Inspection on 16/11/06 for Northfield House

This inspection was carried out on 16th November 2006.

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

The inspector 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

Northfield House 06/11/08

Northfield House 23/11/05

Northfield House 14/07/05

Northfield House 15/02/05

Northfield House 17/08/04

Northfield House 09/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Northfield House Tower Hill Williton Somerset TA4 4JR Lead Inspector Pippa Greed Unannounced Inspection 16th November 2006 09:25 Northfield House DS0000059622.V315715.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 Northfield House DS0000059622.V315715.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. Northfield House DS0000059622.V315715.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Northfield House Address Tower Hill Williton Somerset TA4 4JR 01984 633810 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Voyage Ltd Marianne Seager Care Home 10 Category(ies) of Learning disability (0), Physical disability (0) registration, with number of places Northfield House DS0000059622.V315715.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 10 persons in Categories LD and PD Date of last inspection 23rd November 2005 Brief Description of the Service: Northfield House is a large detached property located on the outskirt of Williton. Accommodation is provided on two levels. The home has ten bedrooms all have en-suite facilities. There are ground floor bedrooms and facilities for people who have the use of a wheelchair, including a bathroom with an overhead hoist and a walk-in shower. There are further bedrooms and a shower room and bathroom on the second floor. The extensive garden and patio areas of the home are beautifully presented. Northfield House is registered with the Commission for Social Care Inspection to provide personal care for up to 10 service users who have a learning disability and physical disability. Northfield House is not registered to provide nursing care. Voyage Ltd owns the home and the responsible individual is Mr Steve Ball. The registered manager is Marianne Seager. The current scale of charges is £811.16 to £1,200. Northfield House DS0000059622.V315715.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced Key inspection was conducted over one day (7.5hrs) by CSCI Regulation Inspector Pippa Greed. On the morning of the inspection, two support workers, one deputy and the manager on duty and during the afternoon there were three support workers. There were two waking night staff rostered for that evening. The registered manager Mrs. Seager was available to assist the inspector during the unannounced visit. On the day of the inspection ten service users were at home initially. Eight service users left around mid morning to attend Fitness for Fun. The atmosphere was relaxed and informal. Staff were seen to work professionally and demonstrated good rapport with the service users. The inspector viewed all communal areas and two service users rooms with their expressed permission. The inspector met with and engaged with eight service users. The inspector sat with and had lunch with the service users and staff and also observed daily routines within the home. Two service users described to the inspector their experience of living at Northfield, which were very positive. The inspector met with one staff member and the deputy manager. A selection of records was examined. These included three service users care plan and three staff recruitment files. CSCI sent out feedback cards for four service users, three relatives, five staff, four social workers and one General Practitioner. One service users survey has been received, which was completed with advocated support. This reflected positive comments. Four care staff comment cards confirmed that they receive regular supervision and training updates. Two comment cards were received from parents. Two parents wrote a letter to the inspector to express their views. All parents stated that Northfield provides high standard of care for their daughters who have continued to progress well. They both also stated that the communication and support that they all receive from the staff is very good. One parent wrote ‘We wish to make a special mention of the staff at Northfield without whose dedication and helpfulness, the home would not be what it is today – Excellent.’ One GP comment card has been received and this confirmed that the service provides good care. The inspector would like to thank the service users, staff, and manager for their time and hospitality shown to the inspector during her visit. The inspector would also like to thank the parents for their personal input. Northfield House DS0000059622.V315715.R01.S.doc Version 5.2 Page 6 The following is a summary of the inspection findings and should be read in conjunction with the whole of the report. What the service does well: What has improved since the last inspection? The home has installed new flooring in one service user’s bedroom. The access to this service user’s room and en-suite has been improved. Another service user’s bedroom has been redecorated. The two lounges have been furnished with new sofas. The management of service users’ finances has been revised and further improved to give them more choice, independence and control over their own money. Service users also benefit from interest bearing accounts, which has been set up. Service users sign in-house records to evidence receipt of personal monies. The complaints policy has been revised in order to meet the National Minimum Standard. Northfield House DS0000059622.V315715.R01.S.doc Version 5.2 Page 7 All information about service users are kept in accordance with the Data Protection Act 1998. 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. Northfield House DS0000059622.V315715.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 Northfield House DS0000059622.V315715.