Inspection on 27/11/07 for Wyatt House

This inspection was carried out on 27th 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Wyatt House 20/01/09

Wyatt House 04/08/08

Wyatt House 09/03/07

Wyatt House 23/02/06

Wyatt House 24/05/05

Wyatt House 31/08/04

Wyatt House 05/04/04

Similar services:

Insight - Eastchurch

Southfields

Thorndene

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Wyatt House 1 Radford Road Tinsley Green Crawley West Sussex RH10 3NW Lead Inspector Mr E McLeod Unannounced Inspection 27 November 2007 1:30 th Wyatt House DS0000036981.V347612.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 Wyatt House DS0000036981.V347612.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. Wyatt House DS0000036981.V347612.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wyatt House Address 1 Radford Road Tinsley Green Crawley West Sussex RH10 3NW 01293 881088 01293 881001 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) Wyatt House Limited Post Vacant Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Wyatt House DS0000036981.V347612.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th March 2007 Brief Description of the Service: Wyatt House is registered to provide care and accommodation for up to eight adults who have a learning disability. The people living within the home also have associated challenging behaviour and there are currently eight residents. The service is situated in the village of Tinsley Green near Crawley. The accommodation is on the ground floor and all of the rooms are for single occupancy, six of which have en-suite facilities. The service is set in large grounds, which are easily accessible to residents. At present the minimum fee is £1,116.68 per week, and the maximum fee is £1,867 per week. Wyatt House DS0000036981.V347612.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was arranged to update key standard assessments and assess compliance with requirements made at the inspection on 9/3/07. The visit was undertaken by one inspector who was on the premises for 3.75 hours. Preparation for the visit took into account information sent to the Commission by the provider (the AQAA), the previous inspection report, and other information received on the service. CSCI survey forms were sent to people living in the home, their relatives and representatives, and staff. During the visit we sampled admission assessments, care plans and care records for three people being accommodated, and made observations of interactions between staff and people being cared for. We sampled three sets of staff recruitment, training and supervision records, and interviewed two members of staff and the acting manager. We visited all the communal areas and five bedrooms, kitchen and laundry, and the grounds. Other records sampled included records for health care, medication, complaints and protection, staff rotas and health and safety checks and records. What the service does well: People make decisions about their lives with assistance as needed, and are offered opportunities to participate in the day to day running of the home. People are supported to have an active lifestyle, and to have opportunities to develop their independence skills. People receive personal support in the way they prefer and require, and are supported to access the health care services they are in need of. People are protected from abuse, neglect and self harm. People live in a homely, comfortable and safe environment. Wyatt House DS0000036981.V347612.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Wyatt House DS0000036981.V347612.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Wyatt House DS0000036981.V347612.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements are in place for people’s needs to be assessed and to have introductory visits before admission is arranged. The contract/terms and conditions of residence does not include all information required to fully inform the person accommodated and his/her representatives about the room or rooms to be occupied and who is responsible for what part of the fee. EVIDENCE: Information about the service for people living in the home and others are available in text and picture formats, and it is recorded that the contents of these have been read out to each person living in the home. The acting manager Mrs Heffer tells us in the home’s annual CSCI self-audit questionnaire (the AQAA) that the service has “updated and reviewed formats for cultural needs assessments and health needs”. Wyatt House DS0000036981.V347612.R01.S.doc Version 5.2 Page 9 There have been no new admissions since the previous inspection, which made it more difficult to assess if the previous requirement relating to pre-admission assessments had been met. The acting manager Mrs Heffer advised that at the previous inspection it had been found that a person admitted from one of the company’s other homes had not had a new pre-admission assessment carried out, although information on the person’s needs, risk assessments and care plan had been obtained. Mrs Heffer said that in such a situation again, a new pre-admission assessment would be carried out. We looked at pre-admission assessments carried out on three other persons, and found that proper assessments had been carried out. It was therefore assessed that the arrangements are in place for good pre-admission assessment of people wishing to be accommodated at the home, and the previous requirement is therefore assessed as met. In the AQAA Mrs Heffer advised that “we encourage transition visits to the home during the admissions process and we encourage relevant carers to accompany the service user on a visit to aid smooth transition and reduce anxiety”. In the AQAA we were advised that each person living in the home “has a written and costed contract/statement of terms and conditions between the home and service user”. We looked at three contracts/terms and conditions and found these included the fees to be paid, but did not clarify who was responsible for what part of the fee. While the terms and conditions state that the person will be “provided with a single room”, the National Minimum Standards recommend that the terms and conditions specify the room or rooms to be occupied. A requirement has been made that the above information be included in the contract/terms and conditions of residence. Wyatt House DS0000036981.V347612.