Care Home: Wickmeads

Similar services:

• Fairfields Country Rest Home
• Queensmount
• Poldhu
• Trevaylor Manor
• Didsbury Court Rest Home
• Stallcombe House
• Belma
• Hunters Care Centre

What the care home does well Comments received about the service included: "I am very pleased with the home, I came on respite and soon moved in full time." "The home is wonderfully clean." The home operates a thorough assessment process to ensure that the individual`s needs could be met. People felt they had enough information about daily life at the home before they accepted the placement. Residents` health and personal care needs are set out in a personalised and detailed plan, which supports the provision of care. Care records were well maintained and up to date. The records showed that residents and others were involved in the care planning process. An audit of the home`s medication procedures showed that medicine is safely managed. People said the staff arranged medical appointments as needed. Two doctors who visit patients at the home described the home as "excellent".Visitors described the atmosphere in the home as warm and friendly. During the visit, we observed staff treating people respectfully and there was a very positive rapport between residents and staff. The home arranges a variety of activities and the home is fund raising to purchase a mini bus for outings. The responses to the survey showed that people wanted more activities however residents told us that there were things going on in the home including concerts, church services, visits from the library. Some people preferred not to join in with group activities and the staff respected this. One person spoke to the deputy manager to inform her that the midday meal had been "excellent". Others said that the food was of a good standard and they were able to speak up on days when it was poorer. There are regular meetings for the residents; they have food as a main topic including menu planning. People said that they were able to discuss concerns with the staff and management although none had cause to make any formal complaint. The complaints procedure was displayed on the main notice board accessible to residents and staff. All staff receive training in responding to allegations or signs of abuse. The home remained comfortable and well maintained. A new shower room had been well received by the residents as it allowed more choice. Residents and visitors were keen to praise the staff and management of the home. Comments included: "I think they work very well." "The staff are well trained" "Staff are approachable" Staff responding to the survey were positive about the service they offer and several commented that they were proud to be part of the team. They said the training offered by the organisation was of a good standard. The management team had responded to staff concerns with extra hours added to take account of increased needs during the late afternoon. The home uses several mechanisms to seek the views of residents and visitors including surveys and meetings. The home benefits from a stable and experienced management team, people felt the manager and deputy were approachable and they deal with issues sensitively. There was a robust system for managing peoples` personal allowances with records showing that families see the records when adding cash to the account, there is also an internal checking system to correct any errors. The home receives monthly visits from senior staff in the organisation this helps to ensure that any problems are identified at an early stage.WickmeadsDS0000003904.V361796.R01.S.docVersion 5.2Page 7The organisation has policies and procedures to ensure equality and diversity is recognised and respected. What has improved since the last inspection? People living at Wickmeads told us that there was always a choice of meals and that they discussed menu items at the regular resident meetings. People said they were listened to and that menu ideas were acted upon by the manager and staff. The organisation`s induction and training programme include sessions on adult protection, it was also included in supervision meetings. What the care home could do better: There were no requirements or recommendations made following this inspection. It was found that the home was not checking the full employment history of new staff; once Mrs Anderson had been made aware of the problem she immediately set up systems to rectify the problem. CARE HOMES FOR OLDER PEOPLE Wickmeads Thornbury Road Southbourne Bournemouth Dorset BH6 4HR Lead Inspector Trevor Julian Unannounced Inspection 16th April 2008 10:30 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Wickmeads DS0000003904.V361796.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. Wickmeads DS0000003904.V361796.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wickmeads Address Thornbury Road Southbourne Bournemouth Dorset BH6 4HR 01202 427144 01202 427144 wickmeads@care-south.co.uk www.care-south.co.uk Care South 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) Mrs Maureen Beatrice May Anderson Care Home 38 Category(ies) of Dementia - over 65 years of age (10), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (6), Old age, not falling within any other category (38) Wickmeads DS0000003904.V361796.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 38 in the category OP including up to 10 in the category DE(E) and up to 6 in the category MD(E). 28/07/06 Date of last inspection Brief Description of the Service: Wickmeads is a care home providing personal care and accommodation for 38 older people, 10 of whom can be people with mental disorders or dementia. The home, which is part of Care South - a not for profit organisation - was being managed by Mrs Maureen Anderson. The home is located in the Tuckton area of Bournemouth close to the shops and the river. There is on street parking available outside the home. Public transport is accessible with buses travelling to both Bournemouth Town Centre with all its amenities and beaches, and Christchurch. Accommodation is provided in single bedrooms located on the ground and first floors. None of the rooms have en suite facilities but there is ample bathroom and WC provision on both floors. Two lounges and a sun lounge / conservatory are situated on the ground floor. The décor in the home is attractive and the rooms are comfortably furnished. There is a separate dining area and seating in the spacious entrance hallway. The home has a passenger lift to enable easy access to both floors. In April 2008 the weekly fees ranged between £475-£665 dependent on level of care and the accommodation offered. The Office of Fair Trading has published a report highlighting important issues for many older people when choosing a care home, e.g., contracts and information about fees and services. The CSCI has responded to this report and further information can be obtained from the following website: http:/www.csci.org.uk/about_us/press_releases/better_advice_for_people_ch oos.aspx Wickmeads DS0000003904.V361796.