Inspection on 30/07/08 for Duckyls Farm Centre

This inspection was carried out on 30th July 2008.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Duckyls Farm Centre 03/07/09

Duckyls Farm Centre 13/06/06

Duckyls Farm Centre 21/12/05

Duckyls Farm Centre 20/07/05

Duckyls Farm Centre 04/11/04

Duckyls Farm Centre 28/06/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 23/11/2008.

CARE HOME ADULTS 18-65 Duckyls Farm Centre Selsfield Road West Hoathly West Sussex RH19 4QY Lead Inspector Annette Campbell-Currie Unannounced Inspection 30th July 2008 10:15 Duckyls Farm Centre DS0000014490.V367398.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 Duckyls Farm Centre DS0000014490.V367398.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. Duckyls Farm Centre DS0000014490.V367398.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Duckyls Farm Centre Address Selsfield Road West Hoathly West Sussex RH19 4QY 01342 811111 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) Mr Brian James Jack Manager post vacant Care Home 7 Category(ies) of Learning disability (0) registration, with number of places Duckyls Farm Centre DS0000014490.V367398.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 7. Date of last inspection 13th June 2006 Brief Description of the Service: Duckyls Farm Centre is a care home registered to provide accommodation and personal care for up to seven people who have learning disabilities. Mr Brian Jack owns the service. The registered manager resigned in December and Mr Jack has been responsible for the day-to-day management of the home since then. Duckyls Farm Centre is in a rural area, located on the outskirts of the village of West Hoathly in West Sussex. The home has many of the characteristics and features of a traditional farmhouse. Communal rooms are on the ground floor and seven single bedrooms are on the first floor. Staff accommodation for four staff and a sleep-in room is also provided on the site. There are extensive grounds with an organic vegetable garden and livestock. The current fees are £512.93 per week for personal care and £190.31 per week for day care. Duckyls Farm Centre DS0000014490.V367398.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 One Star. This means that the people who use this service experience adequate outcomes. Annette Campbell-Currie carried out the site visit for this key unannounced inspection over two and a half hours. The registered manager resigned in December and since then Mr Jack has been managing the home on a day-today basis. Mr Jack had just returned from a holiday and was available by telephone to assist with the inspection. An assistant manager has been appointed and was not on duty at the time. The senior member of staff on duty assisted with the visit and some of the information and paperwork we (the Commission) needed was available. There were no records available to show that the necessary checks had been carried out before people began work in the home. Mr Jack has said since the inspection that records governed by the Data Protection Act are held at the main office away from the home; these records were not available during the site visit. Five of the people who live at Duckyll’s Farm Centre were at home and one person was due to return from a visit to his family. Mr Jack returned an annual quality assurance assessment form (AQAA) in December; this provided information about the service and the care provided to help in the planning of the inspection. An Annual Service Review was carried out in January and showed at that time that the service continued to provide good outcomes for people living there. Surveys were sent to the home to find out what people think about the service however unfortunately these were not received. The five people who were at home were spoken with and the three members of staff on duty, a social worker who has had contact with the home was also spoken with. A tour of the communal areas, the bathrooms, a bedroom, the kitchen and the organic garden was carried out. The paperwork that was available included the care planning, reviews and risk assessments for people in the home, the guidance and policy documents for staff, medication records, daily activity schedules for people living in the home, the menu book and photographs of past social activities and holidays. The outcomes for people living in the home were assessed in relation to twenty-two of the forty-three National Minimum Standards for the care of younger people, including those considered to be key standards to ensure the welfare of people living in the home. Two requirements have been made following the site visit; one regarding the need for the home to seek guidance from the fire officer about the practice of Duckyls Farm Centre DS0000014490.V367398.R01.S.doc Version 5.2 Page 6 propping open fire doors with wedges and the other regarding the availability of records for inspection. What the service does well: What has improved since the last inspection? What they could do better: The advice of the fire officer should be sought regarding the practice of propping open fire doors with wedges. A requirement has been made regarding this matter. The registered person must ensure that all records required for inspection are available in the home including evidence of the staff recruitment process and training records. A requirement has been made regarding this matter. The bathroom should be kept clean including tiles and window ledges to prevent cross infection. Bathrooms and bedrooms should have some form of clean window covering that is in good condition so that people’s privacy is protected. Duckyls Farm Centre DS0000014490.V367398.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. Duckyls Farm Centre DS0000014490.V367398.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 Duckyls Farm Centre DS0000014490.V367398.