Inspection on 15/03/07 for Little Smugglers Barn

This inspection was carried out on 15th March 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Little Smugglers Barn 23/11/05

Similar services:

Southfields

Thorndene

Insight - Eastchurch

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Little Smugglers Barn Snow Hill Crawley Down West Sussex RH10 3EF Lead Inspector Mrs K Allen Unannounced Inspection 15th March 2007 1:15 Little Smugglers Barn DS0000064323.V328045.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 Little Smugglers Barn DS0000064323.V328045.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 and 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. Little Smugglers Barn DS0000064323.V328045.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Little Smugglers Barn Address Snow Hill Crawley Down West Sussex RH10 3EF 01883 740202 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) THF Care Estates Limited Mrs Anne Carol Reakes Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Little Smugglers Barn DS0000064323.V328045.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd November 2005 Brief Description of the Service: Little Smugglers Barn is a care home registered to provide care and accommodation for up to five people of both sexes between the ages of 18 to 65 years. The home is privately owned by THF Care Estates Limited, and cares for people with learning difficulties, Autism, Aspergers Syndrome, emotional problems and challenging behaviour. The property is an attractive detached house, set in enclosed grounds on a site of approximately four acres. Little Smugglers is situated on the same site, but operates independently from, another home owned by THF Care Estates Limited, Smugglers Barn. Mrs Anne Reakes is the Registered Manager in charge of both homes. Within the grounds there are a stable block, yard and fields which house a variety of farm animals, including chickens, goats and pigs that are cared for by the staff and residents of both homes, together with a vegetable garden. Little Smugglers Barn is situated close to the village of Crawley Down, in a rural setting, but with easy access to the nearby towns of Crawley and East Grinstead. Little Smugglers Barn DS0000064323.V328045.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Prior to the site visit a review was made of the contact between the home and the Commission for Social Care Inspection (CSCI) since the last inspection. This included an analysis of incident reports and those of other statutory bodies such as the fire service as well as any complaints and changes to the registration of the home. The manager completed a pre-inspection questionnaire which gave up to date information about the home. A survey of residents and relatives was carried out and eleven responses were completed and returned to the inspector. The visit took place from 1.15pm over four and a half hours. During the inspection all of the residents were seen either in communal areas or their own rooms. Two staff and the manager were interviewed and other staff were seen going about their duties. Records were inspected and a tour of the premises was made. Residents said they liked the home. One said this was because there were “no arguments” and another because you could speak to staff “if you had any problems”. Relatives said that they were “supported when we visit”, that the staff “respect individuality” and that the place was “homely”. They did also say that they would appreciate better communication between the home and themselves. Two recommendations have been made and these are shown below under “What the home could do better”. What the service does well: Prospective residents are assessed to ensure that the home can meet their needs. This information forms the basis of their care plan so that their ongoing needs continue to be met. Residents lead an active and fulfilling life in good surroundings. They are treated as individuals and have opportunities to develop new skills. Good links are maintained with families and the local community so that residents remain included. Their health care is monitored well so that they stay healthy. Residents are listened to giving them a voice in the running of the home. The premises provide good accommodation which is homely and well furnished. Quality assurance measures ensure that the home continues to develop in a way that benefits residents. Little Smugglers Barn DS0000064323.V328045.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Little Smugglers Barn DS0000064323.V328045.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Little Smugglers Barn DS0000064323.V328045.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome is excellent. Prospective service users needs are assessed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each resident has a written needs assessment. It contains information under a number of headings including health, leisure interests, personal care needs, social and cultural needs and medication. This information is used to draw up an individual care plan for everyone living at the home. Any restrictions on their freedom are recorded, for example if they need to be accompanied by staff when they are out. Little Smugglers Barn DS0000064323.V328045.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14 and 33 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome is excellent. Service users needs are reflected in an individual care plan. They are assisted to make decisions about their lives and to take risks as part of an independent lifestyle. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each service user has a written care plan which they or their representative have signed up to. It covers all aspects of their lives including their behavioural needs, interests, personal support, life skills and diet and health. The plan is regularly reviewed with the service user and usually their family or other representative. A report is prepared by a member of staff who is Little Smugglers Barn DS0000064323.V328045.R01.S.doc Version 5.2 Page 10 designated a key worker for the individual concerned and this is used as the basis for the review. Staff respect service users rights to make their own decisions. This is done through regular residents meetings, 1-1 time with individuals as well as on a day-to-day basis. Residents are encouraged to make decisions about how they spend their leisure time, what they have to eat, how they spend their money and who they have to visit. Information is provided to enable residents to make decisions for example when the next residents meeting is going to be, which staff are on duty, who is making the meal and what’s on the menu. Staff manage residents money on their behalf and good accounts are kept. However, the manager confirmed that work was being carried out with two people so that they handle their own money more often. A good system of risk assessment is in place to support residents. The home manages risks in such areas as use of public transport, being in the community, leaving the home unescorted, being alone in bedrooms, and use of the kitchen. Little Smugglers Barn DS0000064323.V328045.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. 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. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Little Smugglers Barn DS0000064323.V328045.R01.S.doc Version 5.2 Page 12 12, 13, 15, 16 & 17 Quality in this outcome is excellent. Service users are able to take part in appropriate activities and are part of the local community. They have appropriate personal relationships. Their rights and responsibilities are recognised in their daily lives. A healthy diet is offered. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents are able to carry on interests which they had before moving into the home. For example, one man has a workshop and his equipment was brought to the home when he moved in. Everyone works on the farm which is owned by the organisation either full-time or part-time. They all expressed pleasure in doing so saying that the farm was ”interesting and fun”. If a resident wished to move on from the farm then this would be facilitated and the person concerned could continue to live at the home. The majority also attend college on a part-time basis. Each person has a day at home each week where they are assisted to develop life-skills, such as cleaning, cooking and shopping. One person was cooking his own meal and was confident and competent in doing so. Residents are part of the community in that they use the local shop, travel on public transport and use local facilities such as the swimming pool and theatre. There are sufficient staff to accompany residents on outings if this is necessary. Everyone has links with their family either visiting or staying for weekends. One parent said, “the level of support for my visits is excellent”. However, the majority of parents felt that the home could give them information more frequently so that they felt more in touch. The manager agreed that there had been a couple of lapses recently and that she would look at this issue. The routines of daily life at the home are flexible and take account of individual activities and work patterns. Some residents are more independent than others in which case they are free to come and go as they please. Two residents can safely use the security code on the front door and do so. For others it is important that staff accompany them at all times. However, staff are careful to ensure that everyone has time alone most usually in their rooms, when discreet supervision is provided. Staff only enter rooms after first knocking and one person has her own bell on her door. Meals are provided three times a day and residents help to choose the menu weekly. This is varied and contains plenty of fresh fruit and vegetables. One parent said he very much appreciated the “home cooking, rather than bought in ready meals”. Residents also share the shopping with staff and have a good say in what is purchased. No one requires a special diet at present or special support when eating. Mealtimes are shared with staff and a relaxed atmosphere created. The dining room is suitably furnished. Little Smugglers Barn DS0000064323.V328045.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome is excellent. Service users receive personal support in the way they prefer. Their health needs are met and they are protected by the homes medication procedure. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All service users are able to live fairly independent lives although staff support and supervise in areas such as personal hygiene. They all have their own room with en-suite facilities which helps to ensure that their privacy is protected. There is only one female living at the home and staff ensure that personal care and one to one time is provided by a female member of staff. Each person has a written health care plan. This enables the manager to monitor the care provided and good records are kept of any health Little Smugglers Barn DS0000064323.V328045.R01.S.doc Version 5.2 Page 14 appointments. Reminders are kept regarding routine screening such as dentist, optician and chiropodist. Staff are available to accompany residents to appointments when necessary. Good arrangements are in place regarding the receipt, administration and disposal of medication. Safe storage is provided and staff work in pairs when giving out medication as a means of ‘double checking’. Little Smugglers Barn DS0000064323.V328045.