CARE HOME ADULTS 18-65
Hall Farm House Care Home Gainsborough Road Everton Nottinghamshire DN10 5BW Lead Inspector
Jayne Hilton Key Unannounced Inspection 26th April 2007 08:15 Hall Farm House Care Home DS0000008686.V333689.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 Hall Farm House Care Home DS0000008686.V333689.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. Hall Farm House Care Home DS0000008686.V333689.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Hall Farm House Care Home Address Gainsborough Road Everton Nottinghamshire DN10 5BW 01777 817 431 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) Voyage Limited Vacant Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Hall Farm House Care Home DS0000008686.V333689.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 27th April 2006 Brief Description of the Service: Hall Farm House is an adapted older property located in a quiet village and whilst somewhat isolated, a minibus is provided to accommodate for service users travel needs. The home accommodates 6 people with learning disabilities who have challenging behaviour. The home has a large garden and an adjoining field with a variety of animals, and which service users are involved with care of the farm area along with a specific worker. There is a choice of communal spaces for service users. All bedrooms are single and decorated according to individuals choice. Information about current fees were obtained on 26/4/07 are as followscurrent fees range between £975.97-£1,552 per week. These figures include additional one to one hours dependent on the needs of the individual. Additional charges are to be agreed within the terms and conditions for the contribution to travel costs and which is based on service users Disability Living allowance. Those on the lower rate contribute £35.00 per month; those on the higher rate contribute £100 per month. Hall Farm House Care Home DS0000008686.V333689.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users and their views on the service provided. This process considers the provider’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. This inspection took place over 4 and half daytime hours. The main method of inspection used was called ‘case tracking.’ This involves selecting two residents and looking at the quality of the care they receive by talking to them, examining their care files and discussing how support is offered to them by staff members. Many of the people who live at this home have a limited ability to understand and communicate. Therefore many judgements in this report are from observation and reading residents’ records and documents. Not all residents who were “case tracked” were spoken with, as either they did not wish to give an opinion about the care provided or they were not available due to their daily routines and activities. Other residents were spoken with throughout the inspection process however. There were no relatives spoken with at the inspection Three members of staff and the acting manager and were spoken with as part of this inspection, documents were read and medication inspected to form an opinion about the quality of the care provided to residents. This inspection was conducted unannounced. Prior to completing this visit the inspector assessed the homes previous inspection reports, the service history including complaints and adult protection referrals. Unfortunately the Pre-inspection questionnaire completed by the acting manager did not arrive with the inspector before the inspection despite the provider stating this was sent three weeks prior to the inspection. However four, completed residents satisfaction questionnaires and one relative’s questionnaire were received prior to the inspection and comments are included within the report. A random Inspection was undertaken of the home on 11th December 2006. A copy of the inspection outcome letter can be obtained on request from The Commission for Social Care Inspection. Hall Farm House Care Home DS0000008686.V333689.R01.S.doc Version 5.2 Page 6 What the service does well:
The ethos of Hall Farm Care Home is to promote independence and to encourage service users to work towards their own identified and achievable goals. Service users are supported to follow leisure pursuits and college courses of their choice and work placements are also pursued. With the development in communication aids at the home the service users with greater support needs now have increased opportunity to develop communication and social skills. Care plans include what support individual’s require in order to access the community and its facilities. By talking with service users and staff it was apparent that service users have regular opportunities to access community facilities, including going down the pub, going swimming, accessing the library and shops, going to college. Providing this support is regarded as a fundamental part of staff duties. Service users are offered a wide range of activities and they receive personal support in the way they prefer and require. Service users healthcare needs are met and medicine management within the home was satisfactory. Service users needs are assessed, which include their wishes and preferences to ensure that staff can support them, in a way, which meets their individual and specialist needs. Service users are provided with a contract. Service users are supported by an effective care plan structure, which enables them to participate and make decisions about their daily lifestyle and promotes independence and responsible risk taking where they are able to do so. Complaints procedures are accessible to service users. Service users are protected from abuse, neglect and self- harm. The acting manager has the required qualification and experience, is highly competent to run the home and meets its stated aims and objectives. The manager has sound knowledge of both strategic and financial planning and review. The manager is visionary in her approach to the service and communicates a clear sense of direction. Hall Farm House Care Home DS0000008686.V333689.R01.S.doc Version 5.2 Page 7 Staff spoken with said the home was much more organised and provided a calmer, reassuring environment for service users and staff, the accredited the acting manager for this change and said “ the manager is very professional and is one of the best managers I have worked for. The acting manager has the respect of service users and staff and that a relaxing and happy home is provided for service users to live”. Service users benefit from a well run home, with good, record keeping. Service users are confident their views underpin all self-monitoring review and development of the home. The health, safety and welfare of service users are promoted and protected. A well-supported, well-trained, fully supervised and committed staff team supports Service users. Robust recruitment practice ensures service users safety. Service users live in a home that is appropriate to their specific needs, is clean, smells fresh and staff adheres to infection control policies to reduce the risk of infection. A relative commented as follows: “It’s a very good home. A variety of activities and good social life is provided both in the home and in the community, since the current manager came to Hall Farm the residence has improved in leaps and bounds and continues to do so” What has improved since the last inspection?
