Care Home: Wycar Leys The Mews Care Home

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What the care home does well People have good assessments and care plans in place which tell staff what care and support they need and how they like it to be given. Staff have good training and support so they can understand how best to help and support people, staff recruitment practices are effective in promoting the safety of people. People who use the service are supported to make their own choices in relation to daily activities and are supported to have an independent lifestyle. A consultation process is performed to provide people who use the service with the opportunity to contribute to developments within the home such as meal provision and social activities. People who use the service benefit from a safe, well-maintained environment, which is comfortable, clean and safe. The health, safety and welfare of people is promoted through effective routine maintenance. Medicine management promotes people`s safety and independence. Complaints, concerns and allegations are taken seriously and acted upon. What has improved since the last inspection? No areas of concern were highlighted at the previous inspection. CARE HOME ADULTS 18-65 Wycar Leys The Mews Care Home Kirklington Road Bilsthorpe Nottinghamshire NG22 8TT Lead Inspector Steve Keeling Unannounced Inspection 3rd July 2008 09:00 Wycar Leys The Mews Care Home DS0000048275.V367670.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Wycar Leys The Mews Care Home DS0000048275.V367670.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Wycar Leys The Mews Care Home DS0000048275.V367670.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wycar Leys The Mews Care Home Address Kirklington Road Bilsthorpe Nottinghamshire NG22 8TT 01623 871752 01623 871753 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) Wycar Leys Limited Vacant Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Wycar Leys The Mews Care Home DS0000048275.V367670.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd February 2007 Brief Description of the Service: The Mews is one of four homes, for people with a learning disability, on a site a short distance away from the village of Bilsthorpe. The village has facilities such as a take away, village shop, pub and church. The home runs independently to the others on site and has its own acting manager and staff team. The Mews provides accommodation for 10 young men. It has a large dining area, kitchen, and two lounges. There is a small enclosed forecourt and garden area which the people who use the service have spent time personalising. The Mews shares some facilities with the other homes; these include a central kitchen, laundry, transport and extensive grounds. All areas of the home are easily accessible to people who use the service. The weekly fees for living at the home are £1200 to £2591 Wycar Leys The Mews Care Home DS0000048275.V367670.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people and their views on the service provided and focuses on aspects of service provision that need further development. One inspector conducted the unannounced visit. The main method of inspection used was called ‘case tracking’ which involved selecting and looking at the quality of the care people receive by speaking to them, observation, reading their records and asking staff about their needs. The acting manager and one member of staff were spoken with as part of this visit. Documents were read as part of this visit and medication management was inspected to form an opinion about the health and safety of people at the home. A partial tour of the building was undertaken which included a sample of bedrooms to make sure that the environment is safe and homely. A review of all the information we have received about the home since the last inspection was considered in planning this visit and this helped decide what areas were looked at. A range of additional information was used to determine the outcome of this visit and included the six responses to ten “have your say” surveys, which were sent to people who use the service prior to the visit. Information provided by the registered provider within an Annual Quality Assurance Assessment was also utilised to inform the inspection process. The quality rating for this service is 2 star this means the people who use this service experience good quality outcomes. Wycar Leys The Mews Care Home DS0000048275.V367670.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Wycar Leys The Mews Care Home DS0000048275.V367670.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Wycar Leys The Mews Care Home DS0000048275.V367670.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The holistic needs of people are identified through effective pre admittance assessments thus ensuring the facilities and services at the home can meet identified needs. EVIDENCE: Information provided with the Annual Quality Assurance Assessment stated “the acting manager undertakes a full needs assessment to ensure information is gained about the people so that we can ensure that the move to our home is right for the person”. Preadmission assessments were contained with case tracked documentation which provided the opportunity to identify peoples needs which includes issues relating to equality and diversity such as age, gender and religion and sexual expression. The acting manager said that people who use the service are provided with the opportunity to visit the home before admission so they can determine the suitability of the home in meeting their needs. One person confirmed this and said “I came to see if it was OK, it is, I like it here, so I moved in”. Wycar Leys The Mews Care Home DS0000048275.V367670.