Care Home: Wisteria Cottage

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What the care home does well The home provides a comprehensive statement of purpose and service user guide, which provides information for prospective people using the service. Before any new person resides at the home the manager ensures that a full assessment of needs is in place and ensures that the person can visit the home and `test run` the service before deciding if it is right for them. Each person at the home has a detailed care plan. This plan outlines the preferences of the person and an agreed plan of care is in place to support both preferences and any specific care needs. Risks identified are assessed and plans put in place to promote choice and independence. All records are maintained confidentially but include the input of the person using the service. The home supports each person in his or her development through activity and occupation. People at the home have routines, which they have agreed and enjoy. Meals at the home are a social event with people using the service participating in choice, preparation and clearing away. People are supported with their healthcare needs by having the access to the appropriate healthcare professionals. Medication systems are clear and staff have received the appropriate training to ensure safe practice is maintained. The homes environment is comfortable and people`s rooms are personally decorated to each person`s tastes. There is suitable communal space with a comfortable lounge and kitchen/dining area. Staffing levels at the home are adequate to meet the people`s needs. Extra staff are available as required. Staff training is in place to support the needs of people using the service. Recruitment is robust to ensure the protection of people living at the home. The management of the home appears to support both the people using the service and staff. Health and Safety measures are in place to promote protection and policies and procedures are in place to ensure good practice. What has improved since the last inspection? It was a recommendation of the last inspection report that where when medication is hand transcribed onto the medical administration record, two staff signatures are obtained, to further reduce the opportunities for error. Medication Administration Records examined confirmed that this is now in place. What the care home could do better: No requirements were made following this inspection and two good practice recommendations have been made. The manager is recommended to review the practice of people using the service funding `take away` foods. The manager is also recommended to ensure that all recruitment files contain a recent photograph of that staff member. CARE HOME ADULTS 18-65 Wisteria Cottage 18 Lower Odcombe Odcombe Yeovil Somerset BA22 8TX Lead Inspector Gail Richardson Unannounced Inspection 10th September 2008 10:00 Wisteria Cottage DS0000061054.V372156.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Wisteria Cottage DS0000061054.V372156.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Wisteria Cottage DS0000061054.V372156.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wisteria Cottage Address 18 Lower Odcombe Odcombe Yeovil Somerset BA22 8TX 01935 863973 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Amanda Jane Webb Mrs Amanda Jane Webb Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Wisteria Cottage DS0000061054.V372156.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th April 2007 Brief Description of the Service: Mrs Webb is the Proprietor and manager of Wisteria Cottage, a three-bed home situated In the pretty village of Odcombe on the outskirts of Yeovil. It provides a service to people with a learning disability, some of whom have been assessed as having behaviour which can be challenging to manage, and would benefit from small living environment. Wisteria House has twenty-four hour staffing, and Mrs Webb and her husband and family live nearby. Mrs Webb also owns two other cottages in the village called Poppy Cottage, and Church View. The current fee range is between £595.00 and £1200.00. People using the service purchase from their own finances confectionary, music CD’s and magazines. Wisteria Cottage DS0000061054.V372156.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means the people who use this service experience excellent quality outcomes. This was an unannounced inspection, which took place over 2 days (7 hours) on the 20th August and the 10th September 2008 by Regulation Inspector Gail Richardson. The first day of inspection was only partially completed as Wisteria Cottage was closed as most people were away on holiday. Some records were available to the inspector at the companies other home, Church view and the inspection was completed by visiting Wisteria Cottage on the second date. A tour of the home took place and all of the bedrooms and all communal areas were seen. There were 3 people currently residing at the home. The inspector spoke to all 3 people using the service and 2 members of staff, the Registered Manager was not available on each day of the inspection but was helpful in ensuring that all records and information needed was made available or delivered to CSCI offices. The home has provided CSCI with a completed AQAA (Annual Quality Assurance Audit), which was completed by the Manager and gives details of all aspects of the home. As part of this inspection the inspector surveyed the opinions of people using the service and their representatives and staff members. Good levels of responses were received and comments received from those surveys and following discussion with people using the service are included in this report. The inspector spent time talking to people within the home and staff and looked at records relating to care including 2 care plans, 2 staff files, finances and health and safety records were examined The focus of this inspection visit was to inspect relevant key standards under the CSCI ‘Inspecting for Better Lives 2’ framework. This focuses on outcomes for service users and measures the quality of the service under four general headings. These are; - excellent, good, adequate and poor. The following is a summary of the inspection findings and should be read in conjunction with the whole of the report. Wisteria Cottage DS0000061054.V372156.