Inspection on 04/09/07 for Woodland House

This inspection was carried out on 4th September 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

Woodland House 16/12/09

Woodland House 15/08/06

Woodland House 10/03/06

Woodland House 11/10/05

Woodland House 01/03/05

Woodland House 02/12/04

Woodland House 19/03/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Woodland House 22 Woodland Road Northfield Birmingham West Midlands B31 2HS Lead Inspector Donna Ahern Key Unannounced Inspection 4 September 2007 12:30 th Woodland House DS0000017003.V344592.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 Woodland House DS0000017003.V344592.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. Woodland House DS0000017003.V344592.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodland House Address 22 Woodland Road Northfield Birmingham West Midlands B31 2HS 0121 243 9349 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) Mr Brendan Freeman Mr Brendan Freeman Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Woodland House DS0000017003.V344592.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Residents must be aged under 65 years Date of last inspection 15th August 2006 Brief Description of the Service: Woodland House is a three-storey semi detached property situated within a quiet street in Northfield, Birmingham. The home is close to transport links to the city centre, shops, pubs, cafes and places of worship. The home provides care for six younger adults of both sexes who have learning disabilities. All people living at the home have independent living skills and this is encouraged by staff and is reflected in the flexible way the home is run. The communal areas of the home are spacious and include a large garden, which is well used for such activities as football and barbeques. Bedroom are located on all floors of the property, two bedrooms have en suite facilities. A large games room is situated on the second floor. The home does not provide a vehicle for people living in the home, senior staff use their own vehicles; taxis and public transport are also utilised. The fee level for the home is currently under review with Social Care and Health the manager said it would be made available in the service user guide when confirmed. Woodland House DS0000017003.V344592.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care inspection (CSCI) is based upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that needs further development. The inspection took place over one day; the Home did not know we were coming. The inspector met people living at the Home, spent time observing support and interactions from staff, had a tour of the premises including peoples bedrooms, looked at care records and health care records and medication management. Health and safety records and staffing records were also assessed. All information looked at was used to determine whether peoples varied needs are being effectively met. Two people were identified for close examination this included reading their care plans, risk assessments daily records and other relevant information. This is part of a process known as “case tracking” where evidence is matched to outcomes for service users. What the service does well: People living in the Home receive good support from a staff team that knows their needs. The home is well decorated and furnished so people have a homely, comfortable and safe place to live. There is a good range of communal space for people to use, including a games room and well-maintained garden. People are supported to enjoy activities in the local community. They said their family and friends are made welcome at the home. Each person has their own bedroom where they can spend time in private if they want to. All the staff have completed NVQ level 2 in care, which helps to ensure that they have the skills to support people and meet their needs. People living in the home said Woodland House DS0000017003.V344592.R01.S.doc Version 5.2 Page 6 “I trust the staff and like the staff if anything goes wrong they are always there to help”. “ Staff listens to me”. “I like my room and I have sky sports in my room which I love”. 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. Woodland House DS0000017003.V344592.R01.S.doc Version 5.2 Page 7 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. Woodland House DS0000017003.V344592.R01.S.doc Version 5.2 Page 8 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 Woodland House DS0000017003.V344592.R01.S.doc Version 5.2 Page 9 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): 1 and 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home or choosing whether or not to live there have the information so they know what the home provides and how their needs will be met there. EVIDENCE: Six people both male and female live at Woodland House they have a learning disability and additional needs. All people living in the home have some degree of independent living skills and this is encouraged by staff and is reflected in the flexible way the home is run. The Statement of Purpose and Service User Guide were looked at and describe the services and facilities provided in the home. Information has been produced in an easy read format making it more accessible for some of the people who live at the home. It is really positive that the views of people living in the home are included in the Service User Guide. The fee level for the home is currently under review with Social Care and Health and it was agreed that this information would then be provided to people living in the home and be contained within the service user guide. Woodland House DS0000017003.V344592.R01.S.doc Version 5.2 Page 10 There had been no new admissions since the previous inspection. The manager has developed an admission pack for potential residents. The admission procedure was previously assessed as meeting the required standard and states that potential residents would be invited to the home for visits and a trial period prior to admission being confirmed. Sampled case files had copies of