Inspection on 08/08/06 for Highfield Farm

This inspection was carried out on 8th August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Highfield Farm 05/12/07

Highfield Farm 13/12/05

Highfield Farm 09/06/05

Highfield Farm 07/12/04

Highfield Farm 15/06/04

Similar services:

Grayling

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Highfield Farm Knowle Road Worsborough Barnsley South Yorkshire S70 4PU Lead Inspector Mrs Sue Stephens Key Unannounced Inspection 4th August 2006 11:20 Highfield Farm DS0000049850.V303469.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 Highfield Farm DS0000049850.V303469.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. Highfield Farm DS0000049850.V303469.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Highfield Farm Address Knowle Road Worsborough Barnsley South Yorkshire S70 4PU 01226 287 111 01226 248 434 highfieldfarm1@tiscali.co.uk 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 Post Vacant Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Highfield Farm DS0000049850.V303469.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The minimum staffing levels must be maintained at, at least, the level required by the `Residential Forum Care Staffing in Care Homes for Younger Adults` published by Residential Forum April 2002. A minimum of one waking plus one sleeping in member of care staff must be on duty between 22:00 and 07:00 hours. 13th December 2005 Date of last inspection Brief Description of the Service: Highfield Farm is a care home for younger adults providing personal care and accommodation for 8 people with learning disabilities. Voyage Ltd owns the home. The home is situated on a small road off Sheffield Road, about one mile from the town centre and is close to shops, pubs, and other amenities; the home is close to a main bus route. The home has two levels, with the bedrooms upstairs. All bedrooms are single and have en-suite facilities. The premises stand in large gardens and grounds with parking space. A swimming pool is attached to the home; residents can access the pool with staff supervision only. The manager provided the information about the homes fees and charges on 19th July 2006. The following fees are indicative fees based upon straightforward care packages. We will tailor these packages to meet the specific needs of each referral in agreement with the care managers. Fees range from £1,165.92 to £3,299.53. Additional charges include: hairdressing, chiropody, toiletries, activities, magazines and newspapers and transport. Enquiries about the homes fees can be discussed with the manager. Prospective residents and their families can get information about Highfield Farm by contacting the manager. The home will also provide a copy of the statement of purpose and the latest inspection report. Highfield Farm DS0000049850.V303469.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was unannounced; it took place between 11:20:pm and 5pm. The inspector sought the views of 2 residents, 1 relative, and 3 staff. The manager was off duty and the team leader, Cheryl Cade, assisted with the visit. Checks were made on samples of documents relating to the residents care and safety. During the visit the inspector also looked at the environment, and made observations on the staffs’ manner and attitude towards the residents. The inspector tried to contact two visiting professionals about their views of the home; unfortunately they were off duty at the time of the calls. The inspector checked a sample of records. These included three assessments and care plans, three medication records, training records, and health and safety records. The staff recruitment files were unavailable on the initial visit; the inspector returned to Highfield Farm on 16/08/06 and checked three files. The inspector looked at other information before visiting the home, this included reports made by the provider about the home, and the pre inspection questionnaire (information about the home given to the Commission for Social Care Inspection (CSCI) before the visit). The home had dealt with one allegation of abuse, which was reported to the Commission for Social Care inspection. The home took the appropriate action to keep people safe, and followed adult protection procedures. The inspector did not issue surveys to residents, families and other professionals on this occasion, this was because the visit to the home took place before the inspector had prepared the relevant surveys for the home. The inspector would like to thank the residents, re, deputy manager and staff for their assistance with this inspection. What the service does well: People have their needs assessed before they come to live at the home. Highfield Farm gives people information so that they can decide it the home is the right place for them. People who have limitations on their freedom and choice have their written agreements explained to them. Staff know how to support people with complex needs. They follow individual care plans so that people receive professional and consistent support suitable to their needs. The residents consulted were satisfied with their care, people who the inspector observed looked happy and relaxed at Highfield Farm. Highfield Farm DS0000049850.V303469.R01.S.doc Version 5.2 Page 6 Highfield Farm makes sure people who have complex needs or challenging behaviours are supported by staff who are trained. The approaches the staff use follow good practice guidelines and staff make careful records of the incidences. People who live at the home are involved in the decisions about their care. The home meets the needs of people who have diversity needs. The residents are satisfied with their daily routines. And Staff respect the residents’ wishes about how they want to spend their time. There are plenty