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Inspection on 02/02/07 for Wycar Leys The Terrace Care Home

Also see our care home review for Wycar Leys The Terrace Care Home for more information

This inspection was carried out on 2nd February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

What has improved since the last inspection?

The bathrooms and toilets, both communal and ensuite, are now all attractively tiled and decorated. Training records are now kept in date order so that the inspector and anyone checking the staff records can follow easily what has been undertaken and what still needs to be done. Surveys are given out to get to know people`s views of the home. These now also include the views of professional people who have connections with the home. It was suggested at the previous inspection that staff should study for the Learning Difficulties Awards Framework (LDAF). There is evidence in their files that this is now undertaken at induction to enable them to understand the residents and their needs better. Some staff are also starting to train as assessors so that all staff can qualify in this facility.

CARE HOME ADULTS 18-65 Wycar Leys Terrace Care Home Kirklington Road Bilsthorpe Newark Nottinghamshire NG22 8TT Lead Inspector Wendy Taylor Key Unannounced Inspection 2nd February 2007 10:00 Wycar Leys Terrace Care Home DS0000048262.V321499.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 Wycar Leys Terrace Care Home DS0000048262.V321499.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. Wycar Leys Terrace Care Home DS0000048262.V321499.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wycar Leys Terrace Care Home Address Kirklington Road Bilsthorpe Newark Nottinghamshire NG22 8TT 0870 330 7522 0870 330 7521 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) Wycar Leys Limited Ms Karen Lesley Tingle Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Wycar Leys Terrace Care Home DS0000048262.V321499.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users shall be within category LD Date of last inspection 23rd November 2005 Brief Description of the Service: Wycar Leys is a privately-owned set of four care homes for adults who have a learning disability. It is situated on raised ground about half a mile from the village of Bilsthorpe. The Terrace, one of the four homes, is a two-storey building providing bedrooms for eight men between the ages of 18 and 65 years. It is run independently from the others and has its own staff team. The people who live there say they prefer to be called ‘residents’. The amenities in the village include shops, fish and chip shop, takeaway, pubs, church and village hall. Although not directly on a bus route, buses pass through the village to the towns of Newark and Mansfield. All the bedrooms are on the upper floor with lounges, dining room and an activities centre on the ground floor. The Terrace shares some facilities with the other three homes: a central kitchen, laundry, transport and extensive grounds. It shares the activities centre with The Mews and The Lodge. There is a large, pleasant garden which residents and staff have spent time personalising. It also contains a go-kart track for the use of the residents. There is a large car park on site at the back of the properties. The fees charged are individually assessed. They range from between £1200 and £2895 per week. Wycar Leys Terrace Care Home DS0000048262.V321499.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was undertaken using a review of all the information available regarding the service history of The Terrace, and through undertaking a visit to the home. The visit to the home took 4½ hours. The main method of inspection used is called case tracking which involved selecting residents and tracking the support they receive through the checking of their care records, discussion with them, the care staff and observing the care practices. Three residents’ files were examined. The inspector toured the building with the manager and examined documents connected with the running of the home. The manager has completed a Pre-Inspection Questionnaire. No survey forms have been received from residents or their relatives. What the service does well: Activities are innovative and take into consideration every aspect of residents’ wishes, desires and whims. (See section on Lifestyle – Standard 14, Leisure.) Record-keeping is easy to read, check upon and follow. At all stages, the records are monitored and checked by the managers and regional manager to ensure that they are always up-to-date, relevant and everyone follows the same pattern of working. Quality assurance covers every aspect of the four homes and is checked regularly by the regional manager, discussed at management, team and staff meetings to make sure that the residents’ wishes and needs are met at all times. Surveys cover all people involved with the home in any way and a good return of surveys ensures that the management can put into place what the residents want and need. Residents are encouraged to take an active part in all phases of the home, to voice their opinions and join in deciding how the home is run. All the staff encourage residents to be as independent and have as much choice as possible within their capacities. Residents spoke very positively about their experience of living at the home. Wycar Leys Terrace Care Home DS0000048262.V321499.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. Wycar Leys Terrace Care Home DS0000048262.V321499.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 Wycar Leys Terrace Care Home DS0000048262.V321499.