Inspection on 13/06/07 for Farmhouse Residential Rest Home

This inspection was carried out on 13th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Farmhouse Residential Rest Home 13/05/08

Farmhouse Residential Rest Home 17/05/06

Farmhouse Residential Rest Home 12/10/05

Farmhouse Residential Rest Home 20/07/05

Farmhouse Residential Rest Home 09/02/05

Farmhouse Residential Rest Home 29/09/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Ashcroft Hollow Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Farmhouse Residential Rest Home Farmhouse Care Limited Talke Road Red Street Newcastle Staffordshire ST5 7AH Lead Inspector Mrs Wendy Grainger Key Unannounced Inspection 13th June 2007 9:00 X10015.doc Version 1.40 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 Farmhouse Residential Rest Home DS0000060611.V338437.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 Older People. 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. Farmhouse Residential Rest Home DS0000060611.V338437.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Farmhouse Residential Rest Home Address Farmhouse Care Limited Talke Road Red Street Newcastle Staffordshire ST5 7AH 01782 566430 01782 564424 farmhousecare@yahoo.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) Farmhouse Care Limited Miss Rachel Bethany Straw Care Home 21 Category(ies) of Dementia - over 65 years of age (6), Old age, registration, with number not falling within any other category (21), of places Physical disability over 65 years of age (5) Farmhouse Residential Rest Home DS0000060611.V338437.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th May 2006 Brief Description of the Service: The Farmhouse is a private care home situated in Red Street in Newcastle. Mr Sukvinder Kandola and Mr Pargan Dhadda, who purchased the home in September 2004, own the home and operate under Farmhouse Care Limited. Mr Dhadda is the Responsible Individual. The home’s manager is Miss Rachel Straw who has recently been approved as the Registered Manager. The home is registered for 21 older people, 5 of whom may have a physical disability and 6 may be mentally frail. At the time of this unannounced key inspection 19 people who use the service occupied the home. During this inspection, the Inspector made an assessment of the dependency of the residents and it was felt that current dependency levels are commensurate with the home’s Categories of Registration. There are 19 single bedrooms and 1 shared bedroom, occupied by a married couple. Communal facilities are located on the ground floor, consisting of a central lounge and diner, with adjacent kitchen and a smaller lounge at one end of the building. There is also a small designated smoking room. A shaft lift provides access to the bedrooms on the first floor and there is also a staircase. Since the change of ownership there has been a rolling programme of redecoration and refurbishment, which has improved standards and will continue to do so. There are plans to build a conservatory at the rear of the property that will improve the provision of communal space and the Inspector looks forward to receiving these details in the near future. Plans are also in hand to provide an enclosed safe garden, which will improve the home’s facilities and be of special benefit to residents during the summer months ahead. From information provided on the day of the inspection the current fees were £377-£429, some limited contribution to outings, hairdressing, private chiropody and personal toiletries would be some of the additional costs. Farmhouse Residential Rest Home DS0000060611.V338437.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out by Mrs W D Grainger Inspector on the 13 June 2007. The inspector was provided with the relevant documents, records and reports to ascertain if the service provided, to people was satisfactory. This inspection included a tour of the building, an inspection of the care plans, and other records, observations of the medication administration; the meal of the day served, staff and management were spoken with and observed. The home had a registered care manager and deputy that ensured the smooth running of the home on a daily basis. What the service does well: The registered care manager had responded to the requirements from the random inspection undertaken in September 2006. One of the requirements however required more detail to ensure the safety of the people who use the service on a daily basis. Observed during the day were that staff demonstrated their sensitivity to the needs of the people who use the service. They responded and were effective in addressing the attention required. The celebration of one persons 100 birthday was made extra special by the input of the staff and arrangements made for dignitaries to visit. The inspector was told the social care provision had been expanded, two staff had taken the responsibility for the planned activity within the home overseen by the manager and with consultation of the people who use the service. A sample tour of the building evidenced an environment, which in areas was comfortable, bedrooms had been personalised and high standard of hygiene observed throughout. One visitor confirmed that he was very satisfied with the care his friend received. Farmhouse Residential Rest Home DS0000060611.V338437.