Care Home: Willow Court

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What the care home does well People who move into Willow Court get a well-planned introduction and continuity of care is good. People living at Willow Court are able to make choices about their life style, and are supported to develop their life skills. They have a good range of opportunities for life enhancing experiences through social, educational, cultural and recreational activities. People living at Willow Court receive health and personal care based on their individual needs. The principles of respect, dignity and privacy are put into practice. There are generally good systems and training for staff to safeguard people living at Willow Court. Careful monitoring of this could further strengthen this. The living environment suits the needs of people living at Willow Court. Some improvements are needed in hygiene and minor repairs. Staffing levels are good. Staff are well trained and skilled to support the people who use the service. Recruitment procedures serve to protect people who use the service. The home is well managed in the interests of the people who live there. What has improved since the last inspection? The arrangements for stock control of medicines have improved so that it is safer. What the care home could do better: Some areas of the home need to be cleaner and some need to be redecorated. Some people`s bedroom walls need extra protection so they don`t get so damaged by wheelchairs. Staff should check people`s bank accounts regularly to make sure no money has gone missing. CARE HOME ADULTS 18-65 Willow Court Far Common Road Roe Head Mirfield West Yorkshire WF14 9DQ Lead Inspector Cathy Howarth Key Unannounced Inspection 5th March 2008 09:00 Willow Court DS0000026336.V360571.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Willow Court DS0000026336.V360571.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Willow Court DS0000026336.V360571.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Willow Court Address Far Common Road Roe Head Mirfield West Yorkshire WF14 9DQ 01924 491205 01924 483901 chris.g@hollybanktrust.com 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) Holly Bank Trust Mr Christopher David Graefe Care Home 18 Category(ies) of Learning disability (18) registration, with number of places Willow Court DS0000026336.V360571.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th February 2007 Brief Description of the Service: Willow Court is a care home providing personal care and accommodation for 18 younger adults with moderate to profound learning disabilities with associated physical disabilities. The home is within the large grounds of Holly Bank School, which provides residential care and education for children with learning and physical disability. The accommodation is purpose built on a single level with three wings. Each wing has its own kitchen, dining and lounge areas. Every bedroom has its own toilet, washing facilities and a shower. There is an office and meeting room at the front of the home. There is a garden area within large grounds and good car parking facilities. There is disabled access to the home and there is fixed equipment provided such as hoists. Fees range between £1500 and £2000 per week. Most users receive support with funding from health authorities and local authority Social Services. Information about the service is available from the home and the Hollybank Trust. Inspection reports are available within the home and at www.csci.org.uk Willow Court DS0000026336.V360571.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. We did this inspection over one day. The visit was unannounced. An “expert by experience” accompanied the inspector, from the organisation Darlington Association on Disability. An “expert by experience” is a person who, because of their shared experience of using services, is able to help us get a better picture of what it is actually like for people living in the home. The “expert” who came with us, looked around the home and spoke to some of the people living there and to the staff. She was supported by a worker from the organisation. The feedback she gave us has been incorporated into this report. Before the visit, the manager returned a self-assessment document highlighting areas where the service achieves good results and areas for improvement. The inspector also sent out questionnaires to people living at the service and to relatives. Six people were supported to return these and one relative also made comments. Without exception the comments were positive about the home. Overall the inspection was very positive. We were impressed with the quality of care and opportunities provided for people living there and the high staffing levels, which facilitate this. There are some areas for improvement but overall the standard of care is excellent What the service does well: People who move into Willow Court get a well-planned introduction and continuity of care is good. People living at Willow Court are able to make choices about their life style, and are supported to develop their life skills. They have a good range of opportunities for life enhancing experiences through social, educational, cultural and recreational activities. People living at Willow Court receive health and personal care based on their individual needs. The principles of respect, dignity and privacy are put into practice. There are generally good systems and training for staff to safeguard people living at Willow Court. Careful monitoring of this could further strengthen this. The living environment suits the needs of people living at Willow Court. Some improvements are needed in hygiene and minor repairs. Willow Court DS0000026336.V360571.R01.S.doc Version 5.2 Page 6 Staffing levels are good. Staff are well trained and skilled to support the people who use the service. Recruitment procedures serve to protect people who use the service. The home is well managed in the interests of the people who live there. 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. Willow Court DS0000026336.V360571.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Willow Court DS0000026336.V360571.