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? It was a recommendation of the last inspection report that where when medication is hand transcribed onto the medical administration record, two staff signatures are obtained, to further reduce the opportunities for error. Medication Administration Records examined confirmed that this is now in place. Wisteria Cottage DS0000061054.V372156.R01.S.doc Version 5.2 Page 7 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. Wisteria Cottage DS0000061054.V372156.R01.S.doc Version 5.2 Page 8 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 Wisteria Cottage DS0000061054.V372156.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An updated Statement of Purpose and Service User Guide is available to provide details for any prospective person using the service. People are supported to ‘test run’ the home prior to admission. Each person has a contract which details the terms and conditions of residency. EVIDENCE: The home provides an updated Statement of Purpose and Service User Guide for all prospective people using the service. No new people have been admitted to the home since the last key inspection. Staff confirmed that new people are admitted following a full assessment of needs being undertaken. Staff informed us that people can ‘test run ‘ the service prior to admission to establish if they like the home and service provided. One survey from a person using the service stated, “ I came for a trial visit to see if I liked it “. Each person has a contract which outlines and details the terms and conditions of residency, this includes current fee scales. Wisteria Cottage DS0000061054.V372156.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6 7 8 9 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People using the service are consulted about their needs and supported by staff in making decisions and developing independent life skills. Appropriate risk taking is promoted, and risk assessments are regularly reviewed and updated. All records are stored securely; people using the service have access to their care records. EVIDENCE: Each person using the service has a detailed plan of care, this plan outlines any specific care needs. The care plans also contain risk assessments and any care plan resulting from that risk. Areas that are risk assessed include: the management of challenging behaviour, helping around the house, personal care and assistance required when bathing. People using the service confirmed that they had a choice of male or female who helped them bathe. Care plans also demonstrated that the services of specialists have been sought. Wisteria Cottage DS0000061054.V372156.R01.S.doc Version 5.2 Page 11 Each person has regular one to one time with a key worker to review their care plan and agree any adjustments. This is with reference to reinforcing the identified risk and looking at ways of further developing individual’s skills. Staff support people with household tasks and the manager has organised college access to develop computer interest. Two surveys were received from relatives of people using the service; both felt they received enough information from the home. One stated that the home is “very good at giving feedback, I am in weekly contact and I am able to ask any staff member for information”. Another stated, “ All aspects of the home are run to a very high standard”. Both surveys received from people using the service stated that they always make decisions about what they do each day. Individuals need assistance to manage their personal finances and appropriate records are kept of staff involvement. Care managers are involved in checking finances at formal reviews. Financial records were seen with receipts and all transactions are audited monthly with money being stored in locked individual tins. Wisteria Cottage DS0000061054.V372156.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12 13 15 16 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are able to take part in age, peer and culturally appropriate activities, and residents use the local community. Appropriate personal family relationships are promoted. Residents are treated with dignity and respect. A healthy diet is promoted. EVIDENCE: 2 people talked to the inspector about activities and what they enjoyed. They said they enjoyed going to the cinema, shopping and Discos at the nearby social club. They also enjoyed being part of the community and participating in local craft groups in association with the local church. Each care plan has an activity plan for both morning and afternoon and this is also available in picture format. Wisteria Cottage DS0000061054.V372156.R01.S.doc Version 5.2 Page 13 Daytime activity is structured, with evenings and weekends more relaxed. All activity plans can be flexible. On the second day of inspection the people and staff were going shopping. This was re organised to fit in with the inspection and agreement sought from each person. Each person has a household tasks day when they are assisted to maintain their own bedroom; this includes changing the bed and organising the laundry. One person told us that “I like walking and going to the beach”. Another told us that they like to go home to visit family. All three people told us how much they enjoyed the weekdays they spent at the farm. They said they liked “feeding the animals and being outside”. When asked if there was anything they wanted to do, 2 people said they did everything they wanted. One staff member surveys said, “ The service gets the clients involved in their farm, helping as much as possible which they all enjoy”. All