CARE HOMES FOR OLDER PEOPLE
Farmhouse Rest Home 87 Water Lane Totton Southampton Hampshire SO40 3DJ Lead Inspector
Marilyn Lewis Unannounced Inspection 2nd August 2006 10:00 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 Rest Home DS0000048027.V302084.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 Rest Home DS0000048027.V302084.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Farmhouse Rest Home Address 87 Water Lane Totton Southampton Hampshire SO40 3DJ 023 8086 8895 023 8086 8865 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) Richard E Kitchen Mrs Elizabeth Kitchen Mrs Jean Hunt Care Home 20 Category(ies) of Dementia - over 65 years of age (20), Old age, registration, with number not falling within any other category (20) of places Farmhouse Rest Home DS0000048027.V302084.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. One named service user may be accommodated under 65 years of age. D.O.B. 27/12/1941. 23rd January 2006 Date of last inspection Brief Description of the Service: Farmhouse is a registered care home providing personal support and accommodation for up to twenty older people with dementia type needs. The home comprises of ten single and five shared bedrooms, eleven of which have en-suite facilities. Communal space includes two lounges and a dining room. Car parking and a small, enclosed patio can be found at the rear of the property. The home is privately owned by Mr and Mrs Kitchen and Mrs Jean Hunt is the registered manager. Farmhouse is situated in a residential area on a main road close to the centre of Totton. Local shops are a short walk away and public transport is easily accessible. The registered manager stated in the pre inspection questionnaire that the home’s fees were the Hampshire Rate of £385 a week for a shared room and £420 for a single room. Farmhouse Rest Home DS0000048027.V302084.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 2nd August 2006. During the visit the inspector toured the home and met with ten of the residents, three staff members, a visitor, the registered manager, Mrs Hunt and the registered provider Mrs Kitchen. Care plans were sampled for three residents and records seen included those for staff recruitment and training, complaints, accidents, fire safety and fire drills. At the time of the visit there were nineteen residents living at the home. What the service does well:
The home had a relaxed, homely atmosphere and residents spoken with all said that the staff were caring and friendly. Comments included ‘ I can’t fault them, I have wonderful care’ and ‘the staff are lovely. I like to be spoilt and I am here’. Residents also said that staff were polite and treated them with respect at all times. Staff said that they received good support from the registered manager and the registered provider and that they liked working in the home. The registered manager visits everyone who wishes to live at the home and completes a full care assessment to ensure the home can meet their needs. Individual care plans are developed from the assessments and residents said that they were involved in the reviewing of the plans and confirmed that the plans documented their wishes. The plans seen indicated that staff were to support residents to maintain their independence and a resident said that ‘ they let me do what I can for myself but I know they are there if I’m not able to manage’. Staff follow the home’s clear procedures for handling medicines and records seen had been completed appropriately and were up to date. Residents are able to participate in social activities such as chats, sing-a-longs, ball games and exercises to music. One resident said that they really enjoyed the ‘ball games’ and another liked ‘chats with the carers’. Another resident said that they appreciated being able to spend time alone when they wished. All the residents spoken with said that they enjoyed the choice of food provided at the home and that it was ‘always lovely’ and that they were ‘never hungry’. Farmhouse Rest Home DS0000048027.V302084.R01.S.doc Version 5.2 Page 6 Residents said that they did not have any cause to complain but knew how to make a complaint and feel that any complaints raised would be taken seriously and investigated. Staff spoken with were aware of the procedures to be followed should they suspect abuse. The home’s environment had a relaxed and homely atmosphere and residents said that they liked their rooms and the communal areas. At the time of the visit the home looked clean and staff had received training in infection control. Residents said that they felt enough staff were on duty for each shift, with one resident saying ‘ I don’t have to wait if I want help’. Staff said that they were supported and encouraged to obtain qualifications and fifty percent hold or are in the process of completing National Vocational Qualifications (NVQ) level 2 or above. Staff also receive training in mandatory subjects such as health and safety, moving and handling and food hygiene. The registered manager has a good rapport with residents and runs the home in their best interests. What has improved since the last inspection? What they could do better:
Only one staff member had received training in the provision of dementia care. Following the inspection the registered manager contacted the inspector to confirm that training had been organised for ten carers for the 15th August 2006. Fire records seen indicated that all staff had received training in fire safety but two staff members had not attended a fire drill in the last year.
