Inspection on 09/10/07 for Bidna House

This inspection was carried out on 9th October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Bidna House 15/01/10

Bidna House 17/11/08

Bidna House 20/11/06

Bidna House 18/09/05

Bidna House 09/06/05

Bidna House 28/10/04

Bidna House 15/07/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

Honeybourne House

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

CARE HOME ADULTS 18-65 Bidna House Bidna Lane Appledore Bideford Devon EX39 1NU Lead Inspector Jo Walsh Key Unannounced Inspection 9th October 2007 09:30 Bidna House DS0000022084.V332756.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 Bidna House DS0000022084.V332756.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. Bidna House DS0000022084.V332756.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bidna House Address Bidna Lane Appledore Bideford Devon EX39 1NU 01237 470714 01237 425842 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) Mrs Barbara Haywood Mr David Anthony Haywood, Mr Simon Haywood Mr Simon Haywood Care Home 12 Category(ies) of Learning disability (12), Learning disability over registration, with number 65 years of age (1), Mental disorder, excluding of places learning disability or dementia (12), Mental Disorder, excluding learning disability or dementia - over 65 years of age (1) Bidna House DS0000022084.V332756.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One resident to be accommodated over the age of 65 Date of last inspection 20th November 2006 Brief Description of the Service: Bidna House is a detached older style property standing in its own grounds and is reached via an unadopted lane. It is registered to accommodate 12 people who have either learning disabilities or mental health problems. All residents are accommodated in single occupancy bedrooms. There are two lounge areas a dining area and a kitchenette for residents to make drinks. The main kitchen is only accessible with staff support. The registered provider lives on site and has several dogs, which are free to wander around the grounds and house. The nearest local village, Appledore is one mile away and the home has two vehicles available to transport residents. The range of fee is £300 to £1250 and does not include personal items, chiropodist, hairdressing or non-essential transport. Copies of this inspection report are kept in the office and made available to people on request. The last inspection report has not been made available as the registered manager and provider did not agree with its content. Bidna House DS0000022084.V332756.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two inspectors completed this inspection over seven hours on a weekday in October. During the inspection everyone who lives at Bidna House spoke to us, and two had a more detailed discussion about what their experiences were like living at the home. Three staff was spoken to as well as the registered manager, registered provider and senior staff member. Prior to the inspection the home completed some information about how they ensure the environment is well maintained and safe as well as staff recruitment and training. This information helps us to understand how well the home is run. Everyone who lives at Bidna House was sent a survey prior to the inspection and 5 were returned. Staff were also sent surveys, none were returned. In addition we asked health care professionals and care managers about the home and their views are included in this report. We also spent time looking at some of the homes records, these included individuals’ plans of care, medication records, records relating to individuals personal monies, staff files and training records and information about how the home gets information and feedback from the people who live there, residents meeting minutes and surveys. What the service does well: Bidna House provides people with a safe and well maintained environment. People who live at the home appear relaxed and comfortable in their surroundings and are able to access all communal areas except the main kitchen, which is only accessed with staff supervision. Individuals’ personal, health care and social needs are met. Surveys from health care professionals said ‘‘they know their clients very well and communicate well with them and me. We have regular meetings to review medication and they are always appropriate when seeking medical advice.’’ Another health care professional said in a survey ‘’will monitor health issues and relay back concerns.’’ Another said ‘’able to manage challenging behaviour and also able to spot the alterations in peoples mental sate that are due to psychiatric illness.’’ One care manager commented ‘’my client is taken out a lot and their needs are being met.’’ Bidna House DS0000022084.V332756.R01.S.doc Version 5.2 Page 6 People are supported by a staff team that have good training and understand their needs. One health care professional said ‘’allows residents to be themselves even if that may seem rather bizarre- doesn’t try to homogenise people.’’ What has improved since the last inspection? What they could do better: Plans of care could be further enhanced with the use of pictures and symbols making them more accessible to individuals to understand and take part in developing and reviewing. Monies used for additional costs such as transport or additional staffing need to be more transparent, and made clear in information given to people. (Statement of Purpose, and Service User Guide.) Recruitment processes need to be more robust to ensure that people are fully protected. Bidna House DS0000022084.V332756.R01.S.doc Version 5.2 Page 7 Ongoing monitoring of the quality of care would benefit form more input from the people who live there. We are aware that this is being addressed by the use of a volunteer to assist people with surveys. Staff should receive regular supervision that is recorded at least six times per year. 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. Bidna House DS0000022084.V332756.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 Bidna House DS0000022084.V332756.