Inspection on 11/04/05 for Wyton Abbey

This inspection was carried out on 11th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. 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 but made no statutory requirements on the home.

Other inspections for this house

Wyton Abbey 27/11/08

Wyton Abbey 20/11/07

Wyton Abbey 11/06/07

Wyton Abbey 06/05/06

Wyton Abbey 17/10/05

Wyton Abbey 18/11/04

Wyton Abbey 10/06/04

Wyton Abbey 08/03/04

Similar services:

Abbey The

Snydale Care Home

Hawkhills

Larchfield Manor

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

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

CARE HOMES FOR OLDER PEOPLE Wyton Abbey Wyton Nr Bilton East Yorkshire HU11 4DJ Lead Inspector Sarah Sadler Unannounced 11 April 2005 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 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. Wyton Abbey J53_S19777_Wyton Abbey_V221699_110405_Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Wyton Abbey Address Wyton, Nr Bilton, East Yorkshire, HU11 4DJ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01482- 817610 01482- 815604 Prime Life Limited None Care Home 33 Category(ies) of Old age, not falling within any other category registration, with number (OP) 33 Both, Dementia - over 65 years of age of places (DE(E)) 33 Both, Dementia (DE) 6 Both. Wyton Abbey J53_S19777_Wyton Abbey_V221699_110405_Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. That able servce users will be accomodated in the Garden Cottage. 2. That service users and their family are made fully aware that the staff, after 10.00 pm are accessed from the main building. 3. That Contracting Services (Social Services Department) are fully aware of the night staffing arrangements in the home. 4.That the service users are fully aware of what procedures to follow in case of a fire or break-in to the Garden Cottage. 5.The category Dementia (DE) is for service users over 50 years only. Date of last inspection 18th November 2004 Brief Description of the Service: Wyton Abbey is a large house set back from the main road, in its own grounds, adjacent to the village of Wyton, in the East Riding of Yorkshire. The house is a listed buiding, has extensive grounds with a small walled garden area for service users to sit in and a large car park for approximately 10 cars. Access to public transport is from the adjacent main road which is a short walk along the homes driveway. Prime Life Ltd owns the home, which is registered for 33 service users of either sex, the majority of whom are over 65 years of age; Six service users may be under the age of 65 years and some service users may have a dementia. The majority of the bedrooms are single with five bedrooms being shared. The adjacent Garden Cottage has three service users rooms for service users who are more independent. Services provided include personal care, meals, laundry and health care, with additional health services being accessed as necessary, for example, the district nursing services. Wyton Abbey J53_S19777_Wyton Abbey_V221699_110405_Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was completed as part of the programme of inspections for the year. It was an unannounced inspection undertaken by two inspectors, Sarah Sadler and Tom Tomlinson. The inspection day lasted from 9.30 am until 5.45 pm with a previous half day preparation also undertaken. During the inspection a tour of the premises was completed, a number of services users were spoken with, and approximately six of these were engaged in longer conversations with the inspectors. Time was spent with service users in the communal areas of the home observing their daily lives and further time was spent reading service users care plans and files. Discussions were held with the manager and staff throughout the day. What the service does well: What has improved since the last inspection? Better information about the service is now available. Some action has been taken to improve the safety in the home; doors were not held open by wedges, so would be easier to close in the event of a fire. The manager has also identified how staff can avoid other risks. Wyton Abbey J53_S19777_Wyton Abbey_V221699_110405_Stage 4.doc Version 1.20 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Wyton Abbey J53_S19777_Wyton Abbey_V221699_110405_Stage 4.doc Version 1.20 Page 7 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 Standards Statutory Requirements Identified During the Inspection Wyton Abbey J53_S19777_Wyton Abbey_V221699_110405_Stage 4.doc Version 1.20 Page 8 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1. The statement of purpose provides sufficient information. EVIDENCE: The statement of purpose now contains sufficient information to allow people to make positive choices about living in the home. Wyton Abbey J53_S19777_Wyton Abbey_V221699_110405_Stage 4.doc Version 1.20 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10,11. Service users Health, Safety and Welfare needs are not being fully met. Care plans and risk assessments are not always acitoned. Service users are not supported with their nutritional needs. The dignity of service users is compromised by a lack of respect. EVIDENCE: Individual assessments and care plans are in place for service users. These include details of their health, personal and social care needs. The care plans are reviewed on a monthly basis by the manager. No evidence was found that service users are involved in the development of their care plans and the manager confirmed this is an area that is to be developed within the home. There are entries in the daily notes, but there are often gaps in recording. The entries reflected limited evidence of the care and