Care Home: Wilton Lodge

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What the care home does well The expert by experience said `I found the atmosphere here calm and peaceful. There were no unpleasant smells and the staff were very helpful. I would be very happy to be a resident here if I needed care or to have my relatives cared for here`. One person said `It isn`t like being at home but I`m happy here and the staff all work very hard. I am well looked after`. People said the staff are `hard working`, `patient`, `always cheerful` and `even at the end of a long tiring shift they can always smile`. People are assisted to maintain their appearance and maintain good standards of personal hygiene. People are offered a choice of home cooked meals, which they enjoy and are adjusted to meet their individual needs and preferences The activity organiser plays a key part in the daily experiencing of people living in the home and to support this further she is taking a course in the promotion of activities for older people.People living in the home receive good support from the local community health services. Wilton Lodge is managed by an experienced manager who works to promote the best interests of the people who live in the home. What has improved since the last inspection? This inspection particularly has identified the positive approach being taken by the manager and staff to meet the varying needs of people from a range of backgrounds and cultures. Staff are now better at identifying physical and psychological problems which may put people at risk and assessing what preventative action they need to take. The continued close involvement of one of the company directors has a positive effect on maintaining standards. What the care home could do better: To protect residents staff need clear information on the number of tablets that can be given when people are prescribed medication, which can be given as required. The refurbishment programme needs to continue to maintain and improve the quality of the environment for the people living at Wilton Lodge, particularly the standard of decoration and equipment provided in the assisted bathrooms. CARE HOMES FOR OLDER PEOPLE Wilton Lodge 77-79 London Road Shenley Hertfordshire WD7 9BW Lead Inspector Sheila Knopp Unannounced Inspection 8th July 2008 08:40 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 Wilton Lodge DS0000019621.V367937.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. Wilton Lodge DS0000019621.V367937.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wilton Lodge Address 77-79 London Road Shenley Hertfordshire WD7 9BW 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) 01923 854623 01923 856760 rutanahani@hotmail.com Wilton House Limited Mrs Ruta Starkute-Nahani Care Home 36 Category(ies) of Dementia - over 65 years of age (36), Old age, registration, with number not falling within any other category (36) of places Wilton Lodge DS0000019621.V367937.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th October 2007 Brief Description of the Service: Wilton Lodge is a care home providing personal care and accommodation for 36 older people who may also have dementia. It is owned by Wilton House Limited, which is a private company. The home was opened in 1990 and consists of a purpose built two-storey building. It is adjacent to Wilton House Nursing Home, but the two homes operate independently. Wilton Lodge is in the village of Shenley, approximately 1½ miles from Radlett. It is within walking distance of local shops, and several pubs and churches are close by. All the homes bedrooms are for single occupancy and have en-suite facilities. A passenger lift provides access to the first floor. Each floor has a lounge and dining area. Residents are able to sit in the front garden, which has a covered seating area and is enclosed by a low wall. There is level access to the front entrance from the main road but access from the car park at the back of the building is via a steep flight of stairs. Details of the latest CSCI inspection report are available in the home and copies can be obtained from the manager. The current fees for the service range from £566 - £586 per week (accurate on 8/7/08). Variable charges are made per bed depending on funding arrangements with the local authorities concerned. Wilton Lodge DS0000019621.V367937.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 2 star. This means the people who use this service experience good quality outcomes. The information in this report is based on an unannounced visit to the home by one regulation inspector who was joined for part of the visit by an ‘expert by experience’ volunteer supported by Help the Aged. An expert by experience’ is a person who, because of their shared experience of using services, and/or ways of communicating, visits a service with an inspector to help them get a picture of what it is like to live in or use the service and to encourage people who use care services to share their experiences more openly. We have also reviewed the information we have received since our last inspection. This includes notifications that the manager is required to tell us about and the Annual Quality Assurance Assessment (AQAA) that the manager sent to us. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. What the service does well: The expert by experience said ‘I found the atmosphere here calm and peaceful. There were no unpleasant smells and the staff were very helpful. I would be very happy to be a resident here if I needed care or to have my relatives cared for here’. One person said ‘It isn’t like being at home but I’m happy here and the staff all work very hard. I am well looked after’. People said the staff are ‘hard working’, ‘patient‘, ‘always cheerful’ and ‘even at the end of a long tiring shift they can always smile’. People are assisted to maintain their appearance and maintain good standards of personal hygiene. People are offered a choice of home cooked meals, which they enjoy and are adjusted to meet their individual needs and preferences The activity organiser plays a key part in the daily experiencing of people living in the home and to support this further she is taking a course in the promotion of activities for older people. Wilton Lodge DS0000019621.V367937.R01.S.doc Version 5.2 Page 6 People living in the home receive good support from the local community health services. Wilton Lodge is managed by an experienced manager who works to promote the best interests of the people who live in the home. 