Inspection on 25/09/07 for Blackdown Polden House

This inspection was carried out on 25th September 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Blackdown Polden House 22/11/06

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

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

CARE HOME ADULTS 18-65 Blackdown Polden House Somerset Court Harp Road Brent Knoll Highbridge Somerset TA9 4HQ Lead Inspector Jane Poole Unannounced Inspection 25th September 2007 1pm Blackdown Polden House DS0000067303.V349197.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 Blackdown Polden House DS0000067303.V349197.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. Blackdown Polden House DS0000067303.V349197.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Blackdown Polden House Address 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) Somerset Court Harp Road Brent Knoll Highbridge Somerset TA9 4HQ 01278 760555 01278 760747 yvonne.thomas@nas.org.uk Vanessahalfacre@nas.org.uk National Autistic Society Mrs Yvonne Thomas Care Home 12 Category(ies) of Learning disability (12), Physical disability (12) registration, with number of places Blackdown Polden House DS0000067303.V349197.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd November 2006 Brief Description of the Service: As part of Somerset Courts Modernisation Programme each previous accommodation area that comprised of Somerset Court, has now become a separate registered service. Blackdown Polden House comprises of a large detached bungalow situated in the extensive grounds of Somerset Court. The home is registered as one service and currently has two distinct accommodation areas. Six service users are accommodated in each living area with separate facilities. The Registered Manager is Mrs Yvonne Thomas. The National Autistic Society remains as the Registered Providers. The home was registered with the CSCI on 16/06/06. Each accommodation area has a lounge/dining room, kitchen, single bedrooms with wash hand basins however; one service user has a separate flat with full en-suite facilities. There are adequate bathing and toilet facilities. The home has some laundry facilities but the majority of the laundry is sent to the main on-site facility. The home has a ‘fenced off’ garden area with areas laid to patio with garden furniture. Fees vary from £38,800 to £86,279 per annum depending on the individual’s assessed need. Blackdown Polden House DS0000067303.V349197.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of this inspection visit was to inspect relevant key standards under the Commission’s ‘Inspecting for Better Lives 2’ framework. This focuses on outcomes for service users and measures the quality of the service under four general headings. These are: - excellent, good, adequate and poor. This inspection was carried out by one inspector over a period of 6.5 hours. During this time the inspector was able to meet with staff and service users, observe care practices, tour the building and view records. Blackdown Polden is a specialist home owned by the National Autistic Society. Some service users are unable to verbally express their opinion but all appeared very comfortable in their surroundings and with the staff who supported them. Prior to the inspection the inspector received completed questionnaires from 8 service users, 7 staff and 3 relative/carers. Some of their comments and observations have been incorporated into this report. The manager completed an Annual Quality Assurance Assessment (AQAA) before the inspection. The inspector was made very welcome in the home and everyone co-operated fully in the inspection process. What the service does well: The home has a friendly calm atmosphere with service users free to use communal and private areas according to their wishes. There is a clear staff structure and everyone is clear about their roles and responsibilities. People felt that the manager was open and approachable and gave a clear sense of direction to the home. All staff spoken to were enthusiastic and well motivated. Throughout the inspection the inspector observed ongoing interaction between staff and service users and noted that staff were familiar with different communication methods. Service users are assisted to make choices about their day to day lives. There was evidence that service users are involved in menu planning, household chores, choosing décor and activities. Although the home is not within walking distance of any amenities, and there is no public transport, all service users have access to a wide range of leisure activities and are supported to have holidays away from the home. Blackdown Polden House DS0000067303.V349197.R01.S.doc Version 5.2 Page 6 Staff felt that the induction and ongoing training opportunities were good and this leads to a well informed staff team. There are regular staff and service user meetings in both units of the home. What has improved since the last inspection? What they could do better: The home have made good progress in implementing person centred care plans but these now need to be expanded to ensure that they give a fuller picture of the service user and their abilities, needs and wishes. This will ensure that staff have clear guidelines to provide support to service users in their chosen way. The service user guide needs to include details of what is included in the fee and the facilities and services that people may need to pay for in additional to the fee. Some bathrooms are in urgent need of redecoration and this is being addressed in the coming weeks. Whilst refurbishing, the home should install a shower to ensure that service users are able to have a choice of a bath or a shower. Currently records relating to personal finance are signed by one person and it is strongly recommended that the home review the recording procedures to ensure that all transactions are accompanied by two signatures. Blackdown Polden House DS0000067303.V349197.R01.S.doc Version 5.2 Page 7 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. Blackdown Polden House DS0000067303.V349197.