Inspection on 02/05/07 for Blamsters Farm

This inspection was carried out on 2nd May 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Blamsters Farm 30/11/05

Blamsters Farm 01/06/05

Blamsters Farm 13/10/04

Blamsters Farm 06/06/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Blamsters Farm Mount Hill Halstead Essex CO9 1LR Lead Inspector Brian Bailey Key Unannounced Inspection 2nd May 2007 10:00a Blamsters Farm DS0000017772.V338539.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 Blamsters Farm DS0000017772.V338539.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. Blamsters Farm DS0000017772.V338539.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Blamsters Farm Address Mount Hill Halstead Essex CO9 1LR 01787 479491 01787 479406 paulinehennessey@tlccarehomes.co.uk 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) TLC Care Homes Limited Mr Glen Harms Care Home 30 Category(ies) of Learning disability (30) registration, with number of places Blamsters Farm DS0000017772.V338539.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. 7. 8. Five persons of either sex, under 65 years of age, who require care by reason of a learning disability, to be accommodated in Blamsters Farmhouse Two persons of either sex, under the age of 65 years, who require care by reason of a learning disability, to be accommodated in The Cottage Two persons of either sex, under the age of 65 years, who require care by reason of a learning disability, to be accommodated in The Coach House Seven persons of either sex, under the age of 65 years, who require care by reason of a learning disability, to be accommodated in Blamsters Green Five persons of either sex, under the age of 65 years, who require care by reason of a learning disability, to be accommodated at Howe Chase, Halstead Three persons of either sex, under the age of 65 years, who require care by reason of a learning disability to be accommodated in Acorn Bungalow, Halstead Six persons of either sex, under the age of 65 years, who require care by reason of a learning disability, to be accommodated at Blamsters Oak (5) and Blamsters Oak Suite (1) Blamsters Oak and Blamsters Oak Suite are not suitable to accommodate wheelchair users, people with physical disabilities, mental health needs, complex challenging behaviour or self-harming tendencies. The total number of service users accommodated at the home must not exceed 30 persons. 30th November 2005 9. Date of last inspection Brief Description of the Service: Blamsters Farm is a care home providing accommodation for thirty adults with learning disabilities. The main buildings and two separate properties are situated in rural settings on the outskirts of Halstead town centre. The registered manager is Glen Harms. The home consists of 7 self-contained properties that can accommodate in single rooms a total of 30 people as follows: • Acorn 3 people; • Cottage 2 people; • Howe Chase 5 people; • Blamsters Farmhouse 5 people; Blamsters Farm DS0000017772.V338539.R01.S.doc Version 5.2 Page 5 • • • The Coach House 2 people; Blamsters Green, 7 people; Blamsters Oak 6 people. The properties are within walking distance of the town, where there is a range of amenities including a library, cinema, pubs, supermarket, post office and general shops. People that live at the home have the use of minibuses for outings to the community. The spacious grounds and gardens were well maintained and provide views across open countryside. Information provided by the manager shows that the fees for accommodation range from £1400 to £2300 per week. Extras to the fees include toiletries and personal needs. Previous inspection reports are available from the home and the CSCI website www.csci.org.uk Blamsters Farm DS0000017772.V338539.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection looking at the core standards for the care of adults. This report is based on a range of information that has been accumulated from our inspection records, a site visit to the home that took place on 2nd May 2007 at 10:00am, a partial tour of three of the properties, Acorn, Blamsters Oak and the Farmhouse, discussions with the registered owner, the manager, staff, people that live at the home, questionnaires issued by CSCI and the records kept at the home. This home was assessed as providing a very good standard of care and meeting the key minimum standards when it was last inspected in November 2005. In recognition of this achievement, no further inspections were considered necessary until this period in 2007. This current assessment shows that the home has continued to develop its care practices, the management structure has been strengthened and systems improved. The home has gone through a major transition over the past year and is now registered to provide accommodation and care to thirty people that live in seven different properties, collectively known as Blamsters Farm. Staff recruitment has been managed successfully and the new services now provide more options and opportunities for people. Although the number of opportunities to speak with people was limited, people who were spoken with said they were happy and liked the new arrangements. One person said how pleased they were with the prospect of moving out to independent living. Staff spoken with were happy at working at the home and considered people were well cared for. Survey forms returned to us contained many complimentary comments and shows that many people are very satisfied with Blamsters Farm and the service provided. What the service does well: • • • • • • • • • • • Provides clean, comfortable and homely places to live that are reasonably close to local shops; A team of experienced, motivated and trained staff; A home where people are enabled to make choices and to be supported with respect and dignity; Maintains a welcoming and homely environment. A professional approach to running the home and the business; Good range of social activities; Staff training and development; The availability of a range of transport; Good staff recruitment practices offering good protection for people; Qualified nurse specialising in behavioural problems; Seeks the views of all people with an interest in the home. Blamsters Farm DS0000017772.V338539.