Inspection on 14/04/08 for Wyvern Lodge - WSM

This inspection was carried out on 14th April 2008.

CSCI found this care home to be providing an Adequate service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Wyvern Lodge - WSM 03/12/08

Wyvern Lodge - WSM 22/10/07

Wyvern Lodge - WSM 20/12/06

Wyvern Lodge - WSM 09/03/06

Wyvern Lodge - WSM 20/07/05

Wyvern Lodge - WSM 01/12/04

Wyvern Lodge - WSM 16/08/04

Wyvern Lodge - WSM 23/03/04

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Fairfields Country Rest Home

Poldhu

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Belma

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

CARE HOMES FOR OLDER PEOPLE Wyvern Lodge - WSM 154 Milton Road Weston Super Mare North Somerset BS23 2UZ Lead Inspector Melanie Edwards Key Unannounced Inspection 14 April 2008 09:30 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 Wyvern Lodge - WSM DS0000055608.V362339.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. Wyvern Lodge - WSM DS0000055608.V362339.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wyvern Lodge - WSM Address 154 Milton Road Weston Super Mare North Somerset BS23 2UZ 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) 01934 413388 01934 413388 wyvern_lodge.wsm@virgin.net Mr Brian Edwin Johnson Mrs Pauline Ann Johnson Mrs Carol Ferguson Care Home 16 Category(ies) of Old age, not falling within any other category registration, with number (16) of places Wyvern Lodge - WSM DS0000055608.V362339.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate one named person less than 65 years for respite care. This condition is specific to one person and will lapse when the person reaches 65 or leaves the home. 22nd October 2007 Date of last inspection Brief Description of the Service: Wyvern Lodge is registered for up to 16 older people. It is situated in a residential area, near accessible local amenities. The bus stop to the town centre and sea front is just outside the home. Wyvern Lodge provides day care for up to 5 people each day. Most of the accommodation is in the original part of the building but some rooms are in a ground floor wing at the rear. The home has a passenger lift. There is a small, secluded garden with seating to the rear of the home. The fees to stay at the Home are £370 a week. Wyvern Lodge - WSM DS0000055608.V362339.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. We (the Commission) met ten of the twelve residents living at the Home. We joined a small group of residents for lunch. We met the owner of the Home Mr Johnson and the registered manager Mrs Ferguson. We also met two care assistants and a cook .We found out about their roles and responsibilities, their training needs, and how they assist and support residents. Residents were observed being assisted with their needs by staff. A selection of records relating to the day-to-day running and management of the Home were inspected. These included: The statement of purpose, the service user guide, assessments and care records, activities information, menus, the complaints record, fire testing and training records, staff rotas, staff recruitment and training records The majority of the environment was seen. The only areas that were not viewed were two bedrooms. Sue Fuller the Commission Pharmacist Inspector for the South West region carried out an inspection of medication standards in the Home. A copy of the report following her visit is available on request to the Commission. The Home was operating within the required conditions of registration set down by The Commission. The conditions of registration set out the type of care and the needs of residents as well as the numbers of residents who may stay at the Home. What the service does well: Residents are very happy with the quality of service and the staff who help them. Examples of comments made by residents included, ` the staff are all very helpful ’,‘ the staff will do what ever you want ’, and ‘ they are excellent staff ’. Residents also feel that their health needs are well met while they live at the Home, one resident said, ‘ they call the doctor as soon as there’s a problem ’. Wyvern Lodge - WSM DS0000055608.V362339.R01.S.doc Version 5.2 Page 6 Residents are very confident to complain, and they feel they will be listened to. There is a range of regular low-key activities and outings put on for residents. The environment is comfortable and generally well suited to residents needs. Residents are provided with a healthy, varied, well-cooked choice of diet. What has improved since the last inspection? What they could do better: Staff must not commence employment until all pre-employment checks have been satisfactorily completed and the evidence filed in the Home. This requirement relates to one member of staff for whom 2 written references could not be located. All staff must be regularly supervised in their work to demonstrate that they meet residents’ needs, and have a good understanding of the job that they do. Staff meetings should take place on a regular basis so that staff have the chance to make their views known in a formal way, and so that the team can meet up and review the work they do. Corridors and the bedrooms identified at the inspection must be clean. This relates to dust on windows sills along the corridors, and on surfaces in the bedroom. The downstairs bathroom should be repainted. This relates to the area where the wall below the paintwork has become exposed. Please contact the provider for advice of actions taken in response to this Wyvern Lodge - WSM DS0000055608.V362339.