Care Home: Woodrow Retirement Home Ltd

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What the care home does well Woodrow provides a comfortable environment in an attractive residential area of Torquay with some rooms making very large and attractive bed sitting accommodation. The proprietor has owned the home for many years and has completed additional training to receive the Registered manager`s award and NVQ level 4, which are specialised awards in the management of care homes. Food is of a high standard, with a four course home cooked lunch available each day. People spoken to were full of praise for the food, and several felt they had gained both weight and strength since living at the home. The home offers an informal and relaxed place to live> People feel the home is more like a retirement hotel or private house than a home. For people who are active and independent this can feel an attractive compromise between needing care and being able to maintain their chosen lifestyle. What has improved since the last inspection? The owner/manager has expanded upon the quality assurance questionnaires to provide a full quality assurance and quality control system for the home. Results of the report produced at the last cycle were shared with the people living at the home and changes made as a result. A good quality assurance system helps people living at the home have a say in the way the home is run, and helps the homes management identify what is working well at the home and how it could be improved. Physical restraint in the form of a stair gate is no longer being used to prevent a person leaving their room or the home. This is so that the home can meet the needs of all people living at the home in a way that does not deprive them of their rights. The registered person has considered the provision of increased activities and occupation, particularly with those residents who are becoming more physically or mentally frail. Some have been provided, however people living at the home have also indicated that they would like more to do. Regular electrical wiring and portable appliance checks have been arranged to ensure safety for people living and working at the home. Work has continued to develop the care plans to make sure they are a good reflection of the needs of each person, and how those needs are to be met. CARE HOMES FOR OLDER PEOPLE Woodrow Retirement Home Ltd Asheldon Road Wellswood Torquay Devon TQ1 2QN Lead Inspector Michelle Finniear Unannounced Inspection 8th May 2008 09:15 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 Woodrow Retirement Home Ltd DS0000059136.V363815.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. Woodrow Retirement Home Ltd DS0000059136.V363815.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Woodrow Retirement Home Ltd Address Asheldon Road Wellswood Torquay Devon TQ1 2QN 01803 213026 01803 213026 peter@woodrowtq1.fsnet.co.uk 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) Woodrow Retirement Home Ltd Mr Peter James Edwards Care Home 16 Category(ies) of Physical disability over 65 years of age (16) registration, with number of places Woodrow Retirement Home Ltd DS0000059136.V363815.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. That Peter James Edwards completes his Managers Award This condition has now been met. 6/6/07 Date of last inspection Brief Description of the Service: Woodrow care home offers accommodation with personal care to older people (60/65 ) and older people with physical disability. It is registered to provide a service for up to 16 residents both male and female. Accommodation is laid out over 2 levels with a stair lift connecting the ground and first floors. The home offers 14 single bedrooms, 12 of which have en suite facilities and 1 double en suite bedroom (which is currently being used as a single). There is also 1 communal assisted bathroom. In terms of communal space, the home has a dining room with small lounge area, a separate lounge/sun room and an attractive and accessible garden. The building itself is a large detached property located within walking distance of Wellswood village and a short bus ride from Torquay town centre with its range of shops and amenities. Fees range from £290.00 to £400 per week (2007). Inspection reports for the home are available on request. Woodrow Retirement Home Ltd DS0000059136.V363815.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 Star. This means the people who use this service experience good quality outcomes. This report reflects a summary of a cycle of Inspection activity at Woodrow since the last inspection visit to the home in June 2007. To help CSCI make decisions about the home the owner gave us information in writing about how the home is run. Documents submitted since the last inspection were examined along with the records of what was found at the last inspection; a site visit of 7 hours was carried out with no prior notice being given to the home as to the specific date and timing of the visit; discussions were held with the owner/manager and staff on duty. Various records were sampled, such as medication records and care plans; questionnaires were sent to staff that work at the home and the people who live there. A tour was made of the home and garden, and time was spent with the people who live at the home. This approach hopes to gather as much information about what the experience of living at the home is really like, and make sure that the views of the people living at home forms the basis of this report. What the service does well: Woodrow provides a comfortable environment in an attractive residential area of Torquay with some rooms making very large and attractive bed sitting accommodation. The proprietor has owned the home for many years and has completed additional training to receive the Registered manager’s award and NVQ level 4, which are specialised awards in the management of care homes. Food is of a high standard, with a four course home cooked lunch available each day. People spoken to were full of praise for the food, and several felt they had gained both weight and strength since living at the home. The home offers an informal and relaxed place to live People feel the home is more like a retirement hotel or private house than a home. For people who are active and independent this can feel an attractive compromise between needing care and being able to maintain their chosen lifestyle. Woodrow Retirement Home Ltd DS0000059136.V363815.