Inspection on 27/07/05 for Farnworth Care Home

This inspection was carried out on 27th July 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Farnworth Care Home 30/09/09

Farnworth Care Home 18/08/09

Farnworth Care Home 13/10/08

Farnworth Care Home 17/01/08

Farnworth Care Home 28/11/06

Farnworth Care Home 28/04/06

Farnworth Care Home 13/01/06

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Farnworth Care Home Church Street Farnworth Bolton BL4 8AS Lead Inspector Stuart Horrocks UnAnnounced 27 July 2005 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 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. Farnworth Care Home F56 F06 S60318 Farnworth Care Centre V232327 270705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Farnworth Care Home Address Church Street Farnworth Bolton BL4 8AS 01204 578555 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Abbey Healthcare (Farnworth) Limited Mrs Marie Mungins CRH Care Home N Care Home with Nursing 120 Category(ies) of DE(E) Dementia - over 65 years - 38 Places: registration, with number OP Old Age : 62 Places of places PD Physical Disability : 20 Places Farnworth Care Home F56 F06 S60318 Farnworth Care Centre V232327 270705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Within the maximum registered number (120) there can be : Up to 20 service users in the category of PD (Physical Disability aged 18 to 64 years): Up to 62 service users in the category of OP (Old age who do not fall intoany other category): Up to 38 service users in the category of DE(E) (Dementia over 65 years of age). The service should employ a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection. The home will initially admit a maximum of 40 service users only. These service users will be in the category of OP, some of whom could have nursing needs. Date of last inspection NA Brief Description of the Service: Farnworth Care home is owned by Abbey Healthcare Limited, a company that also owns a number of other care homes. The home is purpose built with 4 units, which cater for up to 120 people with a variety of needs. There is an older persons residential unit on the ground floor and also a younger adults unit for people with physical disabilities. The first floor unit offers care to older people who require nursing care whilst the second floor unit provides care for older people with confusional illnesses. The home is just off the main street in Farnworth and is close to bus stops. The home is pleasantly situated in its own grounds with surrounding gardens and there is ample car parking to the front of the home. The accomodation is provided on three floors in 120 single bedrooms. All bedrooms have an adjoining toilet,sink and shower. Two passenger lifts provide acess to the upper floors. There is a dining room and two lounges on each floor and each floor is provided with bathrooms. There is a garden and patio area to the rear of the home that can easily be reached from a ground floor lounge. Farnworth Care Home F56 F06 S60318 Farnworth Care Centre V232327 270705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection of the home since it opened in February 2005. 43 people were living in the home at the time of the inspection. The inspection was unarranged and it took place over two days lasting for 13 hours. Much of this time was spent watching what went on (including having a meal with the residents), and in talking to residents, visitors and staff. Seven residents, seven visitors and six staff were spoken to. The inspector also looked around all of the building, looked at a lot of the home’s paperwork and spent some time talking to the manager. What the service does well: What has improved since the last inspection? As previously mentioned this was the first inspection of the home so it is not possible to comment upon what has improved since the last inspection. Farnworth Care Home F56 F06 S60318 Farnworth Care Centre V232327 270705 Stage 4.doc Version 1.40 Page 6 However visits have been made to the home by both a CSCI Inspector and a CSCI Pharmacy Inspector who both made various requirements that certain things must be made better. Staff communication has improved, staff training in safe moving of residents has been provided and staff training records are being put together. The home’s medicines arrangements have also been made better. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Farnworth Care Home F56 F06 S60318 Farnworth Care Centre V232327 270705 Stage 4.doc Version 1.40 Page 7 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 Standards Statutory Requirements Identified During the Inspection Farnworth Care Home F56 F06 S60318 Farnworth Care Centre V232327 270705 Stage 4.doc Version 1.40 Page 8 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 standard(s) 1, 3, and 5. Although written information is available that helps prospective residents make a decision about whether they wish to live at the home, this needs to be made up in a clearer layout. The admission procedure is good which makes sure that residents needs and expectations can be met by the home. EVIDENCE: The inspector looked at the home’s Statement of Purpose and the Service User Guide (service user information guide). The above documents have been made up into one combined document called the “Service User Handbook”. This contains all of the information required by the National Minimum Standards. The