Care Home: Wyvern Lodge

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What the care home does well The service provides an excellent level of support and development opportunities for residents with mental health needs. The service fulfils its aims and objectives to very high standard .The aims of the service are to provide rehabilitation and support for the residents who live there. There is also the aim that residents will eventually move on to more independent living. Residents live in very well run home and they are very well supported with their needs when they stay there. The manager is very creative in her style and consistently looks for ways to improve standards even further. One resident said of the service, ` yes it is really good here `. Care plans are detailed and informative and show well how residents are supported while they stay at the home. Residents are really well encouraged to be a part of the running of the home, for example residents are involved in staff recruitment.Staff do a good range of training in subjects that are relevant to the needs of the residents. There are really good systems in place for monitoring the quality of the care and the overall service. What has improved since the last inspection? The home has ensured that recruitment procedures are more robust. The home has addressed issues in relation to the management of medicines. What the care home could do better: Ensure the resident identified at the inspection has a risk assessment in place to support them with their full range of needs. CARE HOME ADULTS 18-65 Wyvern Lodge 89 Drove Road Weston Super Mare North Somerset BS23 3NX Lead Inspector Melanie Edwards Unannounced Inspection 20th January 2009 10:00 Wyvern Lodge DS0000020374.V373874.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 Wyvern Lodge DS0000020374.V373874.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. Wyvern Lodge DS0000020374.V373874.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Wyvern Lodge Address 89 Drove Road Weston Super Mare North Somerset BS23 3NX 01934 612416 01934 612416 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) admin@aspectsandmilestones.org.uk Aspects and Milestones Trust Mrs. Elizabeth Anne Hendry Mrs. Angela Olive Sankey Care Home 8 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (8) of places Wyvern Lodge DS0000020374.V373874.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 8 Adult Patients with Mental Disorder excluding those detained under Mental Health Act 1983 Staffing Notice dated 13/09/1999 applies Manager must be a RN on parts 3 or 13 of the NMC register Date of last inspection 15th March 2007 Brief Description of the Service: Wyvern Lodge is a community home for eight people with enduring mental health problems. The home adopts a psycho/social approach, which includes helping service users to maintain and develop independence, well-being and meaningful integration into the community. The home is close to local amenities and a short walk from the main town centre and beach. Wyvern Lodge has eight single bedrooms with one bedroom located on the ground floor. There is a communal lounge that is designated as non-smoking, a large dining room and a large conservatory that is identified as the smoking area. There are two communal bathrooms, one located on each floor. There is a domestic style kitchen and laundry facilities. The home also has a rear garden. Aspects and Milestones Trust owns the property. The Registered Manager is Mrs. Elizabeth Hendry. The fees to stay at the home range from around £360 to £480 pounds a week. Wyvern Lodge DS0000020374.V373874.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 stars. This means the people who use this service experience excellent quality outcomes. We met three of the residents staying at the home. We met the assistant team leader; three support workers and the deputy manager. We talked with them about roles, responsibilities, training needs, and how they help and support residents. We saw staff talking with and supporting residents. We looked at a selection of records relating to the running and management of the home. These included the statement of purpose, the service users guide, a care plan, an assessment record, training records, staff duty records, staff employment files, quality assurance information, accident records, fire records and menu plans. We saw the entire environment. The home was operating within the required conditions of registration set down by us. The conditions of registration detail the type of care and the needs of service users and the numbers of service users who may stay at the home. What the service does well: The service provides an excellent level of support and development opportunities for residents with mental health needs. The service fulfils its aims and objectives to very high standard .The aims of the service are to provide rehabilitation and support for the residents who live there. There is also the aim that residents will eventually move on to more independent living. Residents live in very well run home and they are very well supported with their needs when they stay there. The manager is very creative in her style and consistently looks for ways to improve standards even further. One resident said of the service, ` yes it is really good here ’. Care plans are detailed and informative and show well how residents are supported while they stay at the home. Residents are really well encouraged to be a part of the running of the home, for example residents are involved in staff recruitment. Wyvern Lodge DS0000020374.V373874.R01.S.doc Version 5.2 Page 6 Staff do a good range of training in subjects that are relevant to the needs of the residents. There are really good systems in place for monitoring the quality of the care and the overall service. 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. Wyvern Lodge DS0000020374.V373874.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 Wyvern Lodge DS0000020374.V373874.