Inspection on 24/02/09 for Woodville

This inspection was carried out on 24th February 2009.

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

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

Other inspections for this house

Woodville 01/03/07

Woodville 28/02/06

Woodville 16/08/05

Woodville 14/12/04

Woodville 19/05/04

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 09/06/2011.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Woodville 91 West Street Ryde Isle Of Wight PO33 2NN two star good service The quality rating for this care home is: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Mick Gough Date: 2 4 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Internet address www.csci.org.uk Information about the care home Name of care home: Address: Woodville 91 West Street Ryde Isle Of Wight PO33 2NN 01983612521 01983564008 suethornton@rydehouse.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr John Raymond Clewley,Mrs Miranda Cruz Clewley Name of registered manager (if applicable) Suzanne Diana Thornton Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 7 0 care home 7 learning disability Additional conditions: The registered person may provide the following category of service only: Care home only (PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Learning disability( LD) The maximum number of service users ot be accommodated is 7 Date of last inspection 1 6 0 3 2 0 0 7 A bit about the care home Woodville is a residential home providing care and accommodation for up to seven younger adults with learning disabilities. The home is a large detached property centrally located in Ryde, within walking distance of the main shopping area, and the bus and train stations. The home offers single room accommodation on two levels, one room having an en-suite facility. A stair lift has been installed specifically for one resident. Fees at the home are dependant on the type and level of support required, a full range of fees are available from the home. Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home How we did our inspection: This is what the inspector did when they were at the care home This report details the evaluation of the quality of the service provided at Woodville and takes into account the accumulated evidence of the activity at the home since the last key inspection, which was carried out in March 2007. The inspection also took into account the last annual service review which was carried out in April 2008. Included in this inspection was an unannounced site visit to the home, which took place on the 24 February 2009. Evidence for this report was obtained from reading and inspecting records, touring the home and from observing the interaction between staff and users of the service. It was possible to meet and talk with 2 of the residents, 2 members of staff and the homes manager who assisted the inspector throughout the visit. We also sent out surveys to interested parties prior to our visit to the home and responses were received back from 5 of the service users, 1 Health Care professionals, 1 care manager and 7 Members of Staff. Comments received back were all positive about the service provided at Woodville. The home is registered to provide support for 7 residents and at the time of the inspection there were 7 people living at the home. What the care home does well Care plans were person centred and told staff what support was needed for each individual and how the service users wanted the support to be given. There was good evidence to show that residents are given every opportunity to make their own decisions and they are offered choice in all aspects of their life and staff are on hand to offer support when required. The residents are supported to participate in a range of activities that suit each individual and activities were arranged with consultation with each service user. Users of the service and are encouraged and supported to be involved as much as possible in the day to day running of the home and staff provides care and support to enable residents to live an independent lifestyle as much as possible. The routines in the home promote residents independence and they are encouraged to do as much as possible for themselves. The home has a dedicated and stable staff team and staff have been supported to obtain recognised qualifications and over 50 of the care staff employed by the home has recognised qualifications. They are committed to their role and work well together as a team. The home has an effective training programme and staff said that the home provides training in all areas and this enables them to carry out their job. What has got better from the last inspection Since the last inspection care plans have been updated and are regularly reviewed and risk assessment have been amended and updated. New furniture has been purchased for the lounge and a new washing machine has been installed. One of the residents bedrooms has been re-decorated and carpets have been cleaned. The home has put an effective quality assurance procedure in place. What the care home could do better There were no requirements made as a result of this visit however points, which need to be addressed to help improve the service provided for residents are contained within the main body of the report. General observations were: There is a corportate medication policy, however this does not provide staff with clear guidance on the procedures to be carried out at Woodville, altghough this procedure is covered in the staff induction and in medication training, staff would benefit from having a clear in house medication policy and procedure which works in conjuction with the corporate policy. The homes medication cabinet was checked and this was suitable for its current purpose, as the home does not currently hold any controlled drugs. However the law concerning the storage of controlled drugs has changed and the home was reminded that should there be a need for any controlled drugs to be held at the home, they must be stored in a proper Controlled Drugs Cupboard. A proper Controlled Drugs cupboard is one, which meets the standard set in the Misuse of Drugs (Safe Custody) Regulations 1973. Suppliers of CD cabinets can confirm that a cupboard meets the legal requirements. In brief, the requirements for CD storage are; Metal cupboard of specified gauge Specified double locking mechanism Fixed to a solid wall or a wall that has a steel plate mounted behind it Fixed with either Rawl or Rag bolts Suppliers of CD cabinets can confirm that a cupboard meets the legal requirements. We recommend that care homes request formal confirmation when purchasing a CD cabinet. