Inspection on 16/08/07 for Woodlands Close, 1

This inspection was carried out on 16th August 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

Woodlands Close, 1 05/09/06

Woodlands Close, 1 14/11/05

Woodlands Close, 1 21/06/05

Woodlands Close, 1 30/11/04

Woodlands Close, 1 23/06/04

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 Woodlands Close, 1 1 Woodlands Close Preston Village North Shields Tyne And Wear NE29 9JS Lead Inspector Glynis Gaffney Key Unannounced Inspection 16, 17 and 22 August 2007 14:30 Woodlands Close, 1 DS0000000359.V343981.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 Woodlands Close, 1 DS0000000359.V343981.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. Woodlands Close, 1 DS0000000359.V343981.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodlands Close, 1 Address 1 Woodlands Close Preston Village North Shields Tyne And Wear NE29 9JS 0191 2966953 F/P 0191 2966953 ClareM@ubu.me.uk 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) Northern Life Care Limited T/A U.B.U. Mrs Jayne Bowmer Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Woodlands Close, 1 DS0000000359.V343981.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th September 2006 Brief Description of the Service: 1 Woodlands Close is a large bungalow that has been adapted to provide residential care for three people with profound learning and physical disabilities. The home is in keeping with the local community and located close to local amenities. Each person had their own bedroom. There are en-suite facilities to one room. There is ample car parking and a small garden and patio is available at the rear of the premises. The current fees charged per week are £365. There are no extra charges. Information about charges is included in the home’s statement of terms and conditions. The home’s inspection report, its service user guide and statement of purpose were available on request. Woodlands Close, 1 DS0000000359.V343981.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. How the inspection was carried out: Before the visit: We looked at: • • • • • Information we have received since the last visit on the 5 September 2006; How the service dealt with any complaints & concerns since the last visit; Any changes to how the home is run; The manager’s view of how well they care for people; The views of relatives, staff & other professionals. The Visit: An unannounced visit was made on the 16 August 2007. During the visit we: • • • • • • Talked with some of the staff and the manager; Looked at information about the people who use the service & how well their needs are met; Looked at other records which must be kept; Checked that staff had the knowledge, skills & training to meet the needs of the people they care for; Looked around the building to make sure it was clean, safe & comfortable; Checked what improvements had been made since the last visit. We told the manager what we found. What the service does well: A detailed Annual Quality Assurance Assessment was submitted to the Commission prior to the commencement of the inspection. This document set out what improvements the home intended to make over the next 12 months. This is a sample of what the service does well: People living at the home had been supported to be as independent as possible living full and stimulating lives. Peoples’ needs had been put before those of the service and staff. Woodlands Close, 1 DS0000000359.V343981.R01.S.doc Version 5.2 Page 6 Weekly planners and activities reflected peoples’ needs and their age, gender, personal interests and preferences. The home was clean, tidy, well kept, pleasantly decorated and furnished. The home had received an award from North Tyneside Education Department for providing music and drama therapy sessions. Peoples’ bedrooms reflected their own personalities and preferences. had been given the opportunity to have their bedroom door key. People People had been supported to access hydrotherapy, aromatherapy and reflexology sessions. The home had a sensory stimulation garden. Staff had produced a regular newsletter telling people what went on in the service. Individuals living at the home had been involved in this process. All the staff had completed a confidentiality statement when they started working for the agency. Each staff member had a personal identification marker to enable one of the people living at the home to identify them more easily. People living at the home had been supported to do their own banking. The provider had put arrangements in place to ensure that: • • • Staff were competent to do the job for which they were employed; Staff completed training relevant to working with people with learning disabilities; People living at the home had the opportunity to participate in staff interviews. The manager had provided a range of in-house training such as: • • • Practical communication skills; Basic care skills; Managing stress. The provider had carried out regular visits to monitor the quality of care and services provided at the home. What has improved since the last inspection? Woodlands Close, 1 DS0000000359.V343981.R01.S.doc Version 5.2 Page 7 The home’s statement of purpose had been reviewed and updated. A copy had been forwarded to the Commission. Each person has had a Social Services review during the last 12 months following which a care plan was devised. The communal areas had been redecorated. Some new furniture and fittings had been purchased. The home had worked in conjunction with the speech and language therapy team to identify what action could be taken by staff to improve peoples’ communication and decision-making skills. Two staff had completed Mental Health Act capacity training. An individual Personal Emergency Evacuation Plan had been prepared for each person. Opportunities for sensory stimulation had been provided within the house and in peoples’ own bedrooms. All staff had