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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are only admitted to the home when assessments have been carried out to determine whether their needs can be met. Visits to the home prior to admission allow people to make an informed choice about whether they want to move into the home. EVIDENCE: The files of the two most recently admitted people were inspected. Both of these admissions had been conducted in a more hurried fashion that the management of Bidna would have preferred, through circumstances beyond their control. In both instances the prospective residents had visited the home, accompanied by carers or care managers, in order to assist them in making an informed decision about whether they wanted to move into Bidna House. The files of both these residents contained assessments, which had been carried out by the registered manager on a formatted sheet. This is in accordance with the home’s written ‘Admissions Policy’ which refers to ‘obtaining information prior to the placement’ and an ‘informal interview’ being arranged. Dates on the referral forms compared with recorded dates of Bidna House DS0000022084.V332756.R01.S.doc Version 5.2 Page 10 admission to the home confirmed that relevant information prior to people being admitted to Bidna House. Also on the files were care plans submitted by Social Services staff and also other written pieces of information about each person from their previous places of residence. Bidna House DS0000022084.V332756.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): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at Bidna House benefit from having regularly reviewed plans of care, which reflect their individual needs and choices. EVIDENCE: The files of three people were case tracked. All contained care plans. One also contained a ‘My Life, My Plan’ a document, which comprises a combined pictorial and printed appraisal of the individuals needs which had been compiled by the resident and his/her care manager. The ‘Assessment of Health and Social Needs’ is a comprehensive document. It is subdivided into sections relating to Physical and mental health, mobility issues, communication, finances, food and personal hygiene. The different sections highlight the person’s needs and what action is to be taken to resolve these. An example being a resident who has difficulty with aspects of Bidna House DS0000022084.V332756.R01.S.doc Version 5.2 Page 12 communication being assisted with form filling, letter writing and being assisted in using the telephone. The plans also outline the abilities of individual residents to manage their own finances, travel independently and manage personal hygiene and what actions need to be taken to maximise their independence in issues relating to these. Discussion with individuals and staff and examination of the daily records contained on the residents’ files showed that the progress and needs of residents were regularly monitored. Reviews took place regularly with written records kept on the individuals’ files. The registered manager is looking at how they can enhance plans of care to be more person centred and include personal goals, it would also benefit some people if plans were in more user friendly formats, e.g. use of photos and symbols. The home does operate a key worker system. This was discussed with three people who were aware both of who his/her key worker was and what the role entailed. All files that were inspected contained risk assessments. These were compiled on formatted sheets, which identified risks such as those to the individual, to others and to property. Files also contained risk assessment summaries and these explored how residents could maintain a level of independence whilst also acknowledging and taking action to reduce risks in doing so. The wording of the assessments demonstrated that residents had been involved in their compilation and were in agreement with them. Examples of this being a resident who was not safe to go out unaccompanied and another who had his/her finances overseen by the home. Bidna House DS0000022084.V332756.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): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at Bidna House are able to take part in activities that suit their needs and wishes and are supported to access the local community and maintain family and friends contacts. EVIDENCE: There has been a reduction in the amount of day care provision supplied by the Local Provision for people who have learning disabilities. This has resulted in less day care provision for people who live at Bidna House. However, reading through the daily records on the files of three individuals it was clear that those at the home still enjoy an active lifestyle. The daily records showed that people went on regular walks with dogs to different places in North Devon, went shopping to buy clothes and food, attended social activities such as playing/watching skittles and went to local specialist clubs such as Breakaway and Gateway. The home charges a fee for transport to these activities and have been asked to ensure that this is made explicit in their information they give to people (the Statement of Purpose and Services Users Guide.) Bidna House DS0000022084.V332756.R01.S.doc Version 5.2 Page 14 On the day of the inspection three people went to a drama group held at Westward Ho! And in the evening a number of residents were going to start a cookery course run by the Devon County Council’s Adult and Community Learning section. During the afternoon one person went to the hairdressers and several others went into the local town with a member of staff. The proprietor and manager regularly research activities in the locality, which might be of interest to the residents at Bidna House. Individuals accompany staff into the community to attend dental appointments, go shopping and for walks. The more independent people tend to arrange their own lives. One person for example, who has a bus pass regularly, goes out on public transport to the neighbouring town of Barnstaple. Individuals do maintain contact with relatives. One person, who was spoken to, mentioned contact with a relative and on another file there was reference to the importance of maintaining family contact, with further information in the records of how this had been achieved. The majority of residents have keys to their rooms. The type of key varies from keypad to star locks dependent upon the system most appropriate to the individual. Files also ensured the dignity of residents in being addressed by the name of their choice. Walking around the home and talking to people confirmed that they could choose when to be alone or when to join in activities. They have unrestricted access to all communal areas, except the main kitchen, and one was observed clearing leaves in the garden area of the home. A copy of the menu for the week was displayed in the dining room. The proprietor informed us that this was compiled on a weekly basis following discussion with people who live there combined with a knowledge of their individual preferences. Three people spoken to confirmed that the food available was to their liking. We were given an example of a resident choosing a meal from a menu book he owned. The daily menu is done with photos to assist those who are unable to read, this is a really helpful way of ensuring that everyone can see what the menu choices are. Some additional photos could further enhance individuals understanding of the menu choices, as not all options have a picture or photo that correlates to the exact choice of the day. The menu showed that residents receive a varied diet and on the day of the inspection the food being prepared corresponded to that written on the menu. We did not eat with the people who live at Bidna House on this occasion as the registered manager had pointed out that during the previous inspection this may have contributed to an un-relaxed atmosphere. We did unobtrusively observe some people eating their lunch and it appeared to be a relaxed and enjoyable experience. Two staff confirmed that although the meals are Bidna House DS0000022084.V332756.R01.S.doc Version 5.2 Page 15 portioned out to people condiments are offered to individuals and support given where needed. Bidna House DS0000022084.V332756.