of opportunities to be involved in leisure activities, personal development and education. For example, the home organises trips to theme parks and places of interest and supports people to go to collage. The home is very focussed on encouraging people to follow healthy diets, but it still allows individuals to make their own choices. The relative said they were “very impressed” with the healthy diets at the home. The home managed the medication storage and records well. People felt able to raise concerns, and they were confident that staff and the manager would listen to them. When it was alleged a resident might be at risk of harm the home followed adult protection procedures and made sure the residents were safe. The home carries out regular audits to check the resident monies. The residents were satisfied with the homes environment and their own rooms. The staff encouraged residents to participate in cleaning and looking after their own bedrooms. The residents and relative said they thought the staff were ok. The relative commended the staff for making their family member “happy” at the home. Staff had an induction and training to enable them to support the needs of the residents. Voyage Ltd, the manager and team leaders all made regular checks to make sure the residents were safe and well supported. What has improved since the last inspection? Highfield Farm DS0000049850.V303469.R01.S.doc Version 5.2 Page 7 Staff said that they felt the new manager provided them with good leadership and direction. The inspector commended the manager and staff for the excellent improvements in the recording of physical intervention incidents and dealing with challenging behaviours. Staff understood how to deal with complaints. The home had repaired the uneven slabs outside the house. 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. Highfield Farm DS0000049850.V303469.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Highfield Farm DS0000049850.V303469.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2. The quality outcome of this area is good. This judgement has been made from evidence gathered both during and before the visit to the service. Prospective residents, and their representatives, have the information the residents need to help them decide if Highfield Farm will meet their needs. They have their needs assessed and they have a contract which tells them about the service the will receive. EVIDENCE: The inspector checked three care plans; the plans included individual assessments of need for each person. Social services and the home carried out the assessments. The home developed the residents’ care plans based on the information from the assessments. There was evidence that for residents who were able, they where encouraged to be involved in their own assessments. This included telling the home about their likes, dislikes and wishes. Each person had a copy of their contract kept with their care plan files. This gave the resident clear information about their fees, and terms and conditions. For some residents with complex needs the home encouraged them Highfield Farm DS0000049850.V303469.R01.S.doc Version 5.2 Page 10 resident to draw up additional agreements. This was good practice because it kept the resident involved in their care and decision-making. Highfield Farm DS0000049850.V303469.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. The quality outcome of this area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The residents are involved in decisions about their lives, and they can play an active role in planning the care and support they receive. EVIDENCE: The residents and the relatives (if this was appropriate) were involved in drawing up the care plans. The care plans contained good detailed information, this included family, friends and other professional contacts. The plans had good details about the possible risks presented to individuals and how to minimise these. Residents who had limitations on their freedom and choice had this clearly recorded in their plans. Highfield Farm DS0000049850.V303469.R01.S.doc Version 5.2 Page 12 Staff made very clear and concise records when they dealt with challenging behaviours, and when they carried out a physical intervention to control a situation. This was good practice and promoted individuals’ respect, dignity and safety. People who may become aggressive had individualised plans, and these took into account the person’s health needs and approaches that work best for the individual. The inspector commended the home on the excellent documentation and records they made to reflect a person’s individual behavioural needs and the events that take place to deal with these. The residents who were consulted said they were involved in making their own decisions. The inspector saw evidence through her observations. And this included staff who encouraged the residents to think about what they wanted to do during the day, the staff respected people’s decision to be alone, get up later in the day and choose when to have their meals. Highfield Farm DS0000049850.V303469.