the Care Management assessments. Individual detailed care plans have been developed for all people and have been kept under review. Woodland House DS0000017003.V344592.R01.S.doc Version 5.2 Page 11 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 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are supported to make choices and decisions about their day –to-day lives. Staff have the information they need so they know how to support peoples individual needs. People are supported to take risks within a risk assessments framework so ensuring their safety and well-being. EVIDENCE: Two peoples care plans were looked at for the purpose of this inspection. Care plans were up to date and generally set out in detail the care required to be carried out by staff and included information on the persons likes and dislikes, health needs, personal care, culture and preferences. There was evidence that staff had consulted with a range of professionals to promote best practice for the individual. As advised at the previous key inspection review sheets had Woodland House DS0000017003.V344592.R01.S.doc Version 5.2 Page 12 been implemented to the care plan format so that there is evidence of when the individual plan has been reviewed and any changes made. Behaviour management strategies were on sampled files had been kept under review and gave information on how best to support people. People are supported to make choices about what and when they eat, when to go out, how to spend their time when to see family and friends. Daily records seen indicate the choices that people make. The risk assessment report on file covered general health, personal hygiene, independent travel, finances, behaviour and vulnerability. Discussions with the manager indicated that risk-taking is seen as an essential feature of supporting people to be safe and to promote their independence. A number of risk assessments were sampled and indicated that they are kept under review and updated due to changes in needs or circumstances. Risk assessments in place for people accessing the community independently had been developed as required at the previous inspection. The manager said she is due to complete training on the new mental capacity act soon so that she is fully aware of issues of consent and the implications of how the new act will protect the healthcare, financial and legal rights of people living in the home. Observations took place at different times throughout the fieldwork visit people received good support from staff that spoke calmly and respectfully. Woodland House DS0000017003.V344592.R01.S.doc Version 5.2 Page 13 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 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are supported to take part in activities in the community and experience a meaningful lifestyle. People are offered a varied and balanced diet. EVIDENCE: People living in the Home are involved in a range of daytime activities. Some of the people attend structured day centres, college and B.I.T.A and some plan their own activities and daytime occupation. There is evidence from discussions with people that they have been supported to try new activities including college and work placements. Peoples care plans had details of activities that they take part in and their interest and hobbies. The manager uses her car when needed and is suitably Woodland House DS0000017003.V344592.R01.S.doc Version 5.2 Page 14 insured to do so, but people mainly use public transport to access a wide range of community facilities. Four people said they had enjoyed a recent holiday to Devon and they said “it was great” We went out to lots of different places” “ I really like Devon that’s why we went there”. Two people did not go on holidays due to health reasons. People said they have contact with family and friends some visit their family independently and some relatives visit the home and may stay for a meal. On the day of the visit one of the people had arranged to go out with a friend to the cinema. One persons relative had sadly passed away last year, discussions with staff during the visit indicated that the person had been given a lot of support to attend the funeral and emotional support to work through their loss. A pay phone is available so people can make private calls and some of the people said they have their own mobile phones that they choose to use. Routines were relaxed and people chose were to sit and when to spend some time in their own rooms. There is a well-equipped games room on the second floor with a snooker table and games console and to the rear of the home there is a pleasant well-kept garden with ample furniture so people can sit outside if they choose to. One of the people is not very well and their needs have deteriorated and at times their behaviour was having an impact on some of the other people living in the home. Staff were sensitive to try and manage this the best they could although with some limitations due to the shared communal space. People made a choice about what they wanted to eat for their evening meal. One of the people said they just wanted a sandwich later and went and made themselves something to eat when they were hungry. People said “the food is good” and “I can choose what I want to eat”. Food stocks seen indicated a range of produce is available. A record of food served to each person is kept daily and ensures that staff can monitor that people are eating a healthy diet. People living in the home said they help staff to do the food shopping and they go to the local supermarket and local shops. Woodland House DS0000017003.V344592.R01.S.doc Version 5.2 Page 15 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 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements are generally sufficient to ensure that the health and safety and personal care needs of the people living in the Home are met. EVIDENCE: Peoples personal appearance was good and indicated that they receive good support to attend to their personal care needs. They wore clothing appropriate to their age, culture, time of