Farmhouse Rest Home DS0000048027.V302084.R01.S.doc Version 5.2 Page 7 Following the inspection the registered manager notified the inspector that one staff member had now attended a fire drill and a drill was to be held when the other staff member was next on duty. The temperature of hot water from the bath taps was at the appropriate level but water from the sink taps was very hot. Notices were displayed stating that the water was hot but as many of the residents have dementia this may not be sufficient. The registered manager said that she would arrange for the temperature of the water to be regulated. During the inspection visit it was noted that the door to the laundry situated in the main reception area used by residents was unlocked when no staff were present. The registered manager said that she would inform all staff that the door must be kept locked when no staff member was in the room. 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. Farmhouse Rest Home DS0000048027.V302084.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 Rest Home DS0000048027.V302084.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3, 5 and 6 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. Prospective residents and their relatives are given information on life at the home and are able to visit before making a decision about living there. A full care assessment is undertaken for everyone wishing to live in the home to ensure the home can meet their care needs. EVIDENCE: Since the last inspection the home has produced a Statement of Purpose and Service User Guide that provides information on life at the home. This includes the home’s aim to support residents to remain as independent as possible, advice on the admission process and the qualifications of the registered manager and staff. A copy of the documents was provided in the reception area of the home, available to residents and visitors. Residents spoken with had lived in the home for some time so had not received the documents before making a decision about living in the home.
Farmhouse Rest Home DS0000048027.V302084.R01.S.doc Version 5.2 Page 10 They said they knew about the documents because the manager had discussed them when they were produced. The registered manager said that she undertook a full care assessment for each resident before a place was offered at the home, to ensure the home could meet their needs. Records seen for three residents confirmed that assessments had been undertaken. The assessments included those for mobility, falls and personal care. The resident’s past medical history and reviews from care managers were contained in the assessments. A resident said that they were visited by the registered manager at their home and were involved in the assessment process. A resident said that they had visited the home with a relative before they decided to live there. They were able to see their room and spoke with carers and other residents during their visit. The home does not provide intermediate care. Farmhouse Rest Home DS0000048027.V302084.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 The quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. Residents are involved in the development and review of their care plans, their health care needs are met and they are protected by staff following the home’s clear procedures for handling medication. Residents feel that they are treated with respect at all times. EVIDENCE: Care plans were seen for three residents. The plans contained the pre admission assessment and showed evidence of monthly review. The plans seen provided details of the actions required to meet the assessed care needs and indicated that residents were encouraged to be as independent as possible with statements such as ‘able to wash top half of body themselves’ included. One plan advised staff that a resident wished to try to do things themselves and to watch from a distance to see if assistance was required. Risk assessments were included in the care plans including those for mobility, falls and in one case verbal aggression. One plan stated that the resident was
Farmhouse Rest Home DS0000048027.V302084.R01.S.doc Version 5.2 Page 12 able to leave the home alone. The registered manager said that the resident had never asked to go out alone but a risk assessment would be completed if the occasion arose. Three residents said that they knew what was written in their care plans, as staff had discussed it with them. They also said that they agreed with the information in their plans. Involvement of residents or if appropriate, their relatives was documented on the daily records. While looking at the care plans it was noted that some information in the pre admission assessment for one resident had not been followed through to the care plan. Mrs Hunt notified the inspector following the visit that the care plans now reflected the information in the assessment. Records seen indicated that residents received visits from GPs and other health professionals such as district nurses, opticians and dentists as required. A resident said that her GP visited her when she was unwell recently