Inspection on 23/01/07 for Highfield House

This inspection was carried out on 23rd January 2007.

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

Highfield House 12/01/09

Highfield House 13/02/06

Highfield House 08/11/05

Highfield House 29/03/05

Highfield House 19/10/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Highfield House High Street Castle Cary Somerset BA7 7AN Lead Inspector Jane Poole Unannounced Inspection 23rd January 2007 09:45 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Highfield House DS0000016098.V319182.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Highfield House DS0000016098.V319182.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Highfield House Address High Street Castle Cary Somerset BA7 7AN 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) 01963 350697 01963 350697 highfieldhouse@yahoo.co.uk MR STEPHEN JOHN BIDDLECOMBE MRS PHILIPPA GRACE BIDDLECOMBE MR STEPHEN JOHN BIDDLECOMBE Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Highfield House DS0000016098.V319182.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th February 2006 Brief Description of the Service: Highfield House provides residential services for 22 people over the age of 65. Mr and Mrs Biddlecombe own, and have managed the home since 1988. The home is located in the main street of Castle Cary, close to all the town’s amenities. Nearby larger towns include the county town of Taunton and Yeovil. There is a rail station on the outskirts of Castle Cary with a main line to London. The home consists of a period main house to which extensions have been built at later dates. Service users accommodation is on two floors. There is a passenger lift and a stair lift. All bedrooms are single and all have washing facilities. Fifteen bedrooms have en-suite toilets. The home has a number of communal rooms, a conservatory and large, attractive gardens with level access. Fee at the home range from £361.00 to £430.00 Highfield House DS0000016098.V319182.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out by one inspector over a period of 7.75 hours. During this time the inspector was able to meet with the management, staff and services users. The inspector was given unrestricted access to all areas of the home and was therefore able to view the environment and observe care practices. Service users were spoken to in private and in communal areas, some comments have been included in this report. 9 visitors/relatives completed comment cards prior to this inspection outcomes of the comment cards have been mentioned in the report. All records requested were made available, all were well maintained and up to date. What the service does well: Highfield House is a well maintained comfortable home. The town centre of Castle Cary is within walking distance and some service users stated that they regularly went to the shops or the pub. There is a competent and effective management team. Service users and staff felt that the management of the home was extremely approachable and always ready to listen to suggestions and opinions. The management are very visible in the home and have a clear vision of the standards of care that they expect. Staff stated that they received good support and excellent training opportunities. This leads to a very competent and well motivated staff team. Service users stated that they would be comfortable to raise any concerns or worries with the management or a member of staff. One service user told the inspector that they felt that the home was run as a partnership between the staff and the service users. There is a very relaxed atmosphere in the home with service users socialising with each other and the staff. Several service users stated that they were very much “at home.” Highfield House DS0000016098.V319182.R01.S.doc Version 5.2 Page 6 All prospective service users have their needs assessed and are invited to visit the home before making a decision to become a resident. The first four weeks of a person’s stay is a trial period for both the service user and the home. This ensures that the home are able to meet the their needs and that Highfield House meets the expectations of the service user. Service users have the opportunity to personalise their rooms and are able to bring furniture and personal possessions with them when they move in. Throughout the home standards of cleanliness are excellent and there is evidence of good infection control practices. What has improved since the last inspection? What they could do better: Service users asked were unable to think of anything that the home could do better. All visitors/relatives who completed comment cards prior to the inspection answered YES to the question “Are you satisfied with the overall care provided?” The inspector has made three recommendations for good practice. Highfield House DS0000016098.V319182.R01.S.doc Version 5.2 Page 7 Currently the home does not record when prescribed creams and lotions are administered. In order to monitor the effectiveness of these prescriptions it is recommended that they be recorded at every application. Care plans seen by the inspector were not fully reflective of the service users needs or the care that they receive. The care staff should be encouraged to up date the care plans instead of writing all information ion the daily records. 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. Highfield House DS0000016098.V319182.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Highfield House DS0000016098.V319182.