Inspection on 07/11/07 for Wren Hall Care Home

This inspection was carried out on 7th November 2007.

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 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

Wren Hall Care Home 06/10/09

Wren Hall Care Home 21/06/06

Wren Hall Care Home 04/01/06

Wren Hall Care Home 19/10/05

Wren Hall Care Home 04/11/04

Wren Hall Care Home 18/05/04

Wren Hall Care Home 21/10/03

Wren Hall Care Home 02/07/02

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Wren Hall Care Home 234 Nottingham Road Selston Nottinghamshire NG16 6AB Lead Inspector Lee West Key Unannounced Inspection 7th November 2007 11:00 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 Wren Hall Care Home DS0000024672.V352178.R02.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. Wren Hall Care Home DS0000024672.V352178.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wren Hall Care Home Address 234 Nottingham Road Selston Nottinghamshire NG16 6AB 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) 01773 581203 01773 860683 wrenhall@btconnect.com Wren Hall Nursing Home Limited Ms Anita Astle Care Home 41 Category(ies) of Dementia (8), Old age, not falling within any registration, with number other category (41), Physical disability (3), of places Terminally ill (2) Wren Hall Care Home DS0000024672.V352178.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st June 2006 Brief Description of the Service: Wren Hall is a 41-bed care home, providing nursing care for people of both sexes, with physical disabilities, older people requiring care support and also people with dementia. Situated in the village of Selston, the two-storey building provides three lounges and two dining areas, one in a pleasant conservatory setting. There are 30 bedrooms, of which 14 single and 5 double with en-suite facilities. All are comfortably furnished and decorated to a high standard. Externally there are extensive well-maintained gardens and, to the front of the building, a good-sized car park. All parts of the home are accessible to service users. The range of fees payable as from 1st April 2007, are £380 and £455, depending on the type of room, the level of care and nursing requirements and whether board and lodgings only, or all inclusive. Costs of hairdressing, toiletries, chiropody, physiotherapy, outings and entertainment are included in the all inclusive package, but not in board and lodgings only fees. The Certificate of Registration, prominently displayed in the home, requires updating as it includes the Terminal Illness category, which is not now a separate category. Wren Hall Care Home DS0000024672.V352178.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users and their views on the service provided. This process considers the provider’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. This inspection was unannounced and involved one inspector. The main method of inspection used is “case tracking”, which involves selecting four residents and looking at the quality of the care they receive by speaking with them, observation, reading their records, and asking staff about their needs. Three members of staff and four visitors were also interviewed. Documents, including care plans, medication administration records and financial records were inspected to help form an opinion about the health, safety and welfare of residents at the home Surveys were sent out before the inspection visit and 10 service users, 12 relatives and 5 members of staff returned them, and their responses. These, together with information received by the Commission about the home, since the last inspection, were also considered, and helped to decide which areas to focus on. What the service does well: Wren Hall has innovative ways of providing information for people who are trying to find a home that meets their needs. Brochures, DVDs, CDs and audio tapes are available, with some information also on the home’s web site. Comprehensive pre-admission assessments identify an individual’s preferences and cultural needs, as well as personal history and care requirements, which helps the home and prospective resident decide whether the home can meet their needs. Individual photographic histories of residents spanning their lives have been developed to stimulate memories, which is particularly valuable for residents with diminishing memories, and to maintain family links. Relatives said staff are very supportive, competent, approachable and that they try to make residents as independent as possible. Wren Hall Care Home DS0000024672.V352178.R02.S.doc Version 5.2 Page 6 “I personally think this care home cannot get any better. A fantastic job is done by all, and the way they treat us visitors is also fantastic,” was one of the responses in the relatives’ surveys. Residents enjoy a stimulating life style and there are a variety of activities to choose from, which are resident focussed. One resident said, “I’ve been able to pick up my painting again, have had some framed and have done some weaving.” The home is maintained to a high standard, well decorated and furnished, with a well set out garden, which has solid wooden benches, a pergola and other seating for residents. What has improved since the last inspection? What they could do better: There are a number of residents who require assistance with eating and drinking. Residents should be assisted on a one to one basis, as eating is also a social activity and helping two people at the same time, not only reduces the social interactions, but it also has a negative impact on their dignity. Although there are policies and procedures in place, staff working, particularly when the manager is away, should be aware of their roles and responsibilities in the current safeguarding adults procedures, to ensure the safety and security of residents at all times. Wren Hall Care Home DS0000024672.V352178.R02.