Care Home: Wilnecote Rest Home

What the care home does well The home provides personal care to elderly people, delivered with dignity and respect. Residents are treated as individuals and are encouraged to retain their independence and autonomy wherever possible. Physical and psychological health care needs are met and help, advice and treatment from healthcare professionals is obtained wherever needed. The care staff are friendly and caring and are trained to meet the dementia care needs of these elderly people. The staff-training programme is effective and focussed on meeting these specific needs. Senior care staff have received the necessary training to meet the dementia care needs of individual residents and are equipped with the skills and experience to oversee the delivery of the care. Individuals appeared to be relatively content and individuality and autonomy is promoted wherever possible. The environment is comfortable, clean, well presented and homely and has been adapted to meet the needs of individuals. Therapeutic activities and entertainment take place regularly in the home. There is a dedicated activity co-ordinator employed with a room set aside for this. Trips out are organised and community links maintained. The home is well run and managed in the best interests of the people who live there. What has improved since the last inspection? CARE HOMES FOR OLDER PEOPLE Wilnecote Rest Home Manor Farm Hockley Road Wilnecote Tamworth Staffordshire B77 5EA Lead Inspector Yvonne Allen Unannounced Inspection 18th December 2007 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Wilnecote Rest Home DS0000040806.V357171.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. Wilnecote Rest Home DS0000040806.V357171.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wilnecote Rest Home Address Manor Farm Hockley Road Wilnecote Tamworth Staffordshire B77 5EA 01827 262582 F/P 01827 262582 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) Dr Rais Ahmed Rajput Mrs Nichola Jayne Thomas Care Home 23 Category(ies) of Dementia - over 65 years of age (23) registration, with number of places Wilnecote Rest Home DS0000040806.V357171.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th April 2007 Brief Description of the Service: Wilnecote Rest Home is set in a quiet road within walking distance of a small selection of shops. The home was recently re-registered and provides accommodation for twenty-three older people with dementia. The home has been interlinked to the external building, which will accommodate eight residents. Each of the new bedrooms has an en-suite facility; bathing and toilet facilities are provided on both floors. If necessary the first floor can be accessed via the shaft lift or main stairs. No en-suite facilities are provided in the main home . There are very limited parking facilities in the front courtyard; a larger parking area is located at the rear of the home. One large lounge and a quiet lounge are available to all the service users and or their families. From the information provided during discussions with the registered care manager, formal documentation (Annual Quality Assurance Assessment) had not been received prior to the inspection; the current fees were from £359£388, additional costs would be Hairdressing cut £5 (male) cut & set £10 (females) perm £25 Chiropody private £10 and any personal toiletries. Wilnecote Rest Home DS0000040806.V357171.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection visit was carried out by one inspector and took 4 hours to complete. During the visit discussions were held with 2 visitors, various staff members, the Registered Manager and Registered Provider. Discussions with residents were limited due to their diminished mental capacities. Two visitors were spoken to at the time of the visit and both were happy with the care and attention shown to their relatives in the home. We were made welcome by all, and the Provider, Manager and staff were all helpful. We obtained information and evidence to support out judgements in the following ways – Talking with visitors, staff and the manager of the home. Directly observing care practices and the interaction of staff with residents. Examining relevant records and documentation. Touring the home and inspecting a sample of bedrooms, all communal areas and the kitchen and laundry. There was a warm friendly atmosphere at the home and it soon became apparent that residents are well cared for here and treated with dignity and respect. Although individual residents have varying degrees of diminished mental capacity it was evident from observation of care and documentation that their needs are being met at the home. The environment is homely and adapted to meet the needs of the residents. It was attractively decorated in time for Christmas. There is a comprehensive programme of activities and entertainment and a dedicated activities co-ordinator and room. The home is well managed and run in the best interests of the residents who live there. There was one immediate requirement left to secure the wardrobes to the bedroom walls in the bedrooms identified. Wilnecote Rest Home DS0000040806.V357171.R01.S.doc Version 5.2 Page 6 This was a positive inspection with improvements made since the last visit. Outcomes for residents are good and are focussed on providing a comfortable quality of life for the people who live there. What the service does well: What has improved since the last inspection? The requirements left