Care Home: Wellington House

What the care home does well The home has a calm and welcoming atmosphere and people are able to choose how they spend their time. People living at the home have unrestricted access to their personal rooms and all communal areas, meaning they are able to spend time socialising or quietly in their rooms. Anyone wishing to move into Wellington House has their needs assessed to ensure that it is the right place for them. People are able to visit and spend time in the home before deciding to move in on a permanent basis. The home has good relationships with visiting health and social care professionals and there is evidence that people have access to healthcare support according to their individual needs. Everyone asked was very complimentary about the staff who supported them. People said that staff were always kind and polite and always willing to assist them. It was observed that staff interacted with people in a friendly polite manner and assisted people in a way that respected their dignity. This was especially evident when assisting people with meals. Staff are well motivated and they receive excellent training to ensure that they have the skills to support the people who live at the home. The home is well maintained and safe. Standards of cleanliness throughout the home are very good. What has improved since the last inspection? Since the last inspection the home has been extended to accommodate an additional 10 people in an attached self contained home called Longforth House. The new build has also created a new reception area, additional office space and a large training/meeting room. The managers` office has been moved to the new part of the home, which has freed up space in the main part of the home for a care office and comfortable quiet lounge. The home are in the process of upgrading the original part of the building to ensure that it is maintained to a high standard. To ensure that people living at the home are able to influence its day to day running, residents meetings are now being held on a regular basis. This has enabled people to be involved in the redecorating by choosing colours and designs. People living in Longforth House are being encouraged and supported to carry out household tasks to ensure that they maintain their independence where possible. People in the main part of the home are able to take part in household chores if they wish to. Staff have begun to up date and further develop life story books to enhance the person centred approach in the home. This will ensure that people receive care in their preferred manner and are able to continue with their chosen lifestyle. Since the last inspection the home has also introduced a day care facility, which allows people to spend time in the home before deciding to have a respite stay or move in on a more permanent basis. What the care home could do better: No one living at the home was able to suggest anything that the home could do better. No requirements have been made as a result of this inspection. It is recommended that the home continue to develop the care plans to ensure that they are person centred and give clear information about peoples choices and wishes. This is particularly important for those people who are unable to fully express themselves or their needs. The room where medication is stored, in Longforth House, is very warm and the home should ensure that the temperature does not exceed the recommended 25 degrees. CARE HOMES FOR OLDER PEOPLE Wellington House Longforth Road Wellington Somerset TA21 8RH Lead Inspector Jane Poole Unannounced Inspection 25th November 2008 9:50 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 Wellington House DS0000028255.V373227.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. Wellington House DS0000028255.V373227.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wellington House Address Longforth Road Wellington Somerset TA21 8RH 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) 01823 663667 01823 665917 Wellington Care (Somerset) Ltd Mrs Elizabeth Anne Thorne Mrs Margaret Milton Care Home 43 Category(ies) of Dementia (43) registration, with number of places Wellington House DS0000028255.V373227.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home providing personal care only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: 2. Dementia - Code DE The maximum number of service users who can be accommodate is 43. 2nd November 2006 Date of last inspection Brief Description of the Service: Wellington House is set in the centre of Wellington within walking distance of all local amenities. The home is owned by Wellington Care Limited and is registered to provide personal care to up to 43 people who have a dementia or other mental health difficulties. Maggie Milton and Elizabeth Thorne share the registered manager position. The home is divided into two separate units Wellington House and Longforth House. Accommodation set on three floors with two passenger lifts between. All bedrooms are for single occupancy. With the exception of two, all rooms have en suite facilities. Wellington House DS0000028255.V373227.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 3 star. This means the people who use this service experience excellent quality outcomes. The focus of this inspection visit was to inspect relevant key standards under the Commission’s ‘Inspecting for Better Lives 2’ framework. This focuses on outcomes for service users and measures the quality of the service under four general headings. These are: - excellent, good, adequate and poor. The inspection was carried out over a one day period. During this time the inspector was able to spend time in both areas of the home, talking with people living and working at the home and observing care practices. All records requested were made available and the inspector was given unrestricted access to all areas. The homes management team were available throughout the inspection. Before the inspection the home completed an Annual Quality Assurance Assessment (AQAA) This gave comprehensive details about the homes achievements since the last inspection and their plans for ongoing improvements. Three health and social care professionals provided written comments about the home before the inspection and some of their comments have been included in this report. The following is a brief summary of the inspection findings and should be read in conjunction with the whole of the report What the service does well: The home has a calm and welcoming atmosphere and people are able to choose how they spend their time. People living at the home have unrestricted access to their