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: To ensure that where the staff had had training for medication that the correct process was carried out, this will ensure the safety of the people who use the service and save time when administrating prescribed medication. The carpets at the front entrance, lounge and in some of the bedrooms observed were in a poor condition and required replacing. To ensure that cross contamination and or infection was not transmitted, staff should not leave toilet rolls uncovered in the bathrooms and or toilets. This was discussed with the care manager at feedback. Staff should receive the appropriate training in this area. The risk assessments made to ensure the continued safety of the people who use the service, were deficient in their content and required a more robust approach. This was discussed at feed back with the manager. While the inspector was told about the activity programme provided there was no written evidence to support the programme. There was a need to maintain a record of the food when cooked, prior to serving. Farmhouse Residential Rest Home DS0000060611.V338437.R01.S.doc Version 5.2 Page 7 The provider needs to replace the fridge to ensure the safety of the people who use the service, the split seal is a harbinger for germs, the freezer observed required cleaning. Medication must be stored within the temperature range recommended by the manufacturer to ensure that medication does not loose potency or become contaminated. The provider needs to continue with the decorating programme to provide a comfortable establishment, which the people who use the service can appreciate. The Annual quality assurance assessment referred to the update of the staff files. The files were evidenced during the inspection, but some areas remained incomplete 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. Farmhouse Residential Rest Home DS0000060611.V338437.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Farmhouse Residential Rest Home DS0000060611.V338437.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is, good, Standards 1,2,3, were reviewed. This judgement has been made using available evidence including a visit to this service. Information provided in the Statement of Purpose enabled a prospective resident to make an informed choice about the home. No person was admitted to the home without a prior assessment of his or her needs. EVIDENCE: The Statement of Purpose had been amended some time ago and remained unchanged and current. The care manager confirmed, she or her deputy take the responsibility for completing any assessment of a persons welfare and health needs prior to admission. This practice ensures that all personal needs can initially be met. Farmhouse Residential Rest Home DS0000060611.V338437.R01.S.doc Version 5.2 Page 10 Each person would be provided with the terms and conditions of the placement. It is the practice of the home to invite a prospective resident to a pre admission visit. This would provide staffs with the opportunity to further assess the individuals’ needs. Farmhouse Residential Rest Home DS0000060611.V338437.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate Standards 7,8,9,10 This judgement has been made using available evidence including a visit to this service. Arrangements were in place for the continued health care from other professional agencies. The system used for the administration of prescribed medication was not acceptable; the practice observed had the potential of putting people who use the service at risk. Evidence in the plans ensured that needs were met; the risk assessments however required more explanatory robust information. EVIDENCE: Three people who use the service were case tracked their needs were being met by the staff and other professional agencies. One person celebrated her birthday on the day of the inspection. Each person was spoken with, during the day, positive comments were received. “ I enjoy living here” “the food is good” “I have choice” “the staff are excellent I only have to ask” Farmhouse Residential Rest Home DS0000060611.V338437.R01.S.doc Version 5.2 Page 12 Care plans were in a module form and evidenced that management reviewed them monthly; any changes were recorded and passed onto the staff for their information regarding care needed. There was no evidence of the individual or their representative being involved in the gathering of information for the care plan. An examination of the risk assessments including the three people case tracked; and identified that there was a lack of information relating to a potential hazard; and the appropriate measures taken to reduce or eliminate the risks. The care manager told the inspector that the home had very caring families that support the home and their relatives. During the inspection the birthday person, and one other resident were taken out separately by their families. The inspector had concerns when observing the method used when administrating medication by the senior carer. No medication should be decanted into a pot and taken by hand without a cover to the recipient. The cassette or blister pack should be taken to the individual. Medication should not be left on a table with the recipient and not observed to be taken. Medication should be signed for when the process of taking the medication is completed and not before. During the day a family member called to take her relative out, she was handed the mid-day medication in a small pot covered with cling film. No information to the identification of the medication or name of person/time to be administered was provided. These concerns will be reflected in the requirements. The morning medication round continued until past eleven o’clock, there could be a more efficient use of time if the trolley and medication was taken around the home, the staff should not carry uncovered pots to the other lounge or bedrooms. The fridge used to store prescribed medication was above the required temperature of between 2 & 8 degrees; this practice could be detrimental to the drugs stored, medication could loose potency or become contaminated. It was advised that the record used for the administration of any controlled drug should have the pages numbered. The staff were observed during the inspection to be warm and sensitive to the individuals need. They assisted when necessary, respecting the person’s dignity and choice. Residents responded in a manner that evidenced to the inspector that they were comfortable. Comments about the staff were positive when speaking to people who use the service “ I am well looked after” “If there Farmhouse Residential Rest Home DS0000060611.V338437.R01.S.doc Version 5.2 Page 13 is anything I need they get it” “ the food is good I have a choice” “ I would go to the “boss” if anything was wrong” (quote) . Farmhouse Residential Rest Home DS0000060611.V338437.