CARE HOME ADULTS 18-65
Home Farm Trust - The Elms The Elms Old Hay Lane Sheffield S17 3GN Lead Inspector
Paula Loxley Unannounced Inspection 09:40 7 March 2006
th Home Farm Trust - The Elms DS0000046512.V271023.R01.S.doc Version 5.0 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 Home Farm Trust - The Elms DS0000046512.V271023.R01.S.doc Version 5.0 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. Home Farm Trust - The Elms DS0000046512.V271023.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Home Farm Trust - The Elms Address The Elms Old Hay Lane Sheffield S17 3GN 0117 930 2600 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) Home Farm Trust Mrs Dorothea Marie Edwards Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Home Farm Trust - The Elms DS0000046512.V271023.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 17th May 2005 Brief Description of the Service: The registered providers, Home Farm Trust, are a nationwide provider of care services. The Elms is registered to provide care for 8 younger adults with a learning disability. The home is based in the South West area of Sheffield on the outskirts of Dore village. The Elms is a large detached house situated in attractively landscaped grounds. The home has recently undergone extensive refurbishment and this has included replacement of all windows, some rewiring, refurbishment and redecoration of bath and shower rooms, installation of vanity washbasins in bedrooms and redecoration of bedrooms and communal areas of the home. New furniture has been purchased for the communal living room and lounge/ dining room. Service users have been provided with new soft furnishings for their bedrooms and these are single rooms. The Elms aims to maintain and develop service users independent living skills whilst providing them with regular opportunities to integrate with a wide range of local services and facilities. Service users are provided with 24-hour staff support with one member of staff covering the sleeping in shift each night. Home Farm Trust - The Elms DS0000046512.V271023.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. Although The Elms is a new registration it is not a new care service. Previously the home provided care for ten service users and was inspected, twice a year, as part of Fairthorn’s registration. Fairthorn provided residential care to sixteen young people with a learning disability in three flats, on a separate site, close to the Elms. In March 2005 Fairthorn closed as planned as the service users moved out to alternative accommodation that had been identified as being more appropriate for each individual. The previous unannounced inspection, undertaken in May 2005, was conducted solely at The Elms site and at this time all of the key standards were assessed. Since then the separate registration of this service, and the registration of the manager, have been successfully completed with the Commission for Social Care Inspection (CSCI). This was an unannounced inspection carried out from 9:40am to 13:50pm. Four service users, two relatives and three staff, including the registered manager, were spoken to as part of the inspection process. A number of records were examined and some areas of the building were inspected. Questionnaires, regarding the quality of the service, had been sent out to relatives and carers by the assistant services manager in December 2005. Five were received by the CSCI and comments and information from these have been included in this report. Requirements outstanding from the previous inspection were checked and the progress made has been reported on under the relevant standard in this report. Any requirements that remain outstanding have been carried forward with a short timescale. The inspector would like to thank service users that offered to show the inspector their room and those who agreed to be interviewed. Thanks also to relatives and staff for their help and support with the inspection process. What the service does well:
The Elms is well managed and staff and service users confirmed that the manager was supportive and approachable. The home has a homely, welcoming atmosphere and the recent refurbishment has ensured that in the main the home is well maintained and attractively decorated. Service users confirmed that they were happy to live at the home because they were supported by staff that were friendly, caring and approachable. Discussions with staff and service users confirmed that service users were actively encouraged to make decisions about their lives and to choose how and where they wished to spend their time. Staff and service user meetings were held on a regular basis and service users were provided with a range of information about the service. Detailed assessments and care plans had been completed to ensure that the home could meet each individuals needs. Regular reviews had
