Inspection on 14/02/08 for Hale Place Farmhouse Residential Hotel for the Elderly

This inspection was carried out on 14th February 2008.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Hale Place Farmhouse Residential... 12/02/07

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

CARE HOMES FOR OLDER PEOPLE Hale Place Farmhouse Residential Hotel for the Elderly 79 Old Road East East Peckham Tonbridge Kent TN12 5EN Lead Inspector Elizabeth Dudley Unannounced Inspection 14th February 2008 09.40 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Hale Place Farmhouse Residential Hotel for the Elderly DS0000066586.V358186.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Hale Place Farmhouse Residential Hotel for the Elderly DS0000066586.V358186.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hale Place Farmhouse Residential Hotel for the Elderly 79 Old Road East East Peckham Tonbridge Kent TN12 5EN 01622 871081 Address 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) info@haleplace.co.uk Hale Place Care Homes Limited Kevin Hewlett Care Home 10 Category(ies) of Dementia (10) registration, with number of places Hale Place Farmhouse Residential Hotel for the Elderly DS0000066586.V358186.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th February 2007 Brief Description of the Service: Hale Place Farmhouse is a care home for 10 older people with dementia. It is located in the centre of a village, which has a coffee shop, pubs, shops, library and churches and is on a bus route to all the local towns and villages. It was opened in 1988 and is a detached listed property and as its name implies was formerly a farmhouse. There is accommodation on the ground and first floor; there are six single bedrooms and two double bedrooms, five rooms have en-suite facilities with WC. There is a single and double room on the ground floor. There are television points in all the bedrooms and residents can choose to have a telephone point. There is no shaft lift to enable wheelchair access to the upper floor; a chair lift is fitted to the staircase. There is a large enclosed garden to the rear of the property with patio areas, pond and circular pathways. There is a garden to the front of the property with car parking for approximately four cars. The Garden Lodge next door provides accomodation for 3 more able bodied residents and although it is separately registered, residents can use the communal areas in the farmhouse, they share the garden, and meals are prepared in the Garden Lodge kitchen. The homes are not separately staffed, and to all intents and purposes are run as one. The current fees range from £650.00 to £700.00 per week, chiropody, hairdressing, ands personal toiletries are included. Hale Place Farmhouse Residential Hotel for the Elderly DS0000066586.V358186.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star; this means the people who use this service experience, excellent, quality outcomes. This unannounced key inspection took place on the 14th February 2008 over a period of six and a half hours; a senior carer working in the home facilitated it. All residents and staff are thanked for their time, courtesy, hospitality and help during the day of the inspection The Garden Lodge, which is a separate care home belonging to the same provider, was also inspected on this day. The Garden Lodge has three residents who live there and the Hale Place Farmhouse has ten, all residents choose to spend the majority of the day in the farmhouse and have their meals there other than breakfast and staff go between both homes. All care plans and other documentation relate to both homes. However as both are registered as a separate service, two separate inspection reports have been completed, although the information and outcomes will be, in many cases, the same. During the day all residents, five members of staff and one visitor were spoken with, and interaction between the residents and staff observed. Four care plans and medication charts were examined and catering records were seen. Personnel files, training records and some health and safety and quality monitoring documents were not available in the home on the day of the site visit, but were inspected in a subsequent visit to the service. The CSCI requires services to complete and return an Annual Quality Assurance Assessment; this identifies the current status of the home and the achievements of the home in the past twelve months and plans for the future. This was received by the CSCI on the due date. Residents spoken with made very positive comments about the home: “ It’s good here, all the staff are friendly”. “ Good plain cooking and all meals hot and plenty to eat”. “ There is plenty to do here and you can get a cup of tea whenever you want one”. Six surveys sent to residents prior to the inspection were collected from the home on the day of inspection, comments made were positive, although most residents were unsure of whom to talk to if they had concerns. What the service does well: Hale Place Farmhouse Residential Hotel for the Elderly DS0000066586.V358186.R01.S.doc Version 5.2 Page 6 Residents live in an informal homely environment with a family atmosphere. The standard of care planning and pre assessment is excellent with all staff spoken with aware of both the personal and health care needs of each individual in the home. There are sufficient staff on duty to allow them time to sit and talk to residents and to involve all of the residents in activities of the residents choice. It was refreshing to see that residents were able to choose their favourite music and to have a choice over whether they wished to have the television on. Staff said that the staff turnover is minimal thereby allowing continuity of the care given by staff that are familiar to the residents. There is no formalised choice at mealtimes but the cook said that she is aware of different residents preferences and would offer something different if required. Seventy per cent of the staff have the National Vocational Qualification level 2 or 3 in care and all staff said that they were encouraged to participate in this. By the end of May 2008 all staff will have completed NVQ Level 2 or above. What has improved since the last inspection? What they could do better: Some documents required by regulation to be kept in the home were not available to confirm either statement made in the Annual Quality Assurance Assessment or staff comments. Whilst these were seen at a subsequent visit, systems need to be implemented to ensure that staff know where all relevant documents and records are maintained to ensure they are available for inspection. Some staff were unsure of when they had received various mandatory training. Two immediate requirements have been made: The provider must liaise with the Health and Safety Executive regarding the water temperatures and with the Fire Authority regarding fire doors being wedged open and whether the fire risk assessment meets the requirements of their regulations. Subsequent to the site visit, the provider responded positively to these issues and rectified them immediately. A doorguard system (an automatic door closure system) has been installed. The owner has confirmed that water valves to control the temperature of the water were recently renewed, to prevent any risk of scalding to residents. Hale Place Farmhouse Residential Hotel for the Elderly DS0000066586.V358186.R01.S.doc Version 5.2 Page 7 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. Hale Place Farmhouse Residential Hotel for the Elderly DS0000066586.V358186.