Care Home: Woodlands Court Care Home

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What the care home does well The manager has been in post for just over a year and appears to have settled well into her role. The home welcomes visitors at any time; there are no restrictions as to when people can visit.The homes chef plans and prepares a range of well-balanced and nutritious meals. The manager is encouraging some of the younger residents to experience new challenges such as attending collage courses. Records were of a good standard, the office was well organised and everything is to hand. The home had a friendly and welcoming atmosphere that was evident on entering the home. What has improved since the last inspection? Mandatory training for all staff is ongoing and staff undertakes refresher courses as required. Staff training in dementia care is ongoing. Risk assessments are now being reviewed on a regular basis. Resident`s weights are now being monitored. The manager has contacted members of the local clergy who now visit the home on a regular basis and offer communion for those residents who wish to partake. Improved systems are in place to ensure that any resident`s money looked after by the home for safekeeping is securely stored and records of any transactions are kept. The activities coordinator, with the help of residents has planned more trips out of the home. There was evidence of some refurbishment and decoration, lounges and dining rooms had been decorated. The manager has now implemented a complaints procedure and a file so that in the event of any complaints made, details and outcomes would now be recorded. A passenger lift was in the process of being fitted and was near to completion. What the care home could do better: It was evident that work within the home is ongoing and the owners have inherited some of the environmental issues. It was discussed with the manager that: The programme of refurbishment of resident`s accommodation must continue. All the bathrooms and toilets require attention, as these are stark and uninviting. New bathroom suites are recommended, suitable to meet the needs of the residents. In bathroom 2 the floor tiles were missing around the toilet and off the wall. The inspector recommended that block soap and cloth towels be removed from bathrooms and toilets to reduce the risk of cross infection. To maintain residents privacy the manager must ensure that all bathrooms and toilet doors are fitted with locks. That the corridor carpets on both floors are stained and in need of replacing. CARE HOMES FOR OLDER PEOPLE Woodlands Court Care Home Ash Lane New Springs Wigan Greater Manchester WN2 1EZ Lead Inspector Judith Stanley Unannounced Inspection 4th June 2008 09:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Woodlands Court Care Home DS0000067894.V365431.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. Woodlands Court Care Home DS0000067894.V365431.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodlands Court Care Home Address Ash Lane New Springs Wigan Greater Manchester WN2 1EZ 01942 323352 01942 510146 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) Minster Care Management Limited Mrs Jennifer Gregory Care Home 35 Category(ies) of Old age, not falling within any other category registration, with number (35), Physical disability (6) of places Woodlands Court Care Home DS0000067894.V365431.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. New admissions of service users in the category of PD (physical disability), should not include people who are under 50 years old, or whose mobility and independence is dependent on the use of a wheelchair. The registered person may provide the following category of service only: Care home only: Code PC, to people 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: Code OP (maximum number of places: 35). Physical disability: Code PD (maximum number of places: 6). The maximum number of people who can be accommodated is: 35. Date of last inspection 2nd April 2007 2. Brief Description of the Service: Woodlands Court is owned by Minister Care Management Limited and is situated off the main road leading into Wigan town centre. Public transport passes the bottom of the homes driveway. Woodlands Court offers accommodation to 35 people who require assistance with personal care and support. Included in those numbers the home is registered to provide care for 6 residents with a physical disability. The home is a two-storey building with bedrooms and bathrooms on both floors. There are two lounges with adjoining dining rooms on the ground floor. Woodlands Court is set in its own well-maintained grounds and offers access to local amenities. Car parking is available inside the grounds. Currently all bedrooms have single occupancy but some can be used as double rooms. The current scale of fees ranges from £281:00 to £400:00 per week. Additional charges are made for newspapers and hairdressing, private chiropody and some transport and for some activities outside the home such as college Woodlands Court Care Home DS0000067894.V365431.R01.S.doc Version 5.2 Page 5 courses. Woodlands Court Care Home DS0000067894.V365431.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is two stars. This means the people who use this service experience good quality outcomes. This inspection included a site visit and was unannounced and was carried out over a 6½ hours on one day. The manager was available to assist with the inspection throughout the day. Part of the time was spent in the office looking at records the home needs to keep to ensure the home is being properly run, these included some residents records (care plans), staff files, medication, activity records, certificates for servicing of equipment etc. The rest of the time was spent talking with staff and residents and looking around the home. Prior to the inspection the manager was sent an Annual Quality Assurance Assessment (AQAA) to complete. The AQAA tells us what the home does well at, how they meet the National Minimum Standards and in what areas they need to improve and develop. To find out more information about the home comment cards were sent to residents, relatives and staff. Two residents returned comment cards, there were no added comments made but the ticked responses indicated that residents were happy with the care and facilities provided by the home. One