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 People who use the service experience good quality outcomes in this area. This judgement has been made using a range of available evidence including a visit to this service. People who move into Willow Court get a well-planned introduction and continuity of care is good. EVIDENCE: At the time of this visit several people ere having introductions to the home. These people already live within the Hollybank Trust and attend the school. They have a planned transition period where they spend an ever-increasing amount of time at Willow Court to become familiar with the home and to get to know staff and other people living there. The people who responded to our survey, said that they had been given plenty of information before deciding to move into Willow Court. The staff at Willow Court have full access to their existing support plans and were able to communicate with school staff if there are any areas that they need more information about. This appears to be a successful means of ensuring that the move is a success. Willow Court DS0000026336.V360571.R01.S.doc Version 5.2 Page 9 Unfortunately people were involved in the process were not able to speak with the inspector to indicate their views about this. In the past relatives have said how much they appreciate this continuity however. Willow Court DS0000026336.V360571.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 People who use the service experience good quality outcomes in this area. This judgement has been made using a range of available evidence including a visit to this service. Willow Court offers good individual support to people who live there. Individuals are involved in decisions about their lives, and play an active role in planning the care and support they receive. EVIDENCE: One of the positive features of the home is that there are plenty of staff to offer very individual support to people. People’s individual files give a good clear picture to staff about how people like to be supported and there was evidence that people are involved in developing these plans as far as they are able. Willow Court DS0000026336.V360571.R01.S.doc Version 5.2 Page 11 People’s individual needs in terms of health, emotional support, communication, personal development and religious or cultural needs were all addressed in the plans. Risk are identified and linked clearly to the care plans. Risk assessments showed a clear understanding of issues relating to people’s rights and selfdetermination. For example, where one person has no sense of danger but a clear determination to be independently mobile, the risks are balanced against the importance of the person choosing to live as they wish. Actions were identified to minimise risk as far as possible, while respecting the person’s need for independence. There was also evidence that the plans are updated regularly. People using the service were on the whole not able to express their views to us directly. However observation of interactions individuals and staff and limited discussion with one user, indicated that staff have a good awareness of people’s needs and know them well. This is a remarkable achievement given the size of the staff team and the fact that staff do not work exclusively with individuals on a regular basis. In responding to our survey one person said: “I am given choices” and “I get lots of attention.” One relative who commented about the care said: “We feel that X’s carers know and understand her well. They are well equipped to cope with her needs.” We noticed that there were not many pictures symbols or signs around to help people communicate, although some information such as the complaints procedure was written with supporting pictures and symbols. Willow Court DS0000026336.V360571.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 and 17 People who use the service experience good quality outcomes in this area. This judgement has been made using a range of available evidence including a visit to this service. People living at Willow Court are able to make choices about their life style, and are supported to develop their life skills. They have a good range of opportunities for life enhancing experiences through social, educational, cultural and recreational activities. EVIDENCE: It was a clear area of strength that we noted on this visit that people living at Willow Court are well supported to follow their own interests and make decisions about their lifestyles with the support of a skilled and varied staff team. People can go out on a one to one basis with staff and there is plenty of transport available to ensure that people are not limited by availability of suitable vehicles. Willow Court DS0000026336.V360571.R01.S.doc Version 5.2 Page 13 In recent years many of the people living at Willow Court have attended college to do courses they are interested in. However funding for these courses has been reduced and now only a few people still attend courses. However this has spurred the Trust into developing its own resources. One person actively involved spoke about the type of opportunities being developed which include such things as sailing, reading group, dungeons and dragons group and a well being group. On the day of our visit activities included art group, a drum group and an aromatherapy session. At the time of this visit five people were on holiday in Florida. People have opportunities to go on holiday every year supported by staff. In addition to this there is a hydro pool and rebound resource on site which is very popular with people living at Willow Court. In response to our survey, people using the service said they get choices about what to do each day. One person also said: “I don’t always want to join in activities and staff accept this and let me sit them out.” There are monthly meetings where people can raise issues. Each ‘wing’ of the home has a representative who can also advocate on behalf of others. Minutes of the last meeting were seen and included a discussion about the reduction in college courses available. Support plans showed that people are encouraged to make and maintain friendships outside of the home. There are some good details such as family birthdays and also a reminder of people that the person might want to send Christmas cards to for example. Meals are prepared by staff and people living at Willow Court are encouraged to support this as far as they are able. Worktops can be raised or lowered so that people who use wheelchairs can participate more easily. Staff told us that each day one person assists with preparing the main meal. People choose each day and alternatives are always available. Staff said that the bulk of groceries are delivered via Internet shopping, but fresh food is bought from local shops and supermarkets and so people get the opportunity to experience shopping and to try new things. The preparation of food respects people’s cultural and religious needs and dietary requirements. Willow Court DS0000026336.V360571.