personal rooms and all communal areas, meaning they are able to spend time socialising or quietly in their rooms. Anyone wishing to move into Wellington House has their needs assessed to ensure that it is the right place for them. People are able to visit and spend time in the home before deciding to move in on a permanent basis. Wellington House DS0000028255.V373227.R01.S.doc Version 5.2 Page 6 The home has good relationships with visiting health and social care professionals and there is evidence that people have access to healthcare support according to their individual needs. Everyone asked was very complimentary about the staff who supported them. People said that staff were always kind and polite and always willing to assist them. It was observed that staff interacted with people in a friendly polite manner and assisted people in a way that respected their dignity. This was especially evident when assisting people with meals. Staff are well motivated and they receive excellent training to ensure that they have the skills to support the people who live at the home. The home is well maintained and safe. Standards of cleanliness throughout the home are very good. What has improved since the last inspection? Since the last inspection the home has been extended to accommodate an additional 10 people in an attached self contained home called Longforth House. The new build has also created a new reception area, additional office space and a large training/meeting room. The managers’ office has been moved to the new part of the home, which has freed up space in the main part of the home for a care office and comfortable quiet lounge. The home are in the process of upgrading the original part of the building to ensure that it is maintained to a high standard. To ensure that people living at the home are able to influence its day to day running, residents meetings are now being held on a regular basis. This has enabled people to be involved in the redecorating by choosing colours and designs. People living in Longforth House are being encouraged and supported to carry out household tasks to ensure that they maintain their independence where possible. People in the main part of the home are able to take part in household chores if they wish to. Staff have begun to up date and further develop life story books to enhance the person centred approach in the home. This will ensure that people receive care in their preferred manner and are able to continue with their chosen lifestyle. Since the last inspection the home has also introduced a day care facility, which allows people to spend time in the home before deciding to have a respite stay or move in on a more permanent basis. Wellington House DS0000028255.V373227.R01.S.doc Version 5.2 Page 7 What they could do better: 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. Wellington House DS0000028255.V373227.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 Wellington House DS0000028255.V373227.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): 3&5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Everyone wishing to move to Wellington House has their needs fully assessed by professionals outside the home. Intermediate care is not provided. EVIDENCE: Everyone who wishes to move to the home has their needs fully assessed by professionals to ensure that Wellington House would be able to meet their needs and expectations. Copies of full assessments were seen in personal files. People wishing to move to the home, or their representatives, are able to visit the home before making a decision about moving in. People spoken with Wellington House DS0000028255.V373227.R01.S.doc Version 5.2 Page 10 during the inspection stated that they had visited the home on more than one occasion before they moved in. Day care has recently been introduced to enable people to spend time in the home to assist them to decide if they would like to have a respite stay or move in on a permanent basis. Wellington House DS0000028255.V373227.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 good. This judgement has been made using available evidence including a visit to this service. People living at the home have access to health and social care professionals according to their individual needs. Care plans give adequate information about peoples needs but would benefit from being more person centred to ensure that people receive support in line with their preferences. EVIDENCE: Everyone living at the home has a care plan that is individual to them. 4 care plans were viewed in detail, 2 in each area of the home. Care plans give information about peoples needs but in the main part of the home, Wellington House, there is limited information about peoples’ likes and preferred routines within the care plans. However, the home is in the process of up dating all life story books to ensure that care and activities are personal to the individual. Wellington House DS0000028255.V373227.R01.S.doc Version 5.2 Page 12 Staff spoken with, and observed, during the inspection had a good knowledge of each individual and their needs. All care plans seen gave evidence of regular review and demonstrated that people living at the home or their representative were involved in care planning and reviewing. Some staff have undertaken training in person centred care planning and other staff stated that they are hoping to complete this training in the near future. Assessments are carried out in respect of physical needs such as tissue viability and moving and handling. All appointments with healthcare professionals are recorded and these show that people have access to professionals in line with their individual needs. Personal weights are regularly recorded and weight records seen showed that people were maintaining a stable weight. One health and social care professional, who made comments before the inspection, said that the home seek advice where appropriate and have good relationships with all professionals involved in peoples care. Another professional commented that the home is very good at maintaining peoples dignity and respecting their wishes. During the inspection it was noted that staff interacted with people in a polite and respectful manner and assisted people in a dignified and sensitive manner. The home uses a Monitored Dosage System (MDS) for all medication. Only senior staff, who have received specific training, administer medication. No one currently living at the home self-administers medication. Medication records and storage facilities were viewed in each part of the home. In Longforth House the room where medication is stored was very warm and the home need to ensure that the room does not exceed the recommended 25 degrees. Medication Administration Records (MARs) were well maintained. All medication is signed for when it is received into the home and when administered, this gives a clear audit trail. A sample of controlled drugs was checked and stocks held correlated with records kept. Wellington House DS0000028255.V373227.