Inspection on 03/08/06 for Greenfields

This inspection was carried out on 3rd August 2006.

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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Greenfields 31/05/07

Greenfields 22/12/05

Greenfields 27/04/05

Greenfields 12/01/05

Greenfields 27/07/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Greenfields Derby Road Barnstaple Devon EX32 7EZ Lead Inspector Jo Walsh Key Unannounced Inspection 3rd August 2006 09:00 Greenfields DS0000039188.V298038.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 Greenfields DS0000039188.V298038.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. Greenfields DS0000039188.V298038.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Greenfields Address Derby Road Barnstaple Devon EX32 7EZ 01271 343709 01271 329121 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) http/www.devon.gov.uk/adoption.htm Devon County Council Paul William Jellicoe Care Home 11 Category(ies) of Learning disability (11), Physical disability (11), registration, with number Sensory impairment (11) of places Greenfields DS0000039188.V298038.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Caters for young people and adults between the ages of 16 and 25 years Current service users over the age of 25 or under the age of 16 will be allowed to continue to use the service To admit one named person aged under 16 as detailed in the notice dated 5th August 2004 and one named person aged over 25 as detailed in the notice dated 10th September 2004 The maximum number of persons accommodated at the home, including the named young persons, will remain at 11. On the termination of the placement of either of the named young persons, the registered person will notify the Commission in writing and the particulars and conditions of this registration will revert to those held on the 26th July 2004 or as appropriate 22nd December 2005 4. 5. Date of last inspection Brief Description of the Service: Greenfields provides planned respite care and accommodation for up to 11 young adults and some children with severe learning disabilities and physical or sensory impairment, aged 10 to 25 years (male and female), whose families live within North Devon and Torridge District Councils boundaries. Services are sometimes provided to young people and adults from outside these catchments areas. Some service users who reach the age of 25 years continue to use the service for a further 10 years. Usually the maximum number of children, young people and adults staying at the home at any one time is nine. However, in certain circumstances, up to 11 children, young people and adults are accommodated. Emergency admission for unplanned respite is provided, for those service users already using the facility for planned respite care. The home has nine bedrooms. Only children aged less than 16 years share bedrooms. The home also provides day care for young adults, Mondays to Fridays, 9 am to 4 pm with various activities on offer. Greenfields is owned and managed by Devon County Council. Devon County Council did not make the range of fees available. This report is made available at the home by ensuring a copy is left in the main entrance hall. Greenfields DS0000039188.V298038.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced, meaning the home were not made aware of the inspection date. The inspection took place during a weekday in August and lasted 6.5 hours. Time was spent talking to staff and observing their interactions and care practices. Some time was also spent observing and talking to service users. The inspection process also involved looking at some key documents, discussion with the manager and talking to service users family members. Two carers were spoken to on the day of the inspection and 5 were spoken to by phone following the inspection. Their views and comments are included in this report and have helped to inform the judgements of the inspection. Prior to the inspection, surveys were sent to a sample of staff. 12 were sent and 6 were returned. Comment cards were also sent to health care and social care professionals who commission and/or support the service. Four professionals returned comment cards. What the service does well: Detailed assessments are completed prior to any new service users being admitted to the home. This ensures that all assessed needs can be met. The home ensures that care plans detail individuals’ assessed and changing needs, so that staff can provide consistent care. All carers spoken to said that the personal care and support offered by staff is very good. One family member said that staff are extremely good at ensuring personal care needs are met and that this was very reassuring as the service was a much needed respite for many families. The staff group have a good understanding and knowledge of working with individuals with complex needs. They have developed a good rapport with service users and are able to understand their different ways of communication. The home offers a good range of meals and cater of special diets including ensuring food is pulsed to prevent choking, where necessary. There is a robust medication procedure in place to ensure the protection of the service users. Greenfields DS0000039188.V298038.R01.S.doc Version 5.2 Page 6 The home has a simple complaints procedure that is part of Devon County council’s key policies. Complaints are recorded and followed up with actions taken to resolve issues. The home ensures staff are aware of possible abuse via training and clear policies being in place. The home is a clean, homely and safe environment for service users to feel comfortable in. The home has a good range of communal spaces upstairs for a number of activities. One room has been converted to a sensory room with specialist lights and another is a soft play area. The home also has a craft room a quiet garden room and a playroom. Staff are given good opportunities to train in all key areas as well as some specialist areas such as communication, dealing with aggression. The home is well managed and ensures that the health safety and welfare of service users is protected. What has improved since the last inspection? What they could do better: Greenfields DS0000039188.V298038.R01.S.doc Version 5.2 Page 7 Including details of how