Inspection on 08/08/06 for Woodview

This inspection was carried out on 8th August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Woodview 13/01/06

Woodview 03/05/05

Woodview 09/12/04

Woodview 30/06/04

Woodview 25/03/04

Woodview 05/02/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Woodview 97 Wantage Road Didcot Oxfordshire OX11 8TY Lead Inspector Lilian Mackay Unannounced Inspection 8 and 29 August and 22nd September 10:15 th th Woodview DS0000013149.V304883.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Woodview DS0000013149.V304883.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Woodview DS0000013149.V304883.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodview Address 97 Wantage Road Didcot Oxfordshire OX11 8TY 01235 814939 01235 814939 eileen.hodgkinson@new-support.org.uk www.new-support.org.uk New Support Options Limited 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) Mrs Eileen Hodgkinson Care Home 5 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (5) of places Woodview DS0000013149.V304883.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The total number of persons that may be accommodated at any one time must not exceed 5 13th January 2006 Date of last inspection Brief Description of the Service: Woodview is a respite service for up to five adults with learning disabilities. It was first registered in 1998. The home is a modern bungalow, part of a purpose built complex, situated within a community hospital site close to local amenities in Didcot, Oxfordshire. The building is owned and maintained by Advance Housing and Support Ltd. The home provides respite care to relieve families of their care responsibilities, as well as providing emergency placements. The service is run and managed by New Support Options, a not-for-profit organisation established in 1989, part of the New Dimensions Group based in Theale in Berkshire. New Support Options Ltd has a wealth of experience in providing services for those with learning disabilities and operates in West Berkshire, Hampshire, Surrey and Norfolk in addition to Oxfordshire. Places at the service are block purchased by Social and Community Services. The service is open 360 days a year but closes for five days over Christmas. The number of nights allocated depends on the assessed priority. An individual can have up to a maximum of 30 nights a year. This could be increased in exceptional circumstances. One of the five spaces is allocated for emergencies. The fees for this service average out at £977.00 per person per week. Woodview DS0000013149.V304883.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced “Key Inspection”. It was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s manager, and any information that the CSCI has received about the service since the last inspection. The inspector looked at how well the service was meeting the standards set by the government and has, in this report, made judgements about the standard of the service. The purpose of this inspection was to see how the agency is meeting the National Minimum Standards for Care Homes for Adults (18-65). This unannounced “Key Inspection” took place between 10.15am and 2.00pm on Tuesday 8th August, between 09.30am and 11.00am on Tuesday 29th August and from 10.00am to 1.00pm on Friday 22nd September. This inspection consisted of talking to one client of the service to discuss their experience of the service provided, observation of other clients using the service, time spent inspecting clients’, staff and other records both at Woodview and at Wood Lane, a residential care home used for storing staff records for the agency, and time spent talking to staff. Feedback was also obtained from questionnaires sent to clients, staff and relatives with the knowledge of the home. The service changed its name in March 2006 from 97 Wantage Road to Woodview. The service makes approximately 320 admissions over a 12-month period. The home had seven staff at this time and seven questionnaires were left at the home for completion. Three staff questionnaires were returned. Feedback from staff was positive. Whilst 100 confirmed recruitment procedures and induction procedures to be adequate, there was uncertainty about whether or not they had been asked for two references, completed a “disclosure” in their application form and whether or not they had been asked if they were affiliated to any professional body. 100 confirmed induction training and procedures were adequate, 100 confirmed that they are familiar with the home’s policies, procedures and guidelines, 66 felt that they are fully briefed before starting work with a new client, 66 felt that they always work within their areas of expertise, 100 felt that they are familiar with adult protection procedures, 100 felt that they have enough time allocated to meet clients’ needs as indicated on their care plans, 100 felt that rotas are well planned, 100 confirmed that they meet with their manager regularly, 66 confirmed that they receive regular supervision, that their practice is observed as part of the supervision arrangements and that there are three monthly group meetings. One of those who responded (33 ) has been in post for less than Woodview DS0000013149.V304883.R01.S.doc Version 5.2 Page 6 six months and commented, “I have not been in the job long enough to have supervision”. Staff commented, “Our unit provides a great service. It is a shame it is too small. Our unit is a pleasant and friendly place. A great place to stay and work in”. “All the staff have been very helpful, giving me all the information I have asked for. The home has a lovely welcoming atmosphere. Nothing is too much trouble”. “I think we need more places and more staff in order to run a better service. The manager and staff have an excellent manner and are constantly striving towards a better service. The service we provide is an excellent one with caring staff who strive to meet the needs of many service users.” Five questionnaires were given to the service for distribution and one questionnaire was returned. The