Care Home: Wentworth House

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What the care home does well There is a very good standard of care being delivered at Wentworth House and it is apparent that the registered manager is strongly committed to maintaining as much as is possible this good level of care and support to vulnerable people.The manager is always willing to listen to advice or any suggestions that could improve the service being delivered. This is demonstrated by some of the positive changes that have occurred and with the quality assurance monitoring system that is in place. The home has a thorough and robust recruitment process in place, helping to protect and safeguard vulnerable people. A consistent, committed and well-trained staff team are provided with good training opportunities to ensure they have the knowledge and skills to meet the needs of the service users. What has improved since the last inspection? Only one previous recommendation was made by the Commission for Social Care Inspection (CSCI). This was related to the recording of activities. It is evident that all activities and outings are now recorded, with what the event was and who attended. There has also been an increase in the provision of activities and outings, with documented evidence, showing that service users are actively involved in deciding what activities or outings should occur. A good internal `quality assurance` monitoring system has been established, which gives service users and their representatives the opportunity to give their opinions of the service being delivered. Some environmental improvements have been carried out, particularly in the home`s kitchen. What the care home could do better: Continue with the refurbishment and redecoration programme. This will give the assurance that the established good standards will be maintained. CARE HOMES FOR OLDER PEOPLE Wentworth House 283 Clifton Drive South St Annes Lancashire FY8 1HN Lead Inspector Phil McConnell Unannounced Inspection 27th November 2008 10:00 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 Wentworth House DS0000009755.V367853.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. Wentworth House DS0000009755.V367853.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wentworth House Address 283 Clifton Drive South St Annes Lancashire FY8 1HN 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) 01253 724367 01253 724367 garthwaitemandm@btinternet.com Mrs Margaret Garthwaite Mrs Margaret Garthwaite Care Home 15 Category(ies) of Old age, not falling within any other category registration, with number (15) of places Wentworth House DS0000009755.V367853.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th October 2006 Brief Description of the Service: Wentworth House provides residential accommodation for up to 14 older people who do not require nursing care. The home is conveniently located on a main road, in close proximity to the shopping centre, local amenities and the Promenade. The home is arranged over two floors and offers individual bedroom accommodation to all service users which are comfortably furnished and personalised to suit the preferences and needs of the occupant. The majority of bedrooms provide an en-suite facility and a stair lift facilitates ease of access to the upper floor. Communal areas of the home are domestic in character, furnished to a high standard and designed to meet the needs of service users accommodated. The present rate of charging is between £366.00 and £425.00. Wentworth House DS0000009755.V367853.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 stars. This means the people who use this service experience excellent quality outcomes. Information was gathered in order to assess the key standards that are identified in the National Minimum Standards for Care Homes for Older People including: the Annual Quality Assurance Assessment (AQAA) which had been completed by the registered manager, an unannounced inspection visit to the service on 27th November 2008, some surveys returned to the Commission for Social Care Inspection (CSCI) and an Annual Service Review (ASR) that was carried out in February 2008; some of the findings from that review will be included in this key inspection report. The registered manager, Margaret Garthwaite, was available throughout the inspection visit. Three service users’ files were examined and all relevant documentation was in place. Three staff files were also examined and they contained all of the necessary information that is needed for inspection purposes, including recruitment documentation (see staffing section). There was the opportunity to observe the support and care being provided to people who were using the service during the visit. There was also the opportunity to speak to some of the service users and to some of the staff who were on duty during the day. All of the discussions were very positive. The home’s policies, procedures and all other documentation, including health and safety files and certificates were examined (see management section). A full tour of the home was also carried out (see environment section). What the service does well: There is a very good standard of care being delivered at Wentworth House and it is apparent that the registered manager is strongly committed to maintaining as much as is possible this good level of care and support to vulnerable people. Wentworth House DS0000009755.V367853.R01.S.doc Version 5.2 Page 6 The manager is always willing to listen to advice or any suggestions that could improve the service being delivered. This is demonstrated by some of the positive changes that have occurred and with the quality assurance monitoring system that is in place. The home has a thorough and robust recruitment process in place, helping to protect and safeguard vulnerable people. A consistent, committed and well-trained staff team are provided with good training opportunities to ensure they have the knowledge and skills to meet the needs of the service users. What has improved since the last inspection? What they could do better: Continue with the refurbishment and redecoration programme. This will give the assurance that the established good standards will be maintained. Wentworth House DS0000009755.V367853.