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. The summary of this inspection report can be made available in other formats on request. Wren Hall Care Home DS0000024672.V352178.R02.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 Wren Hall Care Home DS0000024672.V352178.R02.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 6, Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Wren Hall uses innovative ways of giving information prospective residents need to make an informed choice and there is also a comprehensive needs assessment before admission, which helps decide the suitability of the home to meet all their needs and aspirations. EVIDENCE: The Service user guide and statement of purpose were available as a brochure, on DVD, CD and, for those with visual problems, on audiotape. These had comprehensive information about terms and conditions, facilities at the home and up to date price lists. Information was also seen on the home’s web site on the internet. Wren Hall Care Home DS0000024672.V352178.R02.S.doc Version 5.2 Page 10 People thinking of coming into the home can look around and stay if they wish, and one resident who has recently chosen the home said, “I had plenty of time to make up my mind, and nobody tried to rush me to make my decision.” One relative said, “The staff answered all my questions when I was looking for a place. They were caring and polite and gave me lots of information.” All the service user and relative surveys expressed satisfaction at the information available to help make decisions. Residents had individualised pre-admission assessments, with evidence of inputs from other health and social care professionals, which included assessment of individual nursing requirements. Residents and relatives spoken with said they had been involved with thorough assessments before admission, and their individual cultural needs, wishes and preferences were taken into consideration, as well as their care needs. One resident said, “Before I came here, we discussed what care I needed, how I liked to do things for myself and what I like and don’t like. This made me feel better about coming in, and I have never regretted it.” Intermediate care is not provided by Wren Hall. Wren Hall Care Home DS0000024672.V352178.R02.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Regularly updated care plans and risk assessments set out the care needs of each resident, and actions required to meet these needs. Generally, residents are treated with respect, and are also protected by comprehensive medicines procedures. EVIDENCE: Care planning documentation contained a thorough nursing and care needs assessment, which was centred on the person and included a section on “taking risks,” with personal preferences and choices identified. Risk assessments including moving, risk of falls, potential of developing pressure sores, continence and nutrition assessments, were thorough. Actions and interventions to meet these needs were set out explaining the roles of the nurses and carers to support the resident. Wren Hall Care Home DS0000024672.V352178.R02.S.doc Version 5.2 Page 12 Resident and relatives’ input into the care plans was seen, with dates and signatures. One had a statement identifying the resident was unable to sign, but the family member had participated on their behalf. Care plan reviews also contained evidence of resident and family input, which supported their involvement in the process. All the resident and relative survey questionnaire responses confirmed the involvement of residents and relatives in the assessment and review of care plans and risk assessments. One resident said, “everyone treats me well and with respect and always do their best for me. I am happy with the care here.” Administration of the lunchtime medication was observed and the nurse carried out the proper checks, gave individual medication and then signed the Medicines Administration Records, which were accurate, signed and dated. Medicines were stored correctly. Each dosette box had a small picture of a resident on them and the full instructions of what to give when on the back of the box. This was thoroughly checked by the nurse before administering the medication. There was also a file that contained laminated pictures of all residents, their medications, how it should be taken, any specific instructions, to help inform new or agency nurses, and protect residents from any harm, which adds to the protection of residents if agency, or new nurses, administer medication. As the current residents require a high level of support, none were selfadministering medication, but a policy was in place to support this should a resident be able to so. Staff treat residents with patience, dignity and respect, but during the lunchtime one carer was observed assisting two residents to eat at the same time, feeding a spoonful to one resident and then a spoonful to the other. Although the carer was seen giving each person time to eat, and the residents did not show any discomfort, there was only a little interaction between them and this could have a negative impact on the dignity of the people being assisted. The home has 11 double rooms, which all have dividing curtains for privacy. One resident in a double room expressed a preference for a single room, but with none available, chose to stay in the double room, although not happy with the situation, because, “it restricts privacy.” Staff said they try to accommodate people in the rooms, ‘who will get on together.” Wren Hall Care Home DS0000024672.V352178.R02.S.doc Version 5.2 Page 13 Relatives who responded to the surveys said they were satisfied with the care their relatives received, that they were treated with dignity and one said, “staff are very gentle and treat my relative with respect.” Procedures have been put into place to support residents who may have issues with mental capacity, which support the best interests of the individuals when they are unable to make a decision for themselves. Wren Hall Care Home DS0000024672.V352178.