Inspection on 08/08/05 for Hall Farm House Care Home

This inspection was carried out on 8th August 2005.

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 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

Hall Farm House Care Home 26/04/07

Hall Farm House Care Home 27/04/06

Hall Farm House Care Home 30/11/05

Hall Farm House Care Home 24/01/05

Hall Farm House Care Home 25/11/04

Hall Farm House Care Home 26/02/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Hall Farm House Care Home Gainsborough Road Everton Nottinghamshire DN10 5BW Lead Inspector Jayne Hilton Unannounced 8 August 2005 @ 10:00 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 C53 C03 S8686 Hall Farm V242291 080805 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hall Farm House Care Home Address Gainsborough Road, Everton, Nottinghamshire, DN10 5BW 01777 817431 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mr J.K. Hall Mr Scott Scully Care Home (CRH) 6 Category(ies) of Learning disability (LD) registration, with number of places Hall Farm House Care Home C53 C03 S8686 Hall Farm V242291 080805 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 24/01/05 Brief Description of the Service: Hall Farm HouseHall 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, 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 individual’s choice. One bedroom provides for independence training and has it’s own en suite bathroom.Organisational policies and procedures are in place. Hall Farm House Care Home C53 C03 S8686 Hall Farm V242291 080805 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection was undertaken on 8th August 2005, by Jayne Hilton. The inspection commenced at 9.30am and was completed at 2.30pm. The methodology used included examination of three service users development plans and associated documentation, examination of three staff member’s personal files and recruitment documentation. By speaking with all service six users, the acting manager and four staff. Other records pertaining to maintenance and servicing of equipments and health and safety were examined. Staffing rotas, complaints, accident, training and menu records and statement of purpose were also examined. A tour of the home, the gardens and outbuildings completed the inspection methodology for this inspection. The outcomes for service users, was assessed as very positive. What the service does well: Prospective service users have the information they need to make an informed choice about where they live. Their needs and wishes are fully assessed and the home appears to meet the service users needs very well. Individual contracts are in place. Service users know that their assessed and changing needs and personal goals are reflected in their individual plan and that they can make decisions about their daily lifestyles and participate in all aspects of life within the home. Service users also benefit from effective risk management strategies that promote their independence and rights. Service users have opportunities for personal development and to take part in activities, which are appropriate and wide ranging. Service users rights are respected in all aspects of their daily lives and within the community. Mealtimes appear to be enjoyable and complaints procedures are devised in a format that service users can understand. Service users live in a homely comfortable and clean environment, which provides spacious indoor and outdoor and personal space. Service users bedrooms reflect their individual styles and there is adequate toilet and bathing facilities. Service users are supported by sufficient and competent staff who are supervised appropriately. Service users are protected by good recruitment practices and induction and training programmes support the staff to provide an appropriate and quality service. Service users benefit by the home being well managed and by a staff team who are guided by strong leadership, policies and procedures. Record keeping and documentation is up to date and service user’s best interests, are safeguarded by this. The health and safety of service users is generally promoted and protected. Hall Farm House Care Home C53 C03 S8686 Hall Farm V242291 080805 stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Hall Farm House Care Home C53 C03 S8686 Hall Farm V242291 080805 stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Hall Farm House Care Home C53 C03 S8686 Hall Farm V242291 080805 stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 5 Prospective service users have the information they need to make an informed choice about where they live. Their needs and wishes are fully assessed and the home appears to meet the service users needs very well. Individual contracts are in place. The complaints section of the statement of purpose has some outstanding updates needed. EVIDENCE: The home has a detailed Statement of Purpose, this has been amended/updated with manager and staffing details however the points raised at the last inspection regarding updating the complaints procedure from NCSC to CSCI have still not been achieved. It is advisable that the Nottingham Office address of CSCI is also included as they are the area that inspects the home. An assessment of needs is undertaken for any new service users, prior to admission and compatibility with the existing is considered. Copies of both the homes assessment documentation and social worker assessments were seen on the service users files examined. The Lavigna Willis assessment tool is also completed within the first month of placement. Service users and staff appeared to be relaxed in each others company and the staff members on duty interacted well and included service users in conversations. The staff team appeared knowledgeable about the service Hall Farm House Care Home C53 C03 S8686 Hall Farm V242291 080805 stage 4.doc Version 1.40 Page 9 users and those spoken with reported that they felt trained and equipped to undertake their duties. The home provides support for service users with complex challenging behaviours and all staff undertake Scipr[uk] [Strategies for crisis intervention