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 , 20 and 21 People who use the service experience excellent quality outcomes in this area. This judgement has been made using a range of available evidence including a visit to this service. People living at Willow Court receive health and personal care based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: People who live at Willow Court express their preferences regarding personal care via their individual support plans. Details of how people prefer their support were seen on the plans looked at during this inspection. Staff were observed attending people discreetly and with clear knowledge of people’s needs. People have the equipment they need in order to maximise their independence, such as electric wheelchairs and switches to help communication and environmental controls. Willow Court DS0000026336.V360571.R01.S.doc Version 5.2 Page 15 Individuals are supported to access NHS healthcare facilities and to visit to their GP. Willow Court also has access to physiotherapy and an occupational therapist to meet service users’ healthcare care needs. A speech and language therapist has also been employed to support people’s needs in this area – especially around feeding and communication. Some people need considerable support with feeding. The hydrotherapy pool also offers people frequent opportunities to benefit from this experience. Staff receive training in areas of support that people require to remain healthy and well supported. For example staff have had training in Gastrostomy Peg Feeding, First Aid, Rebound Therapy, Epilepsy Awareness and Good practices in Intimate Care. The Trust invests heavily in training for staff and this is reflected in the good practice evident at Willow Court. Within the last year one person was supported at the end their life at Willow Court. This was planned in advance and managed with the full support of family and health professionals so that the person was able to be at home amongst friends rather than in hospital. The home has a clear procedure for managing medication. Records were examined and found to be accurate and up to date for the most part although for one controlled drug an incorrect date had been put down. Since the last inspection the home has implemented an improved system for stock checks. Stocks were correct and balanced. Willow Court DS0000026336.V360571.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People who use the service experience good quality outcomes in this area. This judgement has been made using a range of available evidence including a visit to this service. There are generally good systems and training for staff to safeguard people living at Willow Court. Careful monitoring of this could further strengthen this. EVIDENCE: As mentioned above, the complaints procedure is available in picture format and is widely available. There have been few complaints at the home. Only two have been made in the last year. These have been resolved satisfactorily and within timescales. Because of the disabilities facing some people living at Willow Court it is difficult for them to raise issues independently. Speech and language therapists who work at the school support people to enhance their communication with technology or other equipment. Staff also receive training in being alert to such things as body language as part of their induction training in adult protection. One person who responded to our survey said: “Staff know me well and know when I’m upset or unhappy.” Another said, “We have a residents’ meeting and I let staff know if I’m unhappy.” There is a very large staff team at Willow Court (around 80 staff). Support staff do not work exclusively any one area of the home, but move around each Willow Court DS0000026336.V360571.R01.S.doc Version 5.2 Page 17 shift. Seniors do stay in one area to provide consistency. There may be benefits to moving staff so that people know all the individuals and this can offer more flexibility in the rotas. However it does raise some possible concerns about people having intimate personal care given by such a lot of different people and whether people are happy with this. This may be an area for detailed discussion at user meetings. No one has raised this specific issue during this inspection. Staff look after money for some people and assist them to make use of the bank accounts. Cash is checked regularly and these sheets were seen to be accurate and complete. Some people have bankcards and use a PIN to withdraw cash. Staff assist with this. At the time of this visit it was explained that staff have to bring receipts for this cash and the cash is entered onto the balance sheet. However the bank statements are not systematically checked for any extra withdrawals, which does not fully protect people’s finances from abuse. One relative who commented on the service did raise concerns about financial protection. They said they do not have access to their relative’s money and despite asking for information about the financial well being of their relative this information has not been forthcoming. They did stress that they felt this was more down to disorganisation than any suggestion of wrong-doing but felt that there should be a robust system for checking this. There may be implications under the Mental Capacity Act 2005 that need to be considered in allowing families to have access to financial information. Any decisions need to be carefully documented. Willow Court DS0000026336.V360571.