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): 1,2.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ assessed needs are well met. Residents and their representatives have the information they need to make an informed choice about the home. EVIDENCE: As was applicable at the last inspection and we have quoted this from the last inspection report: ‘ Wyvern Lodge has a clear and concise statement of purpose and service user guide and both documents have been recently reviewed and updated. Both documents contain the information for service users to make an informed decision’. We noticed that copies of both documents are kept for residents to read in the lounge. We also saw that all residents get their own copies of the service users guide. The home has copies of the service users guide that can be downloaded from a computer. This will be sent to people if they need it. There is also a briefer version of the service users guide available for all visitors who may wish to see it. Wyvern Lodge DS0000020374.V373874.R01.S.doc Version 5.2 Page 9 Aspects and Milestones Trust have their own website and there is information on it about Wyvern Lodge. To find out how well new residents needs are assessed one assessment record was read. We read a very informative assessment about the person’s physical, mental health and social needs. In the assessment was information about the likes and dislikes of the person and their preferred choice of social and therapeutic activities. We saw good written evidence that assessment records are regularly evaluated and updated. This helps to demonstrate residents’ needs are monitored and reviewed. We also saw written evidence that residents are really well involved in the assessment and care planning process. This show how residents are being well supported to make their own decisions about the type of support they may need. Wyvern Lodge DS0000020374.V373874.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9.Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ range of needs are generally being well assessed. Care plans show very well how residents’ needs are met. Residents are very well supported to make decisions and to take risks in their daily lives. EVIDENCE: One resident told us the staff are ‘good’ and they are ‘helpful’. Another resident told us the staff help them with the cleaning. Resident’s comments demonstrated to us that they feel well supported by staff in their daily lives. We observed the staff on duty talk to the residents in a sensitive and calm manner. Wyvern Lodge DS0000020374.V373874.R01.S.doc Version 5.2 Page 11 To see how well residents are being supported with their needs one care plan was read. We saw a detailed personal care plan written with the involvement of the resident concerned. This gave us good information about their personal history and information about their physical and mental health history and information about the person’s family and friends. There was also an informative plan of care to address the person’s physical, mental, and social, needs. The care plan clearly set out what the person’s needs and wishes are and how to support them. We could see that the information in the care plan aimed to promote the persons independence. We also saw good evidence that the care plan had been evaluated and updated on a regular basis. We saw detailed information included in the care plan that was read about the potential risks the person may face, and any risks from particular activities that they take part in .The care plan set out the preferred approaches staff should take and was helpful and informative. However we noticed that there was one area of the person’s life where they need extra support at this time. We advised that there should be a risk assessment in place setting out how to help, as well as how to keep the person feeling safe. We saw residents go out with staff for a range of social and therapeutic activities. This is good evidence of how residents are well supported to take risks in their daily lives. We saw information in resident’s daily records that showed staff aim to support them to maintain their independence in their daily living. Residents told us they get up when they want to during the morning. This helps to demonstrate how their choices and different preferences are respected. We also observed residents rising at different times during the morning. Wyvern Lodge DS0000020374.V373874.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. As was also applicable at the last inspection: The home provides opportunities for residents to pursue personal development and to gain meaningful occupation. Wyvern Lodge encourages and supports residents to be part of the local community, and engage in appropriate leisure activities. Residents’ rights are respected in all aspects of daily living. Privacy, dignity and respect is promoted. Residents are involved in the choices of menus and a healthy diet is promoted. EVIDENCE: Wyvern Lodge DS0000020374.V373874.R01.S.doc Version 5.2 Page 13 We have quoted parts of this section of the report from the last key inspection as the excellent outcomes found then still apply: ‘ Wyvern Lodge encourages and supports residents really well in their personal development with courses at the college and training centres and part time jobs, or voluntary posts to enable them to return to the working world. We were told that residents are still working in the ‘Helping Hands Project’. The project is a small property management business organised by the residents where they receive paid employment within the organisation. This is agreed within benefit constraints. Other residents attend college on a regular basis. Residents told us that they go to a variety of leisure and social facilities including the sports centre and cinema and local community based facilities such as shops and the post office. Residents told us they can they pursue their own hobbies and interests while at the home. We saw photos in the hallways