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. The quality outcome of this area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The residents are able to make choices about their life style, and they are supported to develop their life skills. Social, educational, cultural and recreational activities meet people’s expectations. EVIDENCE: The residents said they were happy with their daily routines. During the inspectors visit the residents were involved in various activities. Some chose to spend time in their rooms, others spent time in the lounge chatting with staff and doing leisure activities such as crosswords and games. There was a lively atmosphere with people coming and going at different times. Residents also went out for short walks, shopping and trips in the homes transport. Highfield Farm DS0000049850.V303469.R01.S.doc Version 5.2 Page 14 The residents could enjoy a full and active social life; the staff and residents described some of the social activities they had done recently, these included: Day trip to Pleasure Island, Bakewell Show, Harrogate Show, Flamingo Land, Whitby Regatta, Robin Hood festival, Knowsley Safari Park, Car shows and Chester Zoo. The team leader said, “We go all over and do fun activities”. One resident said, “I like the theme parks best”. Each resident had their agreed daily activities mapped out on the wall in the communal office, this helped the residents and staff check what was happening throughout the day. The team leader said some residents had applied to attend college in the new term and other people had structured activities agreed in their care plans. Staff encouraged the residents to be involved in cleaning the home and this included looking after their own bedrooms. The home had a no smoking policy; people who smoke were able to do so at the front of the house. The staff interviewed understood the diversity needs of the people they cared for. The daily routines and objectives in the home also allowed people to express and follow their wishes and aspirations. The residents said they were satisfied with their meals, they could choose when and what they wanted to eat. During the visit the team leader was assisting a resident to set out her own healthy eating plan, they used pictures and symbols to help the resident understand the plan. This was good practice, it was respectful and positive for the resident, and took into account their likes, dislikes and aspirations. People on special diets had this recorded in their care plans; these gave staff clear instructions about suitable foods and healthy eating. The access to food in the kitchen was limited because of some peoples needs. However the residents confirmed that they could ask staff at any time and they could still get drinks and snacks when they wanted. The relative said they were “very impressed with the meals and healthy eating”. Highfield Farm DS0000049850.V303469.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. The quality outcome of this area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: The relative said they were “very, very happy” with the care of their family member. The care plans set out people’s personal and health care needs very well. This included details about social and health professionals’ input and advice. The staff said they supported people to attend appointments and seek medical advice when it was needed. The team leader said they had begun to introduce Health Action Plans for individual residents. This included a healthy eating plan for one person; and for another person a review involving the resident, specialist Health Action Plan advisor, relative and key worker. Highfield Farm DS0000049850.V303469.R01.S.doc Version 5.2 Page 16 The staff interviewed had a good understanding about peoples support needs. They made reference to the care plans and talked about the importance of maintaining peoples independence. The storage of the medication was very clean and organised. It was easy to identify individuals’ medication, and the records were neat and up to date. Only trained staff could give medication and there was easy access to the medication procedures and information about individuals’ medication. Because the medication was stored away from the main area of the house, the staff used tablet containers, labelled for morning, afternoon and evening. This could put the residents at risk of having their tablets dispensed for the whole day, where errors could occur. There was no risk assessment in place to consider this. Highfield Farm DS0000049850.V303469.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. The quality outcome of this area is adequate. This judgement has been made from evidence gathered both during and before the visit to the service. The residents were able to express their concerns, and have access to a robust, effective complaints procedure. They were protected from abuse, and had their rights protected. EVIDENCE: The complaints procedure was available in the entrance hall. The residents said they could tell staff if they were concerned or worried and staff would listen. One resident said they had complained about an issue to the manager; the resident said the manager had listened and taken action. The home kept good records about any complaints or concerns that people raised. The manager dealt with the concerns, and followed up with individuals to check that they were satisfied. The home had dealt with an allegation of abuse. The home took immediate action to safeguard the individual. The home followed correct adult protection procedures and informed social services the Commission for Social Care Inspection of the events. Staff did not have up to date training on protecting vulnerable adults. (This was a requirement from the last inspection). The manager spoke to the Highfield Farm DS0000049850.V303469.R01.S.doc Version 5.2 Page 18 inspector after the visit; he said he was aware of this he would arrange training with a local authority. The home had professional and safe approaches to deal with people who may cause harm to themselves or others. The staff recorded the incidences in the care plans, the records were clear and consistent. All staff had training and had clear guidance about how to deescalate a situation depending on the persons needs. If the staff used physical intervention, they had clear guidance about what level of intervention they could use. There was clear guidance that staff who had not had training, (for example new starters) must not get involved with challenging behaviour incidences. The staff interviewed were positive, professional and confident in how they carried out de-escalation and intervention approaches. Where the home managed residents’ monies, the manager and team leader carried out regular audits. The team leader said they did this every day and once a month. Highfield Farm DS0000049850.V303469.