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): 1, 2, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. New residents know what to expect when they move into the home. The assessments done make sure that staff know they can meet the residents’ needs at all times. EVIDENCE: The service user’s guide is written in clear, easy English, with pictures or in other formats. It is given to all prospective residents to help them know what to expect when living at the home. A copy is hung behind the door of each resident’s bedroom and residents sign to say they have received them. The care plans of a recently admitted resident show that staff assess people who want to come to live at the home and give them plenty of information about the home. Staff then confirm that they can meet their needs once they move in and the resident also signs their agreement. This was confirmed in care plans examined. A copy of each resident’s contract and terms of residency is held in their files, as seen at the visit to the homes. This includes the room to be occupied and Wycar Leys Terrace Care Home DS0000048262.V321499.R01.S.doc Version 5.2 Page 9 the fees payable weekly and is signed by the manager and the resident concerned. Wycar Leys Terrace Care Home DS0000048262.V321499.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): 6, 7, 8, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans clearly show the changing needs, wishes and involvement of the residents. They reflect the active part that residents take in the running of the home, the risks they can take and how their wishes and aspirations are met to enable them to remain as independent as possible. EVIDENCE: The care plans are excellent documents that fully inform staff of what residents want and how to care appropriately and sympathetically for them. Each care plan is written with the help and agreement of the resident or their representative, as confirmed by the signatures seen. They cover all aspects of the resident’s personal, health, emotional and social changing needs and behaviour and are specific to people with learning difficulties. The connection Wycar Leys Terrace Care Home DS0000048262.V321499.R01.S.doc Version 5.2 Page 11 between the risk assessments, the care plan issues and how these should be managed is clear and easy for staff to follow. The care plans are indexed and cross-referenced for easy reading and understanding. They are reviewed regularly and are monitored by the regional and home managers after each review. The dates for future reviews are listed at the front of the review section. Residents and their key workers have put together a health care plan for each of them to ensure that their health needs are assessed and reviewed on a regular basis. These health plans are in addition to the care plans that are in place. Every visit by or to health care professionals such as their doctor, hospital consultants, district nurses, dentists, opticians and chiropodists is recorded in the care plans and the outcomes of visits explained. Resident are assisted to take risks in their lives, with each risk assessment described in the care plans. They show that residents are fully involved at each stage. Some residents have requested activities that their learning difficulties limit, such as driving. Risk assessments have been put in place and activities provided that help them achieve their wishes and desires. (See also section on Lifestyles, standard 14.) Wycar Leys Terrace Care Home DS0000048262.V321499.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): 12, 13, 14, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is an excellent range of activities to suit all residents’ wishes and preferences. Staff help residents to keep in contact with their families, live as independently as possible within their limitations and make choices in all aspects of their lives at the home. EVIDENCE: A large activities centre is situated in the Terrace part of the home. This consists of a large games room, a multi-sensory room and a classroom/arts and crafts room. Together, they provide comprehensive sports, activities and opportunities for the residents to show their individual talents and indulge in their preferred hobbies and interests. Age and peer-related games such as snooker and pool are available. For more sedentary hobbies, pottery, painting, Wycar Leys Terrace Care Home DS0000048262.V321499.R01.S.doc Version 5.2 Page 13 embroidery and sewing are provided as well as board games and musical instruments and sound systems. Indeed, whatever the residents wish or choose to do is considered and enabled whenever possible, as confirmed by residents showing the inspector what they have achieved. For example, some residents mentioned that they wanted to learn to drive and because this is not feasible, the provider has created an outdoor go-kart track and purchased a dual-control go-kart for residents to use with assistance. Staff say this increases their self-esteem and makes them feel respected and satisfied. Residents say, “it’s great!” Some of the residents attend various communal activities such as the Archway Day Centre or work placements. Most go out on visits to local facilities such as the fish and chip shop, the general store, the pub, gym, bowling alley, swimming, horse riding and the cinema as part of the outside activities programme to suit individual needs and wishes. A few attend college courses or tutors come to the home where there is a dedicated classroom. Residents and staff take holidays together regularly. Residents told the inspector about how they enjoyed staying at a number of holiday locations around Britain. Whatever activities