Inspection on 02/04/08 for Manor Barn

This inspection was carried out on 2nd April 2008.

CSCI found this care home to be providing an Good service.

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

Manor Barn 19/06/07

Manor Barn 06/07/06

Manor Barn 20/10/05

Manor Barn 19/05/05

Manor Barn 22/02/05

Manor Barn 23/08/04

Manor Barn 04/03/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Manor Barn Wattsfield Lane Kendal Cumbria LA9 5HF Lead Inspector Ray Mowat Unannounced Inspection 2nd April 2008 09:15 Manor Barn DS0000022687.V361528.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 Manor Barn DS0000022687.V361528.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Manor Barn DS0000022687.V361528.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Manor Barn Address Wattsfield Lane Kendal Cumbria LA9 5HF 01539 739108 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) shelley.stokes@oakleatrust.co.uk www.oakleatrust.co.uk The Oaklea Trust Miss Shelley Louise Stokes Care Home 5 Category(ies) of Learning disability (2), Learning disability over registration, with number 65 years of age (3), Physical disability over 65 of places years of age (4) Manor Barn DS0000022687.V361528.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 5 service users to include: up to 2 service users in the category of LD (Learning disabilities) up to 3 service users in the category of LD(E) (Learning disabilities over 65 years of age) up to 4 service users in the category of PD(E) (Physical disabilites over 65 years of age) The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 19th June 2007 2. Date of last inspection Brief Description of the Service: Manor Barn is a converted barn, in a residential area of Kendal, Cumbria within walking distance of the amenities of the town centre. It is registered to provide residential care for five people with a learning disability, some of whom may have elderly needs or a physical disability. The accommodation is on three floors. There is ramped access to the property from a car park at the front of the building. There is a small garden to the front and a larger private garden to the rear of the building, which leads to a riverside walk. On the lower ground floor there is a self-contained flat, this has a lounge with a small kitchen/dining area, a single bedroom with fully accessible en-suite toilet and shower facilities. Also situated on the ground floor but separated from the registered accommodation, are several rooms used as offices by the Trust. The middle floor has three single bedrooms, two of which have en-suite facilities and showers. There is a large lounge/dining room leading to a kitchen and utility room. The upper floor has a self-contained flat with a single bedroom, with ensuite facilities and a lounge with kitchenette. Also on this floor is a staff sleepin room, which is also used as an office. The fees for the home are currently £660, with additional charges made for personal expenses such as toiletries. Inspection reports are made available to residents and their representatives on request. Manor Barn DS0000022687.V361528.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This inspection visit took place over one day. We (Commission for Social Care Inspection, CSCI) spent time with people living in the home and talking to them about their experiences. We also met with the staff on duty and looked at records relating to the running of the home and how people like to be supported to live their lives. We also sent out surveys as part of this inspection to get feedback from people living in the home, their relatives and representatives and other professionals involved with the home. Before the visit the manager completed an Annual Quality Assurance Assessment, which provided information about all aspects of the running of the home. This included a self-assessment against the National Minimum Standards (NMS) recording what the home does well, what has improved and plans for the future. It also included information about policies and procedures, health and safety and information about the people living and working there. What the service does well: Information that is given to people about the home is kept up to date and gives them a good understanding of the rules about living in the home and their rights. Detailed assessments and person centred care plans that identify peoples needs and preferences and how they like to live their lives are very informative and help staff to make sure people are safe, well cared for and healthy. The plans are looked at on a regular basis to make sure they are up to date. The home also works closely with other professionals to make sure they can meet the sometimes complex and challenging support needs of people. The home now has a full staff team who have completed a full induction and receive appropriate training to help them meet the different needs of the people living there. The manager and deputy work closely with staff and encourage personal development in their role, staff said they felt they “get good support and there is always someone available to talk to”. Manor Barn DS0000022687.V361528.R01.S.doc Version 5.2 Page 6 Specialist personal and healthcare needs are written down, which support and guide staff in providing a consistent service and maintain a person’s safety and welfare. People get good support from staff to manage their medication. The home has a positive approach to risk taking with clear policies and protocols in place to guide staff and ensure people’s independence and choice are promoted at all times. They have a high level of choice and control in their lives, which is good practice and something that is valued by the people living in the home. The manager and staff team provide a service that respects the rights and best interests of people at all times. As one person described it “the staff help us to do the things we enjoy”. This was also confirmed by relatives we met who said, “The home is providing an excellent service” and that the staff are “very understanding and aware of people’s needs”. The environment is well maintained and decorated with appropriate aids and adaptations in place to support and encourage people’s independence around the home. All the records examined during this visit were securely stored. The organisations policies and procedures we examined were suitable for purpose and provided good guidance for staff. They were reviewed and updated on a regular basis or as changes occurred. The home is well managed with staff and service users feeling well supported and able to contribute to the running of the home. What has improved since the last inspection? What they could do better: All creams should be applied in a consistent way in line with the dispensing pharmacists guidance. The codes used to record when PRN (when required) medication has not been administered should be used consistently. Manor Barn DS0000022687.V361528.R01.S.doc Version 5.2 Page 7 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. Manor Barn DS0000022687.V361528.