Latest Inspection
This is the latest available inspection report for this service, carried out on 29th April 2008. CSCI found this care home to be providing an Good 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.
For extracts, read the latest CQC inspection for Glenfield Woodlands.
What the care home does well What has improved since the last inspection? Staff have received training to help them identify when residents need to be referred to health care professionals. This will help to ensure that staff do not undertake nursing procedures themselves, but call in District Nurses or GPs when necessary. Improvements have been made to the way medication is stored and administered. On the advice of a CSCI pharmacy inspector, storage facilities have been upgraded, and changes made to administration procedures. This will help staff to keep medication safely. A new activities programme has been put in place. This was designed in consultation with residents. An activities book, showing what is available each day, is kept in reception area for residents and relatives to see. All staff have now had safeguarding training. This means they know what to do if they have concerns about a resident`s welfare. The dining room and has been redecorated and the exterior of the home painted. New kitchen and laundry equipment has been purchased. What the care home could do better: All residents said they liked the food. One said, `The food is always good and if you don`t like something they`ll give you something else.` Another said she would like more fresh fruit to be served, for example apples, pears, or oranges, cut up and peeled, or grapes. We told the Manager about this and she said she would arrange for more fresh fruit to be on the menu. CARE HOMES FOR OLDER PEOPLE
Glenfield Woodlands 11 Holmwood Drive Glenfield Leicester Leicestershire LE3 9LG Lead Inspector
Kim Cowley Unannounced Inspection 29th April 2008 11:00 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 Glenfield Woodlands DS0000006397.V364088.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. Glenfield Woodlands DS0000006397.V364088.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Glenfield Woodlands Address 11 Holmwood Drive Glenfield Leicester Leicestershire LE3 9LG 0116 2871696 0116 2871696 glenfieldwoodlands@yahoo.co.uk 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) Pearlcare Mrs Rena Lewis Care Home 17 Category(ies) of Dementia - over 65 years of age (5), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (5), Old age, not falling within any other category (17), Physical disability over 65 years of age (5) Glenfield Woodlands DS0000006397.V364088.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Service user numbers. No person falling within category PD(E) to be admitted to the home when there are 5 persons of that category already accommodated in the home. Service user numbers. No person to be admitted to the home in categories MD(E) or DE(E) when 5 persons in total of these categories/combined categories are already accommodated in the home. 27th April 2007 2. Date of last inspection Brief Description of the Service: Glenfield Woodlands is a privately owned residential home situated off the A50 Groby Road between County Hall and Glenfield Hospital. The home, which was built in the 1920s, caters for older people, some of whom may have mental health needs and/or physical disabilities. The home has 15 single bedrooms and one double, all of which have en-suite facilities. Downstairs there are two lounges and a dining room. To the rear of the home is nearly an acre of landscaped gardens with places to walk and sit. Shops, a post office, bus stops and parks are close to the home. Fees range from £391 to £513 per week. Inspection reports and other information about the home is available from the Registered Manager. Glenfield Woodlands DS0000006397.V364088.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 2 stars. This means the people who use this service experience good quality outcomes.
This was a key inspection that included a visit to the home and inspection planning. Prior to the visit, we (throughout the report the use of ‘we’ indicates the Commission for Social Care Inspection) spent half a day reviewing information relating to the home. During the course of the inspection, which lasted five hours, we checked the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means we looked at the care provided to three residents living at the home by meeting them; talking with the staff who support their care; checking records relating to their health and welfare; and viewing their personal accommodation as well as communal living areas. Other issues relating to the running of the home, including health and safety and management issues, were examined. We also talked to six residents (not all of whom were able to give their views), one relative, the Manager, Area Manager, one senior carer, and one care assistant. What the service does well:
Glenfield Woodlands provides a high standard of accommodation. The premises are homely, comfortable, and well decorated and furnished. It is evident that great care has been taken to make the home attractive and pleasant. All the residents we spoke to said they were very happy at the home. One said, ‘This is a beautiful, clean place. The staff are wonderful and look after us so well. I wouldn’t want to be anywhere else. This is home to me now.’ A relative told us he was pleased with the way staff kept him up to date with his relative’s progress. He said, ‘The minute I walk in the door I’m informed of what sort of day and night my relative’s had. Any member of staff on duty can tell me that.’ He also said, ‘I like the little things they do here. For example my relative’s nightdress in laid out on the bed for her at bedtime.’ The home has a friendly atmosphere and most of the residents we spoke to said their favourite activity was socialising with staff and other residents. One resident said, ‘I do like the company here – I like to sit and chat to everyone. It’s a very pleasant way to pass the time.’