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service are assured that their changing needs and aspirations are reflected in their support plan. People are supported to make their own choices, take risks and have an active independent lifestyle. EVIDENCE: The “have your say” surveys asked people “ do you receive the care and support you need”, 83 said “yes” with 17 stating “usually”. Comments received within the questionnaires included “staff always look after me and support me when I need it”. People spoken with confirmed that they are encouraged to take control of their lives and are encouraged to be as independent as possible whist being supported by a dedicated staff team. Wycar Leys The Mews Care Home DS0000048275.V367670.R01.S.doc Version 5.2 Page 10 Support plans are developed in consultation with people who use the service and are based on the needs assessments. Although all people have effective support plans in place, the format and content of the support plans is being reviewed by the acting manager in an attempt to make them more person centred. The acting manager said that it is expected that the revised care planning format be in place within the next three months. The acting manager stated, and people confirmed, that a “Key worker” system is in place. It is a responsibility of the key workers to review support plans with people who use the service to ensure support plans are up to date. It was recorded in support plans and people confirmed that they receive interventions from general practitioners, psychiatry services, podiatrists, social workers and opticians. Records also showed that people who use the service attend well men’s clinics on an annual basis. Wycar Leys The Mews Care Home DS0000048275.V367670.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who use the service can participate in a comprehensive range of social activities. People’s rights and responsibilities are upheld and they can maintain contact with their family and friends as they wish. A well-balanced menu is provided which is based on people’s preferences. EVIDENCE: The “have your say” surveys asked people, “are their activities arranged by the home that you can take part in”, 83 said “yes” with 17 stating “usually”. Information provided within the Annual Quality Assurance Assessment stated, Wycar Leys The Mews Care Home DS0000048275.V367670.R01.S.doc Version 5.2 Page 12 “The home gives people opportunities to have work and attend college placements, taking into consideration the individuals abilities, likes and dislikes. A variety of different age, peer and culturally appropriate activities are available taking account people’s abilities. Work placements take place in the community, therefore they interact with the general public and build positive relationships within the local community”. An activities rota showed and people confirmed that the educational activities take place. A person said he attended a local college and said he enjoyed the placement. Records also showed that varied social activities are made available, which include bowling, attending pubs, horse riding, swimming, visiting areas of local interest such as Rufford Park. Go-Karting facilities and a football pitch is also available at the home. In house entertainment systems are provided, such as wide screen televisions, music centre, DVD players and a computer system. In addition to the facilities above work has commenced on establishing a sensory garden, potting shed and a Polly Tunnel to make facilities available for people who use the service who have an interest in horticulture. The acting manager stated and people confirmed that they had recently been on a week’s holiday to a coastal resort in the United Kingdom, which they particularly enjoyed. People said they are actively supported to be as independent as possible. A person said “I help with the food and I help with cleaning in the home, and in my room which I like”. The acting manager said that an “open door policy” is encouraged at the home but friends and relatives of the people who use the service are encouraged to call the home prior to attendance to ensure people are available. People confirmed the open door policy and said that that support is given to maintain relationships with their family and friends at all times. The “have your say” surveys asked people “Do you like the meals at the home”, 33 said “always” with 33 stating “usually”, 16 stated sometimes and 16 stated never. We spoke to the person who said that he never enjoyed the meals. He stated that the meal provision has improved and he is now provided with a full vegetarian menu, which is his preference. The person also confirmed that drinks and snacks are readily available. People who use the service confirmed that their respect and dignity is always promoted and said that routines in the home are flexible and their choice is respected. We observed that interactions between the staff and people who use the service, they were very respectful, unrushed and considerate to the needs and wishes of the people who use the service. Wycar Leys The Mews Care Home DS0000048275.V367670.