Inspection on 19/12/08 for Cottage Farm

This inspection was carried out on 19th December 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cottage Farm 20/06/08

Cottage Farm 20/06/07

Cottage Farm 18/04/06

Cottage Farm 25/11/05

Cottage Farm 04/05/05

Cottage Farm 07/12/04

Cottage Farm 20/07/04

Cottage Farm 07/01/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 13/03/2009.

CARE HOME ADULTS 18-65 Cottage Farm Southampton Road Hythe Hampshire SO45 5TA Lead Inspector Chris Johnson Unannounced Inspection 19th December 2008 11:20 Cottage Farm DS0000012379.V373833.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 Cottage Farm DS0000012379.V373833.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. Cottage Farm DS0000012379.V373833.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cottage Farm Address Southampton Road Hythe Hampshire SO45 5TA 023 8084 0661 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) www.macintyrecharity.org MacIntyre Care Manager post vacant Care Home 5 Category(ies) of Learning disability (0) registration, with number of places Cottage Farm DS0000012379.V373833.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category/ies of service only: Care home only – (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Learning disability (LD) The maximum number of service users to be accommodated is 5 Date of last inspection 20th June 2008 Brief Description of the Service: Cottage Farm is registered to provide accommodation to five younger adults with a learning disability, physical disability or sensory impairment, although the home currently accommodates three residents over the age of 65. The home is a large spacious bungalow in a semi-rural setting, on the outskirts of Hythe town centre and the New Forest. Accommodation is provided within individual rooms, with communal facilities including a large, comfortable sitting room, spacious kitchen / dining room, one assisted bathroom, walk in shower room, separate WC and utility room. At the front of the property is a large parking area, with the garden area at the rear mainly laid to lawn, with small shrubs, a patio area and an adjacent fruit orchard. At the inspection of the home on the 20th June 2007 the weekly fees were reported to be £1100. 00, with additional charges for hairdressing, chiropody, toiletries, holidays, activities and magazines. We do not have any information regarding the current fees. Members of the public may wish to obtain more up-to-date information from the care home. Cottage Farm DS0000012379.V373833.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. The purpose of this inspection was to assess how well the home is doing in the meeting of all key National Minimum Standards, compliance with regulations, previous requirements and to assess what the outcomes are for people who live at his home. We last visited this home on 20th June 2008. As that inspection raised a number of concerns resulting in a quality rating of poor, we have inspected this home within six months of the last visit. The findings of this report are based on a number of different sources of evidence. These included: An unannounced visit to the home, which was carried out over one day on 19th December 2008, whereby we looked at all key standards and followed up on requirements that were outstanding from previous inspections. All regulatory activity since the last inspection was reviewed and taken into account including any notifications sent to the Commission for Social Care. The home has been without a full time registered manager since July 2007. The interim arrangements have been that the home has been managed by someone who is also the registered manager of another registered home within the organisation. The person managing the service completed an Annual Quality Assurance Assessment (AQAA) prior to the previous visit. During this visit we looked at the physical environment including, people’s bedrooms and all communal areas of the home. Staff and care records were inspected. Some members of staff were spoken with and others were observed during their day-to-day interactions with those living at the home. We examined records, policies and procedures. Due to the communication needs of the people living at the home we were not able to hold discussions with them. However we did talk to people briefly, interact with them and spend time observing the care being given to them. The person managing the service was present during the visit to answer questions and discuss issues. Verbal feedback was provided at the end of the inspection. Cottage Farm DS0000012379.V373833.R01.S.doc Version 5.2 Page 6 What the service does well: 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 Cottage Farm DS0000012379.V373833.R01.S.doc Version 5.2 Page 7 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Cottage Farm DS0000012379.V373833.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 Cottage Farm DS0000012379.V373833.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 and 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Peoples’ needs are fully assessed prior to admission so that the individual and the home can be sure that the home is right for them and will meet the person’s needs. EVIDENCE: At the last inspection of the home on the 20th June 2008 found we reported that, Peoples’ needs are fully assessed prior to admission so that the individual and the home can be sure that the home is right for them and will meet the person’s needs. Since our last visit there had not been any new admissions to the home. From discussion with the person managing the service we were told that the assessment process was unchanged since the last inspection. This included the opportunity for prospective residents to visit the home prior to moving in. The homes Statement of Purpose had been amended since our last visit and now included several photographs and pictures making the document more suitable for anyone referred to the home in the future. Cottage Farm DS0000012379.V373833.R01.S.doc Version 5.2 Page 10 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. Care plans provide clear instructions for staff to follow and provide support and care in a way that people prefer. EVIDENCE: At the previous inspection on 20th June 2008 quality in this outcome area was judged to be good. On this occasion we looked at the care plans of two people who live at the home. Our findings were similar to as the last inspection. Both