Medications profiles have been further developed. New flooring has been provided in the bathrooms. The policy of the home is to encourage service users to be involved in the day to day running of their home wherever able, including, shopping, menu planning and daily household tasks. Support for service users in these areas has now been reinstated and there were plans to structure the daily lifestyles and routines with the individual service users needs and goals. Hall Farm House Care Home DS0000008686.V333689.R01.S.doc Version 5.2 Page 8 Service users have more opportunities for personal development and to take part in activities, which are appropriate and wide ranging. New chairs have been purchased for the dining room. Some rooms have been redecorated. 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. Hall Farm House Care Home DS0000008686.V333689.R01.S.doc Version 5.2 Page 9 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 Hall Farm House Care Home DS0000008686.V333689.R01.S.doc Version 5.2 Page 10 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 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users needs are assessed, which include their wishes and preferences to ensure that staff can support them, in a way, which meets their individual and specialist needs. Service users are provided with a contract. EVIDENCE: Service users needs are assessed, which include their wishes and preferences to ensure that staff can support them, in a way, which meets their individual and specialist needs. Service users are provided with a contract. [These need to be signed however] Through discussion with the staff it is evident that the home can meet the assessed needs of individuals admitted to the home. There is regular access and consultation with specialist professionals such as a consultant psychiatrist. The terms and conditions/contract between the home and service user were seen within the plan. Hall Farm House Care Home DS0000008686.V333689.R01.S.doc Version 5.2 Page 11 The acting manager and staff spoken with said that service users and relatives are informed in the homes newsletter about inspections and that they can access a copy of the report. The service user guide informs the reader how to obtain a copy of the inspection report. It is recommended to include the CSCI website also in the information. Hall Farm House Care Home DS0000008686.V333689.R01.S.doc Version 5.2 Page 12 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): 6,7,8 and 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are supported by an effective care plan structure, which enables them to participate and make decisions about their daily lifestyle and promotes independence and responsible risk taking where they are able to do so. EVIDENCE: Hall Farm House Care Home DS0000008686.V333689.R01.S.doc Version 5.2 Page 13 All service users were present at some point of the inspection but most went out during the day. Three service users were around the home for most of the day. The care plans have recently been revised and three were viewed. All were appropriately reviewed and service users are clearly involved in the process. There was evidence through documentation and observations during the inspection that staff, provide service users with the information, assistance and communication support they need to make decisions about their own lives. Signs, symbols and pictures are being used to enable service users with communication needs, to help choose meals and menus and what activities they would like to participate in. Equality and Diversity is embraced within the care planning process, although there are no service users with any specific cultural or diversity needs currently. Advocacy services are available to service users if they wish to use them. One service user was awaiting the arrival of his advocate on the day of the inspection. Service users spoken with confirmed they are consulted and informed about proposed events in the home. There are regular residents meetings where issues about the running of the home are discussed. Service users’ views are obtained as part of Voyage quality assurance reviews. Any limitations on freedom are appropriately risk assessed and documented. Hall Farm House Care Home DS0000008686.V333689.R01.S.doc Version 5.2 Page 14 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 and 17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staff, enable service users to have opportunities to maintain and develop social, emotional, communication and independent living skills. Service users are offered a healthy diet and enjoy their meals and mealtimes. EVIDENCE: Hall Farm House Care Home DS0000008686.V333689.R01.S.doc Version 5.2 Page 15 It was clearly evident throughout the inspection that staff enable service users to have opportunities to maintain and develop social, emotional, communication and independent living skills. The ethos of Hall Farm Care Home is to promote independence and to encourage service users to work towards their own identified and achievable goals. Service