Inspection on 05/09/07 for 64 Farlington Road

This inspection was carried out on 5th September 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Poor. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 9 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 27/02/08

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 Ian Craig Unannounced Inspection 5th September 2007 15:30 64 Farlington Road DS0000011686.V344421.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.V344421.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.V344421.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.V344421.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 15th February 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’s fees range from £62.36 to £90.32 per day. 64 Farlington Road DS0000011686.V344421.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection consisted of a tour of the premises, examination of records, documents, and policies and procedures, including resident’s assessments and care plans. Two staff were spoken to during the visit and each of the three residents was also spoken to. Discussions took place with the registered manager, Mrs. Walsh. The service completed an Annual Quality Assurance Assessment and the information contained in this was also used for the purposes of the inspection. Survey forms were sent to each of the residents and their next of kin. Each of these was returned and the views of those who completed them are contained in this report. Comments and communication from social services care managers are also used in this report. The inspection lasted approximately 4 hours. What the service does well: It is clear that there is considerable warmth between the residents and staff. Residents are comfortable in approaching the staff and freely converse with them. Banter, conversation and joviality between each of the residents and the staff/manager was evident. Residents’ relatives gave positive comments about the care provided by the home and include the following: • “The care home looks after my son/daughter very well.” • “Our son/daughter is able to choose what he/she would like to do at the weekends.” • “The home looks after the health of our son/daughter well.” • “The home keeps in touch with us by telephone.” • “My son/daughter uses the telephone in the home to receive calls.” A care manager states that the service users are happy living at the home. Residents attend a variety of activities in the community although this needs to be improved. A varied and nutritious diet is provided. Fresh fruit is available in a bowl in the dining room which residents were observed helping themselves to. 64 Farlington Road DS0000011686.V344421.R01.S.doc Version 5.2 Page 6 Sufficient numbers of staff are on duty with 2 at any given time, except at night when one staff member ‘sleeps in.’ Residents are involved in decision making in the home, helping to devise menu plans. They can also express their views at meetings and in survey forms. Staff recruitment procedures show that checks are carried out on each person employed so that residents are protected. Newly appointed staff receive an induction and staff receive regular supervision with the exception of the deputy manager. The home is clean and maintained to an acceptable standard with the exception of some minor faults. What has improved since the last inspection? What they could do better: The home’s Statement of Purpose needs to be updated to include details of the current staff. Care plans and risk assessments need to be expanded to record any special arrangements whereby residents have limitations placed on them, as well as the liaison with community health services. 64 Farlington Road DS0000011686.V344421.R01.S.doc Version 5.2 Page 7 Improvements are needed to ensure that the home contacts health services to arrange medical treatment for the residents when needed. The home does not follow its own care plans for health care needs nor for the arrangement of activities for the residents. This needs to improve. Whilst staff receive supervision, this does not take place for the deputy manager. Greater attention is needed to ensure that the home’s manager monitors the health of residents and to ensure that staff follow recorded guidelines. 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.V344421.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.V344421.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 3 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home needs to update its Statement of Purpose so that residents and relatives have the current information about the service. The home liaises with social services to ensure that resident’s needs are reviewed but the home is not currently meeting the health needs of the residents. EVIDENCE: The home has a Statement of Purpose and a Service Users’ Guide. These are available in the home. It was noted that these need to be updated to include details of the current staff and the home’s fees charged. Residents’ relatives state that they are given information about the home. The current residents have all lived at the home for over 7 years. The home has not admitted any new residents since that time. There is an admission procedure and criteria in the Statement of Purpose for the home to follow should there be any future admissions. 64 Farlington Road DS0000011686.V344421.R01.S.doc Version 5.2 Page 10 The home liaises with social services regarding reviews of resident’s needs. Copies of these reviews are held with each person’s records. Feedback from social services includes comments that the home’s manager does not always follow the guidance of the care management team. Evidence on this inspection showed that in three instances that the home was failing to ensure that residents receive appropriate health care (this is detailed in the Personal and Healthcare section). 64 Farlington Road DS0000011686.V344421.