Inspection on 27/02/08 for 64 Farlington Road

This inspection was carried out on 27th February 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

64 Farlington Road 19/08/08

64 Farlington Road 05/09/07

64 Farlington Road 15/02/07

64 Farlington Road 16/10/06

64 Farlington Road 18/11/05

64 Farlington Road 02/06/05

64 Farlington Road 05/10/04

64 Farlington Road 21/05/04

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 64 Farlington Road North End Portsmouth Hampshire PO2 7HU Lead Inspector Janet Ktomi Unannounced Inspection 27th February 2008 13.00 64 Farlington Road DS0000011686.V356949.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 64 Farlington Road DS0000011686.V356949.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. 64 Farlington Road DS0000011686.V356949.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 64 Farlington Road Address North End Portsmouth Hampshire PO2 7HU 023 9243 1941 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) Independent Care (Portsmouth) Limited Mrs Linda Janice Rosa Walsh Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 64 Farlington Road DS0000011686.V356949.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users in the category LD are only to be admitted between the age of 20 and 45 years 5th September 2007 Date of last inspection Brief Description of the Service: 64 Farlington Road is a residential home providing care, support and accommodation for up to three younger adults with learning disabilities. The home is one of a terrace of ordinary family style houses, situated in a residential area of Portsmouth. There is a public house and some local shops close to the home, and a shopping centre, which includes a cinema, approximately a mile away. The three single bedrooms for residents, each with a lockable door, are sited on the first floor. Bedrooms do not have wash hand basins. However, a communal shower room with WC and wash hand basin is close by. The home is centrally heated and windows are double-glazed. Communal areas comprise a thru-lounge and separate kitchen/dining area. There is a small garden to the rear of the property to which the residents have access. The home is owned by Independent care (Portsmouth) Limited and managed by registered manager Mrs Linda Walsh. The home’s fees from April 2008 are £750.00 per week. 64 Farlington Road DS0000011686.V356949.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report contains information gained prior to and during an unannounced visit to the home undertaken on the 27th February 2008. All core standards and a number of additional standards were assessed. Compliance with the nine requirements made following the previous inspection was also assessed. The visit to the home was undertaken by one inspector and lasted approximately five hours commencing at 1pm and being completed at 6 p.m. The inspector was able to spend time with the registered manager and staff on duty and was provided with free access to all communal areas of the home, documentation requested and people who live at the home. Information from the Annual Quality Assurance Assessment (AQAA) completed by the registered manager prior to the previous inspection in September 2007 is also considered. Following the previous inspection the home was required to complete an improvement plan. This was received shortly before the inspection visit and information from this, and supplemental information provided by the provider is also considered. Prior to the visit to the home the inspector spoke by telephone to care managers and a relative of one person living at the home. During the visit to the home the inspector was able to meet with and talk to the people who live at the home. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. What the service does well: People living at the home said they are happy and staff stated they enjoy working at the home. It is clear that there is considerable warmth between the people who live at the home and the staff. People are comfortable in approaching the staff and manager and freely converse with them. Staff have a good understanding of the people who live at the home and are sensitive to their individual needs. Care managers and relatives are happy with the way the home meets people’s needs. 64 Farlington Road DS0000011686.V356949.R01.S.doc Version 5.2 Page 6 A varied nutritious diet is provided. Fresh fruit is available in a bowl in the dining room which people stated they could help themselves to at any time. Sufficient numbers of staff are on duty with two at any time except at night when one person ‘sleeps in’. All staff have been appropriately recruited. People who live at the home are fully involved in decision-making and their views are sought on a day-to-day basis. The home is well maintained and clean. What has improved since the last inspection? What they could do better: Two requirements were made following this inspection visit. The home keeps sharp kitchen knives in a locked drawer in the office. The home must ensure that when knives are being carried from the office to the kitchen they are transported in a suitable container to reduce the risk of injury to staff, visitors or people who live at the home. 64 Farlington Road DS0000011686.V356949.R01.S.doc Version 5.2 Page 7 The home must ensure that the issues identified on the electrical wiring check undertaken in December 2006 have been rectified and a new certificate received stating that the wiring is now satisfactory. It is also recommended that: The manager should discuss with the care manager of the person who she is appointee for, to identify if this role may be transferred to someone who is not connected to the home. The activities record in the care plans should also include activities people have undertaken in the home such as craft activities and following personal leisure pursuits. 