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. Wentworth House DS0000009755.V367853.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 Wentworth House DS0000009755.V367853.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. Standard 6 N/A. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. An appropriate and thorough pre-admission assessment process is in place, helping to demonstrate that people are only admitted to the home, if the assessment identifies that their care needs can be met. EVIDENCE: Three service users’ files were examined, including the last person to move to Wentworth House, and their individual files contained very thorough and detailed initial admission assessments including, Social Services and Wentworth House’s own pre-admission assessment documents. There was documented evidence to show that service users’ families had also contributed to their relative’s assessment, for example, one person’s assessment showed that three family members had contributed to the process. Wentworth House DS0000009755.V367853.R01.S.doc Version 5.2 Page 10 The AQAA states, “We believe ourselves to be more thorough and selective when seeking information from a prospective resident” and “The care plan assessment is completed before admission and the terms and conditions are explained and discussed by a competent and skilled member of staff”. It was evident that the pre-admission assessments are completed either by the registered manager or senior staff, who are trained and sufficiently skilled to undertake this important process. The manager commented, “The assessment includes a Care Plan Assessment and derived from that is a care plan which is a daily working document”. It is evident that the provider gathers as much information as possible, in order to meet the care and support needs of the people who go to live at Wentworth House. Wentworth House DS0000009755.V367853.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 and 10. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. People’s care plans are adequately detailed, with specific health care needs clearly identified, giving the assurance that people’s care and health needs will be met. EVIDENCE: The AQAA stated: ‘Care plan Assessments and Care Plans are updated monthly or sooner if appropriate, accompanied with resident participation to achieve best results’. The three care plans that were observed contained up to date, detailed, relevant and concise information, giving the care staff the necessary guidance for them to provide a person’s assessed needs. Wentworth House DS0000009755.V367853.R01.S.doc Version 5.2 Page 12 It was also commented, ‘all staff contribute to the residents’ care plans by spending time with them and reporting in the report book and at handover’ and ‘Being a small home, with mainly, full time staff who have been with us for some time , means we all have a good knowledge of our residents’ needs’. Some of the comments from staff were, “Care plans are updated every month and they are reviewed at weekly meetings” and “the service gives an excellent package of care and we are always looking to improve”. The AQAA also states, ‘Our Care plans include a risk assessment, offering a safe level of guidance whilst taking into consideration residents needs and requirements within their everyday living’. As previously mentioned, care plans were developed from the initial assessment. Individual risk assessments are in place and it was observed that they are also regularly reviewed. This helps give the assurance that people are supported to be as independent as possible. People’s files contained a photograph of the person, helping to avoid any confusion, particularly for new staff. Documented information was observed regarding individuals’ specific health needs including, hospital appointments, GP appointments, District Nurses, Physiotherapist, Dentist and Opticians, with the AQAA saying, ‘We encourage our residents to continue registration with their GP (if the GP agrees) and we liaise with Nurse Practitioners to access services and equipment’. The medication administration records (MAR) and procedures were examined and they were found to be of a good standard. A member of staff was observed administering medicines and this was done in a professional, unhurried and sensitive manner. Everything regarding the medication process was satisfactory, including: fully detailed individual medication files, with a photograph of the person and GP details. If a person administers their own medicine, they are requested to sign a ‘disclaimer form’. This shows that people are enabled, as much as possible, to maintain their own independence. In observation throughout the inspection visit and in the feedback received it was apparent that people are treated with respect and dignity. It was commented, ‘We work hard to promote residents’ rights to privacy and dignity by ensuring residents are helped in their personal care in private’ and ‘Residents are able to entertain their visitors and take phone calls in private’. Wentworth House DS0000009755.V367853.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 and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to this service. Meaningful, appropriate and regular activities and events are provided, giving the assurance that people receive motivation and stimulation. EVIDENCE: There was evidence to demonstrate that a number of activities are provided within the home and varied outings are also regularly arranged. The AQAA states, ‘we have a monthly ‘special request’ of an outdoor/choice of activity and also ‘spontaneously’ residents are asked if they would like to go out if a nice day appears unexpectedly’. The previous report recommended the activities that people participate in should be more fully recorded. This has been adequately addressed, giving information of what is being provided and who has attended. Wentworth House DS0000009755.V367853.R01.S.doc Version 5.2 Page 14 Activities and events are displayed in many areas around the home and during the inspection visit a ‘professionally produced’ advert was observed located throughout the home, advertising some forthcoming Christmas events, one of which was a ‘cocktail party’ for service users and relatives. It was also commented, “The residents can invite whoever they want”. This event