Inspection on 27/09/05 for Old Barn Close (4)

This inspection was carried out on 27th September 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Old Barn Close (4) 12/01/09

Old Barn Close (4) 18/01/08

Old Barn Close (4) 22/02/07

Old Barn Close (4) 17/07/06

Old Barn Close (4) 15/02/06

Old Barn Close (4) 15/03/05

Old Barn Close (4) 13/07/04

Old Barn Close (4) 23/02/04

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

CARE HOME ADULTS 18-65 Old Barn Close (4) Gawcott Bucks MK18 4JH Lead Inspector Guy Horwood Announced 27 September 2005 09:15am 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 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 Stationary 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. Old Barn Close (4) 20050927_Old Barn Close (4)_AI_Stage 4_S23095_V242855_H53_GH_ces.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Old Barn Close (4) Address Gawcott, Bucks, MK18 4JH Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01280 821006 Hightown Praetorian & Churches Housing Association Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Old Barn Close (4) 20050927_Old Barn Close (4)_AI_Stage 4_S23095_V242855_H53_GH_ces.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1) That the Manager shall commence on the Registered Managers Award Training scheme by the 15th of June 2005. Date of last inspection 15 March 2005 Brief Description of the Service: 4, Old Barn Close is situated in a quiet residential area of the village of Gawcott. This village is a short distance from the town of Buckingham, which has a variety of shops and other local amenities. Gawcott is served by infrequent local bus services, with more extensive transport accessible in Buckingham. The home is part of the Hightown Praetorian Housing Association. 4, Old Barn Close is a modern bungalow, which is home to 4 male service users with behavioural problems, learning and communication difficulties. The home has an enclosed garden, which provides service users with a safe external area in which they can walk unhindered and in safety. The garden contains swings for service users, and is planted with flowers and shrubs. Entry to, and exit from, the home, has to be facilitated by staff, and an alarm alerts staff if the door is opened at other times. All service users are accommodated in single bedrooms, which possess washbasins. A separate shower and bath are present in the home, as well as a kitchen, laundry, staff sleep over room, dining and lounge areas. All service users are registered with a general practitioner, and access to other healthcare professionals, such as community nurses and dieticians, is through direct contact by staff, or through GP referral. Old Barn Close (4) 20050927_Old Barn Close (4)_AI_Stage 4_S23095_V242855_H53_GH_ces.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the summary of the announced inspection carried out at 4, Old Barn Close on the 27th September 2005 between the hours of 9.15am and 3.30pm. The lead inspector was Mr Guy Horwood. The inspection consisted of meeting with residents and staff, viewing records and documents pertaining to the provision of care and the running of the home. The inspector toured the building and viewed residents bedrooms and communal areas. The inspector met and discussed the inspection finding with the manager, Mrs Dawn Mayhew, before leaving. The inspector found staff polite, helpful and welcoming, and would like to thank them for their co-operation and assistance throughout the course of the inspection. The inspectors would especially like to thank the residents for their time and for allowing the inspector into their home. What the service does well: The admissions procedure enables the appropriate placement of residents, and attempts to facilitate admissions in such a manner as to cause limited disruption to the new admission and to existing residents. Records describing resident’s personal, health and social care needs are detailed, informative and enable staff to be consistent in their delivery of care. The staff have a good understanding of the residents support needs, which enables them to provide individualised care. Staff have developed positive relationships with residents, and provide care in a kind, caring and considerate manner. A variety of activities, suited to the individual’s tastes, are provided. Residents receive a varied and balanced diet. Staff attempt to provide meals to meet group and individual tastes and choices. Residents have access to health care professionals within the community and hospital settings. Residents receive prescribed medication as directed. Complaints are dealt with appropriately, with satisfactory records of complaints maintained. Recruitment practice appears robust and to protect residents. Old Barn Close (4) 20050927_Old Barn Close (4)_AI_Stage 4_S23095_V242855_H53_GH_ces.doc Version 1.40 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. Old Barn Close (4) 20050927_Old Barn Close (4)_AI_Stage 4_S23095_V242855_H53_GH_ces.doc Version 1.40 Page 7 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 Standards Statutory Requirements Identified During the Inspection Old Barn Close (4) 20050927_Old Barn Close (4)_AI_Stage 4_S23095_V242855_H53_GH_ces.