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): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at Bidna House are supported in their personal and health care needs in a way that suits them. EVIDENCE: Plans of care give details of how individuals’ personal and health care needs are met. There is also an additional file that staff complete and refer to that includes any visits to the doctors or other health care in put. One general practitioner completed a survey and stated ‘‘they know their clients very well and communicate well with them and me. We have regular meetings to review medication and they are always appropriate when seeking medical advice.’’ Another health care professional said in a survey ‘’will monitor health issues and relay back concerns.’’ Another said ‘’able to manage challenging behaviour and also able to spot the alterations in peoples mental sate that are due to psychiatric illness.’’ People who live at Bidna House are supported with their personal care flexibly. On the day of the inspection one person was regularly checked as they in bed, and encouraged to get up in their own timeframe. Bidna House DS0000022084.V332756.R01.S.doc Version 5.2 Page 17 Currently none of the people who live at Bidna House administer their own medications, although the registered manager has said this is an area that they could work towards for some individuals. The home uses a blister pack system and records medications administered on printed sheets. Where medication has been changed, and alterations are made by hand on these records, the staff member should sign who has made this alteration and cross reference this with records in daily records, so it is clear to all who and why any medication alterations have been made. Medications are safely stored and only people who have had training in safe administering and recording can take on this task. The home does not currently have anyone on any controlled medications, but should this change they need to ensure that this is stored appropriately, i.e. double locked in a container secured to a wall. Bidna House DS0000022084.V332756.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): 22,23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People’s views are listened to and acted upon, but improvements are needed to ensure that individuals are fully protected from possible abuse. EVIDENCE: The home has a complaints procedure, which is prominently displayed on the notice board of the home. Whilst it sets out timescales and the right of residents to make a complaint it requires updating regarding the contact details of the Commission for Social Care Inspection (CSCI) In conversation two individuals confirmed that they would go either to their key worker or the owner if they were wanted to make a complaint. It was also noted that during one of the residents meeting the complaints process was discussed with everyone. This was an action mentioned by the manager during the previous inspection when he was informed that a few people had returned surveys stating that they did not know how to make a complaint. The home has had one complaint since the last inspection and the registered manager has stated it was resolved within the stated timeframe. Two staff spoken to have a good understanding of what abuse was and what they should do to report any suspicions of abuse. Staff have received training in the protection of vulnerable adults and policies are in place to ensure that any allegations are followed up. Bidna House DS0000022084.V332756.R01.S.doc Version 5.2 Page 19 Staff files looked at did not have evidence of people being checked to see if they were suitable to work with vulnerable people i.e. POVA check. One newly appointed staff member had no documentation to show that they had been POVA checked or that a CRB had been requested. One did not have an up to date CRB check, another had taken seven months, and the individual had been working as part of the staff team during that time. It was agreed that this information should be forwarded to us. Records of individuals’ finances were checked. Only small amounts of cash are kept on behalf of individuals and records of transactions were clear and accountable. The home also have records of how individuals are charged for transport to activities from their disability living allowance. For those on a higher rate, they are also charged an element for staffing costs, however this was not always transparent how these costs had been calculated. For example on the day of the inspection three people went out to a local drama group with one member of staff. Two people on higher rate DLA were charged £7 and the registered provider said that this included additional staff support as well as transport costs. The member of staff was not additional to the staff rota, so the costing was not accurate or transparent. This area needs to be addressed, to ensure that all individuals are aware of what they are paying for. Any costs that are additional to the fees for service need to be broke down i.e. what element is transport and what element is staff costs. Any charges need to be made explicit in the homes information (Service User Guide and Statement of Purpose) this will ensure that individuals are fully informed and protected in terms of their finances. Bidna House DS0000022084.V332756.R01.S.doc Version 5.2 Page 20 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): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Whilst some settees and chairs in the communal area are becoming old and would benefit from being replaced, overall Bidna house has an appropriate standard of decoration and furnishings. Externally there is a well-maintained garden area, which a