was also held last year and “it was a great success”. Another event advertised was the annual Christmas Fair. It was evident that service users have been involved in the preparation for this popular event, with people making Christmas cards, decorations and crackers and during the visit service users were observed making items for the fair in the art and craft session. It was apparent that a number of other activities and events have been introduced since the last inspection visit, helping to show that people are motivated and stimulated as much as possible. One recent event was a firework display on Bonfire night. The manager said, “People chose to have a pretty display, with nice fireworks, not bangers and rockets” and “we had sherry and baked potatoes, it was really good and people said they enjoyed it”. The AQAA says, ‘Residents can have visitors at any time and they can refuse to have a visitor should they choose’. One relative wrote, “I can visit at any time. It has made this difficult time in Mum’s life so much easier for me to cope with”. It was evident that the home does have an open house policy with visitors to the home being made welcome and service users are encouraged to maintain relationships with their families and friends. Overall, it was evident that people are encouraged and enabled to maintain contact with friends and relatives. There was the opportunity to have a meal at the home, which was very good. An alternative menu was also available and a brief discussion with the home’s cook showed that there is a clear awareness of individual dietary needs, with a very good system in place that clearly promotes healthy nutritional meals. It was commented by the manager, “The cook is working with service users in implementing ‘healthy eating’ plans for people who feel they have a weight concern”. A list of people’s likes, dislikes and any requests was also observed. One relative wrote, “Meals are of a very high standard and I very much appreciate that the cook will cook Mum’s favourites, to tempt her to eat when she is poorly”. Some other comments regarding the meals were, “The food is really good”, “very nice food” and “the cook always uses fresh vegetables”. It is apparent that every effort is made to ensure that people receive meals that are varied, nutritional and healthy. Wentworth House DS0000009755.V367853.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 and 18. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Satisfactory policies and procedures are in place, helping to show that any complaints will be satisfactorily dealt with. EVIDENCE: A comprehensive complaints policy and procedure is in place, with a copy of the complaints procedure being provided to all new service users who are admitted to Wentworth House. The statement of purpose and the service user’s guide both contain guidance on how to make a complaint. There is a copy of the complaints form prominently displayed in the home. No complaints have been received since the last key inspection visit. In feedback received it was apparent that people are familiar with the complaints procedure and are aware of how to make a complaint, if they need to. The training programme was observed and it was clear that all staff have received training in relation to the prevention of abuse. One person said, “The abuse training was over two days and it was really good”. This helps to demonstrate that systems and training are in place, in order for people to be protected as much as possible from harm or abuse. Wentworth House DS0000009755.V367853.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The home is clean, hygienic, safe and comfortable, giving the assurance that service users live in a well maintained environment. EVIDENCE: A full tour of the home was completed and throughout it was found to be of a good standard, it was clean, homely and fresh smelling. The AQAA states, ‘We encourage residents to view and see our home as they would their own’. People’s bedrooms were observed to contain their own personal possessions, helping to promote a sense of belonging and familiarity. Wentworth House DS0000009755.V367853.R01.S.doc Version 5.2 Page 17 The décor throughout the home was of a good standard, with an ongoing redecoration programme being in place. This helps to ensure that the high standards are maintained. The home’s laundry is well equipped to meet the needs of the people who live at Wentworth House. There is a large industrial type dryer, which is jointly used with the owner’s other residential home. However, it was evident that all personal items of clothing are laundered within Wentworth House and the other items that are dried are discreetly transported between both homes. The kitchen was observed to be clean, hygienic, tidy and well organised. It was evident that refurbishment had taken place in the kitchen, including new kitchen cupboards, sink and work surfaces. This demonstrates that the provider is committed to upgrading and maintaining the equipment and apparatus that is in daily use. The outside grounds are maintained to a good standard, with the gardens containing plants that have specifically been chosen for their sensory stimulation and attractiveness to butterflies and birds. The comments received regarding the environment were all very positive, including, “I think this home is really nice”, “They offer residents a clean and safe environment”, “I can honestly say it’s great here” and “the home always smells nice and always looks clean”. Overall, the environmental standards in Wentworth House are very good and it is apparent that the provider is committed to maintaining and promoting a safe and pleasant home to both live and work in. Wentworth House DS0000009755.V367853.