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 A satisfactory admissions procedure is in place to ensure the appropriate placement of residents to the home. The admissions process takes into consideration resident’s feelings and welfare in order to provide as little disruption to the individual and group as possible. EVIDENCE: There have been no changes in the current resident group since the last inspection. Admission procedures and policies are provided by the organisation and appear satisfactory. One of the current residents was only being accommodated on a day care basis until recently. This resident is now staying overnight for one night a week, with a plan in place for overnight stays to increase over time. The future plans for this resident are that he will eventually be accommodated on a permanent basis. This gradual process of admission has been arranged through discussion with the resident’s family and care manager. Old Barn Close (4) 20050927_Old Barn Close (4)_AI_Stage 4_S23095_V242855_H53_GH_ces.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6 Care plans are working documents, are up to date and subject to regular review. This ensures residents identified needs are known to staff to enable them to provide the appropriate care. EVIDENCE: The case file and care records for one resident were viewed. These records include historical and current details as to the resident’s personal, health and social care needs. The care records are completed in the first person in many areas, and provide a summary as to daily care needs and support required by staff. Details as to the communication needs of residents are held on file, and were found to be detailed and informative. Episodes of challenging behaviour were found to be documented and resulting changes to the care plan were noted. A record of activities and family contact was detailed, and contact with, or visits by, health care professionals was well documented. Risk assessments, including moving and handling assessments, were in place and satisfactory. Records were found to be well maintained, up to date and subject to regular review. Care records are stored securely in lockable cupboards, although Old Barn Close (4) 20050927_Old Barn Close (4)_AI_Stage 4_S23095_V242855_H53_GH_ces.doc Version 1.40 Page 10 these cupboards are to be found in the dining room. Staff were noted to update care records in the dining room. This is due to the staff office being a very small room with space for only 1 staff member to use the computer / desk at any given time. Old Barn Close (4) 20050927_Old Barn Close (4)_AI_Stage 4_S23095_V242855_H53_GH_ces.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,14,15,16,17. Staff encourage, support and assist residents to participate in their chosen activities both inside and outside of the home, thus providing stimulation and fulfilling activities for residents. The dietary needs of residents are adequately catered for, with staff attempting as far as possible to provide food to meet group and individual tastes and choices. EVIDENCE: Staff attempt to provide stimulating and varying in-house activities. Staff are aware of local leisure facilities, places to eat out, and parks. During the visit residents were noted to undertake some painting, to go for walks and to go out in the home’s vehicle with staff support. At the time of the visit, the home was staffed sufficiently to enable staff to support residents with their chosen activities in sufficient numbers without limiting what activities other residents were taking part in. The manager said that recently an outreach team had been attending the home and attempting to engage the residents in some cooking. This was said to have been successful, and more visits are planned. Old Barn Close (4) 20050927_Old Barn Close (4)_AI_Stage 4_S23095_V242855_H53_GH_ces.doc Version 1.40 Page 12 Staff were noted to interact and talk with residents in a kind, caring, friendly and personal manner, and attempted to include residents in daily chores and to facilitate residents choice wherever possible. Staff demonstrated an awareness of residents likes, dislikes, preferences and individual needs, and this awareness was evident in the different activities each resident participated in. At no point were residents seen to be restricted in their movement within the home or the garden. The home encourages visitors and currently 3 of the 4 residents have contact with their families. Staff said that residents go on leave with their families and described how they assist in this process. The kitchen was found to be well stocked with a good variety of produce. Meat is bought from a