Inspection on 13/06/06 for Woodside Home

This inspection was carried out on 13th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Woodside Home 10/03/06

Woodside Home 06/07/05

Woodside Home 26/10/04

Woodside Home 08/06/04

Woodside Home 29/04/03

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Woodside Home Woodside Home Baxendale Whetstone London N20 0EH Lead Inspector Tom McKervey Key Unannounced Inspection 10:00 13th& 14th June 2006 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 Woodside Home DS0000010528.V298412.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. Woodside Home DS0000010528.V298412.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodside Home Address Woodside Home Baxendale Whetstone London N20 0EH 020 8445 1127 020 8343 8324 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) The Trustees of The Woodside Home Vacant Care Home 49 Category(ies) of Old age, not falling within any other category registration, with number (49) of places Woodside Home DS0000010528.V298412.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th March 2006 Brief Description of the Service: Woodside Home is a care home registered to provide care and support for up to 49 older people, all of whom are female. The home is run by a charitable trust and is managed through a board of trustees. A House Committee oversees the general running of the home. The home, which is purposed-built, has 49 single bedrooms, located on the ground, first and second floor. None of the bedrooms have en-suite facilities. There is a passenger lift, which serves all three floors. There is a large communal lounge area and dining room on the ground floor. Additional lounge space is provided elsewhere in the building, as well as a large conservatory. There is an attractive garden and lake within the grounds. Woodside Home is close to the shops, services and transport links of Whetstone, and is easily accessible by public transport. The fees charged for the service range from £438 to £450 per week. Woodside Home DS0000010528.V298412.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was completed in ten hours, over a two-day period. The inspection was carried out as part of the Commission’s inspection programme and to check compliance with the key standards. The new manager, who was appointed in April 2006, was present throughout the inspection and two members of the Trust board attended the feedback at the close of the inspection. The inspection consisted of a tour of the premises, speaking to a large number of residents and visitors to the home, and interviewing staff. All interviews were conducted independently of managers. The inspector also read residents’ case files and staff records in addition to several documents pertaining to the running of the home. What the service does well: What has improved since the last inspection? Woodside Home DS0000010528.V298412.R01.S.doc Version 5.2 Page 6 There is a marked improvement in the atmosphere and inter-staff relationships with the arrival of the new manager. Contracts of the terms and conditions of the service are provided when new residents are admitted to the home. Committee members ensure that residents and staffs’ views are sought about the service at their monthly visits. The maintenance staff has been increased. Inspection reports are placed in the entrance to the home, which makes them more accessible for residents, staff and visitors. What they could do better: A requirement made at the last inspection to review care plans at least monthly, has not been met and has been restated in this report, with a new timescale for compliance. In the “Timescale for Action” column, the date in ordinary type relates to the timescale given at the last inspection. The date in bold type relates to the new timescale. Further information about unmet requirements can be found in the relevant standard. Unmet requirements can impact upon the welfare and safety of service users. Failure to comply by the revised timescale may lead to the Commission for Social Care Inspection considering action to secure compliance. Two residents, one of whom had been in the home for six weeks, did not have a care plan. This could result in care staff not knowing these residents’ needs, which could put them at risk. A resident who is under the care of a community psychiatric nurse, had no record of these visits. This could result in key staff being unaware of the current health status of the resident. There is no written procedure in place for residents who wish to administer their own medication. A procedure is necessary to ensure that it is safe for residents to manage their medicines. Steps must be taken to store medication below 25ºC to protect residents from harm through medicines deteriorating. To ensure the safety of residents and staff, all staff have to be trained in the five mandatory health and safety subjects, within the first six months of employment. It is also necessary to attend refresher courses at appropriate intervals. Woodside Home DS0000010528.V298412.R01.S.doc Version 5.2 Page 7 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. Woodside Home DS0000010528.V298412.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 Woodside Home DS0000010528.V298412.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 & 5. Standard 6 does not apply. The quality in this outcome group is excellent. This judgement has been made from evidence gathered both during and before the visit to this service. There is very good information provided about the service to enable potential service users to assess the home’s suitability to meet their needs and the contract clearly identifies the fees and what they cover. The home is equipped to meet the needs of older people. EVIDENCE: The Statement of Purpose and Service User Guide had been updated to reflect the current management structure following the appointment of the new manager. The residents are given a copy of the “Service User Guide/House Rules” when they are admitted to the home. Copies of this document were seen in residents’ bedrooms. Woodside Home DS0000010528.V298412.R01.S.doc Version 5.2 Page 10 The records of three residents most recently admitted were examined. They contained signed contracts of the terms and conditions of the service and information about