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, 14 & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are able to make choices about their day-to-day lives. Food in the home is good and support for people who require assistance with meals is excellent. EVIDENCE: There are no strict routines in the home and people are able to choose when they get up, when they go to bed and how they spend their day. Since the last inspection the home has replaced dedicated activities workers with additional care staff. One of the managers is now taking a lead role in organising and encouraging activities within the home. Care staff asked felt that the current arrangement worked well and that people living at the home received adequate social stimulation. Wellington House DS0000028255.V373227.R01.S.doc Version 5.2 Page 14 During the inspection people in the main part of the home were being assisted to play bingo and skittles, which appeared to be enjoyed by everyone taking part. In the smaller, Longforth House, people are encouraged to take part in all household chores and maintain independent living skills. Some people are able to go out locally without staff support and there is a vehicle for trips further away. People said that they could please themselves what they did. One person said that they enjoyed helping with household shopping and another person said that one of the best things about the home was ‘ being able to do things for yourself.’ People living in the main part of the home assist with tasks, such as laying tables and clearing away after meals, if they wish to. There are regular art sessions held at the home, a weekly cookery session, outings to local clubs and facilities, various entertainers and regular visits from the church to enable people to continue to practice their chosen faith. Visitors are always welcome in the home and there are no set visiting hours. One person said how nice it was to be able to have friends for coffee and another person said that family members were able to come and go at any time. Since the last inspection the home has begun to hold residents meetings to enable people to share their views and make suggestions about the home. There is a four-week menu that gives a good variety of food. People living in the smaller unit of the home shop for, prepare and cook their own breakfast and evening meal. Everyone asked said that the food was good and that portion sizes were ample. Lunch was observed in the main part of the home. People were shown a choice of two meals to choose from and special diets were available for those who required it. It was noted that soft diets were very well presented. People who required help to eat their meal were assisted in an extremely sensitive and discreet manner. Wellington House DS0000028255.V373227.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. The home has taken reasonable steps to minimise the risks of abuse to people living at the home. EVIDENCE: The home has policies and procedures in respect of making a complaint, recognising and reporting abuse and whistle blowing. Staff spoken to stated that they had received training on issues of abuse and all were aware of the ability to take serious concerns outside the home. Staff stated that the management in the home are open and approachable and that they would be comfortable to share any concerns with a member of the management team. Some people living at the home are unable to fully express themselves because of their dementia but staff stated that they would be aware of nonverbal cues that may indicate that someone was worried or unhappy. Some people living at the home said that they would tell a member of staff if they were not happy. Wellington House DS0000028255.V373227.R01.S.doc Version 5.2 Page 16 2 complaints have been made in the last 12 months, one complaint was not upheld and the other is still being investigated. There is evidence that the management in the home are familiar with safeguarding procedures and take appropriate action if an allegation is made. All new staff are checked against the Protection Of Vulnerable Adults (POVA) register before they begin work and undergo an enhanced Criminal Records Bureau (CRB) check. Wellington House DS0000028255.V373227.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, 22, 24 & 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a comfortable safe environment for the people who live there. Standards of cleanliness throughout the building are good. EVIDENCE: Wellington House is set in a residential area of Wellington, close to the town centre and all local amenities. Since the last inspection a new wing has been completed, and opened, that is able to accommodate up to 10 people in single en-suite bedrooms. The new unit has been named Longforth House and has been designed to meet the needs of younger people who have a dementia. Wellington House DS0000028255.V373227.R01.S.doc Version 5.2 Page 18 The new building has enabled the home to have a new reception area with office space and a large meeting and training room. The managers’ office has been moved into the new build and this has created a care office and additional small lounge in Wellington House. All areas of the home are fitted with a call bell and fire detection system. Both wings of the home have ample communal space and access to pleasant outside areas. A sample of bedrooms was viewed, all were well furnished and decorated. People are able to bring personal possessions, including small items of furniture, pictures and ornaments to personalise their rooms. This gives bedrooms a homely personal feel. With the exception of two rooms, all bedrooms have en-suite facilities. In the main house these consist of a toilet and wash hand basin and in the new build en-suites also include level access showers. There are ample toilet and washing facilities for communal use. One health and social care professional who provided written comments before the inspection stated that the home are pro-active in providing aids and adaptations that may enhance peoples independence. The home is currently in the process of redecorating and refurbishing many areas of the original building to ensure that it is maintained to a high standard. The home is trying to minimise the impact of work being carried out by closing off designated areas whilst work is being carried out. At the time of the inspection part of one lounge was closed for refurbishment. The home has a dedicated housekeeping team who take an obvious pride in maintaining a high standard of cleanliness. Appropriate hand washing facilities are available throughout the home and all areas seen were clean and fresh. Each unit in the home has a laundry, which is appropriate to the needs of the people living there. The laundry in Longforth House has been equipped with commercial and domestic equipment to enable people to carry out their own laundry if they wish to do so. Wellington House DS0000028255.V373227.