support given, particularly in relation to meeting social needs. Personal care needs were observed not to have been met, as several service users appeared unkempt. Identified personal care plan needs had not been undertaken. Service users clothing was not clean, ( stale food was on clothing). Female service users were not wearing tights and male service users were not shaved. Wyton Abbey J53_S19777_Wyton Abbey_V221699_110405_Stage 4.doc Version 1.20 Page 10 Only one of the bathrooms available within the home is in use, as others are being used mainly as store rooms. In discussion with the manager and staff it was confirmed that service users are bathed in this bathroom only. Service users are assessed for the risk of developing pressure sores and input from the district nursing team was observed. Records are kept of hospital appointments and one service user reflected that the support given to attend a hospital appointment was good. Care notes detailed that where service users are unable to make decisions regarding their health care, this is decided by the manager. Care plan records identified health appointments attended. However, limited information was available on how these health needs would continue to be met. Evidence that any personal or oral hygiene needs are met was limited. Care plans relating to health and personal care were sometimes non specific for example, “ to provide a nutritional diet” or “staff to report any problems”. Records are kept of receipt and disposal of medicines. No evidence was found that creams and ointments had been administered. No records of the checking of the temperature of the medication refrigerator were available. One service users’ medication sheet had the persons first name only. A tablet was found on the floor of a service users’ room. This had been signed for as administered. The manager confirmed that staff have been trained in the handling of medication but had not been assessed as competent. Service users reflected that their dignity and privacy are respected. Shared rooms were seen to have screening and service user rooms are lockable. Staff interacted positively with service users. However, at busier periods, for example mealtimes, staff were heard to instruct and direct service users to conform. It was observed that service users appeared unkempt, for example hair not brushed and gentlemen not shaved. Service users unable to remove food items from their clothing after meals were left in stained clothes. Limited evidence was available that service users or their relatives’ wishes are sought and recorded regarding actions to be taken after a service user passes away. A form is in place to record these wishes. However, these related only to which undertaker is to be used. Staff offered support to service users to eat their meals and additional support was provided by the administrator. No specialist equipment was evident and service users were observed to have difficulties with their food, for example, often spilling food. At times service users’ behaviour was disruptive, reflecting a rushed and stressful lunchtime, with one staff member often supporting several service users at once. Wyton Abbey J53_S19777_Wyton Abbey_V221699_110405_Stage 4.doc Version 1.20 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,15 Service users social needs are identified but are not met. Service users are not sufficiently stimulated to provide a satisfactory quality of life and could result in poor mental health. EVIDENCE: Care plans included details of assessed social needs and wishes. However the only recorded activity was that of key worker individual time with service users. On average this time amounted to approximately 4 occasions per month and referred mainly to chats. For a service user residing in the Garden Cottage no evidence of individual time was found. Service users reflected that they enjoyed the minibus trips out and the notice board detailed that these happen twice a month. However, service users also commented “there is nothing to do here”. Some service users presented as apathetic. Observations reflected that service users sat for long periods with limited interactions with others and no activities being undertaken. The radio was on in one lounge. Some service users stated that they chose to stay in their rooms and not participate when an activity was offered. The planned menus indicated a reasonably balanced diet. However, service users were not aware of the menu choices and the records of choices for the Wyton Abbey J53_S19777_Wyton Abbey_V221699_110405_Stage 4.doc Version 1.20 Page 12 lunch on the day of inspection were seen to be completed later in the afternoon. The choice of the day for the main course was either shepherds pie or egg on toast. However, the menu board in the dining room stated, “ Mr Sausages and sticks, with rabbit food & boiled somat” “frog spawn”. Staff offered support to service users to eat their meals and additional support was provided by the administrator. However, no specialist equipment was evident and some service users were observed to have difficulties with their food, for example often spilling food. Observations reflected that no condiments were available or were offered. At times service users’ behaviour was disruptive, reflecting a rushed and stressful lunchtime, with one staff member often supporting several service users at once. Wyton Abbey J53_S19777_Wyton Abbey_V221699_110405_Stage 4.doc Version 1.20 Page 13 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 Service users complaints are dealt with. EVIDENCE: There is a complaints procedure that has been agreed with the Commission for Social Care Inspection. A poster explaining this was on display in the home. The