completed: • • • Accredited training in handling medicines safely; Training in continence promotion; Safeguarding vulnerable adults training. Each person had been supported to achieve three ‘targeted ambitions’ during the last 12 months. The provider had developed a management information database that allowed the staff to access the company’s policies and procedures. Workplace risk assessments had been completed using the management information system. What they could do better: Ensure that all staff complete infection control training. Complete the Department of Health good practice infection control checklist. People will benefit from living in a home that operates robust infection control procedures that help protect them from the risk of infection. Woodlands Close, 1 DS0000000359.V343981.R01.S.doc Version 5.2 Page 8 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. Woodlands Close, 1 DS0000000359.V343981.R01.S.doc Version 5.2 Page 9 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 Woodlands Close, 1 DS0000000359.V343981.R01.S.doc Version 5.2 Page 10 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 good. This judgement has been made using available evidence including a visit to this service. The needs and wishes of each person had been properly assessed before they moved into the home. This meant that people were cared for and supported by staff who knew about their individual needs and preferences. EVIDENCE: The people who live at No.1 Woodlands had lived there since 1999. Each person’s needs had been assessed before their admission into the home. The home’s statement of purpose said that people would only be admitted into the service following receipt of a full Social Services assessment and care plan. The manager said that a ‘Getting to Know You Assessment’ would be completed before someone moved into the home. Standard two was not fully assessed, as there had been no new admissions for several years. There were policies and procedures setting out how people would be referred and assessed for a place at the home. Woodlands Close, 1 DS0000000359.V343981.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. There were good care planning and review processes in place and this meant that staff were clear about how they should meet peoples’ needs. EVIDENCE: Support specifications had been devised for each person setting out what support they required and in what areas. These covered such areas as medication, managing personal finances, continence, and morning and evening routines. They were detailed, easy to understand, written in plain English and had been reviewed recently. None of the people living at the home had been able to sign their support specifications to confirm their agreement with the contents. A personal plan had also been completed for each person. This included details of peoples’ preferences, wishes and future ambitions. Peoples’ placements at the home had been regularly reviewed. Woodlands Close, 1 DS0000000359.V343981.R01.S.doc Version 5.2 Page 12 During the inspection, staff were observed supporting and encouraging people to make decisions and choices about what they wanted to do. The local speech and language team had supported staff to devise and implement communication programmes and activities that encouraged people to develop skills in expressing their own needs and wishes. Care records contained information about what choices and decisions people were able to make. Information about how to access independent advocates was available in the home. Staff had supported people to make use of advocacy services in the past. Staff were observed providing physical care in a kind, respectful and sensitive manner. Staff understood peoples’ needs and had learned to communicate with them in an effective manner. Staff recognised that taking reasonable risks was an essential part of peoples’ lives. They had taken steps to support each person to be independent while also keeping them safe. A range of risk assessments had been completed for each individual. These covered such areas as: managing problems associated with low salt intake, horse riding, preventing falls and transferring safely with staff support. The assessments examined had been reviewed recently. Woodlands Close, 1 DS0000000359.V343981.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 had good opportunities to join in local activities and to make use of everyday community facilities. This enabled them to participate in, and be a real part of everyday community life. EVIDENCE: Staff supported people to join in meaningful daytime activities. For example, during the inspection, one person accompanied staff in the kitchen whilst the lunchtime meal was prepared. Another person participated in an afternoon aromatherapy session. Each person had a weekly activity planner. For one person this included relaxation sessions using specialist sensory equipment and a massage bed. People were also supported to participate in various arts and craft sessions. Staff supported people to take part in the home’s weekly food shop, go to the bank and carry out household tasks such as cleaning their Woodlands Close, 1 DS0000000359.V343981.R01.S.doc Version 5.2 Page 14 bedrooms. The manager said that the home’s rotas were built around peoples’ leisure interests and pursuits. People had been supported to complete a curriculum vitae with a view to obtaining appropriate future employment. A year long diary planner had been prepared for each person. These included details of family birthdays and other important events in their lives. Staff supported people to make use of everyday community facilities. During the inspection, arrangements had been made for one person to visit the post office to obtain a passport ready for his forthcoming holiday. Two other people were away on a day trip to Skegness. Records had been kept of the activities that people participated in. People