local butcher, and fresh fruit and vegetables were evident. Residents are encouraged to participate in meal choice and menu planning as far as possible. This usually involves staff displaying items of food to residents to prompt their choice, which was witnessed at breakfast time. Staff have also amassed a variety of photo cards of meals and food to try and facilitate choice. The home has drawn up menus, but staff said these were flexible and open to review. Staff take meals with residents in the dining room. Lunch was witnessed and appeared to be a social and stimulating period, with meals appearing well presented and to be enjoyed by residents. Old Barn Close (4) 20050927_Old Barn Close (4)_AI_Stage 4_S23095_V242855_H53_GH_ces.doc Version 1.40 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20 Staff provide care in a kind, unhurried and considerate manner, facilitating choice and promoting independence where possible, providing residents with a pleasant place to live. Residents have access to community and hospital health services, thus their health care needs are met. Medication is received, stored and administered in a satisfactory manner, thus ensuring residents receive their medication as prescribed. Medication is not disposed of in a manner that enables the auditing of refused or wasted medication, and as a result drug errors may occur. EVIDENCE: Staff were seen to support residents personal care needs in a caring and kind manner, and with regards to their privacy and dignity. The staff team consists of both male and female carers. All residents are registered with a General Practitioner and NHS Consultant. Residents are able to access other health care professionals through referral by these doctors or by direct staff contact. Evidence was seen of recent access to the multi-disciplinary team to address changes in a resident’ behaviour. Old Barn Close (4) 20050927_Old Barn Close (4)_AI_Stage 4_S23095_V242855_H53_GH_ces.doc Version 1.40 Page 14 Records were seen of residents now receiving regular health screening, including for hearing and vision, and of regular review meetings for individuals with the participation of advocates and care managers. The manager has acquired “Health passports” for residents, which hold details relevant to resident’s personal, health, social and welfare needs. These passports are designed for residents to take with them should they need to go to hospital or visit an unfamiliar health care professional. All current residents are unable to self medicate. The home possesses policies and procedures pertaining to medication handling and storage. Staff receive accredited training in the administration of medication, and records were seen to support this. Staff were able to demonstrate a good knowledge of residents medication. The home receives the majority of medication in blister pack form from a local pharmacy. Some medication is held in liquid form. Blister packs were viewed and appeared as per prescription, correct and accounted for. Medication administration records, (MAR sheets), were viewed and no gaps were noted. A record of medication returned to the pharmacy was viewed. The accepting pharmacist signs for returned medication. Where medication is wasted or refused, staff record details on the reverse of the MAR sheet. Wasted and spoiled medication was noted as being placed in one container for return to the pharmacy. This practice does not allow for the tracking and monitoring of wasted medication. Staff audit all medication held in the home twice a day, with records held to confirm this. Vitamin supplement medication was found stored in the homes domestic fridge. The manager stated that she is going to buy a separate medication fridge for the home. This will be followed up at the next inspection. Old Barn Close (4) 20050927_Old Barn Close (4)_AI_Stage 4_S23095_V242855_H53_GH_ces.doc Version 1.40 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, 23. The home has a robust complaints procedure, which is accessible to residents and visitors. The homes manager and the organisation are pro-active in addressing complaints. Residents are protected through the training of staff and the homes recruitment policy and practices. Incidents are not given due consideration, thus there is the potential for risks to residents health and safety to be missed and not acted upon. EVIDENCE: The organisation provides policies and procedures for dealing with complaints. The complaints procedure is provided for residents in the Service Users Guide, and can be made available to representatives of the resident on request. The home has a complaints log, and this was viewed. The home has received one complaint directly since the last inspection, and another has been passed directly to the organisation. Records were present with regards to the complaint received, and evidence of action to address the complaint was noted throughout the inspection. The manager has