manager confirmed a full policy available. Records of complaints are kept. And there have been two recorded complaints, one of which continues to be investigated by the manager. A service user confirmed that she feels able and is aware of how to complain. Wyton Abbey J53_S19777_Wyton Abbey_V221699_110405_Stage 4.doc Version 1.20 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,23,24,25,26. Service users do not live in a clean, hygienic and homely environment. EVIDENCE: The décor throughout the home was of a poor standard. Areas were dirty with cobwebs noted in communal and individual rooms. There was an unpleasant odour throughout the building and carpets were dirty. Bedding, bedrail covers and some equipment had faeces smeared on them. Many of the bedrooms required redecorating and were poorly furnished. One bedroom contained only a bed, had no curtains and urine was on the floor. Several lights did not work and many lampshades were missing. Only one bathroom was useable and in use. Toilets are accessible to service users but were not all clean. The organisation has recently undertaken an audit of the home, this identified areas within the home that required repair/alteration. A previous audit had been undertaken six months ago. Wyton Abbey J53_S19777_Wyton Abbey_V221699_110405_Stage 4.doc Version 1.20 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29,30. Staffing levels and competencies are not adequate to fully meet the needs of service users and keep the home clean. EVIDENCE: Staff were seen attending to more than one service user. There were three care staff to 23 service users in the main part of the home. Many of these service users have a high level of need, including dementia and physical care. Staffing levels did not fluctuate during the day for peak times of activity. At lunchtime staff were seen assisting more than one service user at a time to eat their lunch. The cleaner was on sick leave. The manager stated a replacement had been arranged, but none arrived, the home was not cleaned. Staff have undertaken no training in dementia care. The manager stated that this is available within the organisation. Wyton Abbey J53_S19777_Wyton Abbey_V221699_110405_Stage 4.doc Version 1.20 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33,35,37,38 The home is not well managed, service user needs are not fully met and the home is not run in their best interests. The health, safety and welfare of service users and staff is not fully promoted and protected. EVIDENCE: The manager has applied to be registered with the Commission for Social Care Inspection, but is not yet registered. The manager confirmed that she has completed the Registered Managers Award and has only a few sections of the National Vocational Qualification level 4 in care to undertake to achieve this award. The manager currently works 18 hours per week on management duties and 24 hours per week as part of the care team. Service users’ finance records are kept; service user monies continue to be held in a common bank account operated by Prime Life Ltd. Wyton Abbey J53_S19777_Wyton Abbey_V221699_110405_Stage 4.doc Version 1.20 Page 17 Some service user care plans were not up to date and there are gaps in the recordings. Some entries in care records lacked clarity and were non specific. Safety gates continue to be used within the home and the manager confirmed this is to prevent service users with dementia from falling down the stairs. Evidence of management visits that meet the requirements of regulation 26 were not available. The manager confirmed that a 5 year electrical wiring certificate has not yet been completed for the home. Some risk assessments are now in place for safe working practices. The lift was ¿found to have internal doors which did not close fully, and could be re-opened whilst the lift was moving. This then caused the lift to stop. Two call points were inoperative and some were not readily accessible. Pipe work and radiators are guarded. Wyton Abbey J53_S19777_Wyton Abbey_V221699_110405_Stage 4.doc Version 1.20 Page 18 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 1 8 1 9 1 10 1 11 2 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 1 13 x 14 x 15 1 COMPLAINTS AND PROTECTION 1 1 1 x 3 1 1 1 STAFFING Standard No Score 27 1 28 2 29 3 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 2 x x x 3 x 2 1 Wyton Abbey J53_S19777_Wyton Abbey_V221699_110405_Stage 4.doc Version 1.20 Page 19 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 7 Regulation 14( c) Requirement The registered person must ensure that service users and or representatives are consulted as part of the assessment process. The registered provider must ensure that accurate records of how service users health and personal needs are met are kept. The registered person must ensure that care plans are specific and detail how health needs will continue to be met. Service users personal hygeine needs must be met. People must not appear unkempt. They must be appropriately dressed and, if they wish, shaven . The registered person must ensure that service users clothing is kept clean and does not have stale food on it. The registered person must ensure that the medicines are handled according to the guidance from the Royal Pharmaceutical Society of Great Britain. Medicines administered must be signed for; medication sheets must be fully completed. The medication refrigerator temperatures must be taken Timescale for action 6th May 2005 11th May 2005 11th June 2005 11th May 2005 2. 7 3. 8 15, 17 and Schedule 3 15,17 and schedule 3 12 4. 8 5. 8 12 30th April 2005 18th April 2005 6. 9 17 7. 9 13 18th April 2005 Page 20 Wyton Abbey J53_S19777_Wyton Abbey_V221699_110405_Stage 4.doc Version 1.20 8. 