and this was seen documented in her care plan records. The home has policies and procedures in place for dealing with medication. At the time of the inspection there were no residents who were administering their own medication. One resident said that she preferred the carers to look after her tablets, as ‘I don’t want to worry about them’. Medication records seen had been completed appropriately. Records for Temazepan were signed by two staff members and the number of tablets remaining were documented. The number of tablets matched the records. Currently the home does not hold any ‘homely’ remedies and there was no medication that required storage in the fridge. Throughout the visit, staff were seen to knock on doors and wait before entering rooms and they spoke to residents in a friendly but respectful manner. A resident said that the carers were always ‘polite and very caring’. Farmhouse Rest Home DS0000048027.V302084.R01.S.doc Version 5.2 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. Residents are able to exercise control over their lives, participate in social activities, receive visits from friends and relatives as they wish and enjoy a choice of meals served in a relaxed atmosphere. EVIDENCE: During the visit residents were seen to choose where they would like to sit with some in the lounges, one in the reception area and some in their own rooms. The atmosphere was relaxed and residents said that they enjoyed being able to make decisions for themselves. One resident said ‘I can’t fault it here. I can get up when I like and I’m able to enjoy sitting in the lounge reading my newspaper’. The home does not employ an activities co-ordinator but staff arrange activities for residents throughout the week. Some residents go to a chat session on a Monday and an entertainer visits two days a week providing singa-longs and exercises to music. One resident said that they enjoyed ‘Games such as ball throwing’ and another said that they liked ‘chat with staff time’. A few of the residents also commented on their enjoyment of evenings when
Farmhouse Rest Home DS0000048027.V302084.R01.S.doc Version 5.2 Page 14 sing-a-longs were held on the patio. The registered manager said that these evenings were arranged to feel as if the residents were in a ‘pub garden’ with sherry and crisps served. One resident said that it was ‘nice to be sometimes left alone’ when they wanted to sit quietly and not join in with activities taking place. The registered manager said that there were no restrictions on visiting and this was confirmed by a relative visiting at the time who said that he was ‘made to feel welcome on each visit’ and that ‘the carers were always friendly and kind’. Members of the care staff team are responsible for preparing meals for residents. All residents spoken with said that the food provided was good and there were comments of ‘the food is lovely’ and ‘I’m never hungry’. Menus seen indicated that meals were varied and well balanced. Alternatives were available and on the day of the inspection visit three different alternatives were provided. The main meal consisted of chicken curry and rice with treacle sponge and custard for pudding. One resident had asked for an omelette and when it arrived said that they didn’t feel like it. A staff member sat with the resident and went through a list of foods that they might like and the resident asked for a jacket potato with cheese and this was provided. The majority of residents ate their lunch in the dining room but some preferred to eat in the lounge. Staff observed assisting residents did so in a friendly, caring manner. The home provided gluten free meals for one resident. Staff preparing meals had received training in food hygiene. Farmhouse Rest Home DS0000048027.V302084.R01.S.doc Version 5.2 Page 15 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. Residents know that any complaints will be taken seriously and they are protected by staff awareness of abuse issues. EVIDENCE: The home had a complaint’s policy in place that indicated who would investigate any complaint and timescales for the process. A log to record complaints was also available. The registered manager said that no complaints had been received since the last inspection and residents spoken with all said that they had no reason to complain. A resident said that if anything caused concern she would ‘chat to the Mrs Hunt and something would be done about it’. Two staff members spoken with said that they had received training in the abuse awareness and certificates seen confirmed this. Training records seen for all carers indicated that four had received training in the prevention of abuse during induction but had not gone on to attend a specific training session in abuse awareness. The registered manager said that training sessions would be arranged for them. The home has procedures for staff to follow should abuse be suspected, including Hampshire County Council’s Protection of Vulnerable Adults and Whistle Blowing. A staff member said that she knew about the procedures and that she would report any concerns to the person in charge at the time.
