Inspection on 25/05/05 for Woodley House Care Home

This inspection was carried out on 25th May 2005.

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

Woodley House Care Home 14/08/07

Woodley House Care Home 30/10/06

Woodley House Care Home 16/01/06

Woodley House Care Home 03/03/05

Woodley House Care Home 24/08/04

Woodley House Care Home 02/03/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Woodley House Care Home Woodley Street Ruddington Nottingham NG11 6EP Lead Inspector Linda Hirst Unannounced 25 May 2005 10:30 th 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 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 Stationary 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. Woodley House Care Home C53 C03 S8768 Woodley House V230206 250505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Woodley House Care Home Address Woodley Street Ruddington Nottingham NG11 6EP 0115 984 8069 0115 945 6020 Telephone number Fax number Email 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 Brian McKean, Woodley House, Woodley Street, Ruddington, Nottingham NG11 6EP Miss Rachael Louise Stevenson Care Home (CRH) 13 Category(ies) of Learning Disability (LD) registration, with number of places Woodley House Care Home C53 C03 S8768 Woodley House V230206 250505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 3/3/05 Brief Description of the Service: Woodley House is an adapted period property that sits in its own grounds close to the centre of the village of Ruddington with its range of shops, churches and public houses. The accommodation is registered to accept up to 13 service users with a learning disability and offers personal care and support. The accommodation comprises both single and double rooms and spans over three floors without a vertical lift so any potential service users would have to be fully mobile. There are a number of communal facilities and these are used flexibly. There are secluded gardens and car parking to the front and side of the building. There are plans to convert the “cottage” which is attached to the property to facilitate more independent living, but these are in the early stages. Woodley House Care Home C53 C03 S8768 Woodley House V230206 250505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit involved one inspector who was at the home for half a day. The main method of inspection used was called ‘case tracking’ which involved selecting two residents and tracking the care they receive through checking their records and observation of them. The residents have very high levels of need and were not able to help by giving their opinions. The judgements in this report are therefore formed from observation and comments from staff. Various records were looked at as part of this inspection, including staff rotas, financial records, medication records, menu plans, and records of Health and Safety checks. Two members of staff were spoken with and observed in their work and a discussion was held with a student nurse on placement at the home. A full tour was done of the accommodation. What the service does well: What has improved since the last inspection? There have been further improvements to the accommodation and the furniture continues to be replaced to provide a more comfortable home for residents. Staff have had training on administering rectal Diazepam from the Nurse and she has signed to say they are able to do this task safely. Woodley House Care Home C53 C03 S8768 Woodley House V230206 250505 Stage 4.doc Version 1.30 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Woodley House Care Home C53 C03 S8768 Woodley House V230206 250505 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Woodley House Care Home C53 C03 S8768 Woodley House V230206 250505 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 As far as it is possible to determine, the residents at the home have been properly assessed to make sure the home can meet their needs. EVIDENCE: There have been no new admissions to the home for a long period and it is difficult to determine whether the residents selected for “case tracking” were fully assessed before admission. The assessment documents seen on their files are old but were completed suggesting residents were properly assessed before admission. Woodley House Care Home C53 C03 S8768 Woodley House V230206 250505 Stage 4.doc Version 1.30 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 9 The care plans are outdated, they do not reflect the current needs of the residents nor is there any indication that they or their representatives know how staff intend to support them. The staff response to one of the residents and his inappropriate behaviour does not follow current best practice and there is no evidence that this approach has been suggested or approved by a Clinical Psychologist. The staff response was not appropriate to the situation and proper, consistent guidance was not offered to the resident in question. The staff offer calm and reassuring responses to residents whose behaviour is out of character but the absence of key risk assessments compromises the care offered to people in difficult circumstances. EVIDENCE: A requirement was set after the last visit for there to be evidence that the residents or their representatives are involved in drawing up and reviewing their care plans. This is so that the residents or their representatives are clear Woodley House Care Home C53 C03 S8768 Woodley House V230206 250505 Stage 4.doc Version 1.30 Page 10 about how the staff intend to support and help them. This has not been done within the timescale set and has been repeated. The issue must be addressed within the specified time to avoid further action. The care plans are lengthy and unwieldy without a consistent format, making it difficult for new staff to identify current needs and the action they need to take to help the residents. In addition, the care plans seen are not current, the information in some cases is over ten years old. This is not acceptable, these plans cannot be seen as reflective of the residents’ needs now. Without this, the staff are not receiving