive development plan for the home, which is person centred in its approach and recognises the changing needs of the people living at the home. The manager discussed with us how the radiators have been risk assessed, and we saw that some have been covered to help prevent burns. She is clear about choice balanced with safety i.e. the pleasure gained by one resident leaning against a heated radiator but the need to monitor the radiator temperature. The AQAA states that equipment is well maintained and that checks are up to date. Staff are qualified in medication, infection control and food hygiene that help keep people living at the home safe. Woodcote DS0000071100.V363928.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 4 13 4 14 x 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 x 3 4 4 x x 3 x Woodcote DS0000071100.V363928.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No. STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action 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 Woodcote DS0000071100.V363928.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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. 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