the residents choose, they are immaculately recorded in the care plans. Several residents go to stay with their families regularly. One residents said they can go by the home’s transport to visit their parents, where they are unable to collect them. Residents say that staff help them keep contact with their families. Residents are encouraged to help and assisted with household tasks such as washing up, vacuum cleaning and keeping their own rooms clean and tidy. They say they are happy to do these tasks. Food is prepared centrally in the main kitchen. The Terrace also has a residents’ kitchen where they can prepare meals for themselves, with help and supervision from staff. Some make sandwiches to take with them to activities or on outings and evening meals if they do not want the selection offered. The choice of food offered is nutritious and balanced, as seen in the menus supplied with the pre-inspection questionnaire. Residents say, “it’s alright, OK”. One resident said, “The food here is lovely”. Wycar Leys Terrace Care Home DS0000048262.V321499.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20, 21 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are well supported in their healthcare, emotional and medication needs by staff who are knowledgeable and appropriately trained, and very good record-keeping. Medication procedures, administration and recording are robust. EVIDENCE: The home has a key worker system. Each resident spoken with said that they get on well with their own key worker. Residents displayed a warm relationship to staff and the manager, for example, linking arms or holding hands, chatting cheerfully and reminiscing on what they have enjoyed doing together. The staff and managers are able to demonstrate a superior knowledge of not only the residents in their key worker group but also the other residents, both in their own home and the other units. This ensures that residents receive the personal support they require and need. Residents confirm that staff support them in whatever they want to and can do. Wycar Leys Terrace Care Home DS0000048262.V321499.R01.S.doc Version 5.2 Page 15 Staff have put specific health action plans in place, separate but complementary to the care plans, for each resident in the home. As with all other information relating to the residents’ health, safety and welfare, the health needs of the residents are well recorded, closely monitored and every aspect of care included. Contacts with healthcare professionals, including hospital consultants, psychiatrists, is thorough and well documented. There is good provision to meet the health needs of service users. Health care which is not provided by the National Health Service is purchased privately, such as psychiatry and speech and language therapy. No residents control or administer their own medicines. Staff all have training to be able to give out the medications safely. Good monitoring is in place for all aspects of medicine administration. In all care plans seen, the residents have clearly and explicitly expressed their end of life wishes and choice, including the venue, hymns or songs and flowers. Staff have made sure that these have been personalised so that residents can see how their wishes will be respected at this time. Wycar Leys Terrace Care Home DS0000048262.V321499.R01.S.doc Version 5.2 Page 16 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): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents feel listened to and safe and are protected from the risk of abuse by well-trained, sympathetic and understanding staff and managers. EVIDENCE: Neither the home nor the Commission for Social Care Inspection (CSCI) have received any complaints since the last inspection. The staff keep records of all general concerns or queries from residents, no matter how trivial it may seem. The manager monitors and responds to each of these and keeps careful records. Residents say they know they can talk to staff if they are worried about anything and that the staff will listen and answer them. Residents say they feel safe at the home and that staff respond well to all situations, such as when other residents have challenging behaviour. One resident said, “The staff are my friends”. Residents display confidence in the staff and show they are pleased to see and talk with them. They spoke positively about their experience of living at the home. Staff say, and their records confirm that they are trained in safeguarding adults. Wycar Leys Terrace Care Home DS0000048262.V321499.R01.S.doc Version 5.2 Page 17 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): 24, 26, 27, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run efficiently and provides a clean, comfortable and safe environment that is suitable for the tastes and needs all the residents. EVIDENCE: Although there are areas outside the home that are still in the process of improvement and re-development, the home is well-maintained and reasonably decorated. The interior is adapted to the needs and abilities of the residents but still provides a homely environment. Building work is in place to increase the bed numbers at The Terrace from eight to ten. Outside, the car parking area is rather uneven and awaiting further development but is safe enough for people to walk on. Exterior lighting Wycar Leys Terrace Care Home DS0000048262.V321499.R01.S.doc Version 5.2 Page 18 has been installed to make this area safer at night times, in response to staff being alert and aware of the potential hazards. The residents are allowed and encouraged to personalise their bedrooms. Each is decorated in the colours chosen by the residents