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. 64 Farlington Road DS0000011686.V356949.R01.S.doc Version 5.2 Page 8 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 64 Farlington Road DS0000011686.V356949.R01.S.doc Version 5.2 Page 9 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 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a statement of purpose and service users guide which would provide prospective people with the information they need to make an informed choice about where to live. The home would only admit people whose needs it can meet and people already living at the home would be consulted. EVIDENCE: Following the previous inspection the home was required to update the statement of purpose and service users guide to include details of the current staff and the homes fees. During the unannounced visit to the home the inspector was shown the updated statement of purpose and service users guide. These were both seen to contain detailed information about staff employed at the home including information about staff training and experience. Information about the fees from April 2008 is included in the updated information. This requirement has 64 Farlington Road DS0000011686.V356949.R01.S.doc Version 5.2 Page 10 therefore been met. Relatives stated that they are given information about the home. At the time of the unannounced inspection visit the home had no vacancies and the people living at the home had done so for the past eight years. There is an admission procedure and criteria in the statement of purpose for the home to follow should there be any vacancies and subsequent new admissions to the home. The registered manager stated that any new admissions would be invited to visit the home, stay for weekends and that the views of the people already living at the home would be an important consideration in the decision making process about new admissions. 64 Farlington Road DS0000011686.V356949.R01.S.doc Version 5.2 Page 11 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, 8 and 9. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is in the process of renewing care plans and risk assessments. People are consulted about day-to-day decisions and are encouraged to participate in all aspects of life in the home. EVIDENCE: The home is in the process of renewing the care plans and risk/management plans for the three people who live at the home. One completed care plan was seen and a second, which is partly completed, was also seen. The third plan has yet to be commenced. The completed care plan was of a good standard and included relevant information from care managers. Discussions with the persons care manager confirmed that the care manager had been included in preparing management guidelines to address a risk related to the person. Discussions with the persons whose care plan it was confirmed that she had been included in writing the care plan and risk assessments and had signed the care plan. The new care plan is sufficiently detailed that should agency staff be 64 Farlington Road DS0000011686.V356949.R01.S.doc Version 5.2 Page 12 required they would have all the necessary information to ensure the person’s needs would be met. The partially completed care plan is for a person with complex needs and some elements of the plan required further work. This was discussed during the inspection and the provider and staff were aware that it was not yet of the same standard as the first plan. The inspector did not view the third persons care plan and risk assessments as the provider stated that this was still in the old format and work had not commenced on updating this plan. A requirement is not made in respect of the outstanding work on care plans and risk assessments as the home is clearly in the process of undertaking this piece of work and if the remaining two care plans are completed to the standard of the one seen these will meet the required standard. Care plans and risk assessments will be assessed on the next inspection visit. Following the previous inspection a requirement was made that ‘where limitations are placed on a residents right to make decisions or undertake basic tasks an assessment must be carried out and recorded, with guidelines and strategies drawn up following advice from specialist healthcare professionals’. Information within the partly completed care plan viewed, and new equipment installed in the shower room indicates that the issues this related too have been addressed. Information about the support people require in respect of their personal finances was seen within the new completed care plan. The arrangements and records in respect of people’s personal money were seen and are appropriate. The manager is the appointee for one person and she is recommended to discuss this with the persons care manager as social services departments should provide an appointee for people who have no family member able to fulfil this role. Care plans detail domestic daily routines such as helping with housework, which helps people to maintain and develop daily living skills, personal relationships, health care needs and diet. People confirmed that they are involved in domestic routines in the home and choose the menus. Discussions with care staff and people who