people had individual person-centred care plans. The care plans looked at were written in the first-person and were person-centred. Care plans demonstrated that peoples’ independence is promoted and highlighted peoples abilities as well as their needs. Peoples’ personal care and daily support needs were clearly identified and care plans provided clear guidance regarding the level and type of support needed with various care needs. All care plans looked at provided evidence that people had been consulted and involved in formulating their plan Care plans offered guidance for staff for anyone who may exhibit challenging Cottage Farm DS0000012379.V373833.R01.S.doc Version 5.2 Page 11 behaviour and described what approaches to use. Alongside this each person had communication profiles stating how to offer choices for that person and how they would respond (how they communicate their choices). At our last visit the home were in the process of re writing all care plans. At this most recent visit this had now been completed. We saw evidence that people are supported to make their own decisions, with assistance where necessary and that identified risks posed to each person are managed appropriately. Both of the care plans looked at had been written from two perspectives, firstly from the individuals point of view, whats important to me, my likes and dislikes and my hopes and dreams. Secondly was a section entitled, What is important for me. This section included assessments from staff and other professionals of the risk posed to the person. Where appropriate friends and family had contributed to and been involved in the care planning process. Cottage Farm DS0000012379.V373833.R01.S.doc Version 5.2 Page 12 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 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are able to make choices about their life style, and are supported to develop life skills. People are supported to engage in activities and to keep in contact with friends and family. EVIDENCE: Each person living at the home receives funding for seven hours each week for one to one support in the community and this is delivered by an outside agency and funded by social services. On the day of the visit one person went out with the agency and on arrival at the home another person was out with a member of the staff team. At other points in the day people were either engaged in their own activities, in their rooms, communal areas or with staff. The person managing the service had compiled a written document detailing what had changed since the last inspection of the home. The document stated Cottage Farm DS0000012379.V373833.R01.S.doc Version 5.2 Page 13 that, the home has invested in various arts and craft materials which are used regularly by the people we support. The service is also visited by an aroma therapist and a company who run an hour-long music session. We looked at the activity diaries of two people and these provided recorded evidence that people were supported to take part in a variety of activities. The diaries also provided us with evidence that people could exercise choice as whether to engage in an activity and choice regarding meals. At the last inspection we were told that the home planned to introduce more appropriate communication methods. We saw evidence at this latest inspection that this had now commenced. We saw that people now had timelines in each of their rooms to help them to understand, choose and indicate what they wished to do during the day. A pictorial menu was also in the process of being introduced. We saw a sample of menus and discussed the menu planning with staff. The staff said that the ethos of the home was to make the process as informal and homely as possible. People indicate to staff their menu choices and records are maintained and were available for inspection to demonstrate that people are offered a healthy and varied diet. It is anticipated that the introduction of the pictorial menus will further improve peoples involvement in this process. People living at the home have the opportunity to go food shopping with staff. The home has it’s own transport and can take people out this is normally on an informal basis taking two or people out at a time. We saw evidence that people can receive visitors and are encouraged and supported to keep in touch with family and friends. It was clear from observation that rights are respected and that people are encouraged to take part in household chores. This was also evidenced by information recorded in the care plans. Cottage Farm DS0000012379.V373833.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People receive the appropriate level of assistance with their health and personal care needs. The homes medication practices offer people protection. EVIDENCE: From evidence recorded in the care plans and from observations and discussion it was evident that people were receiving support with their personal care needs in line with their needs and preferences. Care plans and associated documents provided us with enough information to demonstrate that health care needs are being met and that people have access to a range of health services. Peoples healthcare records had been updated since our last visit. The Person managing the service said that they were encouraging other health care professionals to sign sheets detailing the reason for any intervention, diagnosis Cottage Farm DS0000012379.V373833.R01.S.doc Version 5.2 Page 15 and outcomes. When looking at the healthcare records for two people we saw that they had recently attended Well Man check ups. We also saw evidence that they were supported to attend GPs, opticians, dentists as well as more specialist healthcare services as appropriate to the individual. From looking at the records of peoples recent healthcare appointments we saw evidence of people exercising their right to refuse treatment, records showed that one person had recently declined to have a flu vaccination. Care plans also looked at peoples goals to maintain fitness and the level of support required with medication in the How I like to take my medication section of care plans there were step by step instructions where necessary for staff to follow. Information in the care plans also demonstrated that people had a right to refuse medication and gave instructions for staff of what to do in that situation. At the last inspection of the home we made three requirements relating to the safe