what was covered or excluded in the fees. The home was purpose-built and has a ramped access. There are spacious communal lounges on the ground floor, and the bedrooms are located on the first and second floor, serviced by a passenger lift. None of the bedrooms have en-suite facilities, but there are ample toilet and bathroom facilities on each floor. Bathrooms and toilets are appropriately fitted with rails and hoists to support people with mobility problems. There were records of needs assessments being carried out by referring professionals and by senior staff from the home. One resident whose needs had changed recently, had been transferred to another care home where their needs could be better provided for. There were records showing the breadth of staff training, including health and safety topics and dementia care and control of infection. This was also confirmed in discussion with the staff. There was evidence in the case files, which was also confirmed in discussion with residents and visitors, that trial visits had been used by service users before moving to the home. Woodside Home DS0000010528.V298412.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 The quality in this outcome group is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. The new care plans being introduced are easier to use and provide better guidance for staff about meeting residents’ needs, but care plans had not been provided for two of the residents, and some care plans are not being monitored at appropriate intervals. Residents’ healthcare records should be better structured to improve clarity. Residents and their relatives said that they are well cared for by the staff and the healthcare professionals. However, some visits by one healthcare professional are not recorded. This is important to ensure that all the needs of residents are being met. There is a risk that the condition of medicines in the home could deteriorate when not stored at the correct temperature, and there should be a procedure for self-medication by residents. EVIDENCE: Woodside Home DS0000010528.V298412.R01.S.doc Version 5.2 Page 12 The case files of five residents were examined. A new layout for care plans, which was easier to follow, was being introduced. However, at the time of the inspection, not all care plans had been transferred into the new format. Three care plans that were examined covered all aspects of the residents’ care and there was guidance for staff about actions required to meet the residents’ needs. There was evidence that some plans were not being reviewed monthly, which was identified at the last inspection. This requirement is restated. Residents were allocated a key worker who was responsible for drawing up the resident’s care plan. Two residents did not have a care plan, one of whom had been in the home for some six weeks. A requirement is made for all residents to have a care plan within twenty-four hours of admission, which should at least contain a risk assessment. Six-monthly reviews of the care are carried out and recorded, and there was a daily record made of residents’ progress. There were records of good risk assessments, for example risk of pressure ulcers developing, and risk of falling. The healthcare records were not well structured and were difficult to follow. However, there was evidence that all residents were registered with the GP, and most health care appointments were recorded, for example; hospital appointments, chiropody, dentists, opticians etc. It was noted that visits to a resident by a community psychiatric nurse were not recorded. A requirement is made about these issues. Residents said that the staff were very caring towards them if they needed support in their personal care, this was done with dignity and respect. The inspector observed several instances when residents were being assisted by care staff to move into wheelchairs. This was done appropriately using proper manual handling techniques and equipment such as hoists. There were records to show that medicines were being administered safely. However, there was a problem in storing medication at the correct temperature, because the room being used is often too warm. A requirement is made to provide suitable equipment, or use another room to maintain the temperature below 25ºC. One resident was administering her own medication. The resident showed the inspector the locked facility in which she keeps her medication, which was Woodside Home DS0000010528.V298412.R01.S.doc Version 5.2 Page 13 satisfactory. However, although there are no specific concerns about this resident’s safety, a requirement is made to provide a risk assessment and a procedure that enables assessment and monitoring of a resident’s ability to safely self-medicate. This is to ensure the safety of future residents admitted to the home. Woodside Home DS0000010528.V298412.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 The quality in this outcome group is good. This judgement has been made from evidence gathered both during and before the visit to this service. Residents are happy with the lifestyle in the home and they are able to exercise choice. Appropriate, stimulating activities are provided, and the quality of the food and catering service is good. EVIDENCE: The atmosphere in the home was very relaxed and friendly and there was always at least one member of staff in the lounge attending to the residents. There is a good range of stimulating activities provided, which are appropriate to the age of the residents. Individual care staff take a lead in developing aspects of the programme. The activity programme includes, “what the papers say”, bingo, musical movement, art classes, sing-a-long sessions and outside entertainers attend monthly. At the time of the inspection, a local choral society put on a show for the residents, which was very much appreciated. Woodside Home DS0000010528.V298412.R01.S.doc Version 5.2 Page 15 Examples of residents’ artwork are on display in the home. A hairdresser attends twice a week, and a clothes show is held every few months. Residents told the inspector that they were free to choose whether or not to attend any of these activities, and they could choose to have meals in their rooms, decide when they wished to go to bed, or have a lie-in. A relative told