resident was seen to be assisting with. This is a useful recreational area, complete with patio enabling residents to eat outside in good weather, a greenhouse, which we were informed was used by residents to grow vegetables and fruit and an ornamental pond. Upon arrival, a resident was seen to be working in the garden clearing leaves. One person was spoken to in his/her room. This room had been personalised and was full of furnishings and various other pieces of equipment, which the Bidna House DS0000022084.V332756.R01.S.doc Version 5.2 Page 21 resident proudly stated he/she had chosen. Whilst this room was currently not lockable, it had been previously and arrangements were being made to install a new lock. Two other people were asked about their rooms and said they were happy with them. The home have installed hand dryers in communal toilets instead of using paper towels, to help with infection control. Bidna House DS0000022084.V332756.R01.S.doc Version 5.2 Page 22 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): 32,34,35,36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People at Bidna House are supported by a staff team that are trained and relatively well supported to do their job. Some improvements are needed to ensure that recruitment practices fully protect the people who live at the home. EVIDENCE: Staffing levels are sufficient to meet the needs of the current group of people who live at Bidna House. There is usually three care staff on morning and early afternoon shift, two on afternoon/evening and one sleeping in staff member with back up support if needed form the registered provider who lives on site. On some evenings when there are activities there is an additional member of care staff. The home also employs a cleaner and usually a senior person is on duty during the day also. Staff files show that staff have completed a good range of training and the registered provider stated that all the staff team have completed an NVQ 2 or above, expect one, who is in the process of completing this training. The home also has Investors in People Award, which is a national award that demonstrates a commitment to staff. Bidna House DS0000022084.V332756.R01.S.doc Version 5.2 Page 23 Staff confirmed they do receive 1:1 time with the senior team, i.e. supervision, but this was usually a couple of times a year. Staff meetings are held but one staff said they had not had one for some time. Staff files looked at did not have all the details of relevant checks being completed. The providers have since sent this information on to us, but are reminded that staff should not work unsupervised until they have had a CRB back. One staff member’s checks took 7 months to be returned during which time they have worked unsupervised. Bidna House DS0000022084.V332756.R01.S.doc Version 5.2 Page 24 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 good. This judgement has been made using available evidence including a visit to this service. People who live at Bidna House benefit from a service that is well run but the ongoing quality assurance system would benefit from more input from the residents. EVIDENCE: The registered manager is qualified and experienced to run the home. The registered provider has daily input into the homes running and staff spoken to said that they were listened to and believed they were part of a team. We were shown a file containing Quality Assurance questionnaires. This contained questionnaires relating to quality assurance surveys carried out in previous years, including one relating to the Investors in People Award. In 2007 questionnaires were seen to have been returned from May onwards from a variety of people, such as residents’ relatives, care managers, a general Bidna House DS0000022084.V332756.R01.S.doc Version 5.2 Page 25 practitioner and a friend of a resident. The questionnaires sought information about what the respondents thought about the management of the home, the social activities provided, the staff team and the environment together with a question about what could be improved. A separate questionnaire had been compiled for residents to complete. At the time of the inspection only one response had been received. Further discussion with the registered manager and proprietor included the use of an independent person to assist residents in completing this quality assurance questionnaire in order that their opinions could be obtained and used to develop the service. The information the home provided prior to the inspection details that checks are made on all equipment and that the home is well maintained and kept safe. Staff complete training in all areas of health and safety, and the basics of these are covering during the induction process. The induction programme should show how it links to the skills council and this is an area that the registered manager is currently working on. The registered manager confirmed that weekly checks are completed on the fire detection system, but this was not looked at during this inspection. Bidna House DS0000022084.V332756.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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Bidna House DS0000022084.V332756.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 YA1 Regulation 4,5 Requirement Timescale for action 30/12/07 2 YA23 17(2) 3. YA34 19 The home must ensure that the Statement of Purpose and service user guide make it clear what charges are made for transport and additional staffing costs to people who live at the home. A revised copy needs to be sent to CSCI. The home must ensure that a 30/11/07 transparent and audited account is kept of all charges to service users in respect of charges for transport and additional staffing The home must ensure that all 30/11/07 staff have relevant checks completed prior to working in the home. 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 YA6 Good Practice Recommendations Individuals’ plans of care should be should be in formats that residents can easily understand. DS0000022084.V332756.R01.S.doc Version 5.2 Page 28 Bidna House 2. YA19 The home should secure the tin for medications to the fridge and monitor fridge temperature to ensure that medications being stored in there are stored within the manufacturers temperature guidelines. The locked box containing the controlled medications should be secured within the medications cupboard. Bidna House DS0000022084.V332756.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Devon Area Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Bidna House DS0000022084.V332756.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. 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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