Inspection on 06/05/06 for Wyton Abbey

This inspection was carried out on 6th May 2006.

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 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 17/10/05

Wyton Abbey 11/04/05

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 Bilton Hull East Yorkshire HU11 4DJ Lead Inspector Ann Day Unannounced Inspection 13.30p 6th June 2006 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Wyton Abbey DS0000019777.V299694.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 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 DS0000019777.V299694.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wyton Abbey Address Wyton Bilton Hull East Yorkshire HU11 4DJ 01482 817610 01482 815604 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) Prime Life Limited Ms Lynne George Care Home 33 Category(ies) of Dementia (6), Dementia - over 65 years of age registration, with number (33), Old age, not falling within any other of places category (33) Wyton Abbey DS0000019777.V299694.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. That able service users will be accommodated in the `Garden Cottage`. That service users and their family are made fully aware that the staff, after 10.00 pm are accessed from the main building. That Contracting Services (Social Services Department) are fully aware of the night staffing arrangements in the home. That the service users are fully aware of what procedures to follow in case of a fire or break-in to the `Garden Cottage`. The category Dementia (DE) is for service users over 50 years only. Date of last inspection 17th October 2005 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 building, 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 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. Fees: £265-£405. Wyton Abbey DS0000019777.V299694.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection included preparation, collation of information received, a pre Inspection questionnaire completed by the providers of this service and fieldwork. The fieldwork included tours of the premises meeting with residents, interviewing staff members and the registered manager Lynne George. Discussions with senior managers of Prime Life Ltd. The first of two site visits on 3.5.06 was announced and the second of the two site visits on 6.6.06 was an unannounced visit to the home. Fieldwork took a total of nine hours to complete. Prime Life Ltd completed a Pre Inspection Questionnaire for the home and although received by the Commission after the due date; the information contained within it contributes to and forms part of this key inspection. The home was judged to be of an Adequate quality, there have been considerable improvements to the care and the environment provided, and the management of the home, since the last full inspection; however, there are a number of areas which would benefit from further improvement. What the service does well: What has improved since the last inspection? Wyton Abbey DS0000019777.V299694.R01.S.doc Version 5.2 Page 6 Service users’ weight is now regularly monitored and recorded. Appliances are provided to asssist service users to eat unassisted by staff; promoting independence. Nurse call system panel was fully operational during the visit; staff members are now more familiar, with its operation. The home was generally clean and well presented. A considerable amount of work has been undertaken to improve the environment; flooring replaced, repair and redecoration. An improved cleaning regime for specified areas of the home is in place. External painting in progress. Organisation in the process of undertaking an annual audit of facilities at the home.The home now provides homely, clean and hygienic environment for service users to live in. The manager has sought to improve the care of service users and more recently has focused on improving the environment for all residents. Staff members stressed how much the home has improved since Lynne George took up the post as manager, staff are now supervised regularly and training is available. New staff receive induction, all staff are supported to care for all the residents of the home. What they could do better: The home must ensure that every newly admitted resident has a needs assessment recorded. A number of care records and MAR (medication records) sheets did not contain a photograph of the individual resident they related to. During the site visits a malodour was noted in a number of bedrooms. The home has yet to achieve 50 care staff trained to NVQ Level 2, however a programme has been put in place and the home will achieve this proportion of their staff trained, to meet this standard by December this year. The Pre Inspection questionnaire and Implementation Plan requested by the Commission were not received by the due date. The Commission had not been notified of all untoward incidents, in accordance with regulations. Please contact the provider for advice of actions taken in response to this Wyton Abbey DS0000019777.V299694.R01.S.doc Version 5.2 Page 7 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Wyton Abbey DS0000019777.V299694.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Wyton Abbey DS0000019777.V299694.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3,6 The quality in this outcome area is adequate. This judgement has been made using available evidence including two visits to this service. People who use this service have good information about the home in order to make an informed decision about whether the service is right for them. The personalised needs assessment means that people’s diverse needs are identified and planned for before they move to the home. EVIDENCE: 3.5.06 There have been 4 admissions since the last inspection, pre admission assessments have been undertaken by Lynne George, the manager or a senior carer. The home has refused inappropriate admissions. Input is sought from family and professionals. A senior manager of the organisation said that travel to prospective residents homes/services at a distance would be supported financially. 