year and activity. Care plans had details of people’s personal care routines and preferences. There was enough staff on duty to support people in the way they prefer and require. All people currently living in the home are mobile and the home has no lifting aids or adaptations. There is a walk in shower facility on the first floor. The home does not have adaptations for people with a physical disability. Woodland House DS0000017003.V344592.R01.S.doc Version 5.2 Page 16 The home has a stable staff team which gives continuity of care to people living in the Home. The manager has continued to develop health action plans; a health action plan is a plan of what a person needs to do to stay healthy. Specific health needs had been identified and when required people had been given support to receive input from a range of health professionals including community Nurses and psychiatry. One person was being supported in hospital at the time of the visit. All the evidence available indicated that the manager was working closely with other professionals to ensure the person can return to the Home. Another person’s needs had deteriorated and there was evidence that the manager had instigated a multi- disciplinary approach to support the person, reassessments have been completed and the person was being supported to have further medical tests. Medication is stored in a separate locked cupboard off the ground floor passageway. Medication records were sampled. Medication administration records (MAR) had been signed when medication had been administered. Sample signatures were available for all staff that administer medication and a protocols were in place for medication taken on an as required basis which ensure that the homes medication procedures promotes safe practice for people living in the home. Woodland House DS0000017003.V344592.R01.S.doc Version 5.2 Page 17 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 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements are in place so that people living in the home said they views are listened to acted on. Arrangements are generally sufficient to ensure that people living in the home are protected from abuse. EVIDENCE: The complaints procedure was on display in the games room and has been produced in a format suitable for people living in the home so they know how to make a complaint. Two people spoken to during the visit said they could talk to staff or the managers if they are not happy about something, they said. “I trust the staff and like the staff if anything goes wrong they are always there to help” and “ Staff listen to me”. The home had not received any complaints since the previous inspection and CSCI had not received any concerns, complaints or allegations about the home. Staff have received training in protection matters so they know what to do in the event of an incident occurring in the home. The manager agreed to refresh staff on a regular basis on the safeguarding procedures so that they are confident what to do should an issue arise. Woodland House DS0000017003.V344592.R01.S.doc Version 5.2 Page 18 The policy for Adult Protection had been developed so that it embraces the Birmingham Multi Agency Guidelines and so that it directs staff to contact the placing Social Care and Health office in the event of a safeguarding issues occurring in the home. Discussions and observations at the time of the fieldwork indicated a commitment by the manager to the safeguarding of the people who live at Woodland House whilst also ensuring that people live independent lives and are supported to take acceptable risks within a risk assessment framework. CSCI have been appropriately notified of incidents that have occurred in the home. Regulation 37 reports have been completed logged and forwarded for information. A logging system for such incidents has been developed as recommended at the previous visit so that there is a thorough paper trail in place to demonstrate that issues have been dealt with appropriately. Woodland House DS0000017003.V344592.R01.S.doc Version 5.2 Page 19 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean, comfortable and safe for the people who live there. EVIDENCE: The home is clean and warm. It is domestic in style and layout. Since the last inspection communal areas throughout the home have been painted. This ensures a comfortable and well-maintained home for people to live in. Satisfactory infection control procedures were in place. The home was clean and free from unpleasant odours. Satisfactory hand washing facilities were provided in bathrooms and toilets. Woodland House DS0000017003.V344592.R01.S.doc Version 5.2 Page 20 The home does not have adaptations for people with a physical disability and therefore is not suitable for people with mobility difficulties as there is no lift facility and there are a number of level changes on the ground floor. To support the current people there are handrails situated on staircases and at level changes. Furniture and fittings were generally of a good quality. Three of the people living in the home showed the inspector their room. Bedrooms seen were very comfortable and had been personalised to the taste of the individual. People said, “I love living here I have a nice room I have had new flooring and my room looks really good.” Another person said “I sometimes like spending time in my room I have lots of things that I like to keep here and they mean a lot to me, this is the best home I have ever lived in” and “I like my room and I have sky sports in my room which I love”. One person occasionally smokes and chooses to smoke in the garden. The manager agreed to put the arrangements for smoking in the service user guide so future prospective residents would know what to expect. There is a pleasant communal lounge with a large television and plenty of comfortable seating and a separate dining room. There is a pleasant wellmaintained garden with garden furniture so people can choose to sit outside when the weather is pleasant. On the second floor there is a spacious games room. Woodland House