people using the service are supported with contact with families and friends and some people regularly go home for periods of time. Families are welcome to call into the home unannounced and people are supported to maintain telephone and e-mail contact. One relatives survey commented that they had “Seem major changes in their relatives ability and willingness to undertake tasks at home”. One staff survey said that the home “ Provides good care and support to the Service users- the support staff are very good”. Another stated that the home “ provides scope to advance” and “ does well with communication, care and support”. People told us they could get up and go to bed when they wanted within timescales of college and planned activities. They also told us that they could watch TV in their rooms or in the communal lounge. House meetings take place monthly with all minutes recorded and agreement signed by people using the service. There is some flexibility around meals and mealtimes to fit in with activities, with breakfast of cereals, toast etc midweek and a cooked breakfast at the weekends. Lunch is a lighter meal with the main meal being in the evening. People assist with shopping, meal preparation and cleaning up after meals and are supported to make their own packed lunch when needed. A healthy diet is promoted and monitoring of weight is maintained. On the day of inspection the planned evening meal was cottage pie with fresh vegetables followed by fruit and yogurt. People told us that sometimes Take Away food is ordered as a treat and this very much enjoyed. Financial records indicate that when this occurs people using the service meet the cost of the ‘take away’ meal themselves. It is recommended that this practice be reviewed, as this is a meal provided by the home. Wisteria Cottage DS0000061054.V372156.R01.S.doc Version 5.2 Page 14 Wisteria Cottage DS0000061054.V372156.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18 19 20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Each person receives personal support as they require and that has been agreed with them. All areas of physical and emotional need are assessed and a care plan is in place to ensure staff and people using the service can meet those needs. Clear systems are in place to ensure that medication is safely managed and administered. EVIDENCE: Each care plan provides clear information and guidelines about personal care routines. Included in information for staff is a policy about individuals expressing sexuality, and how this is appropriately supported. People confirmed that they had a choice of male or female staff to help them bathe and they explained that the help they receive supports their independence. Staff surveys confirmed that 3- always and 2- usually received up to date information about the people they cared for. People using the service access local GP’s and district nurse teams, NHS help line, psychiatrist, psychologist, and specialist support for eyes and feet. There Wisteria Cottage DS0000061054.V372156.R01.S.doc Version 5.2 Page 16 are regular visits to the dentist. Staff are experienced in working with people with behaviour that can be challenging and have received appropriate support through training. All staff have training in the care of medicines by the local pharmacist and there are six monthly in house assessments to ensure competence. Medication is appropriately stored and managed and a monitored dosage system in use. The home has a homely remedies policy. No people using the service are currently managing their own medication. Wisteria Cottage DS0000061054.V372156.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People confirmed that they would raise any concerns and would be confident that they would be acted upon appropriately. Policies, procedures and staff training are in place to protect residents form abuse. Staff confirmed that they were aware of whistle blowing procedures and of their role in protecting people using the service from abuse. EVIDENCE: There is a complaints policy and procedure in the policy manual for staff. No complaints have been recorded at the home since the last inspection and CSCI have not received any complaints about this service. People using the service have a copy of the complaints procedure and minutes from house meetings confirmed that making a complaint is discussed at these meetings. Surveys received from people using the service said that if were unhappy they would speak with either Mrs Webb or the staff and parents. 2 relatives surveys and 2 surveys from people at the home confirmed that would know how to raise any concerns. The home has a whistle blowing and an abuse policy; staff receive training in abuse awareness as part of the induction process and have regular updates. All 5 staff surveys confirmed that would know what to do if a concern was raised. Wisteria Cottage DS0000061054.V372156.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 25 26 27 28 29 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Wisteria Cottage provides a homely, comfortable and safe environment. It is decorated and maintained to a high standard. The facilities in the house are in keeping with the homes philosophy of promoting independence and supporting people to develop daily living skills in ordinary domestic accommodation. EVIDENCE: Wisteria Cottage DS0000061054.V372156.R01.S.doc Version 5.2 Page 19 Each bedroom is decorated to reflect the choices and preference of the individual. People share the communal bathing facilities and all people using the service need assistance or prompting with washing and bathing. People are supported to varying degrees to launder and maintain their own closes and have a choice of what to wear. One relative survey commented that “ My relative has a very good quality care home and the support given is to a high standard. The bedroom used is always clean and tidy and the house is always clean” There is a separate toilet and bathroom on the first floor and an en suite shower and toilet in the new extension on the ground floor. The shower is thermostatically controlled and other hot water outlets regulated at the boiler. People have shared communal space of a pleasantly decorated lounge and an attractive kitchen dining room. Staff have a separate sleeping in room. All furnishings and fittings appear to be well maintained and of a good quality. Staff maintain the home to a good hygiene standard. Food hygiene and infection control training has been provided for staff. Hazardous substances are safely locked away and COSHH sheets are in use for all relevant substances. There is no smoking in the house and the designated smoking area is in an area outside the house. The outdoor space of the home is tidy and well maintained with seating and tables. Wisteria Cottage DS0000061054.V372156.