Care Home: Woodland

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What the care home does well This home has an admissions procedure that is designed to ensure that an individual`s needs can be met. The home also provides the information that people need when they are choosing a home for themselves or a dependent. The staff in the home identify the needs and preferences of all of the people who live there and have developed a systematic process for meeting social needs, providing activities and other ways of meeting them and checking how successfully they had achieved their aims. The home provides an environment, both indoors and out, that is pleasant for people to be. The people who live in this home tell us that they find the staff to be friendly and caring and we saw how they are properly screened before being allowed to start work and trained when they do. The Registered Manager and the rest of the management team provide positive guidance to the staff team on how to meet the needs of the people living in the home. What has improved since the last inspection? A lot of work has been carried out identifying what people`s social preferences, dislikes and needs are. Having established those preferences and needs the home has organised activities that are designed to meet them. This has, however, not only involved activities but alterations to the environment such as changes to the gardens outside people`s bedroom windows with the addition of plants and ornaments that are to that person`s taste. Staff training and recruitment is now very systematic and clearly recorded so that the manager can better gauge whether or not the staff are properly trained and are suitable to meet the needs of the people to whom they are providing care. What the care home could do better: No requirements or recommendations have been made as a result of this inspection. The service is introducing a new format for its care records with the intention of this being more detailed and to contain all the information in one place. Any further improvements that the home is planning to make can only benefit the people who live there.WoodlandDS0000020692.V377663.R01.S.docVersion 5.2 Key inspection report CARE HOMES FOR OLDER PEOPLE Woodland Trefonen Road Morda Oswestry Shropshire SY10 9NX Lead Inspector Mike Moloney Key Unannounced Inspection 10th September 2009 10:00 DS0000020692.V377663.R01.S.do c Version 5.3 Page 1 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should: • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care homes for older people can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop. The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Woodland DS0000020692.V377663.R01.S.doc Version 5.2 Page 2 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Woodland DS0000020692.V377663.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodland Address Trefonen Road Morda Oswestry Shropshire SY10 9NX 01691 656963 01691 671225 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) Mr Steven Bol Mrs Catherine Leslie Heathcote Care Home 37 Category(ies) of Learning disability (1), Old age, not falling registration, with number within any other category (37) of places Woodland DS0000020692.V377663.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home Only (Code PC) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (OP) 37 Learning Disability (LD) 1 The maximum number of service users to be accommodated is 37. 2. Date of last inspection 15th September 2008 Brief Description of the Service: Woodland is registered with the Care Quality Commission to provide accommodation and personal care for up to 37 Older People to include one person with a learning disability. The home is situated in the village of Morda, close to Oswestry and has recently been extended providing an additional 17 bedrooms, all with en-suite facility. The nearby shop and pub are within walking distance of the home. The home makes their services known to prospective service users in a combined Statement of Purpose and Service User Guide. Inspection reports produced by the Care Quality Commission can be obtained direct from the provider or are available on our website at www.cqc.org.uk Fees charged were not detailed in the Guide as required therefore the reader may wish to obtain more up to date information direct from the care service. Woodland DS0000020692.V377663.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 that the people who use this service experience good quality outcomes. A range of evidence was used to make judgements about this service. This includes: information from the provider which included a self assessment document that they are required by law to complete and notifications that have been received by the Care Quality Commission from the home about incidents, bereavements and other incidents that affect the welfare of the people who live in the home. The visit was unannounced with the purpose of carrying out a Key Inspection which is where the homes performance is measured against a set of standards identified by the Department of Health. No other visits had been made by Care Quality Commission staff since the last Key Inspection. This inspection was undertaken by two inspectors, Mike Moloney and Deb Holland, and lasted four and a half hours. On this occasion we did not involve an Expert by Experience which is someone who has experienced the care provided by this type of service and is asked by the Care Quality Commission to assist and give their views during an inspection. During the time spent at Woodland we Case Tracked a number of the people who live in this home. This means that we examined their care in detail and talked to them and/or their relatives, where this was practical, to find out their views of the care that was being provided to them. This also enabled us to see if the records that identified peoples needs such as the care plans that are provided for the staff to follow were accurate and covered each individuals personal issues. We also talked to members of the staff team and the manager to check that they were aware of the identified needs of the people who live in this home and whether or not they had the approach and training required to meet them. The standards set out by the Department of Health are in seven different groups. Each group can be judged as being either poor, adequate, good or