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. An individual assessment is carried out before a decision is made about someone moving to the home. People are supported to visit the home before they make a decision about moving in. EVIDENCE: The six people who currently live at Duckyl’s Farm moved in when the home was opened and get on well together. Staff understand their needs and provide the care that is required to give them a good quality of life. In the annual quality assurance assessment (AQAA) form Mr Jack said that the home operates three principles for residents and staff: “That they want to be here, that they fit within our community and that they are benefiting from the situation”. Mr Jack explained that someone new was due to move in the following day and that a social worker has been involved in assessing the person to make sure that Duckyl’s Farm Centre is a suitable placement. The prospective service user has made several visits to the home and others living there have had the opportunity to meet the person. Mr Jack said that he had been available during the visits to make sure that Duckyl’s Farm could provide for the person’s needs Duckyls Farm Centre DS0000014490.V367398.R01.S.doc Version 5.2 Page 10 and that they would be compatible with the other people already living there. He said that he felt this would be a suitable home and that the staff team could accommodate the person’s needs. The social worker involved with the placement has provided assessments and care plans so that the home has the information needed to make sure that suitable care will be provided. Duckyls Farm Centre DS0000014490.V367398.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’s changing needs and personal gaols are monitored and reflected in the records that are kept. People are supported to make decisions about their lives within a risk assessment framework. EVIDENCE: The care plans included some details of each person’s needs and ways that they should be supported. Local authority social workers or care manager who helped people move to the home are responsible for monitoring the care provided and a formal annual review is held for each person. Reviews for two people have been held recently and the minutes of one review meeting were seen. Residents are involved in the meetings and their relatives if appropriate. All aspects of the person’s life including their wishes and goals are discussed. It was clear from the minutes seen that people have ongoing support in developing their independence and living a fulfilling life. Duckyls Farm Centre DS0000014490.V367398.R01.S.doc Version 5.2 Page 12 A meeting is held each morning with residents so that they can plan the activities that need to be done during the day; this includes work on the farm and household duties as well as social events. The schedules were available and people said they were happy with the tasks they had chosen. There is an element of choice each day however there are certain tasks that need to be carried out as part of the experience of living in the home. Weekends are less structured and people have a greater choice of activities and rest periods. Staff have been provided with guidance about carrying out risk assessments. Whole of life risk assessments for two people were seen and identified possible risks in the home environment and the farm including mobility, moving and handling, sharp objects, security, eating and drinking, bathing, fire and hazardous substances. Other areas of risk identified were: health and sports, behaviour, vulnerability and community activities and travel. Where a risk had been identified guidance had been provided for staff about ways to minimise risks and still support the person’s independence. Duckyls Farm Centre DS0000014490.V367398.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 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are supported to take part in appropriate activities of their choice and are involved with some aspects of the local community. People are supported in their friendships and contact with their families. People’s rights and responsibilities are recognised in their daily lives. A healthy diet is provided and mealtimes are enjoyable occasions. EVIDENCE: The people who live at Duckyl’s Farm chose to live in this environment because they wanted to take part in the working of the farm as part of their day care. Two people were very proud to show the organic garden and the work that they do there. A member of staff explained that people develop skills and knowledge about the care of the animals and things to be taken into account in the growing of organic fruit and vegetables, he gave examples of the ideas and contribution that residents have made to the daily working of the farm. Duckyls Farm Centre DS0000014490.V367398.R01.S.doc Version 5.2 Page 14 People living in the home share responsibility for household duties and are supported to keep their rooms and the communal areas clean. People are encouraged to take some responsibility for their own clothes and laundry with the support of care staff. A range of other activities is provided and everyone has the opportunity to attend courses at college. A member of staff explained that people would be attending courses at three local colleges when term begins. People were very enthusiastic about the courses they have enjoyed. Other activities include horse riding, swimming, visits to the local pub and occasional outings. There was a recent minibus trip to Brighton. There is an activities room with a range of materials for art and crafts, reading and games. In the evening one of the staff sometimes plays the guitar and at other times people watch DVDs or television. Annual holidays are arranged as well as social events. People were excited about going on a riverboat holiday and showed me photograph albums of previous holidays and social