had been provided with opportunities to develop and maintain important personal and family relationships. Peoples’ care records contained important information about families and friends. Support specifications had been devised to promote peoples’ contact with their families. There was clear written guidance for staff regarding how they should respect and safeguard peoples’ right to privacy. People had opportunities to mix with people who did not have disabilities through the use of local amenities and facilities. Four weekly rotating menus had been devised. Staff had tried to involve people in choosing what food would be served at the home. The menus were varied and offered choice. Alternatives were available to the main meal choices. Each person had a support specification that identified their need for assistance with eating and drinking. All of the people living at the home required some degree of assistance in this area. Meals were served in a form that enabled each person to eat their food safely. The home had sought input from the local speech and language therapy team, and the dietetic service, to help them support people who experienced difficulties with eating and swallowing. Specialist eating aids had been provided according to need. Information had been recorded about peoples’ food likes and dislikes. A member of staff was observed supporting one person to eat their meal in a kind, patient and considerate manner. The person’s food had been cut into small pieces to minimise the risk of choking. The mealtime was unrushed and the person was able to eat the meal at their own pace. Woodlands Close, 1 DS0000000359.V343981.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. The arrangements for meeting peoples’ personal health care needs were good. This will help to ensure that people are able to lead healthy lives free from discomfort and pain. EVIDENCE: People had been registered with local GP practices, opticians and dentists. They had regular access to these services and where required, more specialised health care services. Each person had a range of support specifications that promoted their health and well being. Arrangements had been put in place to prevent people developing pressure area care needs. Charts had been used to monitor peoples’ health care needs in areas such as epilepsy, continence and fluid intake. People using the service were unable to comment on whether they felt well cared for. Woodlands Close, 1 DS0000000359.V343981.R01.S.doc Version 5.2 Page 16 Support specifications setting out how peoples’ personal care needs were to be met had been prepared. For one person this covered the assistance they required with morning and evening routines, shaving and bathing. There were records covering the ordering, receipt, administration and disposal of medication. All medicines had been safely locked away. There were no people administering their own medication, or taking controlled drugs, at the time of the inspection. All staff had received training in the safe handling of medicines. Staffs’ competence to administer medicines had been assessed. The home’s pharmacist had recently judged that its medication practices and procedures were save and satisfactory. Checks of the air temperature of the room in which medications were stored had been completed on a daily basis. The medication cabinet was clean, tidy and hygienic. Woodlands Close, 1 DS0000000359.V343981.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. The written procedures for handling complaints were satisfactory. The relatives of people using the service were confident that their complaints or concerns would be listened to, taken seriously and acted upon, and that the procedures would protect them from harm or abuse. EVIDENCE: The home had a complaints policy and procedure. People had been given information about how to complain in the home’s tenants’ handbook. Support specifications had been devised to support people to access an independent advocate should this become necessary. Neither the home, or the Commission, had received any complaints since the last inspection. People living at the home were unable to comment on how complaints were handled. All staff had received training in the protection of vulnerable adults. Safeguarding policies and procedures were in place. There had been no incidents that required a referral in line with these procedures. Woodlands Close, 1 DS0000000359.V343981.R01.S.doc Version 5.2 Page 18 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, 26, 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Peoples’ bedrooms had been attractively decorated and nicely furnished. This provided people with a comfortable and well-maintained private space where they could relax and receive visitors. The home had been satisfactorily adapted to meet the needs of the people living there. This meant that people could be safely cared for using appropriate specialist aids and adaptations. EVIDENCE: A tour of the premises revealed no hazards. Peoples’ bedrooms were clean, attractively decorated and furnished. There were no shared bedrooms. Staff had ensured that each bedroom was different and reflected the needs and personality of the occupant. The layout and design of the home enabled people to live together in a homely domestic environment. People shared a Woodlands Close, 1 DS0000000359.V343981.R01.S.doc Version 5.2 Page 19 lounge, dining room and kitchen. The home was clean, tidy and hygienic. There were no unpleasant odours. Staff had not received training in the control of infection. The Department of Health good practice infection control checklist had not been completed The home had been adapted to meet the needs of the people living there. A range of specialist aids and equipment had been provided. For example, both bathrooms had been fitted with variable height baths, hoisting equipment and grab rails. Woodlands Close, 1 