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Blamsters Farm DS0000017772.V338539.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 Blamsters Farm DS0000017772.V338539.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, 3 & 4. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People considering whether to live at the home benefit from having an opportunity to visit to assess the home’s suitability and to have information about the home’s services and facilities. The home completes thorough assessments of people so that they can be certain as to whether or not they can meet their needs. EVIDENCE: Up to date statements of purpose were available. These contain a good range of information about the home, including its aims and objectives, the facilities offered and the staffing structure, which has been strengthened over the past year to take into account the new units. Information about the home was available to people in a variety of formats such as Makaton signs and symbols. Previous inspection reports were available at the home. Care records were sampled and these showed that the home obtains assessments for all prospective people and senior staff undertake their own assessments. Discussions with staff indicated that all prospective people are encouraged to visit the home prior to admission to see for themselves the facilities available and to meet other people and staff. The manager and staff stated that the assessment period could take many visits before a placement is confirmed as suitable and acceptable. A comprehensive assessment pack is available for staff when carrying out an assessment. Blamsters Farm DS0000017772.V338539.R01.S.doc Version 5.2 Page 10 It was evident from the training log, discussions with staff and from observation, that the staff had the necessary skills, motivation and experience to communicate effectively with people and to support them appropriately. Blamsters Farm DS0000017772.V338539.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 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People at the home are enabled and encouraged to contribute to the daily life and routines of the home. People could be certain that their care plans were sufficiently detailed to enable staff to meet their needs. EVIDENCE: Each person has an individual care support plan. Three care records were selected at random; all were detailed and identified a good range of care needs including guidance as to how the needs were to be met. Care plans were reviewed periodically, signed and dated and from those checked, reviews were up to date. Relatives and people at the home are invited to attend reviews. Daily care records showed that staff were working in accordance with the objectives stated in the care plans. A care record was looked at in the company of the person and the staff member; the person seemed to have an awareness of the contents. The various buildings around the main Farmhouse are different in style, numbers and layout, which enable the home to be able to provide accommodation that meets people’s needs. Staff had been working with one person who has reached the point of being able to leave the home to live in a Blamsters Farm DS0000017772.V338539.R01.S.doc Version 5.2 Page 12 semi-independent style of living. The person was delighted with the prospect and spoke highly of the support that had been given. A few of the people spoken with on the day of inspection were able to provide an opinion about their participation at the home and the degree of independence that they are able to enjoy. They were pleased with their private rooms and of the way they were furnished and decorated. Several people were observed to return to their rooms and to make use of the facilities in the houses and gardens. People were observed helping staff in the garden and the kitchens and to chat freely with staff. Information about people is kept in the office and staff were careful to ensure that confidentiality was maintained. Monthly meetings are held with people when a range of topics are discussed and minutes of the meetings are taken. Blamsters Farm DS0000017772.V338539.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 excellent. This judgement has been made using available evidence including a visit to this service. People are encouraged and enabled to maintain contact with friends and family. People can undertake a range of activities that are interesting, stimulating and appropriate. People benefit from being provided with a healthy and balanced diet. EVIDENCE: From observation and discussion it was evident the home continues to promote a policy of ensuring people’s rights to independence and choice are respected. People living at the home were observed to come and go as they pleased throughout the units and grounds without restriction. Some people were seen to spend time on their own and to enjoy the open space of a large secure garden, whilst others sought the company of staff. People felt able to visit the office and talk to the staff. Contact with staff was observed as friendly, supportive and an opportunity to have fun. The buildings are very homely in appearance and people have access to all areas except for the need to respect other people’s rights to privacy. Many of the bedrooms seen were cheerfully Blamsters Farm DS0000017772.V338539.R01.S.doc Version 5.2 Page 14 decorated and had been personalised and contained many private possessions according to the wishes of the individual. Care records and the home’s timetable showed that the home has continued to provide an interesting and comprehensive