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, 9 and 10 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Whilst each person has a care plan, it was evident that staff are not always following the recorded guidelines. Restrictions placed on residents are not recorded satisfactorily nor the advice and liaison from community health and social services. EVIDENCE: Assessments of need and care plans have been improved by the use of pictorial diagrams to aid communication with the service users and by the direct involvement of the resident who now sign in agreement with their care plan. 64 Farlington Road DS0000011686.V344421.R01.S.doc Version 5.2 Page 12 Care plans detail domestic daily routines such as helping with housework, which helps the resident maintain and develop daily living skills, personal relationships, health care needs and diet. Residents confirmed that they are involved in domestic routines in the home and as outlined in their care plan. The home has liaised with health care professionals regarding medical needs and care plans have been devised for staff to follow in the event of identified symptoms reoccurring. These have also been devised with day service so that the resident can resume his/her activity schedule. It was noted that this was not followed on one occasion, which could have had serious health implications for the resident. Care plans have also been devised for activity programmes which link into assessed needs including any medical factors. It was noted that these were not being followed, which the manager stated was due to medication side effects as detailed in the daily ruing records. The care plan had not been reviewed and the records showed that plan of activity had not been followed for some time prior to the onset of the side effects. Risk assessments have been carried out and recorded for activities where residents go out with associated guidance where staff need to provide support. Procedures for restricting the availability of facilities for one resident have not been recorded and there is no evidence that the resident has agreed to this. The manager stated that this has been referred to the relevant community health team for assessment and advice, but no record of this maintained. The manager is unclear about special arrangements made under a Guardianship Order, which has been removed by social services. The lack of clarity resulted in the manager refusing to give a health centre basic personal details such as name and date of birth, which delayed the processing of a referral for treatment by the primary care trust. The manager maintains that the social services department gave instructions for no personal details to be given to any other professional. There was no evidence of this advice on the person’s file nor in the home’s own guidelines. Social services wrote to the manager highlighting that this was not what was advised and that this could have delayed treatment, which was possibly required as a priority. The file did not contain a copy of this letter. A copy of the letter was sent to the Commission as social services were concerned about the action of the manager. When the subject was initially raised with the manager she denied there had been any problem until the inspector gave further details. There is evidence that the service users are involved in their care plans, although this needs to be extended to the restriction of toilet facilities. Relatives confirmed that residents are able to choose how they spend their time. Residents are consulted about the menu planning. Surveys are used to obtain residents’ views about life at the home. Residents also have their own 64 Farlington Road DS0000011686.V344421.R01.S.doc Version 5.2 Page 13 meetings to discuss matters relating to the home. The home should look to extend the involvement of the residents in the home’s operation. One resident for instance, is involved in the staff selection process at a local day centre, which could easily be introduced at the home. 64 Farlington Road DS0000011686.V344421.R01.S.doc Version 5.2 Page 14 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 adequate. This judgement has been made using available evidence including a visit to this service. Residents attend a variety of daytime activities but the provision of outings during the evenings and weekends needs to be improved. A nutritious and balanced diet is provided. EVIDENCE: Evidence for residents attending activities for leisure, education and occupation varies. Each of the residents attends daytime activities including occupational schemes, day services and college courses aimed at developing independent living. This was confirmed from discussions with residents and staff, as well as from records. A resident also confirmed that he/she has attended a number of 64 Farlington Road DS0000011686.V344421.R01.S.doc Version 5.2 Page 15 social events including a circus and dancing shows. One resident described how he/she prefers to go out on his own. A resident described how much he likes to attend a day centre. Records show that residents are able to exercise choice in how they spend their time but that staff try to sensitively motivate residents to have an active lifestyle. Each person has an activity programme and an activities rota is also maintained to show which activities have been attended. These were maintained for one person, but for another person nothing had been recorded since 03/01/07. One person’s care plan had been agreed with the health team as requiring daily exercise in the form of being taken out each day. Records showed that this had not been followed. The manager stated that this was due to the person experiencing medication side effects. Daily running records confirmed that the side effects had taken place but it was clear that the outings had ceased some time before this. The home has increased its staffing quota at weekends so that residents can be taken out, but this is still not occurring for the person whose care plan identifies this as a health need. Residents have opportunities for developing personal relationships at organised social events such as the Gateway Club and the home supports residents with this. Family contacts are maintained with residents visiting their families at weekends. Residents also go on holiday with their families or with social support groups. One of the service users