relative returned a comment card, which said, “The home and staff do everything that is required of them”. Seven staff returned comment cards, one response said, “Good communication, constant training and good management support”. Another said, “We provide a high standard of care and meet the specific needs of the individuals and provide a warm and homely environment”. There have been no complaints made to the manager of the home and no complaints have been forwarded to the CSCI. What the service does well: The manager has been in post for just over a year and appears to have settled well into her role. The home welcomes visitors at any time; there are no restrictions as to when people can visit. Woodlands Court Care Home DS0000067894.V365431.R01.S.doc Version 5.2 Page 7 The homes chef plans and prepares a range of well-balanced and nutritious meals. The manager is encouraging some of the younger residents to experience new challenges such as attending collage courses. Records were of a good standard, the office was well organised and everything is to hand. The home had a friendly and welcoming atmosphere that was evident on entering the home. What has improved since the last inspection? Mandatory training for all staff is ongoing and staff undertakes refresher courses as required. Staff training in dementia care is ongoing. Risk assessments are now being reviewed on a regular basis. Resident’s weights are now being monitored. The manager has contacted members of the local clergy who now visit the home on a regular basis and offer communion for those residents who wish to partake. Improved systems are in place to ensure that any resident’s money looked after by the home for safekeeping is securely stored and records of any transactions are kept. The activities coordinator, with the help of residents has planned more trips out of the home. There was evidence of some refurbishment and decoration, lounges and dining rooms had been decorated. The manager has now implemented a complaints procedure and a file so that in the event of any complaints made, details and outcomes would now be recorded. A passenger lift was in the process of being fitted and was near to completion. Woodlands Court Care Home DS0000067894.V365431.R01.S.doc Version 5.2 Page 8 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. Woodlands Court Care Home DS0000067894.V365431.R01.S.doc Version 5.2 Page 9 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Woodlands Court Care Home DS0000067894.V365431.R01.S.doc Version 5.2 Page 10 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3 and 4 were assessed. Standard 6 does not apply at Woodlands Court as the home does not provide an intermediate care service. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides prospective residents and their supporters with up to date information about the home that helps them in making a decision about moving into the home and about the services provided. EVIDENCE: The home has a statement of purpose and a service user guide; the information had been updated in March 2007. This information is available to prospective residents and to those already living at the home. It informs people about the aims and objectives of the home, the management structure, staffing details and training, about the accommodation, financial arrangements and what is covered within the fees charged. There is also a copy of a Woodlands Court Care Home DS0000067894.V365431.R01.S.doc Version 5.2 Page 11 residents contract and the complaints procedure is included. There is also a copy of the last inspection report in the foyer for anyone to read if they wish. We selected three residents care plans to inspect. The same records would be used throughout the inspection. We asked to see the contacts/statement of terms and conditions relating to the three care plans. The manager was able to show that all three residents had a contract in place regardless if a resident paid for their own care or were funded by social services. We looked to see if pre admission assessments were in files. A pre admission assessment is completed by the manager at the most convenient place for the prospective resident; this could be at their own home or in hospital. The assessment covers what help and support is needed, dietary needs, past medical history, risks of falls and mobility, sleep patterns, skin condition, oral care etc. When completed it informs the manager and staff of the care the individual requires and if the home can offer the services required. The assessment is also the base line for building up the care plan. Some of the residents living at the home had a diagnosis of a dementia related illness and currently 13 staff is receiving training in this area of care. Woodlands Court Care Home DS0000067894.V365431.R01.S.doc Version 5.2 Page 12 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans were clear and concise and provide staff with the information they need to meet the needs of the residents. EVIDENCE: We continued to work with the same care plans. The information contained in the care plans gave staff detailed information about the care each resident required. The care plans were divided into different sections starting with a checklist that covered residents details, allocated key worker, a life profile, current medication and consent form and a missing persons form. Other information included a internal and external care plan and night care information, overview of care needs, risk assessments for moving and handling, bathing, fire risk, pressure sores etc, records of weights and dietary intake (if required), medication, personal hygiene, activities, reviews and known last wishes. Daily progress notes were also seen in files, which were Woodlands Court Care Home DS0000067894.V365431.R01.S.doc Version 5.2 Page 13 complete and up to date. The care plans had been up dated monthly as required. Information was available with relevant details should a resident need to be transferred to hospital. There was evidence in the care plans to show that outside agencies such as doctors, district nurses, chiropodist are contacted and visit the home as necessary. Observation throughout the inspection showed that the personal care needs for the residents were being met (with the exception of one resident who was resistant to washing and bathing. The manager and staff are working with this resident to address