range of educational and social activities to all people at the home. Each person has a programme arranged to meet his or her needs. The home has some new mini buses, which are in use daily to take people out. The home’s recent survey of relatives indicates that the majority are very satisfied with the level of community-based activities. One person wrote, ”I am very happy, my…...goes to college 3 days a week and has other trips out”. Another relative commented, “They provide a range of interests within my …. capability and react flexibly to changes in circumstances”. Menus and good food stocks were available that showed the home was able to provide people with a varied and healthy diet. Records were available to show when a person had selected an alternative to the menu. Although meals were not observed, people spoken with said they liked the food. . Blamsters Farm DS0000017772.V338539.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s care needs are well documented and individual risk assessments are in place so that staff are clear about what is required and how the persons needs are to be met. Procedures are in place to ensure that medication is administered appropriately. EVIDENCE: Care records showed that people are supported to make sure their health care needs are met. The personal care needs for people varied from being semiindependent to being totally dependent on staff for assistance. Staff were aware of people’s preferences in terms of whom they preferred to assist them. Records showed that for some people, assistance was limited to prompts for maintaining personal hygiene. Information about a person’s health care needs and medical history is obtained at the initial and subsequent assessments. Records showed that a wide range of information had been obtained and that appointments with health care professionals were maintained. The home operates a key worker system and records showed that each person had been allocated a member of staff. Blamsters Farm DS0000017772.V338539.R01.S.doc Version 5.2 Page 16 The home has an up to date policy on the administration of medication. Medication is kept in each of the properties in locked storage units. A deputy manager has been designated to take the lead on medication and is responsible for reordering, storage, recording returns to the pharmacist, the training of staff and monitoring the administration records. Training records showed that staff designated to administer medication had been assessed to determine their knowledge and competency. The home uses a monitored dosage system. Whilst the blister packs appeared to be up to date, a manager disclosed that audits of the medication system had been carried, which revealed that there are occasions when staff had not signed the Medication Administration Record (MAR) sheets. The manager had a system that required staff to be re-assessed for further training in the administration of medication once an error has occurred. The manager clearly recognised the importance of medication being administered correctly but some staff have not followed the procedures. Blamsters Farm DS0000017772.V338539.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. People at the home are able to live in a safe and secure setting. Staff training and procedures are in place, which are designed to protect people living at the home. EVIDENCE: The home had policies on Adult Protection and Prevention of Abuse, Whistle Blowing, Bullying and a copy of the Essex Protection of Vulnerable Adults (POVA) Guidance. The home’s adult protection policy covered appropriate issues. All staff had attended training in the Prevention of Abuse within the past year; the topic is also included in the induction package and National Vocational Qualification training that many of the staff have completed. The home has a complaints procedure and all complaints and compliments are recorded. The complaints register showed that none had been received since the last inspection. Relatives and people at the home that returned survey forms to us indicated they were they are aware of the procedure and of how to make a complaint. Blamsters Farm DS0000017772.V338539.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 28 and 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Excellent standards of accommodation and facilities are provided to enable people living at the home to enjoy attractive surroundings, comfort and privacy. EVIDENCE: The Blamsters Farm site consists of a central office complex and 7 selfcontained properties within extensive grounds. All bedrooms are for single occupancy and consists of: The farmhouse has 5 bedrooms, the adjacent cottage 2 bedrooms, the Coach House 2 bedrooms, Blamsters Green 7 bedrooms, Blamsters Oak 6 bedrooms and Acorn bungalow has 3 bedrooms. Howe Chase, a detached property approximately two miles away can accommodate up to 5 people. The location and layout of the buildings is suitable for the people living at these properties. All the properties seen were well maintained and homely in appearance. A separate office complex is well equipped, secure and has provision for private meetings. This inspection visit focused on Blamsters Oak, the farmhouse and Acorn. All areas seen within these properties showed that the organisation has continued to invest in the home to improve facilities and to provide excellent standards of Blamsters Farm DS0000017772.V338539.R01.S.doc Version 5.2 Page 19 accommodation. All bedrooms are spacious, clean, well decorated and furnished and personalised to peoples’ wishes. People at the home were pleased to show their rooms and several people said how much they liked them. A good standard of hygiene and cleanliness was observed in all the areas inspected. The extensive grounds that include landscaped gardens were attractive, private and well maintained with plenty of seating areas provided. Blamsters Farm DS0000017772.V338539.