Home Farm Trust - The Elms DS0000046512.V271023.R01.S.doc Version 5.0 Page 6 been arranged and service users and their relatives had been involved in this process as appropriate to each person. The key worker system in place ensured that staff were well informed and kept up to date of service users current individual needs, daily routines and personal preferences. Service users had developed positive relationships with the staff undertaking this role and appeared happy with the arrangements. In the main permanent members of the staff team were well trained. The manager and staff were committed to further training, supervision and annual appraisals. Staff recently recruited by the home had completed detailed induction training and records of this had been maintained by the home. Five relatives, via their questionnaires, confirmed that they were satisfied with the care provided and that they were kept informed about important issues or concerns that may affect their son or daughter. They said any complaints had been handled properly within the required timescales. What has improved since the last inspection? What they could do better:
Provide sufficient staff support that is appropriate to facilitate the preferred daily leisure and social activities of each service user. Ensure that the transport arrangements for each service user are reviewed and that the appropriate resources are identified especially for activities or outings that service users may wish to attend individually or in small groups. Ensure that staff and service users are aware of the daily staff support and transport arrangements that are in place to support each individual with their choice of daily activities. Home Farm Trust - The Elms DS0000046512.V271023.R01.S.doc Version 5.0 Page 7 Ensure that planned activities and outings are supported as agreed and that any changes or cancellations are first discussed and agreed with the service user concerned. Ensure that bathrooms with damaged plaster and paintwork are redecorated and that the appropriate fittings are provided. Ensure that staff recruitment files are retained by the home and that all of the required documentation is included. Ensure that the daily records of staff support include details of the action taken by staff to meet service users needs as identified within their individual plan. Ensure that the complaints log and the monthly regulation 26 reports include all of the required information. Ensure that the policy and procedures relating to service users finances accurately reflect the current procedures in place at the home and that all service users finance sheets are countersigned as required, preferably with one signature being that of the service user. Ensure that service user inventories are regularly updated. Ensure that staff are aware of the reporting procedures for investigating allegations or incidents of abuse. Ensure that all staff (including bank or agency) employed to work with service users complete statutory health and safety training. 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. Home Farm Trust - The Elms DS0000046512.V271023.R01.S.doc Version 5.0 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 Home Farm Trust - The Elms DS0000046512.V271023.R01.S.doc Version 5.0 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): 5. Service users had been provided with an individual written contract/statement of terms and conditions that included all of the required information. Key standard 2 was assessed on 17/05/05 and the home scored a 3. This means that at this time it met the required standard. EVIDENCE: Since the last inspection detailed contracts/statement of terms and conditions had been developed for service users. Copies, signed by service users, were retained on individual files. It was positive to note that the contracts included pictures and written text and this ensured that it was in a format suitable for each service user. Home Farm Trust - The Elms DS0000046512.V271023.R01.S.doc Version 5.0 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 the following standard(s): 6. Detailed care plans had been completed for each service user however the daily records did not contain all of the required information and therefore it could not be confirmed that service users were being supported by staff as identified within their individual plan. Inventories were not up to date. Key standards 7 and 9 were assessed on 17/05/05 and the home scored 3s. This means that at this time they met the required standard. EVIDENCE: Three care plans checked clearly documented the needs of each service user and these had been developed within a person centred plan format (PCP). At the time of the inspection four service users were involved in their annual reviews that were taking place at the home. Service users said they were excited about attending their review and were happy that their parents were also attending. All service users knew that they had a key worker allocated and it was evident that they had developed positive relationships with the staff member in this role. The manager confirmed that care plans were reviewed if any issues or concerns were identified by staff in-addition to the regular updates at team meetings. The manager and staff team have worked hard over the last year to develop the educational, social and leisure opportunities