at the last inspection have all been addressed. These included – Improving the pre-admission assessment procedure and recording. This has helped to ensure that only individuals whose needs can be met by the home are offered a placement there. Improving care plans, making them more individual. This has helped to ensure that people are treated as individuals and that autonomy, choices and preferences are promoted wherever possible. Addressing infection control and hygiene in the environment. This has helped to ensure that the risk of cross infection is minimal. Wilnecote Rest Home DS0000040806.V357171.R01.S.doc Version 5.2 Page 7 Introducing alternative choices to the main menu at each mealtime. This has helped to ensure that individual choices and preferences in respect of meals are upheld. Radiator covers have been made safe. This has helped to ensure that Health and Safety guidelines are adhered to and accidents and possible injuries are avoided. Some new furniture has been provided and some rooms have been redecorated since the last inspection. This has helped to improve the overall appearance of these rooms. What they could do better: There were only two requirements made as a result of this inspection. The first being an immediate requirement to attach the wardrobes to the walls in the bedrooms identified. The other requirement was in relation to medication documentation on the Medication Administration Record chart. The following are recommendations in areas where these would help improve the outcomes for residents even further – Residents/Relatives meetings should be organised and held regularly. This would provide an opportunity for suggestions to be put forward and any concerns raised could be discussed. Minutes should be taken and any action taken as a result should be displayed. The programme of activities and entertainment was good but this could be further improved by assessments of individuals as to their wishes and abilities to participate and records of this assessment kept in the individual care plan. Individuals should be able to continue, wherever possible, with their hobbies and interests they held before coming into the home. The Cook was using only skimmed milk to serve and to cook with. It is recommended that whole milk is used, unless contra-indicated, as this provides more nutrition for the elderly residents. Advice can always be sought from a dietician/nutritionalist. Although the manager identified that representatives are kept updated on any changes in their relative’s condition, it is a recommendation to keep a contact sheet in place to evidence contact with relatives/next of kin. There were no room thermometers and it is recommended that these are installed in areas where personal care takes place – such as bathrooms – in order to monitor the ambient air temperature. Wilnecote Rest Home DS0000040806.V357171.R01.S.doc Version 5.2 Page 8 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. Wilnecote Rest Home DS0000040806.V357171.R01.S.doc Version 5.2 Page 9 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 Wilnecote Rest Home DS0000040806.V357171.R01.S.doc Version 5.2 Page 10 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals are only offered a place at the home following a full assessment of their needs. Residents can be assured that once admitted to the home, their assessed needs will be met. EVIDENCE: Standards 3 and 4 were assessed. A total of 3 care plans were examined including the latest admission to the home where it was evident that pre-admission assessments were taking place and the requirement contained in the last inspection report had been addressed. A “daily living and needs assessment form” had been put into place since the last inspection. Wilnecote Rest Home DS0000040806.V357171.R01.S.doc Version 5.2 Page 11 It was evident that, for the latest admission to the home, there had been a full assessment of needs and this was documented. Discussions with the manager identified that she carries out such assessments prior to admission. She also confirmed that she does not accept any individuals into the home whose needs she feel the home cannot meet. Observation of care practices and examination of records of care confirmed that the assessed needs of individual residents are met at the home with particular attention to dementia care needs. Wilnecote Rest Home DS0000040806.V357171.R01.S.doc Version 5.2 Page 12 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal and healthcare needs are met with a particular emphasis on meeting psychological needs. Care is planned and delivered with dignity and respect. EVIDENCE: Standards 7,8,9 and 10 were assessed. A random selection of 3 care plans was examined relating to individuals with differing needs. The requirement for improvement in this area had been met and individual plans were now more meaningful and individualised. Individual risks had been identified and Plans had been updated and evaluated on a regular basis. Wilnecote Rest Home DS0000040806.V357171.R01.S.doc Version 5.2 Page 13 There was evidence of choices and preferences being upheld in respect of the routines of daily life in the home. It is a recommendation to keep a contact sheet in place to evidence contact with relatives/next of kin. There was evidence of access to and visits by healthcare professionals including GPs, district nurses, chiropodist and opticians. Health care reviews took place annually or more often as required. Psychological healthcare needs are