has a pet cat. Conversations with the residents and the staff confirm that activities take place in the home such as board games, downloading music from a computer and shopping trips. The daily records also supported this. The home’s menu plan is displayed in the kitchen. This shows a varied and nutritious diet. A staff member was preparing the evening meal of chicken broth made from chicken, parsnips, swede, carrots and leeks. A list of each person’s likes and dislikes for food is displayed in the kitchen. Fresh fruit is freely available in a bowl in the dining room and a resident was observed helping himself to a banana. Each person’s weight is monitored to help ensure sufficient intake of food. 64 Farlington Road DS0000011686.V344421.R01.S.doc Version 5.2 Page 16 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 poor. This judgement has been made using available evidence including a visit to this service. Residents are supported with personal care but there is a lack of evidence regarding the restriction of personal care facilities to one person. Health care needs are not addressed to the extent that routine access to treatment is not arranged and residents are placed at risk. EVIDENCE: Records show that residents are supported, normally with prompts, with their personal care. Feedback from social services and from relatives state that personal care needs are met. As previously referred to, one person has a limit placed on being able to access personal care facilities. This is not recorded and there is no evidence that the resident has agreed to this. The manager states that this has been referred to the community health team for advise but there has not been a response to this yet. No record of this liaison has been made. It 64 Farlington Road DS0000011686.V344421.R01.S.doc Version 5.2 Page 17 was also unclear why the home had not made arrangements for facilities to be made available in a different format. 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 a dietician and general practitioners. The problems in referring a resident for a medical assessment are referred to in the Individual Needs and Choices section of the report. On another occasion, the home received a communication from a day centre regarding an immediate health need that the home failed to pass on or refer to the health services. This was evidenced from the daily running records and discussion with the manager. The home’s medication procedures were examined and show that staff have training in this and that medication is administered as prescribed with the exception of the following. A resident’s care plan devised with the input of the health service primary care trust was not followed. This had the potential to have serious implications for the resident, as agreed procedures for the administration of medication were not followed. 64 Farlington Road DS0000011686.V344421.R01.S.doc Version 5.2 Page 18 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 listens to the views of the residents and makes available a complaints procedure. EVIDENCE: The home’s complaints procedure is contained in the Service Users’ Guide. Residents’ relatives stated that they know what to do if they had a complaint. Resident’s individual care plans set out the steps that staff should take to deal with any behaviours where anxiety can lead to the expression of aggression. The manager described an approach to dealing with challenging behaviour that focuses on deescalating any incidents that may lead to aggression. Staff have not received training in dealing with challenging behaviour but the manager described how she is actively looking into this. The home has an adult protection policy. There are plans for staff to receive training in this in November 2007. 64 Farlington Road DS0000011686.V344421.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, 26, 27 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 is clean and generally well maintained. Residents are able to relax and express themselves in the home. EVIDENCE: It is clear that the home has been redecorated in the recent past. The home has a plan for refurbishment and maintenance. There is a communal lounge with comfortable seating and a wide screen television, which has cable channels at no extra cost to the residents. The dining room floor has been rescreed but this has not been successful as a number of small dents are appearing under the linoleum. This should be 64 Farlington Road DS0000011686.V344421.R01.S.doc Version 5.2 Page 20 monitored to ensure that it does not get worse and the dents become a tripping hazard. The floor needs to be rescreed again. Two residents showed the inspector their bedrooms. These were found to be clean and tidy containing numerous items of personal possessions. Residents are able to choose if they wish to have a key to their room or not. One resident chooses to use a key to lock his room. The first floor bathroom has a shower but no bath. The bathroom is decorated to a good standard with the exception that mildew needs to be cleaned off the outside of the shower base. There is a ground floor toilet with a wash hand basin. 64 Farlington Road DS0000011686.V344421.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 adequate. This judgement has been made using available evidence including a visit to this service. Whilst the home has increased the numbers of staff on duty, improved the system of induction for new staff, and supervision for existing staff, staff are not working in accordance with resident’s care plans. This has resulted in health and social needs not being met. Recruitment procedures for newly appointed staff are thorough so that residents are protected. EVIDENCE: Two staff are on duty at any given time with the exception of the nighttime from 10pm when one staff member provides a ‘sleep in’ duty. This was evidenced from conversations with the two staff on duty and from the staff rota. Previous reports have identified that staff have been working excessively long hours, particularly at the weekends. The rota shows that this has improved but that one person had worked 32 hours in 4 days, which included 2 64 