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Wren Hall has developed an excellent system, for helping all residents to keep up to date with activities, which are structured using their preferences and interests. Family and friends are made welcome and play an important role within the home, supporting residents with their interests, which helps improve their well-being. EVIDENCE: Residents spoken with were satisfied with the activities and social events organised. One said, “I play dominoes and enjoy the music, which is provided by various people who bring in their own keyboards. There’s bingo for those who want it, but that’s not for me.” Another said, “I have been able to pick up my painting again.” Responses in the resident and relative surveys were all positive, with residents confirming they always have a choice of things to do. Wren Hall Care Home DS0000024672.V352178.R02.S.doc Version 5.2 Page 15 National Minimum standards are exceeded in this area, with information about activities in different formats. A newsletter in each resident’s room, and notices around the home. There was also information in picture form for those who have difficulty reading. A monthly magazine was also available for relatives, who have their own copies, which identify the calendar of activities, to which they are also invited. Individual photograph albums for residents, which celebrate their lives and histories, some with written information to accompany the photographs, spanning their lives were seen. Staff spoken with said they were used to help residents remember their family and friends. Interactions between staff, residents and their visitors were observed and this was supportive and cheerful, and the visitors spoken with were very satisfied with the activities organised, and confirmed they did join in with many of them, which helped them to still feel part of their relative’s life. One visitor said, “My relative needs human contact, warmth, friendliness and patience. These are given without stint which has helped regain dignity and an interest in things that are going on in the home.” Meals were served in the dining area, which was pleasantly set out. The food was appetising and appealing, and residents were observed enjoying their food. Menus were varied and choices offered at every meal. One resident said, “There is plenty of choice for meals. Unfortunately I have put on weight because of lack of physically inactivity so I have to be restricted with my puddings! The food is good. “ Wren Hall Care Home DS0000024672.V352178.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 18, Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home’s complaints procedure is well developed, clear and available to all residents. Procedures are also in place to support protection of residents, but some staff are not fully aware of their role in this area to ensure residents are protected at all times, particularly when the manager is unavailable. EVIDENCE: There were no complaints or concerns received by the Commission since the last key inspection, or in the records seen, and the complaints procedure was available to all residents, within the documentation in their rooms and displayed in the home and residents said they were satisfied the manager would deal with any complaint they may have. Visitors spoken with were also satisfied the manager would deal with any problems quickly and efficiently. One resident said, “There is always someone in charge who will discuss matters of concern with you.” All the surveys from residents, relatives and staff reinforced this, with positive responses about the complaints procedure within the home. Wren Hall Care Home DS0000024672.V352178.R02.S.doc Version 5.2 Page 17 Safeguarding adults training records were seen and the procedures were kept in the office, but speaking to a nurse, she was unable to demonstrate sufficient knowledge of the procedure, except that she would refer to the manager if there were any issues. She was unable to explain the procedures to follow should the manager be unavailable, but stated she would “refer to the policies,” and was able to identify the folder which held the procedures. Carers spoken with were able to explain their role in safeguarding adults’ procedures. Residents spoken with said they felt safe and secure within the home. A relative also said they felt “comfortable going home, knowing my relative is in safe hands.” Wren Hall Care Home DS0000024672.V352178.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, 23, 24, 25, 26, Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is well-maintained, providing a homely, friendly and safe environment, with aids and equipment to meet the care needs of residents’ with rooms that generally suit the needs of the residents, and a pleasant garden area for their enjoyment. EVIDENCE: One resident’s visitor said they really enjoyed taking their relative into the garden area and there were plenty of seats and tables for comfort. The home also provided an alarm “fob” when residents are in the garden, for their safety. The home was clean and well-maintained and individual rooms had personal possessions and photographs in them. Residents said they were satisfied with their rooms and enjoyed the views from the windows into the gardens. Wren Hall Care Home DS0000024672.V352178.R02.S.doc Version 5.2 Page 19 Two of the ground floor toilets had overhead hoists in place to help those residents with difficulties, and other hoists were observed in use around the home, enabling residents to be safely moved. The home has 19 single, 