assessed in the form of a “mental health and cognition/communication” assessment and care plans have been developed in order to meet these needs. Episodes of challenging behaviours are recorded. There is evidence of input from the Community Psychiatric Nurse as and when required. The lunchtime medication round was observed during the visit. We were informed that there were no individuals who were self-medicating at the time but that this was possible for those wishing to do so following a suitable risk assessment. The care assistant who was administering the medication identified to us that she had received suitable training and examination of her training folder confirmed this. It was identified that one of the boxes containing eye drops (tears naturelle) was not labelled with the date of opening. This had been an oversight as the others had been labelled and the care assistant confirmed that it was normal practice to do this. Examination of the Medication Administration Record (MAR) chart identified that there had been instances where prescribed medication had been omitted but that the reason for omission “o” had not been defined. It is a requirement that this is documented on the MAR chart. Observation of care practices identified that care was carried out with dignity and respect. Staff were seen and heard talking to residents in a respectful friendly manner. Personal care is undertaken in the privacy of individual bedrooms/bathrooms. Discussions were held with 2 different visitors – both were happy with the care and attention afforded to their relatives. Due to the cognitive impairment of most of the residents in the home discussions were difficult, but when we asked a resident if she felt safe and secure in the home she stated “oh yes I do.” Wilnecote Rest Home DS0000040806.V357171.R01.S.doc Version 5.2 Page 14 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals are helped to exercise choice and control as much as possible and the activities of daily life in the home and made flexible and varied. Individual diverse needs are assessed and met. EVIDENCE: All the standards were assessed. The programme of activities and entertainment within this home was found to be very good. There is an activity co-coordinator employed by the home but she was not on duty at the time of the visit She has maintained records of individual participation and these were seen at the time. There is a dedicated room where activities take place and there was an abundance of evidence of arts and crafts, outings and entertainment and Wilnecote Rest Home DS0000040806.V357171.R01.S.doc Version 5.2 Page 15 photographs to demonstrate that residents had taken part in these. Although this is good evidence that activities are taking place – the home will need to demonstrate that activities and entertainment are based on individual abilities and preferences and that individuals are encouraged to carry on with and maintain any hobbies and interests which they might have had before entering the home. It is therefore recommended that social and therapeutic needs are assessed individually and that a copy of this assessment be contained in the care plan. We were informed that links with the community are good and that residents go out to local venues - a favourite trip out is shopping at the local supermarket. Relatives spoken to confirmed that activities within the home are good. Spiritual needs are assessed and documented in care plans and individuals are assisted to meet these needs. The manager stated that Church representatives visit the home regularly – one of who helps with fund raising for the residents’ fund. The Roman Catholic Deacon visits on a regular basis. The manager also explained that diverse needs are catered for. She was referring to a resident who had been admitted to the home with special spiritual needs. There had been a recent Church service held where Christmas Carols had been sung. The visitors spoken to during the visit both confirmed that their relative was happy with the meals served at the home. The lunchtime meal was observed as being both appetising and nutritious and there was a choice available. We were shown an extensive list of alternative choices, which are available every day. It was noted that one of the residents was being served an alternative at the time of the visit. Staff were observed helping some residents to eat their meal at the time. Most of the residents were taking their meals in the main dining room but the staff informed us that residents could eat in their own bedroom if they preferred. It was also noticed that drinks were in plentiful supply and staff helped individuals with these throughout the day. The Cook was spoken with and she confirmed that staff could access drinks and light snacks for residents throughout the night also. It was noted that the Cook was using skimmed milk and it is recommended that whole milk be used instead as this provides more nutrition for the elderly residents who live there. Wilnecote Rest Home DS0000040806.V357171.R01.S.doc Version 5.2 Page 16 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who live in the home are safeguarded by the systems in place and can be assured that any concerns they might have about the home will be listened to and taken seriously. EVIDENCE: Standards 16 and 18 were assessed. The complaints procedure was prominently displayed in the entrance hallway. This procedure was accessible and clear. The manager had not received any complaints since the