Care Home: The Willows

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What the care home does well There is a well established process to follow when a person moves into the home to make sure that their needs can be met there and they are happy with the move. Each person`s care plans are focussed on their personal needs and goals. They and their families/representatives are involved in drawing up these plans, including a communication profile, so staff can provide care in the way each person prefers. The healthcare of people who live in the home is closely monitored. There is good liaison with healthcare services and specialists to make sure that all of people`s health needs are met and that they stay well and healthy. The people who live at the home take part in a wide range of activities in the community to keep them active and help them maintain links with the community, their families and friends. People who live at the home are encouraged to follow a health diet and lifestyle and they help to draw up the menus to make sure that they are offered the meals they prefer. Medicines are managed well in the home to make sure that the people who live there receive their medicines safely as prescribed. People who live in the home are confident that staff will listen to their concerns and take action to sort them out. Staff receive training and there are clear procedures for them to follow so they can protect the people who live at the home from possible harm or abuse. The home is well maintained so that people live in comfortable, bright and clean surroundings. The staff are well trained to make sure they can meet the needs of the people who live in the home. The home is well managed by an experienced manager so that the people who live there are at the centre of what happens and their comments are listened to and acted upon. What has improved since the last inspection? The service user agreement has been developed so it is easier to understand and people`s rights and responsibilities are made clear. The programme of refurbishment and redecoration continues to make sure that the home is well maintained and safe for the people who live and work there. New staff have been appointed and the cover arrangements have been made more effective to make sure there are enough staff available to meet the needs of the people who live at the home. People who use the services are now involved in the recruitment of new staff so they can have a say in who comes to work with them. The staff induction programme has been developed to make sure that new staff, relief staff and students on placement have the guidance and knowledge they need to provide the correct care for the people who live in the home. CARE HOME ADULTS 18-65 The Willows 31-33 Sutton Drive Upton Chester Cheshire CH2 2HN Lead Inspector Mr Val Flannery Unannounced Inspection 31 October 2007 3.00 The Willows DS0000006666.V348643.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address The Willows DS0000006666.V348643.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Willows DS0000006666.V348643.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Willows Address 31-33 Sutton Drive Upton Chester Cheshire CH2 2HN 01244 382701 F/P 01244 382701 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) www.macintyrecharity.org MacIntyre Care Ms Carol Jinks Care Home 5 Category(ies) of Learning disability (5) registration, with number of places The Willows DS0000006666.V348643.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No more than 5 Service Users may be Learning Disability (LD) Date of last inspection 27th February 2007 Brief Description of the Service: The Willows cares for five adults with a learning disability. The home is on a residential estate in Chester, close to local shops and on the bus route to Chester city centre. The two-storey building was originally two separate semidetached houses. Access between the ground floor and first floor is by the stairs. All the bedrooms are single and four of them are on the first floor. The fifth room is on the ground floor and has an en-suite shower and toilet. Sufficient communal toilets, bathing and shared space, including a dining area, are provided for the service users. The garden to the rear of the home provides a secure area for use by service users. Staff are on duty twenty-four hours a day to deliver care to service users. The fees for the home start from £329.47 per week. This information was provided by the manager on the 9 March 2007 The Willows DS0000006666.V348643.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit started on 31 October 2007and lasted a total of 6 hours. The visit was carried out by Val Flannery, Regulatory Inspector The visit was just one part of the inspection. Before the visit the manager was asked to complete a questionnaire to provide up to date information about services in the home. CSCI questionnaires were also made available for residents, families, and health and social care professionals, such as doctors and nurses, to find out their views. Other information received since the last key inspection was also reviewed. During the visit various records and the premises were looked at. People who live at the home and staff were spoken with and they gave their views about the service. What the service does well: There is a well established process to follow when a person moves into the home to make sure that their needs can be met there and they are happy with the move. Each person’s care plans are focussed on their personal needs and goals. They and their families/representatives are involved in drawing up these plans, including a communication profile, so staff can provide care in the way each person prefers. The healthcare of people who live in the home is closely monitored. There is good liaison with healthcare services and specialists to make sure that all of people’s health needs are met and that they stay well and healthy. The people who live at the home take part in a wide range of activities in the community to keep them active