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. The summary of this inspection report can be made available in other formats on request. Wyvern Lodge - WSM DS0000055608.V362339.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 Wyvern Lodge - WSM DS0000055608.V362339.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,3,6.Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People have information available to them to make an informed choice about living at the Home. Residents’ needs are being adequately assessed. Residents are not provided with intermediate care at the Home. EVIDENCE: We looked at a copy of the service users guide and statement of purpose. We found that the statement of purpose and service users guide have helpful information in them about the service provided, the qualifications of the staff employed, and the accommodation. The philosophy of the Home and how the service aim to meet residents needs is included. We saw a copy of the complaints procedure in the service users guide so residents know how to Wyvern Lodge - WSM DS0000055608.V362339.R01.S.doc Version 5.2 Page 10 complain about the service. However the statement of purpose and complaints procedure still has our old address on it (we moved in July 2007). This information must be up to date so that people can contact us if they need to. Each resident is given their own copy of the service users guide, so that they have available to them information about the service they can expect. We had a detailed read of two assessment records to see how well needs are assessed. There were reasonably detailed assessments in place of each resident’s range of needs. The assessment records showed the residents had been consulted with to find out about their range of physical, mental and social needs. There was some evidence in the care plans, that also demonstrated assessment records are regularly reviewed. However we suggested it be made very clear on the assessment records when they have been reviewed. We read two risk assessment records and we found that these were adequately detailed about how to assist residents to stay safe and to minimize risks. The Home does not provide residents with intermediate care. Wyvern Lodge - WSM DS0000055608.V362339.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. 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 a visit to this service. Residents’ needs are being met. However residents’ care plans are only adequately detailed. Residents are treated well their dignity and privacy is maintained. Overall practises and procedures for handling residents’ medication are adequate. EVIDENCE: We had a detailed look at two residents care plans to find out how their care needs are met. We saw information in them to show how to meet the residents physical, social, and communication needs. The care plans contained in them an adequate level of information to show how to meet each resident’s range of needs. We saw some written information that demonstrated care plans are reviewed and updated regularly. Wyvern Lodge - WSM DS0000055608.V362339.R01.S.doc Version 5.2 Page 12 There was information in care plans to show the GP, the dentist, and the chiropodist support residents with their physical health care needs. We were told that the staff contact the GP without delay if they have a health problem. We observed that the staff on duty helped residents with their needs, and spoke to them in a very polite and very respectful way. We saw staff knocking on bedroom doors before entering them. The residents who were consulted spoke very positively about the attitude of staff. They told us staff are polite, kind and courteous to them. We were told that some of the staff have been working at the Home for many years, and the residents know them very well. Residents said they see staff as like their family. Residents have their own key to their bedrooms, and many of the residents chose to lock their doors for extra privacy. Medication practises and procedures were inspected by Sue Fuller our pharmacist inspector on a separate visit to the Home .The standard for handling residents medication was found to be adequate overall. To find out more detail a copy of the report of this visit is available on request from us. Wyvern Lodge - WSM DS0000055608.V362339.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provided with a well-cooked, choice of diet. Residents can take part in a variety of low-key social and therapeutic activities. Residents are well supported to receive visits from family and friends. EVIDENCE: Residents can do a variety of low-key social activities including bingo, gentle exercise sessions, card games, and occasional trips to areas of interest in the community. We witnessed a staff and residents card game going on during the morning. The residents sounded as if they were enjoying themselves. Residents were observed walking around the Home, and talking with the staff, they looked extremely relaxed and settled in their surroundings. Residents are well supported to receive visitors. We were told that there is a relaxed and flexible visiting policy. Wyvern Lodge - WSM DS0000055608.V362339.R01.S.doc Version 5.2 Page 14 Residents can make use of the services of a hairdresser who attends to hair, and cuts and `sets’ hair while residents are at the Home. We ate a portion of the lunchtime meal in the company of residents. This was a choice of freshly made ‘ toad in the hole’ and two cooked vegetables, or cold chicken, also with two cooked vegetables. There was a choice of homemade apple pie with custard, or yoghurts for desert. The meals were very tasty, and well cooked. The residents menu choices was well balanced, and traditional. Residents can make a choice of what meal they would like to have each day. Special diets are also well catered for, including people who are diabetic. The residents we met all spoke very positively about the quality of the meals that are provided. Wyvern Lodge - WSM DS0000055608.V362339.