Home Farm Trust - The Elms DS0000046512.V271023.R01.S.doc Version 5.0 Page 11 for each service user according to their personal preferences and interests. Service users weekly activities included cookery, music and dance, drama, Heeley City farm, Scope, Gateway, horse riding, art college, keep-fit, badminton, outings to Peak Park, church and attendance at local football matches. Two service users said they were pleased with their daily activities “that are more varied and we can now spend time doing more things we want to do”. Further work on this was on-going and discussions with service users, relatives and staff confirmed that current staffing levels can at times limit the opportunities available-please see standard 33. Daily records of the support provided by staff had been completed however they did not include details of the staff support provided to facilitate service users needs as identified within their individual plan. Inventories seen in individual files were not up to date and had not been updated on a regular basis. Home Farm Trust - The Elms DS0000046512.V271023.R01.S.doc Version 5.0 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 the following standard(s): None. Key standards 12, 13, 15, 16 and 17 were assessed on 17/05/05 and the home scored 3s. This means that at this time they met the required standard. EVIDENCE: Not applicable. Home Farm Trust - The Elms DS0000046512.V271023.R01.S.doc Version 5.0 Page 13 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): None. Key standards 18, 19 and 20 were assessed on 17/05/05 and the home scored 3s. This means that at this time they met the required standard. EVIDENCE: Not applicable. Home Farm Trust - The Elms DS0000046512.V271023.R01.S.doc Version 5.0 Page 14 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 complaints procedure was clear and accessible. Service users were aware that they could complain and felt that their views were listened to and acted upon. However the complaints record was not up to date. The home had adult protection policies and procedures in place and staff had completed the required training. However not all staff were aware of the procedures and therefore it could not be ensured that service users were fully protected. EVIDENCE: The complaints procedure was available within the home and service users said they were aware of it. Pictures had been included with the written text and service users confirmed that they knew who to complain to if they were not happy about the care and support they received. They said staff regularly asked them if they had any complaints and that they could discuss these individually or at service user meetings that were held regularly. Relatives, via their questionnaires, confirmed that they had been made aware of the complaints procedure and that any complaints made, had been handled properly by then home. The complaints record had been regularly monitored by the manager and no complaints had been received by the home, or by the CSCI, since the last inspection. The complaints log checked did not contain all of the required information. The adult protection policies and procedures in place at the home promoted the protection of service users and included whistle blowing and the Department of Health Guidance ‘No Secrets’. Staff training records confirmed that a number of staff had undertaken the relevant training since the last inspection. The appropriate action had been taken with any allegations or
Home Farm Trust - The Elms DS0000046512.V271023.R01.S.doc Version 5.0 Page 15 incidents of abuse however records of the investigation and subsequent outcome were not available at the home. One member of staff interviewed was not fully aware of the procedures for investigating allegations or incidents of abuse. Home Farm Trust - The Elms DS0000046512.V271023.R01.S.doc Version 5.0 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 the following standard(s): 27 and 28. Toilets and bathrooms ensured the personal privacy of service users. Bathrooms lacked the appropriate fittings to aid service users and were in need of attention. A range of comfortable and safe communal spaces were provided for service users shared or private use, however one room was not accessible. Key standards 24 and 30 were assessed on 17/05/05 and the home scored 3s. This means that at this time they met the required standard. EVIDENCE: The appropriate locks had been fitted to shower and bathroom doors and blinds had been fitted to the windows. The upstairs bathroom had recently been refurbished however the wall above the window required painting and it lacked a toilet roll holder. The downstairs bathroom was in need of redecoration as the paint and plasterwork on the wall above the window was damaged. The upstairs bath and shower room were in need of further personalisation. Service users said they were really pleased with the new furniture that had been purchased for the communal living areas. They confirmed that they could
Home Farm Trust - The Elms DS0000046512.V271023.R01.S.doc Version 5.0 Page 17 choose where they wished to spend their time at the home. Since the last inspection, a spare bedroom upstairs had been converted into the staff sleeping in room. Previously staff had used a small room off the main lounge. The manager confirmed that this room had now been converted into a private area for service users to use with their visitors. However the room was not accessible to service users as it had a combination lock fitted to the door and two service users said they did not think they could use the room as it was for staff. Home Farm Trust - The Elms DS0000046512.V271023.R01.S.doc Version 5.0 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 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, 33 and 34. Staff had completed a range of training, including NVQ level 2 in care and this ensured that service users were supported by competent and qualified staff. The manager stated that the agreed staffing ratios had been maintained by the home. Discussions with service users, relatives and staff confirmed