Farlington Road DS0000011686.V344421.R01.S.doc Version 5.2 Page 22 12-hour shifts on consecutive days. The manager explained that this was the result of the person working additional hours as another staff member was on leave. Excessively long staff shift are not an issue at this inspection but the home needs to monitor this area to ensure that it does not reoccur for reasons of staff absence. Recruitment checks were examined for 3 recently recruited staff. Each person has completed an application form. Criminal record bureau (CRB) and protection of vulnerable adults (POVA) checks have been completed for each person. Two written references have been obtained including one for the most recent previous employer. Newly appointed staff complete an induction programme using The Common Induction Standards which is recorded. These were seen for 3 staff. Two staff members confirmed that they had a 4-week induction programme and that they had received training in fist aid, food hygiene and medication. Records and discussions with the staff and manager confirmed that each person has regular supervision and that staff appraisals take place. It was noted, however, that the deputy manager does not receive supervision. As referred to in the Individual Needs and Choices, Health and Personal Care and Lifestyle sections of the report, staff and management have not followed the care plans for providing medical support in two cases and in arranging activities for one person. The manager and two staff were observed talking to the residents. It was clear that there is a warmth between the staff/manager and the residents. Residents are comfortable in approaching the staff both in the communal areas and in the home’s office. 64 Farlington Road DS0000011686.V344421.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, 38, 39, and 42 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. There have been a number of improvements made which are to the benefit of the residents’ well being but the management is not ensuring that residents’ health and safety are monitored and safeguarded. EVIDENCE: The home’s manager has completed her Registered Manager’s Award and is currently studying to complete the NVQ level 4 in care. 64 Farlington Road DS0000011686.V344421.R01.S.doc Version 5.2 Page 24 As highlighted in the Individual Needs and Choices, Lifestyle, and Health and Personal Care sections of this report the supervision of staff and the delivery of health care and activities as detailed in care plans needs to be more closely monitored and managed. The home uses a system of surveys to obtain the views of residents and their relatives about the care home. The home also has an annual development plan and a redecoration plan. The manager explained that the home will be utilising a more thorough audit tool involving the input of a consultant advisor. 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 are tested each week. The home’s appliances and equipment are tested and serviced by suitably qualified persons, which was evidenced from the information contained in the Annual Quality Assurance Assessment and from a sample of records and certificates seen. 64 Farlington Road DS0000011686.V344421.R01.S.doc Version 5.2 Page 25 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 2 2 3 3 1 4 X 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 3 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 3 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 1 3 3 1 1 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 2 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 1 1 1 X 1 X 2 X X 3 X 64 Farlington Road DS0000011686.V344421.R01.S.doc Version 5.2 Page 26 Yes 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 YA1 Regulation 4 and 5 Requirement The home’s Statement of Purpose and Service Users’ Guide must be updated to include the details of the current staff and the current fees charged. Where limitations are placed on a resident’s 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. This is outstanding form the inspection reports of 16/10/07 and 15/02/07. This relates specifically to the availability of toilet facilities for one resident. 3 YA7 15 Staff must follow the agreed care 30/10/07 plans for medication, leisure and exercise. Where risks to vulnerable residents are identified an assessment must be recorded in DS0000011686.V344421.R01.S.doc Timescale for action 30/10/07 2 YA7 12 30/10/07 4 YA9 13 30/10/07 64 Farlington Road Version 5.2 Page 27 sufficient detail so as to determine the level of risk, together with the action required to minimise the risk. This is outstanding form the previous reports of 16/10/07 and 15/02/07 and relates to the lack of clarity regarding information sharing as part of a Guardianship Order. 5 YA10 12 The manager must be aware of the rules of confidentiality and the Data Protection Act 1998 to ensure that information is given to the primary health care trust so that residents can receive treatment. Residents must have activities provided as set out in the care plans and as advised by health professionals. The home must liaise with health care professionals regarding incidents involving a resident’s health and personal care needs. 05/10/07 6 YA14 12 30/10/07 7 YA19 12 30/10/07 8 YA20 13 Staff must administer medication 05/10/07 as prescribed and advised by health care professionals and as recorded in the home’s own individual care plans. This is a partial repeat of the requirements of 16/10/06 and 15/02/07. 9 YA36 18 Staff must be supervised to ensure that care plans and medication procedures are followed. The deputy manager must receive regular supervision. 30/10/07 64 Farlington Road DS0000011686.V344421.R01.S.doc Version 5.2 Page 28 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 64 Farlington Road DS0000011686.V344421.R01.S.doc Version 5.2 Page 29 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. Extracts may not be used or reproduced without the express permission of CSCI 64 Farlington Road DS0000011686.V344421.R01.S.doc Version 5.2 Page 30 - 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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