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hale Place Farmhouse Residential Hotel for the Elderly DS0000066586.V358186.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): People who use the service experience good quality outcomes in this area. 1,2,3,4,5,6. A thorough preadmission assessment of prospective residents takes place to ensure that the home can meet their needs and expectations. Documentation to inform residents about the home is in place, but has not been reviewed to reflect current staffing in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a Statement of Purpose and Service User Guide, but the Statement of Purpose requires review reflect the current staffing status of the home. The service user guide includes the terms and conditions of residence and these documents contain sufficient information to meet the regulations. A senior member of staff assesses prospective residents, and during the inspection four assessments were examined, these were thorough, Hale Place Farmhouse Residential Hotel for the Elderly DS0000066586.V358186.R01.S.doc Version 5.2 Page 10 comprehensive and addressed all areas of the personal, social and health care needs of the residents. The member of staff said that a brochure describing the home is given to residents on assessments and that generally residents visit the home, both for assessment and to look around the home. Staff spoken with showed that they had substantial knowledge of the needs and preferences of the residents admitted to the home and were aware of the various mental health conditions that affect the older person. The home accepts residents for respite care but not for intermediate care. Hale Place Farmhouse Residential Hotel for the Elderly DS0000066586.V358186.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10,11 People who use the service experience excellent quality outcomes in this area. Care plans identify the care needs of the residents and direct the staff in the way to deliver the care required. The standard of medication administration safeguards the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Four care plans, covering both homes, were examined. These included nutritional, personal care, health care, continence and social care plans. All parts of the care plans had been regularly reviewed and showed evidence of being formed in consultation with the residents or their representatives. A full annual review takes place, which includes representation from all parties included in the care of the resident, and the resident or their representatives. Hale Place Farmhouse Residential Hotel for the Elderly DS0000066586.V358186.R01.S.doc Version 5.2 Page 12 Psychological care, diagnoses and instructions in dealing with challenging behaviour presented by specific residents were included in the plan of care. Daily records were up to date and showed reference to the care plans and the risk assessment processes and the care plans included clear directions for staff. The home has good ongoing relationships with health care professionals who visit the home to maintain both the physical and psychological care of the residents. Residents appeared well cared for and good interaction was taking place between residents and staff. Residents said that staff were kind, polite and courteous, and it was evident that all staff were aware of residents needs and preferences. The standard of medication administration was good, with the majority of the staff having accredited medication training. Only staff with this training administer medication. A recommendation was given to staff regarding the recording and storage of a specific medication. All other recording and storage of medication was good and met the National Minimum Standards and regulations. Residents can stay in the home until the end of their lives providing that the community nurses can give support and the home has the facilities for the care required. Hale Place Farmhouse Residential Hotel for the Elderly DS0000066586.V358186.R01.S.doc Version 5.2 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 People who use the service experience excellent quality outcomes in this area. The social life afforded by the home allows residents to feel fully involved and able to participate in activities and a way of life that interests them. Meals are nutritionally balanced and provided in good quantities, with residents being able to make choices of what they wish to eat on an informal basis, as they would be able to do in their own home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home offers a variety of activities relative to the interests of the residents in the home, baking, sewing, gardening and musical entertainment take place and outings to the local shops and pubs. Hale Place Farmhouse Residential Hotel for the Elderly DS0000066586.V358186.R01.S.doc Version 5.2 Page 14 The staff recognise the importance of talking to the residents and were observed holding many conversations with the residents, both individually and generally. It was evident that the staff enjoyed the residents company as much as the residents enjoyed being with the staff. Residents are able to get really involved in the life in the home whilst being able to make choices about where they wish to sit and whether to go to their rooms or not – residents go between both the homes. Staff said that residents could get up or go to bed at times they wish and residents all confirmed this. There is an open visiting policy and one visitor said they were made very welcome. A minister of religion visits the home and one resident who was a minister in the church also gives services from time to time. There is a varied