users take it in turns to assist staff with the weekly food shop. Service users are supported to follow leisure pursuits and college courses of their choice and work placements are also pursued. With the development in communication aids at the home the service users with greater support needs now have increased opportunity to develop communication and social skills. By talking with service users and staff it was apparent that service users have regular opportunities to access community facilities, including going down the pub, going swimming, accessing the library and shops, going to college. Providing this support is regarded as a fundamental part of staff duties. Service users are offered a wide range of activities. All service users have the opportunity to have holidays and these are mostly taken in small groups throughout the year. One service user said he was going caravanning and camping this year. Service users spoken with said that members of staff always knock on the door and wait for an answer before entering their room. Service users spoken with said that they could choose when they want to be alone or in company and when not to join an activity. Service users have responsibilities for household tasks and these are recorded and agreed in individual care plans. Service users confirmed that the cooking is shared and each service user has a day when they clean their own rooms and when they vacuum and polish the house. Attention is needed to window frames and high places such as lampshades. Menus were examined and appeared to be varied and nutritious. These are planned by discussion with all service users, which are fully recorded. The acting manager said she was looking at further developing the menus and how these are devised. Staff have received training in food and nutrition. Service users spoken with said they enjoyed their food. Hall Farm House Care Home DS0000008686.V333689.R01.S.doc Version 5.2 Page 16 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 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive personal support in the way they prefer and require and service users healthcare needs are met. Medicine management within the home was satisfactory. EVIDENCE: All service users have a designated key worker. Service users who were spoken with know who their key worker is and what they are for. The service users spoken with are happy with the support they are given and feel they have control in their lives. Care plans indicate likes and dislikes and the different forms of support that are required for each individual. For example, where ‘hands on’ support is not applicable, prompting is. Care plans record when other specialist support has been obtained. Healthcare needs of service users appeared to be well met. Hall Farm House Care Home DS0000008686.V333689.R01.S.doc Version 5.2 Page 17 Healthcare needs of service users are well monitored and documentation is kept of routine chiropody dental and ophthalmic checks. Weight records are in place and have a comment/action section. There was now more information regarding medication in the service users files, and a medication profile section has been further developed to include details of medication reviews, adverse effects and contraindications and changes of medication. There are no service users currently self-medicating. The policies for medication management have been reviewed and updated to meet the Royal Pharmaceutical society’s Guidance for medicine administration in care homes. A visible drug error policy was seen. Storage temperatures of medicines need to be monitored. Medication is otherwise stored securely. The medicine keys are kept securely and are now kept separate to other keys in the home. Staff receives appropriate training and the manager confirmed competency assessments were undertaken periodically. Hall Farm House Care Home DS0000008686.V333689.R01.S.doc Version 5.2 Page 18 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 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints procedures are accessible to service users. Service users are protected from abuse, neglect and self- harm. EVIDENCE: There is a complaints procedure and this is displayed and copies are provided in each care plan. Complaints procedures are in symbol and pictorial versions also. There has been no complaint recorded since the previous inspection. A formal system has been introduced for documenting and filing complaints. The complaints procedure has appropriate time scales for response and action. A service user spoken with confirmed he would tell staff if he was not happy. Relevant policies and procedures are in place for adult protection. The NCVAP [Nottinghamshire Committee For Vulnerable Adults Procedural guidance manual] is held in the home and the acting manager has booked a place on training for referral and reporting procedures. Staff have received training in Protection of Vulnerable Adults. Policies for dealing with challenging behaviour and individual reactive strategies are included within the care plans.
