Inspection on 03/06/08 for Woodlea

This inspection was carried out on 3rd June 2008.

CSCI found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Woodlea 14/06/06

Woodlea 03/11/05

Woodlea 26/05/05

Woodlea 07/01/05

Woodlea 21/07/04

Woodlea 26/02/04

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/11/2008.

CARE HOMES FOR OLDER PEOPLE Woodlea Woodlea 61 Bawtry Road Bessacarr Doncaster South Yorkshire DN4 7AD Lead Inspector Janet McBride Key Unannounced Inspection 3rd June 2008 09:45a 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 Woodlea DS0000007982.V365959.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. Woodlea DS0000007982.V365959.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodlea Address Woodlea 61 Bawtry Road Bessacarr Doncaster South Yorkshire DN4 7AD 01302 535441 01302 535483 woodlea@fshc.co.uk www.fshc.co.uk Leeland Limited (wholly owned subsidiary of Four Seasons Health Care Limited) Jayne Ann Clark Care Home 34 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) Category(ies) of Old age, not falling within any other category registration, with number (34) of places Woodlea DS0000007982.V365959.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th June 2006 Brief Description of the Service: Woodlea is a care home providing residential care and accommodation for older people. The home is part of the Four Seasons healthcare group, and is located on Bawtry Road at Bessacarr, a suburb of Doncaster, and is well placed for access to a supermarket, leisure centre, local pubs and the racecourse, and the town centre is a short ride away. The building is an extended two storey detached property, providing twenty-six single bedrooms and four double rooms. The home is set in extensive well-established gardens to front and rear of the property that is easily accessible to people within the service. Car parking area at the front. Fees range from £390:00 to £460:00per week, as at June 2008,and additional charges are made for hairdressing, Chiropody, toiletries, magazine, newspapers and transport/taxi. For further information contact the home. The Statement of Purpose and the Service User Guide, which is available on request, this as information about the services available to people and their families. The home last published inspection report was also available on request. Woodlea DS0000007982.V365959.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. One inspector carried out this Key Unannounced Inspection, which took place on the 3rd June 2008 for seven hours fifteen minutes. CSCI are trying to improve the way we engage with people who use services so we gain a real understanding of their views and experiences of social care services. We currently use a method of working where ‘experts by experience’ are an important part of the inspection team and help inspectors get a picture of what it is like to live in or use a social care service. The term ‘experts by experience’ used in this report describes people whose knowledge about social care services comes directly from using them. Jean Underwood (Expert by Experience) accompanied the inspector for three hours and spent time speaking to people who use the service, staff and any visitors. Prior to the inspection the home submitted an Annual Quality Assurance Assessment this gives information regarding the home and services provided. Pre-inspection work was carried out on the information received and other relevant documentation, for example analysis of statutory notifications and complaint records. During the inspection, documentation and records were examined, for example medication, complaints, accident records, staff rotas and staff training files. Five care plans were cross-referenced with other relevant documentation relating to those people who use the service, to evaluate how well their care needs were met. A tour of the premises and direct observation of staff interaction with people who use the service was carried out throughout the visit. Information was gathered from as many different individuals as possible that had contact with people within the home, including individual interviews with manager and four members of staff. Eight people within the home were also spoken to. We sent out surveys prior to the inspection, ten were sent to people within the home who received the services, five were received back. They were asked to comment on the standard of care, staff skills, attitude, and how the needs of people using the service needs were met. Woodlea DS0000007982.V365959.R01.S.doc Version 5.2 Page 6 We would like to thank all the staff, relatives and people receiving services within the home for their co-operation in the inspection process. Balanced positive feedback as well as any issues or concerns that were raised were discussed with the manager at the end of the inspection. What the service does well: What has improved since the last inspection? What they could do better: • • Ensure the hoist that is waiting for parts in the bathroom downstairs is fixed as soon as possible. All ceiling tiles that are missing should be replaced. Woodlea DS0000007982.V365959.R01.S.doc Version 5.2 Page 7 • Variable height chairs must be available to ensure individual peoples mobility is not restricted or impeded by difficulty getting into and out of chairs. 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. Woodlea DS0000007982.V365959.R01.S.doc Version 5.2 Page 8 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 Woodlea DS0000007982.V365959.