feedback from the one client who responded to the questionnaire was positive. He confirmed that he was asked if he wanted to have respite care at the home, he felt that he had received enough information about Woodview before coming to stay, he felt that he could do what he wanted, both during the day and in the evening, he felt that he knew how to make a complaint, he felt that the home was always kept fresh and clean, he felt that staff always treat him well. Clients commented – “No complaints”. “I enjoy coming here. It gives my mum and dad a rest.” Feedback was obtained from one relative with knowledge of the home and this was also very positive. This relative felt that staff made him welcome in the home at any time, that he is able to see his relative in private, that he is kept informed of important matters affecting his relative and that he is consulted about his relative’s care when his relative is unable to make his own decisions. This relative felt that there were always sufficient numbers of staff on duty. This relative had made a complaint about the service and was very satisfied with the response to this. This relative did not know how to access the CSCI inspection report on the service. He was satisfied with the overall service provided. Relatives commented – “I can only say that the staff at Woodview do everything in their power to make his frequent visits to them enjoyable”. “I don’t think they go out as much as they used to. Clients are always made to feel welcome”. “He was very happy with you”. “We are very happy that she is going to be in the care of such committed people and in such lovely surroundings”. One care manager commented,” I would like to congratulate you on a lovely, warm, welcoming home, which is obviously clean, cared for and enjoyed by both residents and staff”. The homes registered manager has been such since September 2001. The home provides a service to approximately 60 clients. Woodview DS0000013149.V304883.R01.S.doc Version 5.2 Page 7 The inspector would like to thank those having respite care, and the relatives and staff members who contributed to this inspection for their assistance, hospitality and courtesy. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Woodview DS0000013149.V304883.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Woodview DS0000013149.V304883.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Those having respite care have an assessment undertaken of their needs prior to receiving the service. EVIDENCE: Prospective clients are invited to come and have tea at the home and then to spend a night at the home before they start using the service regularly. Prospective clients’ parents or primary carers are invited to come and have a look around the home. Care needs assessments were seen in all the clients’ records sampled. Woodview DS0000013149.V304883.R01.S.doc Version 5.2 Page 10 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 the following standard(s): 6,7,9. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a service tailored to the individual needs of residents as identified in their personal care plans (PCPs). Regular reviews of personal care plans are carried out and these are clearly documented. Residents’ individual needs and choices are well provided for. Staff assist clients in making decisions and act upon their choices. Risk assessments are carried out, reviewed and documented and these are effective in promoting clients’ independence. The individual needs of those having respite care are identified and recorded in their files. EVIDENCE: Each person having respite care has a keyworker with responsibility for his/her care needs. Staff keywork about ten clients each. Either the key worker or another member of staff attends reviews of clients’ care needs. The lifestyles, choices, needs and individual preferences of those having respite care were seen to be well documented in their files. A sampling of personal care plans confirmed that each client has one and that these are reviewed regularly. Woodview DS0000013149.V304883.R01.S.doc Version 5.2 Page 11 Risk assessments and vulnerability analyses were noted to be undertaken to promote the independence of those having respite care whilst undertaking activities such as going out, being transported, preparing food, having a bath, using the hoist and eating. The need for confidentiality when personal information is passed on from one member of staff to another in the office has been highlighted for staff since the last inspection and the inspector observed a client being asked to leave the office at a time when staff needed to share personal information on another client. Woodview DS0000013149.V304883.R01.S.doc Version 5.2 Page 12 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 the following standard(s): 12,13,15,16,17. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Clients participate in a range of developmental activities and are involved in local community life. They are given the opportunity to continue their own interests and lifestyles. They are encouraged to maintain personal and family contact and to accept responsibility in their daily lives. Clients’ lifestyles provide adequate stimulation and social inclusion. From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals of various religious, racial or cultural backgrounds. Clients enjoy the food provided. EVIDENCE: Clients take part in activities such as attending college, going shopping, train spotting, doing puzzles, playing the organ, drawing, going to parties and watching TV and videos. Carers accompany clients to the cinema. Woodview DS0000013149.V304883.R01.S.doc Version 5.2 Page 13 The home works closely with the Charlton Day Centre in Wantage and the Abbey Day Centre in Abingdon. Clients are encouraged to keep in touch with their relatives or friends by phone whilst away from home and to socialise with the others receiving a service. Clients can use a handset phone for privacy. It was reported that the majority of residents enjoy assisting in the preparation of meals and other