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home provides a statement of purpose, and service user guide that clearly sets out the objectives and philosophy of the service. Prospective service users are given the opportunity to spend time in the home prior to admission. Each service user is provided with a clear statement of terms and conditions that sets out the terms and conditions of residency. EVIDENCE: The service user is provided with a Statement of Purpose and a Service User’s Guide. The Service User’s Guide is provided in Picture bank format, which uses pictorial symbols. The symbols are easy to understand and the guide explains what the prospective service user can expect from Northfield. This enables the service user and their family to make an informed choice. The Statement of Purpose outline criteria for admission. Initial referrals may come from either a parent/ carer or from a social worker. A written profile and detailed assessment is obtained from the social worker, which would allow for Voyage’s Operations Manager to assess the suitability for placement. There is no set timescale as each case is judged on the service user’s needs. Northfield House DS0000059622.V315715.R01.S.doc Version 5.2 Page 10 One service user’s survey stated that her parents enquired about the home through another parent’s recommendation. The service user also confirmed that her family were provided with enough information about the home. The home has a stable service user group therefore has not admitted a new service user in six years. Voyage have clear guidance in place should the manager and Operations manager need to complete a pre-admission assessment in future. There are no vacancy at present. Northfield House DS0000059622.V315715.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home has a detailed and well-written care plan for each service user. Service users are encouraged to exercise choice and participate in all aspects of life within the home. Service users are supported in taking risks. Records relating to service users are stored securely and appropriately maintained. EVIDENCE: The inspector sampled three service users care plans. Care plans are well maintained for each service user. Care plans included a photograph of the service user, and provided information regarding service users needs, daily routines and preferences. The care plans also included records of visits to health care professionals, contact with families, activities undertaken and any accidents and incidents reported. Northfield House DS0000059622.V315715.R01.S.doc Version 5.2 Page 12 Individual risk assessments had been completed for each service user. Those care plans seen had been regularly reviewed and updated. Service users are encouraged to exercise choice. This is done through individual communication system. There is a photo board in the dining room, which shows which staff is working that day. There is also a board displaying pictorial signs, photographs and symbols listing the activities planned for that day. Also, a communication board depicting service users and their keyworkers. Service users are enabled to place the correct activity cards planned for that day. Information signs are used throughout the home to help show people where things are kept such as cutlery. The home keeps individual day to day records that detail the activities and choices that have been made by service users. Financial records were seen for two service users. Two staff signatures supported all entries as well as service user’s signature. All monies received go into individual bank accounts for each service user. These are interest bearing accounts. The home also maintains a separate form recording daily checks made by staff. The entries were correct for expenditures and tallied with the balance. All records relating to service users are stored securely. Northfield House DS0000059622.V315715.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): Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The home supports the service user with personal development. The home offers service users opportunities to engage with peers, access appropriate leisure activities, and exercise choice. Service users are supported with friendship and family contact. Service users rights and responsibilities are respected. Service users are offered a choice of menu, and the options are developed around their preferences and dietary needs. Northfield House DS0000059622.V315715.R01.S.doc Version 5.2 Page 14 EVIDENCE: On the day of the inspection, service users were accessing a range of activities, some of which were daily living skills, fitness class, cookery preparation, and gardening. An activity timetable for one service user’s care plan listed swimming, computer studies, trips out, physiotherapy, cookery, making pictures, fitness class, drama, food shopping and social club. Service users also access the local community, visit local shops and pubs, attend dancing classes and horse riding. They are able to pursue their personal hobbies and interest in the home. In-House activities include relaxation in the sensory room, cookery, daily living skills, and massage. The home has a sensory room. This consists of icicle lights, beanbags, tactile fibre optics, tactile mirror tiles and mirror ball. This offers the service users a meaningful communal space where they can enjoy relaxing and therapeutic activity. The home is brightly decorated throughout in cheerful colours, which lends to a welcoming atmosphere. Service users pottery are displayed as eye-catching features. Framed photographs of people who live there provides a homely feel. Through the interaction and communication, it was evident that staff are well motivated and clearly understood the service users needs. Service users were supported with decision-making and encouraged to do so. Service users were also empowered to walk around freely, access their money when they wished or request paracetamol when they needed this. The inspector also observed service users and staff’s interaction prior to a trip to the local garden centre. Service users were asked for their opinion on what to buy and how many. This promotes good practice in equality. The Inspector sat with and had lunch with the service users. The inspector noted that the lunchtime routine was relaxed and unhurried. The meal prepared were appetising and provided everyone with a range of choices offered on a long serving table. The home has a very pleasant dining room that was comfortable to eat in. There is a cold water dispenser provided for access at any time as well as access to tea/coffee facilities in the kitchen. Fresh fruits were also available. The staff team offer service user choices in all aspects of food and drink and are very aware of the likes and dislikes of the service users. Food monitoring system are in place where needed. Northfield House DS0000059622.V315715.