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Risk assessments for health and safety issues at the home must be reviewed regularly to ensure they still apply and provide protection for staff and people living at the home. The registered person should continue to develop the provision of person centred activities and occupation. Regular electrical wiring and portable appliance checks should be undertaken to ensure safety for people living and working at the home. It is recommended that the home access training for staff in the Mental capacity Act, and update the training for staff about Safeguarding, where needed. Arrangements for supervision for each staff member should continue, so that each person receives formal documented supervision six times a year. Woodrow Retirement Home Ltd DS0000059136.V363815.R01.S.doc Version 5.2 Page 7 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. Woodrow Retirement Home Ltd DS0000059136.V363815.R01.S.doc Version 5.2 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 Woodrow Retirement Home Ltd DS0000059136.V363815.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5, 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Good information is available about the home, which helps people to make a decision about whether the home is the right place for them; full assessments are carried out to make sure the home can meet the persons needs before they are offered a place at Woodrow. EVIDENCE: The home has a statement of purpose and service user guide which is being regularly updated and is available to give to people thinking about moving to the home. It contains, in conjunction with the contract, information about what services are available at the home, how it is run and what peoples rights are when living there. This can help people make a decision about whether the home is the right place for them. Woodrow Retirement Home Ltd DS0000059136.V363815.R01.S.doc Version 5.2 Page 10 Files for four people living at Woodrow were seen on the site visit. This included the most recently admitted permanent person, as well as others who have been at the home for some time. The home has a system for assessing people wishing to move to Woodrow and this could be seen in the files. It has also been completed retrospectively for the people already at the home, to assist them in compiling new care plans based on these assessments of need. The form used is comprehensive, and enables the homes management to make a clear decision about whether Woodrow is the right placement for the person referred to them and whether they can meet their needs. People considering living at Woodrow are also encouraged to come and visit the home prior to making any decision. This would include if they wish an overnight stay and opportunity to have meals with the other people living at the home. Relatives or other supporters are also encouraged to visit, view any accommodation on offer and if wished help the person decide on items they wish to bring from their own home into Woodrow to help them settle quicker. Files contained information on visits that had been made. One seen included evidence that the owner/manager had visited the person in their own home with a social worker before they had visited the home. Each person living at the home has a contract, which gives them information about the services available at the home, the fees that are paid by them or on their behalf, and what they can expect in return. Completed contracts were seen , and most people who completed questionnaires confirmed they had received one. One persons file contained a letter from the placing authority commending the home on their admission process and how well they had helped someone feel at home. One person spoken to said they chose to come to Woodrow as “It felt just like home when I came in”. Woodrow does not cater for intermediate care. That means they do not provided specialist intensive programs of rehabilitation with a view to returning people to their own home. Woodrow Retirement Home Ltd DS0000059136.V363815.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 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. Care is being well planned and delivered. EVIDENCE: Care plans for four people living at the home were seen during the site visit. Since the last inspection plans have been considerably improved, and are much more ‘person centred’. This means that they are making the individual the focus of the plan rather than fitting the person into the service. The files also contained information, linked to the assessment, of what support people need to live their lives and how they wish this to be given. Good care plans mean that care can be given consistently and in the way the person wishes. Discussions held with staff demonstrated that they are clear about how the plans identify and support people’s needs. Discussions with one staff member about the care delivery given to an individual showed the plans were an accurate reflection of the persons needs and how the staff care for them. This Woodrow Retirement Home Ltd DS0000059136.V363815.R01.S.doc Version 5.2 Page 12 also reflected the person’s wishes on how they like their care to be delivered, and showed an intention to support the person to retain as many self care skills as they are able. Regular reviews are undertaken of the person’s plans, which include the involvement of relatives or other supporters where available. This helps to ensure that people’s wishes are identified and respected. Some information on individuals life histories has also been gathered, and discussions were held with the staff on duty on furthering this process. This is important as it helps carers understand the whole person they are working with, and choices people may make about their care. Risk assessments have been undertaken, including assessments of moving and handling needs and falls. This is important as it ensures that any undue risks associated with living at the home or choices people have made have been identified and are being addressed as far as possible. They also give clear instructions for staff on how people who need support with moving and handling are to be managed. This ensures that staff can work safely, consistently and in a way the person wishes. One person is unwilling to be hoisted and discussions were held on the management of this persons care. The home has recently been assessed for mobility aids and has provided grab rails, raised toilet frames and other equipment needed for people currently accommodated. The building has been risk assessed for hazards. The home has good links with external professional support services such as district nurses, doctors and other paramedical staff. Support is available from local Mental Health services. During the day a visiting dentist came to the premises to assess one persons needs, and evidence could be seen in peoples files of attendance at hospital