Inspection on 02/05/07 for Woodham Grange

This inspection was carried out on 2nd May 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

Woodham Grange 07/01/08

Woodham Grange 15/05/06

Woodham Grange 07/12/05

Woodham Grange 02/02/05

Woodham Grange 03/09/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Woodham Grange Burn Lane Newton Aycliffe Durham DL5 4PJ Lead Inspector Mr Paul Emmerson Unannounced Inspection 2 & 3rd May 2007 11:00 nd Woodham Grange DS0000007523.V338004.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 Woodham Grange DS0000007523.V338004.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. Woodham Grange DS0000007523.V338004.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodham Grange Address Burn Lane Newton Aycliffe Durham DL5 4PJ 01325 310493 P/F No E-mail None Milbury Care Services Limited 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) Deborah Elizabeth Saunders Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Woodham Grange DS0000007523.V338004.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th May 2006 Brief Description of the Service: Woodham Grange is a large two-storey property, situated in its own grounds. The home is in the Woodham area of Newton Aycliffe, within walking distance of the town centre and local amenities. Woodham Grange was purpose built to accommodate people who use wheelchairs. The home is owned by Milbury Care Services Limited and is registered to provide care for up to 8 adults who have learning disabilities, complex needs and/or a physical disability. From information provided by the home, the current scale of charges ranges from £863 to £1,100 per week. Additional charges, between £8 and £25 per week, are made as a contribution towards the home’s wheelchair adapted minibus. Woodham Grange DS0000007523.V338004.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 7 hours, on the morning and afternoon of Wednesday 2nd May and the afternoon of Thursday 3rd May 2007. In line with current CSCI policy on ‘Proportionality’, the inspection focused upon a number of key standard outcomes for the people who live in the home. The inspector, and Nicola Hopps a social work student on a placement with CSCI, looked around the building and a number of records were examined. The manager, deputy manager and 4 members of staff were interviewed. Within the limits of their communication and understanding, the people who live at Woodham Grange were also spoken to. On the day of the inspection there were no visitors to the home. However, 5 relatives / visitors completed and returned CSCI’s inspection questionnaires about the service. What the service does well: What has improved since the last inspection? The home is now fully staffed. Management and staffing arrangements are much more settled. Administrative arrangements are better organised and ‘house meetings’ are being held again. With more staff, more activities can be arranged. The people who live at Woodham Grange have been away on holiday to Blackpool and / or Centre Parcs in the Lake District. Care reviews have been carried out with other health and social care professionals. Care planning arrangements in the home have been revised. Documents used are easier to read. Pictures are used to help understand them. Where more information is required, detailed support plans are written. The relatives who returned CSCI inspection questionnaires expressed general satisfaction. One person wrote, “I am very satisfied with the care shown to my daughter”. Another person wrote that their relative, “Is happy and content in the home environment provided and hope this placement continues”. Most parts of the home have been redecorated and refurbished. Woodham Grange is much more homely. The lounge and dining area is a pleasant place to sit. Some bedrooms have been redecorated and in some of these rooms Woodham Grange DS0000007523.V338004.R01.S.doc Version 5.2 Page 6 additional electric sockets have been fitted so that sensory equipment can be installed. 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. Woodham Grange DS0000007523.V338004.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 Woodham Grange DS0000007523.V338004.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): 2. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People’s needs are assessed before they move in. A recent admission to the home was very well managed. EVIDENCE: Woodham Grange is registered to accommodate up to 8 people with learning disabilities. Although most people have lived there for a long time and there are no vacancies, one person moved in earlier this year. The inspector was unable to communicate with the people who live at Woodham Grange about their experience of moving in to the home. But, there is documentary evidence to show that prior to people moving in appropriate assessments were carried out. In a CSCI inspection questionnaire a relative wrote, “They try the best to make each individual feel at home, e.g. their bedroom done to their own taste and to take them places where there is an activity on for them that they would like”. After admission, more detailed care plans were prepared. The home has its own assessment and care planning documents for this purpose. A copy of assessment documentation and other relevant information from the Local Authority Social Services Department was also obtained. Woodham Grange DS0000007523.V338004.R01.S.doc Version 5.2 Page 9 The person who has just moved in to Woodham Grange visited the home on numerous occasions before staying overnight. A record was kept of these visits. These record the person’s reactions to the visits and the people there. When the person moved in, a