6.6.06 In general tracking the care of individual residents confirmed good practice, however, assessment of a newly admitted resident was not in the Wyton Abbey DS0000019777.V299694.R01.S.doc Version 5.2 Page 10 individuals care records, awaiting writing up (manager on leave) and it was therefore not possible to examine or comment on its adequacy. Basic information was available to staff to ensure they could meet the social, emotional and care needs of new service users. The home does not provide intermediate care. Wyton Abbey DS0000019777.V299694.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is adequate. This judgement has been made using available evidence including two visits to this service. The standard of care has improved, the improved practices regarding the recording of care plans and staff training to administer medication safely, means that all service users can be sure that their health and personal care needs will be met. EVIDENCE: Care planning has improved, there is a corporate approach to care planning, however on the first of two site visits, there was no photographs on several of the care records inspected. There was no nutritional assessment for one service user, whose care needs indicated this to be necessary. Care plans include health care requirements and service users felt that if they needed to see a doctor or attend an appointment this was arranged quickly. Comments from members of staff and visiting professionals confirm that care at the home is improving. Senior carers have attended medication administration training. Lynne George, the manager and two relief carers are currently undertaking the training at college . In addition in house training with Prime Life Ltd is available. The home uses monitored dose system for the administration of medication. Only Wyton Abbey DS0000019777.V299694.R01.S.doc Version 5.2 Page 12 those staff who have received the training administer medication. Pharmacist has provided training on the system for the home, and visits the home twice a year. Policies and procedures and records were in generally good order; however, one Medication Administration Record (MAR) sheet was incomplete (missing one signature) and not all the MAR sheets had residents photographs on. 6.6.06 All MAR Sheets were in order and accurate, but several did not have photographs on. A Medication round was observed., practices were consistent with the homes robust policies for the safe handling of medication. Night medication is administered by the afternoon staff before 8pm currently; the prescribing GPs are aware, and this practice meets the needs of current residents, the manager was advised to regularly review this practice ensuring that individual residents needs are adequately met. A Chiropodist now visits the home regularly. A visiting District Nurse commented how much care at the home had improved and that staff at the home always referred to district nursing services appropriately. A social worker had provided a detailed care plan in advance of an expected admission. Care staff had an overall understanding of the needs of people with dementia and were seen to be patient and kind when interacting with them. Visitors spoken to confirmed this. Wyton Abbey DS0000019777.V299694.R01.S.doc Version 5.2 Page 13 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 the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including two visits to this service. The home provides an appropriate range of activities within the home and the local community. Service users are helped to exercise choice and control over their lives. Meals and mealtimes are not rushed and are an enjoyable, social occasion for all of the service users. EVIDENCE: 3.5.06 Service users weight is now regularly monitored and recorded. Appliances are provided to assist service users to eat unassisted by staff; promoting independence. Individual service users have been referred to the dietician/district nurse as necessary. The manager confirmed that any swallowing problems would be referred to Speech & Language Therapist as individual needs determined. Members of staff were observed assisting residents sentitively at the meal table. Lynne George, the registered manager sets the activities programme. Activities are shared by the staff team and recorded. Outings take place throughout the year,there is a bus available once a fortnight. There is a day centre nearby,and one service user attends on a Wednesday. There is a key worker system in place, key worker time is documented throughout the week. Prime Life Ltd has Wyton Abbey DS0000019777.V299694.R01.S.doc Version 5.2 Page 14 developed an information pamphlet to further encourage additional appropriate activities (101 Things to do other than watching the television) 6.6.06 Residents were observed undertaking a number of activities during the day.A game of carpet bowls was in progress in one lounge and also a sing a long session in another lounge of the home took place during the afternoon Several residents chose to walk around the home, they are helped to come and go within the home, assisted as necessary. Relatives and family are encouraged to visit throughout the week;the manager and care staff were observed to have a good rapport with visitors. Meal times are not rushed and are an enjoyable, social occasion for all service users.The teatime meal was observed, the mealtime was a relaxed and a social event. The food was well received; most of the