and help them maintain links with the community, their families and friends. People who live at the home are encouraged to follow a health diet and lifestyle and they help to draw up the menus to make sure that they are offered the meals they prefer. Medicines are managed well in the home to make sure that the people who live there receive their medicines safely as prescribed. People who live in the home are confident that staff will listen to their concerns and take action to sort them out. Staff receive training and there are clear The Willows DS0000006666.V348643.R01.S.doc Version 5.2 Page 6 procedures for them to follow so they can protect the people who live at the home from possible harm or abuse. The home is well maintained so that people live in comfortable, bright and clean surroundings. The staff are well trained to make sure they can meet the needs of the people who live in the home. The home is well managed by an experienced manager so that the people who live there are at the centre of what happens and their comments are listened to and acted upon. What has improved since the last inspection? What they could do better: The home continues to run well in the best interests of the people who live there. The manager and staff have identified that they would like to make the following improvements in the next twelve months or so: make the service users’ guide and the statement of purpose for the home available in other formats that would be easier for the people who live there and their representatives to understand; develop the use of advocates and volunteers to provide independent support for the people who live in the home; re-design the garden so it is easier for people with mobility problems to use. The Willows DS0000006666.V348643.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. The Willows DS0000006666.V348643.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Willows DS0000006666.V348643.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is information available about the home and a process used when new residents move into the home so they know their needs can be met there. EVIDENCE: Nobody has moved into The Willows since the last inspection but there is a thorough process to be followed when new people do move in. This was seen to have been followed at the last inspection. The process includes carrying out a ‘Getting to Know You’ assessment to check that the person’s needs can be met at the home. Information is obtained from the person’s social worker and possible new residents can visit the home to get to know the people who live there and the staff. This can include an overnight stay to give the person an idea of what it would be like to live in the home and help them to decide if they want to live there. The service user agreement for the home has been updated and there are plans to develop the service user guide and statement of purpose for the home in more suitable formats for the people who live there or may move in to understand. The Willows DS0000006666.V348643.R01.S.doc Version 5.2 Page 10 Completed CSCI questionnaires returned from people who live at the home, their relatives and a GP show general satisfaction with the way the home is run and the care provided. One person who lives there said, ‘I am very happy where I live’ and a relative said that the Willows is ‘the best place (relative’s name) has lived’. The Willows DS0000006666.V348643.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The care plans are person centred and thorough, covering people’s assessed and changing needs, so staff know how to provide care in the way the person prefers. EVIDENCE: Care records for two of the people who live at the Willows were seen during the inspection. Care plans are person centred and include essential lifestyle plans, communication profiles, management strategies and people’s personal goals. There are separate health and personal care records for each person who lives at the home, which show they are referred to healthcare professionals, including specialists such as occupational therapists, as needed. Advice from specialists is incorporated into care plans so that staff know what they must do to make sure that people’s needs are met. For example, one of the people whose records were checked has developed a condition that needs specialist The Willows DS0000006666.V348643.R01.S.doc Version 5.2 Page 12 input. Staff have received training on how to provide the specialist care this person now needs. Daily records are kept to show people’s progress and other records are also made as needed, for example, fluid intake records. In addition, care files include risk assessments that show people are encouraged and supported to take responsible risks, both in the home and in the community. Staff spoken with were aware of the risk assessments, of each person’s health and care needs and knew what to do to make sure these were met. Reviews of people’s care needs have been undertaken, involving families, social workers and specialist health professionals as needed; some need to be done more regularly. Staff also need to make sure that all changes identified as a result of the reviews are incorporated into the person centred plans, the risk assessments and risk management strategies. People who live in the home were seen making decisions on, for example, whether they spent time in their bedrooms or in the communal lounges. They also help with the daily routines in the home by laying tables and helping staff prepare the evening meal. The Willows DS0000006666.V348643.