attended local authority training, including updates, with regards to the protection of vulnerable adults, and staff undergo similar training through the homes organisation. The manager stated that she conducts in-house staff training in PoVA through supervision and question and answer sessions. All staff employed by the home, whether in a permanent or temporary position, undergo Criminal Record Bureau and Protection of Vulnerable Adults register checks. Old Barn Close (4) 20050927_Old Barn Close (4)_AI_Stage 4_S23095_V242855_H53_GH_ces.doc Version 1.40 Page 16 Incident forms were viewed, and were found to hold insufficient detail as to when and where staff were noting injuries. Through viewing incident and accident report forms completed by staff, 2 occasions were noted as warranting further action. In 1 case the manager was strongly advised to discuss an incident further with staff, and in the other incident relating to an incident in February 2005, the manager was advised to discuss the case with the relevant care manager. The manager was requested to keep the Commission for Social Care Inspection up to date with regards to both incidents and her subsequent actions. Old Barn Close (4) 20050927_Old Barn Close (4)_AI_Stage 4_S23095_V242855_H53_GH_ces.doc Version 1.40 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,25,26,27,28,30. The home is not maintained to a high standard, although the manager has an action plan in place to attend to areas identified as in need of attention. The physical layout of the home is suited to accommodate the current resident group. The home provides residents with a safe and homely place to live. EVIDENCE: The home is a bungalow with an enclosed rear garden, and is situated in a quiet village location. Entry to and exit from the home has to be facilitated by staff for security purposes. All residents are accommodated in single rooms with washbasins. Bedrooms and bathrooms have lockable doors of the variety that can be over ridden in an emergency and that do not permit people to be locked in to rooms. The home has a lounge with separate dining room, a kitchen, laundry, 1 shower room and 1 bathroom. Hot pipes identified at a previous inspection have been covered as required. One resident has a visual impairment. This resident’s bedroom possesses a movement detector connected to a light in the lounge area. This light alerts Old Barn Close (4) 20050927_Old Barn Close (4)_AI_Stage 4_S23095_V242855_H53_GH_ces.doc Version 1.40 Page 18 staff should this resident get up in the night, at which point they can check if he needs assistance. Some evidence of redecoration and refurbishment was noted, and the manager stated that more decorating was planned including that of bedrooms 1 and 3, the bathroom and shower. The manager was looking to replace the lounge curtains, and was aware that flame retardant material was required for this. The manager said that cracks in residents bedrooms were being investigated, and once made good the rooms would be re-decorated. The progress of redecoration and refurbishment discussed with the manager will be followed up at the next inspection. Resident’s rooms contain personal belongings and reflect the interests and character of the occupant. The staff sleep-in room has en-suite facilities, but also doubles up as the staff office. This office is a small cramped room with limited space for storage and record keeping. A large amount of records are therefore kept in residents living areas, and staff have to frequently undertake record keeping duties in the residents dining room. At the time of the visit the home was clean and tidy with no unpleasant odours noted. Old Barn Close (4) 20050927_Old Barn Close (4)_AI_Stage 4_S23095_V242855_H53_GH_ces.doc Version 1.40 Page 19 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34, 35. Resident’s health, welfare and social needs appear to be met by the numbers of staff. Residents are protected by the homes recruitment policy and practices. Residents and staff are placed at risk through the lack of initial training and subsequent regular updates in fire safety, moving and handling and food handling and hygiene training. EVIDENCE: The staffing rotas were viewed and appeared to provide satisfactory staffing cover throughout the week. At the time of the visit staff were present in sufficient numbers to enable residents to participate in various activities at the times of their choosing, to meet resident’s personal care needs as and when required, and to undertake the day-to-day running of the home. At the time of the visit there were 5 staff vacancies, which the manager stated led to the use of agency staff on a regular basis. 