Inspection on 31/01/07 for Field Cottage

This inspection was carried out on 31st January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 12 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Field Cottage 26/01/09

Field Cottage 29/11/05

Field Cottage 01/08/05

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Insight - Eastchurch

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

CARE HOME ADULTS 18-65 Field Cottage 17 Harrisons Lane Ringmer East Sussex BN8 5LL Lead Inspector Lucy Green Key Unannounced Inspection 31 January & 6th February 2007 2:00 st Field Cottage DS0000063859.V322307.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Field Cottage DS0000063859.V322307.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Field Cottage DS0000063859.V322307.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Field Cottage Address 17 Harrisons Lane Ringmer East Sussex BN8 5LL 01273 814016 01273 814266 louise.eastwood@eastsussex.gov.uk www.eastsussex.gov.uk/socialcare East Sussex County Council 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) Louise Suzanne Eastwood Care Home 7 Category(ies) of Learning disability (7) registration, with number of places Field Cottage DS0000063859.V322307.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is seven (7). Service users must be aged between eighteen (18) and sixty-five (65) years on admission. Service users with a learning disability only to be accommodated. Date of last inspection 29th November 2005 Brief Description of the Service: Field Cottage is registered to provide residential care to seven younger adults with a learning disability. The home is a two-storey property situated in a quiet residential area of Ringmer. The location of the home offers easy access to village shops and other local amenities. The home has a vehicle and public transport links are within easy walking distance. Tenant accommodation is provided by seven single rooms, which have been individually decorated and furnished. One bedroom provides en-suite toilet and shower facilities. Communal areas comprise of a lounge and kitchen/dining room. A large garden is situated to the rear of the home. Tenants access a range of leisure and day services offered by local colleges and organisations. East Sussex County Council Social Services Department is the Registered Provider of Field Cottage. The Registered Manager confirmed that the cost of a placement at Field Cottage is £735.93 per week. More detailed information about the services provided at Field Cottage can be found in the home’s Statement of Purpose and Service User Guide – copies of these documents can be obtained directly from the home. Latest CSCI inspection reports are on available on request from the home. Field Cottage DS0000063859.V322307.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulations 2001, uses the term ‘service user’ to describe those living in care home settings. For the purpose of this report, those living at Field Cottage are referred to as ‘tenants’. This report reflects a key inspection based on the collation of information received since the last inspection, feedback from a range of representatives and an unannounced site visit which commenced on Wednesday 31 January 2007 and lasted for lasted three hours and forty minutes between the hours of 2pm and 5:40pm. A follow-up visit was also made on 06 February 2007 between 2:35pm and 4pm to enable the Inspector to meet with the Registered Manager and examine documentation that was not available on the first visit. The site visit included discussion with all parties present, a tour of the premises and an examination of medication, care and staffing records. There were seven tenants living at Field Cottage at the time of this inspection. During the visit, the Inspector met with all of the seven residents and spoke privately with each of them. The preparation and serving of the evening meal was also observed. The Inspector spoke individually with the Manager and three staff members, including two Senior Care Officers and a Relief Care Officer. Surveys were sent to tenants prior to the inspection, of which all seven were returned and following the inspection comment cards were given to the Registered Manager to pass onto relatives and visitors. At the time of this report, feedback had been received from three relatives. What the service does well: Field Cottage is a relaxed and friendly environment where tenants are supported by a team of staff who are committed to meeting their needs. Tenants have access to a wide range of activities which meet both their social and educational needs. Field Cottage provides tenants with choice and control over all aspects of their lives and support to achieve maximum independence within a risk assessed framework. Two tenants told the Inspector “staff help us a lot so we can do the things we like and have control over our lives”. Tenants are supported to maintain and develop existing and new relationships. The feedback provided by three relatives expressed satisfaction with the general level of care provided at Field Cottage. Field Cottage DS0000063859.V322307.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Field Cottage DS0000063859.V322307.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Field Cottage DS0000063859.V322307.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents would benefit from the admission process that ensures their individual needs and aspirations are assessed prior to moving into the home. EVIDENCE: There home currently has no vacancies and there have been no new admissions to Field Cottage since the beginning of 2005. This standard could therefore only be assessed in respect of the admission systems in place should a vacancy occur. The Manager reported that a copy of the latest Social Care Assessment would be obtained prior to admission. The details of this assessment would then be ‘tested out’ through a series of trial visits to assess the suitability of the home and compatibility with the other people who live there. The evidence gathered at this inspection demonstrates that Field Cottage is meeting the individual and collective needs of the people who live there. Field Cottage DS0000063859.V322307.