proper guidance on meeting residents’ needs. A recommendation was set after the last visit to archive all old material for this purpose but it has not been done yet. It was also recommended that the quality of the reviews of the plan be improved but it is difficult to see how this can be done until new plans are in place. It is clear from the observation of the residents and staff together that the staff know them well, but the documentation about their care lets the service down. One of the residents who was “case tracked” needed support and guidance with appropriate expression of sexuality. A suitable plan was in place but the daily records indicate that the plan was not followed and in effect staff withdrew an appropriate support mechanism for this resident. This could be interpreted as a “punishment.” This is not best practice and it is recommended that the input of a clinical psychologist be sought to give guidance on how best to support this resident. Some of the residents have behaviour which may challenge, in one case seen a very detailed risk assessment was in place to guide staff so that they can offer the right support if the resident becomes aggressive. In another case however, several key risk assessments were missing around self harm, skin care issues and falls. Without these staff have inadequate guidance about how to support that resident with their needs. The observation of the residents who were at home suggested that the staff are calm when faced with unusual or unexplained behaviour. The residents were given regular help and support and no untoward incidents were seen. Woodley House Care Home C53 C03 S8768 Woodley House V230206 250505 Stage 4.doc Version 1.30 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 17 The staff encourage the residents who are able to develop and maintain independence skills. The residents take part is appropriate and fulfilling activities but one resident needs an advocate to represent her and make sure her needs are fully met. The residents have a varied and healthy diet but there is no evidence that choices or alternatives are made available on request. EVIDENCE: If residents are able to assist with chores around the home they are encouraged to do this in order to develop or maintain their independence skills. Two change their own beds and remake them with the support of staff, one helps set the tables for meals and two others help staff distribute the laundry to the residents. Two residents have been risk assessed as being able to make their own drinks and they access the kitchen independently to do this. One resident has recently helped staff prepare a meal and enjoyed this. Woodley House Care Home C53 C03 S8768 Woodley House V230206 250505 Stage 4.doc Version 1.30 Page 12 Staff interviewed said that the residents usually go out at the weekend and drivers are on to take the residents out in the minibus. One resident goes out to a local pub, the cinema and to football in the evenings. Activities provided include picnics, walks and the residents go swimming as part of their day service provision. The two residents who do not attend day services do “home based” activities as they cannot walk very far. These include puzzles, painting and the residents were seen watching a DVD during this inspection. One of these service users may not be able to access day services again which leaves her home based for much of the time, this may become boring and limited. It is recommended that contact be made again with the advocacy service to support this resident in having her needs properly addressed. The residents who attend day services have packed lunches provided by the staff. Those who were at home were seen having a lunch of salmon paste sandwiches, crisps, yogurt, fruit, chocolate biscuits and drinks. They sat with the staff to eat and the mealtime was calm and relaxed. The main meal is served in the evening when all of the residents are together and menu plans were seen. The staff reported that alternatives are available to promote choice for the residents but no evidence was seen of this. It is recommended that alternatives to the main menu be documented. Woodley House Care Home C53 C03 S8768 Woodley House V230206 250505 Stage 4.doc Version 1.30 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20 The health care needs of the residents are generally well met, but there is no evidence to suggest that proper assessment or treatment has been sought to protect the skin of one resident. Without this the health of the resident is compromised. The arrangements for the storage of medication are safe and secure. However, gaps on the administration records mean that it cannot be evidenced that medication is given to residents as prescribed, this has clear implications for their health. EVIDENCE: One resident was reported to have a sore bottom, but there was no evidence of the District Nurse being called in to make sure that the appropriate treatment is available. It is essential that residents are able to access early assessment and treatment of their pressure sores in order to maintain their health. However there was evidence of equipment being provided to promote continence, one person sees a Clinical Psychologist and all of the residents access Well Woman and Well Man clinics provided by the local GP surgery. In most cases, the residents’ health and wellbeing is promoted and supported well. One resident was at home as he felt unwell and the staff were observed Woodley House Care Home C53 C03 S8768 Woodley House V230206 250505 Stage 4.doc Version 1.30 Page 14 to be nurturing, reassuring and concerned. Regular checks were undertaken on his wellbeing and to make sure he was comfortable. Medication was inspected to check that the residents are receiving their medication as prescribed by their GP and that the arrangements for storage and administration were safe. However, the Medication Administration Record had several gaps and no code was entered to indicate whether the medication had been given or refused. The manager must be able to evidence that staff are giving the medication to residents as