Inspection on 28/06/06 for Woodhill House HFE

This inspection was carried out on 28th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Woodhill House HFE 24/07/08

Woodhill House HFE 05/09/07

Woodhill House HFE 05/01/06

Woodhill House HFE 02/08/05

Woodhill House HFE 24/01/05

Woodhill House HFE 09/08/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Woodhill House HFE 60 Woodhill Lane Morecambe Lancashire LA4 4NN Lead Inspector Ms Jenny Hughes Unannounced Inspection 28th June 2006 10:00 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 Woodhill House HFE DS0000033118.V286119.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. Woodhill House HFE DS0000033118.V286119.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodhill House HFE Address 60 Woodhill Lane Morecambe Lancashire LA4 4NN 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) Tel: 01524 423588 Lancashire County Care Services Mrs Lucy Marie Mace Care Home 44 Category(ies) of Dementia (14), Old age, not falling within any registration, with number other category (30) of places Woodhill House HFE DS0000033118.V286119.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The service is registered to accommodate a maximum of 44 service users to include up to 30 service users in the category OP (older persons 65 & over) and up to 14 service users in the category DE (dementia) 5th January 2006 Date of last inspection Brief Description of the Service: Woodhill House is a purpose built two storey home, located a short distance from the centre of Morecambe, with its shops and the seafront. It is at the end of a quiet cul-de-sac, overlooking the local cricket ground. There is space to park cars both at the front of the building, and in the car park provided at the side of the home. An attractive central courtyard provides seating and tables for residents, and other smaller outdoor areas provide the same. The home provides personal care for older people, including people with dementia, and is equipped to suit the needs of its residents. For example, there is a passenger lift to the upper floor, grab rails, raised toilet seats, assisted baths, and ramps for easy access. All of the rooms are single rooms, and toilets and bathrooms are conveniently situated, with some rooms being ensuite. There is ample communal space, with dining and lounge areas in each section of the home, some overlooking the cricket ground through the large windows. There is also a large recreation lounge for all to use. A designated area is provided for people with dementia, with sufficient communal areas within this, and access to outside space. Staffing is provided over 24 hours, every day of the year. As at 25th April 2006, the fee scale ranges from £320 to £364, with additional charges for hairdresser visits, and extra newspapers and toiletries requested. Woodhill House HFE DS0000033118.V286119.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced site visit to the home, in that the owners were not aware that it was to take place. The site visit was part of the key inspection of the home. A key inspection takes place over a period of time, and involves gathering and analysing written information, as well as visiting the home. The length of the visit was for 6 hours. Before the visit took place, the manager was asked to complete a preinspection questionnaire, and surveys were received from residents and their relatives, and visiting professionals. Reports have been received from the provider every month, following their monitoring visit to the home, giving information on how they think the home is performing. During the site visit, staff records and resident care records were viewed, alongside the policies and procedures of the home. The manager, residents and care staff were spoken to, along with a relative who called during the visit. Their responses are reflected in the body of this report. A tour of the home was made, viewing lounges, dining room, bedrooms and bathrooms. Everyone was friendly and cooperative during the visit. What the service does well: The manager provides clear leadership throughout the home, supporting a strong staff team. The home has some long-term experienced staff who work with good practices and attitudes. All staff look smart and professional in their uniforms. “This is a lovely place. Everywhere’s always nice and clean”, said a resident, “The staff are very helpful”. Assessments and care plans for residents are clear for staff to understand how to best look after each individual, and personal routines are respected. Reviews of the care plan and daily records are detailed and complete. Woodhill House HFE DS0000033118.V286119.R01.S.doc Version 5.2 Page 6 The management of the home is open, with easy communication between residents, relatives and staff. Visitors are welcome at any time, with plenty of communal space available to have private chats. Any concern raised by a resident or a relative is investigated thoroughly and in a professional manner. Meals are home-cooked, varied, with well-balanced choices. They are well presented, with meal times being pleasant and unrushed. “You get plenty of food, it’s good food as well”, commented a resident, who was having a lie down after a second helping of lunch. The home is clean, bright and fresh; a warm and comfortable place to live. “The room’s are lovely aren’t they?” said a resident. 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. Woodhill House HFE DS0000033118.V286119.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Woodhill House HFE DS0000033118.V286119.