storage and administration of medication as at the time it was found that medication practices within the home were not safe, that people were being put at risk by unsafe storage and that recording procedures were also lacking. On arrival at the home we looked at the medication storage facilities. The cabinet was locked and the keys were safeguarded. We also looked around all bedrooms and bathrooms and there were not found to be any medications or creams accessible to people at the home so as to put anyone at risk as had been found at previous visits. Since the last inspection written procedures had been put into place. This stated that all creams were now stored in locked cabinets. Written guidelines for the safe storage and administration had been introduced and these were accessible and also included in peoples care plans as appropriate. As part of the new procedures medication cabinet keys are now held by a staff member while on duty and handed over at the end of their shift. This was observed to be the practice during our visit. We also saw recorded evidence that regular checks are made by a senior member of the staff team to ensure that these procedures are followed. Additionally as part of the handover process staff complete a checklist to ensure that medication has been given as prescribed and sign to acknowledge receipt of the medication cabinet keys. We looked at several recording sheets and saw evidence that these new procedures were being followed. We also checked the medication administration records of two people living at the home. There were not found to be any errors or omissions. Cottage Farm DS0000012379.V373833.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home have access to a complaints procedure and this is in a format suitable to their needs. Improvements in the management of peoples personal finances and the introduction of individual bank accounts have provided them with greater protection from abuse. EVIDENCE: No complaints regarding the home have been reported to the Commission for Social Care Inspection since the last inspection. The home has a complaints procedure and people living at the home have access to an independent advocacy service to support them. Since the last inspection the home has made efforts to make the complaints procedure more accessible to people living at the home. They have introduced a talking photo book and recorded an audio description of the different stages involved in making a complaint, what will happen and whom people can speak to if they are unhappy. Whilst we were unable to ascertain from people whether this had aided their understanding of their right to complain the person managing the service said that it was intended to assist one person who was visually impaired. Following the last inspection of the home we made a repeat requirement regarding the management of peoples money. We saw evidence at this inspection that this requirement has now been met. Bank accounts have now Cottage Farm DS0000012379.V373833.R01.S.doc Version 5.2 Page 17 been opened for each person in their own names. While all people living at the home need support to manage their finances they are can now have direct access to their money. We did note at the last inspection that there had been an improvement in the record keeping system used at the home. Examination of a sample of people financial records during the most recent visit showed that this improvement had been sustained. We saw evidence from staff training records that they had all received further training in adult protection and managing challenging behaviour since our last visit. Cottage Farm DS0000012379.V373833.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 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well furnished, comfortable and homely. The home is clean and tidy and good standards of hygiene are maintained throughout the home. The home is decorated and set out to promote independence. EVIDENCE: During the visit to the home we saw all communal areas and a selection of peoples bedrooms. On arrival at the home it was found to be clean and tidy and smelt pleasant. At the last inspection we reported that, Several bedrooms had recently been redecorated and individualised to the persons’ own taste and reflected their interests. We were also told at that visit that there were plans in place to decorate the remaining rooms. Since our last visit the remaining rooms had been decorated. All bedrooms are single and lockable to afford people their privacy. Each room had been personalised and reflected the persons individual interests. One of the most recent bedrooms to be redecorated was that of someone who has a visual impairment. The lighting had been improved in the room to aid the person, textured wallpaper had been Cottage Farm DS0000012379.V373833.R01.S.doc Version 5.2 Page 19 used on one wall assist the person to orientate themselves, and a variety of other methods had been used to assist them to encourage their independence such as different textures on drawer fronts so that they could distinguish between them and find their things more easily. Some additional improvements had been made to communal areas within the home. The lounge had been re carpeted, and sofas replaced. Curtains had been replaced and new windows had been fitted throughout. Hedges had been removed to provide views of surrounding fields. Symbols and tactile surfaces had also been fitted around the home to assist the person to find their way around. Photographs had been placed on kitchen cupboards to assist people to find food preparation items, plates and cups etc. From observation people were relaxed and at home in the environment and free to access their rooms and other areas as they so chose. The laundry room, kitchen and bathrooms were all seen and it was evident that infection control procedures were being followed. Health and safety and other guidance were displayed in the laundry room with procedures for infection control such as colour-coded cloths for different tasks. Cottage Farm DS0000012379.V373833.