DS0000017003.V344592.R01.S.doc Version 5.2 Page 21 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, 33, 34, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for staffing, their support and development are sufficient to ensure that people needs are met. The recruitment practices ensure that suitable people are employed and people living in the Home are protected. EVIDENCE: The rota shows a minimum of two staff on duty. The manager and deputy manager do a number of care hours each. At night there is one waking night member of staff and an on call system for back up and support. Staff allocation was adequate for people to do activities of their choice, and to receive the level of support they require. The home has a stable staff team, and some of the staff had supported people living in the home for a long time. Agency staff are not used which ensures continuity of care for people. Interactions between staff and people in the Woodland House DS0000017003.V344592.R01.S.doc Version 5.2 Page 22 home were entirely positive, and the way people were supported was respectful. There has been one new appointment since the last inspection and the staff file and recruitment procedure was looked at. The staff file contained all the required documents including CRB, application form, supervision contract, medical questionnaire and references and ensures that people living in the Home benefit from appropriately recruited staff. Staff receive one to one sessions with the manager or deputy every three months and also have a handover on a daily basis. This provides staff with the opportunity to discuss any work practice issues to do with supporting people and also to discuss their own development and training needs and ensure that performance is monitored. Staff files contained details of training courses undertaken. All staff have completed the LDAF (learning disability awards Framework) at South Birmingham College. This covers mandatory training including Fire Safety, First Aid, Manual Handling, Adult Protection and Food Hygiene. All staff have achieved NVQ level 2 in care. Autism Awareness and Mental Health Awareness training has been provided since the last inspection so that staff have the skills and knowledge individually and collectively to meet peoples needs. Woodland House DS0000017003.V344592.R01.S.doc Version 5.2 Page 23 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 and 43 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management arrangements ensure that the people living in the Home benefit from a well run home. Arrangements are sufficient to ensure that the health and safety and welfare of people living in the Home is promoted and protected. EVIDENCE: The manager has several years experience of owning and managing a home for people with a learning disability. He has decided that when the deputy manager completes the Registered Managers award; he will relinquish the post of manager and the deputy will register with CSCI as the manager. Woodland House DS0000017003.V344592.R01.S.doc Version 5.2 Page 24 The deputy manager facilitated the inspection process and was open and welcoming to the inspection process and informed the inspector of relevant information. Action plans have been received following inspection reports and good progress had been made on previous requirements indicating compliance with the regulations and a commitment to improve the Home for the benefit of the people who live there. All previous requirements had been actioned. Regular staff meetings take place. Minutes seen indicate that issues to do with people living in the Home are discussed and information is shared with the staff team so they know how to meet peoples needs. Policies and Procedures were easily accessible in the main office so that staff has access to relevant guidance promoting the best interest of people living in the Home. Fire tests and servicing had been undertaken as required. Fire safety training for all people living in the home and the staff team took place in January 2007 so that people know what to do in the event of a fire and how to evacuate safely. The electrical and gas supply had been serviced and tested as required and maintained so they are safe. Records showed that staff are undertaking hot water delivery temperatures monthly so that people living in the Home are protected from the risk of scalding. There is not a formal quality assurance process in the Home however the manager and deputy audit all the case files and documentation on a regular basis. Service user Surveys are completed by people living in the home on an annual basis and their views are sought on a range of subjects to do with the running of the Home. When staff recruitment takes place people living in the Home are involved in the recruitment process. CSCI inspection reports were on display in the hallway and made available to people living in the home and any visitors. Woodland House DS0000017003.V344592.R01.S.doc Version 5.2 Page 25 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 2 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 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 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 Woodland House DS0000017003.V344592.R01.S.doc Version 5.2 Page 26 No 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. 1 Refer to Standard YA1 Good Practice Recommendations The fee level for the home is currently under review with Social Care and Health and it was agreed that this information would then be provided to people living in the home and be contained within the service user guide. The arrangements for smoking should be specified in the service user guide. The manager agreed to refresh staff on a regular basis on the safeguarding procedures so that they are confident what to do should an issue arise. 2 YA23 Woodland House DS0000017003.V344592.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Woodland House DS0000017003.V344592.R01.S.doc Version 5.2 Page 28 - 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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