clinics, including for pain relief. Visiting services help to ensure people who cannot go out are not disadvantaged or miss out on essential healthcare. District nurses visit the home to provide dressings and take regular blood samples. The home has first aid supplies available. The medication systems at the home were seen, and discussions held with a member of staff about the systems for management and administration. Systems are now well organised and medication is supplied in a blister pack system, which makes it easier for staff to administer medication safely. Information was available for medications where there are special dietary requirements associated. People who completed questionnaires about the home said: “My friend is encouraged and supported to do as much as she can herself and assisted sensitively where she needs help”. Woodrow Retirement Home Ltd DS0000059136.V363815.R01.S.doc Version 5.2 Page 13 “I continue to see my own doctor regularly regarding any change in medication. And assessing a pacemaker at Torbay Hospital. A dentist and eye checks are all arranged visits. General regular physiotherapy and chiropody at my own expense. “ “I am pleased with every aspect of the home and the care they give. Looks after the person as if they were at home. “ Woodrow Retirement Home Ltd DS0000059136.V363815.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, 15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Woodrow offers a relaxed environment for people who are active and able. Some people may benefit from additional stimulation, which is being developed. EVIDENCE: Woodrow at time of the inspection site visit was providing care to people with a wide range of needs, from those who were quite frail and in need of a lot of support both physically and mentally, to people who were practically independent and self caring. This presents a number of issues for both extremes of need. Many people who completed questionnaires felt that they would like more activities and this was matched in discussions on the day and also in the homes own quality assurance questionnaires circulated last year. However people have not been able to identify what additional services they would enjoy and the owner has struggled to find things they would enjoy. People are being taken out more frequently, and new garden furniture has been provided to encourage people to use the outside of the home more. The owner Woodrow Retirement Home Ltd DS0000059136.V363815.R01.S.doc Version 5.2 Page 15 confirmed that people are also now being accompanied to medical appointments. Several people spoken to commented on the fact that the home had few rules and regulations, and that people were free to come and go or entertain their friends as they wished. Comments in questionnaires included: “I am particularly impressed with the way Woodrow makes each resident feel it is their home to invite guests for private lunch for example” “I feel the residential home is of a high quality. The most important being it feels like arriving at a hotel or someones private home and not an institution.” “It is a small and well-established home without rules and regulations. It is homely and efficiently run, Very comfortable atmosphere. Having my own furniture helps tremendously. “ People are encouraged to maintain contacts with friends and relatives who visited throughout the day. Some people attend local clubs and have friends in regularly. Evidence was seen of people refusing care and making choices in their lives, which was being supported by staff. The meals are of a high quality with choice and variety. One person said “The owner is here daily and cooks and presents a nicely cooked lunch. Mine is on a tray as I cant cope with dining downstairs. Tea is served during the afternoon. Orders and special requests can be made for the evening meals. Drinks are available late evening and during the night if requested. I have gained two stone since admission 18 months ago. “ Other people said they had also gained weight and strength since being at the home. Vegetarian options are always available, and the evening meal is a free choice. Woodrow Retirement Home Ltd DS0000059136.V363815.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, 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a complaints procedure and good systems to help protect vulnerable people from abuse. EVIDENCE: No complaints have been made to CSCI about the home since the last inspection and the home itself has received no formal complaints, only a few concerns about environmental issues for example which are dealt with as soon as possible after they arise. People who completed questionnaires or who were spoken to knew how to complain and said they would feel free to do so. Staff at the home have received some training in protection of adults from abuse and further training in safeguarding is planned. Discussion was held on accessing training in the new Mental capacity Act for staff. Information is available on peoples rights and responsibilities with regard to the home on the contract. Woodrow Retirement Home Ltd DS0000059136.V363815.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, 20, 21, 22, 23, 24, 25, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Woodrow is a comfortable home that provides varied accommodation, some of which is very spacious, other rooms are smaller or have restricted outlooks. EVIDENCE: Woodrow is a period villa with attractive grounds and parking set in a residential area of Torquay. The home offers a number of single and double rooms; many en-suite and which have high ceilings and period features. Other rooms are much smaller and one has a restricted outlook. All of the rooms seen were clean and people living at the home confirmed that the home was kept clean and a pleasant place in which to live. Five rooms have been redecorated since the last inspection. Woodrow Retirement Home Ltd DS0000059136.V363815.R01.S.doc Version 5.2 Page 18 The home has a dining room with a small seating area and a sun lounge which is little used. The owner is still in negotiations about planning and design for a new lounge area, which will provide a more comfortable and accessible area for people to congregate. People’s room s were personalised and attractive. People have bought their own furniture into the home with them. The gardens are accessible and attractive. There is an accessible bathroom on the ground floor with a hoist. One person did not like using this bathroom and wished to bathe in another bathroom but this would have presented risks in terms of support and equipment required. An initial assessment has been made of the electrical and wiring systems and the owner is waiting for the contractor to return to undertake the work required. Portable applicant testing is due to be undertaken. These help to ensure the home is safe. The homes risk assessments have indicated that windows above the ground floor have restricted openings and that water temperatures at outlets are restricted to ensure people cannot be accidentally scaled. They also have provided covers to radiators to ensure people cannot come into contact with hot surfaces. Woodrow Retirement Home Ltd DS0000059136.V363815.