Inspection on 17/06/08 for Old Farmhouse

This inspection was carried out on 17th June 2008.

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

Old Farmhouse 11/06/07

Old Farmhouse 15/08/06

Old Farmhouse 28/02/06

Old Farmhouse 20/09/05

Old Farmhouse 28/02/05

Old Farmhouse 24/08/04

Old Farmhouse 18/03/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 28/09/2008.

CARE HOME ADULTS 18-65 Old Farmhouse Sundorne Grove Shrewsbury Shropshire SY1 4TP Lead Inspector Sue Woods Key Unannounced Inspection 17th June 2008 09:20 Old Farmhouse DS0000020666.V366324.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 Old Farmhouse DS0000020666.V366324.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. Old Farmhouse DS0000020666.V366324.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Old Farmhouse Address Sundorne Grove Shrewsbury Shropshire SY1 4TP 01743 440318 01743 440319 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) Vision Homes Association Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Old Farmhouse DS0000020666.V366324.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home Only (Code PC) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: 2. Learning disability (LD) 5 The maximum number of service users who can be accommodated is: 5 11th June 2007 Date of last inspection Brief Description of the Service: The Old Farmhouse is a Care Home, registered with the Commission for Social Care Inspection to provide accommodation and personal care for up to six Adults with Learning Disabilities and associated complex behavioural needs. The Old Farmhouse is operated by Vision Homes Association. The organisation provides a block contract for the provision of this service to Shropshire County Council. The home does not currently have a registered manager. Ms Eve Morton is the acting manager. The home is of a traditional detached cottage style and located in the Sundorne area of Shrewsbury town. It stands in its own spacious grounds, within a private housing estate. The Home seeks to provide a positive homely environment for the people who live there affording the appropriate levels of support required to meet their needs. Consultation with service users takes the form of regular observations and detailed care and support plans that identify and review likes and dislikes. Advocacy services are promoted. At the time of this inspection we were not able to confirm the present fees Old Farmhouse DS0000020666.V366324.R01.S.doc Version 5.2 Page 5 charged by the Home, therefore the reader may wish to contact The Old Farmhouse for more information. Old Farmhouse DS0000020666.V366324.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means that people who use this service experience good quality outcomes. The unannounced key inspection of The Old Farmhouse took place on 17th June 2008. The inspection lasted just over four hours. The inspection reviewed all twenty two of the key standards for care homes for younger adults and information to produce this report was gathered from the findings on the day and also by review of information received by CSCI prior to the inspection date. A quality rating based on each outcome area for service users has been identified. These ratings are described as excellent/good/adequate or poor based on findings of the inspection activity. As part of the inspection we, the commission, met and spent time with people living at The Old farmhouse speaking with one person at his request. We also spoke with staff on duty and handed out on site surveys for completion. Four were returned. The registered manager of the home has recently been dismissed by the organisation. Support for the inspection came from the acting manager of the home and the team coordinator (with additional responsibilities). Together they were able to access all information that we required and were knowledgeable in relation to the needs of the people who live at the home and the management processes that they were undertaking. We looked at two care files in detail and reviewed two staffing files. Other records and documents referred to within the report were also seen. In preparation for this inspection we sent out surveys to people living at the home, the staff team, relatives and advocates and health and social care professionals. Five were completed and returned. Prior to the inspection visit the acting manager completed and returned a selfassessment document know as an Annual Quality Assurance Assessment (AQAA). The AQAA was very detailed and accurately and openly reflected the service offered by the home. Old Farmhouse DS0000020666.V366324.R01.S.doc Version 5.2 Page 7 What the service does well: What has improved since the last inspection? The AQAA identifies that the home has improved by ‘using training and outside input, discussion groups etc to broaden knowledge and expand on individual plans, goals and communication’. Records reflect that some recent joint working between health care professionals and the staff team have led to improvements in the quality of life of at least two people living at the home. Staff feel that morale and attitudes have improved recently and that the ‘General appearance of the house has improved greatly’. Staff have supported people to develop ‘memory books’ where they keep photos, pictures and souvenirs following days out or activities that they have enjoyed. People were seen to enjoy these books and were happy to show them to others. Old Farmhouse DS0000020666.V366324.R01.S.doc Version 5.2 Page 8 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. Old Farmhouse DS0000020666.V366324.R01.S.doc Version 5.2 Page 9 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 Old Farmhouse DS0000020666.V366324.R01.S.doc Version 5.2 Page 10 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): Standard 2 Quality in this outcome area is good Appropriate procedures are in place that would enable the successful admission of new service users to the home however no admissions have taken place over the last seven years. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There have been no admissions to The Old Farmhouse for a number of years. The admissions process has been reviewed by us at previous inspections and found to be appropriate to support any admissions in the future. The home’s Statement of Purpose was seen to have been reviewed to reflect current management arrangements. The document also contains a copy of the home’s pictorial complaints procedure. Old Farmhouse DS0000020666.V366324.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): Standards 6, 7 and 9 Quality in this outcome area is good Clear care-planning systems enable staff to effectively meet the assessed needs of the people who live at The Old Farmhouse. People who live at the home are appropriately supported with decision-making processes and enabled to take responsible risks. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We looked at two care files belonging to people living at The Old Farmhouse and both were detailed and reflected people’s assessed care and support needs. There was evidence that information contained within them had been reviewed although the acting manager was aware that some information still required updating. Letters and records also show that health and social care professionals are consulted and involved when required and that the home acts upon their advice updating support profiles as required. Old Farmhouse DS0000020666.V366324.R01.S.doc Version 5.2 Page 12 People who live at The Old Farmhouse have recently been involved in reviewing policies and procedures relating to the running of the home and making them more ‘user-friendly’. The most recent to be reviewed was the policy to support challenging behaviour within the home and this was seen to have been re written in ‘plain English’. Staff had also been involved in this process. Due to the complex communication needs of some of the people living at The Old Farmhouse ‘house meetings’ are deemed not appropriate. Staff rely on observing peoples behaviours in order to identify their likes and dislikes. One person living at the home who completed and returned a survey said that he was always or usually involved in all decision-making processes. He spoke with the inspector and confirmed this and said that he had chosen his lunch and was planning to play football in the afternoon. One service user without verbal communication was able to show staff that he wanted to go for a walk by getting his shoes and taking staff to his coat and then the front door. He was supported to go for a walk as a result. Risk assessments were seen to support activities of daily living including inhouse and community-based opportunities and the acting manger is aware that some are due to be reviewed. Old Farmhouse DS0000020666.V366324.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): Standards 12, 13, 15, 16 and17 Quality in this outcome area is good People living at The Old Farmhouse enjoy opportunities to develop and maintain their social and recreational interests and are enabled to keep in contact with family and friends. People receive a healthy, varied diet according to their dietary requirements and choice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the time of the inspection four people were at home being supported by six staff. One person was at home with his family. One person showed us his ‘memories book’ and this reflected that he had enjoyed numerous leisure opportunities of his choice. On the day of the Old Farmhouse DS0000020666.V366324.R01.S.doc Version 5.2 Page 14 inspection people were involved in shopping and one person went out for a walk at his request. People are supported and encouraged to maintain family contacts and friendships. A relative who completed a survey for us said that staff support her family member to visit her and she valued this. Another relative said they ‘make every effort to support my brother and my family’. One person said that the home treated her family member ‘as an individual’ and ‘try to engage him in activities that he enjoys’. One staff member commented in a survey that recently people might not be getting the support that they used to although staff who spoke with us said that this is not the case. The acting manager said that current staffing ratios were good and this was seen to be the case at the time of the inspection when staff were able to offer one to one activities and respond to individual requests to go out. In the kitchen we saw the current menu displayed and written out in large print to say what was for tea that evening. The menus reflect that for breakfast and lunch people choose what they eat. The evening meal is planned. Foods recorded reflected a nutritional diet and a choice of meal. A separate menu was seen for a man who has special dietary needs. On the day of the inspection one man told us that he had chosen to have an egg sandwich for his lunch and this is what he had. He went on to say he liked the meals that he had at the home and sometimes helped out in the kitchen. Old Farmhouse DS0000020666.V366324.