live at the home and observations of interactions throughout the inspection visit indicated that people who live at the home are consulted about day-to-day events in the home. Relatives confirmed that people are able to choose how they spend their time. Within daily recordings it was included when people had chosen not to go on a planned outing. Surveys have been used to obtain peoples views about life in the home and there are meetings within the home to discuss matters relating to the home. 64 Farlington Road DS0000011686.V356949.R01.S.doc Version 5.2 Page 13 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): 11, 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. The service has a commitment to enabling people who live at the home to develop or maintain their skills, including social, emotional, communication and independent living skills. A nutritious and balanced diet is provided. EVIDENCE: Within care plans the inspector saw records of weekly routines and a record of outings undertaken. Each person attends daytime activities including occupational work schemes, day services and college courses aimed at developing independent living. This was confirmed from discussions with the people who live at the home and staff as well as from records seen. Relatives also stated that people enjoy an active lifestyle. Records show that people are able to exercise choice in how they spend their time but that staff try to sensitively motivate people to have an active lifestyle. 64 Farlington Road DS0000011686.V356949.R01.S.doc Version 5.2 Page 14 The activities record within care plans was seen to only list outings and activities undertaken outside the home. This was discussed with the manager and staff on duty. It is recommended that the activities list also includes activities people have undertaken in the home such as craft activities and following personal leisure pursuits. The home provides two staff on duty throughout the day and evening until 10pm. This ensures that sufficient staff are available to support people on a one to one basis to follow their own leisure interests. One person likes to go out on his own. People have opportunities for developing personal relationships at organised social events such as Gateway Club and the home supports people with this. Family contacts are maintained with people visiting their families at weekends. One person who lives at the home has a pet cat. The manager has requested an occupational therapist referral from the community team in respect of activities and one person who prefers to spend the majority of time alone in the bedroom. The homes menu plan is displayed in the kitchen. This shows a varied and nutritious diet. Staff are aware of peoples likes and dislikes and supports one person to make appropriate decisions about food and their individual health needs. People stated that they decide what is included on the menu and that they can help with the shopping and cooking if they wish. Fresh fruit is freely available and people confirmed they help themselves to this and drinks as and when they want it. Each persons weight is monitored. 64 Farlington Road DS0000011686.V356949.R01.S.doc Version 5.2 Page 15 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 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People receive personal and healthcare support in the way they prefer and medication is appropriately managed in the home. EVIDENCE: Discussions with staff, people who live at the home and records show that people are supported, normally with prompts, with their personal care. Relatives and care managers stated that they felt people’s personal care needs are met. Since the previous inspection the home has addressed an issue in relation to one person which was affecting everyone’s access to specific facilities within the home. The home has provided additional equipment to address this need to everyone’s benefit. Records show that the home liaises with the relevant health services for specialist advice and treatment. These show that regular eyesight and dental checks take place as well as appointments with general practioners. One person has recently been diagnosed with a potential health need and the 64 Farlington Road DS0000011686.V356949.R01.S.doc Version 5.2 Page 16 manager and staff are supporting this person to understand the implications this has and how these may be minimised. Discussions with the person were overheard and the person was able to explain this to the inspector. The homes medication procedures were examined and show that staff have training in medication and that medication is stored and administered appropriately. Full records being maintained and seen to be fully completed at the time of the unannounced visit to the home. One person must carry medication with them at all times when out of the home and the arrangements in respect of this are appropriate. 