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 unannounced inspection took place on Wednesday 16th April 2008 between 10:30 and 16:30. The home’s manager Mrs Anderson and her deputy were on site for the whole time. In October 2007, Mrs Anderson had provided an Annual Quality Assurance Assessment (AQAA) that gave general information on the management of the home, needs of the residents, staffing, recruitment and training. Residents and visitors were invited to give their views using comment cards. We received responses from: Residents 7 Relatives 3 GPs and healthcare professionals 5 Staff 4 Care managers 4 During the visit we concentrated on the experiences of 3 residents, we also spoke to visitors to the home and staff. We examined records and toured the premises. What the service does well: Comments received about the service included: “I am very pleased with the home, I came on respite and soon moved in full time.” “The home is wonderfully clean.” The home operates a thorough assessment process to ensure that the individual’s needs could be met. People felt they had enough information about daily life at the home before they accepted the placement. Residents’ health and personal care needs are set out in a personalised and detailed plan, which supports the provision of care. Care records were well maintained and up to date. The records showed that residents and others were involved in the care planning process. An audit of the home’s medication procedures showed that medicine is safely managed. People said the staff arranged medical appointments as needed. Two doctors who visit patients at the home described the home as “excellent”. Wickmeads DS0000003904.V361796.R01.S.doc Version 5.2 Page 6 Visitors described the atmosphere in the home as warm and friendly. During the visit, we observed staff treating people respectfully and there was a very positive rapport between residents and staff. The home arranges a variety of activities and the home is fund raising to purchase a mini bus for outings. The responses to the survey showed that people wanted more activities however residents told us that there were things going on in the home including concerts, church services, visits from the library. Some people preferred not to join in with group activities and the staff respected this. One person spoke to the deputy manager to inform her that the midday meal had been “excellent”. Others said that the food was of a good standard and they were able to speak up on days when it was poorer. There are regular meetings for the residents; they have food as a main topic including menu planning. People said that they were able to discuss concerns with the staff and management although none had cause to make any formal complaint. The complaints procedure was displayed on the main notice board accessible to residents and staff. All staff receive training in responding to allegations or signs of abuse. The home remained comfortable and well maintained. A new shower room had been well received by the residents as it allowed more choice. Residents and visitors were keen to praise the staff and management of the home. Comments included: “I think they work very well.” “The staff are well trained” “Staff are approachable” Staff responding to the survey were positive about the service they offer and several commented that they were proud to be part of the team. They said the training offered by the organisation was of a good standard. The management team had responded to staff concerns with extra hours added to take account of increased needs during the late afternoon. The home uses several mechanisms to seek the views of residents and visitors including surveys and meetings. The home benefits from a stable and experienced management team, people felt the manager and deputy were approachable and they deal with issues sensitively. There was a robust system for managing peoples’ personal allowances with records showing that families see the records when adding cash to the account, there is also an internal checking system to correct any errors. The home receives monthly visits from senior staff in the organisation this helps to ensure that any problems are identified at an early stage. Wickmeads DS0000003904.V361796.R01.S.doc Version 5.2 Page 7 The organisation has policies and procedures to ensure equality and diversity is recognised and respected. What has improved since the last inspection? 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. Wickmeads DS0000003904.V361796.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 Wickmeads DS0000003904.V361796.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. The home does not offer intermediate care therefore standard 6 is not applicable. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s assessment process helps to ensure that people are only offered a trial placement once the staff confirm that the home would be able to meet the needs of the individual. EVIDENCE: The records of three residents were examined. Each showed a range of information obtained during the initial contacts with prospective residents. On each of the files, there was a completed assessment, they were signed and dated, and they included evidence that the home had consulted other healthcare professionals. There were copies of letters to the prospective resident confirming that assessed needs could be met along with other information about the services offered in the home. Wickmeads DS0000003904.V361796.R01.S.doc Version 5.2 Page 10 The survey forms showed that people felt they had been given enough information about the home before moving in. The manager kept the information packs up to date. The home’s AQAA reported that the admission process had been improved over the past 12 months and they were looking to make further changes in the future. The document also states that many referrals follow recommendation and several people said that this was how they chose Wickmeads. The residents seen could not recall the detail of their admission but all were very happy with the services offered. Wickmeads DS0000003904.V361796.