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 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are employed in sufficient numbers to meet the needs of people living at the home. The homes recording practices have improved demonstrating that checks are carried out on staff before being allowed to work at the home and that they are appropriately trained. This provides the people living there with protection. EVIDENCE: At the last inspection of the home on 20th June 2008 quality in this outcome area was judged to be to be poor. There were concerns regarding recruitment practices and the lack of evidence of staff training. On that occasion we made an immediate requirement and were concerned, as the issue of recruitment checks had been raised on previous inspections. During this visit to the home we looked at the files of five members of staff. One of whom had been recruited since our last visit. The file for this person confirmed that an appropriate recruitment process had been followed and that Cottage Farm DS0000012379.V373833.R01.S.doc Version 5.2 Page 21 this included; the submission of an application form, an interview, the receipt of two written references and that both Criminal Records Bureau and Protection of Vulnerable Adults checks had all been completed prior to the person commencing work at the home. Evidence was seen to verify that this person had been inducted into the home and that they had completed an induction programme that was linked to the Skills for care induction standards. The files of the other four staff members had all been updated since the last inspection and that there was now all required information pertaining to staff held within the home. The person managing the service had compiled a written document detailing what had changed since the last inspection of the home. The document stated that as a result of the last inspection they had decided to, put all staff through all mandatory training again and also through some more service specific courses. To date staff have completed Protection of Vulnerable Adults, conflict management, manual handling, fire safety, infection control, food hygiene, first aid, palliative care and bereavement. Epilepsy and rectal diazepam training is planned for the New Year. Examination of the staff files confirmed that they had all completed the above training since our last visit. During the visit to the home staff rotas were examined. These confirmed the rota to be a true reflection of actual staffing levels. Staffing levels remain constant and are maintained at the same level as at previous inspections. We reported at the last inspection that there were insufficient records to demonstrate that staff had received regular supervision. We saw that this had improved and that records were better maintained. On arrival at the home one person was receiving supervision and in discussion with staff they told us that they received regular supervision and support. Our observations with staff were that they were friendly and supportive toward the people living at the home. Staff and people living at the home were observed to be relaxed in each other’s company. In discussion with staff they were able to demonstrate and show that they were committed to giving people choice and that they had a thorough understanding of peoples care and support needs. Cottage Farm DS0000012379.V373833.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 adequate. This judgement has been made using available evidence including a visit to this service. Improvements have been made to the management of the home. However in order to sustain these and continue to provide people living at the home with a safe environment the home will need to appoint a full time manager and apply for them to be registered with the Commission for Social Care Inspection. EVIDENCE: This report has highlighted the improvements that have been made since the previous inspection of the home. All requirements made at previous inspections have been met. The home must now demonstrate that these improvements can be sustained. As reported at the last inspection there has not been a full time or registered manager in post for some time. The home currently has a person managing the service. However this person is the registered manager of another Cottage Farm DS0000012379.V373833.R01.S.doc Version 5.2 Page 23 registered home within the organisation. We saw that this person had been spending a considerable amount of time at the home and had dealt with the deficiencies that were identified at the last inspection. However this arrangement cannot continue due to their commitment and associated responsibility as the registered manager of another home. A senior manager within the organisation has informed us that the home has been trying to appoint a manager and that they continue to do so. As the service has been without a registered manager for a considerable period of time, the provider needs to take prompt action to appoint a full time manager to manage the service. This needs to be achieved in order for the home to be able to sustain the improvements discussed throughout this report and to further develop the service. Examination of a sample of policies and procedures during the inspection demonstrated that these are kept under regular review. We saw that a representative from the organisation visits the home on a monthly basis to monitor the effectiveness of the service. Records showed that during these visits people living at the home were consulted and spoken to staff were interviewed, the environment and upkeep of the home was monitored and records were examined. We saw documented evidence during our visit to the home that maintenance checks, tests and servicing of equipment are carried out regularly. Examination of the fire logbook confirmed that weekly fire alarm checks are undertaken. We saw recorded evidence that regular fire drills take place. Cottage Farm DS0000012379.V373833.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 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 3 ENVIRONMENT Standard No Score 24 4 25 4 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X 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 3 X 1 2 3 3 X 3 X Cottage Farm DS0000012379.V373833.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 YA31 Regulation 8 Requirement The registered person must appoint and individual to manage the home and arrange for this person to submit an application for registration with the Commission for Social Care Inspection. Timescale for action 10/04/09 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 Cottage Farm DS0000012379.V373833.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Cottage Farm DS0000012379.V373833.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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