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Tenants benefit from care plans which provide staff with the necessary information and risk management strategies to support them safely and effectively. Tenants are routinely offered choice and are encouraged to take every opportunity to make their own decisions about their lives. EVIDENCE: The interaction between staff and residents observed throughout the inspection was positive and the atmosphere at Field Cottage was found to be friendly and energetic. Discussion with staff and observation of their practices demonstrated that tenants are supported by people who have a good understanding of their needs. It was evident that the Registered Manager and staff have worked hard to improve the system of care planning and ensure that each tenant has a plan of Field Cottage DS0000063859.V322307.R01.S.doc Version 5.2 Page 10 care that provides comprehensive and accessible information to guide staff in the appropriate delivery of care. The Inspector is pleased to report that care plans have been developed with a more objective and goal focused approach to care management. The home has also begun to introduce additional person centred plans (PCP) with tenants and on the second visit, there was evidence that one tenant had been supported to achieve his aspiration of becoming a DJ which had been identified and worked through the PCP process. The home has adopted an enabling approach to risk taking and tenants are supported to take some risks in order to maximise choice and independence. Each risk assessment is linked to a management strategy and a support plan which shows how that risk is controlled. Evidence gathered from documentation, discussion with tenants, staff and feedback from other stakeholders highlights that the home provides a service where a considerable effort is made to involve tenants in making decisions about their lives. Tenants also receive external support in this area from a local advocate who visits the home on a monthly basis. Throughout both inspection days it was clearly evident that it is the tenants at Field Cottage who dictate the routines and running of the home. Staff offer choice as a matter of instinct and if they didn’t, then the tenants would be the first people to challenge. During the inspection, tenants were observed making their own drinks and arranging to go to a club that evening. Field Cottage DS0000063859.V322307.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Tenants continue to benefit from the flexible plan of activities that enables individuals to choose how to spend their time, whilst also providing opportunities for personal and educational development. Tenants enjoy a variety of well-balanced meals which take account of specialist dietary programmes. EVIDENCE: The tenants at Field Cottage lead active and busy lives. The activity timetables for the two tenants case-tracked were viewed and there was documentary evidence that they both participate in a range of appropriate and fulfilling activities. Tenants attend courses at a range of local day services, in addition to activities that are arranged by the home and going to clubs in the evening. It is Field Cottage DS0000063859.V322307.R01.S.doc Version 5.2 Page 12 pleasing to report that activities are across a twenty-four hour period and seven days a week. One tenant informed the Inspector that he had been to see Skating on Ice at the Brighton Centre the previous week. The tenants are also involved in the running of the home and consequently time is built into their schedules for undertaking household tasks. Each tenant has one dedicated day each week where they are supported with household tasks and a chosen 1-1 activity. Field Cottage does not provide staffed holidays however, holidays to a specialist venue, where staffing is provided has proved a successful alternative for each tenant in the last twelve months. At the time of the inspection, three tenants also informed the Inspector that they had a holiday to Butlins planned in the next couple of weeks. The care plans focus on maximising opportunities for social development and this is reflected in the way tenants spend their time. During the inspection tenants discussed a range of activities they had undertaken that day and also clubs that they were going to attend that evening. The home has a positive approach to supporting tenants to maintain relationships with both families and friends. Tenants have regular home visits and staff support tenants to send cards and letters and arrange meetings with friends and families. Comment cards were sent out to relatives and three had been returned at the time of this report. The consensus of opinion was that relatives were satisfied with the overall care provided at Field Cottage. Tenants are supported to plan and prepare meals. The menus are arranged on a weekly basis following consultation with the tenants. The menu displayed showed a range of varied and balanced meals. It was observed that tenants who wish to have something different to the menu are offered an alternative. Specialist diets, including healthy eating diets continue to be catered for. The evening meal of lasagne was before the Inspector left and the meal was wellpresented and appetising – all residents confirmed they were enjoying their food. Field Cottage DS0000063859.V322307.