Care Home: Willowdene Farm

What the care home does well Most outcomes from this service are provided to an excellent standard. We saw that there is a clear admissions process which ensures that only those who will get the most from this service will be given access to it. The service clearly lays down what support is available to students and how students are expected to behave in response. We saw that the managers and the staff involve the students in decisions about their therapy and training and we saw that these are provided in a professional and comprehensive way. When we talked to the students they told us that they had plenty of social activities available to them. The accommodation provided for the students is suitable for them to live in and there are other buildings around the farm that are suitable for the type of training and work that the students undertake. There is also suitable accommodation for therapy sessions to take place in. One student described Willowdene Farm as a `workplace where you can get therapy as well`. Students told us that this service is run by a friendly and approachable management and staff team. What has improved since the last inspection? A number of requirements were made around the management and administration of medication as well issues around accident recording and recruitment records. These areas have been addressed by the home in a positive manner. What the care home could do better: No requirements or recommendations were made as a result of this inspection. Key inspection report CARE HOME ADULTS 18-65 Willowdene Farm Chorley Bridgnorth Shropshire WV16 6PP Lead Inspector Mike Moloney Key Unannounced Inspection 9th December 2009 09:00 Willowdene Farm DS0000020720.V378747.R01.S.doc Version 5.3 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care home adults 18-65 can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Willowdene Farm DS0000020720.V378747.R01.S.doc Version 5.3 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Willowdene Farm DS0000020720.V378747.R01.S.doc Version 5.3 Page 3 SERVICE INFORMATION Name of service Willowdene Farm Address Chorley Bridgnorth Shropshire WV16 6PP 01746 718658 01746 718039 jenny@willowdenefarm.org.uk 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) Willowdene Farm Ltd Mrs Jennifer Mary Home Manager Post Vacant Care Home 14 Category(ies) of Past or present drug dependence (14) registration, with number of places Willowdene Farm DS0000020720.V378747.R01.S.doc Version 5.3 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following categories of service only: Care Home Only - Code PC To service users of the following gender: Male Whose primary care needs on admission to the home are within the following categories: - Past or present Drug Dependence - Code D The maximum number of service users who can be accommodated is:14. 14th December 2006 2. Date of last inspection Brief Description of the Service: Willowdene Farm is situated in the rural village of Chorley, Shropshire and is owned and managed by John and Jenny Home. The Farms purpose is to provide rehabilitation support over a nine-month period, to recovering drug addicts. All referrals are made via care management and potential students are made fully aware of the commitment needed to complete the programme, prior to admittance. As a student, facilities are available for total rehabilitation, including the opportunity to safely learn new skills, gain qualifications and receive therapeutic support. A routine and structure is in place that encourages self worth, responsibility and trust. All services are provided in line with regularly reviewed care plans and risk assessments. Support is given to enable students to find accommodation and employment as part of the resettlement and discharge programme. A conscious decision was made earlier in the Farms history to accommodate male students only. The rehabilitation programme runs for 39 weeks. The weekly fee is currently £770.00. Willowdene Farm DS0000020720.V378747.R01.S.doc Version 5.3 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 that the people who use this service experience excellent quality outcomes. We, the Commission, asked for a range of evidence was used to make judgements about this service. This includes: information from the provider which included a self assessment document that they are required by law to complete and notifications that have been received by the Care Quality Commission form the home about incidents, bereavements and other incidents that affect the welfare of the people who live in the home. The visit was unannounced with the purpose of carrying out a Key Inspection which is where the homes performance is measured against a set of standards identified by the Department of Health. No other visits had been made by Care Quality Commission staff since the last Key Inspection. This inspection was undertaken by one inspector, Mike Moloney and lasted seven and a half hours. On this occasion we involved an Expert by Experience which is someone who has experienced the care provided by this type of service and is asked by the Care Quality Commission to assist and give their views during an inspection. Unfortunately that person was unable to stay more than a short period of time at this inspection. During that time we Case Tracked a number of the people who live in this home. This means that we talked to them to find out their views of the care that was being provided to them. This also enabled us to see if the records that identified peoples needs such as the care plans that are provided for the staff to follow were accurate and covered each individuals personal issues. We also talked to members of the staff team and the manager to check that they were aware of the identified needs of the people who live in this home were and whether or not they had the approach and training required to meet them. The standards set out by the Department of Health are in seven different groups. Each group can be judged as being either poor, adequate, good or excellent. The inspectors reach their judgement by following the guidelines laid down in the document known as the Key Lines Of Regulatory Assessment (KLORA) which is available on the Care Quality Commission web-site: www.cqc.org.uk Willowdene Farm DS0000020720.V378747.R01.S.doc Version 5.3 Page 6 What the service does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Willowdene Farm DS0000020720.V378747.R01.S.doc Version 5.3 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 Willowdene Farm DS0000020720.V378747.