Glenfield Woodlands DS0000006397.V364088.R01.S.doc Version 5.2 Page 6 Glenfield Woodlands has a small, friendly staff team. At the inspection we saw that the staff and residents get on well with each other and enjoy a laugh and a joke together. Staff turnover is low so residents are able to get to know the staff who care for them, and build up good relationships with them. One resident told us, ‘The staff are very good, very kind, and very helpful.’ And a relative said, ‘The staff all have different ways of doing things but they all give excellent care.’ What has improved since the last inspection? What they could do better:
All residents said they liked the food. One said, ‘The food is always good and if you don’t like something they’ll give you something else.’ Another said she would like more fresh fruit to be served, for example apples, pears, or oranges, cut up and peeled, or grapes. We told the Manager about this and she said she would arrange for more fresh fruit to be on the menu. Glenfield Woodlands DS0000006397.V364088.R01.S.doc Version 5.2 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Glenfield Woodlands DS0000006397.V364088.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 Glenfield Woodlands DS0000006397.V364088.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): Quality in this outcome area is good. Residents’ needs are assessed prior to admission to ensure the home is suitable for them. This judgement has been made using available evidence including a visit to this service. (Standard 3 was inspected.) EVIDENCE: People who are interested in coming to Glenfield Woodlands are invited to visit first to see what the home is like. If they are unable to visit, for health or other reasons, their relatives/friends can look round on their behalf. If the home appears suitable potential residents have an ‘assessment of need’. This means the Manager meets with them in their own homes, in hospital, or during a visit to Glenfield Woodlands, to consider their health, personal, and social needs. If it appears they can be met at Glenfield Woodlands they are offered a place. Once a resident is admitted staff collect information about their likes/dislikes and routines on a ‘New Resident’ form. This includes questions on preferred bedtimes/getting up times, choice of early morning/night time drink, and favourite foods. Staff use this information to help residents settle in and feel at home.
Glenfield Woodlands DS0000006397.V364088.R01.S.doc Version 5.2 Page 10 Records relating to three admissions were examined. All were of a good standard and the views of relatives, and assessments carried out by health and social services staff, had been taken into account. The Manager also told us that prospective residents could come to the home for day care or respite care. This gives them the opportunity to get a feel of the place before deciding whether or not to move in. Standard 6 was not inspected, as this home does not provide intermediate care. Glenfield Woodlands DS0000006397.V364088.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): Quality in this outcome area is good. Staff in the home, and in the wider community, meet residents’ health and personal care needs. This judgement has been made using available evidence including a visit to this service. (Standards 7, 8, 9, and 10 were inspected.) EVIDENCE: All residents have care plans, which set out how their health, personal, and social needs are to be met. The Manager said staff always sit and talk to residents about their care plans before they are implemented. Once they give their agreement residents have the opportunity to sign the plans if they are able to. Care plans include risk assessments concerning areas such as falls. These help to reduce the risk of accidents in the home. Where necessary District Nurses and other health care professionals are involved in assessing risk and sourcing safety equipment, for example bed rails and walking frames. We looked at a sample of care plans and found they were up to date and had been regularly reviewed. This is important as residents’ needs frequently
Glenfield Woodlands DS0000006397.V364088.R01.S.doc Version 5.2 Page 12 change, and staff need to know when this happens so they can provide the best possible care for them. One relative said he was pleased with the way staff kept him up to date with his relative’s progress. He told us, ‘The minute I walk in the door I’m informed of what sort or day and night my relative’s had. Any member of staff on duty can tell me that.’ Residents are registered at a nearby GP surgery. On the morning of the inspection a GP visited a new resident at Glenfield Woodlands to assess their needs and register them for health care. The Manager said a GP always comes out when a new resident is admitted, and this helps to ensure their health needs are promptly assessed and met. District Nurses from the same surgery also provide health care for residents, and advise and train staff as necessary. Since the last inspection staff have received training to help them identify when residents need to be referred to health care professionals. This will help to ensure that staff do not undertake nursing procedures themselves, but call in District Nurses or GPs when necessary. Improvements have also been made to the way medication is stored and administered. On the advice of a CSCI pharmacy inspector, storage facilities have been upgraded and changes made to the way some medications are administered. This will help staff to store and administer medication safely. During the inspection we saw staff treating residents with respect and helping them to maintain their dignity by providing care discreetly and sensitively. One resident said, ‘The staff are very polite and I’d soon tell them off if they weren’t.’ Glenfield Woodlands DS0000006397.V364088.