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each person has a care plan which sets out how staff will assist them to meet their needs and pursue personal goals. People make decisions about their lives with assistance as needed, and are offered opportunities to participate in the day to day running of the home. People are supported to take risks as part of an independent lifestyle. EVIDENCE: We sampled three sets of care plans, and found these to include day care programmes, risk assessments, and guidelines for staff on meeting the person’s needs. Wyatt House DS0000036981.V347612.R01.S.doc Version 5.2 Page 11 The acting manager Mrs Heffer said that there was an intention to change the care plan format to a single document which would be more accessible to staff, people living in the home and their representatives. At the previous inspection a requirement was made on the need for restraint guidelines to be provided. Mrs Heffer said that restraint was not being used, but that should the need arise training for staff in the home in restraint techniques is being planned for 2008. Staff interviewed gave examples of what they do to support people making their own decisions. Staff said that one person likes staff to lay out a choice of clothes for him, and then he will pick out what he wishes to wear that day. Other examples given included support in how the person wishes to arrange their bedroom. Staff we talked to also gave examples of ways in which people are involved in the running of the home, such as helping with washing windows and putting laundry away. Meetings for people living in the home to express their views and assist in making decisions are arranged, and we sampled records of two of these meetings. Staff said that in encouraging people to take part in arranging menus they had more success by taking people to the shops to choose foods rather than asking people what they would like on the menu. Staff said they felt they were assisting people to take responsible risks through trying out new activities, such as washing windows and going on public transport. Staff said that going on trains and buses had been a great success. Wyatt House DS0000036981.V347612.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are supported to have an active lifestyle, and to have opportunities to develop their independence skills. People are accessing facilities in the local community, and where possible are maintaining contact with their families and friends. Meals provided are varied and balanced. EVIDENCE: Each person has an activity plan, and many activities arranged allow people to make use of community facilities such as public transport, shops, leisure centres, cinemas, bowling, pubs and restaurants. Wyatt House DS0000036981.V347612.R01.S.doc Version 5.2 Page 13 Staff interviewed felt that people in the home were developing their social, emotional and independent living skills through day to day activities. We were told that one person had not been shopping or to the cinema before, and was greatly enjoying doing these. Another person was said to have become calmer and happier over time, due to a consistent care approach. Care plans sampled indicated that people are offered opportunities to attend college, and on the day of our visit one person was attending college. It was noted in one bedroom visited that college certificates obtained were displayed on the wall. On the day of the visit, four people had been taken out for a drive, and people were being supported to play musical instruments, listen to music, walk around the garden, and make cups of tea. People are being supported by staff to maintain contact with family and friends through home visits, family holidays, telephone calls, letters and care reviews. Mrs Heffer tells us in the AQAA that “we now have a system whereby key workers keep regular contact with families by way of telephone calls and letters. For all special occasions such as birthdays, Christmas etc. family and significant others receive an invitation”. Mrs Heffer added that family and representatives are invited to reviews of the care plan. Staff we talked to said that people kept to their own routines, and staff did not, for example, try to influence when people went to bed. A copy of the menu seen indicated that a range of meals are offered. Staff said that while the same main meal is prepared for everyone, care staff can offer the person alternatives such as salad and a baked potato. Staff said that when they go shopping they encourage people to pick what they would like to eat. Staff said that one person particularly liked oriental food and rice dishes, and that together with the family they were able to provide such dishes. Staff said it was important to listen to what people want, however, as the same person chose to go to Burger King for his birthday meal. Wyatt House DS0000036981.V347612.R01.S.doc Version 5.2 Page 14 Staff said a roast dinner was done on Sundays, and that this was the meal in the week people most enjoyed. Staff said that one person has blended meals provided for them. The manager thought that meals had recently become “more varied and balanced”. Wyatt House DS0000036981.V347612.