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Mick Gough CSCI The Oast Hermitage Court Hermitage Lane Maidstone Kent ME16 9NT If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Prospective users of the service can be confidents that their needs would be fully assessed before they move into the home Evidence: The homes completed AQAA told us that the home assess the level of care and needs of any new service user and that they Work with multi-disciplinary teams and also the potential new service user to facilitate a smooth move. Assessments were on file for for service users. There have been no new service users admitted to the home since 2005 and the manager told us that care management assessments are obtained and then the manager would carry out their own assessment and visit the potential new user of the service along with their care manager to see if the home can meet their individual needs. Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The assessed needs and personal goals are reflected in an individual plan of care and people who use the service are supported to make decision about their lives with assistance given by staff. Residents are supported to take responsible risks and this allows them to live an independent lifestyle as much as possible. Evidence: Care and support plans were seen for 2 residents and these were person centered and put the individual at the centre of the care planning process. Plans were clear and easy to follow and gave clear information on Communication, comprehension, household skills, general skills, personal care needs, emotional health, social and leisure and community links. Plans had details of the present situation, aims of the plan and an action plan to achieve aims. Plans gave staff the information they needed and informed them how individuals liked to be supported and when this support should be given. The homes completed AQAA told us that the home holds regular resident meetings, provide key workers to support service users who complete monthly service users overview reports with and involve service users in their Care Plans. We were able to confirm this on the day of the visit by the recording in care plans and this was also confirmed by the manager and staff spoken with. There was evidence in care plans of monthly reviews by key workers and these reviews gave an evaluation of how the care plan was working for the individual. We were told that service users were involved in the monthly reviews but the reviews were only signed by the care worker and better evidence would be available if the monthly reviews were also signed by service users. There was also evidence of annual reviews and care managers, residents, relatives and support workers are invited to attend. There was a good system of daily recording at the end of each shift and this gave information on what Evidence: support had been given and how the resident had been. Residents who completed surveys were full of praise for the support they receive from care staff and were aware of their care plan and its contents. Residents are supported to make decisions about their day to day lives and staff were observed interacting with residents and taking their views into account. Residents care plans had a weekly timetable in picture format to show what residents liked to do each day and there was also a service user request section where residents were able to let staff know what they wanted; for example one plan said that the person wanted some new shoes and jumpers to go on holiday and staff had supported the person to go out and buy the items she wanted. Staff told us that they always asked service users what they wanted to do and said that they encouraged them to make their own decisions and staff would support them. There was information in care notes, which showed that residents had been offered choices and also detailed the choices made. The homes completed AQAA told us that service users have individual risk assessments and care plans looked at contained risk assessments and these gave details of the assumed risk, the level of risk and also details of the risk. They detailed control measures to minimise the risk and they gave staff good information on any support that was required. Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Residents are supported to take part in appropriate activities and they access the local community on a regular basis. They have opportunities for personal development and are encouraged and supported to be part of the local community. The homes visiting policy supports residents to maintain family links and friendships both inside and outside the home and their rights are respected. Meals at the home are flexible and residents benefit from a healthy diet. Evidence: Residents at the home have a weekly schedule of events, these include shopping, drink making, cleaning rooms, laundry, and leisure activities. The manager informed us that none of the residents have expressed any interest in trying to find any form of employment but she told us that she would support any resident who wished to do so. The home has transport available for residents and there is a mileage charge for residents who use the transport for social events. Of