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): Quality in this outcome area is good. Residents’ social and cultural needs are identified and met. This judgement has been made using available evidence including a visit to this service. (Standards 12, 13, 14, and 15 were inspected.) EVIDENCE: Since the last inspection a new activities programme has been put in place. This was designed in consultation with residents. An activities book, showing what is available each day, is kept in reception area for residents and relatives to see. The increase in activities has come about as a result of the home’s annual survey of residents’ views (see ‘Management’). Weekly activities include board games, card making, bingo, exercise, classes, manicures, hairdressing, and music. One relative commented, ‘Every Monday my relative has her hair done. They keep her smart and her clothes are always clean.’ A religious service takes place in the home once a month. Occasional concerts and an annual boat trip are also organised. Raffles are held to raise money for activities. Residents told us they had had a clothes party the previous day. This took place in the front lounge and most residents took part. Relatives were also invited and some came to help out. One resident showed us the dress she
Glenfield Woodlands DS0000006397.V364088.R01.S.doc Version 5.2 Page 14 bought which she said she was pleased with it. The Manager said the clothes party was such a success that another has been organised for the autumn. The home has a friendly atmosphere and most of the residents we spoke to said their favourite activity was socialising with staff and other residents. One resident told us, ‘I do like the company here – I like to sit and chat to the other residents. They are very pleasant.’ And a relatives said, ‘Often when I visit I find staff sitting talking to my relative. She needs this stimulation to keep her mind active.’ The Manager said visitors are welcome at the home at any time, although they may wish to avoid mealtimes. Residents receive visitors in their own rooms, or in one of the lounges, the dining room, or the garden. One relative told us that he was always made welcome at the home and invited to share special occasions, for example the Christmas festivities. Residents are encouraged to make choices about their lifestyles while in the home and decide their own bedtimes, getting up times, and social activities. The Manager said some residents like to have an identified chair in one of the lounges, which is ‘theirs’. This is agreed by negotiation. The home is currently without a cook, although the Manager said one has been appointed and will be starting soon. In the meantime care staff are doing the cooking. Menus were inspected and showed a varied and wholesome diet being offered. Special diets are catered for and diabetic alternatives provided where required. A list of residents ‘likes and dislikes’ is displayed in the kitchen. All residents said they liked the food. One said, ‘The food is always good and if you don’t like something they’ll give you something else.’ Another said she would like more fresh fruit to be served, for example apples, pears, or oranges, cut up and peeled, or grapes. We told the Manager about this and she said she would arrange for more fresh fruit to be on the menu. Glenfield Woodlands DS0000006397.V364088.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): Quality in this outcome area is good. Residents and their representatives are encouraged to talk to staff about any concerns they might have. This judgement has been made using available evidence including a visit to this service. (Standards 16 and 18 were inspected.) EVIDENCE: Residents told us they would speak to a member of staff if there were anything at Glenfield Woodlands they weren’t happy about. One said, ‘I’d tell the Manager straight away if something was wrong.’ A relative said complaints could also be raised with the Area Manager. He told us, ‘The Area Manager visits regularly. He always comes in and asks us what we think of the home. He says, “You can say what you like to me.” ’ Since the last inspection staff have been using the home’s ‘Complaints Book’ to record minor complaints. This is good practice. It shows that residents feel able speak out if they think something is wrong, and their concerns, however minor, are promptly dealt with. If residents or their representatives want to make a formal complaint they can follow the home’s complaints procedure. All residents are given a copy of this when they are admitted, and it is also displayed in the home. The Manager said the procedure is also explained to them verbally to help them understand what to do and who to speak to should the need arise. Glenfield Woodlands DS0000006397.V364088.R01.S.doc Version 5.2 Page 16 There has been one complaint since the last inspection. This was properly investigated by the Manager of the home, with social services involvement, and found to be unproven. All staff have now had safeguarding training. This means they know what to do if they have concerns about a resident’s welfare. Staff on duty were clear about their responsibilities in this area, and knew where to find the home’s ‘whistle blowing’ procedure in case they had to refer to it. Glenfield Woodlands DS0000006397.V364088.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): Quality in this outcome area is excellent. Residents live in an environment that is comfortable, safe and well maintained. This judgement has been made using available evidence including a visit to this service. (Standards 19 and 26 were inspected.) EVIDENCE: Glenfield Woodlands provides a high standard of accommodation. The premises are homely, comfortable, and well decorated and furnished. It is evident that great care has been taken to make the home attractive and pleasant. Since the last inspection the following improvements have been made to the including: • • • Redecoration of the dining room Painting of the exterior of the home New kitchen and laundry equipment purchased Glenfield Woodlands DS0000006397.V364088.R01.S.doc Version 5.2 Page 18 The garden is a feature of the home, being nearly an acre in size. It is professionally landscaped and maintained. It has a number of walking and seating areas, extensive lawns, mature trees, and well-stocked flowerbeds. A resident told us, ‘I’m looking forward to getting out in the garden when the weather improves.’ This was an unannounced inspection and all areas of the home were clean and tidy. A part-time housekeeper is employed, and care staff also help with the cleaning. The Manager said cleanliness is a top priority in the home and residents’ rooms are cleaned every morning. Comments about the cleanliness included,’ Spotless!’ and ‘The home is always very clean.’ Glenfield Woodlands DS0000006397.V364088.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): Quality in this outcome area is good. An established staff team meets residents’ needs. Relationships between staff and residents are warm and caring. This judgement has been made using available evidence including a visit to this service. (Standards 27, 28, 29, and 30 were inspected.) EVIDENCE: Glenfield Woodlands has a small, friendly staff team. At the inspection we saw that the staff and residents get on well with each other and enjoy a laugh and a joke together. Staff turnover is low so residents are able to get to know the staff who care for them and build up good relationships with them. Every resident we spoke to praised the staff team and the following comments were made: ‘The staff are very good, very kind, and very helpful.’ ‘If I call for help the staff come immediately.’ ‘There’s a brilliant mix of staff.’ ‘The staff all have different ways of doing things but they all give excellent care.’ Recruitment procedures were discussed with the Manager. She told us that, in order to safeguard residents, all staff are subject to CRB and POVA checks, and references are obtained. Glenfield Woodlands DS0000006397.V364088.R01.S.doc Version 5.2 Page 20 A staff induction-training programme is in place. This covers fire safety, food hygiene, moving and handling, health and safety, first aid, and infection control. Staff are encouraged to gain NVQs (National Vocational Qualifications) and their certificates are displayed in the home. At present all the staff have NVQ Level 2 in Care or are working towards it. The staff induction and training programme helps to ensure that staff are trained and competent to do their jobs. Staff are listened to when decisions are made about the home. For example, at a recent meeting, staff said residents were struggling to open the doors to the lounges and other communal areas. They asked if ‘door guards’ (ie fixtures that make doors close automatically if a fire is detected) could be fitted so these doors could be left open during the day. The Manager agreed and the ‘door guards’ are now in place. This has made it easier for residents to move around the home without compromising fire safety. Glenfield Woodlands DS0000006397.V364088.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): Quality in this outcome area is good. The home is well run in the best interests of residents by an experienced Manager. This judgement has been made using available evidence including a visit to this service. (Standards 31, 33, 35, and 38 were inspected.) EVIDENCE: The Manager has NVQ Level 4 in Care and the Registered Managers Award. She has worked at Glenfield Woodlands for nine years so knows the residents and the staff team well. Good systems are in place to enable the home to run smoothly and consultation with residents is central to this process. All the residents we spoke said the Manager was friendly and approachable. A relative told us, ‘If something needs doing I tell the Manager and it’s done straight away.’ The home’s Area Manager visits once a week and makes a point of talking to all the residents and any visitors who are there. He told us, ‘I am here if
Glenfield Woodlands DS0000006397.V364088.R01.S.doc Version 5.2 Page 22 anyone – staff, residents, or visitors – needs to talk about anything to do with the home. I am getting to know everyone at Glenfield Woodlands and hope they all feel they can come to me if they have a problem.’ The presence of the Area Manager means that staff, residents, and visitors have more than one senior person they can approach is they need to discuss the home. Residents are given a questionnaire annually, which gives them the opportunity to give their views on the home in writing. The Manager said the results of the last survey showed that residents would like more activities. This has been actioned (see ‘Daily Life and Social Activities’). Residents look after their own money or have their representatives look after it for them. The Manager will take care of small amounts of cash (for example, for hairdressing/chiropody) and appropriate double-signed records are kept when this happens. Good systems are in place to maintain the health and safety of staff and residents, with records kept. Both the Environmental Health Officer and the Fire Officer have inspected this home this year and made some recommendations and requirements. The Manager said the home is working towards meeting these. This will help to make the environment safer for staff and residents. Glenfield Woodlands DS0000006397.V364088.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 3 X X X 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 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Glenfield Woodlands DS0000006397.V364088.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Glenfield Woodlands DS0000006397.V364088.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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
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