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 The quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home has a very clear assessment procedure, which is carried out for all residents. This means that the service provided is always tailored to an individual’s needs and preferences. EVIDENCE: Individual records are kept for each of the residents, with a set procedure for admitting someone to the home. Three selected files showed assessments had been received from social services. These are needed so that the manager can confirm that the staff in the home are able to give the appropriate care, before it is decided that the home is the right place for the person to be admitted to. The manager then makes a more detailed assessment, which covers the person’s routines and choices in day-to-day living. This can include information on chosen times to rise and retire, how mobile they are, any dietary needs and cultural needs, and any hobbies and interests Woodhill House HFE DS0000033118.V286119.R01.S.doc Version 5.2 Page 9 they may have and wish to try and continue. This is completed from discussion with the resident and their family, and signed, to make sure the information is accurate. The needs of someone who had specific health problems were properly discussed and assessed with the individual’s social worker and relative, and the staff at the home were then able to make good arrangements, which includes relevant ongoing training, to care for the specific needs of that person. The assessment then forms the basis of the very detailed care plan, which is signed by the resident when they agree the content of it. GP’s responses to a survey said that the home always communicates clearly and works in partnership with them, and staff demonstrate a clear understanding of the care needs of residents. Staff spoken to were aware of the needs of the residents they were looking after. “The management team always let us know what help any new resident needs. You need to know to feel confident you are doing the right thing”. Woodhill House HFE DS0000033118.V286119.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 The quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The health and personal care needs for everyone living at Woodhill House is well organised, meaning people benefit from individualised care and support. EVIDENCE: Individual care plans are available, identifying the areas of need for each person, and with clear instructions for staff on what they must do to meet that need. Any risk was clearly identified, followed by what action to take to manage it. The manager was seen to welcome a family member into the home, and discuss the condition of their poorly relative, a resident, with them, and also discuss plans for the care provision. The information in these care plans, and the monthly reviews for each person, consistently maintains relevant and appropriate detail so any changes needed in the care provided is clear. Some residents were aware they had a care plan, “They’ve got everything written down in the office about me you know”, said a resident. Woodhill House HFE DS0000033118.V286119.R01.S.doc Version 5.2 Page 11 Discussion with staff confirmed that they were aware of the individual needs, and specialist needs, of the residents, and records of visits by health professionals were kept on the files. Residents said that staff always contacted the doctor as soon as they thought a resident was a bit unwell. “The care plans are always available for us to look at” stated one staff member, “and you can always ask if you aren’t sure of something. You also get to know residents preferred ways of doing things though, as you go along”. One staff member was sitting in the lounge with residents in the dementia unit. She commented, “I’m just updating the fluid intake charts of the people who management have felt need close monitoring. They seem to have ‘picked up’ now though, no problems”. Most residents were sitting in the lounge areas after lunch, although a few chose to return to their rooms and rest. Some were happy not to talk, as they were enjoying watching Wimbledon on the television. One resident said, “I like to sit quietly really, and read. I can do what I want though. If I go to my room, the girls always knock before they come in. They knock anyway if they’re not sure anyone’s in, I’ve heard them”. “I come to my room after dinner for a bit of a break”, said a resident. “My family call sometimes, and they’ll just come here to my room, you can talk better in here”. Medication was stored in lockable trolleys, based on each of the units. Records were clear and up to date, and information leaflets about the medication were due to be provided by the pharmacist, following the manager’s enquiry. Staff assisting with the administration of medication had all been trained. “The staff are nice and friendly,” commented a resident, and they were seen at the visit to be professional, patient and tactful in carrying out their duties. A comment from a survey sent to a GP commented “Overall, high standards are maintained in this home”. Woodhill House HFE DS0000033118.V286119.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents daily lives and social activities are well catered for, and all people benefit from living in a home that works hard to ensure that people are provided with opportunities to live lives that are fulfilled. EVIDENCE: The individual care plans include information on each person’s life history, their religious needs, and which hobbies and activities they prefer. Residents are encouraged to suggest things they would like to do. Some residents had returned surveys commenting “Not enough activities to keep residents stimulated”, “No activities for me to take part in at this present time”, and “I have seen very few activities”. During the visit staff were seen to offer activities, such as board games, but residents said that they were happy watching the television, reading, or sitting quietly. One was waiting for relatives to call. A planned activity programme was on the notice boards in the different units, with dominoes, bingo, scrabble, a quiz, and card games planned throughout each week. A group of singers had performed in the home, and the manager Woodhill House HFE DS0000033118.V286119.R01.S.doc Version 5.2 Page 13 and staff confirmed that residents are helped to go for a walk outside when possible, although the manager said she has to make sure enough staff are left inside the home to care for the other residents. One resident commented “I’m happy watching the telly sometimes. I’m too old to play