the inspector how pleased she was that staff took her mother around the lake in her wheelchair. Ministers of religion visit residents regularly and provide services. The manager confirmed that all residents’ religious needs could be met by the home. The home has an open visiting policy and the visitors’ book showed that there were regular visits to the home by family and friends The inspector spoke to several visitors during the inspection, all of whom spoke highly of the new manager, the staff, and the quality of the service. The home employs catering staff who are managed by the housekeeping manager. All these staff have been trained in food hygiene. The inspector joined the residents for lunch on the first day of the inspection. This is the main meal of the day. The food was well cooked and attractively presented. The residents said that they were generally satisfied with their meals. The menus showed a choice of main meals. Special diets were provided as appropriate. An inspection of the kitchen showed that there were ample supplies of food, including fresh fruit and vegetables, and that food was stored safely. Woodside Home DS0000010528.V298412.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 The quality in this outcome group is good. This judgement has been made from evidence gathered both during and before the visit to this service. Complaints are recorded and addressed properly and staff are trained and are aware about protection of vulnerable people. Staff should be reminded to be as quiet as possible when entering and leaving residents’ bedrooms. EVIDENCE: There is a complaints procedure in place and a book for recording concerns and complaints by residents and relatives. During the inspection, there was a high level of satisfaction expressed by residents about the quality of the care provided. One resident however, stated that she had a concern about the loud noise of doors banging when staff were getting residents up in the early morning, which disrupted her sleep. The inspector “tested” this and agreed that if bedroom doors were not closed carefully, the noise was indeed excessive. The resident said that she had not made a complaint about this, but the inspector informed the manager while protecting the resident’s identity. Woodside Home DS0000010528.V298412.R01.S.doc Version 5.2 Page 17 A recommendation is made for staff to be reminded to close bedroom doors carefully to prevent loud banging. There were records to show that staff had attended training in adult protection and abuse awareness. In discussion with a group of staff, it was evident that they were aware of what constituted abuse and about their responsibility to report concerns. Woodside Home DS0000010528.V298412.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 24, 25 & 26 The quality in this outcome group is good. This judgement has been made form evidence gathered both during and before the visit to this service. Residents are happy to live in this home where they are able to have their own possessions with them. The facilities and the environment are very attractive, safe, clean, and well maintained. EVIDENCE: A tour of the premises was carried out. The grounds and the building were very well maintained and the standard of décor was very good. The gardens, which contain a large pond, were particularly attractive, and provide a valuable asset to the home. The full-time maintenance person now has an assistant and together, they carry out the majority of repair and maintenance tasks. Residents have full access to all internal areas of the home by use of stairs and a lift, and external areas by gently sloped pathways. Woodside Home DS0000010528.V298412.R01.S.doc Version 5.2 Page 19 The inspector visited six bedrooms at random. They were comfortably furnished and had many personal items of furniture and mementoes. The residents said they were very pleased with their accommodation. Each bedroom has a call bell to summon help and fire extinguishers were sited at appropriate areas. The fire log showed that the alarms are tested weekly and fire drills are carried out regularly. There is a hair salon, which is used twice a week and there are several quiet areas in the home for residents to sit quietly and receive visitors in private. Relatives who were spoken to were impressed with the service. One commented” It’s like a hotel here and the staff are very kind”. The housekeeping manager is in charge of a team of cleaners who maintain a high standard of cleanliness in the home. At the time of the inspection, the environment was very clean and attractive and there were no unpleasant odours. The home has had a long-standing problem with the water system, which has been regularly monitored for the presence of Legionella. Despite strenuous efforts, the problem has persisted, although not to a dangerous level. The committee has decided to replace the whole system this year. The inspector was also informed that major building works are about to start to provide new accommodation on the third floor of the home, and to totally refurbish the kitchen when the third floor work is completed. Woodside Home DS0000010528.V298412.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 The quality in this outcome group is good. This judgement has been made form evidence gathered both during and before the visit to this service. There is a sufficient number of staff available at all times to meet residents’ needs. There are appropriate procedures for recruiting staff and they are properly inducted to the home. Staff are competent to care for the residents and receive a good level of training, but to ensure the safety and welfare of residents, all staff need to attend the mandatory courses and refreshers. EVIDENCE: At the time of the inspection, there were forty-two residents and seven vacancies. The staff rotas showed that there were regularly, seven care staff on duty in the morning, five in the afternoon/evening, and four on waking night duty. In addition, there is a team of cleaning and catering staff and a part-time administrator. This meets the minimum staffing levels and relatives and visitors confirmed that there was always sufficient staff around to meet their needs. Woodside Home DS0000010528.V298412.R01.S.doc Version 5.2 Page 21 A senior member of staff is an