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 & 6. People who use the service experience Good outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. People that use the service had information about the home and services provided. People were individually assessed prior to admission to ensure their needs could be met. EVIDENCE: The home does not offer intermediate care, only personal care for people. All surveys received confirmed that people who use the service were provided with sufficient information before moving into the home, and that they had the opportunity to visit and stay prior to admission. One relative confirmed she had the service users guide and contract/statement of terms and conditions. Records showed that people who use the service were fully assessed prior to moving into the home, management assessments had been completed for people placed by funding Authorities, and people who were self -funding had a Woodlea DS0000007982.V365959.R01.S.doc Version 5.2 Page 10 written assessment prior to admission completed by the management of the home, involving other professional if involved in their care. The home had also had competed various assessment of peoples social needs. Relatives were involved in this and asked to complete details of social background including hobbies and interests. People had visited the home and spent the day with them before admission. The scale of charges was discussed with the manager and any extras that people pay for, are documented on page 5 of this report. Woodlea DS0000007982.V365959.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 People who use the service experience Good outcomes in this area. We have made this judgment using a range of evidence, including a visit to this service.Care plans provided staff with sufficient information to meet the needs of people who use the service. People were assisted and supported by staff to make decisions and choices about all daily living needs. EVIDENCE: Three care plans were checked these set out in detail healthcare, personal and social care needs in an individual plan of care. All contained up to date information that reflected people’s needs as detailed in their assessments. This ensured that staff know the care required and that peoples needs were identified and met. Nutritional assessment had been completed on admission and records were maintained of peoples weight on a regular basis, records showed that this is monitored and reviewed on a regular basis. Woodlea DS0000007982.V365959.R01.S.doc Version 5.2 Page 12 Risk assessments had been completed based on individual needs; these were incorporated into each persons care plans. Good health records were maintained and it was evident that people within the home were registered with a GP and had access to health care facilities. This included any specialist health services that were required. GP and health professional’s visits were recorded. Medication policy and procedure were discussed with the manager, records checked and observation of a member of staff administering medicines. All staff responsible for the administration of medication had completed the accredited medication training. Examination of records, storage and recording of medication was completed. All were found to be satisfactory with any issues raised on the last inspection had been addressed. Jean Underwood (Expert by Experience) found all five people spoken to were extremely clean and well dressed .She was given to understand that they were able to bathe as frequently as required at their request. One lady had hearing aids and said staff frequently cleaned and ‘sorted’ them for her. Four of them agreed that they were able to go to bed and get up when they wanted, one lady was immobile therefore reliant on staff to deal with her needs but stated there were no problems. From observation on the day staff were observed to interact well with people, providing care in a sensitive manner, whilst treating people with dignity and respect. Surveys and people spoken to said they were encouraged to make everyday choices, for example what to eat and what to wear. This promoted the choices and dignity of people living at the home. People using the service made many positive comments regarding care provision “The care here is 1st rate.” “I always receive care and medical support when I need it”. Feedback from relatives confirmed that staff always treated people who use the service with respect and maintain their dignity at all times, people said, “staff are excellent and provide a good service”. Woodlea DS0000007982.V365959.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. People who use the service experience Excellent outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. People within the home were provided with stimulation and interesting activities. They were offered a wholesome and appealing balanced diet with a varied selection of food available to meet people’s tastes and choices. EVIDENCE: The AQAA said the home had made changes as a result to listening to people within the home who use the services. They had increased the number of resident/relative meeting and established a gardening group. Jean Underwood (Expert by Experience) remit was to speak to people and relatives, to get an insight into the quality of life and the standard of care and dignity given to the people, as well as looking at the quality of food and activities the that people received at the home. Jean had the opportunity to speak to five people within the home, one relative and staff members. Activities appeared to be in abundance within Woodlea and with various organized outings these included meals out, shopping trips, outings to Markham Grange and York, a fund raising summer fare in July for Woodlea was Woodlea DS0000007982.V365959.R01.S.doc Version 5.2 Page 14 to be held in the newly landscaped and refurbished garden. Bingo, skittles, darts, and exercise classes were held. People were also encouraged with memory games, which they enjoyed. Outside entertainment was provided twice a month. All enjoyed this as it was usually music and they were able to dance. Four of the ladies spoken to had had their hair done by the hairdresser that morning and it appeared that most of the ladies within the home were doing same. Three of who had a manicure and polish put on their nails by Gill the activities coordinator. Information from these ladies said that clothing companies visited the care home three times a year with clothes, which they were able to purchase at a ‘reasonable’ cost. A shoe company also visited and they were able to purchase shoes. Most of these ladies had purchased both but all said they were able to still go out on shopping trips usually organized by Gill. The home applied for the capital