games. I like talking though. This is a lovely place. I’ve no complaints”. In the dementia unit residents were watching a video film, ‘Kiss Me Kate’, and one resident had enjoyed singing along at one point. Some of the ladies were having their nails polished and painted by staff. Records from a residents meeting stated that most residents commented that they were not interested in activities, and enjoyed ‘doing their own thing’, although they had enjoyed the ‘Rainbow Singers’. The manager commented that the care of the plants in the patio areas was another activity she planned to offer to the residents. Visitors are welcomed at all times, with a full visitors book recording all callers to the home. The manager said that she liked relatives and friends to feel they could talk to her at any time, and during the visit a relative popped her head around the office door and chatted easily with the manager about her husband who was resident in the home. Staff address any diverse and individual needs in order to make sure each person is cared for equally, and feel as much at home as possible. One male resident said he was not really interested in the activities, but enjoyed it when his family called, and sometimes took him out to the pub. One lady sat in the one lounge where she could smoke, watching television and chatting to staff as they worked. Meals are served to small groups of residents in the individual, clean, light, and modern dining areas adjoining the different lounge areas. Meals are transported from the main kitchen to these dining areas in heated trolleys, where they are served piping hot and fresh to the residents from the minikitchens based there. The cook visits the residents to make sure they like what is on the menu, and a record of any special diets are kept in the kitchen. “They give me plenty to eat you know”, commented a resident. Woodhill House HFE DS0000033118.V286119.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 The quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents and their families are confident their concerns will be listened to and acted upon. Staff have an understanding of Adult Protection issues, which protect residents from abuse. EVIDENCE: There is a complaints procedure in place, with a complaints book to record any complaints, which may come to the manager’s attention. There has been one complaint to the home since the last inspection. This is still being thoroughly investigated by an Area Manager for the organisation, following its own procedures. During this visit the Area Manager called at the home to interview staff in order to complete the investigation. The outcome and any action taken will be noted during the next inspection. Residents spoken to said they would “tell any of the staff” if they were not happy with something. One survey returned from a resident stated “I would speak to Marie (the manager) if I was not happy. She is excellent”. Staff spoken to knew about the Adult Protection procedure, and what to do if they had any concerns. They said they would always act if they thought a resident was at risk. Also if it was a member of staff causing concern they would inform the manager. All staff attend abuse awareness training. Woodhill House HFE DS0000033118.V286119.R01.S.doc Version 5.2 Page 15 Woodhill House HFE DS0000033118.V286119.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a very well maintained environment, which provides aids and equipment to meet the care needs of the residents. It is a very pleasant, safe, and homely place to live. EVIDENCE: The home was refurbished recently, and the entire environment is very bright, modern and cheerful. Comfortable furnishings, with nice touches such as matching curtains and bed linen, and co-ordinating furniture, make the home very welcoming and a nice, clean, place to live. There are various safe garden patio areas for residents to sit in the good weather, with the back of the home overlooking the local cricket pitch. Some residents enjoy watching the summer matches. The patio areas are being developed over time, with tubs of flowers now in place, and a water feature in the largest area. Three covered arbours provide shelter for those who prefer it. Woodhill House HFE DS0000033118.V286119.R01.S.doc Version 5.2 Page 17 Corridors are light, with windows along the length, and large plants and strategically placed seating adding to the homely feel to this building, which has its living units linked by these long corridors, and so is spread over a large area. The bedrooms were full of residents’ personal belongings, including photographs, ornaments, and small pieces of furniture. A few of the bedrooms are en-suite, with toilets and bathrooms close to other rooms. “The lounge is nice, but I like to sit in my room sometimes”, said a resident, “have you seen my pictures? and I can watch my own television in here as well. I can do what I want here. It’s grand.” “The rooms are lovely aren’t they? Everywhere’s always very clean”, said another. Bathrooms were spacious and spotless. The home is equipped with general aids such as hoists, raised toilet seats, ramps and handrails, with staff trained to use the equipment. A conservatory, which residents had said was too warm for them in the summer sun, now had heat resistant material on its’ roof, and blinds at the windows, reducing the room temperature and making it a more pleasant place to sit. Any maintenance needed is recorded and passed onto head office for them to allocate the work out. The laundry area is away from the kitchen and dining area, and was clean and tidy. Staff spoken to were aware of the correct way to work to prevent and control infection. Fire and Environmental Health requirements are all met. Woodhill House HFE DS0000033118.V286119.