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Manor Barn DS0000022687.V361528.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are issued with appropriate information and their needs are fully assessed ensuring the home is suitable for them and can meet their individual needs. EVIDENCE: The organisation ensures the statement of purpose and service user guide are regularly reviewed and updated, therefore giving people appropriate and accurate information about the service and their rights. These documents are accessible and informative and issued to all prospective or new service users. There have been no new admissions to the home since the last inspection visit. The people currently living in the home are very settled and enjoy a good quality of life. Key workers are appointed who work closely with the service users their families or representatives and other professionals, to ensure people’s needs are being constantly assessed, monitored and responded to. Prior to moving in, the home completes their own assessment in addition to any social work or specialist assessments that are in place. These are kept under review through the care planning process with changes in need being recorded and incorporated into the person centred care plans. Manor Barn DS0000022687.V361528.R01.S.doc Version 5.2 Page 10 There is an ongoing programme of staff training that ensures the staff are appropriately trained and knowledgeable with regard to the specialist needs of the people living in the home. Manor Barn DS0000022687.V361528.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 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. Person centred care plans are very detailed and support and guide staff in providing a personalised service that encourages and promotes an independent lifestyle. EVIDENCE: There are good systems in place to ensure people’s needs are assessed when moving into the home and then on an ongoing basis. The needs assessments are detailed and include all aspects of a person’s personal and healthcare needs and personal information. Based on these assessments comprehensive person centred care plans have been developed. These are very informative and give staff a real insight and greater understanding about the person and “how they like to live their lives and what is important to them”. A pen picture and life story really ‘set the scene’ giving valuable background information and recording significant events and relationships in people’s lives. Manor Barn DS0000022687.V361528.R01.S.doc Version 5.2 Page 12 Specific strategies have been developed, with support from other agencies and professionals, to ensure individual needs are being responded to in an appropriate and consistent manner. A recent example of this was when a service users behaviour became extremely challenging. The home made appropriate referrals and worked closely with the Behaviour Team and the psychiatrist to develop multi agency strategies to support the person. In addition reviews were held and medical interventions agreed, which have been successful in supporting the individual and the staff team resulting in a positive outcome for all parties. Staff support and promote people’s independence in all aspects of their lives with risk assessments in place to ensure people are safeguarded. These have been agreed, signed and dated and are kept under review. The levels of support people require to undertake their daily routines and various activities have been assessed including, mobility, communication, daily living skills, lifestyle and cultural needs and preferences. Significant events and health appointments and interventions are also recorded in detail. Care plan goals are also agreed and recorded, which support and encourage people to be as independent as possible in all aspects of their lives. A good example of this is one person who wanted to be more independent with cooking meals, which they have achieved with guidance from staff. Staff are skilled at taking on an enabling role providing people with opportunities for personal growth and development. People’s rights and choices are respected and they have a lot of autonomy about how they live their lives. On an individual basis key workers work closely with service users and their families or representatives ensuring they are supported to achieve their goals and lead a fulfilling lifestyle. House meetings are also held which enables people to contribute to all aspects of home life. Staff have a good understanding about the need to maintain confidentiality at all times with both written and verbal information. Records were securely stored but accessible to both service users and staff when required. Manor Barn DS0000022687.V361528.