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 Blackdown Polden House DS0000067303.V349197.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 & 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a policy and procedure for admitting new service users but no new people have moved into the home for some years. The service user guide does not include details of what is included in the basic fee. EVIDENCE: No new service users have been admitted to the home since the last inspection, however the home has policies and procedures for admitting new service users. The home cares for people who have autism and staff receive ongoing training and support in this area. There is a statement of purpose that continues to reflect the facilities and services offered at the home. The service user guide is not routinely given out to service users but is available on request. Blackdown Polden House DS0000067303.V349197.R01.S.doc Version 5.2 Page 10 The service user guide does not give details of what is included in the basic fee. Blackdown Polden House DS0000067303.V349197.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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are encouraged and assisted to make decisions about their lives. Care plans are being improved to ensure that they are more reflective of service users wishes and views. EVIDENCE: The home are currently in the process of changing care plans to reflect a more person centred approach. The inspector viewed 4 care plans. The new person centred plans are very user friendly and have been compiled with the service user and other people who are important to them. They do not yet contain all information needed to ensure that staff have clear guidelines to follow so currently there are two systems running alongside each other. The old style care plans are fully Blackdown Polden House DS0000067303.V349197.R01.S.doc Version 5.2 Page 12 reviewed once a year and goals are set for the coming year. There is no evidence that goals set are in line with the service users wishes and no clear monitoring of progress being made to achieve goals. Care plans are also reviewed on a six monthly basis with service users and key staff. Risk assessments and behavioural guidelines are completed for all service users and those seen were appropriate to the service user. All staff who completed questionnaires answered YES to the question ‘Are you clear what service users needs are?’ Daily records are written about each service user and these are then transferred to monthly summaries that remain in the care plan. Service users are encouraged to take part in the running of the home. There are regular service user meetings and minutes showed that people are consulted about the food served in the home, décor and activities. All service users have an allocated key worker who spends time with the service user to ensure that their views are taken into account. 8 service users completed questionnaires prior to the inspection, all answered either ALWAYS or USUALLY to the question ‘ Do you make decisions about what you do each day?’ Currently no service users living at the home are able to manage their own finances. The annual quality assurance assessment completed by the manager highlighted staff recruitment as an area that they would like to further involve service users in. Blackdown Polden House DS0000067303.V349197.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 & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home assists service users to access a range of leisure activities. Service users write a weekly menu with the assistance of staff to ensure that everyone gets an opportunity to make choices about the meals served. Service users are encouraged to learn and develop independent living skills. EVIDENCE: All service users living at the home have access to on site day facilities that offer a range of activities such as wood working, arts and craft, gardening, a sensory room and a gym. In addition to this some service users attend college courses, some on the Somerset Court site and others at the local college. Currently no service user living at the home has paid or voluntary employment. Blackdown Polden House DS0000067303.V349197.R01.S.doc Version 5.2 Page 14 Each service user has a home day that they spend learning and developing independent living skills and taking part in activities of their choosing. It was noted by the inspector that after tea some service users assisted with the clearing of tables and general tidying of communal areas. Blackdown Polden is located approximately three miles from Burnham town centre therefore there are very limited local community facilities that can be easily accessed. There is no local bus service therefore all service user rely on the transport provided by the home. However, service users are supported to access a variety of leisure and recreation facilities in the local and wider community. These include visits to the pub, cinema, swimming, bowling, walking, Gateway Club, restaurants and cafés. At the time of this inspection some service users had been away on holiday and others were planning to go the following week. Holidays are organised in line with the individuals needs and wishes and range from overnight stays to several nights away. If this is not appropriate then service users have day trips organised. Many service users continue to go away to stay with family members. One person was staying with family at the time of this inspection. Service users are able to have visitors at any time and some service users have visitors from, and make visits to, friends living in other homes on the same site. The inspector noted that service users are able to spend time in communal areas or alone in their rooms if they prefer. All 3 relatives/carers who completed questionnaires answered YES to the question ‘Does the home help your friend or relative keep in touch with you?’ All bedrooms are lockable and some service users have keys, depending on their ability and wishes. When service users are attending day services they eat lunch in the main dining room, which is used by service users across Somerset Court. This is a refectory style service with all service users making choices about their meal. Breakfasts and evening meals are prepared and eaten in the home. A menu is prepared with service users on a weekly basis ensuring that everyone is able to make suggestions and choices about the evening meal. Each part of the home has dining facilities and some service users eat together whilst others sit at separate tables. The inspector observed tea being served in one part of the home. It was well presented and appeared nutritious. Blackdown Polden House DS0000067303.V349197.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 & 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have access to healthcare professionals in line with their individual needs. Staff are aware of the needs of service users concerning personal care and respect the privacy of the individual. EVIDENCE: Service users living at the home are registered with local GPs and other healthcare professionals depending on their individual needs. All appointments are recorded and these show that people have access to professionals such as dentists, chiropodists, opticians, psychiatrists and speech and language therapists. Staff assist service users to attend appointments outside the home. Care plans give details of the level of assistance that people require with personal care. It was noted that the privacy of service users was respected by staff. All bathrooms are lockable and staff were seen knocking on bedroom Blackdown Polden House DS0000067303.V349197.R01.S.doc Version 5.2 Page 16 doors before entering. The home employs both male and female staff meaning that service users are able to have some choice in the gender of the person who assists them with intimate tasks. Staff spoken to during the inspection were clear about the needs of service users and how each individual liked to be assisted. The inspector witnessed one service user making a choice about the person who assisted them to bath and this was facilitated. Service users are able to choice their own clothes and hairstyles. One relative/carer raised the issue of the need for staff training in areas of aging and this was discussed with the homes manager who is already aware that as service users grow older they made need to make changes to practice and that staff may require additional training. The home uses a Monitored Dosage System for medication, currently no service users are responsible for the administration of their own medication. All medication is administered by two staff, one member of staff administers and the second witnesses. All staff have received training in this area and felt that the procedures in the home promoted safe practice. The inspector viewed the Medication Administration Records on both units of the home. All had been signed in when received into the home and correctly signed when administered giving a clear audit trail. Blackdown Polden House DS0000067303.V349197.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 & 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are appropriate measures in place to minimise the risk of abuse to service users. EVIDENCE: The home has policies and procedures in respect of recognising and reporting abuse, making a complaint and whistle blowing. The home also has a copy of the Somerset County Council policy on Safeguarding Vulnerable Adults. Staff spoken to were aware of the ability to take serious concerns outside the home and all stated that they had received training in the protection of vulnerable adults. All service users and carers who completed questionnaires before the inspection said that they knew how to make a complaint. All 8 service users who completed questionnaires answered ALWAYS to the question ‘Do staff listen and act on what you say?’ The inspector observed that staff interacted well with service users and were familiar with the communication methods used by individuals. Due to the nature of the behaviour of some service users there are areas of the home that are locked. This is clearly recorded in care plans. Whilst it is Blackdown Polden House DS0000067303.V349197.R01.S.doc Version 5.2 Page 18 acknowledged that some service users require this level of support and security the effects on other service users needs to be closely monitored to ensure that it does not impinge on their freedom of movement around the home. The inspector viewed the recruitment records of the two most recently appointed members of staff. These evidenced that all new staff are checked against the Protection Of Vulnerable Adults (POVA) register before they begin work and all undergo an enhanced Criminal Records Bureau (CRB) check. Blackdown Polden House DS0000067303.V349197.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, 28 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Blackdown Polden provides a safe and comfortable environment for service users. Some bathrooms are in urgent need of refurbishment and redecoration. Service users can only access community facilities if transport is provided. EVIDENCE: Blackdown Polden is a single storey building set in the grounds of the Somerset Court site, it is divided into two separate units which are self contained. There are a further 4 registered homes on the site and some services are shared. There are no shops or facilities within walking distance and the home is not on a public transport route. All areas are fitted with a fire detection and emergency lighting system. Blackdown Polden House DS0000067303.V349197.R01.S.doc Version 5.2 Page 20 Each unit has its’ own communal areas and kitchen. Since the last inspection the home have redecorated the communal lounge/diners and replaced some flooring. There are small garden areas attached to each unit and service users have access to the main Somerset Court site. Service users and staff have planted flowers in the garden areas and outside seating is provided. All bedrooms are for single occupancy, one has an en suite bathroom and others have wash hand basins. The inspector viewed a sample of personal rooms and noted that they had been personalised to reflect the individuals tastes and needs. There are adequate toilet and bathroom facilities however some are in a poor state. The inspector noted that one toilet was leaking and paint was coming off the ceiling in one bathroom. The manager stated that these rooms are due to be refurbished next week. There are no shower facilities in one of the units. At the present time no service users require any aids or adaptations to maintain their physical independence. Each unit has a domestic washing machine but the bulk of laundry continues to be done at the large commercial type laundry on the site. On the day of the inspection all areas seen by the inspector were reasonably clean and fresh. Blackdown Polden House DS0000067303.V349197.