excellent. The inspectors reach their judgement by following the guidelines laid down in the document known as the Key Lines Of Regulatory Assessment (KLORA) which is available on the Care Quality Commission web-site: www.cqc.org.uk Woodland DS0000020692.V377663.R01.S.doc Version 5.2 Page 6 What the service does well: This home has an admissions procedure that is designed to ensure that an individuals needs can be met. The home also provides the information that people need when they are choosing a home for themselves or a dependent. The staff in the home identify the needs and preferences of all of the people who live there and have developed a systematic process for meeting social needs, providing activities and other ways of meeting them and checking how successfully they had achieved their aims. The home provides an environment, both indoors and out, that is pleasant for people to be. The people who live in this home tell us that they find the staff to be friendly and caring and we saw how they are properly screened before being allowed to start work and trained when they do. The Registered Manager and the rest of the management team provide positive guidance to the staff team on how to meet the needs of the people living in the home. What has improved since the last inspection? What they could do better: No requirements or recommendations have been made as a result of this inspection. The service is introducing a new format for its care records with the intention of this being more detailed and to contain all the information in one place. Any further improvements that the home is planning to make can only benefit the people who live there. Woodland DS0000020692.V377663.R01.S.doc Version 5.2 Page 7 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line – 0870 240 7535. Woodland DS0000020692.V377663.R01.S.doc Version 5.3 Page 8 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 Woodland DS0000020692.V377663.R01.S.doc Version 5.3 Page 9 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3 People using the service experience good quality outcomes in this area. People looking to live in the home and their representatives have the information needed to choose a home which will meet their needs. They have their needs assessed by the home to make sure that they can look after them properly. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: We looked at the records of a number of people who had been admitted to the home since the last inspection and these showed that people’s needs are assessed on admission so that a plan for their care can be produced. Woodland DS0000020692.V377663.R01.S.doc Version 5.3 Page 10 We also saw documents that are available to people who are considering living in the home and these contained that information that they would need when making their decision. The information included quotes from people who have been involved in the home such as, completely content. I feel happy at home; Mum is very happy here. She enjoys the company and security of being at Woodland. The staff are willing and helpful. I feel happy and reassured that I can get on with my job knowing mum will be cared for. Blank spaces were seen in the information that related to fees. The manager explained that the fees are hand written into the information before they are given to anyone thinking of moving to the home. Woodland DS0000020692.V377663.R01.S.doc Version 5.3 Page 11 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 People using the service experience good quality outcomes in this area. Residents’ individual needs and preferences are taken into account and they receive the care that they need to protect their health and well being. People receive the medication that is prescribed for them and medical or specialist attention is sought as and when necessary. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: The home is about to change its system for recording the needs of residents and the plan of care which staff will follow in order to meet people’s individual needs. The new format will promote additional detail and keep all the relevant information in one place. We looked at current records which show that people’s needs are assessed on admission and a plan of care is produced which is reviewed and amended as people’s needs change. Residents or their relatives had signed care plans to show their involvement and agreement. Woodland DS0000020692.V377663.R01.S.doc Version 5.3 Page 12 People’s health care needs are kept under review and relevant professionals, such as Doctors or Community Nurses, are consulted and involved as and when necessary. We spoke to residents and relatives who were very positive about the care that is provided and one person particularly emphasized that staff treat people with respect. We saw assessments of the risks posed by people’s disabilities and the associated actions which are necessary to support them, such as assisting them to move. A particular piece of work had been done in respect of one resident who was falling frequently; this assessment plus its resulting guidance for staff to intervene differently has resulted in a significant reduction in this person falling and a better outcome for them. We looked at how medication is managed and the records kept to show that people have received the medication that is prescribed for them. This is largely through a “monitored dosage system” which means that tablets are provided to the home in ready prepared blister packs for them to use to administer drugs to people. There is additional medication – liquids, creams and short course medication – which has to be kept in more traditional bottles and containers. The system to ensure people get the correct medication appeared to be working well and no problems were found. Woodland DS0000020692.V377663.R01.S.doc Version 5.3 Page 13 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 People using the service experience excellent quality outcomes in this area. People who live in this home are able to choose their life style, social activity and keep in contact with family and friends. They have their social, cultural and recreational prefernces clearly identified so that those activities that they are offered meet their wishes. They receive a healthy, varied diet according to their assessed requirement and choice. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: We talked to a member of the proprietors management team. She showed us documents containing the information that had been collected about each individuals preferences and dislikes. These had been completed in some detail and, she said, were still being developed and added to. These lists had been collated to form the basis of the weekly activity lists for the home. We looked at the records of the activities that had been run and spoke with the staff and some of the people who live in the home who said such things as hoop-la, snakes and ladders, whist club, favourite songs, film club and Woodland DS0000020692.V377663.R01.S.doc Version 5.3 Page 14 music sessions had been arranged. Other interest groups had also been arranged. Each person had a file that showed which activity they had taken part in as well as any comments that they had made. These activities are run and recorded by the Activities Coordinator. We were also told that entertainers visit the home and a list of these was seen amongst the records. We were also told of how the more withdrawn people who were not keen to join in with the larger activities had been identified and were being offered one to one or smaller and quieter group activities. We spoke to one person who said she was “very happy” to be able to follow her own preferences for rising/going to bed. She likes to spend most of her time in her own room and picks and chooses from activities going on and enjoys reading. We saw the paperwork that had been prepared to carry out a satisfaction survey designed to make sure that the people taking part in the activities were satisfied with them and we were told that this would be carried out by the people who organise the activities sitting down with people and talking through the questionnaires if necessary. We saw the social inclusion policy that had been developed by the home. It contained an explanation of how the home would go about personalising each persons experience. An example of this was that it states that people would be asked if they would want other people to know about or celebrate their birthdays. We saw in the Senior Staff Meeting minutes that the library van visits regularly. They had discussed how one person who liked to listen to talking books of mystery stories had been helped to borrow some and the arrangements made for her to listen to them. The minutes also showed how one of the team had found out about someones background in music and they had discussed how this could be catered for. We talked to the staff in the kitchen and they said that each day the people who live in the home are offered a choice of two main meals. We looked at the records which showed that choices such as bacon, chops and vegetables or fish, pork steaks and vegetables or quiche, fish pie or ham salad and roast chicken or ham salad had been among the recent choices offered to diners. The kitchen staff also told us that food is specially prepared for people who have different diets for cultural or medical reasons. We watched people who needed assistance at meal times receiving discreete help from the staff. The meals had been presented in an appetising way. We also spoke with diners about what they thought of the meals. They were very complimentary about them. Woodland DS0000020692.V377663.R01.S.doc Version 5.3 Page 15 Woodland DS0000020692.V377663.R01.S.doc Version 5.3 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 People using the service experience good quality outcomes in this area. The people who live in this home have access to a robust and effective complaints procedure, are protected from abuse and have their legal rights protected. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: We looked at the homes complaints policy and this was seen to contain information on how and with whom issues of concern could be raised. We spoke to a number of the people who live in this home and their relatives who all said that they knew how to raise any issue and that they were confident that they would be dealt with. No referrals had been made into the local procedures that deal with allegations of abuse of vulnerable people. We looked at the training records and saw that staff had received training in the identification of abuse and the procedures that they must follow if they see such an instance. We also spoke to a number of the staff who confirmed that those records were accurate. Woodland DS0000020692.V377663.R01.S.doc Version 5.3 Page 17 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 People using the service experience excellent quality outcomes in this area. Both the inside of the building and the gardens provides a pleasant, comfortable and well maintained environment for people to live in. The design and layout of the home encourages the independence of the people who live there. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: We looked around the home and saw that the recent building improvement work was now complete and that the redecoration programme was nearly complete. We saw a number of bedrooms had been personalised to the taste of the person whose room it was. People had been able to bring pictures, ornaments Woodland DS0000020692.V377663.R01.S.doc Version 5.3 Page 18 and small pieces of furniture with them to make their rooms more homely. Looking through the bedroom windows into the well maintained gardens it was seen that the area outside a number of the rooms contained plants and garden ornaments placed to please and amuse the person whose view it was. We saw that all of the rooms were clean, tidy and odour free. We also saw people who live in this home using the phone system that is available in their bedrooms. Inside the house we saw two large communal areas both of which could be used as lounges or for dining. The furnishings in both areas were seen to be clean and in serviceable condition. As mentioned previously the home has a well maintained garden. It is equipped with a variety of garden furniture that can be easily accessed by the people who live in this home as it is near to the building. The gardens all around the building are paved and level making it easier for people with mobility issues to get around it. We also saw that the home has a well equipped and ordered laundry area so that peoples clothing and bedding can be kept clean and hygienic. We looked at the training records and these showed that the staff were about to receive infection control training to make sure that they understand how to maintain an infection free environment. Woodland DS0000020692.V377663.R01.S.doc Version 5.3 Page 19 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 People using the service experience good quality outcomes in this area. Staff in the home are screened, trained, skilled and in sufficient numbers to fill the aims of the home and meet the changing needs of people who live in this home. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: We looked at the employment records of six of the staff and saw that background checks had been carried out before those people had access to people living in this home as part of the procedure that ensures that they are fit do so. We saw that three employment references had been requested for each person which is more than the legally required minimum number and gives further reassurances to the home about the suitability of their employees. The records for each stage in the recruitment process were seen to be clear and easily accessed by those people who need to look at them. Looking at the staff rota as well as talking with the people living in the home, their relatives, the manager and staff showed that there were enough staff on duty to make sure that the care needs of the people living there are met. Woodland DS0000020692.V377663.R01.S.doc Version 5.3 Page 20 During the inspection a lot of conversations between people who live in the home and staff were seen and heard. The staff were always professional, clear and polite when they spoke. When we spoke to those living in the home as well as their relatives they were very complimentary about the staff saying such things as, staff always treat people with respect; are good, very attentive. We talked to the staff who told us that they have regular staff meetings where they and the minutes of the meeting said that they talked about safety, care and social activity issues and how to improve them for the people who live in the home. We talked with a number of the staff who confirmed that they have received or were about to go on the training that would ensure that they are able to meet the needs of the people living at the home. This included such things as manual handling training to make sure that when they are helping people to move that they do so in a safe manner and basic first aid so that they can provide support to people who are ill or hurt until more skilled assistance arrives. Infection control training was to take place in the near future. The kitchen staff confirmed that they had undertaken food hygiene training and the homes administrator said that this would also be arranged for the care staff who serve food and assist people with their meals so that they would know how to do so safely. The administrator explained the system that the home uses to identify what training each member of staff has had or needs. She showed this to be a systematic and well recorded process that would put the staffs skills in place so that they could meet the needs of the people who live in this home. Talking with staff and looking at the training records showed that the training included National Vocational Training to level 2 in care to help more experienced staff to develop their skills and knowledge and Common Induction Training which gives an immediate and basic training for those who are new to this type of work. Woodland DS0000020692.V377663.R01.S.doc Version 5.3 Page 21 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. This is what people staying in this care home experience: JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 and 38 People using the service experience good quality outcomes in this area. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent management team. We have made this judgement using a range of evidence, including a visit to this service. EVIDENCE: We talked with the Registered Manager as well as two other members of the providers team that are involved in the running of the home. They confirmed that while the manager still has overall responsibility for the running of the home one had specific responsibilities for making sure that staff are recruited and trained and the other was responsible for making sure that peoples social Woodland DS0000020692.V377663.R01.S.doc Version 5.3 Page 22 needs were fully identified and met. We saw that over the last year significant progress had been made in both of those two areas. When we spoke to the managers and the staff they all made it clear that the proprietor is also closely involved in the running of the home and monitors progress on a day to day basis. On the day of the inspection he chaired a staff meeting that discussed any issues that would affect the care of the people who live in the home. Staff told us and records confirmed that those meetings take place on a regular basis as did their meetings with their line managers on a 1:1 basis that gave the opportunity for them to discuss things about their training and performance as well as things relating to the care of the people in the home. The manager explained the system that the home had adopted to look after small amounts of cash for people who live there. This was seen to be safe and clear. Various records were seen that monitored systems and the environment in order to make sure the people living in the home are safe such as the checking of the fire alarm system. These were up to date. Hazardous materials such as some cleaning fluids were seen to be kept securely and instructions about how they should be used safely were also available. Woodland DS0000020692.V377663.R01.S.doc Version 5.3 Page 23 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 3 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 4 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 4 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 4 x 3 3 x 3 Woodland DS0000020692.V377663.R01.S.doc Version 5.3 Page 24 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 Woodland DS0000020692.V377663.R01.S.doc Version 5.3 Page 25 Care Quality Commission Care Quality Commission West Midlands Region Citygate Gallowgate Newcastle Upon Tyne NE1 4PA National Enquiry Line: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Woodland DS0000020692.V377663.R01.S.doc Version 5.3 Page 26 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!