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People receive personal support in the way they prefer and require, and are supported to access the health care services they are in need of. Good arrangements are in place to ensure the safe storage and administration of medicines. EVIDENCE: Care plans sampled included guidance for staff on how the person wishes their care to be provided. Each person has their own designated key worker to assist them with making choices on how their personal needs are met. One key worker we talked to said that how one person wishes to be bathed has been observed over a period of time, and they are supported with their bathing accordingly. Wyatt House DS0000036981.V347612.R01.S.doc Version 5.2 Page 16 Mrs Heffer said that generally people had a check-up with their GP every six months, unless they had been regularly reviewed by their GP during that time. Mrs Heffer advised that for dental checks two people attend the local dentist and other people go to a hospital-based dental practice. In the AQAA Mrs Heffer told us that health care plans are being put in place for each person. More robust arrangements for auditing medication records in the home have been put in place. The record for the monthly provider visit on 7/11/07 indicated that medication records had been checked and found satisfactory. The home also carries out a monthly audit on medication arrangements, and we sampled the audit recorded for October 2007. The report noted where practice could be improved, and recorded what follow up with staff had taken place concerning this. We noted there to be suitable arrangements in place for the safe and secure storage of medicines in the home. Mrs Heffer advised us in the AQAA of the arrangements for training staff in the safe handling of medicines before they can undertake these duties, and training records seen indicated that such training was taking place. None of the people living in the home at present have been assessed as able to hold and administer their own medicines. Wyatt House DS0000036981.V347612.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People feel their views are listened to and acted on. People are protected from abuse, neglect and self harm. EVIDENCE: The complaints record format in the home was seen, but no complaints have been recorded since our previous visit. The AQAA advises us that no complaints have been received in the past 12 months. The service user guide, which includes the complaints procedure, is in a picture format and has been recorded as having been read to each person living in the home. While the home has done what it can therefore to advise people of the complaints procedure, it would perhaps demonstrate the home’s commitment to open-ness and fairness if people living in the home, their families and representatives, and staff were to be reminded of the positive contribution concerns and complaints can make to the improvement of services in the home. Wyatt House DS0000036981.V347612.R01.S.doc Version 5.2 Page 18 Training records seen indicated that staff are receiving training in safeguarding vulnerable adults. There has since the previous inspection been one incident recorded where a member of staff is alleged to have had not observed proper codes of conduct with residents. We were advised by Mrs Heffer that the appropriate authorities had been contacted, the matter was being externally investigated, and initial disciplinary action had been taken. The manager said that the company’s whistle blowing policy, which enables staff to report bad practice, has been reaffirmed with staff. We discussed with the manager if people living in the home who did not have a family member advocating for them had access to an advocate. She advised that one person had been receiving the support of an advocate, but now was without an advocate. Mrs Heffer said that she would look into this again. Wyatt House DS0000036981.V347612.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People live in a homely, comfortable and safe environment. People’s bedrooms suit their individual needs and lifestyles. The home is clean and hygienic. EVIDENCE: Improvements to the environment during the past year have included redecoration in communal and bedroom areas, and a gardener has been employed for the better upkeep of the garden. New washing machines and dryers, kitchen appliances, dining room and lounge furniture, and new garden furniture have also been provided. Wyatt House DS0000036981.V347612.R01.S.doc Version 5.2 Page 20 Mrs Heffer told us that plans for improvement in the next year include providing a sensory room for the benefit of people living in the home. The home has easily accessible entrances which are all on one level and there is ramp access should this be needed. Arrangements are in place to ensure the security of the property and the safety of people living in the home. It was a requirement at the previous inspection visit that the driveway should be made safe and maintained. During this visit we found that gravel had been laid over the driveway surface. However, the home’s monthly report on 25/11/07 observes that the “driveway is becoming increasingly hazardous” due to dips forming in the gravel and wet leaves. Mrs Heffer advised us that she has returned to work recently after a long period off work suffering from an injury caused by stepping into a dip on the driveway. We concluded that the driveway was not providing a firm enough walking surface, and had not been made safe. We found therefore that the previous requirement had not been met. We visited 5 bedrooms, and found many improvements such as new curtains, flooring, and decoration. Mrs Heffer gave examples of how people had been involved in choosing the colours and materials used in making these improvements. It was noted that people are personalising their bedrooms, and staff interviewed gave examples of how they are supporting people to do this. Mrs Heffer advised us that all bedrooms are lockable, are decorated and furnished as the person wishes, and have television and either a bath or shower room. To ensure safety in bathrooms, they are equipped with non slip flooring, bath mats and handrails. Wyatt House DS0000036981.V347612.R01.S.doc Version 5.2 Page 21 All areas of the home visited were clean and fresh, including kitchen and laundry areas. Wyatt House DS0000036981.V347612.