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32 34 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a consistent staff team who know the people using the service well. Staff are experienced, well trained and appropriately supported. The recruitment procedures are robust and protect people using the service from the risk of harm. EVIDENCE: Staff confirmed that the current staff team is stable and Mrs Webb was recruiting new staff on the second day of inspection to meet a full staffing compliment. One staff survey commented that “ a high staff turnover is unsettling to service users, otherwise this is a very good service”. On the day of inspection one staff member was on duty throughout the day. Staff felt that the level of staffing was adequate and said the levels were “No problem, should more staff be needed they could be accessed from Churchview nearby.” Staff do a sleeping night and are easily accessible should the need arise. One staff survey commented, “ Staff and management do their best to always cover shifts”. Wisteria Cottage DS0000061054.V372156.R01.S.doc Version 5.2 Page 21 People using the service told us that they like the staff at the home and that they felt safe and supported. Both surveys received said that the staff treated them well and listen and acted on what they said. One surveys said, “ I am very happy here”. Each person has their own key worker with whom they meet regularly on a one to one basis to discuss issues relating to the home. Staff training records were not seen at this inspection, however staff surveys confirmed that staff receive ongoing training and 3 staff told us they had completed NVQ qualifications. One staff survey commented that “ I have to ask for certain training though and I am not always provided with it”. Recruitment procedures are robust and all staff have CRB (Criminal Record Bureau) and POVA (Protection of Vulnerable Adults) checks prior to commencing employment. The manager is also recommended to ensure that all recruitment files contain a recent photograph of that staff member. Staff receive an induction to the post and are supported through regular supervision. When surveys asked 5 staff if they meet with their manager to give support and discuss how they were working, 2 said regularly and 3 said often. Wisteria Cottage DS0000061054.V372156.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37 39 42 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well organised and people using the service views are sought, and play an important part in the development of daily life. The health, safety and welfare of residents is promoted and protected. EVIDENCE: Mrs Webb has over twenty years experience as a carer and manager. She has worked with people with a learning disability for fifteen years. . She has a Higher National Diploma in Care Management and is a state registered nurse. Mrs Webb was part of the senior management team at Lufton Manor College ( a specialst college for people with a learning disability ) for three years. Wisteria Cottage DS0000061054.V372156.R01.S.doc Version 5.2 Page 23 Views sought from families from the CSCI as part of this inspection, has been very positive. Feedback from the people themselves, and staff is also positive about the support provided by the management of the home. Residents told us that they enjoyed living at Wisteria Cottage,they said that they got on well with the staff and were able to pursue thier interests and develop daily living skills. There is strong evidence that the ethos of the home is open and transparent. The views of both people who use the service and staff are listened to, and valued. Record keeping is of a consistently high standard. Records are kept securely and staff are aware of the requirements of the Data Protection Act. People using the service can gain access to their records and contribute to them. All the working practices in the home are safe and there are no preventable accidents and there is evidenced by good monitoring and record keeping systems. The home is clean and hygienic. The records demonstrated that appropriate checks are carried out on electrical equipment, and that household equipment is regularly serviced and well maintained. Fire drill is undertaken at each of the homes monthly house meetings. Wisteria Cottage DS0000061054.V372156.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 3 26 3 27 3 28 4 29 3 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 4 13 3 14 4 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X X 3 X 3 X Wisteria Cottage DS0000061054.V372156.R01.S.doc Version 5.2 Page 25 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. 1. 2. Refer to Standard YA17 YA34 Good Practice Recommendations The manager is recommended to review the practice of people using the service funding ‘take away’ foods The manager is also recommended to ensure that all recruitment files contain a recent photograph of that staff member. Wisteria Cottage DS0000061054.V372156.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Wisteria Cottage DS0000061054.V372156.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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