inspector and the manager discussed this document and it was felt that although it was detailed it was somewhat overwhelming in the volume of information given and that the information would be better provided as two separate documents as required by the Standards. Farnworth Care Home F56 F06 S60318 Farnworth Care Centre V232327 270705 Stage 4.doc Version 1.40 Page 9 The home must therefore produce the above documents as two separate items with copies of the service user information guide being given to all of the residents. Looking at the records of a number of residents who had recently been admitted to the home showed that their needs had been fully assessed before they came to live at the home. From this information the home was then able to decide whether these people’s needs could be met and a care plan was then put together. New residents and their families are welcome to visit the home where they can spend some time, meet the residents and the staff, and have a meal before deciding to live there. The manager usually visits new residents either at home or in the hospital as a part of the assessment process. New residents are usually admitted for a trial period of between 4 to 6 weeks when the suitability of their placement is reviewed. The family of a prospective resident was looking around the home during the first day of the inspection. The inspector spoke to a member of the family who said that they had been dealt with properly and that they were “favourably impressed” with what they had seen. Farnworth Care Home F56 F06 S60318 Farnworth Care Centre V232327 270705 Stage 4.doc Version 1.40 Page 10 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 standard(s) 7,8 9 and 10. Proper arrangements are in place that ensures the residents health care needs are monitored and met. Individual care plans are also in place, which were up to date, regularly reviewed and provided the staff with the information they needed to give a good standard of care. The home’s medication systems are satisfactory in ensuring that residents receive medication as prescribed. Care practices in the home ensure that the residents are treated with respect and their privacy and dignity is upheld. EVIDENCE: The care plans for five residents were looked at in detail and seven others were checked briefly. Each plan contained details of health, personal and social care needs for the resident. All of them had been reviewed and up dated at the required monthly interval. The staff said that they knew the residents needs by reading the care plans, which are readily available to them. Farnworth Care Home F56 F06 S60318 Farnworth Care Centre V232327 270705 Stage 4.doc Version 1.40 Page 11 Talking to residents, relatives, the manager and the staff and looking at records showed that the resident’s health care needs are taken care of. When necessary health workers such as doctors, nurses and opticians are called. A number of risk assessments are in place; all of these had been reviewed regularly with the information being up to date. Records also showed that the weight of the residents’ is also regularly checked. Proper equipment is available for the treatment and prevention of pressure sores and when necessary the treatment and progress of pressure sores is properly recorded. Medicines were properly and safely stored. All medicine when given is recorded on the residents’ drug sheets, these records were properly filled in and they were up to date. A stock of un-needed medicines had built up. These were returned to the chemist on the second day of the inspection. Qualified nurses or trained care assistants (residential unit) give out medicines. Residents said that the staff treat them with respect and that their dignity is valued. Those residents spoken with said that the staff were “helpful” and that “they (the staff) talk to us properly”. This was also confirmed in discussion with a number of relatives who described the staff as “smashing” and “helpful”. The residents are asked by what name they wish to be called by. The staff were seen to deal with the residents and the relatives in friendly, comfortable and respectful way. Farnworth Care Home F56 F06 S60318 Farnworth Care Centre V232327 270705 Stage 4.doc Version 1.40 Page 12 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 standard(s) 12, 13, 14 and 15. The home is developing social and leisure activities therefore ensuring that residents are stimulated and that their social needs are met. The visiting arrangements are flexible thus enabling residents to have good contact with family and friends as they please. Residents have choice about their daily routines (e.g. getting up and going to bed times, when to eat) thus they are able to spend their time as they wish. The meals at this home are good, offering choice and variety, and catering for individual dietary needs EVIDENCE: A full time worker is employed from Monday to Friday to plan and run social and leisure activities for the residents living at the home. The sorts of activities provided include bingo, singing, shopping trips and outings. The activities done are decided on a day-to-day basis with the residents known preferences taken on board. No written plan of activities is done at this time. Such a plan must be put together and it must be displayed throughout the home. Farnworth Care Home F56 F06 S60318 Farnworth Care Centre V232327 270705 Stage 4.doc