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users are provided with appropriate assistance to meet their personal care needs. The home supports service users in accessing healthcare services. The home has a medication policy, which provide staff with clear guidance. Medication records are managed safely. EVIDENCE: The home has appropriate aids and equipment to support service users mobility. The health and safety checks for these equipments are maintained regularly. On the day of the inspection, a shower chair was delivered for one of the service user. The staff team supported the assessment and fitting to ensure that the chair was sturdy and fitted the service user well. It was evident from the care plans through regular monitoring that any changes in the service users wellbeing or behaviour would be identified. The Northfield House DS0000059622.V315715.R01.S.doc Version 5.2 Page 16 manager and staff team would then take pro-active steps to address and meet changing needs. The care plans that were sampled contained documentation of the visits made to health care professionals. These included visits to the GP, dentist, chiropodist, optician, physiotherapist and consultant psychiatrist. Records are kept of all visits and consultations. A log is also maintained for medication taken on home visits. The home’s procedures for the management and administration of medication were examined at this inspection. Medications were seen to be handled and stored appropriately. The Medication Administration Record clearly demonstrated that two staff signatures confirm all administration. The home has a detailed medication policy file, which includes controlled drugs and homely remedy guidance. Variable dosage is recorded appropriately on the Medication Administration Record sheet. Photographs of service users are stored on their medication care profile. Also, a list of staff signature is kept as good practice. At present the care plan does not contain details relating standard 21 in the care plans. Northfield House DS0000059622.V315715.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Policies and procedures are in place for the protection of vulnerable adults from abuse. It is recommended that staff receive Protection of Vulnerable Adult (POVA) training as good practice. The home has a complaints procedure and policy relating to the Protection of Vulnerable Adults. EVIDENCE: The home has appropriate policies relating to the Protection of Vulnerable Adults, Whistle Blowing, Complaints policy, and Grievance policy. The home’s complaint policy has been revised to make clear that complainants can contact the Commission for Social Care Inspection at any stage of a complaint. However, it would benefit from further clearer guidance on whistle blowing procedure such as a flow chart. The inspector met with staff members and asked about their understanding of Safeguarding Adult procedures. Whilst staff knew of the policy and who to report to, it would be beneficial to introduce POVA training for all staff. Voyage provides POVA training for new staff as part of their induction package. Staff recruitment files were seen to be robust and contained records required in Schedule 2, Care Homes Regulations. Northfield House DS0000059622.V315715.R01.S.doc Version 5.2 Page 18 The inspector was informed that there have been no complaints since the last inspection and no complaints/concerns have been raised directly with the CSCI. It is recognised that no complaint has been made. However, it would be good practice to implement a ‘Concerns, Complaint and Compliment’ file. One service user stated in their survey with advocated support that a booklet is kept in their bedroom containing details on how to make a complaint. Northfield House DS0000059622.V315715.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): Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The home has been decorated and furnished to a high standard. Appropriate adaptations have been provided. The home has sufficient communal areas and bathrooms to meet service users’ needs. The home was found to have a high standard of cleanliness. EVIDENCE: On the day of the inspection the home was warm and homely in appearance and appeared to maintain high standards of cleanliness and hygiene. The inspector conducted a tour of the premise. Northfield House is a large detached house situated in a residential area within walking distance from the centre of the small town of Williton. Northfield House DS0000059622.V315715.R01.S.doc Version 5.2 Page 20 The home comprise of ten single bedrooms all of which have en-suite toilet facilities. Five bedrooms are on the ground floor with five on the first floor. Four of the bedrooms are accessible to wheelchair users. Two service users showed the inspector their bedrooms and described how they were involved in choosing colour schemes for their rooms. Each service users bedroom was specifically decorated to their taste and interest. The bedrooms were filled with a range of décor such as collectibles, large framed photograph, comfortable armchair, television, DVD player, and personal memorabilia. The en-suite facilities were also personalised in a bright and cheerful manner. Communal areas are situated on the ground floor and consist of two lounges, a large dining room, spacious kitchen, computer and sensory room. Some areas of the home have been suitably adapted to meet the needs of service users with a physical disability. There are sufficient communal spaces for the service users to access and choose from. A private hallway area allows service users to make personal phone calls in comfort and privacy. Near the office is a good-sized laundry room, which houses an industrial washing machine and a tumble drier. It was found to be clean and well organised. To the side and rear of the house, there is a large decked patio area with patio table and chairs. To the rear are steps leading to a garden that is well maintained and not overlooked. The home has recently acquired a new summerhouse. Northfield House DS0000059622.V315715.