of recent holidays and social events that residents had taken part in. We were told by staff and by residents that the home encourages contact with family and friends. Some residents see their relatives on a very regular basis ’. We were told by the residents we met (and we also observed this) that staff are very respectful and polite. We saw staff knock on resident’s bedroom doors before being invited Residents can have their own key to their bedroom if they want to, to give them more privacy. Residents and staff are involved in housekeeping tasks. We saw one resident and member of staff go to the supermarket to do the weekly food shop We saw rotas in the kitchen confirming this. We also saw residents doing household tasks. The residents we met told us the food in the home is good. Residents told us how they are fully involved in the development of the menus. Snack lunches are generally chosen and cooked by the residents. Residents are supported to cook and prepare their own meals. Based on our discussions with staff and the information we saw in care plans we could see that the home encourages healthy eating. The residents are encouraged to obtain their food hygiene certificates. We were made a bacon sandwich for lunch by one of the residents. This was really appreciated and was very tasty. Wyvern Lodge DS0000020374.V373874.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive personal support in the way they prefer. Residents are well supported with their health care needs by external health care professionals. Residents are well supported in the handling and administering of their medication. EVIDENCE: To support residents with their health needs they can use local GP practices There is also specialist support provided from other external professionals including the psychiatrists, dietician and if needed the community mental health nurses. We saw information written in the care records about the preferred day-to-day routine of the residents and particular likes and dislikes. This helps ensure residents’ needs are met in the way that is preferred by them. Wyvern Lodge DS0000020374.V373874.R01.S.doc Version 5.2 Page 15 There was information in the daily records that staff monitor and observe the health of residents and would call the doctor, if they were concerned about the person. We saw residents go to the GP during the inspection with the support of staff. We checked the procedures for administration, storage and disposal of medication to see if service users medication is handled safely. We looked at the medication administration charts of three residents. The staff who administer medication do regular training to enable them to do this safely. The stock of medication we saw was satisfactorily organised. The medication administration chart was legible, up to date, and contained the signature of the dispensing member of staff. This demonstrates the service users medication is given to them safely. As was applicable at the last inspection and we have quoted here as these really good outcomes still apply: ‘The policy for the receipt, storage and administration of medication includes a very detailed and concise procedure for self-medication, involving a structured risk assessment agreed with the service user. Residents are assessed for competence and progress through different stages as identified in their care plans; residents receive differing levels of observation and support as they progress through the stages ’. Wyvern Lodge DS0000020374.V373874.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23, Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are very well supported to make complaints about the service. Residents are protected by systems in place to them from abuse. EVIDENCE: We were told by the residents we met that they talk to the staff if they need to. All of the residents have their own copy of the homes complaints procedure and this has our up to date contact information as well, if people need to get in touch with us. We saw the minutes of residents meetings that are run by the residents themselves. The meetings are a way residents can raise any concerns they may have. This is an excellent example of how residents take control in their lives and can make complaints if they need to. The staff we met conveyed a good understanding of the importance of respecting residents’ views if they are unhappy about any aspect of the service. We saw the complaints log book and we could see there had been no complaints made since before the last inspection. Wyvern Lodge DS0000020374.V373874.R01.S.doc Version 5.2 Page 17 We saw procedures and guidance information on the topic of ‘the protection of vulnerable adults from abuse’. This helps to protect vulnerable adults who live at the home. We were told by staff on duty that they have attended recent update training on the subject of the ‘ protection of vulnerable adults’. Wyvern Lodge DS0000020374.V373874.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,28,30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a home that is suitable for their needs and lifestyles. EVIDENCE: Wyvern Lodge is a purpose built house in a residential area, a short distance from the main town part of Weston super mare. The home is near to bus stops, a train station, shops, pubs, churches and a library. This means residents can be part of the community if they so wish. The home is a two-storey building, and people have access to all areas on each floor. The home looked clean, tidy and satisfactorily maintained in all areas that we saw. Wyvern Lodge DS0000020374.V373874.R01.S.doc Version 5.2 Page 19 Two residents kindly showed us their bedrooms. The bedrooms looked clean, tidy and satisfactorily maintained. All bedrooms are for single use. We saw that rooms had been decorated in different colours. Residents had their personal possessions in their rooms. There is also a hand washbasin in each bedroom We saw residents looking really relaxed and comfortable in the home. We saw residents sitting at the dining room and in the lounge talking together with the staff. There are bathrooms and toilets near to communal areas and bedrooms. We saw that the bathrooms and toilets were clean, and well stocked with towels and soap to help minimize risk from cross infection. The home has a garden that looked satisfactorily maintained. We saw seats and an area where people can sit and walk. The building is wheelchair accessible. Wyvern Lodge DS0000020374.V373874.