14 with ensuite facilities and 11 double rooms, 5 with ensuite facilities, and although all the surveys received were positive about the individual rooms and also the communal areas, one resident said, “At first I didn’t like a double room as there was no privacy for my family to visit, but now I am alright about it.” Another relative said, “I would have preferred my relative to have a single room to maintain privacy, but none were available.” According to information received from the manager, this resident now enjoys the company of another person. Residents were given the choice of colour scheme and fabrics for their rooms when they were recently redecorated. Their interests were seen to be taken into consideration in the garden as well, where a bird table had been placed outside the lounge window because one of the residents enjoyed nature and watching the birds, helping to increase their feelings of well-being. The home has some residents who smoke, so a designated smoke room has been developed, which has a double door and residents who wish to use this room are provided with an alarm “fob” which can be used to call staff if they need any assistance, supporting independence of residents’ who wish to smoke. Wren Hall Care Home DS0000024672.V352178.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30, Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Wren Hall’s training programme supports the provision of a well skilled staff team. Residents and relatives have confidence in the staff who care for them and there are sufficient, competent staff working to support their care needs. EVIDENCE: 83 of Wren Hall’s care team are trained to National Vocational Qualifications and staff records also contained evidence of induction training and other professional development. Certificates were seen of training in dementia care, continence, challenging behaviour and moving and handling, which supports the competence of the carers. Staff spoken with said they had regular training and this was useful to help them to work safely. Staff files contained records that showed recruitment procedures were followed. These included records of Criminal Records Bureau checks, Personal Identification Numbers for nurses and work permits for overseas nurses. Evidence of personal identification of staff is also in the files, supporting the safety and protection of residents. Wren Hall Care Home DS0000024672.V352178.R02.S.doc Version 5.2 Page 21 Residents survey responses were supportive of the staff and their skills, with one resident saying, “The level of care exceeds my initial expectations. High levels of skill are not only evident in the nursing but also in their support of relatives.” Wren Hall Care Home DS0000024672.V352178.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 38, Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The manager works continuously to improve services to provide an increased quality of life for residents, using information gathered from quality monitoring to support improvements in the running of the home to meet the needs of the residents. EVIDENCE: The registered manager has the qualifications and experience required to run the home and has an open and transparent management style, with views of staff residents, and relatives listened to, which helps them to feel valued. Residents and relatives surveyed were all positive about the management of Wren Hall, they said she was always approachable and responsive to them. Wren Hall Care Home DS0000024672.V352178.R02.S.doc Version 5.2 Page 23 One relative said, “The manager has regular one to one discussions with me, which really help keep me fully in the picture about my relative’s condition, and things which may be put into place to improve things.” Residents, or their advocates, generally manage their own money, but some had small sums of personal money, which was accurately recorded and securely kept, within the home. The Quality Co-ordinator regularly audits performance against procedures to make sure best practice is maintained, and there are regular staff meetings to encourage input from others to improving practice. Wren Hall also has a “Friends of Wren Hall Committee”, made up of volunteers, who are relatives and friends of current and past residents. The committee helps raise funds, supports the social events for residents and their families. Relatives spoken with said they found this valuable and, “with the information from the newsletter, magazine, notices and from staff, I am always aware of everything that’s going on.” The Annual Quality Assessment Report showed dates of maintenance of equipment and safety tests and accurately kept records are kept in the home and supported this information. Wren Hall Care Home DS0000024672.V352178.R02.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 4 X 4 X X N/a HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 4 X 3 3 3 3 3 STAFFING Standard No Score 27 4 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 3 4 x 3 x x 3 Wren Hall Care Home DS0000024672.V352178.R02.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action 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. Refer to Standard OP10 OP18 Good Practice Recommendations Consider providing assistance to residents who require help with eating on an individual basis, to maintain their feelings of well-being and dignity. Ensure all staff are aware of their roles and responsibilities in safeguarding adults procedures, and in particular when the registered manager is unavailable, to ensure the safety and security of residents at all times. Wren Hall Care Home DS0000024672.V352178.R02.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Wren Hall Care Home DS0000024672.V352178.R02.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. 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