and prevention[revised] UK training.] New staff undertake comprehensive inductions, which is detailed in a handbook and monitored and evaluated regularly by the home manager. Although training has been delayed over the last twelve months or so due to difficulties and changing managers, this now appears to be back on track with much training being planned and arranged. Service users spoken with generally appeared happy and knew about their care plans and had signed in agreement to these. Contracts [terms and conditions] documentation was seen and the acting manager reported that a newly admitted service user would be, assisted by an advocate. The terms and conditions seen in the service users’ files were not signed by service users and this is recommended. Hall Farm House Care Home C53 C03 S8686 Hall Farm V242291 080805 stage 4.doc Version 1.40 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 standard(s) 6-10 Service users know that their assessed and changing needs and personal goals are reflected in their individual plan, and that they can make decisions about their daily lifestyles and participate in all aspects of life within the home. Service users also benefit from effective risk management strategies that promote their independence and rights. EVIDENCE: Three Development plans were examined. A new system is currently being introduced by the new acting manager and improvements to the pre existing systems were noted. The development plans seen, on the whole were appropriate, however one service user had no plans in place for epilepsy or for a recent health issue diagnosis. The acting manager reported that these were planned but not yet formulated. Development plans were reviewed up to date. Care should be taken that dates on documents are accurately recorded to avoid confusion. The development plans in place otherwise were well detailed and give clear information to staff in how to meet the service users needs and wishes. Service users sign their development plans and those spoken with were aware of their plans and their own issues and identities. Hall Farm House Care Home C53 C03 S8686 Hall Farm V242291 080805 stage 4.doc Version 1.40 Page 11 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. On the day of the inspection service users were observed collecting fruit from the orchard, gardening, feeding the pigs on the farm and assisting with clearing away lunchtime pots. Service users informed the inspector that they are involved in household tasks and DIY. The development plans contained appropriate risk assessments and individualised strategies for promoting independence and achievement. One service user stated that he was not happy about some of the aspects relating to his own circumstances and felt that unrealistic limitations had been placed. The inspector explored the issues on behalf of the service user with the acting manager and staff and it appeared that risk management strategies were appropriate and that staff were engaged in positive ways forward to support the service user with his lifestyle choices. The staff team were observed to be also actively engaged in supporting two service users, to exchange bedrooms, which would be of benefit to both of them and risk assessment processes were evident. Service users are offered monthly meetings and any issues highlighted are addressed and fed back. Minutes of these were unfortunately not available for inspection. Staff stated that although service users are not involved with staff interviews they do meet potential new staff prior to interview. Service users files are kept securely within the home. Records evidenced on the day of inspection were accurate and up-to-date. Staff spoken with had a clear knowledge of the importance of confidentiality. Hall Farm House Care Home C53 C03 S8686 Hall Farm V242291 080805 stage 4.doc Version 1.40 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 standard(s) 11, 12, 13, 14, 16, 17 Service users have opportunities for personal development and to take part in activities, which are appropriate and wide ranging. Service users rights are respected in all aspects of their daily lives and within the community. Mealtimes appear to be enjoyable and further review of the menus will provide more choices for service users to make informed choice decisions. EVIDENCE: Development plans contained information to support service users to achieve goals and aspirations. These sometimes need to be structured within a context of managing challenging behaviour. Any limitations on freedom are noted within the development plan and evidence of this was seen. Some service users attend college and certificates of achievement were kept in service users personal files. It was evident within the files tracked that service users are offered a wide range of activities and are encouraged to pursue their own interests and hobbies. Some service users attend the local village sports events, to support the local cricket and football teams. One service user was packing for a Hall Farm House Care Home C53 C03 S8686 Hall Farm V242291 080805 stage 4.doc Version 1.40 Page 13 holiday with relatives, at the time of the inspection and stated that holidays are also taken with the home to Mablethorpe and Wales. The development plan does not state the service users preferred term of address and this needs to be added. Service users conformed that they had access to a telephone and that mail is given to them unopened. They also confirmed that they could lay in at weekends, staff Knock on their bedroom doors before entering. A new menu has been devised, which appears to be varied and nutritious. No second choice was offered for the main meal of the day and it is recommended that a vegetarian option is included for this. The lunchtime meal was observed and three, different options, were taken by service users. The atmosphere appeared happy and relaxed and a large selection of fruit was observed on the table. Staff and service users chatted happily. One service user was not totally happy with the food, but others said they were and appeared to enjoy their meal. Hall Farm House