grant, this was used to improve the garden area and make it more accessible and user friendly for people. They had landscaped and refurbished the garden; a new patio area and garden furniture were purchased. People said they felt this was a benefit to all people within the home, and it was nice to spend time out in the garden. Lunchtime was observed table clothes and napkins were used also a range of condiments were available. Comments from people within the home and on surveys were very positive about food and menus received. Four Seasons weekly menu plan contains a diverse selection of choices for meals, they also ensure that there are basic stocks of food available at all times for people who do not want the choices available on the menu. Five people spoken to by Jean Underwood (Expert by Experience) said they were able to feed themselves but did comment that help was at hand should it be required stating the meals and menus were impressive. Should there be something else which they fancied it more often than not could be provided. Fruit was available on request if required. The home had just employed a new cook who provided them with home baking and that Gill and the new cook were intending to provide people with a ’baking day’ whereby they could do some home baking. Family and friends can visit at any reasonable time and can see their relative in private if they wish, relatives seen confirmed they can be involved in peoples care for example attend reviews and discuss care plans. Woodlea DS0000007982.V365959.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. People who use the service experience Good outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. The complaints procedure was accessible and displayed within the home. Policies and procedures were in place on adult protection; this promoted and protected people who use the service. EVIDENCE: The AQAA stated they had a comprehensive complaints procedure, which was available to all people, it said they had received two complaints in the last twelve months. Complaint records showed that these complaints had been recorded, responded and investigated in an efficient and thorough manner. All surveys confirmed that people were aware of the complaint procedure and knew who to speak to if unhappy and how to make a complaint, comments made for example. “ I very rarely have anything to complain about”. “I can speak to any of the staff if I have a problem”. “One person said she would tell her daughter first” if she had any worries”. All people said they felt they could discuss any troubles, worries or concerns with the manager. Policies and procedures were in place regarding the protection of vulnerable adults. Staff confirmed they were aware of abuse polices and procedures, they were able to describe the action they would take on receiving any allegations. Woodlea DS0000007982.V365959.R01.S.doc Version 5.2 Page 16 Management are proactive in referring any allegations or incidents to adult safeguarding and informs the Commission for Social Care Inspection of any issues. Woodlea DS0000007982.V365959.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 21, 24 & 26. People who use the service experience Good outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. The home was clean and tidy and people who use the service felt they lived in a safe, comfortable and well-maintained environment. EVIDENCE: A tour of communal areas within the home found the reception area of the home quite a popular place to sit. People said y they like to see who is coming and going through the main door. Jean Underwood (Expert by Experience) was particularly impressed with the beautiful red letterbox in reception this enables people to post their own mail. The home had a selection of lounge areas giving people a choice of sitting quietly, meeting family and friends in private or being with other people. Woodlea DS0000007982.V365959.R01.S.doc Version 5.2 Page 18 The lounges were pleasantly decorated and found to be comfortable, with the exception of one lounge where a number of chairs were worn and stained. There was also a lack of variable height chairs in this lounge, this needs reviewing to ensure individual peoples mobility is not restricted or impeded by difficulty getting into and out of chairs. There is a separate smoking lounge for resident’s use, which is situated on the ground floor. The communal dining room had been refurbished with new tables and chairs. Bedrooms are situated on both floors; the upper floor is accessed via stairs or a passenger lift. Since the last inspection the home had upgraded three of the double bedrooms, making all except one bedroom for single occupancy and many of those rooms had ensuite facilities. Bedrooms looked very comfortable and it was confirmed people could bring personal furnishings with them on admission, some were found to be homely or personalised by individual people, including own phones and fridges in their bedrooms. All were clean and tidy and in good decorative order. Bathroom facilities were briefly checked. There are assisted baths and one shower within the home. Two bathrooms upstairs one of these had been refurbished and as a fixed hoist facility. The bathroom downstairs is not used at present the fixed hoist is waiting for parts, which are on order. All communal areas were found to be clean, tidy, odour free and looked very homely with pictures, flowers and ornaments around the home. Comments from surveys and people living in the home felt the home was always clean and fresh. Woodlea DS0000007982.V365959.