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. Wilton Lodge DS0000019621.V367937.R01.S.doc Version 5.2 Page 7 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 Wilton Lodge DS0000019621.V367937.R01.S.doc Version 5.2 Page 8 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): Standard 3 (Standard 6 does not apply to this service) - People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People can be confident that they will receive the support they need because a detailed assessment, involving people who are close to them or have been involved with them, is carried out before they come to stay, so that staff know what they require. EVIDENCE: To look at the experience of people coming to live at Wilton Lodge we met a new resident and reviewed their care records. This told us that a detailed assessment was carried out before they came to stay and information on cultural needs and expectations was shared between the placing social worker, the individual’s family and the home manager to make sure Wilton Lodge was suitable. Wilton Lodge DS0000019621.V367937.R01.S.doc Version 5.2 Page 9 The expert by experience told us they were ‘able to chat to several people who all seemed to be very happy with their care. One person said that because they needed care they chose Wilton Lodge because a neighbour of theirs had been very happy there. ‘I was disappointed to have to part with my dog but he has also gone to a good home. My relative is able to bring their new puppy to visit me and I enjoy that’’. Another person told us their relative had prepared their room for them before they arrived and added personal belongings to make them feel at home. The assessments identify any risks, which may cause harm if staff are not aware of them. People’s ability to make decisions for themselves is assessed as part of the admission and review processes to ensure people’s rights under the Mental Capacity Act are protected and it is clear who is making decisions on their behalf. Wilton Lodge DS0000019621.V367937.R01.S.doc Version 5.2 Page 10 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): Standards 7, 8, 9 & 10 - People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The people who live at Wilton Lodge can expect to have individual care plans that are kept up to date so staff know how people wish to be supported and cared for. Residents who require medication can be confident that this will be given safely and it will be regularly reviewed to make sure it is still required to meet their needs. However staff need more information from the prescriber when medication can be given, as required, to ensure they know how many tablets they can give within a specified period. EVIDENCE: All the people we saw during out visit had been supported to achieve good standards of personal care and hygiene. Our expert by experience observed that every one looked clean and well cared for. One person said ‘They even find time to do my nails nicely, not just cutting them’. Wilton Lodge DS0000019621.V367937.R01.S.doc Version 5.2 Page 11 The hairdresser visits twice a week and was seeing people on the day we visited. We reviewed the care records of 4 of the residents we had discussions with. This showed us that the staff had the information they needed to care for the people concerned. The care plans had been regularly reviewed and updated as changes had occurred. We saw evidence of consultation with the community nurses and local General Practitioner’s (GPs) where further support was required for specific problems. Risk assessments are in place for the prevention of pressure sores and specialist equipment had been provided for people’s beds and chairs where they were assessed as being vulnerable. People’s nutritional needs are assessed and monitored through regular weighing and referral to the individual’s GP when changes have been identified. Moving and handling risk assessments are in place where people need assistance. The manager visits people who are admitted to hospital and carries out a further assessment to make sure their needs can still be met at Wilton House. We were able to see examples of how information in care plans is used by key workers, care, activity and catering staff to support the different needs of the people who live in the home. This included meeting specific personal care needs, support with dietary needs and taking individual people out so they could experience being with people of their own culture. The manager told us of enquiries that had been made to identify specific community groups who may be able to provide additional support. One individual benefits greatly from having a member of staff as their key worker who speaks their own language. The care plan we saw and discussed with individual and their key worker draws sensitively on the first hand experience that worker has of the society the individual lived in. This has promoted greater understanding within the staff group of the reasons behind changes in mood and well being they need to be alert to. This supported the information in the manager’s AQAA that said, ‘care plans are designed in a way to capture specific information on race, gender identiity, disability, sexual orientation, age, religion and belief’. There are good systems in place for the management of medicines within the home. We were able to see details of the training and asessment process staff go through to make sure they are safe to give out medicines. There are auditing proceedures in place to make sure medicines have been given as prescribed and all mediciens in the home can be accounted for. Where people are having medicines to modify their behaviour this is supported by a behaviour management chart and details in that person’s care plan so staff know what other strategies they should use before giving medication. However on one medication chart we found the prescribing instructions did not tell staff how many tablets they could give within a given