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 5 People using the service experience excellent quality outcomes in this area. Those wanting to use this service are provided with the information that they need to choose an establishment which will meet their needs. They have their needs assessed and a contract which clearly tells them about the service the will receive. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: We saw that assessments are carried out to see if a student is suitable for this programme. People from the home carry out assessments in all parts of the UK and students who wish to take advantage of this services programme are also interviewed when they visit the establishment. At that point they are also shown around the site so that they can judge whether or not it is right for them. The staff had a very clear understanding of the admission criteria and said that applicants who don’t meet these criteria are turned down. Willowdene Farm DS0000020720.V378747.R01.S.doc Version 5.3 Page 9 We spoke to a number of people who are currently using this service and they said that they had received plenty of information that helped them to decide that they wanted to take part in the programme at Willowdene Farm. A brochure was seen that explained how this service functioned as well as various agreements and contracts that the students had signed showing that they had understood what was expected of them after admission. We talked with a number of students who confirmed that this was the case. Willowdene Farm DS0000020720.V378747.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 People using the service experience excellent quality outcomes in this area. They are central to the decisions about their lives and play an active role in planning the care and support they receive. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: We spoke with a number of the students and they told us that their needs had been carefully identified and recorded. They also told us that those needs are reviewed on a regular basis. We looked at the student records and they confirmed this. The students also told us that they understood the purpose behind their therapy and the place that the rules and restrictions that are placed on them have in that. Willowdene Farm DS0000020720.V378747.R01.S.doc Version 5.3 Page 11 The staff told us and the students confirmed that as someones placement progresses the restrictions placed upon them are reduced. They told us that this means that they take more responsibility for their behaviour as their confidence grows. When they are first allowed to leave the site they are accompanied by a member of staff so that they have someone to discuss any issues with should they arise. Also, by agreement, people open their post in the presence of a member of staff. We saw this happen and the staff responded in a discrete and sensitive way. We saw records that showed people who are assessed as not fitting into or would disrupt the programme were not admitted. We saw that risks to students on the programme are minimised through the establishment of a culture of respect and strict none tolerance. Both students and staff told us that anyone who broke the agreements that they had made with the service could, and had been, asked to leave. We saw that a range of risk assessments was in place for the hazardous training activities undertaken. Students told us about and we saw records that confirmed a range of health and safety training that they receive. Willowdene Farm DS0000020720.V378747.R01.S.doc Version 5.3 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): This is what people staying in this care home experience: 11, 12, 13, 15, 16 and 17 People using the service experience excellent quality outcomes in this area. They are able to make choices about their life style and are supported to develop their life skills. Social, educational, cultural and recreational activities meet individuals expectations. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: We looked at the records of two of the students and spoke with most, but not all, of the others. At the time of this visit three of the students were in Guyana where Willowdene Farm is associated with a charitable Trust and is supporting communities there with sustainable work projects. Trips to Guyana are organised every few months with. All residents have the opportunity to go to Guyana to contribute to the work there. The trip is entirely Willowdene Farm DS0000020720.V378747.R01.S.doc Version 5.3 Page 13 funded by Willowdene Farm. The staff told us that preparing for the trip encourages students to take personal responsibility and therefore reinforces the core of the therapeutic process. We asked a number of people if they were looking forward to their turn. Of course we are! was the response. One student said that going on the trip could be difficult for him as getting a passport may be a problem because finding someone who is qualified as a signatory for him was proving a problem that the services management were working on. The staff and the students told us about the three stages of independence that can be achieved throughout the programme. These can affect the type of accommodation that they live in whilst staying there and how freely they can come and go from the site. We saw that when people left the site on their own to, for example meet with family, the exercise is risk assessed and when the person returns they have a discussion that is recorded in writing with a member of staff and are able to talk about what went well and what difficulties had presented themselves. We talked with one student who had recently been through such an exercise and he told us that the opportunity to identify potential difficulties and talk about the experience afterwards had been very helpful. Staff told us and talking to a number of students confirmed that during their leisure time