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. The quality outcome of this area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The physical design and layout of the home enables the residents to live in a safe, well-maintained and comfortable environment, and this encourages their independence. EVIDENCE: The home was clean and comfortable, and decorated in a homely manner. The staff said that the home carried out maintenance repairs in good time. One resident said he was satisfied with the home and another said the home was comfortable. One resident told the inspector he was very happy with his bedroom, and his family had helped to furnished and decorated it. The inspector checked on one bedroom, the room was clean, and personalised as the resident wished it to be. The home had cleaning routines and the team leaders checked these at regular intervals. Highfield Farm DS0000049850.V303469.R01.S.doc Version 5.2 Page 20 The relative said about the homes environment: “on the whole it is pretty much well kept”. The relative said they had raised a concern that some of the lounge furniture felt worn, the manager had responded and said he planned to provide new furniture. Highfield Farm DS0000049850.V303469.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. The quality outcome of this area is good. This judgement has been made from evidence gathered both during and before the visit to the service. Staff in the home are, in the main, trained and skilled. There are sufficient numbers to support the residents and to support the smooth running of the service. EVIDENCE: Both residents said about the staff that they were “ok”. The relative said that they thought staff were “over all ok” and said about their family member, they are “so happy now, it is down to the staff”. The relative also said, “the home is quite positive” and “the atmosphere between staff and clients is nice to see. The manager reported that 28 of the care staff had a National Vocational Qualification in care at level 2 or above. This was below the national minimum standard of 50 . National Vocational Qualifications provide staff with a knowledge and understanding of care needs and good working practices. Highfield Farm DS0000049850.V303469.R01.S.doc Version 5.2 Page 22 All new staff completed a thorough induction; and senior staff checked and signed each area as the staff member completed them. This was good practice and demonstrated that the home checked that new staff understood good practice procedures and the homes objectives. The inspector checked three staff recruitment records. The records were up to date and well maintained. The home had followed robust procedures to make sure they employed the right people at the home. However two of the staff records had employment gaps, this could reduce the robustness of the checks. (This was a previous requirement). Highfield Farm DS0000049850.V303469.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 and 42. The quality outcome of this area is good. This judgement has been made from evidence gathered both during and before the visit to the service. The management and administration of the home is open and respectful and the quality assurance systems are effective. EVIDENCE: The manager had been in post for about eight weeks. He said that he would apply for registration with The Commission for social Care Inspection in the near future. Therefore the inspector did not check this standard. The home had good quality monitoring systems. The team leaders were responsible for some of these and they included audits on health and safety, fire audits, care plans, training, finances, and cleaning rotas. Highfield Farm DS0000049850.V303469.R01.S.doc Version 5.2 Page 24 Voyage Limited also carried out regular visits to the home. They made reports on the residents and staffs’ views, the condition of the building and checked the homes records. The relative said the home had consulted with them and asked their views about the home. Staff had received training in safe working practices, and these included manual handling, fire, first aid and food hygiene. Highfield Farm DS0000049850.V303469.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 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X X X 3 X X 3 X Highfield Farm DS0000049850.V303469.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? Yes 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 YA20 Regulation 13 Timescale for action A risk assessment must be put in 31/10/06 place to consider the risks associated the homes method of administrating medication. All staff must be made aware of the risk assessment. Staff must be given adult protection training and guidance. Requirement 2 YA23 13 31/10/06 3 YA34 19 (Previous requirement 31/01/06) Full employment history and 30/09/06 reasons for employment gaps must be recorded. (Previous requirement 31/01/06) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 YA24 YA32 Refer to Standard Good Practice Recommendations The home should replace the worn furniture in the lounge. At least 50 of care staff should have a National DS0000049850.V303469.R01.S.doc Version 5.2 Page 27 Highfield Farm Vocational Qualification in care at level two or above. Highfield Farm DS0000049850.V303469.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Highfield Farm DS0000049850.V303469.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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