time frame e.g 24 hour period. The manager agreed to clarify this with the individual’s GP. Wilton Lodge DS0000019621.V367937.R01.S.doc Version 5.2 Page 12 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): Standards 12, 13, 14 & 15 - People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The people who live at Wilton Lodge can expect to be offered a range of activities suited to their needs that will provide opportunities for stimulation and enjoyment. The people who live at Wilton Lodge can expect to be offered a varied choice of meals that will meet their needs. EVIDENCE: We saw that both the activities organiser and care staff were able to spend time with residents during the day offering one to one and group support for the activities taking place. There was a relaxed unhurried atmosphere. A calendar of activities and events is displayed so people know what to expect. Visiting entertainers are booked. We heard examples of people going out to local pubs and restaurants. The home has access to a mini-bus, which they use for trips further away. Recent visits have included the RAF museum and garden centres. Staff take people across to local shops so they can do their own Wilton Lodge DS0000019621.V367937.R01.S.doc Version 5.2 Page 13 shopping. People living in the home have access to books and interesting things to pick up and touch. We saw people involved in putting together puzzles, listening to music and colouring age appropriate pictures. Church services are held in the home for those who wish to attend and people are supported to attend their own churches. We have previously reported the positive steps taken to provide the activity organiser with accredited distance learning training supported by the National Association of providers of Activities for Older People (NAPA). This is on going and the manager and activity organiser spoke of the positive benefits of this and plans for the activity organiser to be more involved in developing individual care plans. The manager’s AQAA states the NAPA course has been ‘very productive and contributed greatly to better planning of activities’. The menu shows two lunchtime options to choose from but in practice at breakfast and lunch people were having a range of variations to suit their tastes. The expert by experience said she saw ‘five different dishes being served at lunchtime. People had access to drinks in their rooms and communal areas. We were able to see that the cultural needs of people from a wide variety of backgrounds are catered for. The manager’s AQAA told us ‘our menus cater for specific cultural needs. Our activities coordinator ensures that all religious days are incorporated into the activities plan’. Wilton Lodge DS0000019621.V367937.R01.S.doc Version 5.2 Page 14 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): Standards 16 & 18 - People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People can feel confident their concerns will be listened to and acted upon, and that they will be protected by trained staff who create a positive and supportive culture within the home. EVIDENCE: We have not received any complaints about this service between our inspections and the manager reported they had not received any either. A record of compliments is kept and these included positive comments from health & social care professionals who visit the home. The manager also provides opportunities for residents and their relatives to give their views as part of the company approach to quality assurance. Social services investigated one issue brought to their attention by a relative following the admission of a resident to hospital. There were no concerns directly applicable to the care received while at Wilton Lodge but the manager has since ensured staff have received training updates in the recognition and prevention of pressure sores. The manager told us at the time of this visit that none of the residents had pressure sores. Our interviews with staff, review of training records and the information in the manager’s AQAA confirm staff receive training in recognising and preventing abuse. Wilton Lodge DS0000019621.V367937.R01.S.doc Version 5.2 Page 15 One of the drawbacks to this service is that people living on the first floor are dependent on staff to take them out into the garden. Restrictions on people’s ability to move freely about the home because of the keypad systems in place are recorded on each person’s care plan, where this applies, so it is kept under review. Risk assessments are also recorded where equipment such as bed rails are in use, which could restrict people’s movement, so staff have clear guidance on when it should be used and how to use it safely. Wilton Lodge DS0000019621.V367937.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19 & 26 - People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who live at Wilton Lodge live in a safe, pleasant environment that has benefited from a recent redecoration and refurbishment programme. However the bathrooms are drab and the bathing equipment provided may not be the best available for frail people. EVIDENCE: There has been a lot of attention to redecorating the home since our last visit. The manager’s AQAA told us that a ‘review of client satisfaction questionnaires showed that Service Users are satisfied with their environment’. Our expert by experience told us ‘The bedrooms that I saw had been recently, tastefully decorated and refurbished, I was told by some of the residents that they could choose their own colour scheme. All the rooms had their own television and some also had telephones. They also had their own pictures and ornaments to make them more homely’. Wilton Lodge DS0000019621.V367937.R01.S.doc Version 5.2 Page 17 The lead director told us there are plans to upgrade the assisted bathrooms. In our last report we said, ‘The bathing and en-suite arrangements have not been upgraded since the home opened in 1990. With the increasing dependency of people moving into the home the en-suite baths are no longer used. The communal bathrooms have a very institutional feel and the baths have become stained. These areas would benefit from a complete review of moving and handling equipment, aids and adaptations to see if more modern equipment is available or residents would benefit from access to suitable showers as well as baths. All areas of the home we visited were fresh and clean. Chemical products were kept locked when not in use. Staff are aware of procedures to follow to reduce the risk of infection and have access to supplies of disposable, gloves aprons and liquid soap. There is a small laundry in the basement, which is able to manage the linen and clothing from the home. Some adjustments have been made to make it a better place for staff to work. The manager is aware of her responsibilities to contact the Health Protection Agency if infections are Identified and has received infection control training from them. Wilton Lodge DS0000019621.V367937.