daily activities such as cleaning, and are actively encouraged to do so. For clients placed as an emergency, consideration is given in their care plans to assigning them duties with a view to achieving long-term goals. Whilst the staff team were all female at this time, it was reported that this was not an issue for male clients. The inspector could not judge from the records of the meals eaten that these were adequate as lunches and the vegetables and desserts provided at the evening meal were not always recorded. Staff and those having respite care compile menu plans weekly on a Sunday. Mealtimes are homely and are taken at the kitchen table. A cooked breakfast is available daily. Liquidised meals and healthy diets are provided. One client confirmed that he enjoys the food provided. All but one food item seen in the fridge were dated when opened and all but one food item had been removed from the fridge by the ‘consume by’ date. Apart from this, the service’s cleaning schedules were clearly adequate, there was good stock control of foodstuffs and hygienic practices were in evidence. Staff encourage healthy eating and pictures of good and bad foods were clearly identified in the kitchen to help clients with their shopping lists. Fresh fruit is freely available. One client’s said of the food –“It is very nice. I had sausage casserole last night. They know I do not like cheese and bacon”. One client said of the activities –“I listen to my radio, go out with my care worker, I go to the gym. I enjoy that. Carers take me in their car.” Woodview DS0000013149.V304883.R01.S.doc Version 5.2 Page 14 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 the following standard(s): 18,19,20. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ physical and mental health needs are met through a range of community-based services. Competent staff administer medication and residents are provided with good personal support and healthcare. EVIDENCE: Clients become temporary patients of the local health centre. An examination of records confirmed that a range of community health services are accessed either through the local health centre or the South Community Learning Disability Team. A community nurse comes to the service when required. Normally clients have their medication administered to them and all but one bedroom has a lockable medicine cabinet. Staff designated to administer medications have their competence to do so assessed three times before undertaking this task. An inspection of the medications and associated procedures indicated that a high standard is achieved. Woodview DS0000013149.V304883.R01.S.doc Version 5.2 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 the following standard(s): 22, 23. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints procedure is accessible to clients and their families/carers and complaints are reponded to in time. Staff have a knowledge of how to safeguard vulnerable adults. EVIDENCE: The home’s complaints procedure has been amended since the last inspection and now includes the contact details of the CSCI. This is in easy read format for the benefit of those with a learning disability. The complaints procedure does not currently advise complainants that they can expect a response within this period. It is recommended that this be spelt out. The CSCI has received no complaints about this service since the last inspection. The service received one partially substantiated complaint in the previous 12 months, which was responded to within 28 days. No issues were raised with the inspector during this visit. It was reported that four staff have attended New Approach training and that the other three are due to attend refresher training on this in October 2006. New Approach training includes training on safeguarding adults from abuse. This is New Support Options’ in-house induction training and is normally completed within six weeks of appointment. There has been a significant improvement in this area since the last inspection. One adult protection issue was investigated this year and dealt with appropriately. Woodview DS0000013149.V304883.R01.S.doc Version 5.2 Page 16 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 the following standard(s): 24,26,30. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Routine maintenance of the home is adequate and ensures that the home is safe, comfortable and meets clients’ needs. The home was clean, tidy, hygienic and fresh smelling at this time. EVIDENCE: There is a safe, pleasant, attractive and well-equipped garden to the rear of the home. The home is kept in good repair through a programme of routine maintenance and renewal. Whilst still safe to use, the hoist in Room 5 was due to be replaced as it was not working smoothly. Staff find the bath hoist uncomfortable to use, say that it takes too long and goes too close to clients’ faces. Staff commented that the bath is too low and causes staff backache. The occupational therapy assessment of the bath recommended at the previous inspection has not yet been undertaken. Each client has his/her own bedroom and there is a very sizeable lounge for pursuing chosen activities. With the exception of Room 2, all bedrooms have a lockable item for clients to store items of a personal or private nature. Woodview DS0000013149.V304883.R01.S.doc Version 5.2 Page 17 All areas visited were clean, tidy, bright and fresh smelling and a good standard of housekeeping and hygienic practices were noted. Woodview DS0000013149.V304883.