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 & 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All prospective service users are seen and assessed by a member of the management team before being offered a place at the home. Prospective service users have opportunities to visit the home, and a trial period, before making a decision to move in on a permanent basis. Intermediate care is not provided. EVIDENCE: All service users asked stated that they had been able to meet with the manager and visit the home prior to making a decision to move in. Copies of pre-admission assessments were seen by the inspector. Highfield House DS0000016098.V319182.R01.S.doc Version 5.2 Page 10 The first four weeks of a stay is considered a trial for both the home and the service user, however the home-owners stated that this can be extended according to the individual and their circumstances. At the time of the inspection one person was having a trial stay at the home and the staff were closely monitoring this person to ensure that they felt able to meet both their social and physical needs. All service users who are paying privately for their care receive a contract and a service user guide. Those being assisted with their fees have a financial agreement with the relevant local authority and a service user guide. The service user guide is clearly written and sets out what is included in the basic fee. Highfield House DS0000016098.V319182.R01.S.doc Version 5.2 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are treated with respect and are assisted in a way that preserves their dignity. The care plans are not fully reflective of the care being given to service users. Medication procedures promote safe practice. EVIDENCE: All service users living at the home have a personal file containing a care plan, personal details and daily records. The inspector viewed the files of three service users. Care plans cover a variety of needs such as environmental needs, physical and daily routines and social, Highfield House DS0000016098.V319182.R01.S.doc Version 5.2 Page 12 emotional and cultural needs. Care plans seen were basic and not always fully reflective of the service users current situation. For example one person was being cared for in bed. The care plan did not make this clear and gave no indication of pressure relieving equipment or routines and had no risk assessment regarding the bed rails that were in situ at the time of the inspection. However care staff were fully aware of the service users needs and information was written in the daily records. Although it is acknowledged that there is a stable staff team with very good communication between shifts care plans should fully reflect the care that is being given to individuals. This was discussed with the management during the inspection and staff will be encouraged to write changes on care plans not just in daily records. Service users stated that they were aware of their care plans and had opportunities to attend reviews. Service users stated that their privacy was respected and that they were assisted in a way that maintained their dignity. Everyone asked said that they had access to appropriate healthcare professionals and facilities. People said that the staff were always attentive if they were poorly and liaised with GPs and the district nursing team on their behalf. Records of appointments with healthcare professionals are recorded on personal files. The home has some pressure relieving equipment, which is used for people who they consider to be at risk of pressure damage, other equipment is obtained from the local district nursing team. The home felt that they had good relationships with local health and social care professionals and gave evidence that they seek advice and support where appropriate. The home uses a Monitored Dosage System (MDS) for medication. There is secure storage for drugs including medication which requires refrigeration and controlled drugs. Only senior staff administer medication and all have undergone training in this area. One service user administers their own medication and a risk assessment was in place in respect of this. The inspector viewed the Medication Administration Records (MARs) and found them to be correctly signed when medication was received into the home and when tablets were given to service users. There were no signatures on the MAR charts in respect of prescribed creams. The usage of these creams needs to be recorded either on MARs or in care plans in order to monitor their effectiveness. Highfield House DS0000016098.V319182.R01.S.doc Version 5.2 Page 13 The controlled drugs book was viewed and records kept correlated with stocks held. Highfield House DS0000016098.V319182.R01.S.doc Version 5.2 Page 14 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Any routines in the home are determined by the needs and wishes of service users. Service users continue to make choices and remain in control of their day to day lives. The menu in the home offers people variety and choice. EVIDENCE: Service users spoken to during the inspection stated that they continued to be in control of their day to day lives. People are able to choose what time they get up, when they go to bed and how they spend their day. There are some organised activities including gentle exercises, quizzes, bingo and trips out. Some service users said that they walked into town and others stated that they very much enjoyed the garden in the good weather. Some Highfield House DS0000016098.V319182.R01.S.doc Version 5.2 Page 15 people stated that they just enjoyed the company of the staff and other service users. Some people go out to church and local clergy visit every month to offer communion. Hairdressers visit the home twice a week On the day of the inspection some service users were visited by friends or family, some people spent time in their rooms entertaining themselves with TV or reading, others were in communal areas socialising with others. All 9 relatives/visitors who completed comment cards prior to the inspection said that they were made welcome at the home at anytime and that they could visit their friend/relative in private. Service users stated that they regarded Highfield House as their home and were comfortable to invite friends and family to visit. The main meal of the day is at lunchtime. There is a four week menu offering a choice of two main courses and sweets but service users stated that if neither was to their liking then they could request an alternative. All food is cooked on the premises using good quality products and fresh fruit and vegetables. The inspector observed lunch being served. The dining room is able to accommodate all service users at small tables and the meal was