there are plenty of facilities that people can use on the farm. Students told us that they can play football, walk in the woods, go fishing (Fishing tackle was available. We also saw the rules for use of the fishing pool) and when competent can work unsupervised in the woodwork workshop. We saw that Willowdene is a working farm where students told us that they are trained in various agricultural and engineering skills. They told us that they learn about such things as tree surgery with courses in chainsaws, chippers, tractors, mig welding, abrasive wheels etc. The staff showed us records of the training that the students talked about. Most students said that they would want to stay in the area after the course if work was available to them. We met one ex-student who now lives locally and he came back regularly for a cupper. The others joked that this was a daily event – he didnt deny it. We saw that there was a 17 seat minibus available to take students to activities such as bowling, golf and a local climbing wall. We talked to a number of the students about their meals. They all said that they liked the food that they were served and that they were given a good choice. Both they and the staff talked about how any issues about menus could be raised in the students meetings and passed on to the staff that way. Willowdene Farm DS0000020720.V378747.R01.S.doc Version 5.3 Page 14 We also saw the mid-day meal being prepared by the staff. We saw that this was prepared using fresh produce. The students also told us that they could make themselves snacks at reasonable times. The staff told us that meals could be prepared for those who had different cultural or medical needs. Willowdene Farm DS0000020720.V378747.R01.S.doc Version 5.3 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 People using the service experience good quality outcomes in this area. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: We saw records of appointments with healthcare professionals for two of the students. We spoke to both of the students and they told us that these were accurate and they agreed that they had received care as they had needed it. Willowdene Farm does not provide any personal care to residents. Staff talked about the impact upon health of long term substance misuse and we saw records of how health needs are assessed and met. The staff also told us that Willowdene Farm makes a contribution towards the purchase of glasses for the students. Willowdene Farm DS0000020720.V378747.R01.S.doc Version 5.3 Page 16 The purpose of Willowdene Farm is to support service users emotional health to aid recovery. We talked with the therapist and a number of the students. They said that they talked about issues from the past and that those discussions could take place away from the site and where those issues were based such as the place where they were born and brought up. The students told us that they found this 1:1 approach more effective than the group based therapies that they had experienced elsewhere. The therapist told us that the techniques she used were Gestalt based. She told us that the sessions take place every week to ten days and that she herself is supervised on a monthly basis by the manager of the service and that she sees her counselling supervisor quarterly. We saw the homes Medication Administration Records. These are managed by the staff as the home takes responsibility for the administration of any medicines. Minimal amounts of medication are stored and administered. We saw that such medication was stored securely. Records showed that all staff that administer medication have received appropriate training. Willowdene Farm DS0000020720.V378747.R01.S.doc Version 5.3 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 People using the service experience excellent quality outcomes in this area. They are able to express their concerns and have access to a robust, effective complaints procedure, are protected from abuse and have their rights protected. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: We looked at the services complaints procedure and saw that it contained all of the information that someone would need should they wish to raise an issue. We spoke to a number of the people who use this service and they told us that they knew how to make a complaint should they wish to. They and the staff told us about the weekly students meetings when ‘grumbles’ are dealt with before they become complaints or incidents. We saw that the Complaints Book contained no entries. All of the students that we spoke to said that they feel safe at Willowdene Farm. They spoke very highly of how staff approach and respond to issues before they get out of hand and there is a culture in which people are expected to respect each other. No referrals had been made into the local procedures that are designed to protect vulnerable adults. We spoke to staff and they told us that they had Willowdene Farm DS0000020720.V378747.R01.S.doc Version 5.3 Page 18 received training in their role within those procedures. We looked at their training records which confirmed that this was the case. Willowdene Farm DS0000020720.V378747.R01.S.doc Version 5.3 Page 19 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 People using the service experience excellent quality outcomes in this area. The physical design and layout of this establishment enables people who use the service to live in a safe, well maintained and comfortable environment that encourages independence. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: We found that Willowdene Farm is in a rural setting to the south of Bridgenorth in Shropshire. We talked with a number of the students who told us that they were happy with their sleeping accommodation. We saw that within the accommodation area there were various communal areas where students could sit and relax. Willowdene Farm DS0000020720.V378747.R01.S.doc Version 5.3 Page 20 We saw a well equipped kitchen where students were able to make themselves drinks and snacks. We saw copies of rules that were designed to make sure that people kept the communal areas clean and tidy which, generally, they were. We also saw that there were laundry facilities for the students to use. They told us that they were appropriate given the nature of the work that they were involved in. We saw that some improvement work was being carried out to the corridors and bathrooms. We also saw that there were locks on the bathroom doors but not on the bedrooms. We saw that the rules of the service specifically said that bedrooms locks would not be appropriate in this type of service and this was drawn to peoples attention before they were admitted. The service was seen to have plenty of parking space. The students talked a lot about the rural setting of this service and how it enabled them to develop the skills that are taught there. They also talked about the recreational opportunities such as walking and fishing that they could take part in. Willowdene Farm DS0000020720.V378747.R01.S.doc Version 5.3 Page 21 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 People using the service experience excellent quality outcomes in this area. Staff in this facility are trained, skilled and in sufficient numbers to support the people who use the service. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: We talked to the managers and some of the staff who confirmed that at least three staff would be available on the site at all times to talk with the students. We talked with therapist and she said that although she works normal office hours she can be contacted out of hours should a student need to talk to her. We looked at the services training records and these showed that training in such things as food hygiene, the safe handling of medication, first aid and vulnerable adult protection were up to date. We saw from the services self assessment that training based on the Common Induction Training Standards was available to those who had not worked in this type of service before. The self assessment document as well as talking to the staff also told us that staff Willowdene Farm DS0000020720.V378747.R01.S.doc Version 5.3 Page 22 receive training to National Vocational Qualification level 2 so that they are better placed to meet the needs of the people that use this service. We spoke with some of the staff and they told us that they had the appropriate qualifications to teach the skills that they did. The records that we saw confirmed this showing that they would be teaching the safest and most effective ways of using dangerous equipment. We looked at the recruitment records that the service keeps. We saw that they had carried out all of the background checks that should be carried out on people who are wishing to work with vulnerable people so as to ensure that they are fit to do so. We talked to most of the students and they all spoke highly of the staff saying that they thought that they were both sensitive to their needs and knowledgeable. They also said ‘there is always someone to talk to day or night’. We spoke to a number of the staff who said that they had regular formal supervision sessions with a senior member of staff where issues about the care being provided or individuals competence could be discussed in a confidential manner. Willowdene Farm DS0000020720.V378747.R01.S.doc Version 5.3 Page 23 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 and 42 People using the service experience excellent quality outcomes in this area. The management and administration of this service is based on openness and respect and has effective quality assurance systems developed by a qualified, competent manager. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The registered manager was not present during this inspection as he was accompanying three of the students on a working visit to one of the services projects in Guyana. Two other Proprietor / Managers were there and they told us that they have a number of qualifications, amongst which are the Registered Managers Award, Willowdene Farm DS0000020720.V378747.R01.S.doc Version 5.3 Page 24 that are appropriate for people who run a service such as this. They have over twenty-one years experience of managing Willowdene Farm. The students told us that the managers had a very relaxed and informal way of relating to them. We spoke to them and they are clear about the aims of the service provided and the values that underpin and sustain it. We saw that the home has quality assurance systems in place. This involved getting written feedback form individuals about various elements of the service. We saw that review meetings are held regularly are well recorded and feed into the quality assurance system. The records of staff team meetings were seen showing that these were held after the student meetings so that issues could be brought to the attention of the staff by the student representative as the student meetings did not usually involve members of the staff. This was so that students could talk about issues more freely. The managers told us that no issues about the deprivation of students rights had been identified for referral to the local authoritys procedures that deal with such matters. We saw a number of risk assessments that contained instructions on how the range of hazardous activities carried out on the farm could be undertaken as safely as possible. We saw records that showed that a range of safety inspections of such things as electrical equipment and fire alarm and detection equipment were carried out regularly showing that potential hazards to the students were being monitored. Willowdene Farm DS0000020720.V378747.R01.S.doc Version 5.3 Page 25 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 3 2 4 3 4 4 x 5 4 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 3 ENVIRONMENT Standard No Score 24 4 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 4 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 x 4 x LIFESTYLES Standard No Score 11 4 12 4 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 4 4 3 x x 3 x Version 5.3 Page 26 Willowdene Farm DS0000020720.V378747.R01.S.doc no Are there any outstanding requirements from the last inspection? 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 Willowdene Farm DS0000020720.V378747.R01.S.doc Version 5.3 Page 27 Care Quality Commission West Midlands Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. 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