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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents ’ views are listened to, and acted on. Residents are generally protected from the risk of abuse. EVIDENCE: All residents are given their own copy of the Homes complaints procedure. This helps them to have the information they need to make a complaint. The complaints procedure includes the contact information for the Commission if a person wants to contact us directly. However as already mentioned in the report, this information is not up to date as it includes our old address. This makes it potentially harder for people to contact us if they need to. The residents we met told us that they see Mrs. Ferguson and the owner most days. Residents said they speak to them if they have any complaints. We were told Mrs. Ferguson,‘ sorts things out ’. There is a policy in place about the issue of protection of vulnerable adults from abuse. The policy is to help to guide staff to take the correct course of action if they ever have to respond to an allegation of abuse. There is also a copy of North Somerset Councils ‘no secrets’ guidance document on the subject of abuse and the protection of vulnerable people. Wyvern Lodge - WSM DS0000055608.V362339.R01.S.doc Version 5.2 Page 16 We looked at staff training records to check if the staff team have done recent training on the principle of the protection of vulnerable adults from abuse. The records we saw demonstrated that a significant number of the staff have done recent training .The staff who have not yet done this training are booked on courses in the near future. Wyvern Lodge - WSM DS0000055608.V362339.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,23,25,26.Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents live in a Home that is safe, homely, mostly satisfactorily maintained and suitable for meeting their needs. However parts of the corroders and a bedroom are not totally clean. EVIDENCE: Wyvern Lodge Care Home is a large House built over three floors, which can be accessed by stairs or lift. The building is an older residential property located in Weston Super mare. It is situated close to Worle village, to local shops, a church and a park. There is a small patio garden towards the back of the Home. Wyvern Lodge - WSM DS0000055608.V362339.R01.S.doc Version 5.2 Page 18 Residents can use either a main lounge, leading onto a sun lounge and dining room. We saw that residents looked very relaxed and also very comfortable in their surroundings. There is a toilet and bathroom on each floor, and three of the bedrooms have an en- suite toilet. There are radiator covers fitted to all radiators, and every window is fitted with a restrictor. The environment is well ventilated and warm and there is plenty of natural light. The environment was clean and satisfactorily maintained in parts of the Home. However we saw that corridors and a bedroom identified at the inspection needed extra cleaning. This was due to excess dust on the windows sills along the corridors, and on surfaces in the bedroom. We also saw that the paintwork on part of the wall in the downstairs bathroom has come off and the wall below is exposed. We saw specialist equipment and adaptations throughout the Home to assist residents and visitors who may have reduced mobility. There was soap and hand-towels available in the toilets and bathrooms to minimise the risk of cross infection in the Home. Residents’ bedrooms are for single use. Rooms are satisfactorily decorated and maintained. Residents have personalised their bedrooms with photographs, mementos and small items of furniture. The standard of furniture and fittings is satisfactory. The residents we asked said they liked the environment and setting of the Home. Wyvern Lodge - WSM DS0000055608.V362339.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30.Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents are cared for by a sufficient number of competent, and supportive staff. Residents’ benefit from being cared for by staff who do some training and have a good understanding of their needs. Residents are not fully protected by the Homes recruitment procedures. EVIDENCE: We checked the duty record for April 2008 to see if residents are cared for by a sufficient number of staff. There is a minimum of two or three care staff on duty as well as at least the manager or one of the owners working during the day. There are two care staff on duty at night who work a ‘sleeping in ’ shift, and are available if needed. Mrs. Ferguson works full time. We did not check the number of catering, domestic and ancillary staff, however we saw these staff carrying out their duties during the inspection. We saw staff help, and talk to the residents in a courteous and polite manner. Residents were positive about how the staff help them, one resident said,‘ the staff here are excellent ’. Wyvern Lodge - WSM DS0000055608.V362339.R01.S.doc Version 5.2 Page 20 The staff we met demonstrated that they had a good understanding of the needs of the residents in their care. The training records of the staff team were looked at to see if staff are keeping up to date in their knowledge of the needs of residents. There was evidence that staff had attended training sessions, and updating over the last twelve months. There is training run by nearby Colleges for care staff in National Vocational Qualification(NVQ) in care award training .The numbers of staff who have finished NVQ training was not reviewed at the inspection. We checked the staff recruitment records to see if the Home carries out employment safety checks on staff before they start work. Three members of staffs records contained a `protection of vulnerable adults ’ Check, a Criminal Records Bureau check, and two written references. However there was one member of staff who had been recruited in 2007 for whom 2 written references could not be located. Wyvern Lodge - WSM DS0000055608.V362339.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,36,38. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ live in a Home run by a person who should be suitable to fulfil the requirements of the role, and run the Home in their best interests. Residents are cared for by staff who are not appropriately supervised at all times. The health and safety of residents and staff is protected. Residents’ finances are protected in the Home. EVIDENCE: Wyvern Lodge - WSM DS0000055608.V362339.R01.S.doc Version 5.2 Page 22 Mrs Carol Ferguson is the registered manager. She has been working at the Home for over twelve months. She has years of experience caring for people with a range of needs. Before this job she worked at another care home caring for residents. This helps to demonstrate she is fit and competent to be a manager. We were told that the residents see the Mrs. Ferguson regularly residents also told us,‘ she’s good Carol she gets things done ’. Mrs. Ferguson has been carrying out a quality audit to check the quality of the care and the service. Mrs. Ferguson said she would review and audit the care and the service, based on the results of the questionnaires from residents and relatives . We looked at the staff meetings records to find out how often staff meetings take place. The last staff meeting had taken place six months ago.We advised that regular staff meetings can be benefical to the effectiveness of a team. One of the owners takes responsibility for looking after residents finances if needed . Finance records were looked at,and these were up to date , and satisfactorily maintained .There is a secure safe to keep residents money and valuables in . Mrs. Ferguson told us that she was, ‘ very behind ’ with the staff supervision sessions that normally take place, she said that supervision records were not up to date. Based on Mrs. Ferguson’s comments we did not look at supervision records. However we discussed with Mrs. Ferguson the importance of ensuring all staff are being well supervised and supported. Residents’ records were generally satisfactorily maintained, up to date, legible and in order. The records relating to the management of the Home were also satisfactorily maintained and in order. Individual records and the Home’s records are kept secure, and are available to staff when needed. Other records are referenced elsewhere in the report. The environment looked generally satisfactorily maintained. All staff do health and safety training in areas including food hygiene, fire safety, and infection control. This helps ensure staff have a good understanding of health and safety principals and practises. The fire logbook record showed fire alarm tests and drills are being done regularly. The kitchen was clean and tidy and in order. The kitchen staff do regular food hygiene training to ensure they have a good understanding of safe practises for preparing and cooking food. Wyvern Lodge - WSM DS0000055608.V362339.R01.S.doc Version 5.2 Page 23 We saw that domestic staff knew how to use cleaning chemicals safely, and where to store them securely in a locked cupboard. Wyvern Lodge - WSM DS0000055608.V362339.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 X X X 3 2 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 3 3 Wyvern Lodge - WSM DS0000055608.V362339.R01.S.doc Version 5.2 Page 25 NO 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 OP29 Regulation Schedule 2.5 Requirement Staff must not work in the home until all pre-employment checks have been satisfactorily completed. This requirement relates to one member of staff for whom 2 written references could not be located. All staff must be regularly supervised in their work to demonstrate they meet residents’ needs, and have an understanding of the job that they do. The identified bedroom and the corridors must be clean and free from excess dust. Timescale for action 15/04/08 2. OP36 18.2 14/05/08 3. OP26 23.2. (d) 14/05/08 Wyvern Lodge - WSM DS0000055608.V362339.R01.S.doc Version 5.2 Page 26 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 OP33 OP19 Good Practice Recommendations Staff meetings should be held on a regular basis. The downstairs bathroom should be redecorated. Wyvern Lodge - WSM DS0000055608.V362339.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Wyvern Lodge - WSM DS0000055608.V362339.R01.S.doc Version 5.2 Page 28 - 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!