Hall Farm House Care Home DS0000008686.V333689.R01.S.doc Version 5.2 Page 19 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, 25 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a home that is appropriate to their specific needs, is clean, smells fresh and staff adheres to infection control policies to reduce the risk of infection. EVIDENCE: The premises appeared on the whole safe, comfortable, and bright. A new pond has been landscaped in the rear garden. Some areas of the home have been redecorated and new dining chairs have been provided. New flooring has been provided in the bathrooms and toilets. Hall Farm House Care Home DS0000008686.V333689.R01.S.doc Version 5.2 Page 20 The bedrooms were all very personalised to reflect individual service users’ tastes. Bedrooms seen had pictures and posters displayed on walls and further shelving where requested. Service users bedrooms although spacious did not have washing facilities apart from one having en-suite provision. Service users would benefit by these facilities being installed. All bedrooms are lockable. There are lockable facilities available in bedrooms. The facilities are adequate in meeting the needs of the service users and offering sufficient personal privacy. The acting manager has obtained an assessment for aids and adaptations in respect of one service user’s needs. Radiator covers are fitted to some radiators and some are of the low surface type and all windows have restrainers fitted. The home was found to be clean and a good standard of hygiene observed in practice. Hall Farm House Care Home DS0000008686.V333689.R01.S.doc Version 5.2 Page 21 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 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A well-supported, well-trained, fully supervised and committed staff team supports Service users. Robust recruitment practice ensures service users safety. EVIDENCE: A copy of the staff rota was viewed and this evidenced generally three support staff throughout the week, extra staff are provided for one to one support and three staff are on at a weekend with one staff member on sleep in and one awake. [Staffing levels are reduced should service users visit relatives or go on holiday] Staffing levels are arranged around the number of service users who are at the home at the time. There were no issues raised at the visit in relation to staffing levels. Voyage has its own thorough recruitment policy and procedures. Four personal staff files were examined and found to contain the required documentation.
Hall Farm House Care Home DS0000008686.V333689.R01.S.doc Version 5.2 Page 22 The service sees induction and any probationary period as being an extension of recruitment. There are contingency plans for cover for vacancies and sickness. All staff receive mandatory training for infection control, health and safety, first aid, fire safety, food hygiene and manual handling and additional training is also provided in Challenging behaviour, managing diabetes, epilepsy, food and nutrition, adult protection and working with people with autistic spectrum disorders and Protection of Vulnerable Adults. Future training should include Equality and Diversity for all staff. Staff are undertaking NVQ training and training for staff that work with people with a learning disability. All staff spoken with understood the specific nature and uniqueness of the home, its aims and objectives and how the care will be delivered. Hall Farm House Care Home DS0000008686.V333689.R01.S.doc Version 5.2 Page 23 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): 37,38,39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well run home, which promotes and protects service users health and safety. EVIDENCE: The acting manager has yet to undergo the assessment with the Commission for Social Care Inspection to be the registered manager, she has the required qualification and experience, is highly competent to run the home and meets its stated aims and objectives. The manager has sound knowledge of both strategic and financial planning and review. The manager is visionary in her approach to the service and communicates a clear sense of direction. Hall Farm House Care Home DS0000008686.V333689.R01.S.doc Version 5.2 Page 24 Staff spoken with said the home was much more organised and provided a calmer, reassuring environment for service users and staff, the accredited the acting manager for this change and said “the manager is very professional and is one of the best managers I have worked for. The acting manager has the respect of service users and staff and that a relaxing and happy home is provided for service users live”. There was evidence of a range of quality assurance tools used by the home. Regulation 26 visits are carried out. The home also uses quality reviews of care plans with service users on a monthly basis. Consultation with service users is also part of the day-to-day running of the home and as part of the service user meetings. A sample of service users financial records was examined and found to be satisfactory with good auditing systems in place. Records examined on the day were satisfactory, these included fire records, accident, incident, water outlet temperatures, Portable appliance test records, systems in place for prevention of legionella electrical circuit testing and The Gas safety Certificate. There is a health and safety policy in place and generic risk assessments were viewed. Staff and service users spoken with were aware of the importance of wearing personal protective equipment for tasks in the home. Reminders should be posted in the laundry. Food safety practices appeared satisfactory and the home was clean and hygienic. Hall Farm House Care Home DS0000008686.V333689.R01.S.doc Version 5.2 Page 25 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 3 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 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 2 4 3 X X 3 X Hall Farm House Care Home DS0000008686.V333689.R01.S.doc Version 5.2 Page 26 No 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. Standard Regulation Requirement Timescale for action 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 YA5 Good Practice Recommendations Ensure that service users or their representative’s signature for agreement to the terms and conditions. 2 3 4. YA20 YA24 YA26 Document the storage temperatures of the medication. Consider the provision of another oven and hob. Provide washbasins in service users bedrooms. 5. YA30 When the washing machine is in need of replacement, purchase a type with an integral sluicing programme/facility. Hall Farm House Care Home DS0000008686.V333689.R01.S.doc Version 5.2 Page 27 6 7. YA37 YA39 Ensure an application is submitted to Commission for Social Care Inspection in relation to the acting managers registration. Implement service user surveys within the framework of quality monitoring. Hall Farm House Care Home DS0000008686.V333689.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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
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