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is properly staffed, which means that the residents are supported by sufficient numbers of well-trained staff. EVIDENCE: Staff files showed that the necessary recruitment checks had been carried out to ensure the protection of residents. References and Criminal Records Bureau checks were available, and notes of the interview were made. All new staff are required to have full induction training, so that they are clear on what is expected of them when they are carrying out their work. All the areas covered in the induction are signed by the manager and staff to show it has been completed. New staff are also provided with an Introduction to Care Skills pack, which they work through with management help. Staff have attended further training in, for example, Food Hygiene, Dementia Awareness, Nutrition and Dementia, Medication Awareness, Infection Control, First Aid, Challenging Behaviour and fire training. All staff hold NVQ qualifications. Woodhill House HFE DS0000033118.V286119.R01.S.doc Version 5.2 Page 19 The ongoing training plan for the staff has not been set up yet, as the manager explained, “Training is organised by our Head Office, and they let me know what courses are available. We haven’t been informed of the plan yet. All staff are NVQ trained though, but refreshers are needed for things like Moving and Handling”. Confirming this information, one staff member commented, “I’ve got NVQ Level2, I think another Moving and Handling course is coming up soon”. Staff spoken to said, “The support you get from the management is really good. You don’t have to do things if you’re unsure; they make sure you’re confident first. There’s always someone you can ask. It’s a nice place to work.” At the last inspection a requirement was made that management should make sure there were enough staff to provide for the care needs of the residents, as both visitors and residents had commented on low staff numbers. This has been addressed by staff being instructed to ensure that lounge areas are monitored at all times, and they are available for residents and visitors. Also that there should always be at least 2 staff on the dementia unit at all times. This instruction was recorded at a staff meeting. The geography of the home is widespread, and caused some delays in staff responses to residents. This has been addressed by staff using walkie-talkies to communicate quickly with each other, and the call bell alarm system is set up to give an electronic print-out of which resident has used it each time. This is also a good monitoring record. The operations manager for the organisation confirmed that staffing levels are regularly looked at to make sure the correct level of care is given to the residents. Woodhill House HFE DS0000033118.V286119.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35,and 38 The quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There is an experienced and highly competent manager and senior staff who work to improve services and provide an increased quality of life for residents. EVIDENCE: The manager has worked at the home for 12 years, and holds the Registered Managers Award, the BTEC HNC in Social Care, and is an NVQ Assessor. A visiting relative confirmed that she is always able to speak to the manager and staff about the care provided, and felt it was a friendly place to be. The manager stated, “I try to keep staff informed of any changes or events. It’s the best way to be able to look after the residents properly. My Woodhill House HFE DS0000033118.V286119.R01.S.doc Version 5.2 Page 21 management team are all committed and professional, and we try to lead by example.” There are systems used in the home to regularly audit and monitor standards, and to get feedback from residents and their families on their level of satisfaction with the service. A survey is usually sent from Head Office every 6 months for residents or their families to complete, to try and find out if people are satisfied with how they are being looked after. Any problems, which are highlighted, can then be dealt with. The last survey was in January 2006, when responses were generally positive: All residents said they make their own mind up about how staff help them, and whether they take part in activities, what they do in the home, and what they wear and eat. Examples of comments are: “It is a friendly environment where she is well looked after” “It is a most pleasant home to be in” “My relative has dementia, but the staff are kind and try to communicate as best they can”. Regular visits are made by the Area Manager of the organisation, who monitors the care provided. Staff meetings are held monthly, and resident meetings held about every 3 or 4 months. Minutes are taken of the discussions and any suggestions made. Visiting GP’s confirmed that staff demonstrate a clear understanding of the care needs of service users, and they were satisfied with the care provided to residents. Clear records are kept of anything to do with resident’s finances, and a safe is available if anyone needs it. Supervision of staff in the form of regular one to one meetings take place, with full records made. These are targeted to each staff member’s individual needs, and identify training needs and confirm correct working practices. Records and staff confirmed the regular fire training for staff. The manager regularly reviews the procedures used in the home, and the management team are open to suggestions on ways to improve systems. For example residents’ care plans are now held on each unit rather than in one central place, making it easier for staff to look at them to make sure the right care is given. Woodhill House HFE DS0000033118.V286119.R01.S.doc Version 5.2 Page 22 Woodhill House HFE DS0000033118.V286119.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 4 X X X HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 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 4 17 X 18 4 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 4 X 3 X 3 X X 3 Woodhill House HFE DS0000033118.V286119.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? 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 Woodhill House HFE DS0000033118.V286119.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Woodhill House HFE DS0000033118.V286119.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!