menu, although the menu does not show choices available to the residents, but the cook said that she knows what people like and if they don’t want what is on the menu, she can cook an alternative. The food was plentiful and fruit and fresh vegetables were on the menu, and residents spoken with said that they enjoyed the meals: ‘the food is adequate for me”, “ I enjoy all the food”. Lunch was attractively presented and good size portions were served. Staff were offering cups of tea or coffee to residents throughout the day and snacks were always available, residents said that they could have something to eat or drink at any time. Red or white wine is served at meals for those wishing to have this. The majority of staff have the food hygiene course but this may be required to be updated in some cases. It is recommended that the daily menu be put up in the lounge to remind residents of what is for meals, and that records are kept of residents who have choices different from the daily menu. Hale Place Farmhouse Residential Hotel for the Elderly DS0000066586.V358186.R01.S.doc Version 5.2 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18. People who use the service experience good quality outcomes in this area. The home is proactive in gaining the views of residents, relatives and other stakeholders, both compliments and complaints. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The complaints policy and procedure is available to residents and relatives in the front lobby area. It is also available in the home’s other documents, which can be provided. The owner explained that he also has regular contact with visitors and actively seeks their views, through a questionnaire. There is also the option of leaving the questionnaire anonymously, should someone wish this. Systems are in place to record these compliments and concerns and to respond individually, when the person making the comments is known and not anonymous. Minor concerns and issues are also responded to, as the home is keen to gain the views on how the service can be improved. The adult safeguarding procedure made it clear that should staff have any concerns about a resident which may be a protection issue, needs to be raised with the owner/manager and in his absence with the senior member of staff. This person has responsibility to report it to the local Adult Social Care Department. Hale Place Farmhouse Residential Hotel for the Elderly DS0000066586.V358186.R01.S.doc Version 5.2 Page 16 Staff confirmed that they had adult protection training at some time, but could not recall when, and were not sure if this was included in the induction process. Records seen subsequently confirmed that all staff have received this training, through their induction, their NVQ training course and some through additional training days and workshops. The Annual Quality Assurance Assessment states that there have been no adult safeguarding issues in the home. Hale Place Farmhouse Residential Hotel for the Elderly DS0000066586.V358186.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,22,23,24,25,26. People who use the service experience good quality outcomes in this area. Residents live in a clean and comfortable environment, although some improvements need to be made regarding liaising with the environmental health department regarding water temperatures and some minor improvements to the safety of the garden areas. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Most areas in the home were well maintained and decorated. Resident’s rooms were attractive and comfortable with furniture that had been purchased in the last two years. The gardens were well maintained, with raised beds and raised ponds. Whilst the ponds had been fully risk assessed, as had some areas in the garden, in Hale Place Farmhouse Residential Hotel for the Elderly DS0000066586.V358186.R01.S.doc Version 5.2 Page 18 one area, pruned branches from trees had been left on the ground, and the door to a garage area where unused items and tools were stored, was left open and, potentially, could be accessible to residents. The manager did explain that no residents have unsupervised access to the garden during the winter period, due to close monitoring by staff. All residents’ rooms above ground floor had window restrictors. Although there was no evidence of water temperature monitoring on the day of the site visit, these records were seen subsequently. Staff said the hot water can become very hot quite quickly and that they tested this by their hands and invited residents to do the same. There is the potential for scalding. An immediate requirement for the manager to liaise with the Health and Safety executive was made. Subsequent to the site visit the owner confirmed that water valves to control the temperature of the water were recently renewed, to prevent any risk of scalding to residents. Risk assessments were in place for all other areas of the home. Signage indicating uneven flooring could be improved by being of a more suitable size to enable residents to see this and it was suggested that this be enlarged. The home has some aids such as moving and handling aids and a hoist is provided for one resident. The home has no call bells and the senior carer said that residents are individually assessed as to whether they need a call bell, but no call bell system is presently in place. All areas of the house were clean. Block soap had been left in bathrooms, which is an infection control risk. The main laundry is sent out to an outside laundry but personal clothes are washed in a separate locked laundry room. Staff said that they had undertaken infection control and health and safety training, although these records were not made available on the day of the site visit. However, training records were subsequently inspected and confirmed this training had been completed. Hale Place Farmhouse Residential Hotel for the Elderly DS0000066586.V358186.R01.S.doc Version 5.2 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 People who use the service experience good quality outcomes in this area. There are sufficient staff on duty to ensure that the needs and expectations of the residents in the home are met. Robust recruitment procedures are in place. A large percentage of staff have the undertaken the National Vocational qualification in care which ensures that the standard of care received by residents is of a good standard. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staffing rota and discussions with both staff and residents showed that the level of staffing in the home was very good, with sufficient staff being on duty to meet the needs and expectations of the residents and allowing them to spend time with them. The duty rota showed that three staff are on duty during twelve hours out of the twenty-four and that night staffing is provided by one sleeping and one waking carer. The sleeping carer being employed for the Garden Lodge where residents are not as dependent as those in the Farmhouse. The Annual Quality Assurance Assessment, certificates displayed and discussions with staff showed that 11 out of the 16 members of staff employed Hale Place Farmhouse Residential Hotel for the Elderly DS0000066586.V358186.R01.S.doc Version 5.2 Page 20 (70 ) had attained National Vocational Qualification level 2 or 3 in care. By the end of May 2008 all staff will have completed NVQ Level 2 or above. Staff on duty were unsure whether an induction course is used for new staff. Staff were also unsure about whether all mandatory training had been updated apart from fire training. Staff said that they had safeguarding training but some could not recall when or if it was included in the induction course. However, records seen subsequent to the site visit confirmed that good records are maintained of all training completed by staff, although it needed to be updated slightly to reflect more recent training through NVQ courses. Good induction procedures are in place, using the Skills for Care documentation. Staff have completed a good range of training in the last few years with many completing, or recently completed, NVQ training Although personnel files were not available in the home on the day of the site visit, these were inspected subsequently. This confirmed that robust systems are in place in relation to recruitment, with all necessary checks being completed prior to staff starting work in the care home. Staff said that they receive the General Social Care Code of Conduct. Hale Place Farmhouse Residential Hotel for the Elderly DS0000066586.V358186.R01.S.doc Version 5.2 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35,36,37,38. People who use the service experience good quality outcomes in this area. Although not all health and safety records and documents were made available at the time of the site visit, these were seen subsequently and confirmed that health and safety matters are well managed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The provider/manager has owned the home for 18 years and has the qualifications and experience to ensure the smooth running of the home. The Annual Quality Assurance Assessment says that resident’s views are obtained and acted upon. This was confirmed by the manager, as outlined in Hale Place Farmhouse Residential Hotel for the Elderly DS0000066586.V358186.R01.S.doc Version 5.2 Page 22 the section above on complaints and compliments. Staff meetings are held at regular intervals, staff said that they were able to have open discussion at these meetings and spoke of the ambience in the home and said that staff turnover was minimal. The senior carer who is responsible for formal supervision said that this was carried out at intervals directed by the National Minimum Standards, and this was confirmed by the inspection of staff records subsequent to the site visit. Some confidential information about staff and residents was found in the health and safety and quality monitoring files. The home does not handle resident’s money or act as appointee. The Annual Quality Assurance Assessment states that policies and procedures have been reviewed. Some policies from the policies and procedure manual may not have been available for inspection on the day of the site visit, as the manager explained that some may have been actively being used by staff. The full policy manual was seen at a subsequent visit to the service and confirmed that policies and procedures are available. It was unclear as to whether the fire risk assessment was in line with the Fire Regulatory Reform Orders 2006, or whether a fire officers visit had taken place. On the day of the site visit, records were not made available for the regular testing of fire equipment such as alarms, although there was evidence that fire extinguishers have been serviced. An immediate requirement was made for the provider to liaise with the Fire Safety Service to ensure all aspects of fire prevention systems meet the appropriate fire Regulations. The provider acted quickly on this and confirmed that the system does meet the necessary fire regulations. The owner also immediately fitted a doorguard system (an automatic door closure system). Fire records seen subsequent to the inspection confirmed that all fire procedures are being carried out at appropriate intervals. The Annual Quality Assurance Assessment stated that all servicing of equipment and utilities had taken place. The lack of all necessary documentation being made available on the day of the site visit resulted in a lack of evidence to support the outcomes for residents in some areas. However, these records and documents were inspected at a subsequent visit to the service. The provider recognised that he needs to ensure that staff are fully aware of where key records and documents are kept in order that these can be made available for inspection, should he not be at the service when an inspection takes place. Hale Place Farmhouse Residential Hotel for the Elderly DS0000066586.V358186.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 3 4 4 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 4 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 X 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 3 3 Hale Place Farmhouse Residential Hotel for the Elderly DS0000066586.V358186.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP25 Regulation Reg 13(4) Requirement The registered person to liaise with the health and safety authority regarding the delivery of water at a safe temperature. The provider to liaise with the fire authority regarding the suitability of the fire risk assessment and the wedging open of fire doors. Timescale for action 18/02/08 2 OP38 Reg 23(4) 18/02/08 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 OP38 Good Practice Recommendations The provision of call bells or other related equipment should be regularly reviewed as agreed to ensure the needs of residents continue to be met, and safety of resident is maintained. Hale Place Farmhouse Residential Hotel for the Elderly DS0000066586.V358186.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Hale Place Farmhouse Residential Hotel for the Elderly DS0000066586.V358186.R01.S.doc Version 5.2 Page 26 - 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!