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16-18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome is good. Service users feel their views are listened to and acted upon. They are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a written complaints procedure which is made available to residents and their parents. Residents confirmed that they would talk to any member of staff if they had any problems. One parent said that they would “go straight to the manager if I thought something was wrong”. Another said she had some queries about new medication and “all my questions were answered”. Residents meet with staff each month to discuss how things are going and this gives them the opportunity to share their views and resolve any problems. One person said he liked the home because “there are no arguments”. There are written procedures for the protection of vulnerable adults. Staff receive training in adult protection and were able to describe the steps they would take should they suspect someone was being mistreated. Little Smugglers Barn DS0000064323.V328045.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome is excellent. Service users live in a homely, comfortable and safe environment. It is clean and hygienic. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Little Smugglers Barn DS0000064323.V328045.R01.S.doc Version 5.2 Page 17 The home is suitable for it’s stated purpose and provides good accommodation. Parents felt that it was “homely” and it was obvious that residents enjoyed personalising their own rooms. The furniture and décor are modern, bright and of a good standard. All residents can access all parts of the building including the large garden. The premises meet the requirements of the local fire service and environmental health department. There is a well-equipped laundry which is sited away from food preparation areas. It is accessible to residents who are encouraged to use the facilities to the level of their ability. Little Smugglers Barn DS0000064323.V328045.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome is good. Service users are supported by competent staff some of whom are trained. They are protected by the homes recruitment procedure. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff were seen to be approachable and comfortable with service users. They understood their individual communication, in the case of those who did not use words. They listened carefully to them and were interested in their wellbeing. New staff receive a structured induction training programme when they first come to the home and are employed on a six month probationary period. Little Smugglers Barn DS0000064323.V328045.R01.S.doc Version 5.2 Page 19 Ongoing training is provided and staff have undertaken training in areas such as first aid, health and safety, adult protection, bereavement, equal opportunities and ‘Person Centred Planning’. In addition, there is a National Vocational Qualification (NVQ) training programme in place. However the home does not meet the recommended standard that 50 of staff have an NVQ. Little Smugglers Barn DS0000064323.V328045.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome is good. Service users benefit from a well run home which is operated in their best interests. Their health and safety is protected. This judgement has been made using available evidence including a visit to this service. Little Smugglers Barn DS0000064323.V328045.R01.S.doc Version 5.2 Page 21 EVIDENCE: The manager is qualified and experienced. She is clear about the two homes on the site being operated as separate units and manages this well. She understands her responsibilities and who she is accountable to. One parent said she could “find no fault with the management of the home”. There is a written policy with regard to quality assurance. In practice this includes management reviews of the home, residents meetings and surveys of staff, parents and other professional who know the home. Information from the surveys is fed back to the director of the company and this forms the basis for the annual development plan. This is then reviewed each quarter to check on progress. The home has recently achieved ISO status. All records required by regulation are kept. However it is recommended that the records monitored each month are signed and dated. In addition, there were two letters with details within them of a number of residents. Once filed it was therefore possible to obtain information on people other than that to which the file related. This compromises residents’ confidentiality and should be addressed. The manager ensures that reasonable steps are taken to maintain the health and safety of residents and staff. The training programme includes fire safety, first aid, infection control and food hygiene. Contracts are in place for servicing the heating, maintaining electrical installations and fire fighting equipment. Fire safety equipment in tested in line with local fire service recommendations. Hazardous substances are kept securely. Accidents are recorded and steps taken to address any matters arising to prevent further accidents. Little Smugglers Barn DS0000064323.V328045.R01.S.doc Version 5.2 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. Where there is no score against a standard it has not been looked at during this inspection. 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 4 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 4 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT Standard No Score 37 3 38 X 39 4 40 X 41 3 42 3 43 x 4 3 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Little Smugglers Barn Score 3 4 3 x DS0000064323.V328045.R01.S.doc Version 5.2 Page 23 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. Refer to Standard YA13 Good Practice Recommendations Information on residents should be held in line with the Date Protection Act so that their privacy is maintained. Care should be taken that all reports/assessments are signed and dated by the author and that the manager and regulation 26 visitor routinely sign and date all records that they monitor. 2. 3. YA41 YA41 Little Smugglers Barn DS0000064323.V328045.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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. Little Smugglers Barn DS0000064323.V328045.R01.S.doc Version 5.2 Page 25 - 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!