events. People are supported to maintain contact with their families through visits home or telephone calls. One person was away visiting relatives at the time of the site visit. Everyone living in the home helps to plan the weekly menu and also take it in turns to do the food shopping with members of staff. This means that those who go shopping can choose some food treats that they like when it is their turn. Produce from the farm is used and fresh vegetables were being picked for meals during the visit. The main meal is at lunchtime and everyone sits around the table making the meal a social occasion. People living in the home help with food preparation, table laying and also clearing up. Care staff are responsible for cooking. It was clear from the weekly menu that people have a healthy and nutritious diet with plenty of fresh fruit and vegetables. Duckyls Farm Centre DS0000014490.V367398.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 receive support in the way they prefer and their physical and emotional health needs are met. The home’s policy and procedures regarding medication protect the people living there. EVIDENCE: Two people need support with washing and bathing; others need encouragement and some guidance. There was some information in the care plans about the way that people need and wish their personal care to be provided. There was guidance about bathing activities and the way that support should be provided. There was evidence to show that people have healthcare support when they need it. The records showed that the health and wellbeing of residents is monitored. One person was going for a medical check up at the local surgery with a member of staff for support. Visits to the dentist and chiropodist are also arranged when necessary. Duckyls Farm Centre DS0000014490.V367398.R01.S.doc Version 5.2 Page 16 None of the people living in the home is responsible for administering their own medication. The medication records were seen and there was a separate sheet for each person’s medication with the correct dose and directions for administration. Medication records were in order. Duckyls Farm Centre DS0000014490.V367398.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 and 23 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People feel their views are listened to and acted upon. It is not clear that the recruitment process fully protects people from harm or abuse. EVIDENCE: There is a complaints policy and any complaints made would be recorded. No complaints have been made about the service in the past twelve months. In the AQAA Mr Jack said that everyone living in the home is taken out for lunch once a month so that they can raise any issues or concerns with him. The staff spoken with said that they have watched training videos regarding adult abuse and understand the need to protect vulnerable people. Staff were aware of the need to report any concern to the Social and Caring Services. There is a system for protecting the finances of each person living in the home and this has been reviewed at previous inspections and found to be in order. The AQAA stated that receipts are kept for all purchases and that staff assist people in managing their personal allowance. Staff said that everyone in the home has an advocate so that their rights and wishes can be protected. Healthcare professionals are available to provide support and guidance to the home in managing any challenging behaviour that people may display. Duckyls Farm Centre DS0000014490.V367398.R01.S.doc Version 5.2 Page 18 Mr Jack states in the AQAA that an enhanced Criminal Records Bureau (CRB) check is obtained before new staff begin work. At the time of the site visit there were no records available to show that this is the case therefore there was no evidence to show that the recruitment process fully protects people from possible abuse or exploitation. A requirement has been made about the availability of records for inspection. Duckyls Farm Centre DS0000014490.V367398.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 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A homely environment is provided for people, in a farm setting. Most areas of the home were clean. The safety of people living in the home is not fully protected. EVIDENCE: Mr Jack indicates in the AQAA that safety checks of the property including fire precautions and electrical equipment are carried out at regular intervals to make sure the building is safe. There is plenty of communal space on the ground floor that includes, a utility room, kitchen, dining room, lounge and activities room that is mainly used for storage. The fire doors on the first floor were being propped open with wedges; the advice of the fire officer should be sought about this matter to ensure that people would be protected in the event of a fire. A requirement has been made regarding this matter. Duckyls Farm Centre DS0000014490.V367398.R01.S.doc Version 5.2 Page 20 The shower room and bathroom were seen and one person’s bedroom. There was no window covering in the bathroom to protect the privacy of people living in the home. The window ledges were in a poor state of repair and there was mould around some of the tiling in the bathroom. These issues should be attended to so that the danger of cross infection is reduced. The bedroom that was seen was comfortable and reflected the interests of the person staying there. The net curtains were in a poor state of repair and should be replaced. People said they are happy with their rooms and the lounge and dining room provide a comfortable place for people to spend time in the evenings if they do not wish to stay in their rooms. Care staff support people living in the home to carry out cleaning tasks; the staff are also responsible for keeping the home clean, cooking and laundry duties. People are encouraged to be responsible for their laundry to help them to develop their independence skills. Since the inspection we have received information from Mr Jack that four bedrooms have been refurbished, external windows have been decorated, the entrance hall, stairway and first floor landing have been redecorated and a craft room that is under construction has a new roof. A new and extended poly tunnel has been purchased. Duckyls Farm Centre DS0000014490.V367398.