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate Standards 12,14,15 were reviewed This judgement has been made using available evidence including a visit to this service. The inspector was unable to judge the social care offered to people who use the service. A balanced diet was provided on a daily basis, alternatives were part of the commitment to people who use the service having a choice. EVIDENCE: At the time of the inspection one resident was celebrating her 100th birthday, other residents were involved as were the staff that had, with the family made it special. There was a lack of information provided by the care manager to support the activity and social aspects provided by the home. It is important that a record of any activities was maintained; when providing for the diverse needs of people who use the service ensuring that their daily routines and expectations were maintained. Posters and information for some activities were displayed on the notice board. Farmhouse Residential Rest Home DS0000060611.V338437.R01.S.doc Version 5.2 Page 15 The care manager had developed a “newsletter” for the home; this was available to any of the people who use the service and families. She hopes for the next letter to include contributions from the residents. Spiritual needs were respected and any assistance of transport to enable an individual to attend their place of worship would be available. Discussions with two families found that they “could visit at any time” “their relative was well cared for” “ the staff were always friendly and helpful”. They would also know who to speak to if they had a concern. The meal of the day was well presented, and in portions to suit individuals. Residents spoken with complimented the catering and welcomed the menus and thought that included food/meals pertinent to the area were served. The inspector sampled an excellent sweet of the day, which had been freshly prepared on the day. Discussed with the care manager was that vegetables and potatoes should not be prepared by the night staff; left in still water for any period of time, potatoes build up a toxin and loose their starch. There was a need to maintain food temperatures prior to serving the cooked meal. The seal on the fridge was split and was a possible harbinger of germs; the freezer required cleaning, as did the fridge used for the storage of medication. Farmhouse Residential Rest Home DS0000060611.V338437.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Standards 16,18 were reviewed This judgement has been made using available evidence including a visit to this service. People who use the service were protected from abuse from the in house training programme provided for the staff. The homes complaint procedure was made available within documents given to people who use the service. EVIDENCE: From discussions with the people who use the service, the staff and visitors each one was aware of the process of raising any concerns with the manager or senior staff. The complaints process was issued to people who use the service and to families; it is also contained in the Service Users Guide. The commission or the care manager had received no complaint since the last time the home was inspected. Each member of the staff team had been provided with a copy of the General Social Care Councils Code of Conduct as part of their induction and terms of employment. Staff sign to confirm they have read and understood the Staffordshire Vulnerable Adults policy, and the whistle blowing policy for the home. Staff confirmed during the inspection that they were aware of the policies and would act on any concerns they observed. Farmhouse Residential Rest Home DS0000060611.V338437.R01.S.doc Version 5.2 Page 17 Farmhouse Residential Rest Home DS0000060611.V338437.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate Standards 19,21 23 24 25 26 were reviewed. This judgement has been made using available evidence including a visit to this service. The home was well maintained by the housekeeping staff. There were issues relating to health and safety that must be addressed. EVIDENCE: Located on the periphery of Chesterton and standing in its own grounds The Farmhouse has outstanding views from the dining room and some bedrooms across the countryside. From information contained in the Annual quality assurance assessment the covering of the radiators had been completed, during the inspection the inspector evidenced that for two radiators this had not been completed. Farmhouse Residential Rest Home DS0000060611.V338437.R01.S.doc Version 5.2 Page 19 The outside furniture, while one new set of furniture had been purchased for people to use, the remaining wooden furniture observed at the front of the home was in a poor condition requiring work to make them acceptable to sit on. Carpets in the main communal area/front hall and some bedrooms were badly stained and required replacing. Observations made when touring the home were that some decorating was required in certain bedrooms. Individual bedrooms visited had been personalised to suit individuals taste and choice. The Annual quality assurance assessment information promoted a clean and odour free environment this was confirmed during the tour of the home, which was a credit to the housekeeping staff. Previous reports had referred to the lack of communal space provided for the people who use the service. The inspector was aware that plans to extend the home to provide people who use the service with more space to suit their daily routines; initially by removing a steep internal ramp to ensure the safety of the people using this area, this would then enable residents to freely access other parts of the home. The home had a rolling programme for the decoration of the internal parts of the home. In the last year the outside of the home had been re-rendered and painted, with the roof being replaced. The front entrance had been changed making access and egress easier for all. Farmhouse Residential Rest Home DS0000060611.V338437.