last inspection. Discussions with both visitors confirmed that any concerns they have had have been dealt with effectively and that they know who to go to should they have any complaints. Staff were spoken to about the Vulnerable Adults procedure and were knowledgeable about this. Wilnecote Rest Home DS0000040806.V357171.R01.S.doc Version 5.2 Page 17 Examination of 2 staff files confirmed that they had received training in this area. Wilnecote Rest Home DS0000040806.V357171.R01.S.doc Version 5.2 Page 18 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a safe, clean homely environment, which has been adapted to meet individual needs. EVIDENCE: All the standards were assessed. A tour of the home was carried out during which all of the communal areas, kitchen, laundry and a random selection of bedrooms were inspected. The home was found to be clean, well presented and comfortable. The home had been very pleasantly decorated in time for Christmas. Most of the residents were seated in the main lounge, which was supervised at all times. Wilnecote Rest Home DS0000040806.V357171.R01.S.doc Version 5.2 Page 19 This is an attractive area and a new fire had been installed and new easy chairs provided since the last inspection. There is a separate smaller lounge located in the new extension, which provides a quieter area for residents who prefer this. It was identified that there was no emergency call system located in this area and it is a recommendation that this be installed. All the bedrooms, without exception, were clean and well presented and had been given attention to detail – with beds neatly made and folded fresh clean face clothes and towels (which are provided daily). Bedrooms are personalised with residents having brought in personal effects from home. We were informed that some bedrooms had been redecorated and refurbished by the maintenance person since the last inspection. We were also informed that individual residents are able to choose the colour of their bedrooms if they wish. It was identified that a number of wardrobes were not secured to the bedroom walls. These were seen in bedrooms 24,21,and 19. It is a requirement that all wardrobes be secured to the bedroom wall in order to prevent them toppling over. There were no room thermometers located in the bathrooms and it is a recommendation that these are installed and in other areas where personal care is carried out in order to monitor the ambient air temperatures. The kitchen was found to be clean, tidy and well presented and the Cook and other staff who work in the kitchen receive regular food hygiene training updates. The care staff who are undertaking NVQ level 2 have also received food hygiene training. Certificates were seen at the time. The laundry room was also well organised with each resident having their own identified basket of clothing – ready for returning to their rooms. The laundry assistant explained how contaminated linen is dealt with and demonstrated her basic knowledge of infection control. There was an empty wheelchair outside the activity room, which was contaminated with food debris. It is a recommendation that wheelchairs are cleaned on a regular basis. The previous requirements had been addressed and radiator guards had been made safe. Wilnecote Rest Home DS0000040806.V357171.R01.S.doc Version 5.2 Page 20 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are carefully selected to work at the home and possess the skills and expertise required to meet the needs of the individuals who live there. Staff numbers were appropriate at the time of the inspection visit. EVIDENCE: All the standards were assessed. At the time of the inspection visit there were 19 residents accommodated in the home plus 1 in hospital. All the residents were in need of personal care and had dementia-related illnesses. The Registered Manager was on duty together with 3 other care assistants. Two of these care staff had NVQ level 2 in care and the other was in the process of obtaining this qualification. In total more than 50 of care staff are trained to NVQ level 2 or above in care. The numbers of care staff provided at the home is usually 4 in the morning (83) then 3 in the afternoon/evening (3-10). Night staff consist of 3 waking care staff. Wilnecote Rest Home DS0000040806.V357171.R01.S.doc Version 5.2 Page 21 Examination of the staff rotas indicated that these staffing numbers are adhered to and discussions with 2 staff members on duty confirmed that there are no concerns about the numbers of staff on duty. Observations throughout the day highlighted that staff were attentive to the needs of the residents and discussions with 2 visitors confirmed that they were happy with the care and attention shown to their relatives by the staff at the home. The kitchen is staffed separately with a Cook from 8-3 then a kitchen assistant over teatime from 3-6 each day. There are 2 domestic staff on duty each day including the laundry and 1 part time maintenance person. There is an on going staff training and development programme in place at the home and the manager confirmed that various staff training events had recently taken place and that they were awaiting certificates. This training had included abuse awareness, dementia care, infection control, food hygiene, moving and handling, first aid, communication, fire safety, diabetes awareness, and health and safety training. Examination of 2 staff files identified that training takes place regularly and discussions with the 2 staff members confirmed this. The staff recruitment procedure was examined and found to be robust. 