member of staff from the care home the person transferred from worked temporarily at Woodham Grange. The person who has just moved in is now settled at Woodham Grange. The actions taken by the home to achieve this are commended. In addition to trial visits, any move into Woodham Grange would be on a sixweek trial basis. At the six-week stage a formal review meeting would be held to consider permanency. Woodham Grange has a ‘Statement of Purpose’ and a ‘Service Users Guide’ to provide people with information about the home. These documents have been re-written in an easy to read pictorial format. The work required to do this is acknowledged. Woodham Grange DS0000007523.V338004.R01.S.doc Version 5.2 Page 10 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): 6, 7 & 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Within the limits of their communication and understanding the people who live at Woodham Grange are offered choice and people’s diverse needs and aspirations are recognised. EVIDENCE: The people who live at Woodham Grange have a high level of diverse care needs and can exhibit some quite challenging behaviour. However, they were seen to be well cared for and comfortable in their living environment. Many of the staff have worked at Woodham Grange for a number of years and know the people who live there well. The people who live at Woodham Grange are on the whole dependent upon staff, family and significant others to make choices and decisions on their behalf and best interests. In a CSCI inspection questionnaire a relative wrote, “Due to the severity of my daughters communication problems, a lot of decisions in her life are chosen with the help of the staff who are familiar with her likes and dislikes.” Woodham Grange DS0000007523.V338004.R01.S.doc Version 5.2 Page 11 Most decisions are limited by the individuals’ learning disabilities and understanding. However such limitations are noted on personal files. Nevertheless, within the limits of their communication and understanding choice is offered to the people who live at Woodham Grange and preferences are provided for. Although unable to speak to express herself, one person who lives at Woodham Grange uses physical contact to attract the attention of staff. When she did this staff were seen to respond appropriately. They asked her a number of questions to find out what she wanted. Staff were also heard asking the people who live at Woodham Grange if they wanted a drink, where they wanted to sit, what they wanted to do. In this albeit small way, staff were seen to be respecting the rights of the people who live in the home. Care plans have been prepared for all the people who live at Woodham Grange. They have been rewritten in a pictorial and user-friendly style. These documents contain much information. Likes, dislikes and lifestyle preferences are recorded. The extra work involved to do this is acknowledged. Care reviews have been held for all the people who live at Woodham Grange. Risk assessments have also been prepared and risk management arrangements ensure that the people who live at Woodham Grange can live as independent a lifestyle as possible. For example, one of the care plans examined considers challenging behaviour in depth: any events or circumstances that may trigger such behaviour and the various responses that staff can use to de-escalate it are documented. The home operates a key-worker system, and from discussions with staff and observations made by the inspector, staff are familiar with the needs of the people who live at Woodham Grange. Day-to-day communication in the home, recorded handovers between staff and house meetings ensure that any changes in need are identified and brought to the attention of other staff. Although the inspector was unable to communicate with the people who live at Woodham Grange to any significant degree, the inspector spent time in their company and spoke to the manager, deputy manager and staff on duty in the home. During the inspection there were no visitors to Woodham Grange. However, 5 relatives / visitors completed and returned CSCI’s inspection questionnaires about the service. All expressed general satisfaction with the home. One person wrote, “I am very satisfied with the care”. Woodham Grange DS0000007523.V338004.R01.S.doc Version 5.2 Page 12 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): 12, 13, 15, 16 & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Activities are arranged and the people who live at Woodham Grange live as part of the local community. Contact with family / friends is supported. Dietary needs are met. EVIDENCE: Staff interviewed spoke about activities that have been arranged. Trips out have included theatre trips and to see Westlife. On the second day of the inspection some people went to Whitby. One person who lives at Woodham Grange regularly attends a day-care placement at ‘The Oaks’ and attends a project called ‘Wishing Well’. Some of the other people who live at Woodham Grange use a nearby hydropool and attend Darlington’s Gateway Club. The home has a large wheelchair adapted mini-bus, which can be used as transport. Activity plans are kept for all the people who live at Woodham Grange. These record activities planned and arranged. Woodham Grange DS0000007523.V338004.R01.S.doc Version 5.2 Page 13 In a CSCI inspection questionnaire a relative wrote, “As well as excellent personal care, they make sure there is a varied social life, such as holidays, shopping trips, the theatre, meals out etc. This is much appreciated by myself and the rest of the family.” Another person wrote, “They look after the clients well, personal hygiene, outings, etc.” The last