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): 31, 32, 33, 34, 35 & 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff demonstrate a good knowledge of the needs and likes of service users and assist people in a friendly, respectful manner. There are robust recruitment practices that minimise the risks of abuse to service users. EVIDENCE: The home employs 21 members of staff, 10 have a National Vocational Qualification in care and a further 4 are working towards the award. 7 staff completed questionnaires prior to the inspection and all stated that they had received an adequate induction and supervision when they began work at the home. Staff spoken to on the day of inspection said that the home provided very good training opportunities and ongoing support and supervision. There is a clear staffing structure with everyone being clear about their role. Blackdown Polden House DS0000067303.V349197.R01.S.doc Version 5.2 Page 22 Staff felt that there were adequate numbers of staff on duty at all times to meet the needs of the service users. There are regular team meetings which people felt were an opportunity to share views as well as receive information. Everyone felt that communication was good. Staff observed, and spoken to, during the inspection were well motivated and enthusiastic. They assisted people in a way that was respectful and friendly. Staff demonstrated a good knowledge of individual needs and likes. The inspector viewed the recruitment files of the two most recently appointed members of staff. Both gave evidence of a thorough and robust recruitment procedure, which included interviews, written references and appropriate checks. Blackdown Polden House DS0000067303.V349197.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, 41 & 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered manager is experienced and competent. Appropriate health and safety checks are carried out. EVIDENCE: The registered manager of the home is Yvonne Thomas, she is a registered nurse for people with learning difficulties and has a BSc in Health & Social Care. She has many years experience of working with people with autism and learning difficulties. Blackdown Polden House DS0000067303.V349197.R01.S.doc Version 5.2 Page 24 The manager demonstrated a good knowledge of staff and service users within the home. She has a commitment to person centred care and leads by example. Staff stated that she was open and approachable. All requirements made at the last inspection have been complied with and the manager completed an Annual Quality Assurance Assessment at the request of the Commission for Social Care Inspection. This document was well written and set out the homes achievements in the past twelve months and the plans for the future. All records seen were well maintained and correctly stored. The inspector viewed some records in respect of health and safety issues. The fire log showed that alarms, emergency lighting and torches are tested on a weekly basis. All staff receive regular training in fire safety. The fire detection system is regularly serviced by outside contractors. All accidents that occur in the home are recorded and appropriate authorities are notified. Hot water temperatures are tested regularly and records seen showed that these were within the recommended temperature limits. Portable electrical appliances are tested on an annual basis. The home holds service user meetings on a regular basis and the manager stated that they are piloting a new quality assurance audit system. The National Autistic Society acts as a corporate financial appointee for many of the people living at the home. Small amounts of personal monies are kept on the premises to ensure that people can buy personal items and access facilities and amenities of their choosing. The inspector sampled the records and found them to correctly correlate with monies held. It is strongly recommended that the home review the recording procedures to ensure that all transactions are accompanied by two signatures. Blackdown Polden House DS0000067303.V349197.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 X 3 3 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 2 25 X 26 3 27 2 28 3 29 X 30 2 STAFFING Standard No Score 31 3 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 3 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 3 X 3 X 3 3 X Blackdown Polden House DS0000067303.V349197.R01.S.doc Version 5.2 Page 26 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard YA1 YA6 YA23 YA41 Good Practice Recommendations The service user guide should clearly state what is included in the fee. Person centred care plans should be expanded to ensure that they give clear guidance to staff and are reflective of the service users wishes and goals. The home should review the recording procedure for service users personal finance and it is strongly recommended that all transactions are accompanied by two signatures. Blackdown Polden House DS0000067303.V349197.R01.S.doc Version 5.2 Page 27 Blackdown Polden House DS0000067303.V349197.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Taunton Local Office Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Blackdown Polden House DS0000067303.V349197.R01.S.doc Version 5.2 Page 29 - 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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