Version 1.40 Page 13 Records of the activities that the residents joined in with are being developed; progress with this work will be checked at the next inspection. The resident’s social interest are properly written down alongside their care planning records. A minibus that is shared with another home from the same group is available for outings. Discussion with residents and staff confirmed that the visiting arrangements are flexible with these being described in the resident’s information guide. Residents said that “they can see their visitors in their rooms” if they so wish. Visitors were seen to be coming and going from the home throughout the inspection. These people were made welcome and they said “that they could visit whenever they wanted to”, and that no restrictions were imposed. Residents said that they had choice about such things as going to bed and getting up times, which clothes to wear, which lounge they sat in and how they spent their day. They said that were comfortable living at the home and that the home was “free and easy” and that “you can do what you like”. The home uses a four weekly menu that offers a choice of good attractive nourishing food. This menu is being looked at as the staff begin to know the residents likes and dislikes. The inspector had a meal with the residents in the ground floor dining room. The food was well presented and warm with good portion sizes. The staff helped those residents were unable to eat themselves. The residents were heard to say that they had “enjoyed the meal” and they told the inspector that the food “was good” and “you get a choice”. The dining rooms are comfortable and pleasant places in which to have a meal. The residents and relatives said that drinks and snacks are available at all times and they said, “you just have to ask” (for a drink etc). Farnworth Care Home F56 F06 S60318 Farnworth Care Centre V232327 270705 Stage 4.doc Version 1.40 Page 14 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 standard(s) 16 and 18. The home has a clear complaints system ensuring that concerns are speedily dealt with. Protection of vulnerable adults guidance is available but staff training in this subject is needed to ensure that residents are protected from abuse. EVIDENCE: The home has a straightforward complaints procedure, which is displayed on the ground floor of the home only. This information must also be displayed on the first and second floors of the building. This complaints procedure is also in the home’s “Service User Handbook”. A complaints file is kept which records the details of any complaints made, of any action needed to deal with the complaint and of the final outcome. The manager also does a written monthly check of complaints so that she can keep an eye on them. Two complaints have been made since the home opened in February this year. These were made directly to the CSCI. Both of these have been fully investigated. Some parts of one of these complaints were found to be upheld with steps having been taken to put things right. Farnworth Care Home F56 F06 S60318 Farnworth Care Centre V232327 270705 Stage 4.doc Version 1.40 Page 15 The residents said that they would feel comfortable about raising concerns and that they would “talk to Marie” (the manager) or Anne (the administrator) or to the staff if they had any worries. The relatives said that they felt the manager was “easily approachable” and that they would have “no hesitation” in raising problems with the manager. Talking with staff showed that they would know what to do if a resident made a complaint. A number of staff said that if “they couldn’t sort things out at the time” then they would inform the manager about the problem. The home has an Abuse Policy and Protection of Vulnerable Adults guidance. These documents refer to and to some extent rely on the Department of Health “No Secrets” book (detailed guidance on dealing with abuse) and also on an “Understanding Abuse” work book. Both of these give a lot of information about understanding, recognising and dealing with suspected abuse. The manager must ensure that all of the staff look at these books and sign to say that they have read and understood them. Not many staff have yet been given training in dealing with abuse. The manager must ensure that that the staff are given such training. However, some of the staff interviewed were aware of the different sorts of abuse and they also understood what they should do if they suspected that someone was being abused. The inspector and the manager talked about the home obtaining a copy of the local inter-agency adult protection policy, which it was agreed would further support the homes existing policies. Farnworth Care Home F56 F06 S60318 Farnworth Care Centre V232327 270705 Stage 4.doc Version 1.40 Page 16 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 standard(s) 19, 24, 25, and 26. Farnworth Care Home provides safe, clean, comfortable, homely and friendly surroundings for the people living there. EVIDENCE: The home is newly built and is in good order both to the inside and the outside. Decoration, furnishings, lighting and equipment are of good quality and they are presented to a high standard. There is a well kept (the grass was being cut on the first day of this inspection) lawned and patio area to the back of the home that has level access from a ground floor lounge. The home is secure with