that the current levels did not always appropriately support service users in meeting their needs in relation to social and leisure activities. The home had the appropriate staff recruitment and selection policies and procedures in place. As staff files were not available for inspection, it could not be confirmed that the required documentation had been retained on staff files to ensure the protection of service users. Key standard 35 was assessed on 17/05/05 and the home scored a 3. This means that at this time it met the required standard. EVIDENCE: Staff appeared knowledgeable of the needs of service users and they had a range of relevant skills and experience of working with adults with learning disabilities. Staff recently employed by the home had completed a detailed induction programme that had included shadowing experienced members of staff on duty as they became familiar with the individual needs of each service user. Staff confirmed that the staff team and manager were supportive and
Home Farm Trust - The Elms DS0000046512.V271023.R01.S.doc Version 5.0 Page 19 that in the main they worked well as a team to ensure that service users received the support that they needed. Several staff had completed NVQ level 2 training in care and the manager confirmed that newly recruited staff were due to enrol on this training in the near future. Service users said they were “comfortable with the staff and we can talk to them about our ideas or any problems because they’ll listen to us and try to help if they can”. The staffing levels currently maintained by the home ensure that two care staff work the morning and afternoon shifts. Staff confirmed that the registered organisations ‘bank staff’ covered any staff sickness or vacant posts. Observations during the inspection and discussions with two service users, two relatives and two staff confirmed that the current staffing levels do not always ensure that service users leisure and social needs can be facilitated. Two relatives said they were pleased that the range of social activities had improved and that person centred planning had provided individuals with the opportunity to say how they wanted to spend their time each day. However they said “we are disappointed because the preferences and choices can not always be achieved as there are not enough staff to support each person with their chosen activity”. Also it “raises their hopes to say what they want to do but then they get upset when it doesn’t happen”. Group outings were not always acceptable or appropriate and staff support was regularly required with transport. Two service users said “some days we get fed up because we want to go out but there are not enough staff or they are busy doing other things”. Two staff confirmed that they managed to do as much as they could with supporting activities with service users. They recognised that sometimes service users were “hanging around at the home, wanting to go out somewhere but with no staff available to support them”. The inspector observed one service user becoming very upset and distressed because it appeared initially that his planned afternoon activity was to be cancelled due to staffing problems and transport issues. Service users and staff had clearly not been informed of the transport arrangements made regarding the afternoons planned activity. The inspector was concerned that the assistant services manager considered cancelling activities without first attempting to find an alternative solution or without first consulting with service users. Unnecessary distress was caused to the service user and it was left to another member of staff to support him with this. Detailed staff recruitment policies and procedures were in place at the home and the manager confirmed that all of the required checks were completed prior to staff commencing their employment. Staff recruitment files were not available for inspection and therefore it could not be confirmed that they contained copies of the required documentation. Home Farm Trust - The Elms DS0000046512.V271023.R01.S.doc Version 5.0 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 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): 37, 41 and 42. Service users benefited from a well run home. The majority of the records required by the regulations were maintained by the home. However some of the homes record keeping practices did not safeguard the best interests of service users. The appropriate health and safety policies and procedures were in place at the home and it was confirmed that staff were aware of these. However the health, safety and welfare of service users could not always be ensured as some staff had not completed statutory training as required. Key standard 39 was assessed on 17/05/05 and the home scored a 3. This means that at this time it met the required standard. EVIDENCE: Since the last inspection the manager has been successful in her application to become registered as manager with the CSCI. She is currently undertaking training in management and care at NVQ level 4 and has a wealth of