residents were helped to eat independently.The rapport between staff and residents was observed to be good. Menus have been recently improved following the involvement of residents; to include greater choice, including salads, boiled eggs, gammon & pineapple;. The new menus included seasonal options and greater inclusion of fish dishes. Lynne George the manager said that consideration has been given to improving the presentation of the meals provided. Wyton Abbey DS0000019777.V299694.R01.S.doc Version 5.2 Page 15 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 the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including two visits to this service. Service users feel safe and listened to. Complaints and adult protection processes are developed and the home’s procedures are available, understood and consistently applied. EVIDENCE: The home had received one complaint since the last full inspection, a thorough investigation had been undertaken and the home’s policy and procedures had been adhered to. Complaints go initially to the manager and on to a senior manager of Prime Life Ltd. if necessary. A complaints procedure was available to all service users and this was included in the service user guide. Service users were observed speaking to the staff and manager if they were not happy about anything to do with their care.Staff spoken to were sure where to find the complaints procedure and understood what to do and whom to speak to if they received a complaint. Efforts had been made by staff to make sure that service users could vote at the last election, by post, or in person. Staff spoken to had a understanding of the action to be taken if an allegation of abuse was made. Staff benefit from scheduled adult protection training. Wyton Abbey DS0000019777.V299694.R01.S.doc Version 5.2 Page 16 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 the following standard(s): 19,22,23,24,25,26 Quality in this outcome area is adequate. This judgement has been made using available evidence including two visits to this service. The maintenance and renewal of equipment and facilities mean that service users live in a safe and improved environment. The problem of malodour persists , but is much reduced.The improvements to the condition of the décor and fixtures and fittings means that service users live in an adequate environment. EVIDENCE: 3.5.06 The nurse call system panel was operational during the visit; staff members are now more familiar with its operation. The home was generally clean and well presented. A considerable amount of work has been undertaken to improve the environment; including flooring replacement, general repairs and redecoration. The painting of external paintwork was in progress during the visit. The organisation is in the process of undertaking an annual audit of facilities at the home. However, during the site visit unpleasant odours were noted in five bedrooms . This was drawn to the Wyton Abbey DS0000019777.V299694.R01.S.doc Version 5.2 Page 17 attention of the manager and an Immediate Requirement was placed on the service. The home’s laundry is well equipped and is a separate building in the garden away from day areas and there are designated staffing hours to ensure that clothing and linen is well laundered. 6.06.06 The environment continues to be improved, carpets in some bedrooms and busy areas are shampood daily. One room’s flooring has recently been replaced. A unpleasant odour was noted to be persisting in one room . This was brought to the attention of the manager and an Immediate Requirement was placed on the service. The rooms of those service users whose care was case tracked showed individuals had been able to personalise their rooms, and they were satisfactorily clean and well presented. Service users felt their rooms were comfortable. Chemicals including residents’ sterident are safely stored. Aids and equipment were provided and all of these were of a satisfactory quality. The home has a stock of general aids; and the hoists are serviced regularly. The home has a programme of maintenance and general repair. The manager has sought to improve the care of service users and more recently has focused on improving the environment for all residents. Wyton Abbey DS0000019777.V299694.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including two visits to this service. The home is showing improvement and the manager and the organisation have robust plans to continue to improve staffing and training. This capacity to continue to improve should result in improvements in the care of people using the service. EVIDENCE: 3.5.06 Lynne George, the registered manager has the authority to deploy care staff as she thinks fit/ to meet assessed need; this was confirmed by a senior manager of Prime Life Ltd. The senior manager also confirmed that additional funding would be pursued to meet the individual needs of an expected admission. Lynne George and a senior carer are undertaking Dementia training. In addition there is in house dementia training available for the care staff. Lynne George, the registered manager has completed NVQ Level4 and a copy of the certificate was made available for examination. Three staff have completed NVQ Level2, 10 staff members have signed up to undertake NVQ Level2 and a number are due to complete their NVQ by Oct./Dec. 2006. The home did not meet the December 2005 target of 50 of care staff with training to NVQ Level 2 standard, but should achieve this percentage of staff trained to this standard by the end of this year (2006). Wyton Abbey DS0000019777.V299694.R01.S.doc Version 5.2 Page 19 Staffing in the home was sufficient on the day to meet the needs of the residents. One cook left without notice but meals have been covered by one of the carers who used to work in