64 Farlington Road DS0000011686.V356949.R01.S.doc Version 5.2 Page 17 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 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has an open culture, which allows people to express their views and concerns in a safe and understanding environment. People living at the home are protected from abuse, neglect and self-harm. EVIDENCE: The homes complaints procedure is contained in the Service Users Guide. Relatives stated that they know what to do if they have a complaint. People the inspector spoke with stated that they would tell staff if they had any problems or concerns and that they felt staff or the manager would sort anything out. The manager stated that there had not been any complaints and that a complaints book was available should there be any complaints. The home has a safeguarding policy and staff confirmed they had received training in safeguarding adults. Further staff training relevant to safeguarding is planned including challenging behaviour (March), protection from abuse and dementia care (April) and confidentiality and the data protection act in May 2008. People living at the home stated that they felt safe. The new completed care plan contained information about specific safeguarding issues and the partly completed care plan included information about the management of inappropriate behaviours. Care managers stated that the home was good at 64 Farlington Road DS0000011686.V356949.R01.S.doc Version 5.2 Page 18 managing people with individual needs whose behaviours might be challenging in other settings. The procedures for the management of people’s personal finances and staff recruitment should also protect people from the risk of abuse. 64 Farlington Road DS0000011686.V356949.R01.S.doc Version 5.2 Page 19 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. The home provides a clean environment that is appropriate to the people who live there. EVIDENCE: The home is situated in a residential area of Portsmouth within easy reach of local shops and public transport. The home is a family sized terraced house undistinguishable from others in the road. There is a communal lounge with comfortable seating and wide screen television, which has cable channels at no extra cost to the people who live at the home. The dining room floor has new linoleum however this has a number of small dents appearing under the floor covering. This should be monitored to ensure that it does not get worse and present a trip hazard. The kitchen is appropriately equipped and accessible to people at all times. The home has a reasonably sized enclosed rear garden, part patio and the rest laid to lawn. 64 Farlington Road DS0000011686.V356949.R01.S.doc Version 5.2 Page 20 The inspector did not view people’s bedrooms. The previous reports all state that people have their own bedrooms that have been individualised and contain personal items. People stated that they are able to choose to have a key for their bedroom doors. People stated they were happy with their bedrooms. The first floor bathroom has a shower (which has been re-grouted), washbasin and WC. A toilet paper dispenser has been fitted in the shower room. There is also a ground floor WC with washbasin. A utility room containing domestic style laundry machines is also provided. 64 Farlington Road DS0000011686.V356949.R01.S.doc Version 5.2 Page 21 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, 33, 34, 35 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides sufficient staff with the necessary skills to meet people’s needs. EVIDENCE: People who live at the home stated that the staff were nice and they liked them. The manager and staff were observed talking to the people who live at the home. It was clear that there is warmth between the staff/manager and the people who live at the home. People are comfortable in approaching the staff both in the communal areas and in the homes office. Two staff are on duty at any given time when people are in the home with one sleep in staff at night. The staff duty rota was seen and staff on duty at the time of the unannounced inspection corresponded to the duty rota. Discussions with staff indicated that they felt there were sufficient staff on duty and they were happy with the duty rotas they worked. Staff and the manager stated that care staff usually cover additional shifts necessitated by holiday or 64 Farlington Road DS0000011686.V356949.R01.S.doc Version 5.2 Page 22 sickness however on occasions agency staff may be used. In this case at least one permanent member of staff is on duty with the agency worker. There have been no new staff employed at the home since the previous inspection undertaken in September 2007. The inspection report following this inspection stated that recruitment and induction practises were appropriate and all the necessary pre-employment checks had been carried out. Staff confirmed that they have undertaken training and the inspector was provided with information about training planned for 2008. This included updates in mandatory and training specific to the people who live at the home. Training planned being:March 2008 infection control, manual handling, risk assessment and challenging behaviour. April 2008 protection from abuse and dementia care May 2008 basic first aid, confidentiality and the data protection act. The manager stated that training relevant to the health needs of the people who live at the home was to be arranged via community nurses including Aspergers syndrome, cardiac care, diabetes and stroke. Staff are also undertaking distance learning via a local college in medication. The home employs six permanent staff of whom one has an NVQ level 2, two have NVQ level 3 and two staff are undertaking NVQ level 3. Therefore once these staff have completed their NVQ level 3 only one member of staff will not have a care NVQ. The manager stated the staff member without an NVQ is considering a career change and has therefore not commenced their NVQ. The inspector spoke with this staff member who discussed their future plans. Care staff confirmed that they were undertaking their NVQ’s and that they were aware of planned training. Staff stated that they felt they had the necessary skills