Home Farm Trust - The Elms DS0000046512.V271023.R01.S.doc Version 5.0 Page 21 experience of working in a care setting. She is clearly committed to developing the quality of the service provided by the home and is keen to ensure that service users contribute to this process. Service user meetings were held regularly and minutes of these meetings confirmed that service users were able to agenda topics of their choice for discussion. The manager and staff have completed a range of training appropriate to their role in a care setting. Records were securely stored and in the main up to date, well ordered and contained most of the required information. The policy and procedures relating to service users finances were not accurate as they did not include the current procedures in place at the home as they were dated June 2003. Service users finance sheets had not been countersigned as required. The monthly regulation 26 reports had been completed and copies had been retained in the home however they did not contain details of a recent investigation. Staff were aware of the health and safety policies and procedures in place at the home. Written risk assessments had been completed and were regularly reviewed. The manager confirmed that equipment had been serviced as required. Staff had completed a range of statutory health and safety training since the last inspection, however training records confirmed that not all staff working with service users at the home had completed training on food hygiene or moving and handling. The inspector is concerned that this requirement has now been outstanding since April 2004. Home Farm Trust - The Elms DS0000046512.V271023.R01.S.doc Version 5.0 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 X X X X 3 Standard No 22 23 Score 2 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 X X X X Standard No 24 25 26 27 28 29 30
STAFFING Score X X X 2 2 X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 2 2 2 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Home Farm Trust - The Elms Score X X X X Standard No 37 38 39 40 41 42 43 Score 2 X X X 2 2 X DS0000046512.V271023.R01.S.doc Version 5.0 Page 23 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 YA6 Regulation 17 Requirement Daily records of the staff support provided to each individual must include details of the action taken by staff to facilitate service users needs as identified within their individual plan. (Previous timescales of 31/03/05 and 30/06/05 not met). Service user inventories retained on individual files must be kept up to date. (Previous timescales of 31/03/05 and 30/06/05 not met). The complaints record/log must be updated to ensure that it contains all of the required information. (Previous timescales of 15/04/05 and 30/06/05 not met). All staff employed by the home must be aware of the procedures for investigating allegations or incidents of abuse. Detailed records, of any investigations of allegations or incidents of abuse, must be kept by the home and must be available for inspection. The appropriate fittings must be provided in all bathrooms.
DS0000046512.V271023.R01.S.doc Timescale for action 30/04/06 2 YA6 17 30/04/06 3 YA22 17 30/04/06 4 YA23 18 31/05/06 5 YA23 17 30/04/06 6 YA27 23 30/04/06 Home Farm Trust - The Elms Version 5.0 Page 24 7 8 YA27 YA28 23 23 9 YA33 18 10 YA33 18 11 YA33 12 12 YA34 19 13 YA41 17 14 YA41 17 (Previous timescale of 30/06/05 not met). Bathrooms with damaged plaster and paintwork must be redecorated. The combination lock fitted to the service users ‘visitors room’ must be removed and service users must be made aware that they can use this room when they wish. The current staffing levels must be reviewed to ensure that sufficient staff are on duty at all times to facilitate the preferred daily leisure and social activities as identified within their individual plan. Staff and service users must be made aware of the daily arrangements regarding activities/outings for service users, staff support and transport to and from the venue. The current arrangements for transporting service users must be reviewed and the appropriate resources, to facilitate service users preferred social/ leisure activities, must be provided. All the required documentation and information, as detailed in Schedule 2 of the standards, must be retained on staff recruitment files and must be available for inspection. (Previous timescales of 31/08/04, 31/03/05 and 30/06/05 not met). Service user finance sheets must be countersigned as required. (Previous timescale of 30/06/05 not met). The manager must ensure that the homes finance policy and procedures accurately reflect the current procedures in place at the home.
DS0000046512.V271023.R01.S.doc 30/06/06 30/04/06 30/06/06 05/04/06 30/06/06 30/04/06 05/04/06 30/04/06 Home Farm Trust - The Elms Version 5.0 Page 25 15 YA41 17 16 YA42 18 The monthly regulation 26 reports must be detailed and must include all of the required information. All staff employed by the home (including relief, agency or bank staff) must complete statutory health and safety training. This includes regular refresher training as appropriate. (Previous timescales of 01/04/04, 31/10/04, 31/05/05 and 31/07/05 not met). 30/04/06 30/06/06 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 3 Refer to Standard YA27 YA32 YA37 Good Practice Recommendations Bath and shower rooms should be personalised. 50 of the care staff team must achieve an NVQ level 2 in care. The manager must complete training at NVQ level 4 in management and care, or equivalent. Home Farm Trust - The Elms DS0000046512.V271023.R01.S.doc Version 5.0 Page 26 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 Home Farm Trust - The Elms DS0000046512.V271023.R01.S.doc Version 5.0 Page 27 - 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!