Farmhouse Rest Home DS0000048027.V302084.R01.S.doc Version 5.2 Page 16 Farmhouse Rest Home DS0000048027.V302084.R01.S.doc Version 5.2 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25 and 26 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. Farmhouse provides a homely, comfortable environment for those who live and work there but the laundry room being left unlocked could put residents safety at risk. EVIDENCE: Since the last inspection some areas of the home have been redecorated and refurbished. The residents have been involved in choosing carpeting and colours for the lounges and for a number of bedrooms as they have been redecorated and renewed. New bedroom commode chairs have been provided for all ten single and five double bedrooms. Also new bathroom suites with assisted baths have been fitted in two of the bathrooms providing the home with three assisted baths and a shower room, sufficient for the number of residents.
Farmhouse Rest Home DS0000048027.V302084.R01.S.doc Version 5.2 Page 18 The kitchen has been completely refurbished to provide a clean and pleasant work area. The staff member responsible for meals on the day of the visit said that the new kitchen was a great improvement and had all the equipment necessary to prepare and cook meals. Accommodation is provided over two floors. Access to the first floor is by stairs or a chair lift for those less mobile. During the tour of the home it was noted that hot water from the baths was at the appropriate temperature but water from the sink taps was very hot. Notices were fitted above the sinks stating that water was hot but this may not be sufficient for residents with dementia. The registered manager said that she would make arrangements for the company that regulated the bath water temperature to visit and fit regulators to the sink taps. Paper towels have been provided instead of hand towels in communal areas to reduce the risk of cross infection. The home looked clean and homely and resident’s bedrooms looked comfortable and contained many personal items such as pictures and ornaments. Two residents spoke of their satisfaction with their rooms with comments of ‘it’s comfy’ and ‘I have everything I need’. Keys are provided for residents who wish to lock their doors. The separate dining room had tables that did not provide enough seating for all the residents at one time. The registered manager said that some residents preferred to eat in the lounge or their own room and residents confirmed this during lunch. Mrs Hunt added that she was looking at replacing the current tables with round tables that would provide sufficient room for all residents to be seated at one time if they wished. The laundry room is very small and situated near the reception area. The room was unlocked at one time during the inspection visit and no staff member was in the area. The registered manager agreed that the room would be kept locked when staff were not in the room, to minimise the risk of residents wandering into the room. Main doors of the home are alarmed to alert staff if residents leave the building. A patio area with seating is provided to the rear of the property and residents are encouraged to use the area but for safety staff accompany them across the home’s small car park. The registered manager said that sing-alongs and sherry parties are held on the patio. Three residents spoken with said that they enjoyed these events. Farmhouse Rest Home DS0000048027.V302084.R01.S.doc Version 5.2 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. Residents feel that a sufficient number of staff are on duty for each shift and they are protected by the home undertaking CRB and POVA checks for all staff. Staff receive mandatory training and are supported to obtain NVQ level 2 or above but their lack of training in dementia care could result in residents not having all their care needs met. EVIDENCE: The home employs the registered manager, three senior carers, nine carers and a housekeeper. Mrs Kitchen the registered provider visits the home frequently and was helping at the home on the day of the inspection. Rotas seen indicated that a carer is allocated to do the catering for the home each day. The registered manager said that this was taken into account when organising staffing levels, which were flexible to allow for changes in the dependency levels of the residents and social events taking place. Staff and residents said that a sufficient number of people were on duty on each shift. One resident said that ‘I don’t have to wait if I want help’. The registered manager said that she when not at the home she was ‘on call’ if staff needed to contact her. Farmhouse Rest Home DS0000048027.V302084.R01.S.doc Version 5.2 Page 20 Records seen indicated that four carers hold NVQ level 2 or above and a further two carers are in the process of completing the course. Staff files were seen for three carers. No new staff members had been employed since the last inspection. Two of the files seen were for staff members who had been employed at the home for a number of years. They did not contain application forms with full employment history and one had no written references while the other had one reference. One also did not contain any proof of identity. The one file for a staff member, who had been employed in the last year, contained all the information required. Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks had been completed for the three carers. The registered manager said that information was missing for some staff who had worked at the home for a number of years and had been employed before she was the manager. Mrs Hunt said that she would obtain as much information as possible for the files and put notes into the files as to why the required documents were unavailable. Training records seen indicated that all staff had received an induction and training in moving and handling, infection control, health and safety and food hygiene. Seven had attended training in first aid. Records seen showed that all but one staff member had received training in challenging behaviour but only one staff member had attended training in dementia care. Following the inspection Mrs Hunt notified the inspector that training in dementia care had been booked for ten carers on the 15th August 2006. Farmhouse Rest Home DS0000048027.V302084.R01.S.doc Version 5.2 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. The judgement has been made using available evidence including a visit to the service. The registered manager has a good rapport with residents and the home is run in their best interests. Resident’s financial interests are safeguarded by the home’s clear policy on handling their money and they are protected by the regular supervision of staff. Staff receive training in health and safety but the lack of attendance at fire drills by some staff could put residents safety at risk. EVIDENCE: The registered manager Mrs Jean Hunt has managed the home for three years. She has experience in providing care in a residential setting and holds a level 3
Farmhouse Rest Home DS0000048027.V302084.R01.S.doc Version 5.2 Page 22 National Vocational Qualification and is due to commence level 4 in Management shortly. It was evident during the visit that Mrs Hunt had a good rapport with staff and residents. Staff said that they received good support and encouragement from Mrs Hunt and residents said that she was easy to talk with and ‘ would listen at any time’. Residents said that they felt able to give their views on the quality of care provided at the home to the registered manager as they wished. Mrs Hunt said that she tried to involve the residents in issues affecting the home and residents confirmed this. During the inspection visit the home’s stair lift was being serviced and Mrs Hunt spent time with residents discussing this. Mrs Hunt said that formal meetings had been discussed with relatives but they had not felt they were required. Small informal meetings are held for residents and for relatives who wish to attend. The registered manager said that no resident’s money is held by the home. All expenses such as hairdressing, and toiletries are invoiced to relatives who are responsible for the resident’s financial affairs. Newspapers and magazines are provided free by the home for residents. The registered manager said that she provides supervision for the senior carers who in turn supervise the carers. Records are kept for supervision sessions. A carer spoken with said that she found the supervision helpful. Reports were seen for the registered provider’s unannounced monthly visits to the home to check on the quality of care provided. Since the last inspection the registered manager has reviewed all the home’s policies and procedures to ensure they inform staff of current best practice. The documents were readily available to staff and one staff member said that some of the policies had been discussed during a recent supervision meeting. Records and certificates seen indicated that the systems such as the electrics and specialist equipment including bath aides and the chair lift received regular servicing and maintenance.. Fire records available indicated that regular checks were made on fire safety equipment and staff had received training in fire safety. The fire drill records showed that two staff members had not attended a fire drill in the last year. Following the inspection the registered manager notified the inspector that one of the staff members had now attended a fire drill and that a drill was to take place when the other staff member was next on duty Farmhouse Rest Home DS0000048027.V302084.R01.S.doc Version 5.2 Page 23 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 x 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 3 3 2 3 3 3 2 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 x 3 3 3 2 Farmhouse Rest Home DS0000048027.V302084.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO 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 OP38 Regulation 23 (4)(e) Requirement The registered person must ensure that all staff attend fire drills so that they are aware of the procedures to be followed in the case of a fire. The registered manager must ensure staff receive the training required to do their job including dementia care. Timescale for action 31/08/06 2. OP30 18 (1)(c)(i) 30/09/06 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 Rest Home DS0000048027.V302084.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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