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 excellent. This judgement has been made using available evidence including a visit to this service. A well-motivated staff team supports people living at the home. All staff receive training that is appropriate to their role and gives them the skills to support people who live at the home. Recruitment practices minimise the risks of abuse to people. EVIDENCE: The home employs 34 permanent care staff, 24 (71 ) have a National Vocational Qualification (NVQ) in care at level two or above. (Figures taken from Annual Quality Assurance Assessment.) All senior care staff have completed NVQ level 3 in care. In addition to care staff the home also employs 17 ancillary staff. All new staff undertake a comprehensive induction programme appropriate to their role. Copies of completed induction programmes were seen in individual staff files. Wellington House DS0000028255.V373227.R01.S.doc Version 5.2 Page 20 Staff spoken with were very happy with ongoing training opportunities and felt that they were well supported with their training needs. Records seen showed that as well as statutory training staff have received training appropriate to the needs of the people who live at the home. Training has included care of people with a dementia, communication, person centred care planning, promotion of continence, the mental capacity act and schizophrenia. Staff spoken with felt that training was of a good quality and provided them with knowledge to assist them in their role. Health and social care professionals praised the level of training provided for staff. Staff asked stated that there were always adequate numbers of staff on duty. Time was spent in both areas of the home observing care practices. It was noted that there was constant interaction between staff and people living at the home. People who required assistance were supported in a way that was respectful and promoted the individuals privacy. People living at the home said that staff were ‘always polite,’ ‘spoke kindly’ and ‘always willing to help.’ Staff observed, and spoken with, were well motivated and demonstrated a commitment to providing a high quality service to the people living at the home. The recruitment files of three recently employed members of staff were viewed. These demonstrated that a robust recruitment procedure is in place, which minimises the risks of abuse to people who live at the home. Appropriate checks, including obtaining written references and carrying out a Criminal Records Bureau (CRB) and Protection Of Vulnerable Adults (POVA) check, are undertaken before a person begins work. Wellington House DS0000028255.V373227.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, 32, 33 & 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The managers have the appropriate experience and qualifications to manage the home. There are systems in place to monitor the quality of care and ensure people are able to influence the running of the home. EVIDENCE: Two people, Liz Thorne and Maggie Milton, share the registered manager position. Both have qualifications in care and management at NVQ level 4 and both attend regular training to ensure that their practice is kept up to date. Wellington House DS0000028255.V373227.R01.S.doc Version 5.2 Page 22 The registered providers are also actively involved in the running of the home. They spend considerable amounts of time at the home and in researching best practice in dementia care, demonstrating a commitment to providing a high quality service and to continuous improvement. Before the inspection an Annual Quality Assurance Assessment (AQAA) was completed and sent to the CSCI. This was a comprehensive document giving details of the homes achievements and their plans for the future. The AQAA demonstrated a commitment to ongoing improvement. People living and working at the home said that the management was open and approachable. It was noted that people appeared very relaxed and comfortable with all members of the management team. There are various systems in place to monitor the quality of care and ensure that people living at the home are able to influence its running. There are now regular meetings for people living at the home and minutes of these meetings are taken and made available to everyone. Staff stated that they had regular meetings and these were an opportunity to share ideas as well as receive information. The managers carry out regular audits of care practices and procedures to ensure that a high standard of care is maintained. A maintenance person is employed to ensure that all areas of the home are well maintained and safe. The fire alarms and emergency lighting system is regularly tested and serviced by outside contractors. All equipment in the home is serviced on a regular basis and records are well maintained. Any accidents in the home are recorded and these records are audited to monitor individual health care needs and detect any patterns in accidents. Up to date certificates of registration and insurance are displayed. Wellington House DS0000028255.V373227.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 3 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 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 3 3 x 3 x 3 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x x x x 3 Wellington House DS0000028255.V373227.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. 1 2 Refer to Standard OP7 OP9 Good Practice Recommendations Care plans should be further developed to ensure they give clear information about peoples likes, dislikes and preferred routines. The registered persons should ensure that medication is not stored at temperatures above 25 degrees. Wellington House DS0000028255.V373227.R01.S.doc Version 5.2 Page 25 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 Wellington House DS0000028255.V373227.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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