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People are supported by competent staff. It is not clear that the home’s recruitment policy fully protects people. Training records were not available to show that the required training is carried out. EVIDENCE: Mr Jack employs seven members of staff and permanent bank staff. There were three people on duty including the person responsible for the farm duties. Five of the people living at Duckyls Farm were at home and there were sufficient staff to provide for their needs. The daily programmes of activities showed that there are sufficient numbers of staff for people to have some oneto-one time as well as group activities. There is a bedroom for the person who is on sleeping in duties and three members of staff live on site. The AQAA showed that two of the seven staff have achieved the National Vocational Award at level two or above and that two people were studying for the award. Since the site visit we have been informed by Mr Jack that two staff Duckyls Farm Centre DS0000014490.V367398.R01.S.doc Version 5.2 Page 22 have achieved the NVQ award at level three and all staff are studying for elements of the level two award. One member of staff has recently left and another is due to leave soon. Mr Jack said in the AQAA that all people who have worked in the home in the past twelve months had satisfactory employment checks. There were no recruitment records available or evidence to show that this is the case. A requirement has been made about the availability of records for inspection. The staff spoken with said they have attended training in the required topics including health and safety, fire and safeguarding adults from abuse. They also said that there are regular staff meetings when a key policy is discussed to make sure that staff understand their responsibilities. There were guidance documents for staff in the running of the home however no training records were made available to show that all staff have attended the required training. Since the site visit we have been informed by Mr Jack that all staff have been trained by approved video tuition with examinations in abuses regarding adults with training disabilities, challenging behaviour and fire protection and procedures in care homes. He also said that two staff have attended and passed a four-day training course with the St Johns ambulance service and that all staff have passed handling of medication with Nesbit correspondence course. Duckyls Farm Centre DS0000014490.V367398.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 and 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People benefit from a well run home. People have opportunities to express their views about the home. The health, safety and welfare of people living in the home are not fully protected due to the use of wedges for propping open fire doors. EVIDENCE: The previous registered manager left the home in December. Mr Jack has been running the home since then. An assistant manager has been appointed and works thirty-four hours and one sleep-in duty during school term time (thirtynine weeks) and four hours and two sleep-in duties during school holidays. Mr Jack said that the intention is that the assistant manager will apply for Duckyls Farm Centre DS0000014490.V367398.R01.S.doc Version 5.2 Page 24 registration with the Commission when he is satisfied that she is ready for the responsibility. There is no formal quality assurance process to show that the views of people living in the home are sought and acted upon. There have been no Regulation 26 visits because Mr Jack has been in daily contact with the home. Mr Jack in the AQAA stated that each month two people living in the home are taken out for lunch and this is an opportunity for them to raise any concerns or ideas. There are regular house meetings to discuss anything that people wish to raise. Mr Jack in the AQAA states all equipment is serviced as required and that the necessary safety checks are carried out in the home. There were no records to show that all staff have attended the required training although those on duty said they had attended some training. Fire doors were being propped open with wedges; the guidance of the fire officer should be sought regarding this matter. A requirement has been made about this issue. Duckyls Farm Centre DS0000014490.V367398.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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 X 36 2 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 3 X 2 X X 2 X Duckyls Farm Centre DS0000014490.V367398.R01.S.doc Version 5.2 Page 26 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 YA24 Regulation Re23 (4) (c) (i) Requirement The guidance of the fire officer should be sought with regard to keeping fire doors open in order to keep people safe in the event of a fire. The registered provider should ensure that records are available at all times for inspection in the care home including evidence of the staff recruitment procedure and training records. Timescale for action 31/10/08 2 YA34 YA35 Reg 17 (3) (b) 31/10/08 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 Duckyls Farm Centre DS0000014490.V367398.R01.S.doc Version 5.2 Page 27 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 Duckyls Farm Centre DS0000014490.V367398.R01.S.doc Version 5.2 Page 28 - 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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