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): Standard 18, 19 and 20 Quality in this outcome area is good The personal and health care needs of the people who live at The Old Farmhouse are well met enabling them to have a good quality of life. People are generally safeguarded by the home’s system for handling, storing and administering medication This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans seen identified how a person prefers for his or her personal care and support to be carried out. Staff, at the time of the inspection, were seen to interact well with the people they were supporting and it was apparent through conversations, smiles and other gestures that people had a good rapport with the staff. People’s health care needs are well met and the home works with health care professionals for reassessment and support when needs change. The acting manger gave examples of how working with health care professional has improved the quality of life for at least two people living at the home. One person had a medical condition diagnosed and thus it can now be treated and Old Farmhouse DS0000020666.V366324.R01.S.doc Version 5.2 Page 16 one person had an assessment that identified that the restrictions in his diet were no longer necessary. At the time of the last inspection it was recommended that the home seek professional input into developing guidelines. Given recent issues this suggestion is more significant than ever. The acting manager stated that all staff are soon due to undertake an accredited and recognised training course to manage actual and potential aggression. As a result of this training guidelines should then be produced to ensure safe and consistent support to behaviours that challenge. Medication arrangements were reviewed and found to be generally satisfactory although a potential area of vulnerability for the home was identified in that medication had on two occasions been administered from the wrong day potentially causing confusion or duplication and the ongoing issue of receiving medication from families to administer at the home should be supported by a risk assessment to protect all parties. The acting manager said that she would address both of these issues. Old Farmhouse DS0000020666.V366324.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): Standards 22 and 23 Quality in this outcome area is good People are protected by procedures in place for managing complaints and can be confident that their concerns will be listened to. People living at the home can be assured that the home operates with their best interests at heart by effectively using their own policies and local safeguarding procedures to investigate incidents that take place within the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the time of the last inspection by CSCI there have been no complaints reported to us and three complaints reported to the home. One related to arrangements for covering shifts and has been resolved with the team coordinator showing us how she now records who has been offered shifts and when to ensure the process is now seen to be fair and equitable. The other two relate to concerns about the manager of the home. These concerns were reported using the home whistle blowing policy and as a result the safeguarding adults team were informed as per the homes policy and procedure. The organisation acted swiftly to safeguard people following the allegations and cooperated fully with the investigation. As a result the manager has been dismissed. Staff and service users were supported throughout the investigation and staff are now waiting for a formal ‘de brief’ which is imminent. The home’s self assessment document (the AQAA) reflects that staff spoke out regarding their concerns and that effective policies and procedures were in Old Farmhouse DS0000020666.V366324.R01.S.doc Version 5.2 Page 18 place to enable them to do this. Training in ‘abuse’ and ‘adult protection’ are said to be ongoing and staff have since completed an in house training course exploring ‘power and control’ issues. Feedback from staff about this course has been very positive. Financial records were reviewed briefly and found to be up to date and well organised. The organisation has carried out a recent financial audit of the home following some concerns raised to senior managers and a second more detailed audit is now planned. Old Farmhouse DS0000020666.V366324.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): Standards 24 and 30 Quality in this outcome area is good The Old Farmhouse is clean and well maintained providing the people who live there with a comfortable place to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The refurbishment of The Old Farmhouses is now complete and the standard of the accommodation has greatly improved. Bedrooms seen were decorated to reflect people’s individual tastes and choices. All rooms had been personalised with photos, artwork and belongings. An issue had been identified in relation to having the washing machine upstairs and the noise it makes when it is in operation. The acting manger stated that the machine has been changed and the floor reinforced to reduce this. Relatives and staff still commented about the noise so the acting manager was advised to monitor this situation. Old Farmhouse DS0000020666.V366324.R01.S.doc Version 5.2 Page 20 Communal areas of the home were seen to be clean and spacious. The acting manager pointed out minor repairs to the building that she has reported to the maintenance team for action. These were also seen to have been recorded on the weekly return sheets that are sent to head office for quality monitoring. A letter from fire officer dated 17/01/08 identified an issue in relation to wedging open fire doors and it was suggested that the fire risk assessment be updated to reflect this issue. We looked at the fire risk assessment and identified that this had not happened. The acting manager agreed to prioritise this task. No fire doors were seen wedged open at the time of the inspection. An Environmental Health Inspection re Food Hygiene took place on 9/10/07. The outcome was satisfactory with a recommendation that staff refresh their food hygiene training. A letter seen belonging to a member of staff identified that the training has been booked. An entry in the diary further confirmed this. Old Farmhouse DS0000020666.V366324.