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 People who use the service experience good quality outcomes in this area. This judgement has been made using a range of available evidence including a visit to this service. The living environment suits the needs of people living at Willow Court. Some improvements are needed in hygiene and minor repairs. EVIDENCE: The home is spacious and very accessible, with automatic doors, wide corridors and tracker systems in all rooms. There are three separate wings, which have their own living areas. The areas all have a living room, a kitchen, bathroom and bedrooms. As you walk through the front door there is a reception area. The reception area looks like what you would see in a school or college, and does not look very homely. People’s bedrooms are situated at the end of the corridors away from communal areas, which is good for privacy. Bedrooms are very individual, reflecting the personalities of individuals. Most bedrooms were seen to have Willow Court DS0000026336.V360571.R01.S.doc Version 5.2 Page 19 badly scuffed walls where wheelchairs have bumped into them; some were in a very poor condition. It might be helpful to explore sourcing an alternative protection for these areas. The kitchens have all been refurbished in the last year. The kitchen work surfaces are height adjustable so that wheelchair users can use them. Each kitchen is different in style so that they are distinctive. Two kitchens were clean and tidy. One however, was in need of a good clean, as the oven and microwave were dirty and there was ingrained dirt around skirting boards and in between cupboards. Lounge areas were homely with pictures and comfy sofas for people to lie on. Artwork by people who live there was displayed on the walls. Each kitchen has a washing machine for people to wash clothes but there is also a main laundry for washing sheets and towels and soiled items that need washing on a sluice setting. There is a toilet in the central area. This toilet should be redecorated and open porous surfaces repainted to prevent the spread of infection. Willow Court DS0000026336.V360571.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 People who use the service experience excellent quality outcomes in this area. This judgement has been made using a range of available evidence including a visit to this service. Staffing levels are good. Staff are well trained and skilled to support the people who use the service. Recruitment procedures serve to protect people who use the service. EVIDENCE: The Hollybank Trust has a great commitment to staff training. There are a considerable number of staff employed and training is co-ordinated centrally. The Trust recently won an award from Skills for Care for its commitment to training for staff. The Trust was highly commended as an employer of over 250 staff. All new staff complete an induction and foundation programme, which gives them a good basis upon which to build their skills in the work they are expected to do. Willow Court DS0000026336.V360571.R01.S.doc Version 5.2 Page 21 Staff at Willow Court are all encouraged to achieve NVQ level 2 training. The self-assessment returned by the manager showed that 49 of the 82 staff have achieved this and 14 others are working towards the qualification. This means the service exceeds the National Minimum Standards for this standard, which is for 50 of staff to be qualified. This is an achievement in such a large staff team. In addition to core training staff have access to a wide range of other courses, such as training for example in Rebound Therapy, Makaton, Sexuality and Play and Leisure for Disabled People. This means that people living at Willow Court get support from people with a wide range of skills and knowledge. As noted earlier there is a high level of staffing at the home. This is important in ensuring that the individual support for people is available. Staff said that they find the staffing levels are adequate to provide this individual support for care and activities. The records for three staff working in the home were audited and held the required information. Again recruitment is handled centrally and the Trust works to robust procedures in order to safeguard individuals. The gender balance in the staff team is weighted towards female staff but there are 29 male staff, which means people have the option to have male carers if they wish. There are good support systems for staff. There is a daily handover meeting at the change of shift. Staff meetings are held regularly and people receive supervision and support from senior staff. Staff who spoke with us were enthusiastic, and demonstrated a commitment to their work. Staff were happy and relaxed talking about their jobs. Willow Court DS0000026336.V360571.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 People who use the service experience good quality outcomes in this area. This judgement has been made using a range of available evidence including a visit to this service. The home is well managed in the interests of the people who live there. EVIDENCE: The registered manager of the home is Christopher Graefe. He has good experience of caring for this user group and is a qualified social worker with NVQ level 4 and 5 and holds a management degree. Mr Graefe is a ‘hands on’ manager. He was not available at the time of this visit as he was away on holiday in Florida with a group of people who live at Willow Court. There are systems in place to monitor the quality of what is provided at Willow Court. The monthly meetings for people living there contributes to this. A Willow Court DS0000026336.V360571.R01.S.doc Version 5.2 Page 23 student social worker on placement was just in the process of sending out questionnaires to families to seek their views. There are systems of regular checks on areas of quality such as ensuring that support plans are updated and reviews are held. Anew business plan is being developed to cover the plans for the next few years as the majority of the areas identified in the last plan have now been achieved. The home is visited by the responsible individual on a monthly basis to monitor quality in the service on behalf of the Trust. There are good systems in place to monitor health and safety issues around the home. Fire records were examined and found to be up to date. Willow Court DS0000026336.V360571.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 3 3 X 3 X X 3 X Willow Court DS0000026336.V360571.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2 3 4 Refer to Standard YA23 YA23 YA30 YA30 Good Practice Recommendations People’s bank statements should be routinely reconciled with receipts for withdrawals to ensure that no money is unaccounted for. Any decisions in relation to choices made to protect people’s finances should be clearly documented in line with the Mental Capacity Act 2005. The identified kitchen should be thoroughly cleaned to ensure food is prepared in hygienic surroundings. The toilet in the central area needs the exposed woodwork to be repainted to prevent the spread of infection. Willow Court DS0000026336.V360571.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Willow Court DS0000026336.V360571.R01.S.doc Version 5.2 Page 27 - 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. 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