prescribed and an immediate requirement was left for this issue to be addressed. Woodley House Care Home C53 C03 S8768 Woodley House V230206 250505 Stage 4.doc Version 1.30 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, 23 The complaints procedure is clear but in the absence of the complaints record it is not possible to check whether complaints are taken seriously and acted upon. The arrangements for maintaining residents’ finances at the home are not adequate and do not properly protect the financial interests of residents leaving them open to abuse. The staff respond well to unusual behaviour and are due to have training on abuse so they are clear about poor practice and their obligations to report. EVIDENCE: The deputy manager was asked for the complaints record, but this could not be found. It must be available for inspection to allow the Commission for Social Care Inspection to check that residents concerns are properly documented, investigated and action taken to address any issues arising. It was not possible to communicate sufficiently with the residents who were at home to identify whether they knew how to make complaints, but the process is in the service user guide. Residents’ finances were inspected to check that the staff make sure that residents receive their entitlements and that there are arrangements to protect their interests. These arrangements are acceptable and protect the residents’ interests. Small amounts of personal allowance are held at the home for ease of access for residents. Each resident has a running total but the cash for all of them is pooled together and this is not acceptable, it must be kept individually to allow regular checks and to avoid errors. There was a discrepancy between the Woodley House Care Home C53 C03 S8768 Woodley House V230206 250505 Stage 4.doc Version 1.30 Page 16 amount documented as being held and the actual amount on the premises and this must be corrected to make sure that all of the residents have the right amount of money available to them. In addition it was noted from the records that two members of staff have had some money belonging to residents for an unacceptably long period (four months and three months). This money belongs to the residents and the registered person must make sure that any unspent money is returned to the home without delay or receipts obtained. Without these arrangements in place the manager is failing in her duty to protect the interests of the residents by safeguarding their money. The student nurse was asked about how staff respond to difficult behaviour, she stated she had not seen any interaction which concerned her and felt the staff responded calmly to behaviour which challenges. Staff interviewed stated that training was planned on Abuse. Woodley House Care Home C53 C03 S8768 Woodley House V230206 250505 Stage 4.doc Version 1.30 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 28 The accommodation is well maintained, clean and safe. However the privacy needs of the residents are not properly addressed. EVIDENCE: The accommodation is comfortable and homely, there are security locks in place on rooms where repairs are needed to prevent any injury to the residents. The residents who were seen were clearly happy, comfortable and relaxed at the home. None of the shared bedrooms had appropriate screening in place to promote the privacy of the residents, this must be provided. Only two of the bedrooms have door locks fitted and it was explained that this was because residents may panic and lock themselves in. This must be balanced against their right to privacy and it is recommended that the locking systems available be researched as there may be a system which offers both privacy for residents and ease of access for staff. The accommodation is spacious and pleasant, there are two lounges with comfortable seating and two eating areas which can be used flexibly depending Woodley House Care Home C53 C03 S8768 Woodley House V230206 250505 Stage 4.doc Version 1.30 Page 18 on the residents’ preferences, for meals or activities. The accommodation and furnishings have been upgraded recently to make the home more comfortable for the residents. The residents who were in were seen lying comfortably on the settees. The home was clean and fresh smelling throughout and provides a pleasant environment for the residents. Woodley House Care Home C53 C03 S8768 Woodley House V230206 250505 Stage 4.doc Version 1.30 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 35, 36 There are sufficient staff on duty to meet the needs of the residents. The staff provide a good level of care to the residents and are caring and supportive to residents. The staff have good access to training, they feel they are properly supported and feel competent in their roles. EVIDENCE: The staff rota was inspected it shows there are three staff on duty until 09.00 and this then reduces to two as most of the residents are out at day services (only two were at home during this inspection). It increases again at tea time and at weekends a full staff complement is available. On the basis of observation the staffing levels are appropriate to the dependency needs of the residents. Staff interviewed confirmed that since new staff have started, the staffing levels are adequate. A student nurse completing her placement was interviewed and asked for her observations on the care provided at the home. She said the staff are “lovely” with the residents, kind and gentle. The observations of the care given would Woodley House Care Home C53 C03 S8768 Woodley House V230206 250505 Stage 4.doc Version 1.30 Page 20 confirm that staff are caring and concerned. Calm, positive and reassuring interactions between staff and residents were seen. The staff who were interviewed said that they get plenty of training to enable them to meet the needs of residents. They said training courses are planned on Abuse, Mentoring and health and safety. They confirmed that they have just received training from the Nurse about the administration of rectal Diazepam to make sure this practice is done safely. Supervision