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff support the people who live in the home to take part in a range of activities, both in the home and in the local community, to make sure that they keep active and maintain links with the local community. EVIDENCE: During the visit, the people who live at the home were seen coming in and out, going to activities in the community and coming back from their day centre. They were seen communicating with staff who gave help and support to them as needed. Some people talked about what they do each day, the activities they enjoy, their holidays and how staff help them with anything they find difficult to do on their own. One person who lives at the home confirmed that they could do what they wanted and said, ‘Everything that is important to me, I do’. The Willows DS0000006666.V348643.R01.S.doc Version 5.2 Page 14 There are risk assessments in place to make sure that people are safe when doing activities in the community. For example, one person regularly uses the buses and walks to the local shops; risk assessments have been done to make sure that he stays safe and well whilst doing this. These are reviewed and revised as necessary to make sure that no unreasonable restrictions are put on this, as it is something that he enjoys doing. Everybody who lives at the home is given the level of help they need to make sure they can do activities such as going swimming, to the local cinema and to discos. The people who live in the home are encouraged to keep in touch with their families and friends. Their right to make their own choices is respected. During the visit, people were seen making choices about what food they would eat, where they would spend time and planning for future activities. Staff were seen encouraging and supporting people to do as much as they could for themselves. There are house meetings so that people can give their views on what is going on and how the home is being run. The manager and staff have identified that there needs to be more involvement from advocates and volunteers to develop independent support for the people who live at the home. They will be taking steps to encourage this within the next twelve months. Staff at the home encourage the people who live there to eat a healthy diet and discuss menus with them to make sure their choices are included. The people who live at the home help with planning menus and preparing meals as part of their personal development plans. The Willows DS0000006666.V348643.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The healthcare needs of people who live at the home are closely monitored and medicine management is satisfactory so that people who live at the home receive the healthcare they need to stay as well as possible. EVIDENCE: The care records that were seen during the visit showed that the healthcare needs of the people who live in the home are closely monitored and staff take action to deal with any problems. Referrals are made to healthcare specialists, appointments are made and kept and advice given by healthcare professionals is incorporated into the care plans and acted upon. Staff provide any support needed such as going with people to doctors and hospital appointments. The care files include clear guidance on what help each person needs with their personal care so that staff know what to do to ensure that each person receives the help they need in the way they prefer. During the visit, staff were seen giving the appropriate level of support to people, calmly and sensitively. They also made sure that people’s dignity and privacy were respected. There is a set of guidelines for staff to follow when giving intimate care. The Willows DS0000006666.V348643.R01.S.doc Version 5.2 Page 16 The organisation that runs the home, MacIntyre Care, has clear policies and procedures on the administration of medicines. A copy is kept in the home and staff receive training to make sure that they know how to give medicines safely. A monitored dosage system is used for medicines and they are kept securely in the home so they are safe. The medicine administration records that were checked showed that the people who live in the home were receiving their medicines as prescribed. The procedures include risk assessments to check that people can look after their own medicines safely. Staff who give out medicines to the people who live at the home have received training so they know how to administer medicines safely. The Willows DS0000006666.V348643.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a complaints procedure and safeguarding procedure for staff at the home to follow so that the people who live there have their concerns listened to and are protected from possible harm and abuse. EVIDENCE: The complaints procedure for MacIntyre Care was on display and a copy is also kept in each person’s files. A complaints/compliments book, called the ‘Say Something’ book is kept and there have been no complaints made about the home since the last inspection. Completed comment cards from people who live at the home, relatives and others all confirmed that they know who to go to if they are not happy with anything in the home. One person said, ‘I will tell staff and they will help me’ and also said that ‘they listen to me’. MacIntyre Care has a policy and procedure to cover safeguarding vulnerable adults; a copy is kept in the home together with a copy of the government guidance ‘No Secrets’. Staff were aware of this guidance and the local authority procedures they have to follow if they become aware of an allegation or suspect abuse. One referral has been made under Adult Protection since the last inspection and was dealt with appropriately. The Willows DS0000006666.V348643.