9 13 9. 10 12 10. 10 18 11. 12 16 12. 12 12 13. 12 16 14. 15 16 15. 15 12 twice daily and records of this must be kept. The registered person must ensure that only staff who have received appropriate training and have been assessed as competent may administer medication. The registered person must ensure that service users are treated with dignity and respect at all times. Service users appearance must reflect the dignity and choices of the service users. The registered person must ensure that service users are spoken to respectfully at all times. The registered person must ensure that service users are provided with appropriate activities that reflect their interests and wishes with accurate records of this being kept. The registered person must ensure that service users receive individual key worker time as specified in their individual care plans.with accurate records of this being kept. The registered person must ensure that service users are offered appropriate activities and stimulation. The registered person must ensure that service users receive a nutritionally balanced diet. Service users must receive appropriate support with this, including specialist equipment as necessary. The registered person must ensure that service users are supported to make choices about food. J53_S19777_Wyton Abbey_V221699_110405_Stage 4.doc 6th May 2005 6th May 2005 6th May 2005 11th July 2005 11th June 2005 11th June 2005 11th June 2005 11th July 2005 Wyton Abbey Version 1.20 Page 21 16. 15 12 17. 19 13,23 18. 19 23 19. 20 23 20. 20 23 21. 22. 21 24 23 16 23. 25 23 24. 25. 25 26 23 12,13 26. 27 18 27. 27 18 The registered person must ensure that mealtimes are unrushed and are not a stressful time for service users. The registered person must ensure that the home is well maintained, the decoration must be of a reasonable standard. The registered person must ensure that the home is clean, dirt and cobwebs should not be present. The registered person must ensure that the lighting in communal areas is sufficient to meet the needs of service users. with lampshades in place. The registered person must ensure sufficient bathroom facilities for service users to maintain their personal hygiene. The registered person must ensure that there are suffcieint toilets in a useable condition. The registered person must ensure that service users are provided with all necessary furnishings to meet their needs. The registered person must ensure that adequate lighting is provided throughout including service user rooms. The registered person must ensure that lighting is domestic in character. The registered person must ensure that the home is clean and hygienic. Urine must not be found in inappropriate places. The registered person must ensure that staffing levels should allow for staff to attend to one service user at a time. The registered person must ensure that additional staff are available at peak times of activity. 11th May 2005 11th July 2005 11th June 2004 30th April 2005 11th May 2005 30th April 2005 11th May 2005 30th April 2005 11th June 2005 30th April 2005 30th April 2005 30th April 2005 Wyton Abbey J53_S19777_Wyton Abbey_V221699_110405_Stage 4.doc Version 1.20 Page 22 28. 27 18 29. 27 18 30. 30 18 31. 38 12 (1) 32. 38 23 33. 38 26 The registered person must ensure appropriate staffing levels at all times to ensure the health, safety and welfare needs of service users are met. The registered person must ensure that staffing levels should be able to provide for cover for sickness. The registered person must ensure that staff are appropriately trained specifically in dementia care All call points in communal areas and individual service users rooms must be accessible to service users and in full working order. The registered person must ensure that the wiring in the home meets the requirements.(Previous timescale from the report of November 2004 not met.) The registered person must ensure that visits as per the requirement of regulation 26 are undertaken and recorded appropriately.( The previous timescale of 18/1/05 not met .) 30th April 2005 30th April 2005 11th July 2005 30th April 2005 30th April 2005 30th April 2005 34. 35. 36. 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 8 11 Good Practice Recommendations The registered person should ensure that there are no gaps in the service user daily records. The registered person should ensure that service users and/or their representatives are consulted,as to the wishes J53_S19777_Wyton Abbey_V221699_110405_Stage 4.doc Version 1.20 Page 23 Wyton Abbey 3. 4. 5. 6. 28 31 37 38 for arrangments after they have passed away and that these wishes are recorded. The registered person should ensure that 50 of the staff team are qualified to a minimum of level 2 in a National Vocational Qualification in care. The registered person should ensure that the manager of the home is qualified to National Vocational Qualification level 4 in management and care. The registered person should ensure that records in the home are up to date and in good order. The registered person should ensure that there is a risk assessment undertaken regarding the lift within the home. The assessment should clearly identify that the lift meets the appropriate legal requirements and the needs of the service user groups for whom the home is registered. 7. Wyton Abbey J53_S19777_Wyton Abbey_V221699_110405_Stage 4.doc Version 1.20 Page 24 Commission for Social Care Inspection Unit 4 Triune court Monks Cross York YO32 9GZ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Wyton Abbey J53_S19777_Wyton Abbey_V221699_110405_Stage 4.doc Version 1.20 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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