accredited assessor for the National Vocational Qualification programme. At the time of the inspection, ten staff had attained NVQ level 2 and a further five staff were currently in training. Nineteen staff have a first aid certificate. The inspector joined staff during the shift handover. The information given about each resident showed that the staff were fully informed about residents’ progress and their current needs. The records of three new staff were examined. The records confirmed that proper recruitment procedures were carried out. The staff files seen, included references and proof of identity, and showed that they had been cleared by the Criminal Records Bureau. New staff undergo a written induction, and during the inspection, a staff member was observed being taken through some elements of the programme. The manager provided a well-structured spreadsheet that showed the training status of all staff in the home. This home is commended for this layout, which is clear and provides an excellent reference. Training courses included dementia care, adult protection and medication. The mandatory subjects; fire safety, 1st Aid, control of infection, manual handling and food hygiene had been attended by most of the staff, but some of these topics had not. These courses are important to protect the welfare of residents. A requirement is made for all staff to attend mandatory subjects, including refresher courses. Woodside Home DS0000010528.V298412.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 & 38 The quality in this outcome group is excellent. This judgement has been made form evidence gathered both during and before the visit to this service. The new manager has appropriate experience and qualifications to manage the home. The atmosphere and staff relationships in the home have improved with good leadership and staff receive regular supervision to support them in caring for the residents. There are good systems in place to safeguard residents’ finances and their health and safety. EVIDENCE: Woodside Home DS0000010528.V298412.R01.S.doc Version 5.2 Page 23 The manager took up post in April 2006 and at the time of the inspection, was settling in to her role. The manager has previous experience of running a care home in another part of London and has attained the National Vocational Qualification level 4 in management. She was in the process of applying for her registration with the Commission for Social Care Inspection. There was a history of difficult inter-staff and manager relationships in this home, but the new manager described how she addressed these issues by extensive one-to-one and group meetings with staff. These measures appear to have markedly improved the atmosphere among the staff by the time this inspection took place. It was pleasing to see that a copy of the home’s last inspection report was placed in the entrance lobby, which demonstrates openness and provides good information about the service to residents and visitors. A meeting with residents and relatives was held to introduce the new manager and it is intended to hold these on a regular basis. Members of the Trust Board carry out monthly, unannounced visits to the home to monitor the service. This includes talking to residents and staff to seek their views. The reports of these visits are sent to the Commission for Social Care Inspection, along with the minutes of the Board’s meetings. These detail the ongoing plans for development of the service. The inspector was informed that residents or their relatives are responsible for personal finance and that no employee acts as appointee for residents. The accounting system for managing money left for resident’s personal spending was examined and found to be satisfactory. Residents, staff and visitors who were spoken to, commented very favourably on the manager’s performance, which was described as “approachable and friendly, but businesslike”. There were records to show that staff now have regular, formal supervision with senior carers. Staff said that they valued this as it provides an opportunity to discuss their performance and any concerns they might have about their work. The inspector saw certificates of safety for fire, gas, water and electrical installations and there was a current employer’s liability insurance certificate on display. All cleaning materials were stored safely and health and safety notices were prominently displayed where appropriate. Woodside Home DS0000010528.V298412.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 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X X X 3 4 4 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X 3 Woodside Home DS0000010528.V298412.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes 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 OP7 Regulation 15(2)(a) Requirement The registered person must ensure that service users care plans are reviewed each month to reflect residents changing needs. This requirement is restated from the last inspection. The previous timescale was 30/09/05 The registered person must ensure that a care plan is prepared for all residents in the home. The registered person must ensure that healthcare records are clearly structured and that all visits by all healthcare professionals are recorded. The registered person must provide a written procedure for residents who self-administer their own medication. The registered person must take steps to ensure that medication is stored safely at less than 25ºC The registered person must ensure that all staff have attended training on mandatory subjects, including refresher courses. DS0000010528.V298412.R01.S.doc Timescale for action 31/07/06 2. OP7 15(2)(a) 31/07/06 3. OP8 17(1)(a) Sch 3(3)(k) 13(2) 31/07/06 4. OP9 31/07/06 5. 6. OP9 OP30 13(2) 18(1)(i) 31/08/06 30/09/06 Woodside Home Version 5.2 Page 26 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 OP16 Good Practice Recommendations The registered person should remind staff to bedroom doors carefully to prevent loud banging. close Woodside Home DS0000010528.V298412.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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 Woodside Home DS0000010528.V298412.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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