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are supported by competent and qualified staff, and an effective staff team. People are protected by the home’s recruitment policy, and the training and supervision support received by staff. EVIDENCE: It is the national minimum standard that care staff should hold the National Vocational Qualification (NVQ) in care at level 2 or 3, be working obtain one by an agreed date, or the manager can demonstrate that through past work experience the member of staff meets that standard. Mrs Heffer advised us that of 10 care staff, one holds an NVQ and 4 are presently undertaking NVQ. Mrs Heffer said that once new staff have Wyatt House DS0000036981.V347612.R01.S.doc Version 5.2 Page 23 undergone induction training and skills for care training they will be put forward for NVQ training. On the day of the inspection visit we found that staffing levels were sufficient to meet the needs of people being cared for. We noted that consistency of care is supported by non-use of agency staff. However, as there are staff vacancies at present, this means that a number of staff are working long hours – in some cases four or more double shifts per week across a four week period. The provider’s monthly report from 25/11/07 notes that “staff hours should be carefully monitored to ensure staff do not work excessive hours and become overtired”. While staff interviewed had no objection to working double shifts, the issue of staff tiredness was raised with Mrs Heffer. Mrs Heffer advised that 2 new support workers and 1 new senior worker will be commencing work on the 3rd December, and that this should lead to many fewer double shifts being worked. In the AQAA, the manager tells us that all the people who have worked in the home in the past 12 months have had satisfactory pre-employment checks. We looked at recruitment records for three members of care staff, and found these to include required checks such as the Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (PoVA) register checks, and appropriate references. The previous requirement made in respect of obtaining references was assessed as met. Training records and certificates which we sampled indicated that staff are undertaking training which helps them meet the needs of the people living in the home. Staff records seen indicate that one-to-one sit down staff supervision is taking place. Staff interviewed said they found supervision helpful to them in their work. Wyatt House DS0000036981.V347612.R01.S.doc Version 5.2 Page 24 The AQAA tells us that “staff are mentored within the home by more senior and experienced staff and there is a good network of support through supervision, appraisal, also through staff and team leader meetings”. Wyatt House DS0000036981.V347612.R01.S.doc Version 5.2 Page 25 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is being managed in the best interests of the people living there. The management approach of the home creates an open, positive and inclusive atmosphere in the home, and seeks the views of people living in the home and others on how the service can be improved. The health, safety and welfare of people living in the home is promoted and protected. EVIDENCE: There has not been a manager registered for the service since 28/9/06. Wyatt House DS0000036981.V347612.R01.S.doc Version 5.2 Page 26 Mrs Heffer advised that she has been managing the service since September 2006, although she has only recently returned to work after her accident. Mrs Heffer said that she has relevant experience and qualifications, and that she is presently filling out her application to be registered by CSCI as manager of the service. We found the home to have a good atmosphere, and staff to have a positive attitude. The home was found to be being managed in the best interests of the people living there. A member of staff interviewed said this was “one of the nicest homes I’ve worked. There’s a good mix of people living here and people get on”. We looked at the provider’s monthly visit reports, which indicate that the provider is supporting improvements in the home. A questionnaire audit of the views of others is presently being undertaken, but so far only responses from staff members have been received. These indicate that staff take their job seriously and would like to put in place improvements for people in the home. We sampled a range of health and safety records for the home, including accident records, fire alarm and equipment checks, electrical equipment checks, and environmental safety monthly checks and found them all to be up to date. Mrs Heffer advised us in the AQAA that 9 staff have received training on the prevention of infection and infection control, and that a policy for this is in place. Wyatt House DS0000036981.V347612.R01.S.doc Version 5.2 Page 27 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 3 2 3 3 X 4 3 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 3 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 3 3 X X 3 x Wyatt House DS0000036981.V347612.R01.S.doc Version 5.2 Page 28 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA24 Regulation 23 Requirement The drive must be made safe and maintained (Previous timescale of 31/05/07 not met) 2. YA5 5 5A The contract/terms and conditions of residence must include all information required. This to include the room or rooms to be occupied and who is responsible for what paying part of the fee. 31/01/08 Timescale for action 31/01/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Wyatt House DS0000036981.V347612.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Wyatt House DS0000036981.V347612.R01.S.doc Version 5.2 Page 30 - 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!