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16, 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are involved in a good range of social and educational activities that meets their individual needs. They have good links with family, friends and the local community and enjoy a good quality of life. EVIDENCE: The home is providing a good range of activities to meet the needs of individuals both in the home environment and in the local community. Some people have identified goals as part of their person centred plan that staff are then supporting them to achieve in a very structured way. Other people have not been as precise, so staff will work closely with them ensuring they are able to take part in the activities or social events they enjoy. Staff are very aware of the importance of offering people choices in their lives, which the following comments confirm. “Customers (service users) make choices on a daily basis, from when they get up to when they go to bed”, “we Manor Barn DS0000022687.V361528.R01.S.doc Version 5.2 Page 14 provide choices to people about recreational, educational and social opportunities”. “The staff listen to me”. People living in the home are leading very different and diverse lifestyles based on their needs and personal and cultural preferences. Some people have a busy lifestyle, which includes attending the local college, the day centre and various social clubs. During the visit they described some of the things they enjoy doing each week, “I like making jewellery with the staff, I visit my family or they visit me. I go to town for my shopping each week, I like shopping. I go to the library, I also like dancing and going to the pub”. Some people do not require staff support and are able to access the local community independently, although staff will offer guidance and support if necessary and ensure people are safeguarded. Equally some people enjoy a more relaxed and sedentary lifestyle. This choice is respected by staff and their care plan identifies their individual needs. On the day of this inspection people were getting up at their own pace and chosen time. Some people had been up early and had gone out to their daytime activities, this included one person who was attending a People First conference. Another person chose to ‘have a lie in’ and got up mid morning and enjoyed a leisurely breakfast. This level of choice and control on how they live their lives is good practice and something that is valued by the people living in the home. All the people living in the home enjoy an annual holiday of their choice, they are currently planning this years holiday with staff support. One person described how they had “enjoyed their last holiday in Scotland and was planning to go to Wales this year”. Again this level of choice and control is commendable. During the day I met with family members who were visiting their relative who confirmed that the home is providing an “excellent service” and that the staff are “very understanding and aware of people’s needs”. The meals and mealtimes are very flexible and fit around people’s lifestyles. Menus are agreed on a weekly basis but again there is a high level of flexibility about what people have to eat. Staff are aware of personal preferences and work with people to ensure they have a healthy and balanced diet. Manor Barn DS0000022687.V361528.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s personal and healthcare needs are well monitored and recorded in detail with people having access to appropriate services when needs are identified. EVIDENCE: Comprehensive needs assessments are completed on admission to the home and kept under review to ensure changing needs are recognised and responded to. Everyone has a Health Action plan in place that records their healthcare needs. They are all registered with a local GP of their choice as well as liaising with other relevant community health services or specialised services when required. This has recently included the community nurse team, Psychiatrist and a visual impairment advisor. They have provided advice and guidance to the staff, developed specific strategies to support people or provided aids and adaptations to support and promote independence. This has been particularly effective for one person who has been supplied with some aids that have increased their independence with household tasks that previously would not have been possible or safe to undertake. Manor Barn DS0000022687.V361528.R01.S.doc Version 5.2 Page 16 All personal and healthcare activities and interventions are well documented to ensure all staff are aware of individual needs and can provide a consistent service. This includes both routine and one off appointments with a range of health professionals. We examined medication records and the contents of the medication cabinet and on the whole these were well maintained ensuring people were being given appropriate support and guidance with their medication. There is a record of all medication entering or leaving the home and the contents of the cabinet are checked and signed by two staff each shift. MAR charts were up to date and signed for all regular medication, however some PRN (when required) medication was not being recorded consistently, which could cause confusion. The homes procedure states that a code ‘F’ should be used when the medication is not required, however this was not being used consistently. Also how a Hydrocortisone cream was being applied was not in line with the directions on the MAR chart. Again this situation needs to be clarified so that the cream is applied consistently in line with the GP or dispensing Pharmacists directions. These issues are subject to good practice recommendations. Manor Barn DS0000022687.V361528.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People feel safe and well cared for and are confident their views or concerns are taken seriously and will be responded to. EVIDENCE: There have been no complaints recorded since the last inspection visit. The organisation has a suitable policy and procedure in place that ensures complaints are recorded and responded to appropriately. Each person living in the home is issued with an easy read and audio format of the procedure. Survey responses confirmed that people were aware of how to complain and who they would complain to. Staff are also aware of the complaints policy and procedure and their role in supporting people. There are suitable policies and procedures in place to safeguard people from mistreatment and abuse. Staff receive suitable training and have a good understanding of their role and responsibilities in relation to recognising and responding to suspicion of or actual abuse. Multi agency strategies have been developed to guide staff in dealing with challenging behaviour, which is good practice and protects both the service user and the staff members. Appropriate security checks are completed on all new staff including Criminal Record Bureau checks, POVA first checks and two references. Manor Barn DS0000022687.V361528.R01.S.doc Version 5.2 Page 18 Two staff sign all financial transactions and receipts are retained in addition to a record of all income and expenditure being maintained. The organisation also completes internal audits of all finances to safeguard people’s finances. Manor Barn DS0000022687.V361528.