to meet people’s needs. Records and discussions with the staff and manager confirmed that each person has regular supervision and that staff appraisals have taken place. It was required following the previous inspection that the deputy manager was not receiving supervision and she confirmed that she is now receiving supervision with the inspector viewing records confirming this. 64 Farlington Road DS0000011686.V356949.R01.S.doc Version 5.2 Page 23 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 and 40 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The service is managed to a satisfactory standard with quality assurance work being undertaken to improve the quality of the service provided. The manager has not ensured that people, staff and visitors are safe and that kitchen knives are not carried through the home unless in a suitable container. The electrical wiring in the home is currently unsatisfactory and therefore, there is a potential risk to people living and working in the home according to information available. EVIDENCE: The homes manager has completed her Registered Managers Award and is currently studying to complete the NVQ level 4 in care. The manager stated that she anticipates completion by December 2008. Observations of the 64 Farlington Road DS0000011686.V356949.R01.S.doc Version 5.2 Page 24 manager during the inspection visit indicated that she has a good knowledge of the individual and complex needs of the people who live at the home. The manager acknowledged that paperwork is not her strongest point with information requested by the commission not always returned within the timescales required. The proprietor/manager has contracted with an external company to support the home with quality assurance and improving the service provided to people. Surveys have been sent to key stakeholders such as care managers, relatives, people who live in the home and members of the community team. On the day of the unannounced inspection completed surveys were received from two of the care managers for people living at the home. The deputy manager showed the inspector a file containing other completed surveys and explained that she will be analysing survey responses. The external company have also been undertaking monthly visits to the home and providing guidance and support in connection with the overall running of the home. A report is provided to the manager and these were shown to the inspector. These indicated that the home is continuing to address issues identified in previous reports and details work undertaken to meet the requirements made following the previous inspection in September 2007. Staff have received training in first aid, food hygiene and infection control. Records show that staff are trained in fire safety in the home. Smoke detectors are located throughout the home and records confirmed that they are tested each week. The inspector noticed that staff were carrying large kitchen knives around the home. Care staff explained that kitchen style chopping knives are kept locked in a drawer in the office and that when these are required in the kitchen they are unlocked carried to the kitchen, used, washed, dried and returned to the office. Knives are therefore carried from the kitchen, through the dining room and lounge along a hall past the foot of the stairs and into the office. This is a potentially dangerous procedure and the home must ensure that sharp items carried through the home are placed in a suitable container (eg metal box) for transportation. The inspector viewed certificates for gas and electrical services. The most recent electrical certificate was dated 06/12/06 and listed a number of concerns in respect of the wiring at the home with an overall rating of unsatisfactory. There was no evidence that these deficits had been corrected although the manager stated that she thought the landlord had sorted these out. The manager must ensure that these issues are corrected and that she has the necessary evidence to confirm this. 64 Farlington Road DS0000011686.V356949.R01.S.doc Version 5.2 Page 25 64 Farlington Road DS0000011686.V356949.R01.S.doc Version 5.2 Page 26 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 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 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 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 3 2 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 3 X X 2 X 64 Farlington Road DS0000011686.V356949.R01.S.doc Version 5.2 Page 27 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 YA42 Regulation 13 (4) Requirement The manager must ensure that sharp items carried through the home are placed in a suitable container (eg metal box) for transportation. The manager must ensure that the concerns identified on the electrical certificate dated 06/12/06 have been corrected. Timescale for action 15/03/08 2. YA42 23 (2)(c) 01/04/08 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. Refer to Standard YA7 Good Practice Recommendations The manager should discuss with the care manager of the person who she is appointee for, to identify if this role may be transferred to someone who is not connected to the home. It is recommended that the activities list also include activities people have undertaken in the home such as craft activities and following personal leisure pursuits. 2. YA14 64 Farlington Road DS0000011686.V356949.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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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