inspection referred to difficulties arranging activities caused by a shortage of staff who can drive the home’s mini-bus. However, more staff can now drive the mini-bus and alternative forms of transport are also used. Contact with family and friends is supported. Visitors are welcomed. In a CSCI inspection questionnaire a relative wrote, “Overall I think the home is well equipped for each individual, and all staff try to do their best. They try to keep you welcome at all times even though they may have a lot to do”. A wholesome and nutritious diet is provided. Fresh meat, fruit and vegetables were seen to be available. Where the people who live at Woodham Grange require assistance to eat it is provided. Wherever possible, people are given a choice of meals and preferences are catered for. Since the last inspection of the home, menus have been revised. The advice of the Community Dietician has been sought and where necessary, diets have been adjusted accordingly. Dietary needs are now being met much better. They are more tailored to each individual’s needs, likes and dislikes. Woodham Grange DS0000007523.V338004.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): 18, 19 & 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal and healthcare needs are appropriately met. Any medicines required are dealt with correctly. EVIDENCE: The inspector was unable to talk to the people who live at Woodham Grange, so time was spent in their company. The people who live at Woodham Grange have a high level of diverse care needs. However, they were seen to be well cared for and comfortable in their home. The people who live at Woodham Grange are on the whole dependent upon staff and others to make choices and decisions on their behalf and best interests. However, within the limits of their communication and understanding, preferences are accommodated. From observations made by the inspector and from discussions with management and staff, where personal support is required it is provided appropriately. Care plans examined show that wherever possible, people are provided with guidance and encouragement to undertake their own self-care tasks, thus promoting independence in a dignified and respectful manner. Woodham Grange DS0000007523.V338004.R01.S.doc Version 5.2 Page 15 The care plans read by the inspector were seen to document people’s diverse personal and health care needs and the actions required and being taken to meet them. Care plans are thus a record of the care provided, but also inform the delivery of care within the home. They have also been rewritten in a pictorial, user-friendlier format. Since the last inspection, care plans have been reviewed and updated. Contact has been made with other professionals such as the Community Physiotherapist and Dietician, to ensure appropriate interventions required by staff are carried out. Where necessary, contact has been made with Care Managers to arrange care reviews. Although none of the people who live at Woodham Grange retain, control or administer their own medication, because of their needs and dependency this is considered appropriate. Senior support workers administer medication in the home. These people have received appropriate training in this area. Other staff also receive instruction to understand the medicines prescribed, potential side effects etc. Medicines were seen to be stored appropriately. The home uses a monitored dosage system. There are adequate policies, procedures and systems in place relating to the receipt, recording, storage, handling, administration and disposal of medicines. Where medicines need to be stored in a refrigerator, at or below a certain minimum temperature, a separate small fridge has been obtained to store them. Woodham Grange DS0000007523.V338004.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): 22 & 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Within the limits of their communication and understanding, the views of the people who live at Woodham Grange are obtained. Complaints and adult protection systems in the home serve to safeguard the people who live there. EVIDENCE: The home, through its parent organisation, has detailed complaints and adult protection procedures. Copies of these were seen to be available for staff use. Pictorial information about complaints, how and who to make them to, is included in the home’s ‘Service Users Guide’. Complaints are dealt with appropriately. In a CSCI inspection questionnaire a relative wrote, “Staff are always ready to listen about concerns and act upon them accordingly”. House meetings, serve as an additional forum to discuss any issues. Staff interviewed voiced commitment to the people they support and their rights. Staff have received training about adult protection. Policy and procedure documents relating to adult protection provide information and guidance to staff. A copy of ‘Durham & Darlington Adult Protection Committee’s Inter-Agency Adult Protection Policy & Procedures’ on abuse and the protection of vulnerable adults is available in the home. As highlighted in the previous inspection report, the home’s adult protection policies and procedures have been reviewed and amended, to reflect local protocols, contact information and the initial action to be taken (things to do and things not to do) if an allegation of abuse arises. Woodham Grange DS0000007523.V338004.