the kitchen. Domestic and laundry workers are designated in addition to the team of care staff; ensuring that care staff are enabled to concentrate on the delivery of personal care. 6.6.06 There was a full staff handover at 2pm, the care of each resident was discussed, items of importance were emphasised. The home has robust staff recruitment policies and procedures which are adhered to, which was confirmed by discussion with care staff and the examination of staff files. Staffing was sufficient to meet the needs of the residents. Night time medication (very small numbers ) is given by the afternoon senior carer. There is always the manager or a senior carer on call out of hours, and the on call staff live nearby(within fifteen minutes travel). Staff were clear about their role, knew what was expected from them and showed a good understanding of the actions. They were able to identify the individual needs, choices and beliefs of the service users and their families. Service users had praise for their carers and mutual respect and positive regard was evident. Staff members stressed how much the home has improved since Lynne took up the post as manager, staff are now supervised regularly and training is available. New staff receive induction, all staff are supported to care for a challenging group of clients. Wyton Abbey DS0000019777.V299694.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35, 36,38 Quality in this outcome area is adequate. This judgement has been made using available evidence including two visits to this service. Management arrangements are meeting the needs of the service, and the quality of the service is improving. EVIDENCE: 3/5/06 & 6/6/06 The organisation’s process and programme of electrical wiring test and PAT testing (annually) has been agreed with Commission. Improvements have been made to the placing and storage of fire extinguishers, which are now in secure boxes and have been regularly maintained. All environmental risk assessments in place are now in place. The home has external doors locked to ensure service users’ safety. Wyton Abbey DS0000019777.V299694.R01.S.doc Version 5.2 Page 21 A senior manager of Prime Life Ltd. undertakes Regulation 26 monitoring visits to the home; reports of which were available for examination. The organisation has a comprehensive quality assurance programme in place, which was available for examination. Lynne George, the registered manager, who is a registered mental nurse (RMN) has recently completed her Registered Manager’s Award. Staff and visitors spoken to knew the management structure of the home and the organisation, and felt the manager was excellent and is significantly improving the way the home is run. Staff appreciated the new management style, and felt it had made the working environment better, they all emphasised how much everything had improved since Lynne George took over as manager, which meant that there was a better atmosphere and living environment for service users.Staff said supervision was now taking place regularly and that staff supervision was well organized and clearly recorded. 6.6.06 The administrator was able to show the inspector that residents’ monies are paid into a communal account, the account accrues no interest. Individual balances were checked and found to be accurate, all transactions were receipted, recorded and countersigned. Maintenance and servicing documentation was randomly checked and was found to be in order for the home’s passenger lift, and hoists; Prime Life Ltd has all the moving & handling equipment insured(hoists). Therm testing has been undertaken and recorded as per regulations, valves have been replaced as necessary. Lynne George, the registered manager and eight care staff are trained first aiders. A senior carer was first aider on duty during the visit. The manager is committed to promoting equality and diversity in the service and meeting service users individual needs by promoting choice, in selection of keyworker; time to rise and retire;clothing to wear; and the activities, both spiritual and social to participate in. The Manager was reminded that the Commission must be notified of all deaths in the home, including those that are expected. The home’s pre-inspection questionnaire had been sent to the organisation’s headquarters for completion and was not completed or received until after the due date (6.6.06).The home’s implementation plan requested was not completed or received by the due date (31.5.06) Wyton Abbey DS0000019777.V299694.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 X X 3 3 3 3 2 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X 2 Wyton Abbey DS0000019777.V299694.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 OP3 Regulation 14 Requirement The registered person must ensure that the record of an assessment undertaken of all service users prior to them entering the home must be available. Outstanding since the last inspection (15.11.05) The registered person must ensure that the home is free from offensive odours. Outstanding since the last inspection (15.11.05) Immediate The Registered Person must give notice to the Commission without delay of all untoward occurrences as per the regulations. Immediate & Ongoing Timescale for action 31/07/06 2. OP26 13,16 06/06/06 3 OP38 37 06/06/06 Wyton Abbey DS0000019777.V299694.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. 1. OP28 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 care records and MAR sheets contain individual resident’s photographs to aid identification and improve safety. 2 OP7 Wyton Abbey DS0000019777.V299694.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 DS0000019777.V299694.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. 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!