entry being by a doorbell, which is answered by the staff. Farnworth Care Home F56 F06 S60318 Farnworth Care Centre V232327 270705 Stage 4.doc Version 1.40 Page 17 The home has dealt with the recommendations made by the local fire service and has almost completed the work requested by the environmental health department thus ensuring everyone’s safety. The resident’s bedrooms are brightly decorated and they have attractive, good quality furniture. Some residents have brought personal items into the home such as photographs, pictures and ornaments whilst some have brought items of their own furniture. All bedroom doors are provided with locks and a lockable piece of furniture was available where residents can keep items safely. All of the bedrooms were seen to be equipped, decorated and furnished to the level required by the National Minimum Standards. A number of residents that the inspector spoke with said that their bedrooms were “OK “and that they were “satisfied” with their rooms. Another resident said that he had chosen his bedroom because of the “good view” from the bedroom window. The bedrooms have proper lighting, heating and ventilation. The resident can adjust the central heating in their bedrooms and the radiators have guards thus ensuring safety. Hot water temperatures at sinks are controlled therefore reducing the risk of scalding. The home has a properly and fully equipped laundry. Residents clothing is marked to enable easy identification and the residents had no complaints about the laundry service provided by the home. The home was clean and tidy throughout and was free from any offensive odours therefore providing a pleasant place to live. Farnworth Care Home F56 F06 S60318 Farnworth Care Centre V232327 270705 Stage 4.doc Version 1.40 Page 18 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29, and 30. Staffing levels were satisfactory thus ensuring both consistency of care and that the assessed need of the residents were met. Staff training needs to be further developed therefore making sure that the residents needs can be met and that they are not put at risk. Staff recruitment although generally satisfactory requires some improvement to ensure that the residents are looked after by staff who are suitable to carry out care work. EVIDENCE: Looking at staff rotas showed that enough staff were on duty to meet the needs of the number of residents (43) living at the home at the time of the inspection. Sufficient numbers of qualified nurses are provided on the first and second floor nursing units, which currently accommodate 13 and 3 residents in that order. The staff and the manager said that in their opinion there was enough staff to meet the needs and dependency levels of the residents living at the home. Staff morale was good with the staff saying that “there is a good working atmosphere” and that “we work well together”. Farnworth Care Home F56 F06 S60318 Farnworth Care Centre V232327 270705 Stage 4.doc Version 1.40 Page 19 The residents said that the staff were “kind” and “good to get along with” and that they were helpful and considerate. The staff were seen to have a natural and comfortable understanding with the residents and they had time to sit and talk with them. The home is required to have 50 of the care staff with NVQ level 2 qualifications or above by the end of 2005. At this time 28 of the staff hold this qualification, although a further 8 staff are doing this training which will bring the number to above the required percentage. The manager will however need to be mindful that as resident members go up so will the numbers of staff and that NVQ training will need to cover this increase. Looking at four staff files showed that they had in the main been properly recruited apart from the following two points: In some instances verbal reference had been taken rather than written ones; this should be avoided with written references being raised for all new staff. Police checks had been done for all of the above staff, which although fairly recent had been done at their previous place of work. Police checks cannot be transferred between employers; they must be done again when staff are newly employed. The manager is looking at staff training and she is bringing into use a training record for each staff member and also an overall training record so that she can see at a glance where training needs to be given. A training plan for June, July and August is in place and further staff training has been booked for September. The manager must consider the need for specific training for those care staff who are or who will be working on the ground floor unit that cares for people with physical disabilities and also for the staff working on the second floor dementia unit so ensuring that the needs of these residents are properly dealt with. The home does have an induction checklist for new staff, which although useful needs to be brought in line with the “Skills for Care” organisation requirements for induction and foundation training. The inspector gave the manager advice and written information regarding the above training. Farnworth Care Home F56 F06 S60318 Farnworth Care Centre V232327 270705 Stage 4.doc Version 1.40 Page 20 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33, 35 and 38. The home is run by a manager who provides support for the staff to ensure that the residents receive a proper standard of