Care Home C53 C03 S8686 Hall Farm V242291 080805 stage 4.doc Version 1.40 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 standard(s) 19, 21 Service users physical and emotional health needs are generally well met, improved documentation would be beneficial to both service users and staff. Service users wishes for the end of their life are well documented EVIDENCE: Although it appeared that service users healthcare needs were monitored, the evidence for this was not strong. There was no record of attendance to or by GP’s chiropodists, dentist and optician or annual health checks within the service users personal files and this needs to be implemented to ensure that routine appointments and health checks are not overlooked and to provide a chronological history of these events and treatments etc. The acting manager reported that he had identified a need for this only recently when needing to check back on some information and had discussed the need for reviewing the present system. Service users wishes for the end of their life were well documented. Service users mental health needs and the evaluation of this are included in their individualised development plans. Weight records were not evident within all of the care plans and again need to be kept with healthcare records. Where service users have physical disability needs, occupational therapy input and outcomes should be documented within the specific plan. Hall Farm House Care Home C53 C03 S8686 Hall Farm V242291 080805 stage 4.doc Version 1.40 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 Complaints procedures are devised in a format that service users can understand. A little more work is needed to ensure that all service users know how to make a complaint should they need to. EVIDENCE: The home has a detailed complaints procedure and it is evident that staff, listen to service users and act on it. There is a symbolised/pictorial version also provided. A service user spoken with was not aware of how to make a complaint. The acting manager should address this. Complaints are responded to within 28 days. There were no recorded complaints since the last inspection. The complaints record evidenced that relatives who make complaints are offered a meeting in addition to a written response; this is evidence of good practice. Hall Farm House Care Home C53 C03 S8686 Hall Farm V242291 080805 stage 4.doc Version 1.40 Page 16 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 standard(s) 24, 25, 26, 27, 30 Service users live in a homely comfortable and clean environment, which provides spacious indoor and outdoor and personal space. Service users bedrooms reflect their individual styles and although there is adequate toilet and bathing facilities, service users would benefit from washbasins in their bedrooms. EVIDENCE: Hall Farm House appears comfortable and has a homely atmosphere. The furniture and furnishings are domestic in character. The acting manager reported that new furniture is to be purchased in the near future. Radiators were found not to have safety covers, neither was there any evidence of risk assessments for surface temperatures. The acting manager reported that he and the handyperson had discussed the need for this. Radiators and hot water pipes were, observed to be, sited close to toilets and baths. These must be provided with safety covers, prior to the winter on a priority basis. Two bedrooms were examined as part of the inspection, one room did not have a lockable facility and the service user did not have a key for his room, as this was not appropriate for this individual. This needs to be documented within Hall Farm House Care Home C53 C03 S8686 Hall Farm V242291 080805 stage 4.doc Version 1.40 Page 17 the service users development plan. The development plans should identify if a service user wishes to have a key or is identified through a risk assessment not able to. The bedrooms seen were spacious and individually personalised. Furniture and equipment lists were seen in the development plan files, however the need for a table to write at was not provided in the list. 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. The home has 3 bathrooms all with toilets and a separate toilet downstairs. All bathrooms are lockable. The home has a large dining room, a large kitchen and 2 lounge areas. The home is surrounded by, a very large garden and additional field. There are plans to redesign the garden with a water feature, herb garden and vegetable patch. Work has commenced on this. The home was clean and free from any malodour. Laundry systems appear adequate but it is advisable to replace one of the washing machines with a type that has a sluice facility when in need of replacement. Hall Farm House Care Home C53 C03 S8686 Hall Farm V242291 080805 stage 4.doc Version 1.40 Page 18 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35, 36 Service users are supported by sufficient and competent staff who are supervised appropriately. Service users are protected by good recruitment practices and induction and training programmes support the staff to provide an appropriate and quality service. EVIDENCE: Staffing rotas were examined and found to be satisfactory. 