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): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Staff are experienced and provide a good standard of care. Staffing levels are appropriate to meet service users’ needs. Training updates in Adult Protection for the staff is recommended. Staff receive appropriate support and supervision. EVIDENCE: Duty rotas are well maintained. On the day of the inspection, there were two staff on duty during the morning, one deputy and one manager during the day, three staff during the afternoon and two waking staff at night. Since the last inspection, four staff has joined the team at Northfield House. The Manager has completed an analysis of staff training needs, to ensure that all staff are provided with appropriate training to undertake their role. Newly employed staff complete a thorough Induction programme and undertake National Vocational Qualification (NVQ), and Learning Disability Awards Framework (LDAF) training. Staff are provided with regular opportunities to Northfield House DS0000059622.V315715.R01.S.doc Version 5.2 Page 22 receive training, and have attended courses on Health and Safety, Food Hygiene, First Aid, Fire Safety, Rectal Administration, Manual Handling, Total Communication, Medication Administration, and Aspects of Ageing. Out of the twenty staff employed, nine have obtained the NVQ level 2 qualification in care. Five staff are currently undertaking NVQ. Three staff recruitment files were examined. These were maintained appropriately. Each was found to contain the documentation required within Schedule 2 of the Care Home Regulations 2001. The inspector viewed the records in relation to staff supervisions and appraisals. The manager has an overview of all staff supervisions that have been conducted. Senior staff also provides supervision in order to maintain good frequency. The inspector noted that staff has been supervised recently. Northfield House DS0000059622.V315715.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): Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The home is very well run and benefits from a competent manager. There is a relaxed and inclusive atmosphere within the home. Health and Safety checks are well maintained and the service users welfare is protected. EVIDENCE: Marianne Seager is the Registered Manager for the home. She has many years experience of providing care to a service users who have a learning disability. Marianne has worked at Northfield House for seven years and attained the Higher National Diploma (HND) in Managing Health & Care Services. Marianne has also completed a City & Guilds Advanced Management in Care as well as Northfield House DS0000059622.V315715.R01.S.doc Version 5.2 Page 24 the Registered Manager’s Award. She is presently working towards her NVQ level four in Care. Staff at the home seek service users’ views on an individual basis, taking account of behaviours, verbal and non-verbal communication. There is a strong person centred focus and this was evident throughout the inspection process. Staff spoken with confirmed that the manager was approachable and that they would be able to raise any concerns. The staff spoken with commented that they felt well supported. The inspector received letters and comment card from parents, which reflected positively on the home. The home operates a comprehensive system of health and safety audits. Fire safety records were examined. Fire equipment had been serviced and tested as required. The electrical hardwiring certificate and landlord gas safety certificates have been appropriately maintained. Accidents have been recorded and an analysis completed on a monthly basis. The monthly analysis are complied by the manager and sent to Voyage Head Office in Taunton for further audit. This is considered as good practice. Records are kept of hot water temperatures. The home has had an external agency check the hot water outlet as part of Legionella preventative strategy. Northfield House DS0000059622.V315715.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 3 5 3 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 4 26 4 27 3 28 4 29 3 30 3 STAFFING Standard No Score 31 3 32 4 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 4 3 3 LIFESTYLES Standard No Score 11 3 12 4 13 3 14 4 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 4 3 3 4 3 3 Northfield House DS0000059622.V315715.R01.S.doc Version 5.2 Page 26 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 YA20 Good Practice Recommendations It is recommended as good practice that any liquid medication are date labelled by staff in order to determine when the medication was opened and when it is due to be disposed of. It is recommended as good practice to set up a file to record in the eventuality of any concerns, complaint and compliments received by the home. It is recommended that the home consider implementing clearer guidance on whistle blowing procedure such as a flow chart. It is also recommended that Protection of Vulnerable Adult (POVA) training be provided for all staff. 2. 3. 4. YA22 YA23 YA35 Northfield House DS0000059622.V315715.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Northfield House DS0000059622.V315715.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. 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