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 & 30 - People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The people who live at Wilton Lodge can feel confident that the staff who support them have been checked for their suitability to work with vulnerable people and receive regular training and supervision to make sure they continue to provide a good service. EVIDENCE: The residents we had contact with were positive about the attitude and approach of staff. The staffing levels we observed were meeting the personal care needs of people in a timely manner and also enabled staff to spend time socialising with residents. Our expert by experience said they felt the atmosphere was calm and peaceful. One person said ‘I only have to press the bell and someone comes straight away’. To check that suitable staff are working in the home we looked at the recruitment records for 4 staff employed since out last inspection and found that the required checks which include 2 references and a police check were in place. Wilton Lodge DS0000019621.V367937.R01.S.doc Version 5.2 Page 19 Each member of staff has a record of the training they have received. Details of the induction training provided for new staff to meet Skills for Care requirements for care workers were available. Staff have dementia care training to support the needs of the people who live at Wilton Lodge and National Vocational training (NVQ) to develop the skills of staff. The manager’s AQAA completed in May stated that 41 of staff had achieved qualifications at level 2 or above and a further 8 people working towards the award would raise the level to 90 . We saw that regular supervision and appraisal takes place to make sure staff are monitored and their further development can be discussed. Wilton Lodge DS0000019621.V367937.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 35, 35 & 38 - People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People can have confidence in the service provided at Wilton Lodge because it is well managed and there are systems in place to make sure people living and working in the home are safe, people’s views are listened to and their financial interests are protected. EVIDENCE: The manger has the Registered Managers Award (RMA), which is the national qualification standard set for managers of care services. The manager works well with us and has a positive approach to developing the service and improving outcomes for the people who live at Wilton Lodge. The Wilton Lodge DS0000019621.V367937.R01.S.doc Version 5.2 Page 21 Annual Quality Assurance Assessment was sent to us on time and identifies areas for further development. The management, auditing and reviewing systems within the home are well organised. Detailed monthly reports on the quality of the service are provided to the company board of directors by the lead director who visits Wilton Lodge regularly and meets with residents and staff. The manager of the home also attends board meetings to provide information about the home. We can see that the continued commitment of the company to providing staff with more in-depth training is maintaining standards. As well as day-to-day contact with the manager residents and relatives are able to give their views on the running of the service through quality assurance questionnaires and three monthly meetings. The manager provides residents and relatives with a summary of the feedback from the questionnaires but we also saw individual letters to relatives where specific issues had been raised. There are secure systems in place for residents to deposit small amounts of money for day-to-day use in the office. Records and receipts for money deposited or taken out are kept and we were able to reconcile the records with the amount held. The manager reported that all residents are in receipt of their personal allowance and no one within the company acts as an appointee in respect of any individual’s finances. An up to date insurance certificate is displayed in the home. We looked at the records of health & safety checks and were able to see that the gas, fire, electrical, water, lift and hoist safety systems in the home are regularly serviced. This supported the information the manager had given us in the AQAA. Despite regular checks by the manager the hot water we tested in one of the bathrooms was just above the health & safety limit set to prevent accidents. However the manager was able to get a quick response from a plumber and it was adjusted before we left. This gives us confidence the safety issues can be dealt with promptly. Records of checks on window restrictors are kept to make sure they remain in place on the upper floors to prevent accidents. Information is received from the Medical Health Regulation Agency to alert staff to any problems with equipment they may be using. Risk assessments are in place where residents are using equipment such as electrically operated beds or recliner chairs, to show they are being used appropriately and checked regularly. Staff receive training on health & safety matters as part of their induction and annual updates. Wilton Lodge DS0000019621.V367937.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Wilton Lodge DS0000019621.V367937.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Wilton Lodge DS0000019621.V367937.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Wilton Lodge DS0000019621.V367937.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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