unhurried and relaxed. Some service users choose not to eat in the dining room and the inspector saw individual trays being taken to personal rooms. The food was well presented and portions were adequate. Service users stated that the quality of food in the home was always excellent. Highfield House DS0000016098.V319182.R01.S.doc Version 5.2 Page 16 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17 & 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The risks of abuse to service users is minimised by staff training and a robust recruitment procedure. Service users are comfortable to raise any concerns with the managers or a member of staff. EVIDENCE: The home has policies and procedures in respect of recognising and reporting abuse, whistle blowing and making a complaint. All relatives/visitors who completed comment cards prior to the inspection answered YES to the question “Are you aware of the homes complaint procedure?” All service users receive a copy of the complaints procedure in their service user guide and copies are on display in the home. Service users spoken to stated that they would be comfortable to raise any concerns or worries with the managers or a member of staff. All felt confident that any complaint would be taken seriously and addressed. Highfield House DS0000016098.V319182.R01.S.doc Version 5.2 Page 17 No complaints have been received by the home or the Commission for Social Care Inspection since the last inspection. The managers gave evidence that they are constantly striving to improve the service and to ensure that everyone is happy with their care. Service users spoken to stated that the staff are continually checking out that they are comfortable with the way that care is given. The induction programme and National Vocational Qualifications cover issues of abuse and the home also arranged a talk by local professionals on abuse. There is information in the home giving details of how to contact the local independent advocacy service. The inspector observed that service users moved freely around the home and had unrestricted access to the communal areas and their personal rooms. All new staff undergo an enhanced Criminal Records Bureau check and are checked against the Protection Of Vulnerable Adults register before commencing work at the home. Highfield House DS0000016098.V319182.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 24 & 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Highfield House provides a comfortable, safe environment for service users. There is an ongoing plan of refurbishment and redecoration leading to a very high standard of accommodation. The standard of cleanliness is excellent. EVIDENCE: Highfield House in located in the main street of the small town of Castle Cary. It is within walking distance of shops and other local amenities. Highfield House DS0000016098.V319182.R01.S.doc Version 5.2 Page 19 Service user accommodation is set over two floors with a passenger lift between and stair-lifts on small staircases to make all areas accessible. Other aids and adaptations have been put in place to enable people to move independently around the home. These include hand-rails along corridors, raised toilets and assisted bathing facilities. All areas are fitted with a fire detection and call bell system. All bedrooms seen by the inspector had been personalised to reflect the personalities and wishes of the occupant. Many people stated that they had bought their own furniture, which made their rooms feel very homely and individual. One person has had satellite TV installed and many have personal phones in their rooms. Some bedrooms on the ground floor have doors onto a covered walkway leading to the garden. These can only be accessed from outside and service users living in these rooms said that this gave them a feeling of additional independence. Service users stated that they were able to request to move to another room when one became available. There is an ongoing programme of refurbishment and redecoration, which leads to a very well maintained home. The communal areas of the home consist of a large lounge, a dining room and conservatory with access to the garden. There is also a seating area in the main hallway. Outside the home there are pleasant gardens with seating for service users. Recently, at a service user meeting, service users commented that they would like to re arrange the furniture in the lounge as they were having difficulty seeing the TV. This has been done and a large flat screen TV has been purchased which appeared to be very much appreciated by service users. Service users spoken to stated that they felt very much at home. There are adequate communal toilet facilities. The two toilets close to ground floor communal areas have been extended and refurbished since the last inspection creating more space for people with walking aids and therefore promoting privacy and dignity. There is a fully assisted bathroom on the ground floor and an additional bathroom and shower room on the first floor. The laundry for the home is located in an outbuilding at the rear of the house. Highfield House DS0000016098.V319182.R01.S.doc Version 5.2 Page 20 Hand washing facilities are available in appropriate places around the home, protective aprons and gloves are freely available for staff to promote good infection control practices. All areas of the home seen by the inspector were immaculately clean. Service users stated that the home is always kept clean and fresh. Highfield House DS0000016098.V319182.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Excellent training opportunities lead to a well motivated and competent workforce. There is a robust recruitment procedure which minimises the risk of abuse to service users. EVIDENCE: The home employs 15 care staff and 12 ancillary staff. 