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35. The quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The service has not achieved the recommended 50 of care staff trained to NVQ Level 2 by 2005. The service needs to employ more staff to reduce the use of agency staff and increase continuity for clients. Staff recruitment procedures are adequate and staff receive adequate training. EVIDENCE: Whilst the manager has an NVQ Level 4 in Care, no other member of staff has an NVQ. The service has therefore not achieved the recommended 50 of care staff trained to NVQ Level 2 by 2005. It was reported that whilst one staff member has recently started NVQ Level 2 training, this has had to be put on hold due to a lack of NVQ assessors. Two members of staff are on duty from 07.30 to 22.00 hours and one member of staff sleeps in from 22.00 to 07.30 in addition to at least one member of staff awake on duty at night. Two waking night staff are provided when required. Woodview DS0000013149.V304883.R01.S.doc Version 5.2 Page 19 The home needs to employ more staff. The manager was having to be put on the staff rota to make up the numbers and an average of almost 14 shifts per week were reported to have been worked by agency staff over a randomly selected eight-week period. It was reported that this was mainly to provide a waking member of staff at night as nobody had been appointed to this position. The service is commended for involving clients in the selection of staff. An examination of staff recruitment and employment records confirmed that a very high standard is achieved in this area. Three staff have attended New Approach training and three have not. At the time of this inspection all the home’s staff were attending three days training on health and safety, food hygiene and manual handling. An examination of staff training records confirmed that staff had received adequate training. All the agency staff spoken to had also received adequate and appropriate training. Staff find it easier to attend training now that some of this training is provided in Abingdon rather than Reading. Staff training has significantly improved since the last inspection, as has the recording of such training. Staff commented - “We have to wait for training dates. We monitor our training records every week but our hands are normally tied by having to wait for Head Office to organise suitable times for us”. “It’s amazing how much you learn”. “I feel confident I can do the job with the skills I have.” One client commented about the staff – “I get on all right with staff. They help me with a shower in the morning and a bath at night”. Woodview DS0000013149.V304883.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,41,42. The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is well trained and experienced and the supporting management systems are adequate. The service’s quality monitoring system does not currently meet the requirements. Whilst for the most part the home’s record keeping and policies and procedures safeguard residents’ health, safety and welfare improvements are still required to the recording of staff training in the fire log. EVIDENCE: The manager has been in post since September 2001 and has an NVQ Level 4 in Care. The service can provide 1800 spaces annually and 1591 of these were reported to be allocated for regular respite. It was reported that sometimes planned stays have to be cancelled to cater for emergencies. Woodview DS0000013149.V304883.R01.S.doc Version 5.2 Page 21 An inspection of clients’ finances confirmed that these are kept safe and that accurate records are kept of the handling of clients’ money. In September 2005 a Quality Monitoring Report involving clients, staff, family members, members of the City Learning Disability Team and representatives of organisations with knowledge of the service was completed by the Learning Disability Commissioning and Contracting team of Social and Community Services. The area manager for the service also carried out a Management Audit Report in May 2006. The latter does not meet the requirements of the Regulations for a Review of the Quality of Service, as it does not currently evidence that clients and their representatives are consulted as part of this process. Staff have access to the service’s policies and procedures and codes of practice, either on hardcopy from the office or via the service’s intranet. As was the case at the last inspection, the employee register and training record of the fire log was inaccurate and did not evidence that all staff had received adequate fire training. An examination of other records confirmed that all staff had received adequate fire training. Also, an accurate record is not kept in the fire log of all authorised officers’ visits to the home. Apart from these shortfalls the service undertakes all the necessary checks on the fire precautions on time and frequently, and keeps good records of these checks. One staff member commented, “Everybody has been very helpful to me. We’re good as a team. We have a nice boss, who is very understanding; she is good at explaining things and knows what she’s doing. She puts you on the right path.” Woodview DS0000013149.V304883.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 2 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 1 33 X 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 x LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 2 X 2 3 x Woodview DS0000013149.V304883.R01.S.doc Version 5.2 Page 23 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 2 Standard YA17 YA39 Regulation 17[2] 24 Requirement Ensure that the records of the meals provided comply with the Regulations. Ensure that the Review of the Quality of Service Provision undertaken complies with the Regulations. Improve recording in the fire log as indicated. Timescale for action 31/10/06 30/04/07 3 YA42 17 31/10/06 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 Refer to Standard YA17 YA22 YA24 YA26 YA32 Good Practice Recommendations Date all food items in the fridge when opened and remove by the ‘consume by’ date. Amend the complaints procedure to advise complainants to expect a response within 28 days. Arrange an occupational therapy assessment of the bath. Provide a lockable item in the bedroom identified. Ensure 50 of care staff are trained to NVQ Level 2 as soon as possible. Woodview DS0000013149.V304883.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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 Woodview DS0000013149.V304883.R01.S.doc Version 5.2 Page 25 - 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!