individuals communicate their needs in particular ways could enhance care plans. Plans should be shared and agreed by the individual or their representative. Activities offered are limited due to the complex care needs of the service users and the numbers of staff on duty per shift. Although there are a number of in house facilities such as sensory room and soft play area, staff have limited time to utilise these facilities, as they need to ensure that service users care needs are attended to. Two carers said that the care at the home could not be faulted, but that service users lacked stimulation. Two health care professions also commented on this. The home needs to look at how they can ensure there is sufficient staff to enable them to provide quality activities throughout the day. The registered provider also needs to look at transport to enable service users to access the wider community. The registered provider needs to ensure that equipment used is appropriate and does not compromise the health and safety of both service users and staff. This relates to specialist slings that have been recommended by the consulting physiotherapist. The home needs to include as part of its quality assurance, the views and opinions of the service users and/or their representatives. 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. Greenfields DS0000039188.V298038.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Greenfields DS0000039188.V298038.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. 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 service users individuals’ needs are fully assessed to ensure that the home can meet these needs. EVIDENCE: No new service users have been admitted since the last inspection, but the manager stated that if potential new users were identified for respite care, they would ensure that a full assessment would be completed in conjunction with the social and health care team. This would ensure that all needs are fully assessed and the home could then plan for meeting needs and wishes. Evidence was viewed from the previous inspection that assessments are now completed by the home. Greenfields DS0000039188.V298038.R01.S.doc Version 5.2 Page 10 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 at least once during a 12 month period. 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.” The home ensures that care plans detail individuals’ assessed and changing needs, so that staff can provide consistent care. Service users are assisted to make decisions in their every day lives. The home encourages individuals’ independence within a risk management framework. EVIDENCE: Three care plans were viewed. The plans detail individual needs in personal and health care as well as outlining some social and leisure needs. The home now document that plans are reviewed six monthly as required from the previous inspection. Key workers complete monthly reports in addition to the six monthly reviews. These include dates of attendance, health issues, activities, food and drink, sleeping patterns and any outside appointments attended. Greenfields DS0000039188.V298038.R01.S.doc Version 5.2 Page 11 Each plan has an intimate care plan included, which gives clear details and instructions about individuals’ daily routines and what to do for personal care. Some plans also include photos for staff to refer to in positioning for sleep/resting. This is really useful and seen as an excellent resource. The plans now also include pen pictures of each individual at the start of the plan. The plans enable staff to provide care and support in a consistent way. The plans are not currently shared or agreed by the individual or their representative. Given the complexity of some individuals the plans would need to be shared with their family members. There are however a few service users who could with support and a more user friendly format, photos and pictures for example, agree and review their own plans of care. Discussions with staff provided evidence that the home tries to enable service users to make decisions and choices in their everyday lives. Examples given were assisting individuals to make choices about what they want to wear, giving choices about snacks and drinks. Staff have a good rapport with service users, many of whom they have known for a long time and they have a good understanding of individuals body language and are able to use this knowledge as cues to help them to understand if an individual is happy with a choice. This knowledge and understanding of individuals’ complex needs and ways of communicating is not always fully identified within the plans of care. This detail would enhance plans and enable newer staff to better understand individuals, their needs and their ways of communicating. As the home offers respite/short breaks and day care, their role in enabling independence is limited, but where possible individuals are encouraged to be independent as much as possible. Plans of care include risk assessments. One service user was able to say they enjoyed staying at Greenfields and that the staff were very nice and helped them to decide what to do each day. Greenfields DS0000039188.V298038.R01.S.doc Version 5.2 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,16,17 “Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service.” The home is only able to offer a limited programme of activities and access into the local community due to staffing levels and the complex needs of service users. Service users rights are respected. The home offers a good range and choice of meals. EVIDENCE: The home has a good range of rooms for different uses including a sensory room, ball pool, arts and crafts room and a games room. Two carers spoken to said that although the care provided was very good, they were concerned about the lack of stimulation for service users. Two health/social care professionals commented on the lack of stimulation. Greenfields DS0000039188.V298038.R01.S.doc Version 5.2 Page 13 One thought that the home would greatly benefit from having its own transport to enable staff to get service users out and about more. Several of the staff surveys returned voiced concerns about both needing more resources and staff time to provide meaningful activities. One staff member stated that they needed some