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People at the home benefit from being supported by teams of experienced, trained and motivated staff that can meet their needs. People are protected by the home’s recruitment procedures. EVIDENCE: Information provided to us by the manager shows that since the last inspection in 2005, a further 46 staff have been recruited. This is mainly due to the new projects, Howe Chase, Blamsters Oak and Acorn, being established and registered, although there are additional maintenance staff. Records showed that of the 71 care staff employed, a total of 28 staff have obtained a National Vocational Qualification at level 2 and that 8 are in the process of taking the qualification. In addition, 6 staff have a NVQ level 3 and 8 staff are taking the qualification, and 4 staff are taking NVQ 4. This means that although the home has not reached the recommended level of 50 or more of staff with an NVQ, current plans will result in this level being exceeded in the near future. Evidence was available at the home to show that all new staff are required to undertake an initial induction course followed by an equivalent LDAF induction course. 28 staff were in the process of receiving this induction package. In Blamsters Farm DS0000017772.V338539.R01.S.doc Version 5.2 Page 21 addition to NVQ training, opportunities have been provided to staff to attend a variety of specialist training to ensure they are competent to care for and meet the needs of the people at the home. Staff files looked at during the inspection showed that the home was following the correct procedures and carrying out all the necessary recruitment checks for new staff. Criminal Records Bureau disclosures had been obtained for all staff employed. The staff files were well-maintained, consistent in layout and were kept secure in the office. It was evident from discussion with staff and from records seen that staff are supervised on a regular basis. Records also showed that some staff had received training on conducting supervision and appraisal. Staff spoke of receiving good support from senior staff and all considered the home to be well run and for the benefit of people at the home. Blamsters Farm DS0000017772.V338539.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40 and 42. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People that live at the home can be confident that the management and staff team run the home effectively and have procedures in place to protect them. People at the home, relatives and others are involved in providing feedback, which helps to influence the way the home is run. EVIDENCE: Blamsters Farm has an experienced and qualified manager, who is supported by a well-organised management team. The staffing structure, systems and administrative backup enable the manager to have a good understanding about each unit and to be able to retrieve information easily. Three additional properties were registered during 2006. It was evident from observation and discussion with the manager that that the proprietor maintains regular contacts with the home and is fully involved in the management, planning and development of the organisation. Blamsters Farm DS0000017772.V338539.R01.S.doc Version 5.2 Page 23 A member of the management team visits each unit every month to check that staff are maintaining systems and records correctly. Quality Assurance systems operate and surveys are carried out annually. Two reports summarising the most recent surveys were provided to CSCI in March 2007. The findings from surveys of relatives and health care professionals show that there is a high level of satisfaction with the services provided. Comments from relatives included “I am very happy with my son’s progress and care” and “very pleased that my brother is at Blamsters Farm”. Health care professionals considered the home to be professional in their approach and that staff have the skills to carry out their duties. We also undertook a survey of relatives and people that live at the home and this resulted in nineteen comment sheets being returned. The general view was that people are satisfied with care provided at Blamsters and that they are listened to. One person stated, “It would be difficult to improve on”. Evidence was available to show that senior management and staff meetings take place at regular intervals. House meetings also take place. The home had up to date policies and procedures and copies are available for staff in each unit. The home was able to demonstrate good compliance with health and safety matters. Information provided to us by the manager shows that equipment and services such as gas, electricity and the fire detection systems are serviced regularly. The home employs consultants to audit and provide advice on Health & Safety matters and have awarded the home a certificate of achievement for commitment to workplace health, safety and welfare. The training manager had complied a log of all training undertaken by staff. This showed that staff had been provided with health and safety training that included food hygiene, first aid, manual handling and fire safety. Staff spoken with confirmed they attended these courses. Blamsters Farm DS0000017772.V338539.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 3 3 3 X 3 X Blamsters Farm DS0000017772.V338539.R01.S.doc Version 5.2 Page 25 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 YA20 Regulation 13 (2) Requirement When medication is administered to people who use the service it must be clearly recorded, to ensure that people receive the correct levels of medication. Timescale for action 30/06/07 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 Blamsters Farm DS0000017772.V338539.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Blamsters Farm DS0000017772.V338539.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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