and contains pictures, ornaments and equipment that they choose. They are able to lock their bedrooms, with staff having a master key to allow for access. They can come and go as they wish. Four of the eight single bedrooms have their own toilets and wash sinks and all rooms are adapted to the resident’s needs. Communally, there is one bathroom, one shower room and three toilets. Each is attractively tiled and fitted out. Domestic staff attend to the cleaning of the home with residents assisting, with the help and supervision of staff, with designated chores to which they have agreed and the risks assessed. All areas of the home are clean and tidy. The laundry contains washing machines with facilities to meet all the needs of the residents. Staff are provided with gloves, aprons and anti-bacterial wipes to prevent close-infection. Maintenance is up-to-date and monitored by the manager. Wycar Leys Terrace Care Home DS0000048262.V321499.R01.S.doc Version 5.2 Page 19 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): 32, 34, 35, 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good staffing levels allow a high degree of individual resident support. Staff are well trained to meet their needs. Recruitment and induction procedures are robust enough to protect residents from risk of harm. EVIDENCE: Staff say, and their files confirm, that they are well-trained, from induction onwards. There is good tracking of staff training with their certificates being kept in date order and the manager monitoring their update and review needs. Staff say that the managers are very supportive in their training needs. Some staff are to be trained as assessors for the Learning Disability Award Framework, which is already used for the induction of new staff and will eventually encompass more areas of training. Wycar Leys Terrace Care Home DS0000048262.V321499.R01.S.doc Version 5.2 Page 20 Staff said that generous staffing levels give them time to attend to the individual needs of service users, and allow them to work on a one-to-one basis for periods of each day. Some staff work in the other units if necessary and have demonstrated their knowledge of the residents on these units. Recruitment files contain all the information required by law. Residents can and do sit on the interviews for new staff. The procedure in place safeguards the residents from the risk of harm or abuse. Records show that staff are regularly updated with reviewed policies and procedures and that they sign to say they have received them. Staff say they receive monthly supervision sessions with their team leader, sometimes more often if they feel they have issues to discuss about their key worker role. The main theme is for them to “look back, discuss any current issues and move forward”. Staff fill in the front part of the supervision sheet to take to the session to discuss. The manager reviews all supervision minutes and responds to each staff if they have raised their concerns or made suggestions for improvement in the home. “The manager picks up on the our training needs and puts people down for courses.” A monitoring sheet shows when supervisions have taken place. Staff say that the team leaders, the managers and the provider are very supportive. One resident said, “The staff are my friends.” Others say they like living at the home. Wycar Leys Terrace Care Home DS0000048262.V321499.R01.S.doc Version 5.2 Page 21 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): 37, 39, 41, 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is run by an involved provider, strong management, enthusiastic and knowledgeable staff. There is robust and comprehensive record-keeping for the health, safety and welfare of the residents. Residents are involved in the running of the home and their views are valued. EVIDENCE: All aspects of the home are well managed and monitored in detail to ensure the quality of the service is maintained and improved upon where possible. The environment is safe and comfortable for the benefit of the residents and staff. Wycar Leys Terrace Care Home DS0000048262.V321499.R01.S.doc Version 5.2 Page 22 Residents are taken into consideration whenever and wherever possible. They can and do sit on interviews for new staff. Their views are requested in surveys which are sent out for them to complete. If assistance is needed, an independent advocate can be contacted. Regular resident meetings take place and their views and wishes are taken seriously. Residents say they are listened to and can have their say. Record-keeping and quality assurance are excellent. At every stage and in every situation of the home, the inspector saw that records are kept, monitored and reviewed to ensure that the home provides the best service possible. Policies and procedures are in place, are updated regularly and staff sign to say they are aware of them. Residents say and show they feel safe and like the staff and the managers. Wycar Leys Terrace Care Home DS0000048262.V321499.R01.S.doc Version 5.2 Page 23 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 X 5 3 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 3 25 X 26 3 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 4 4 X 4 X 4 3 X Wycar Leys Terrace Care Home DS0000048262.V321499.R01.S.doc Version 5.2 Page 24 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. Refer to Standard Good Practice Recommendations Wycar Leys Terrace Care Home DS0000048262.V321499.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Wycar Leys Terrace Care Home DS0000048262.V321499.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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