professional input as to what sorts of activities they could provide that would be age appropriate and stimulating. Staff surveys also indicated that staff were frustrated that they were not able to get service users out into the local community as much as they would like. This is due to most service users needing at least one to one staffing due to their complex needs and lack of suitable transport to go further a field than the local shops. Staff mentioned that on occasion they try to organise a special outing to the theatre for example and staff will volunteer their own time to enable this activity to happen. These issues were raised with the manager and it was suggested that staff could be supported to look at training for activities and look at what other resources are doing and offering. The manager also said he would contact the occupational therapist for advice and support. The home used to have access to the children’s service bus, but this is no longer available so accessing facilities in the surrounding area is more difficult especially as all current service users have wheel chairs. Staff do where possible get service users out and about into town and the local shops, but due to staffing levels this is somewhat limited. One carer pays for additional support to ensure their young person gets out and about during their stay at Greenfields. Staff were observed communicating with residents in their preferred way and giving choice and responsibility where able. The home offers a choice of meals that appear well balanced and are attractively presented. The home has just purchased a special pulsing machine for pureed food. The main meal is offered at lunchtime and it was observed to be relaxed with support given to eat in a respectful and caring manner. Greenfields DS0000039188.V298038.R01.S.doc Version 5.2 Page 14 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 at least once during a 12 month period. 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.” Personal support is provided in a way individuals prefer and require. Service users’ physical and emotional needs are well met. There is a robust medication procedure in place to protect service users. EVIDENCE: All carers spoken to said that the personal care and support offered by staff is very good. One family member said that staff are extremely good at ensuring personal care needs are met and that this was very reassuring as the service was a much needed respite for many families. One carer stated that the staff have been extremely supportive, especially during recent times when the young person was very sick in hospital. ‘Staff visited and provided the family with support and understanding through a very difficult time.’ The home have a range of specialist equipment to assist them in meeting individuals personal care needs, although both the visiting physiotherapist and several staff stated that they need specialist silverlea slings for all service Greenfields DS0000039188.V298038.R01.S.doc Version 5.2 Page 15 users as this makes transferring individuals much easier and the slings are much more comfortable for service users. These sings can be left under individuals all the time as they are made of a very lightweight material. This means that individuals do not have to be moved about to position slings under them, which can be a health and safety issue for both the individual and staff. Many of the young people who use the service have complex needs, including peg feeding. One health care professional and one parent/carer stated that health care needs would be better met if there was a full time nurse available as part of the staff team. The home does have access to the community teams support, which includes specialist nurse, physiotherapist and occupational therapist. Currently the home has a physiotherapist coming in to reassess and advise on moving and handling. This support is offered two days per week and will be for an 8-month period. It is envisaged that this will help the home to ensure they have the right equipment and skills to support individuals in a safe and secure way. The homes medication procedure was observed and discussed with the senior carer. The home has appropriate storage facilities for all medications and records are well maintained for administering of medications. Only staff that have completed training in safe handling and administering of medications are able to take on this role. None of the current service users are able to self medicate. Greenfields DS0000039188.V298038.R01.S.doc Version 5.2 Page 16 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 at least once during a 12 month period. 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.” Service users and their representative’s views are listened to and acted upon. Training, policies and procedures are in place to protect service users from abuse, neglect and self-harm. EVIDENCE: The home has a simple complaints procedure that is part of Devon County council’s key policies. Complaints are recorded and followed up with actions taken to resolve issues. Following the last inspection, where one carer raised some concerns with the inspector, the home have had regular meetings with them, and the carer felt that communication had improved 100 . All carers spoken to said they would be able to raise any concerns or complaints with staff if they needed to. One service user spoken to said they would talk to staff if they were unhappy with anything. Staff have training in the protection of vulnerable adults and are aware of what to do should they suspect abuse. The home has stated policies and procedures in place and staff when asked were aware of these. Any incidents of physical or verbal aggression is recorded and copies are sent to CSCI. Policies and guidance is in place for staff to refer to. The home has a robust system in place for ensuring the service users monies is kept safe and records kept of all transactions. Theses were viewed and found Greenfields DS0000039188.V298038.R01.S.doc Version 5.2 Page 17 to be accurate and well maintained. The records are independently audited weekly and staff check amounts daily. Greenfields DS0000039188.V298038.