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s health and personal care support is of a good standard. Medicine management promotes the people’s safety and independence. EVIDENCE: The “have your say” surveys asked people “Do you receive the medical support you need”, 100 said “yes”. Information provided within the AQAA stated, “The home has extensive support plans that inform staff of the peoples needs and requirements when having their personal care attended to”. As stated earlier in the report we examined the care planning documents and they were effective in identify the needs and preferences of people. A person said that he is supported and helped to be independent, can take responsibility for his personal care needs, he said “I mostly wash and shower myself but staff will help if needed”. He said that when support is needed the Wycar Leys The Mews Care Home DS0000048275.V367670.R01.S.doc Version 5.2 Page 14 staff are responsive and his preferences are taken into consideration, he stated “staff at the home always respond quickly to my needs”. As mentioned earlier, support plans showed that people have access to healthcare services and have regular interventions from members of the multidisciplinary health team both within the home and the local community such as dentists, opticians and general practitioners. Information within the Annual Quality Assurance Assessment stated “ All our staff who give medication are trained to do so, completing a recognised medication course. There is also a written document in front of the medication administration records with the signature of people who use the service to demonstrate they have given permission for staff to administer medication to them”. Records were available to confirm the information. Staff induction documentation showed that the role of care staff in the management of medication is addressed. The acting manager stated and staff confirmed that that additional accredited training is provided, followed by early refresher courses on the subject. An examination of the staff training records showed that some staff have not received the yearly refreshers. Medication is stored in a secure environment to promote the peoples safety. Medication administration records were examined. The records had no gaps present and medication administration was recorded effectively. Wycar Leys The Mews Care Home DS0000048275.V367670.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are assured that their complaints, concerns and allegations are taken seriously and acted upon but the current process for recording and responding to complaints could compromise peoples confidentiality. EVIDENCE: The “have your say” surveys asked people “Do you know how to make a complaint”, 84 of the respondents said “yes”. The questionnaire also asked “do you know who to speak to if you are not happy” 100 of the respondents said “always”. A person People said, “I feel safe and very well looked after”. People said that should they have any concerns or complaints they would speak with the acting manager or a senor member of the care staff and felt confident that any issues would be addressed effectively. Information within the Annual Quality Assurance Assessment stated, “All the service users have a Service User Guide within their bedrooms. Within this guide is a complaints procedure, which gives the service user the information who to make a complaint to and the telephone number to do this”. The acting manager stated that a service users complaint, comment, concern book is maintained which is checked on a daily basis, and any entries are dealt Wycar Leys The Mews Care Home DS0000048275.V367670.R01.S.doc Version 5.2 Page 16 with immediately. An examination of the complaints book, which all people have access to, showed that complaints had been recorded and addressed but the peoples right to confidentiality could be compromised, as specific details relating to complaint could be seen by all people who use the service. The acting manager agreed that the current system of recording and responding to complaints could compromise people’s confidentiality and agreed to update the system accordingly. Information within the Annual Quality Assurance Assessment stated, “Staff within The Mews are all trained on the protection of vulnerable adults” An examination of the staff induction process showed that issues relating the safeguarding adults are included. Staff training records also showed that the majority of staff (70 ) has received additional accredited training in this area. To further promote the safety of people the revised Nottinghamshire Safeguarding Adults policy is available in the home, together with a whistle blowing policy, and staff confirmed that the policies are accessible at all times. The Commission for Social Care Inspection has received one anonymous complaint relating to the service provision at the home since the last unannounced inspection. As the complainant did not provide enough information to the Commission it was not forwarded to the acting manager for investigation. No Safeguarding Adults referrals have been made since the last unannounced inspection was performed. People who use the service are encouraged to manage their own financial affairs when possible. Secure facilities are available for people to store small amounts of spending money and financial records showed that all transactions are recorded thus protecting people from financial abuse. Wycar Leys The Mews Care Home DS0000048275.V367670.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People benefit from a safe, well-maintained environment, which is comfortable, clean and safe. EVIDENCE: The “have your say” surveys asked people “is the home clean and fresh”, 66 of the respondents said “yes” and 36 said “usually”. Comments made within the questionnaire included “we have a cleaner, staff also help. I also do daily jobs to help out”. Information provided within the Annual Quality Assurance Assessment stated, “The service users live in a homely, comfortable and safe environment. The home has good quality furniture and fixtures and are maintained to a high standard. Service users bedrooms promote their own independence by being able to have a choice in their bedroom furniture and decoration and they can Wycar Leys The Mews Care Home DS0000048275.V367670.R01.S.doc Version 5.2 Page 18 personalise their room to their unique taste”. We asked a person who used the service if he was satisfied with the standard of cleanliness at the home, he said “Its cleaned daily, nice and clean, nice and tidy”. We also performed a partial inspection of the premises, which included people’s bedrooms, communal areas and the kitchen facility. All areas were very well maintained, clean and fresh. People’s bedrooms were homely, safe and personalised with many personal possessions such as family pictures, small items of furniture, a television, radio and posters. Staff confirmed that protective aprons and gloves were available in the bathroom areas and staff said that they are used at all times to promote infection control. Wycar Leys The Mews Care Home DS0000048275.V367670.