12 members of the care staff team have a National Vocational Qualification (NVQ) in care at level 2 or above. (Figures taken from pre inspection questionnaire.) There is an excellent training programme for staff and clear records are kept. The home has recently introduced the new skills for care induction programme and there is a clear pathway for staff after induction. There is an expectation that staff undertake NVQ training, care assistants to level 2 and senior carers to level 3. Records give evidence that all staff complete mandatory training in health and safety issues such as first aid, manual handling and fire safety. Highfield House DS0000016098.V319182.R01.S.doc Version 5.2 Page 22 There is a training programme for the year ahead, which includes specific issues that have been raised by staff. Staff spoken to were very happy with the training opportunities within the home. All 9 relatives/visitors who completed comment cards prior to the inspection answered YES to the question “Do you feel that there are always sufficient numbers of staff on duty?” One person commented that staff were cheerful and well motivated. Staff observed on the day of the inspection interacted with service users in a friendly professional manner. Service users paid many compliments to the staff. Comments included “they always listen, you only ever have to ask once” “they are helpful and kind” and “staff are excellent.” Staff spoken to appeared very happy in their roles and felt that there was excellent communication and teamwork throughout the home. There is a stable staff team at the home and only one person has been employed since the last inspection. The inspector viewed the recruitment file of the most recently employed person and it gave evidence of a robust recruitment procedure. Written references and an enhanced Criminal Records Bureau check had been obtained prior to employment. Highfield House DS0000016098.V319182.R01.S.doc Version 5.2 Page 23 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36, 37 & 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is effectively managed taking account of the views of all interested parties. There are clear lines of responsibility. Appropriate measures are in place to protect the health and safety of staff and service users. EVIDENCE: Mr and Mrs Biddlecombe own the home. Mr Biddlecombe is registered with the CSCI as the manager but management responsibilities are very much shared Highfield House DS0000016098.V319182.R01.S.doc Version 5.2 Page 24 by the owners, with Mrs Biddlecomde taking the lead in day to day care management. Mrs Biddlecombe has many years experience of working with older people and has achieved the Registered Mangers Award (NVQ level 4) There is a clear management structure in the home giving clear lines of responsibility. In addition to the managers/owners there is an extremely competent deputy who also has many years experience in the care sector. On each shift there is a senior carer who gives guidance and support to less experienced members of staff. Everyone spoken to felt that the management in the home was extremely visible and approachable. The inspector observed that both staff and service users appeared comfortable with the managers. There are regular staff and service user meetings in the home. Staff stated that meetings were a chance to make suggestions and express opinions not just an information sharing exercise. Staff and service users felt that their ideas were listened to and actioned where appropriate. As well as verbally seeking the views of service users on a day to day basis there are regular satisfaction questionnaires for service users and their representatives. No one working at the home acts as a financial appointee or power of attorney for any service user. Small amounts of money are kept on behalf of some people. Records are maintained of all money kept. Currently the home does not sign the records when money is received or passed on to service users. It is recommended that this be implemented to safeguard staff and service users. The inspector checked one person’s finances and money held correlated with records kept. The deputy carries out annual appraisals and supervision sessions six times a year with all staff. Clear records are kept and a training programme is drawn up for the year ahead covering issues that may have been raised. All policies and procedures are regularly reviewed and updated in line with changes in legislation and current best practice. All are signed and dated when reviewed. Individual policies are displayed on the notice board as ‘task for the week’ all staff are expected to read and sign the particular policy to ensure that everyone is aware of the current working practices. Staff receive regular training in health and safety issues. Highfield House DS0000016098.V319182.R01.S.doc Version 5.2 Page 25 The inspector saw records of regular servicing of equipment; lifting equipment is serviced every 6 months by outside contractors, the fire detection system is checked every three months and portable electrical appliances are checked annually. Fire alarms and emergency lighting is tested weekly by the home. There is an up to date certificate for the gas installation in the home. All records requested by the inspector were made available, all seen were well maintained and up to date. Highfield House DS0000016098.V319182.R01.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 4 4 3 3 X 3 X 4 STAFFING Standard No Score 27 3 28 4 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 3 X 2 3 3 3 Highfield House DS0000016098.V319182.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? no STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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. 2 3 Refer to Standard OP7 OP9 OP35 Good Practice Recommendations Staff should up date care plans regularly to ensure they are fully reflective of needs and care given. The application of prescribed creams and lotions should be recorded. The systems for recording monies kept on behalf of service users should be reviewed to ensure they protect staff and service users. Highfield House DS0000016098.V319182.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Highfield House DS0000016098.V319182.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. Re-publishing this information is in breach of the terms of use of that website. 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