care. The system which allows residents to comment about the quality of care provided by the home needs to be started so that their views can be heard. A satisfactory accounting method is used which protects resident’s interests. Not all staff have been given the required health and safety training, which could put residents at potential risk. EVIDENCE: The manager (Mrs Mungins) is a qualified nurse who has kept her nursing registration up to date. She also has a degree in nursing. Farnworth Care Home F56 F06 S60318 Farnworth Care Centre V232327 270705 Stage 4.doc Version 1.40 Page 21 Mrs Mungins is about to restart the NVQ Level 4 Registered Managers Award, which she has partly completed. Mrs Mungins has 17 years experience of working in care homes with the last 10 years having been spent in a senior position. She has extensive experience in the care of the elderly. Discussion showed that Mrs Mungins knows the residents and the staff well The residents, their relatives and the staff hold the manager in good respect. The relatives of three residents described the manager’s abilities favourably and one relative described her as “brilliant” and another as “caring” A number of residents said that she was “OK” and the staff said that the manager “would listen” and that “her door (to her office) is always open” to them. Although the right paperwork is ready the home has not yet have started a system, which allows the residents to comment upon the quality of the care provided by the home. The manger must ensure that such a system is put into action. The manager also has a method of checking on how well the home is running, this also needs to be brought in to use. The home holds money for a small number of residents for safekeeping. This system was checked and was properly written down with the correct amounts of money kept. A safe is available for the storing of money and of any valuable items. All of the equipment in the home such as the fire alarm system, the gas system and lifting hoists are new and have therefore not yet reached the stage of requiring annual servicing. Such servicing will however need to be done from February 2006. The windows on the upper floors of the home are made in such a way as to stop them being opened too widely thus preventing the risk of accidents. The home’s maintenance worker spot checks hot water temperatures at sinks monthly to ensure that the water is not too hot. The details of accidents are properly written down and the manager checks these monthly so that she can keep an eye on how many accidents are happening and on who they are happening to. All of the staff have been given training in safe lifting and moving, but other training such as first aid and food hygiene needs to be arranged. Farnworth Care Home F56 F06 S60318 Farnworth Care Centre V232327 270705 Stage 4.doc Version 1.40 Page 22 Farnworth Care Home F56 F06 S60318 Farnworth Care Centre V232327 270705 Stage 4.doc Version 1.40 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 2 x 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 x x x x 3 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 3 x 1 x 3 x x 2 Farnworth Care Home F56 F06 S60318 Farnworth Care Centre V232327 270705 Stage 4.doc Version 1.40 Page 24 N/A 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 1 Regulation 5 Requirement The Statement of Pupose and the Service User Guide must be made available as separate documents with copies of the Service User Guide given to all residents. A written programme of recreational activities must be developed that must be dislayed throughout the home. The Registered Person must ensure that the staff are fully aware of the homes adult protection procedures and the staff must sign a record to state they have read these documents. The staff must be provided with with training in adult protection procedures. Criminal Records Bureau checks must be completed for all staff at the time of their employment. The Registered Person must ensure that new staff are provided with structured induction training (e.g. Skills for Care format). Residents quality assurance surveys must be undertaken regularly with a report of the F56 F06 S60318 Farnworth Care Centre V232327 270705 Stage 4.doc Timescale for action 30th September 2005. 2. 12 16 30th September 2005. 30th September 2005. 3. 18 12 4. 5. 6. 18 29 30 12 19 18 30th September 2005. 30th September 2005. 31st October 2005. 31st October 2005. Page 25 7. 33 24 Farnworth Care Home Version 1.40 8. 28 18 findings and of any action taken produced and made available. All staff must be provided with the health and safety training as specified under Standard 38.2. 31st October 2005. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 18 30 Good Practice Recommendations The manager should obtain a copy of the local interagency adult protection policy thus reinforcing the homes existing procedures. The manager should consider the need for specific training for those staff caring for those residents with physical disabilities and with dementia care needs. Farnworth Care Home F56 F06 S60318 Farnworth Care Centre V232327 270705 Stage 4.doc Version 1.40 Page 26 Commission for Social Care Inspection Turton Suite, Paragon Business Park Chorley New Road Horwich Bolton BL6 6HG National Enquiry Line: 0845 015 0120 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. 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