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good Standards 27,28,29,30 were reviewed. This judgement has been made using available evidence including a visit to this service. The staffing levels appeared appropriate for the dependency levels, thus meeting the needs of people who use the service. The home had recruitment procedures that ensured the safety of the people who use the service. The homes records identified there was a positive approach to staff training. EVIDENCE: From the information contained in the Annual quality assurance assessment the recruitment procedures were confirmed from evidence seen in the records provided. A sample of the staff records identified that a review of the information needed to be reviewed to ensure the records were complete. At the time of this inspection the home had no vacancies for staff. The inspector observed the staff on duty supported by the ancillary staff group. At the time of the inspection the manager was on duty with two senior care and one carer, this changed for the afternoon shift by having two carers and one senior care. The care manager was supernumerary to the rota but works full time hours. The night shift consists of two waking staff with an on call system, which appeared to be satisfactory. Farmhouse Residential Rest Home DS0000060611.V338437.R01.S.doc Version 5.2 Page 21 Information provided, informed the inspector that there had been a turnover in the staff. The care manager spoke well of all the staff employed at this time and their commitment to the people who use the service. From evidence provided there was an audit of required, provided and achieved mandatory training; the staff spoken with at the time confirmed the training programme available. National vocational qualification training levels II had increased with 80 of the staff having this qualification. Three more of the staff were to register for the course later in the year.. Farmhouse Residential Rest Home DS0000060611.V338437.R01.S.doc Version 5.2 Page 22 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good Standards 31 33 35 38 were reviewed This judgement has been made using available evidence including a visit to this service. The home is operated to the best interest of the people who use the service by experienced management and staff. The finances of the people who use the service were protected by the system operated by the management. The health and safety of the people who use the service were protected with the systems in place. EVIDENCE: Farmhouse Residential Rest Home DS0000060611.V338437.R01.S.doc Version 5.2 Page 23 The registered care manager had a number of years experience in the care of older people, she had achieved her Registered Mangers Award, National Vocational Qualification level IV; and other qualifications to her credit. She had a relaxed style of management that appeared to transfer to her staff who were responsive and sensitive to the needs of individuals. Staff supervision was on going; the morning staff spoken with confirmed this. Two persons finances were sampled and found from the records to be accurate. Records seen on the day were current for the testing of the fire system, the inspector recommended that the manager contact the local fire officer to seek advice regarding the bolt attached to the front door and the effectiveness of certain bedroom doors that appeared not to have the appropriate seal within the door/frame. The issues of all the staff including the night staff being involved in a fire drill and for the staff to sign personally for this and any in house training was fully discussed. The manager had completed the fire risk assessment and contingency plans in the event of an emergency. There was a need to maintain current records for the testing of water accessed by the people who use the service. Farmhouse Residential Rest Home DS0000060611.V338437.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 Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 3 X 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 3 X 3 3 X 3 Farmhouse Residential Rest Home DS0000060611.V338437.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes 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 OP25 Regulation 13 & 23 Requirement Up-to -date risk assessments must be in place in respect of radiators that are not or only partially guarded. (Outstanding from 30/06/06) All radiators must be guarded. Outstanding 31/11/06 Medication was inappropriately being administered. The practice observed did not protect the people who use the service. Further training is required for the staff to ensure that the safe keeping and handling of prescribed medication was satisfactory. Timescale for action 01/08/07 2 OP9 13.2 10/08/07 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 Farmhouse Residential Rest Home DS0000060611.V338437.R01.S.doc Version 5.2 Page 26 1 2 3 OP7 OP12 OP15 4 5 6 OP38 OP19 OP38 To further develop the risk assessments to ensure that each element is current and reviewed so meeting the daily individuals needs. To maintain written records in the event of any activity/stimulation internal or external entertainment including meeting the diverse needs for certain residents. To cease the preparation of vegetables/potatoes at night, leaving them in still water. To replace the seal or fridge identified. To maintain a record of food prepared on a daily basis. To recommence the record for the monthly testing and recording of the water temperatures at all points accessed by people who use the service. To audit the fixtures and furniture including the carpets and decoration to ensure that they are of a good quality, clean and well maintained. To consider the practice of staff signing personally for any in house and fire drill training. Farmhouse Residential Rest Home DS0000060611.V338437.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Birmingham Local Office Commission for Social Care Inspection 1st Floor Ladywood House 45-56 Stephenson Street Birmingham B2 4UZ 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 Farmhouse Residential Rest Home DS0000060611.V338437.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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