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Tenants benefit from the provision of flexible and respectful personal and healthcare support and are protected by the systems in place to manage medication. Further protection would be afforded if each resident has a recognised health action plan in place. EVIDENCE: Tenants are encouraged and supported to manage their own personal care. The role of staff is primarily to prompt tenants as necessary. There is evidence in the care plans that staff support is offered in a sensitive and respectful manner. Risk assessments are in place to ensure the safety of residents at all times. Staff also support tenants to ensure their health needs are met. Communication sheets known as CR2’s contain a record of any visits or contact with healthcare professionals. It was however highlighted to the Registered Manager on the second visit that this made the tracking of specialist input difficult. For one resident, a recent health issue has significantly impacted on Field Cottage DS0000063859.V322307.R01.S.doc Version 5.2 Page 14 their care needs and in the present format there is no way of linking this information to the main care plan until the next review is held. This issue would be resolved by the introduction of formal health action planning alongside person centred plans. The health action plan devised by the local partnership board was shown to the Manager who has agreed that this will be implemented at Field Cottage. The storage and administration of medication were found to be satisfactory. Records are accurate and current. Each tenant has a their own medication file which contains information about the potential side affects of their medication and the criteria for when each medicine should be administered. Staff receive appropriate training in the management of medication. Field Cottage DS0000063859.V322307.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Tenants and visitors to the home benefit from and are protected by, the open culture at Field Cottage. EVIDENCE: The home has a standard complaints procedure compiled by East Sussex County Council. The home has received one complaint from a tenant in the last twelve months which has concerned the perceived noise coming from the supported accommodation flats that adjoin the home. Discussion with the Registered Manager has identified that whilst the complaint is on-going, the tenant is being supported to deal with this issue through the appropriate channels. The CSCI has not received any complaints about this service in the past twelve months. Tenants receive monthly visits by an external advocate who could also provide impartial support to make a complaint if necessary. The home has a number of systems in place to protect tenants from abuse. Tenants are supported to manage their finances and the records are maintained. The receipts and logging records for two tenants were viewed and found to be accurately maintained. Field Cottage DS0000063859.V322307.R01.S.doc Version 5.2 Page 16 The Registered Manager confirmed that all staff have received training in the protection of vulnerable adults. Those staff spoken with were clear about their roles and responsibilities in this area. Field Cottage DS0000063859.V322307.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Field Cottage has the appropriate facilities to meet its stated purpose, but the general lack of maintenance and delays in refurbishment prevent it from being homely and welcoming. The safety issues identified are unacceptable and must be rectified swiftly to prevent risk of harm and loss of independence. EVIDENCE: Field Cottage is a two-storey property situated in a quiet residential area of Ringmer. The location of the home offers easy access to village shops and other local amenities. Tenant accommodation is provided by seven single rooms, which have been individually decorated and furnished. One bedroom provides en-suite facilities. Communal areas comprise of a lounge and kitchen/dining room. A large garden is situated to the rear of the home. Field Cottage DS0000063859.V322307.R01.S.doc Version 5.2 Page 18 One of the tenants provided the Inspector with a tour of the home and five of the seven tenants showed the Inspector their bedrooms. Whilst it is evident that the newly fitted shower room has greatly improved bathing facilities in the home, it is disappointing that the damp and mould in this area has not been fully resolved. A number of other maintenance issues were also identified, including the damp in the en-suite facility which has now been left for too long. The Inspector’s concern about this area is also shared by the tenant and their representative. It is required that this matter is now rectified as a matter of priority. Carpets in the communal parts need replacing, especially on the stairs, where the floor is heavily stained. The Registered Manager reported that the carpets are regularly cleaned, but that the stains cannot be removed. One tenant requested new carpets as a necessary improvement in the survey that was completed prior to the inspection. This is again unacceptable and must be addressed. A couple of safety issues were also identified during the inspection, including two fire doors which needed new handle fixings – by the second visit, both had been assessed by Kelsey Housing Association who is responsible for the maintenance of the home and work has been scheduled as a matter of high priority. It was also discussed with the Registered Manager that windows above ground floor level should be assessed and window restrictors considered. The Registered Manager confirmed that tenants would be at a greater risk if restrictors were fitted and therefore it is required that this decision is recorded in a risk assessment format for each individual. Field Cottage has a large garden to the rear of the home, which several of the tenants like to access independently on a regular basis. At the current time however, tenants are having to be supervised in this area due to a large amount of debris generated by recent storms. This includes broken glass from the greenhouse and splinters of wood. When asked for their opinion about the garden, one tenant described is as “a bloomin’ mess”. It is therefore required that this area is cleared as a matter of priority. Field Cottage DS0000063859.V322307.