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): Standards 32, 34 and 35 Quality in this outcome area is good People living at The Old Farmhouse House are supported by a staff team who are well trained and supported enabling them to offer a good quality of care to the people they support. The management team have taken action in recognition recent low staff morale and implemented measures that will support the staff team to work through the recent difficulties and enable them to ensure continued effective support for the people who receive a service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The AQAA states that staffing levels currently meet assessed needs although a possible issue with support for one person at night was identified at the time of the last AQAA. The home has recently recruited two waking night staff in response to the increased support needs of this person who’s behaviour negatively impacts on people living at the home and staff sleeping in. Old Farmhouse DS0000020666.V366324.R01.S.doc Version 5.2 Page 22 Written and spoken feedback suggested low morale had affected the staff team over recent months mainly due to the incident involving the manager. The acting manager has taken action to improve communication with in the team and increase support to staff. In discussions the team coordinator stated that it was her aim to ‘support an open culture and share information within the whole team’. Staff felt that recognition and improved communication with senior managers would improve the service and make them feel more valued. They confirmed that some senior staff have been recently visiting more regularly. Minutes of the most recent staff meeting showed that information was being shared openly and that day and night staff had been invited to attend. The acting manager took the opportunity to thank staff for ‘doing a wonderful job’. In written responses to the surveys we gave out at the time of the inspection staff felt that ‘morale’ had improved. Training opportunities remain a strength of the organisation with additional training arranged recently for staff in relation to the value base of their work. We looked at two staff files and found them to contain all required information to ensure a robust recruitment process. The acting manager acknowledged some staff feedback that supervisions have not been happening regularly but stated that they have recently restarted and one to one support is also being offered informally for staff. Both staff files reviewed showed evidence that they had received a recent supervision. Old Farmhouse DS0000020666.V366324.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): Standard 37, 39 and 42 Quality in this outcome area is good People living at The Old Farmhouse benefit from being supported by an effective and open interim management team. The health and safety and welfare of people living at the home is promoted and protected enabling people to be safe in their homes. This judgement has been made using available evidence including a visit to this service. EVIDENCE: As previously stated the registered manager has recently been dismissed by the organisation following an open and thorough investigation into care practices. The deputy manager has been ‘acting up’ and staff think that she is doing a ‘good job’. She was knowledgeable of the role she was undertaking and was able to recognise strengths and needs of the home. These were Old Farmhouse DS0000020666.V366324.R01.S.doc Version 5.2 Page 24 detailed in the homes self-assessment document and then again during conversations on the day of the inspection. The acting manager feels well supported by senior managers who currently visit regularly as well as carrying out monthly visits when they produce a report on the home’s performance. The acting manager has completed NVQ level 4 in Care and is up to date with all of the mandatory courses that she is required to attend. She is fully aware of safeguarding processes and has worked effectively supporting staff to use the complaints and whistle blowing procedures. Health and safety checks were seen to have been carried out within the home and no hazards were identified at the time of the inspection in relation to the environment. Formal quality assurance processes were not reviewed at the time of this inspection given the current level of changes within the home but it is evident through review of records, written feedback and from conversations with staff and the acting manager that the needs and wishes of the people living at The Old Farmhouse are always prioritised and people enjoy a good quality of life leading routines of daily living both within and outside of the home. Old Farmhouse DS0000020666.V366324.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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Old Farmhouse DS0000020666.V366324.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. Refer to Standard YA6 Good Practice Recommendations It is recommended that the manager seeks input and support from appropriate health care professionals to develop and implement behavioural support plans to ensure that the plans reflect current best practice and training that has been provided to the majority of the staff team It is recommended that he home review its procedures for receiving medication from family members for staff to administer and risk assess the situation to safeguard both the service user and the staff receiving and administering the medication. 2 YA20 Old Farmhouse DS0000020666.V366324.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 Old Farmhouse DS0000020666.V366324.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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!