several issues with tact and diplomacy). The current resident group is mainly male and several of the gentlemen residents would be able to deal with their own care and make their own decisions about clothing etc, as would some of the ladies. Other residents need more help with care and grooming. Staff were seen knocking on bedroom, bathrooms and toilet doors and waiting for a response before entering. The manager was asked to check that all bathroom and toilet doors were lockable as one was found to have no lock. Staff were heard speaking with residents in a friendly and respectful manner. It was evident that good relationships had been formed between staff and residents. The senior in charge of the shift gave out the morning and lunchtime medication. The drugs trolley is securely stored and locked in a separate room. The inspector checked the medicines and the MAR charts (drug sheets) for the three residents we were looking at and no discrepancies were noted. Woodlands Court Care Home DS0000067894.V365431.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13, 14 and 15 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are offered a wide and varied range of activities to meet their capabilities and expectations. Residents are provided with well-cooked food, which they like, in good portions at times that suit them. EVIDENCE: The home has an activities coordinator, who with the help of the residents plans and delivers a range of activities. Activities offered include jigsaws, board games, film shows, crafts, one to one chats, shopping trips and pub lunches. Evening activities had been introduced. Evening domino drives are played most nights, and the Sunday evening quiz has proved to be a success. Alcoholic beverages are available in moderation for those residents who want them. Woodlands Court Care Home DS0000067894.V365431.R01.S.doc Version 5.2 Page 15 One resident was looking forward to attending a gardening and flowerarranging course at the local college. Staff have organised this with the resident, arranging transport and a member of staff to accompany the resident when she has to enrol. Staff are looking at other courses at the college for some of the younger residents should they wish to attend. Others enjoy their own pastimes for example one resident has a vast collection of records and CDs, which he spends a lot of time listening to in his room. Visitors are welcome at any time; there are no restrictions as to when people can visit. The inspector spoke with one relative who was pleased with the care and facilities provided. The chef and kitchen assistant were spoken with and both were knowledgeable about nutrition and the importance of a well-balanced diet and they encourage and offered a good range of meals. A flexible breakfast is served to allow residents to have a lie in if they wish. Residents confirmed they could have a full English breakfast every morning if the wanted to. There is also a choice of cereals, toast, preserves, tea or coffee. Lunch is the main meal of the day; on the day of the inspection the chef had prepared Ocean Pie, which included several types of fresh fish. The inspector sampled the lunch and it was excellent. Most residents had the main option, some had fried egg, chips and baked beans, one resident fancied a chip sandwich. A dessert of fruit crumble and custard was offered. The portions served were ample and second helpings were available. Currently the home has mainly a male clientele who have good appetites and enjoy their food. There were no complaints about the food. There are two dining areas, which are nicely decorated and comfortable. One of them tends to be used for residents who need more help and assistance to have a meal. Hot and cold drinks and snacks are served during the day and a choice of supper is available before residents retire. Woodlands Court Care Home DS0000067894.V365431.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their supporters can be confident that any complaints or concerns would be suitably addressed under the homes complaints procedure. EVIDENCE: The home has a complaints procedure and any complaints or concerns would be logged in the complaints file. There has been one minor concern, which the manager addressed immediately through discussion with the resident and their relative. There have been no formal complaints made to the manager of the home and no complaints have been made to CSCI. Staff has undertaken training in the protection of vulnerable adults on induction and through NVQ training. Staff had access to the local council’s Adult Safeguarding procedure and the Department of Health guidance No Secrets. All staff at Woodlands Court is given an ID number to post through the managers door if they have any concerns of abuse. The manager would then promptly deal with this. There have been no adult safeguarding issues reported by the home within the last year. Woodlands Court Care Home DS0000067894.V365431.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,24 and 26 were assessed. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The standard of décor with in the home is satisfactory making it a clean and homely place for resident to live in. EVIDENCE: From a tour of the premises it was evident that there had been improvements made around the home. The manager is fully aware of what still needs to done. The home has had a new boiler fitted and the lift installation is nearly complete. This will give residents more freedom around the home and will offer them the choice of a room up or downstairs. The communal areas are bright and comfortable and well equipped. Several of the bedrooms were looked at and were seen to be clean and tidy. Those Woodlands Court Care Home DS0000067894.V365431.R01.S.doc Version 5.2 Page 18 residents who wanted to had brought with them from home personal items and belongings to make their rooms more homely. It was evident that some bedrooms had been decorated and refurbished; this is on going. It was discussed with the manager that the bathrooms require attention. Most were stark and in need of new fixtures, fittings and flooring. The inspector appreciates this may take some time to rectify and other work had to take preference. The carpets on the corridors need to be replaced as these were seen to be heavily stained. The inspector understands that new carpets cannot be fitted until the workmen have finished the major work to the lift. This will be included in the on going programme of maintenance. The home was clean throughout and no offensive odours were detected. Policies and procedures are in place with regard to infection control and staff were seen wearing different protective clothing for different tasks. The laundry is sited away from food preparation and food storage areas and does not intrude on the residents. Woodlands Court Care Home DS0000067894.V365431.