DS0000000359.V343981.R01.S.doc Version 5.2 Page 20 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. Robust pre-employment checks had been carried out on new staff before they started work at the home. This helps ensure that people who might be unsuitable to work with vulnerable adults are not employed. The arrangements for ensuring that staff regularly updated their training in key areas were satisfactory. This meant that staff had the skills and knowledge required to meet peoples’ needs in a safe and professional manner. EVIDENCE: A sample of staff personnel records was examined and it was identified that: • • • Each member of staff had completed an application form. Full employment histories had been obtained; Criminal Records Bureau Disclosure checks had been carried out; A contract of employment was available on each file, as was confirmation of physical and mental health; DS0000000359.V343981.R01.S.doc Version 5.2 Page 21 Woodlands Close, 1 • Two written references had been obtained for each applicant and verification of identity had been sought. Over 90 of the staff team had obtained a nationally recognised qualification in care. The remaining staff were in the process of completing this training. The training covers equality and diversity issues. The home’s manager had attended training in equality and diversity. Plans were in place to ensure that all staff received training in relation to race, equality and anti-racism. A sample of rotas was checked and found to contain the required information. The manager and members of her staff team said that the home’s staffing levels were sufficient to meet peoples’ needs. Staff had up to date training in all key statutory areas such as moving and handling and first aid. Staff had also completed more specialised training, which enabled them to meet the individual needs of people living at the home. For example, all staff had completed training in using specialist sign language and risk awareness training. All staff had received supervision at the recommended frequency during the previous 12 months. Supervision sessions were used to provide staff with feedback on their performance. Records had been kept of the supervision sessions held. Woodlands Close, 1 DS0000000359.V343981.R01.S.doc Version 5.2 Page 22 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, 41 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager was suitably qualified and experienced. She provided a clear sense of leadership and involved staff and people living at the home in the management of No 1 Woodlands. This meant that people lived in a home which was run and managed by a person who was fit to be in charge. EVIDENCE: The manager had obtained relevant qualifications, including the Registered Manager’s Award. Mrs Bowmer was also a registered learning disability nurse and had worked at the home for approximately two years. She had regularly updated her statutory training and had also completed additional training such as the course ‘Managing Your Work for Success’. The manager said she was Woodlands Close, 1 DS0000000359.V343981.R01.S.doc Version 5.2 Page 23 well supported by the provider and her staff. Staff said they were clear about the standards of care which they were expected to achieve. The home had taken on day-to-day responsibility for overseeing peoples’ money. Each persons’ money was kept in a purse within the home’s safe. Staff signatures had been obtained for all money spent on behalf of people living at the home and receipts had been obtained. Financial records showed evidence of daily audits. The manager acted as an ‘appointee’ for all of the people living at No 1 Woodlands. The quality of care and services provided at the home are monitored at a number of different levels. For example, daily staff handovers take place where peoples’ needs are discussed so that each staff member is clear about what is going on in the home. Each year quality questionnaires are issued to peoples’ relatives and professionals who visit the home. Regular monitoring visits are carried out by the provider to ensure that No 1 Woodlands is operating in line with the Company’s policies and procedures. A tour of the premises identified no health and safety concerns. A member of staff mentioned that the home had no hot water but that a plumber had been called to rectify the problem. The health and safety records checked were accurate and up to date. An audit of the home’s fire records confirmed that the required fire equipment checks had been completed. There was an up to date fire risk assessment and an Emergency Personal Evacuation Plan for each person. All staff had received fire training at the required frequency. A detailed safety audit had been completed in January 2007 and a range of workplace risk assessments had been devised. Monthly safety checks had been carried out and written records kept. An independent contractor had recently tested the home’s water systems for the presence of Legionella. Woodlands Close, 1 DS0000000359.V343981.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 X 3 3 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 3 27 3 28 3 29 3 30 2 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 3 3 x Woodlands Close, 1 DS0000000359.V343981.R01.S.doc Version 5.2 Page 25 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 YA30 Good Practice Recommendations Ensure that: • • The Department of Health infection control good practice checklist is completed; All staff complete infection control training. Woodlands Close, 1 DS0000000359.V343981.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection St Nicholas Building St Nicholas Street Newcastle upon Tyne NE1 1NB 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 Woodlands Close, 1 DS0000000359.V343981.R01.S.doc Version 5.2 Page 27 - 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. 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