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 Wickmeads receive appropriate care, based on assessed needs; healthcare needs are well managed using the local community services. The staff training ensures that individuals are treated with dignity and respect. EVIDENCE: Each of the files seen contained care plans based on the pre admission assessments and regular care reviews. The files contained appropriate risk assessments on topics including falls, nutrition, moving and handling etc. Two of the care plans were signed by the residents’ representatives to confirm agreement. When there were changes to the care plan, a short term care plan was completed to ensure those changes were communicated to all relevant staff. On each of the files there was a property sheet detailing items brought into the home. The files contained a resident induction checklist that helped to ensure that new residents were informed about daily life in the home. The daily records showed good referral for healthcare services, these included referral to GP, chiropody, etc. Wickmeads DS0000003904.V361796.R01.S.doc Version 5.2 Page 12 The visitors and residents confirmed that the staff arranged for GPs to visit if needed. People said that they saw their doctors and community nurses etc in the privacy of their own rooms. Two of the surveys returned from GPs described the home as excellent. Medication was well managed; all staff working with medication had completed a training programme and were assessed before they took on the role. The records were up to date. Items were safely stored and there was a clear audit trail. When items were received into the home, an audit system was in place to quickly remedy any errors. Handwritten entries were checked by a second person to avoid transcription errors. Medication information leaflets, provided by the pharmacist, were retained for reference purposes and the staff also had access to medical reference books. There was a separate fridge for the storage of temperature sensitive medication although it was not being used at the time. Medication with a limited shelf life had the date when opened written on the container. The residents seen all had medication managed by the staff they said that staff were careful and that they were not aware of any errors in the medication given to them. The responses received from residents and visitors were clear that they felt the staff treated people with dignity and respect. One person commented, “The residents appear clean, happy and there is a relaxed but efficient atmosphere.” People said their privacy was respected care was given in their own rooms and staff knocked doors before entering. Appropriate locks were fitted to bedroom doors. Wickmeads DS0000003904.V361796.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. The home was developing a variety of activities and events to provide suitable pastimes for those living at the home. The home provides a balance diet with good levels of choice and it uses the views of the residents to monitor the quality of the food. EVIDENCE: The AQAA recognised that the home needed to improve the range and choice in the residents’ daily lives. This was also a theme in some of the comment cards returned. The home had appointed a new activity organiser in order to address those issues. One resident said that he had enjoyed a one-man band concert the day before the inspection; he thought about half the residents attended but added that there was no compulsion. During the visit, a pianist was entertaining the residents. Others said they preferred their own company and appreciated the visiting library service. The home also holds monthly interdenominational church services and separate monthly communion services. The home was raising money for a new minibus to allow more trips Wickmeads DS0000003904.V361796.R01.S.doc Version 5.2 Page 14 out. There had been a recent residents’ meeting that was well attended, minutes and actions were recorded. The care files seen did not have social care plans; Mrs Anderson said these would be developed now that the home had recruited an activity organiser. The comment cards showed that visitors felt welcome in the home; one person said that she had eaten in the home, which she described as a very good experience. A visit to the dining room towards the end on the meal showed that the residents were unrushed and able to eat at their preferred pace. There was a menu board showing the daily choices. There had been comments about the food offered however everyone seemed very satisfied at the time of the visit and one resident found the deputy manager to express his appreciation for an “excellent meal”. Several people said that they appreciated the efforts of the kitchen team especially the homemade birthday cakes provided for all the residents. The residents meeting had recorded some actions around the menu planning and choices offered. Wickmeads DS0000003904.V361796.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 organisation’s complaint procedure allows residents to make comments without fear of recrimination. The staff training helps to protect the residents from the risk of abuse. EVIDENCE: The home’s complaint procedure was included in the home’s guide there was also a copy posted on the main notice board in the hallway by the dining room. People responding to the survey could not always recall being given information about the complaints procedure but all felt confident that their issues would be dealt with if the need arose. There was a complaint log that recorded the action taken when the home responded to a formal complaint. The home uses complaints positively to make improvements; the AQAA reported that complaints from residents had resulted in changes to the seating arrangements in the dining room. The AQAA also stated that the home was continuing to ensure ongoing adult protection training for the staff. All staff cover adult protection during their induction training and is included in the supervision process. Staff said they were aware of their responsibilities and how to contact Social Services and the Commission if required. Wickmeads DS0000003904.V361796.