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28, 29 and 30 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident can be sure that their needs can be met by good staffing levels and with a competent, committed, experienced and well trained staff team. EVIDENCE: The staff rotas showed that there are sufficient numbers of staff on duty each day and through the night. The ratios of care staff to residents takes into account the needs of the residents. Domestic and kitchen staff are employed in sufficient numbers to cater for the needs of the residents and to support care staff. From discussions, staff showed they know their residents needs well and they demonstrated a strong commitment to providing a good standard of care. Staff were clear about the work they were employed to do and that they were happy to help each other out. From the inspectors’ observation, staff morale appeared to be good and the staff seemed genuinely happy to be working at the home. Woodlands Court Care Home DS0000067894.V365431.R01.S.doc Version 5.2 Page 20 Staff training is progressing well with most staff having achieved NVQ level 2 in care or above. Kitchen and domestic staff have also completed an NVQ qualification. Other training has included dementia care, moving and handling, fire safety and first aid. The manager is waiting for a date to be confirmed for staff to attend training on the Mental Health Capacity Act. A full copy of each members of staff’s employment file is kept at the home in a secure location. The file for the last most recently recruited employee was looked and was complete containing a written application form, health details, medical questionnaire, 2 written references, a Criminal Records Bureau check, interview notes and other forms of identification. Also included was information that evidenced the member of staff had received a staff handbook, a copy of the grievance procedure, policies on whistle blowing and discipline, staff supervision notes and a staff induction booklet. Two other staff files were looked at and were found to be up to date. Staff confirmed that continued progress with training, supervision and the general day to day running of the home had been being made since the appoint of the manager. Woodlands Court Care Home DS0000067894.V365431.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 were assessed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Woodlands Court is well run by a qualified, suitably experienced and competent manager. Residents can be sure their best interests will be the central focus, with a positive and inclusive approach to making the service better. EVIDENCE: The home’s manager has a significant number of years experience in the care sector, this includes working as a Rehabilitation Coordinator for the elderly, experience as a home manger, including managing a dementia care unit and managing a care setting for people with learning disabilities. The manager is Woodlands Court Care Home DS0000067894.V365431.R01.S.doc Version 5.2 Page 22 an experienced NVQ assessor and has a B Tech in Management, NVQ level 2, 3 and 4 and is currently working toward the Registered Managers Award. The homes manager is committed to her training and that of her staff team and sees this an essential element to delivering good quality care for residents. The way in, which the home is managed and run is open and transparent. The manager operates an ‘open door’ policy so that she may be approached at any time by staff, residents or their families. This was observed during the inspection. The managers office is well organised as was that of the staff office on the ground floor where staff work to up date care plans etc. A good system is in place for continuous monitoring in the home, which includes; satisfaction questionnaires, newsletter, residents and staff meetings and regular audits. Monthly reports from a representative of the company were available on site as required. The homes policy and procedures and risk assessments are reviewed and updated on a regular basis. Some residents living at the home deal with their own finances, some residents have handed over that responsibility to their families. The manager, for some residents holds a small amount of money for safekeeping. This was checked and money is held separately and balance sheets of transactions are kept. Equipment and systems used in the home are serviced and maintained, and records were kept and accessible. Where possible the home’s handymen carry out repairs and maintenance, other service contracts were in place. Information provided on the returned AQAA indicated all the necessary servicing checks, for the gas, electric, hoists, fire systems were in place and valid certificates were seen to verify this as correct. Any accident, injuries or incidents that occur are suitable recorded and the CSCI informed as necessary. Woodlands Court Care Home DS0000067894.V365431.R01.S.doc Version 5.2 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 3 3 2 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 2 x x x x 3 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 Woodlands Court Care Home DS0000067894.V365431.R01.S.doc Version 5.2 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. 1. Refer to Standard OP19 Good Practice Recommendations To ensure environmental standards don’t fall below an acceptable standard for residents plans should be made to replace the corridor carpets, continue with the refurbishment of bedrooms and bathrooms throughout the home. To reduce the risk of cross infection, cloth towels and block soap should be removed from bathrooms and toilet cubicles. 2. OP26 Woodlands Court Care Home DS0000067894.V365431.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Woodlands Court Care Home DS0000067894.V365431.R01.S.doc Version 5.2 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. 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