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): 24, 27 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Woodham Grange is homely, clean, tidy and safe. People’s bedrooms are personalised. EVIDENCE: Woodham Grange provides residential care for up to 8 adults (aged 18 – 65) with learning disabilities in 8 single bedrooms. These rooms have been personalised and new furniture has been bought for the lounge / dining room. The home is situated in a residential area in the Woodham district of Newton Aycliffe, yet relatively close to the town centre. The home is a large, detached property, which stands in large gardens. Five of the home’s bedrooms are on the ground floor of the home, three bedrooms are upstairs. There is a bathroom on both floors. The ground floor bathroom is fitted with a hi-low bath, an over bath changing table and a ceiling / track hoist. The first floor bathroom has a walk in shower. Although work needs to be finished, the upstairs bathroom is being refitted so that it provides better facilities, similar to those available downstairs. Woodham Grange DS0000007523.V338004.R01.S.doc Version 5.2 Page 18 The inspector looked around the building, which was found to be clean, tidy and odour-free. However, as highlighted in previous inspection reports, the laundry should be redecorated. Space in the laundry is cramped. As also highlighted in previous reports, a review of working space in the laundry should be carried out to ensure easier accessibility. Woodham Grange DS0000007523.V338004.R01.S.doc Version 5.2 Page 19 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): 32, 34 & 35. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Sufficient staff are employed. The home has a settled and well-trained staff team. EVIDENCE: Care is provided by a committed, well-trained and well-led staff team. Since the last inspection more staff have been employed. Management arrangements and staffing levels are more settled. A number of staff have worked at Woodham Grange for a number of years and know the people who live there well. Most staff have NVQs (National Vocational Qualifications) at level 2 or 3. Most of the home’s staff have also completed LDAF (Learning Disability Award Framework) training courses. An audit of staff training needs has been carried out. Staff training needs having been identified through formal supervision arrangements in the home. Although it is recommended that additional staff training about equality and diversity be arranged, any training required is being provided. Activity in this area is commended. Woodham Grange DS0000007523.V338004.R01.S.doc Version 5.2 Page 20 From discussions with staff, safe recruitment practices are followed. Recruitment procedures through Milbury’s regional office are considered to be satisfactory and safe. Appropriate references are obtained and CRB (Criminal Records Bureau) disclosure checks are carried out. Due to the needs of the people accommodated, the agreed staffing levels for the home require at least four to five staff to be on duty throughout the waking day. With night staffing arrangements (1 person awake, 1 person asleep) this equates to 531 weekly care hours for the home. Staffing hours within the home are appropriate to the needs of the people who live at Woodham Grange. Woodham Grange DS0000007523.V338004.R01.S.doc Version 5.2 Page 21 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): 37, 39 & 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Woodham Grange is a wellrun home. EVIDENCE: The home’s manager has an NVQ (National Vocational Qualification) level 4 in care. She also has a ‘Registered Managers Award’ qualification. Together with the home’s deputy manager and senior support workers she provides effective leadership to the home’s staff team. Staff interviewed spoke of good communication and effective teamwork. Appropriate systems are in place to ensure the health and safety of the people who live at Woodham Grange, and the staff who work there, is protected. For example, risk assessments and control measures relating to activities outside the home are appropriately carried out. The last report from the Fire Safety Woodham Grange DS0000007523.V338004.R01.S.doc Version 5.2 Page 22 Officer, shows that matters relating to Fire Safety were found to be satisfactory. Milbury Care Services Limited has policies, procedures and systems relating to quality assurance, and regular audit checks are undertaken and forwarded to the regional office. Monthly visits by a senior manager as required under Regulation 26 of the Care Homes Regulations 2001 are carried out. A report of these visits is written and copies are provided to the manager of the home. Woodham Grange DS0000007523.V338004.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 4 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 X 26 X 27 2 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 4 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 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Woodham Grange DS0000007523.V338004.R01.S.doc Version 5.2 Page 24 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. 1. 2. 3. 4. Refer to Standard YA24 YA27 YA30 YA35 Good Practice Recommendations To improve the look of some people’s bedrooms and make these rooms more comfortable, a number of bedrooms should be redecorated. To ensure that people’s bathing needs are met, the work to refit the upstairs bathroom should be finished as soon as possible. To prevent the risk of infection, the home’s laundry should be redecorated. A review of working space in the laundry would ensure easier accessibility. To improve staff awareness about issues relating to equality and diversity, staff training in this area should be arranged. Woodham Grange DS0000007523.V338004.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Woodham Grange DS0000007523.V338004.R01.S.doc Version 5.2 Page 26 - 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. 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