2 staff files were examined and these included all the required information and obtaining 2 written references, Criminal Records Bureau checks, Protection Of Vulnerable Adults checks and identification and employment history. Wilnecote Rest Home DS0000040806.V357171.R01.S.doc Version 5.2 Page 22 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and run in the best interests of the people who live there. EVIDENCE: Standards 31,32,33,36 and 38 were assessed. The manager was on duty at the time of the inspection visit. She was very helpful during the visit, and provided us with the information required. Wilnecote Rest Home DS0000040806.V357171.R01.S.doc Version 5.2 Page 23 The manager was observed to be polite, professional and caring and had a good rapport with both the residents and staff in the home. She stated that she is very well supported by the owner – Dr Rajput and meets regularly with him – usually once a week. One of these meetings took place at the time of the inspection visit. Dr Rajput was observed also to have a good interaction with staff and residents in the home and is obviously very supportive. The manager also stated that she has a deputy and that either herself, her deputy of Dr Rajput are always available and on call to give support to the staff. The staff members interviewed confirmed that the manager had an “open door” policy and that they could always go to her with any concerns or issues. The 2 visitors also stated that they felt that they could approach the manager if they had any concerns about the home. Discussions with the manager also confirmed that she had the knowledge and skills to manage the home and possessed a common sense approach to the job. There is a Quality Assurance programme in place at the home with evidence of quality auditing of most areas. Residents’ and their representatives’ views are sought from time to time and this is documented. It is a recommendation that residents/relatives meetings be held where views and suggestions can be brought forward. Staff spoken to confirmed that staff meetings are held during which their views and suggestions are listened to. Formal staff supervision sessions have started to take place, records were seen - and this was in the process of being developed further at the time of the inspection visit. The home is maintained in accordance with Health and Safety Guidelines and requirements. The only contravention of this was the wardrobes, which were identified as not being attached to the bedrooms walls in the previous section. Records were seen of the servicing and maintenance of equipment used at the home. The testing of fire alarms and emergency lighting had taken place and records had been maintained. The home had received a visit from the fire safety officer in April 2007 where a requirement was left to develop the fire risk assessments. This has been done and evidence was shown to us during the visit. As discussed with the manager at the time, this now needs developing for each individual resident accommodated in the home. Wilnecote Rest Home DS0000040806.V357171.R01.S.doc Version 5.2 Page 24 Wilnecote Rest Home DS0000040806.V357171.R01.S.doc Version 5.2 Page 25 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 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 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 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x x 3 x 2 Wilnecote Rest Home DS0000040806.V357171.R01.S.doc Version 5.2 Page 26 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. 1. Standard OP9 Regulation 13(2) Requirement It is a requirement that, when medication has been omitted then this is defined on the Medication Administration Record chart; so that staff administering medication are aware of the reasons for omission. It is a requirement that all wardrobes be secured to the bedroom wall in order to prevent them toppling over. Timescale for action 12/01/08 2 OP38 13(4) 12/01/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2 Refer to Standard OP7 OP12 Good Practice Recommendations It is a recommendation to keep a contact sheet in place to evidence contact with relatives/next of kin. It is recommended that social and therapeutic needs are assessed on an individual basis and that a copy of this DS0000040806.V357171.R01.S.doc Version 5.2 Page 27 Wilnecote Rest Home 3 4 OP15 OP25 5 6 OP26 OP33 assessment be contained in the care plan so that these are geared to suit individual needs and abilities. It is recommended that whole milk be used instead of skimmed, as this provides more nutrition for the elderly residents who live there. It is a recommendation that room thermometers be installed in bathrooms and other areas where personal care is carried out order to monitor the ambient air temperatures. It is a recommendation that wheelchairs are cleaned on a regular basis to make them more presentable for use. It is a recommendation that residents/relatives meetings be held in order for views and suggestions to be brought forward. Wilnecote Rest Home DS0000040806.V357171.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Birmingham Local Office Commission for Social Care Inspection 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Wilnecote Rest Home DS0000040806.V357171.R01.S.doc Version 5.2 Page 29 - 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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