records are held on staff files and the staff confirmed that they have formal supervision every three months and get to contribute to the agenda. In this way their performance is monitored and the manager can make sure that they are properly trained and supported in their role. Woodley House Care Home C53 C03 S8768 Woodley House V230206 250505 Stage 4.doc Version 1.30 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 41, 42 The record keeping at the home needs to improve to make sure that staff are fully aware of the residents’ needs and so the confidentiality of information about residents is preserved. The registered provider is failing in his duty to assess and report on the conduct of the home, calling into question his fitness to be registered. Health and safety checks and records are maintained well but a couple of areas of the environment need attention to make sure that the health and wellbeing of residents is not compromised. EVIDENCE: The home’s records need some attention to make sure they are up to date and accurate (see YA6 and YA20). Several records were seen where other residents were referred to by their full name and it is recommended that initials only be used to protect their right to confidentiality. The provider has failed to produce monthly reports on his visits to the home in spite of repeated requirements being set. By so doing he is failing to prove that the home is Woodley House Care Home C53 C03 S8768 Woodley House V230206 250505 Stage 4.doc Version 1.30 Page 22 properly run and managed and this calls into question his fitness to be registered. An immediate requirement has been set for these to be sent to the Commission for Social Care Inspection until further notice. Failure to comply with this requirement may result in enforcement action. The fire log was inspected to ensure the system is tested at regular intervals. All checks and tests were conducted as required to make sure the safety of residents is maintained. Accident records were seen and were well recorded with evidence of treatment being provided as needed. There are toilets and bathrooms on all floors, and the temperature of the hot water was checked to make sure residents could not scald themselves. The hot water from the bath on the first floor was too hot and must be regulated to prevent injury to the residents. The cleaning products (some of which are subject to Control of Substances Hazardous to Health Regulations) are stored in the laundry, but the lock on the storage cupboard was broken meaning residents could potentially gain access to them. A way must be found to secure these products until the lock can be repaired. An immediate requirement was set about this issue. Woodley House Care Home C53 C03 S8768 Woodley House V230206 250505 Stage 4.doc Version 1.30 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 x x x Standard No 22 23 ENVIRONMENT Score 1 1 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 1 3 x 1 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 1 3 x 3 x x Standard No 11 12 13 14 15 16 17 3 2 x x 2 x 3 Standard No 31 32 33 34 35 36 Score x 3 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Woodley House Care Home Score x 1 1 x Standard No 37 38 39 40 41 42 43 Score x x x x 3 1 x C53 C03 S8768 Woodley House V230206 250505 Stage 4.doc Version 1.30 Page 24 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 6 Regulation 15(1) Requirement There must be evidence of service users/their representatives being involved in the development and review of their care plan unless there are valid, documented reasons for this not to happen. (Timescale of 17/4/03 not met. The content of care plans must be current and relevant to the needs of the resident. A risk assessment in respect of the health care needs identified must be undertaken. The resident identified must be referred to the District Nurse for assessment of his skin. The Medication Administration Record must be fully completed, reasons must be given if medication is not given as prescribed. The complaints record must be available for inspection at all times The residents money must not be pooled, and must be maintained individually. Staff must not be allowed to have residents money for prolonged periods of time. Timescale for action 25/7/05 2. 3. 4. 5. 6 9 19 20 14(2)(a & b) 17(1)(a), Schedule 3(m & n) 17(1)(a), Schedule 3(n) 13(2) 25/8/05 6/7/05 6/7/05 Immediate 6. 7. 22 23 22(8) 13(6) Immediate Immediate Woodley House Care Home C53 C03 S8768 Woodley House V230206 250505 Stage 4.doc Version 1.30 Page 25 8. 9. 25 39 12(4)(a), 16(2)(c) 26(4) 10. 11. 42 42 13(4)(a) 13(4)(a & c) Provide screening in double bedrooms to protect the privacy of residents. Send copies of the written reports of the monthly provider visits to the home to the Commission for Social Care Inspection until further notice. (Timescales of 24/10/04 and 17/4/05 not met, immediate requirement issued.) The temperature of the hot water to the first floor bath is too high and must be regulated Products subject to Control of Substances Hazardous to Health Regulations must be secured at all times. 6/7/05 Immediate (by 25/6/05) 6/7/05 Immediate 12. 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. 5. 6. Refer to Standard 1 6 6 12 15 25 Good Practice Recommendations Incorporate illustrations into the Service-User Guide. Improve the quality of the reviews of the care plans and archive all dated information. Refer the identified resident to the Clinical Psychologist for guidance on supporting him with his sexuality Re-refer the identified resident to the advocacy service Alternatives to the main menu and any choices should be recorded. Research approved locking mechanisms for residents bedrooms and fit something appropriate Woodley House Care Home C53 C03 S8768 Woodley House V230206 250505 Stage 4.doc Version 1.30 Page 26 Commission for Social Care Inspection Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Woodley House Care Home C53 C03 S8768 Woodley House V230206 250505 Stage 4.doc Version 1.30 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. 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