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Manor Barn is clean, comfortable and well maintained and provides a safe and homely living environment. EVIDENCE: All areas of the home were clean and hygienic and well maintained with no obvious hazards noted. The furnishings and decoration were of a good standard and suitable for the needs of the people living in the home. Bedrooms were personalised with people bringing in their own furniture and belongings making their rooms “very homely”. Suitable aids and adaptations were in place to encourage and support independence, as one person said, “I like living in Manor Barn because its got no steps and I can get around”. In addition to some rooms having an en-suite toilet and shower there is a communal bathroom that is fully accessible with a walk in shower and bath with bath chair making it accessible to all the people Manor Barn DS0000022687.V361528.R01.S.doc Version 5.2 Page 20 living there. The stair carpet to the first floor is starting to look worn/stained and will need some attention in the near future. Manor Barn DS0000022687.V361528.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a stable group of permanent and relief staff that are well trained and have developed a good understanding of people’s individual needs and preferences. EVIDENCE: The home has a full compliment of staff and there are no vacant posts. All staff absences are covered by permanent staff working extra hours or regular relief staff who are familiar with the routines of the home and the needs of the people living there. During this visits we met with four staff, which included two relief staff. They had completed the LDAF induction and had a good knowledge of the home’s policies, procedures and routines. They also had a good understanding and had developed good relationships with the people living in the home. Staff talked about a “supportive management team who they work closely with”, they said they “felt valued and part of the team and were able to raise any issues or concerns they may have”. The manager and the deputy ensured they were regularly supervised and staff said, “Support is good and always Manor Barn DS0000022687.V361528.R01.S.doc Version 5.2 Page 22 available”. They also said training was “readily available” and they could request, “specific training as needs arose and that training and development needs were discussed at supervision”. Staff were “impressed” with the organisations recruitment procedures and felt it was a “fair and thorough process”. Suitable checks were completed to ensure people were suitable and safe to work in the home. People living in the home were also involved with the recruitment and selection process, which is good practice and something they valued. Over 60 of staff are already trained to NVQ level 2 or above and there is a sound structure in place to maintain and improve this figure. Staff spoken to were knowledgeable and aware of their training and development needs and felt confident the organisation was supporting them to ‘realise their potential’. Manor Barn DS0000022687.V361528.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 41, 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed with the people living there being involved in all aspects of home life and staff respecting their rights and best interests. EVIDENCE: The manager of the home is suitably qualified and works closely with the deputy manager and staff team to ensure the efficient and effective management of the home. Care staff feel valued and able to contribute to “how the home is run”. Staff talked about the manager and deputy being, “supportive and always available”. Consultation takes place on both an informal and formal basis. Key workers and staff consult with people on a daily basis in addition to more formal consultation that takes place through the completion of person centred plans Manor Barn DS0000022687.V361528.R01.S.doc Version 5.2 Page 24 and annual satisfaction surveys. These views are incorporated into the business and development plan for the home. The organisation ensures policies and procedures are kept under review and in line with legislative changes and are accessible to both service users and staff. Weekly routines and safety checks are completed that maintain a safe environment and equipment. Servicing records are up to date and routine maintenance is completed. On the whole the fire log was up to date, although the checking of fire extinguishers had been inconsistent in the recent past, which should be monitored to make sure future lapses do not occur. The home has a comprehensive range of risk assessments to ensure the safety and welfare of the people living and working in the home at all times. These are kept under review and adjusted as required. On the whole the records required for the operation of the home that were examined on this occasion were up to date and accurate and ensure the home is a safe and comfortable place to live. Manor Barn DS0000022687.V361528.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 3 3 X 3 3 X Manor Barn DS0000022687.V361528.R01.S.doc Version 5.2 Page 26 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 Refer to Standard YA20 YA20 Good Practice Recommendations All creams should be applied in a consistent way in line with the dispensing pharmacists guidance. The codes used to record when PRN (when required) medication has not been administered should be used consistently. Manor Barn DS0000022687.V361528.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU 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 Manor Barn DS0000022687.V361528.R01.S.doc Version 5.2 Page 28 - 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. 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