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, 30.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staffing arrangements meet the needs of people living at the home. EVIDENCE: The owner/manager of Woodrow has continued with his formal education successfully completing qualifications in care up to NVQ level 4 and the Registered managers Award. This ensures that the manager has the knowledge and skills to inform staff and promote the health and safety of residents. In addition he has over 25 years experience in running the care home. The home has a core team of staff who had been employed at the home for many years. New staff have bought new skills and approaches to compliment this experience. When talking to staff it was clear that they had a detailed knowledge of the residents care needs and of residents likes and dislikes. Three staff files were selected for examination on this visit. Staff records showed that staff had continued to be trained in key areas such as first aid, manual handling and infection control, some delivered through a system of training DVD’s. Certificates showing the training staff had completed were included in staff files. Discussions with staff also indicated that they were just Woodrow Retirement Home Ltd DS0000059136.V363815.R01.S.doc Version 5.2 Page 20 awaiting funding to commence their NVQ 3. Approximately half of the staff at the home have at least an NVQ level 2. The staff files seen also included application forms, evidence of identity, police checks and references. Staff had also had a POVA First check taken up, which means that a check had been made on a list of people barred from working with potentially vulnerable people before they had any access to the people living at the home. The staff application form made clear that convictions are not ‘spent’ under the Rehabilitation of offenders Act for those working in care. This means that the home were making sure that staff employed in the home are suitable to be working with vulnerable people. People spoken to, including visitors and people living at the home praised the staff for their caring and organisational skills. The people who completed questionnaires wrote: “Staff are always on hand to answer any questions. We could not have found a better home “. “Staff are very courteous and sensitive in their manner. They make suggestions for improvements were appropriate and theyre very flexible. The staff seem very capable and polite and fun. “ Woodrow Retirement Home Ltd DS0000059136.V363815.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, 36, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is being well managed. Resident’s health, safety and welfare are promoted and protected. EVIDENCE: The owner/manager of Woodrow has successfully completed qualifications in care up to NVQ level 4 and the Registered managers Award. This ensures that he has the knowledge and skills to inform staff and promote the health and safety of residents. In addition he has over 25 years experience in running the care home. Woodrow Retirement Home Ltd DS0000059136.V363815.R01.S.doc Version 5.2 Page 22 Since the last inspection the home has implemented a cycle of the homes Quality assurance system, which has included a set of questionnaires being issued to people living at the home and other stakeholders. These help the home to understand how people experience the services they provide and identify where the home is working well and what could be improved. The home needs to start another cycle in the near future to ensure this is done annually. The results of the last serried were collated and shared with people living at the home at a meeting. The home manager has also been working on developing the homes supervision systems for staff. These help to ensure staff are working to their full potential and in a consistent fashion to support people living at the home. An appraisal has been undertaken of all staff earlier this year and another session has been held looking at competencies in a specific subject. The home is advised to develop individual sessions for staff to discuss their development and training needs. On the information provided Health and safety issues were being addressed, with some risk assessments for the environment and fire prevention. Arrangements were in place to make the home a safe place to live and work in, through for example making sure that information was available for staff about safe working practices, making sure that arrangements and training are in place to ensure people can be moved safely; first aid and food hygiene and infection control. However some of the risk assessments associated with these policies were out of date and needed to be reviewed to ensure they were still current. Woodrow Retirement Home Ltd DS0000059136.V363815.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 3 3 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 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 3 x 3 Woodrow Retirement Home Ltd DS0000059136.V363815.R01.S.doc Version 5.2 Page 24 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. 1. Standard OP38 Regulation 13 Requirement Risk assessments for health and safety issues at the home must be reviewed regularly to ensure they still apply and provide protection for staff and people living at the home. Timescale for action 30/06/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard OP12 OP38 Good Practice Recommendations The registered person should continue to develop the provision of person centred activities and occupation. Regular electrical wiring and portable appliance checks should be undertaken to ensure safety for people living and working at the home. It is recommended that the home access training for staff in the Mental capacity Act. And update the training in Safeguarding where needed. Arrangements for supervision for each staff member should continue, so that each person receives supervision DS0000059136.V363815.R01.S.doc Version 5.2 Page 25 3. 4. OP18 OP36 Woodrow Retirement Home Ltd six times a year. Woodrow Retirement Home Ltd DS0000059136.V363815.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. 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