3.5 staff members are provided on each daytime shift, which consists of a team leader, 2 development workers and 1 day care staff member. An additional staff member is provided after tea to assist service users with activities and outings. Two staff work nights one awake and one sleeping on call. The manager works fulltime but has recently been covering some shifts. A floating staff member is to cover holidays and sickness has recently been approved. The acting manager is currently reviewing staff members training needs to bring the training programmes up to date. Some training has been postponed due to circumstances with trainer. New staff spoken with confirmed they had undertaken induction, fire safety training, first aid, food hygiene, manual handling, health and safety training, Scipr[uk]. Epilepsy management had been covered within the first aid training, however the acting manager reported that this was to be further supplemented with another workshop on epilepsy. There was no evidence of training in infection control. Some staff Hall Farm House Care Home C53 C03 S8686 Hall Farm V242291 080805 stage 4.doc Version 1.40 Page 19 have undertaken training in autism and abuse awareness. Care planning, medication, and a high number of staff are currently studying NVQs or are due to enrol/start. Team meetings were evident and minutes are kept of these. A sample of staff personal files were examined and found to be satisfactory. Evidence was seen of formal staff supervision. The acting manager stated that training would be provided for team leaders for further improve this system. Hall Farm House Care Home C53 C03 S8686 Hall Farm V242291 080805 stage 4.doc Version 1.40 Page 20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 40, 41, 42 Service users benefit by the home being well managed and by a staff team who are guided by strong leadership and appropriate policies and procedures. Record keeping and documentation is up to date and service user’s best interests, are safeguarded by this. The health and safety of service users is generally promoted and protected however this needs to be improved in the areas of food safety and COSHH [Control of substances Hazardous to health] EVIDENCE: He is shortly to be interviewed for the position of permanent manager and will need to register with the commission as soon as possible if successful. Staff spoken with spoke highly of the acting manager, stating that he was a good manager, that he is a good listener and has a good attitude. Staff feel confident that they are well led and equipped to undertake their duties and responsibilities. Hall Farm House Care Home C53 C03 S8686 Hall Farm V242291 080805 stage 4.doc Version 1.40 Page 21 The acting manager is currently undertaking the Registered Managers award and hopes to complete by the end of 2005. There was evidence of some conflict within the staff team regarding consistency of approach with service users, which the acting manager is currently addressing and working with staff to further develop good practices. The policy folder was examined and found to contain comprehensive policies and procedures. Records examined including accident records, fire testing, servicing records, gas safety and electrical safety records were up to date and satisfactory. Fire risk assessments were seen and a file containing generic risk assessments was evident in the home. Staff were observed to be preparing food without aprons and there were some food safety issues identified during the inspection. The old pottery shed outside is being used for storing paints, petrol and other flammable and hazardous chemicals. On the day of the inspection this was found to be unlocked and unattended which presented a high risk to service users. As the shed was immediately, locked by the acting manager when this was discovered, an immediate requirement was not served, however the acting manager must remind staff and service users of the COSHH [Control of substances hazardous to health] requirements and undertake a review of items stored to see if these can be reduced and be risk assessed. Hall Farm House Care Home C53 C03 S8686 Hall Farm V242291 080805 stage 4.doc Version 1.40 Page 22 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 3 3 x 3 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 x x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 x 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Hall Farm House Care Home Score x 2 x 3 Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 3 2 x C53 C03 S8686 Hall Farm V242291 080805 stage 4.doc Version 1.40 Page 23 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. 1. 2. Standard 19 24 Regulation 12, 13, 14,15 Requirement Timescale for action 8/11/05 8/10/05 3. 4. 5. 42 42 42 Ensure the healthcare needs of service users are fully detailed within their development plans 12, 13, 16 Ensure that the surface temperatures of radiators are risk assessed and covers fitted to priority areas. 12, 13, 18 Provide all staff with training in infection control 12, 13, Ensure that the pottery shed is 16, 23 always kept locked 12, 13, 16 Ensure food safety guidance is followed at all times 8/11/05 8/8/05 8/8/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard 1 5 6 Good Practice Recommendations Amend the complaints section of the statement of purpose details from NCSC to CSCI and include the address of the Nottingham office. Obtain service users or their representatives signature for agreement to the terms and conditions. Ensure development plans include epilepsy and healthcare/mobility needs of individuals. C53 C03 S8686 Hall Farm V242291 080805 stage 4.doc Version 1.40 Page 24 Hall Farm House Care Home 4. 5. 6. 7. 8. 8 17 19 25 25 9. 25 10. 11. 30 42 Ensure copies of the minutes of resident meetings are kept in the home. Include a second option for the main meal on the menu, preferably a vegetarian option. Development plans should have a running record sheet for healthcare sheets, ie Chiropody, GP, dentist, optician etc. Provide washbasins in service users bedrooms. Include documentation in development plans for issuing bedroom door keys and lockable facilities and ensure these are provided unless the service user chooses not to or is appropriatly risk assessed as not able to hold these. Each bedroom should have a facility of a table at which service users can sit and write at, eat their meals etc, unless there is appropriate documentation of reasons for this not being provided. When the washing machine is in need of replacement, purchase a type with an integral sluicing programme/facility. Reduce the items stored in the pottery shed and provide risk assessments regarding all items/chemicals stored in there. Hall Farm House Care Home C53 C03 S8686 Hall Farm V242291 080805 stage 4.doc Version 1.40 Page 25 Commission for Social Care Inspection Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Hall Farm House Care Home C53 C03 S8686 Hall Farm V242291 080805 stage 4.doc Version 1.40 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!