the seven residents six of them attend a day centre and there is a range of planned activities and these are regularly reviewed and amended as required. One residident has one to one support and the home arranges individual activites for him as he does not like the activities provided at the day service. There is a notice board at the home which gives residents information on what activities are going on each day and this also provieds information about what staff are on duty during the day. The manager told us that residents are involved in planning activites and that 4 of the residents are going on holiday to Minehead with friends from other homes in the area and 3 service users are going on a Farm holiday but are staying on the Isle of Wight. Evidence: Residents regularly go out into the local community and go shopping, visit the cinema, go to the hairdresser, go to local pubs and go bowling. Residents attend a local evening club and enjoy discos, bingo and kareoke. None of the service users currently go out of the home independantly and staff support is available for residents to go out into the community. The home has a clear visiting policy and visitors are always welcome and we were informed that staff would respect residents wishes on who they wish or do not wish to see. All residents maintain contact with their families and 2 service users regularly spend weekends with their parents, other have regular visits and exchange cards ect. Daily routines in the home promote residents independence as much as possible and they are encouraged to participate in day to day routines as much as they are able. During the visit staff were observed interacting with residents and they got on well together, staff used residents preferred form of address and routines in the home were relaxed and staff told us that residents could be involved as much or as little as they want. The home operates a six week rolling menu which is changed seasonally and the likes and dislikes of residents are taken into account as is their nutritional needs. Residents have the opportunity to discuss meals at their regular residents meetings and the menu is flexible and allows for change at short notice. Breakfast is normally cereals and toast and lunch is normally a packed lunch, which residents take with them to day service. The main meal of the day is in the evening and this is displayed in picture format on the notice board. Meals at the home are flexible and this allows for meals out and for residents to choose a take away if they wish. Residents spoken to said that the staff were good cooks and that they enjoyed the meals at the home. Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Service users receive personal support in the way they prefer and their physical, emotional and health needs are met. The homes policies and procedures with regard to medication help to provide protection for service users Evidence: Residents are all registered at a local GP surgery, however may have different GPs. Dental checks are obtained through local NHS dentists and sight tests are obtained from local opticians. Service users have hearing tests at a local hospital and a chiropodist calls every 6 weeks. 2 service users have annual appointments with a psychiatrist and the home has support from the local learning disability team and this includes continence and learning disability nurses. Other healthcare professionals are available through GP referral. Residents folders contained medical notes and details of GP and hospital appointments and these provided evidence that residents health needs are monitored and met The home has a up to date corporate medication policy and procedure, however the home does not have an in house procedure which gives staff clear guidance on how medication is administered at Woodville. This was discussed with the homes manager who told us that she will put clear guidelines in place so that staff know the procedure to be followed at the home, she told us that this in house procedure would also include specimen signatures of all staff who are authorised to administer medication. All staff have received training with regard to medication and the home uses a monitored dose system for medication which is provided from a local pharmacy. Medication administration records were inspected and found to be accurate and up to date. The homes medication cabinet was checked and this was suitable for its current purpose as the home does not currently hold any controlled drugs. However the law concerning the storage of controlled drugs has changed and the home was reminded that should Evidence: there be a need for any controlled drugs to be held at the home, they must be stored in a proper Controlled Drugs Cupboard. A proper Controlled Drugs cupboard is one, which meets the standard set in the Misuse of Drugs (Safe Custody) Regulations 1973. Suppliers of CD cabinets can confirm that a cupboard meets the legal requirements. Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . There is a clear and accessible complaints procedure, which includes timescales for the process and residents can be confident that their views would be listened to and acted upon. The home has policies and procedures to help protect residents from of abuse. Evidence: The home has a clear and accessible complaints procedure, and this was in an accessible format for the users of the service and was on display on the notice board at the home. The complaints procedure contained all of the required information and gave details of how to contact the CSCI. The homes completed AQAA stated that there has been no complaints to the home since the last inspection and the complaints log confirmed this. Two staff members spoken to were aware of the complaints procedure and both said they would support residents to make a complaint if they wished to do so. The home has a copy of the Isle Of Wight Adult Protection Guidelines and has a whistle blowing policy staff also receive training with regard to adult protection and POVA as part of their induction and refresher training is carried out annually. Two staff members spoken to confirmed that they had received training and were aware of their responsibilities in this area. Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Residents live in a homely and comfortable environment and the home is clean and hygienic and free from offensive odours Evidence: A tour of the home was conducted and the home is laid out over 2 stories. There are 7 single bedrooms one of which is ensuite, there is also an office/staff sleep in room on the upper floor. A stair lift is available for one resident who has mobility difficulties. There is a large kitchen and a large lounge and a separate dining area. All areas of the home were clean and furniture and fittings were of good quality and homely in appearance. There is a separate laundry on the ground floor and this is equipped with an industrial tumble drier and a domestic washing machine that can wash clothing at appropriate temperatures. Staff carry out laundry duties at the home but residents are encouraged to assist with their laundry as much as they are able. The home has an infection control policy and all staff at the home have completed an infection control training course. There was suitable protective clothing available for staff and alcohol gel dispensers were available in the home to help prevent the spread of any infection. The service was clean and hygienic and there were no offensive odours. Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Competent, qualified and appropriately trained staff supports residents and meet their needs. The homes recruitment policy and practice protect residents. Evidence: The home employs a total of 7 care staff and there are also bank staff who cover for holidays and sickness. Of the 7 staff, 6 have recognised qualifications and the other staff member is due to commence NVQ in the near future. There are no domestic staff employed at the home and care staff carry out all domestic duties with the residents. The staff Rota was looked at and this showed that there is a minimum of two staff member on duty during the day up to 8pm. Between 8pm to 9am there is one staff member on duty who is able to sleep in between 10pm to 7am depending upon residents needs. The homes manager is also available and she is in attition to the homes normal staff rota. Staff spoken with said that the staffing levels were sufficient and that the manager will arrange extra staff if required for any activities to take place. The homes completed AQAA told us that there is a robust recruitment policy and procedure that is adhered to which ensures service users are protected. This was confirmed by the recruitment records we looked at for 2 recently appointed staff members, these files contained all of the required information including; application form, interview notes, 2 x references, Criminal Record Bureau and Protection of Vulnerable Adults checks, and proof of identity. There is a training coordinator employed by the organisation who provides training for all staff employed at the home. New staff are provided with a thorough induction which is based on skills for care and this involves completing an induction workbook which is signed off by the manager as staff progress through the book. This induction training is linked to NVQ and additional training is provided in; moving and handling, fire safety, medication, first aid, health and safety, food hygiene, infection control, oral Evidence: health, adult protection, makaton, managing challenging behaviour, learning disability and NVQ training. The homes completed AQAA and the training certificates seen in staff files provided evidence of staff training and staff members spoken with confirmed that they had received a good induction and said that there was regular training sessions at the home. Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Residents benefit from a well run home and the views of residents and other interested parties are sought on how the home is meeting needs. The health, safety and welfare of residents and staff are promoted and protected Evidence: The manager has been running the home for over 3 years and she has completed the registered managers award and has NVQ 4 in Care. The manager has overall responsibility for the general running of home and is also manager of another home in Ryde owned by Mr and Mrs Clewley. She has a deputy manager and is supported by good staff team. During the visit the manager was able to answer any questions asked of her and all records and documents were up to date and readily available. The manager works well with her team and the residents, and she operates an open door policy. The home has developed a quality assurance procedure and questionnaires have been developed for residents, staff, relatives and other professionals who have an interest in the service. There are regular staff and service user meetings and staff receive regular supervision, there are also monthly regulation 26 visits carried out. The homes fire log book was inspected and all of the required training and testing is carried out, there is a fire risk assessment for the building and the home has recently had an inspection from the fire authority and the manager told us that there were no requirements made as a result of the visit but she is still awaiting the report. The homes fixed wiring is due for inspection in March 2009, the Gas safety certificate was dated January 2009 and the stair lift was also checked in January 2009. Routine maintenance is carried out by a maintenance team and there is a defect book where Evidence: any defects are recorded and they are signed of as work is completed. Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone : 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. - 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!