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to this service. Service users are supported and cared for by skilled, qualified and dedicated staff. This helps give the assurance that a good standard of service is provided. EVIDENCE: The staffing levels for Wentworth House were examined and they were found to be satisfactory. There is a consistent and well-established staff team, helping to give the assurance that service users are confident and trusting of the team. Three staff files were examined and they contained information with regards to the experience, skills and training that staff have received with a full and thorough mandatory induction programme being in place. The files examined contained all of the necessary recruitment information including, application form, two written references, contract of employment, and job description. Criminal Record Bureau (CRB) checks, protection of vulnerable adults (POVA) checks and work permits were in place for overseas workers. These had all been carried out, prior to the commencement of employment. Wentworth House DS0000009755.V367853.R01.S.doc Version 5.2 Page 19 The recruitment procedure is robust and thorough, helping to give the assurance that people are protected and safeguarded from harm or abuse. As previously mentioned people were observed to be treated with respect and dignity and it was apparent that a good rapport and trusting relationships existed between the staff and the service users. All of the feedback received regarding the staff team was very positive, including “the staff are brilliant, they know my relative so well”, “the staff are wonderful”, “we have some good staff” and the manager said, “we have an excellent staff team, we have been very fortunate”. It was evident that staff training is regularly provided and the owner is committed to ensuring that the staff are appropriately and sufficiently trained, in order to have the skills and expertise to provide a good level of care to vulnerable people. Some of the comments regarding the training were, “we do a manual handling course every year”, “we do quite a bit of training”, “we are given the opportunity to improve ourselves through training” and “I have done a bereavement and a dementia awareness course, they were both very good”. All of the staff have achieved the national vocational qualification in care (NVQ) training programme at level 2 or equivalent and two members of staff are working towards level 3, with two others doing level 4, with one other person studying for the Registered Manager’s Award (RMA). As already mentioned, the provision of training is commendable and it gives the assurance that the staff team are more than adequately equipped to deliver a good quality service to vulnerable people. Wentworth House DS0000009755.V367853.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is excellent. This judgement has been made using available evidence, including a visit to this service. The home is well managed and organised, ensuring as much as possible that people are safe and receive a good quality service. EVIDENCE: The registered manager has managed Wentworth House for over 19 years and previously managed another care home for two years. She is adequately qualified, having obtained the registered manager’s award (RMA) and is an accredited NVQ assessor and provides training to the staff at Wentworth House. Wentworth House DS0000009755.V367853.R01.S.doc Version 5.2 Page 21 The manager also attends refresher courses to increase her knowledge and update her training, for her own personal development and in order to deliver appropriate and relevant training to her staff team. One person said, “the manager is really good at training”. The AQAA states, ‘The home is highly thought of by visiting health officials’ and ‘we strive to offer an efficient and high quality service, ensuring high standards are continually maintained’. In examination, observation and in feedback received it was evident that the home is well managed and organised, giving the assurance that people’s wellbeing and best interests are actively promoted. Some of the comments received regarding the management were, “The management are always on hand to offer guidance and support”, “I very much appreciate the manager’s help. I like the fact that she will talk about how we will manage the end of Mum’s life”, “The manager is extremely approachable” and “The management are always very flexible. They really are very good”. The home’s policies and procedures were examined and found to be up to date and satisfactory, helping to ensure that policies are appropriate and relevant for the care and protection of vulnerable adults. The provider has continued to maintain the Investors in People Award, which is an external quality monitoring organisation. The home has its own internal quality assurance monitoring system, which is entitled ‘Quality of Service Programme’. This programme helps to evaluate, (using questionnaires) the service users and their relative’s opinion of the home. The topics covered are: living in the home, care in the home and about the home. Some of the returned surveys were observed during the inspection visit and they were positive and constructive, for example, one relative had recommended that grab rails be fitted in some areas of the home. It was observed during the inspection visit that this request had been addressed. This helps to show that the management take seriously and respond to any opinions and recommendations that service users and their relatives put forward. All inspection certificates were available for examination, up to date and correct, including: gas safety certificate, electric check certificate, portable appliance testing (PAT), fire equipment checks, lifting hoists and emergency lighting certificates. Wentworth House DS0000009755.V367853.R01.S.doc Version 5.2 Page 22 There was sufficient evidence to demonstrate that the health and safety of service users and staff at Wentworth House is promoted as much as possible, to help ensure that people live and work in a safe and healthy environment. There were procedures in place, regarding service users’ finances, with appropriate and adequate records being kept, helping to ensure that people’s finances are safeguarded. Wentworth House DS0000009755.V367853.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 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 4 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 4 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X X 3 Wentworth House DS0000009755.V367853.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 Wentworth House DS0000009755.V367853.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection NW Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 Wentworth House DS0000009755.V367853.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!