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are enough competent, qualified and well supervised staff to support the residents. EVIDENCE: We looked at the staff duty record for three weeks of January to check the numbers of staff on duty to support residents. There are usually two to three staff on duty for a day shift and two staff members at night. One of the staff at night does a ‘sleep in shift’ and the other person does a waking night duty. There are senior staff, the deputy manager and the registered manager Mrs. Hendry on duty most days as well. Based on our inspection evidence the number of staff on duty are meeting residents needs. We looked at staff employment files of three care staff. We saw two written professional references taken up for all new staff prior to offering work at the Home. All staff must do a Criminal Records Bureau check before starting Wyvern Lodge DS0000020374.V373874.R01.S.doc Version 5.2 Page 21 employment. These checks are a good way to make sure the home employs only suitable people to work with residents. We checked the training records of three staff to find out if the staff do good training to help them to care for residents and to understand their needs better. We saw evidence that demonstrated staff have done training sessions, and updating over the last twelve months. The staff also told us about a training course run by Mrs. Hendry .The course takes place over an eight week period and is aimed at giving staff a good understanding of a range of mental health needs and issues. This means staff gain a better understanding of residents needs and how to help them. We met three staff who told us they have done National Vocational Qualification in care awards. There is also a significant number of the team who have either completed National Vocational Qualifications or are working towards completing them. Wyvern Lodge DS0000020374.V373874.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is very well run and is run for residents benefit. There is an open and approachable management style in the home. Residents’ benefit as the home has very good quality assurance and quality monitoring systems. Residents’ health and safety is really well protected. EVIDENCE: This part of the report has been quoted from the last report as the really good information about Mrs. Hendry still applies: ‘ Mrs. Hendry is a qualified Registered Mental Nurse and has achieved the Registered Managers Award. Wyvern Lodge DS0000020374.V373874.R01.S.doc Version 5.2 Page 23 Mrs. Hendry has also obtained A1 Assessors Award and has undertaken Care Ambassadors Training. We were told by people in the home some very positive comments about her style of management and leadership ’. Mrs. Hendry also has a commitment to training ,as we mentioned in the last section of the report .We were told by staff that the eight week training course in understanding Mental health that she devised has now been taken up by the Trust and will be used in other homes that it runs. As already mentioned residents run their own house meetings and set their own agenda. Residents are also involved in the recruitment of new staff in the home. These are really good examples of the open management approach in the home. The home has its own systems for monitoring the quality of the care and the service that residents receive. We saw the information that had been obtained from a recent in house quality monitoring exercise carried out by Mrs. Hendry. We could see that residents are really well consulted about a very varied range of matters to do with the home .We also saw that Mrs. Hendry had written an action plan and set out how she would address the matters that had arisen from this consolation exercise with residents. The environment looked safe and satisfactorily maintained in all areas viewed. The staff and some of the residents do regular training food safety. This is a really good way for residents and staff to prepare and cook food in a safe way The staff also do training in health and safety matters including first aid, and moving and handling practices. This should help protect residents if staff are knowledgeable and well trained in health and safety principles and practices. We saw records that showed staff check the temperatures of all high-risk cooked food before it is served to people to make sure it is hot enough and safe to eat. One of the residents we met told us that they had recently done food hygiene training. They told us the correct temperature that foods should be cooked too before serving. The fire logbook record was checked and showed the required weekly and monthly tests of the fire alarms and the fire fighting equipment were being carried out and were up to date. Wyvern Lodge DS0000020374.V373874.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 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 4 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 3 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 3 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 4 X X 4 3 Version 5.2 Page 25 3 3 3 X Wyvern Lodge DS0000020374.V373874.R01.S.doc NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA9 Good Practice Recommendations There should be a risk assessment in place to support one of the residents with their full range of needs. Wyvern Lodge DS0000020374.V373874.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Wyvern Lodge DS0000020374.V373874.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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