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well looked after so that service users continue to live in comfortable and safe surroundings. They all have single rooms so their privacy and dignity is maintained. EVIDENCE: The visit included a tour of the building. It was tidy, clean, well maintained and comfortable. The people who live at the home help with cleaning, as far as they can. One said, ‘I help clean the house’. All the bedrooms are single rooms; four are on the first floor and have hand wash basins in them. The fifth bedroom, which is on the ground floor, has an en-suite toilet and shower. These facilities help the people who live at the home to maintain their privacy and dignity. Each person has chosen the décor and furnishings of their own room to reflect their personal tastes. A number of people have keys to their rooms to lock them if they want to. The Willows DS0000006666.V348643.R01.S.doc Version 5.2 Page 19 There is a dining room, large lounge with conservatory and a smaller lounge, all on the first floor. There is a maintenance and refurbishment programme in placed to make sure these are all maintained to a good standard. All the shared rooms are fully accessible for the people who live at the home and there is an enclosed garden at the back of the house for people to use. The manager and staff want to re-design the garden to make it easier for people with mobility problems to use safely. Improvements have been made since the last inspection to make sure the surroundings stay well maintained and bright. For example, new white fire doors have been installed to make the hallway lighter and brighter. Adaptations and aids such as grab rails and bath hoists are available to make sure that the people who live there can move around safely and as independently as possible. People were seen moving freely about the home and could go to their bedrooms or use any of the shared spaces as they wished. The Willows DS0000006666.V348643.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is, good. This judgement has been made using available evidence including a visit to this service. Staff receive training, support and supervision to ensure they are able to meet the needs of the people who live in the home. Thorough recruitments processes are in place to make sure that people are protected from possible harm or poor practice. EVIDENCE: During the visit, staff were seen helping the people who live in the home with their daily routines. They were aware of people’s needs and were able to communicate well with them using various methods, including pictures. The people who live at the home were confident about asking staff for help, and were comfortable in their company. They said they were ‘happy with the staff’ and would let them know if they had any worries or concerns. The rota showed there are usually at least two members of staff on duty during the day with one staff member sleeping in at night. Additional staff are on duty during the week to make sure that the people who live at the home can go out to activities in the community. The manager provided information that staff sickness and vacancies had caused some problems during the last The Willows DS0000006666.V348643.R01.S.doc Version 5.2 Page 21 twelve months but appointments have been made and arrangements to provide cover when needed are now working better. Staff confirmed that they receive appropriate training for their jobs. This included safeguarding adults, moving and handling, food hygiene, fire safety and autism awareness. Five of the seven staff for the home have achieved NVQ Level 2 or above in care. Two others are working towards this qualification. Staff have individual personal development portfolios that set out what training they have done and what their training needs are. Staff confirmed that they received supervision from the manager. There were records to show that staff meetings are held. The records show that satisfactory recruitment procedures are in place including obtaining two references for all new staff and obtaining Criminal Record Bureau disclosures before any new staff start working in the home. The recruitment processes for the organisation now involve people who use the services so they can have a say about the people who are going to work with them. The manager indicated that the staff induction processes have been improved and now also cover relief staff and any students working on placement. The Willows DS0000006666.V348643.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed by an experienced manager to make sure that it is run in the best interests of the people who live there. EVIDENCE: The manager has worked in a senior capacity for the organisation for a number of years. She has completed NVQ Level 4 and the registered managers award, as well as doing further training relevant to her role. The people who live at the home, staff and people who visit the home confirmed that it is well run. People who live there said the manager listens to them, especially if they have any concerns. The manager and staff try to put things right for them. The Willows DS0000006666.V348643.R01.S.doc Version 5.2 Page 23 There is a full set of the MacIntyre Care policies and procedures for running care homes kept in the home. These cover a wide range of topics such as administration of medicine, risk assessment and care planning. These are reviewed regularly by the organisation to make sure that they remain up to date. Staff who were spoken with were aware of the policies and the importance of following the procedures in order to make sure that the people living in the home were safe and well. There was a copy of a full health and safety manual in home and records showed that the guidance in it was being followed. Health and safety checks are carried out and records, such as the accident records and the fire safety equipment testing records, were available to show that these are carried out as required. The manager provided information that the people who live in the home are also made aware of health and safety but using a pictorial checklist. A representative of the organisation that runs the home visits the home once a month to check how it is running. In the last twelve months, improvements have been made to the report format and action plan. The reports on the findings of these visits are kept in the home available for inspection. The Willows DS0000006666.V348643.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 Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X The Willows DS0000006666.V348643.R01.S.doc Version 5.2 Page 25 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 The Willows DS0000006666.V348643.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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. 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