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, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents at the home enjoy a clean, hygienic, comfortable and well maintained environment that is free of unpleasant odours. EVIDENCE: The home continued to be well maintained. Major works were prioritised with the annual budget. During the tour of the premises, the rooms seen had been personalised by the individual occupant using photos and other mementoes. Some rooms were carpeted others had non-slip vinyl flooring to aid cleaning and infection control. There were a variety of specialist baths in the home providing residents with further choices. A new easy access shower room had been created on the first floor and several residents commented on how much they enjoyed the new facility. Wickmeads DS0000003904.V361796.R01.S.doc Version 5.2 Page 17 Conventional radiators heated the home. Not all of the radiators were covered; instead individual risk assessments had been completed to consider the risk of burns. The home was clean and well presented it was observed that staff had access to protective gloves and aprons in order to assist hygiene and infection control. A cleaner on duty said she had worked at the home for several years and there was a real sense of teamwork with staff taking a pride in their work. She added that they were trained in fire safety training and infection control procedures. Several of the residents commented that the staff worked hard to maintain a clean environment. One visitor said it was a lovely home although she would have preferred the rooms to have had en-suite facilities. Wickmeads DS0000003904.V361796.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): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s staffing levels were adjusted to meet changing needs. Recruitment procedures were generally sound, although an area for improvement was identified which will help to safeguard the residents. The training and supervision programme ensure that the staff are equipped to provide appropriate care. EVIDENCE: Comment cards from the staff showed some concern about the staffing of some shifts and the use of agency cover. Mrs Anderson said that she monitored the staffing levels against the care needs of the residents and had already made a case for increased care hours in the late afternoon. There were also plans to increase waking night staff to 3 carers to include a team leader. The surveys showed that residents and visitors appreciated the carers’ hard work. One commented that, “The staff are cheerful and obliging to residents and visitors.” Another stated that, “staff don’t always have time to listen.” Staff said they were able to voice their ideas through supervision and staff meetings. Supervision was used to identify any training needs, the staff Wickmeads DS0000003904.V361796.R01.S.doc Version 5.2 Page 19 spoken to said the training provided by the organisation was good and it was easy to get on the courses. The staff training file showed the training completed by the staff, the list included core and specialist topics. Files seen during the visit showed that the new staff had the appropriate clearances and references before starting work at the home. However it was noted that the application form used recently did not ask for a full employment history. When this was pointed out to Mrs Anderson she immediately spoke to the company’s personnel department and resolved the situation to cover new and existing applicants. Wickmeads DS0000003904.V361796.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): 31,33,35,38 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The service has been consistently well managed over a number of inspections giving the residents and staff confidence that the home is in safe hands. The use of quality assurance methods helps to ensure the home is run for the benefit of the residents. The organisations health and safety procedures assist protecting the residents and staff from harm. EVIDENCE: The manager holds a management qualification at level 4. The home benefits from an experienced and settled senior team. Recording systems, staff roles and general procedures are defined and well organised, supporting residents to live in a home in which they feel secure and well cared for. There is a clear Wickmeads DS0000003904.V361796.R01.S.doc Version 5.2 Page 21 organisational structure with duty allocation, and tiered responsibility, which from the running of the home and feedback from residents, works well. Representatives from the organisation carry out internal monthly visits to the home to ensure that standards are being maintained. A quality assurance audit is conducted annually and will be undertaken shortly, the outcome will be used to inform the business development plan for the service. The home’s AQAA demonstrates a clear understanding of the issues facing the home. The assessment was completed in October 2007 and since then some areas had already been addressed e.g. staffing and activities. Most residents deposit personal spending allowances with the admin staff. A check of three accounts showed that the transaction records and receipts matched the balances held. The records also showed that the person topping up the allowance signed the transaction record when a deposit was made. The monies were held separately for each person. There was a system of internal audit to quickly identify errors. None of the comment cards identified any concerns with the system. One resident seen held her own cash; others said they found it helpful and a relief for the staff to assist them. The manager confirmed that an ongoing programme of training supports staff members to receive induction and regular updates in mandatory areas of safe working practice. The home’s fire risk assessment was being reviewed following development of an enhanced evacuation procedure. There was an accident record and register to allow an audit trail. The reports were reviewed to monitor for trends this was used to develop care plans and referral to community health services. Staff receive training in Health and Safety and Fire precautions. The home has records, verifying checks on health and safety provision. Wickmeads DS0000003904.V361796.R01.S.doc Version 5.2 Page 22 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 3 13 3 14 3 15 3 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 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 x 3 x 3 x x 3 Wickmeads DS0000003904.V361796.R01.S.doc Version 5.2 Page 23 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 Wickmeads DS0000003904.V361796.R01.S.doc Version 5.2 Page 24 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 Wickmeads DS0000003904.V361796.R01.S.doc Version 5.2 Page 25 - 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!