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. People who use the service are supported by appropriately qualified staff and recruitment practices are effective in promoting the safety of people. EVIDENCE: The “have your say” surveys asked, “Is there anything else you would like to tell us”. Comments included, “ I would just like to say that staff really look after me” and “staff are always there whenever I need them, which is nice”. People who use the service said there are always enough staff on duty and staff are always available when I need them. A person who uses the service was asked if the staff are competent and confident in performing their duties, he said “yes”. Staff recruitment records, which are well maintained and stored securely, showed that members of staff only commence employment once Criminal Record Bureau (CRB) checks have been obtained, together with two Wycar Leys The Mews Care Home DS0000048275.V367670.R01.S.doc Version 5.2 Page 20 satisfactory references, thus promoting the safety and wellbeing of people who use the service. Information provided by the acting manager, within the Annual Quality Assurance Assessment showed that 100 of staff have, or are working towards an National Vocational Qualification (NVQ) level two and above in care to ensure a suitably qualified workforce is employed at the home. Staff records showed and staff confirmed that a staff-training programme is also provided in relation to food and nutrition, moving and handling, basic food hygiene, safeguarding adults, infection control, health and safety, control of substances hazardous to health (COSHH), diabetes and challenging behaviour. The acting manager stated that yearly training updates are provided. An examination of the staff training record showed that some staff have not received the planned updates. The acting manager stated that to address the shortfall all staff would receive the refresher courses within 8 weeks. Wycar Leys The Mews Care Home DS0000048275.V367670.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run and managed by a person who is fit to be in charge. People can contribute to developments within the home. The health, safety and welfare of people is promoted through effective routine maintenance. EVIDENCE: The acting manager has been in post since 28th April 2008 and is currently in the process of registering with CSCI. The acting manger has previous experience as a registered manager and has a National Vocational Qualification (NVQ) level 4 Registered Managers Award (RMA). Staff spoken with were very confident in the acting managers leadership and managerial skills and said “she is brilliant, problems can be discussed in confidence, very professional, I feel supported and valued”. Wycar Leys The Mews Care Home DS0000048275.V367670.R01.S.doc Version 5.2 Page 22 People expressed satisfaction in relation to the abilities of the acting manager and said “the manager is great, I feel very safe and well looked after, the staff are very nice”. The acting manager stated and records showed that a weekly and monthly quality assurance process is undertaken. Information provided within the Annual Quality Assurance Assessment in relation to quality auditing processes stated “The quality assurance document could be more extensive and require the managers to give more information”. The acting manager stated that the existing format is under review as it is currently a “tick list”. The acting manager provided a copy of the revised documentation and it was shown that it would be more descriptive and improve the quality of the auditing process. Information provided within the Annual Quality Assurance Assessment stated “policies and procedures are available in the manager’s office and in the team leaders office and that the policies and procedures are reviewed appropriately. Staff confirmed that the policies could be assessed at any time for reference and guidance which they find useful. The acting manager said and people who use the service confirmed that meetings are performed on a monthly basis and people are encouraged to contribute to the agenda so they can influence service provision at the home. Information provided within the AQAA showed that peoples health, safety and wellbeing is promoted by the provision of effective routine maintenance. Wycar Leys The Mews Care Home DS0000048275.V367670.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 Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 4 13 4 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Wycar Leys The Mews Care Home DS0000048275.V367670.R01.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA22 Regulation 17 Requirement To promote the health and well being of people the registered person must ensure that personal information relating to complaints is filed securely in line with the Data Protection Act 1998. Timescale for action 31/08/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Wycar Leys The Mews Care Home DS0000048275.V367670.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection East Midland Regional Office Unit 7 Interchange 25 Business Park Bostocks Lane Nottingham NG10 5QG 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 Wycar Leys The Mews Care Home DS0000048275.V367670.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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