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 & 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents benefit from a dedicated and competent team of staff, although greater protection would be afforded if the organisation could demonstrate robust recruitment procedures and if all mandatory training was regularly updated. EVIDENCE: The Registered Manager and staff on duty confirmed that staffing levels were currently adequate. The rota indicated that staffing levels reflected those outlined in the Statement of Purpose. The rota allows flexibility for staffing levels to be increased or reduced according to activities and the number of tenants at the home. Minimum staffing levels provide three staff in the morning, two in the afternoon and one sleep-in person at night. The home was calm and relaxed on the day of the inspection and there were sufficient staff to meet the needs of the tenants. Field Cottage DS0000063859.V322307.R01.S.doc Version 5.2 Page 20 Staff training is ongoing at Field Cottage and in information supplied to the Inspector prior to the visit it was identified that six of the seven staff members had at least a level 2 National Vocational Qualification in care. A review of the training matrix did however identify that whilst five staff currently hold a valid first aid certificate, this does not guarantee that a first aider is working on every shift and this is therefore reflected as a requirement. Staff recruitment files are not currently stored at the home and therefore a separate visit was made to the Bellbrook Centre on 09 February 2007. During this visit it was not possible to evidence that staff had been recruited subject to a robust system of checks. The files viewed were found to be incomplete and distinctly lacking in the required information. It has been an on-going requirement that evidence be available in the home to demonstrate that correct recruitment procedures have been followed. Phil Hale, Regulation Manager at the CSCI has now formally written to the Operations Manager and a timescale of 01 May 2007 has been given for all staff files to be completed and ready for inspection, otherwise the CSCI may have no other option than to consider enforcement action in this area. Field Cottage DS0000063859.V322307.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in home that is effectively managed and monitored. EVIDENCE: The Manager has successfully completed the registration process since the last inspection. She is a skilled and experienced practitioner who is due to commence NVQ Level 4 and the Registered Manager’s Award in February 2007. Both staff and tenants spoke highly of the Manager and the support she provides. The home has a number of systems in place to gain feedback about the service and include all stakeholders in the running of the home. Regular tenants’ Field Cottage DS0000063859.V322307.R01.S.doc Version 5.2 Page 22 meetings are held and these are chaired by an external advocate. Satisfaction questionnaires are carried out on an annual basis with each tenant and the results published for all interested parties. Monthly monitoring visits are carried out on behalf of the Registered Provider. Notwithstanding the safety issues identified in the Environment section of this report, Field Cottage has effective systems in place for ensuring the health and fire safety of the home is maintained. Field Cottage DS0000063859.V322307.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 Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 3 34 1 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 X 3 X 3 X X 2 X Field Cottage DS0000063859.V322307.R01.S.doc Version 5.2 Page 24 YES 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 YA19 Regulation 12(1) Requirement Timescale for action 01/04/07 2. YA24 YA30 The Registered person must ensure that each service user has a comprehensive health action plan in place. 23(2)(b)(d) All areas of the home to be 16(2)(k) maintained in a good state of repair. This must include prompt action being taken in respect of the shower room and en-suite facility where there is mould and the replacement of communal carpets. (Previous timescales of 01 October 2005 and 01 March 2006 not met) 01/05/07 3. YA24 YA30 YA42 YA24 YA42 13(4) 4. 23(4)(iii) 5. YA34 19 &Sch 2 as amended All parts of the home must be 05/03/07 kept safe and free from hazard. This is to include clearing the garden so that service users can safely access this area. Action must be taken to ensure 25/02/07 tenants are able to evacuate the home independently in the event of a fire. Staff files to contain the 01/05/07 information required by the Care Homes Regulations. The information as listed in Schedule DS0000063859.V322307.R01.S.doc Version 5.2 Page 25 Field Cottage 4 to be available at the home for inspection at all times. (Previous timescales of 30 May 2005, 01 October 2005 and 20/01/06 not met) 6. YA35 18(1)(c)(i) Staff to receive regular training 01/05/07 relevant to the work they perform, this requirement has been made in respect of first aid training. The Registered Person must risk 01/03/07 assess the safety of the unrestricted windows in respect of all service users living at the home. 7. YA24 YA42 13(4) 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 Field Cottage DS0000063859.V322307.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Field Cottage DS0000063859.V322307.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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