4 randomly selected staff recruitment files were viewed. These files held the required information, including references, Criminal Record Bureau and PoVA checks, and were orderly. New staff undergo a probationary period. Old Barn Close (4) 20050927_Old Barn Close (4)_AI_Stage 4_S23095_V242855_H53_GH_ces.doc Version 1.40 Page 20 The manager was able to provide documentary evidence, provided by the relevant employment agency, that agency staff undergo appropriate recruitment checks before working within the home. Records were viewed to show that agency staff have undergone mandatory training as well as relevant training in challenging behaviour and/or learning disabilities. The manager was able to demonstrate that where agency care staff are utilised, she attempts to provide consistency in care provision through the use of the same agency staff members. It was demonstrated that where agency staff are assessed as not best suited to work with the residents of 4 Old Barn Close, the manager will contact the relevant agency to request the particular member of staff does not return to the home. Training records were viewed. Despite a requirement served at the previous announced inspection, it was evident that staff are still not receiving initial, and thereafter, regular updates in mandatory training. This included fire safety, moving and handling and food hygiene. A recently recruited staff member was spoken with. This staff member was able to demonstrate a basic knowledge of the homes fire procedures; confirmed that she had undergone an induction process and was able to produce induction training records to evidence this; had attended training in handling medicines, challenging behaviour and food hygiene; worked with a senior member of staff and received regular supervision. Old Barn Close (4) 20050927_Old Barn Close (4)_AI_Stage 4_S23095_V242855_H53_GH_ces.doc Version 1.40 Page 21 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37 The home appears to be well run through effective management and a caring staff team, therefore residents appear to be well cared for in a safe environment. EVIDENCE: Residents appeared well cared for and were wearing clean co-ordinated clothing. Interaction between staff and residents appeared friendly, polite and respectful. All levels of staff appeared happy and content in their roles, and were dedicated to the provision of high standards of care to the residents. The manager is currently undergoing the registration process as required under the Care Standards Act 2000. At the time of the visit the manager appeared to interact well with staff, and to be very aware as to the individual care needs of all residents. All levels of staff appeared to be involved in decisions relating to the care of residents and the running of the home. Old Barn Close (4) 20050927_Old Barn Close (4)_AI_Stage 4_S23095_V242855_H53_GH_ces.doc Version 1.40 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 2 x 3 Standard No 11 12 13 14 15 16 17 x 3 x 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x x 3 2 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Old Barn Close (4) Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 3 x x x x x x 20050927_Old Barn Close (4)_AI_Stage 4_S23095_V242855_H53_GH_ces.doc Version 1.40 Page 23 YES 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. 1. Standard 35 Regulation 18(1) Requirement Immediate Requirement served on the 27.09.2005: All staff will receive training and updates in mandatory training to include fire safety, moving and handling, food hygiene. (01.04.05) Initial mandatory training for new staff is to be completed within 6 weeks of the commencement of employment. Medication for disposal, must be placed in an individual envelope. Details of the resident, medicine, dose and time due is to be written on the outside of the envelope. Reports of unexplained injuries to residents are to be appropriately investigated and where appropriate shared with agencies external to the home. Timescale for action 01.01.06 2. 35 18(1) 01.11.05 3. 20 13(2) 27.09.05 4. 23 12(1), 37 15.10.05 5. 6. 7. 8. 9. 10. 11. Old Barn Close (4) 20050927_Old Barn Close (4)_AI_Stage 4_S23095_V242855_H53_GH_ces.doc Version 1.40 Page 24 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 24 Good Practice Recommendations It is strongly recommended that the organisation review the staff office / sleep-in room, with a view to an improvement of these facilities and the provision of secure storage for residents records that does not impinge on residents communal space. It is strongly recommended that the redecoration and refurbishment of bedrooms 1 and 3, the bathroom and shower room be completed by the 1st February 2005. 2. 24 Old Barn Close (4) 20050927_Old Barn Close (4)_AI_Stage 4_S23095_V242855_H53_GH_ces.doc Version 1.40 Page 25 Commission for Social Care Inspection Cambridge House, 8 Bell Business Park, Smeaton Close, Aylesbury, Bucks, HP19 8JR National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Old Barn Close (4) 20050927_Old Barn Close (4)_AI_Stage 4_S23095_V242855_H53_GH_ces.doc Version 1.40 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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