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 “Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service.” The home is a clean, homely and a safe environment for service users to feel comfortable in. EVIDENCE: During this inspection a tour was made of all parts of the home, which was found to be clean and comfortable. One or two areas are in need of redecoration, but it is clear staff have made great efforts to ensure the environment is as homely and comfortable as possible. Service users are encouraged to bring items in to personalise their rooms. The lock on the door leading out from the garden room needs to be repaired. The maintenance department are aware of this and are in the process of getting parts to fix it. The home has a good range of communal spaces upstairs for a number of activities. One room has been converted to a sensory room with specialist lights and another is a soft play area. The home also has a craft room a quiet garden room and a playroom. Greenfields DS0000039188.V298038.R01.S.doc Version 5.2 Page 19 Down stairs there is a large lounge and dinning area as well as the bedrooms. The garden area is accessible to wheel chair users and has been made attractive with shaded areas as well as a water feature. The home completed a pre inspection questionnaire, which evidences that all equipment and facilities are serviced and well maintained to ensure that the home is a safe environment. Policies and procedures are in place to ensure that good infection control procedures are in place and domestic staff are employed to ensure that the home is kept clean. Staff were observed to wear gloves and protective aprons when handling food or providing personal care. Greenfields DS0000039188.V298038.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 “Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service.” Staff are well trained and competent to meet the needs of the service users. Robust recruitment procedures are in place to protect service users. EVIDENCE: Most staff have completed or are working towards NVQ 2 or 3. Two staff members are doing the learning disability award framework training. One staff member completing this stated that it has been really useful in questioning care practices and the way they provide care. Six staff members were spoken to during the inspection and 6 who completed a survey, all stated that they were given good opportunities to train in all key areas as well as some specialist areas such as communication, dealing with aggression. Many of the staff group have worked at the home for a number of years and have built up a good relationship with the service users. This is key to providing good quality care, as most service users are unable to communicate their needs verbally, so rely on people understanding their facial expressions and body language. Greenfields DS0000039188.V298038.R01.S.doc Version 5.2 Page 21 The staff files for the two newest staff members were viewed and contained 2 references and CRB and POVA checks. This ensures that a good recruitment process is in place, which protects service users. Greenfields DS0000039188.V298038.R01.S.doc Version 5.2 Page 22 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 at least once during a 12 month period. 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.” The home is well managed and ensures that the health safety and welfare of service users is protected. EVIDENCE: The registered manager is qualified and experienced to run the home. Staff spoken to said that the management approach was open and inclusive and staff felt their opinion was listened to. Staff reported both in the surveys returned and in face-to-face interviews that the staff team worked well and supported each other. The manager stated that the homes quality assurance has been well implemented in terms of external audits looking at specific areas such as the kitchen, finances and the general environment. DCC ensures that someone appointed on behalf of the responsible individual completes monthlyunannounced visits. Reports of these visits are sent to CSCI and include Greenfields DS0000039188.V298038.R01.S.doc Version 5.2 Page 23 information about the premises as well as views of staff and where possible service users. The home has yet to formalise their quality assurance in terms of seeking the views of the service users or their representatives. The manager has agreed to now look at how they can ensure that services users/representatives views can be sought and used to improve the quality of care. The home ensure that staff have key training in all areas of health and safety. This ensures staff are able to do their job safely. The pre inspection questionnaire evidences that the home ensures all safety checks are completed, that equipment is serviced and policies and procedures are in place for all health and safety matters. During the inspection the fire logbook and accident and incident reports were viewed and found to be well maintained and updated. Greenfields DS0000039188.V298038.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X X X LIFESTYLES Standard No Score 11 X 12 3 13 2 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Greenfields DS0000039188.V298038.R01.S.doc Version 5.2 Page 25 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 YA6 Regulation 15 Requirement Care plans must be shared and agreed by the individual or their representative where possible. Timescale for action 30/01/07 2. YA39 24 The home must ensure it reviews 30/12/06 the quality of care seeking the views of the service users and their representatives. (Previous date set for compliance 20/07/06) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA14 Good Practice Recommendations The registered provider should ensure there are sufficient staff and resources available to provide meaningful activities and stimulation, which includes access into the local community. The registered provider should ensure the recommendations of the physiotherapist are followed up so DS0000039188.V298038.R01.S.doc Version 5.2 Page 26 2 YA18 Greenfields that all service users have the appropriate hoisting equipment needed. Greenfields DS0000039188.V298038.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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. Extracts may not be used or reproduced without the express permission of CSCI Greenfields DS0000039188.V298038.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!