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. People who use the service experience Good outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. Staff had the skills and knowledge to fulfil their roles within the home; a stable staff group ensured continuity of care for people who use the service. Recruitment policies were followed promoting the safety and protection of people who live at the home. EVIDENCE: Staffing was discussed with the manager and the duty rota examined. This clearly identified staff within the home and their role, gave a clear line of accountability of management and ancillary staff. Observation on the day of inspection and checking of duty rotas confirmed there were sufficient staff to meet the needs of people who use the service. There were robust recruitment and selection procedures including an equal opportunities policy. Three new staff recruitment files were examined, these confirmed that all the required employment checks had been undertaken prior to staff being employed, including Criminal Record Bureau (CRB) Protection Of Vulnerable Adults (POVA) checks. This ensured people who use the service were safe and protected. Woodlea DS0000007982.V365959.R01.S.doc Version 5.2 Page 20 Training and development of staff was discussed with the manager and staff, who confirmed what training had been completed, either in-house or external. Training records indicated that a number of the staff team had accessed various courses since the last inspection, for example dementia, adult protection, moving and handling, infection control and first aid courses. The home also had a training plan for the year; this ensured that all staff attends statutory training courses. Development of staff achieving National Vocational Qualification (NVQ) level 2 or 3 in care had improved with other members of staff continuing to work towards attaining this qualification. Comments on surveys said staff were available when they were needed and that staff listen to them and acted upon any issues raised. Jean Underwood (Expert by Experience) discussed with people how they were treated by staff. Three of who had been residents for five or more years all praised the care staff. The lady who had been a service user for 20 years praised the present staff adding ‘odd ones over the years could be a bit ‘awkward.’ She also stated that she had seen many changes over the years but added that they were all for the better. Woodlea DS0000007982.V365959.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,.33, 35 & 38. People who use the service experience Good outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. The home had good policies and procedures in place to protect and safeguard people who use the service, they continue to make improvement in the provision of services to ensure effective outcomes for people. EVIDENCE: Management structure at the home consisted of a registered manager, a deputy manager and an administrator. The homes registered manager has completed the Registered Managers Award. She his fully aware of her responsibilities and provides leadership, guidance and direction to staff to ensure that people receive consistent quality care. Staff and people receiving care spoke freely and positively about the manager saying she was approachable if they had any issues to discuss. Woodlea DS0000007982.V365959.R01.S.doc Version 5.2 Page 22 Quality assurance systems were in place and the manager could evidence they monitor the quality of care and services within the home. Although the home have always monitored the care and services provided, it was found on the last inspection that these were not analyzed or feedback given to people who had completed surveys. The home now feedback any findings either via meetings or by letter. The company’s operations manager continues to carry out monitoring visits, and completes regulation 26 reports (copies were available at the home). These state what she found during her visit and who she spoke to. Regular meeting take place for people within the home, relatives and staff all with minutes taken and were available to examine. The manager and deputy manager continue to carry out audits on care plans and medication records. The company have also started using a new tool Team Audit Process (TAP). This involves the whole team of staff and monitors all aspects of care within the home. Discussion with the manager and checking of records confirmed that some people control their own finances independently with some needing the help of their families. Although people can access any money they need, this is pooled and kept in one account so the Inspector could not audit individual persons money. Records were available on the computer system to show each person individual account, but not all people had individual bank accounts. A recent audit of peoples finances carried out by Doncaster Metropolitan Borough Council (DMBC) also stated that people’s finances were not kept as stated in the CSCI minimum standards. Maintenance and service records were examined, these were up to date with current certificates. The required health and safety policies and procedures and the relevant notices were displayed throughout the home. Fire safety procedures were in place; records examined showed they were current and up to date. This keeps people living and working at the home safe. Records required by regulation are maintained; a number of these were checked during the Inspection and found to be accurate and up to date. Woodlea DS0000007982.V365959.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 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X 2 X X 3 X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 2 X X 3 Woodlea DS0000007982.V365959.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP19 Regulation 23(2)(c) Requirement Variable height chairs must be available to ensure individual peoples mobility is not restricted or impeded by difficulty getting into and out of chairs. Timescale for action 30/09/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 4 Refer to Standard OP19 OP21 OP28 OP35 Good Practice Recommendations Ceiling tiles should be replaced when they are missing. The hoist that is waiting for parts should be fixed as soon as possible. The home should continue with on going NVQ training to ensure a minimum ratio of 50 of care staff are trained to NVQ Level 2 or equivalent is achieved. All services users money kept in the home should be kept in individual wallets. Woodlea DS0000007982.V365959.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region 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 Woodlea DS0000007982.V365959.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!