Inspection on 10/10/07 for Parrot Farm House

This inspection was carried out on 10th October 2007.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Parrot Farm House 04/05/06

Parrot Farm House 14/12/05

Parrot Farm House 01/06/05

Parrot Farm House 11/11/04

Parrot Farm House 02/06/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Parrot Farm House Arborfield Road Shinfield Reading Berkshire RG2 9EA Lead Inspector Kerry Kingston Unannounced Inspection 10th October 2007 10:45 Parrot Farm House DS0000011379.V349584.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 Parrot Farm House DS0000011379.V349584.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. Parrot Farm House DS0000011379.V349584.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Parrot Farm House Address Arborfield Road Shinfield Reading Berkshire RG2 9EA 0118 988 5051 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) Lee.ward@new-support.org.uk www.new-support.org.uk New Support Options Ltd Ms Leonora Phillp Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Parrot Farm House DS0000011379.V349584.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th May 2006 Brief Description of the Service: Parrot Farm House is a residential home for six men who have a severe learning disability and may also have additional physical, dietary, sensory, epileptic and behavioural problems. The home is detached and surrounded by a large garden. It is situated on a busy main road. There are a few local shops within walking distance but there is no pavement directly outside the home. The centre of Reading is approximately 5 miles away. The home has two vehicles to transport people and there is an hourly bus service into the town. The current scale of charges is from £1168.03 - 1199.25 Parrot Farm House DS0000011379.V349584.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is a report for the key inspection of the service, which included a routine unannounced site visit. This took place between the hours of 10.45 am and 6.150pm on the 10th October 2007. The information was collected from the Annual Quality Assurance Assessment, a document sent to the service by the Commission for Social care Inspection and completed by the manager of the service, surveys which were sent to people who use the service, other professionals and families of residents. Five surveys from families and two from people who use the service were returned to the Commission. There are only five people resident in the home, currently. Discussions with two staff members and the Registered Manager took place. The people who use the service have no or limited verbal skills and use their own unique methods of communication, they were therefore observed during the course of the visit. A tour of the home and reviewing residents’ and other records were also used to collect information on the day of the visit. The home offers excellent standards of care to people with very complex needs and limited ability. What the service does well: The home makes sure that it knows the needs of the people who use the service and have good care plans so that staff know how to meet those needs. The home has very good ways of making sure that the staff and residents can understand each other. People are supported to stay as healthy as possible and are helped to make as many decisions and choices for themselves, as they are able to. People are supported to take part in lots of activities and are encouraged to try new things, to make their lives more interesting and enjoyable. The home makes sure that people can do as many things for themselves as they can, as safely as possible. The home offers good care to the people who live there who have a lot of needs. Parrot Farm House DS0000011379.V349584.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Parrot Farm House DS0000011379.V349584.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Parrot Farm House DS0000011379.V349584.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. People who use the service experience good quality outcomes in this area. The service would properly assess any prospective resident and would admit only those whose needs it could meet. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There have been no admissions since 1992. The people who use the service have care management (i.e. social services) and the care homes’ assessments. Assessments are reviewed as part of the care planning process. The home meets the needs of the people who live there. One service user has left to be nearer his family. The organisation’s admissions policy details the necessary information for the home to obtain prior to any admission and the admission programme, that would be usual, although this can be altered to meet individual needs. Each has a detailed service user guide and statement of terms and conditions, this does not include the cost of transport and how it is to be paid for. Parrot Farm House DS0000011379.V349584.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9. People who use the service experience excellent quality outcomes in this area. The service ensures the people who use it have up-to-date assessments and care plans so that their needs are always met in the most appropriate way. Peole are assisted to make as many choices about their day-to-day life as they are able. Risk assessments are completed to support people to maintain /develop as much independence as possible. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The people who use the service have indiviual care plans that are very detailed and include essential information, a ‘who am I?’ document, a daily support plan, support guidelines, going into hospital information, communication and risk assessments. Parrot Farm House DS0000011379.V349584.R01.S.doc Version 5.2 Page 10 They include how people make choices and communicate those choices and also note any special needs or equality and diversity issues. The staff and the manager have a good awareness of equality and diversity issues and the cultural needs of people are recognised in day to day practice. The support plans include a detailed description of peoples preferences and how they express their unhappiness or discontent. Care plans are reviewed by the key worker every three months and a full review is completed anually or six monthly depending on the complexities of the needs of individuals. Residents are as involved as possible in the review and care planning process which includes their views of the service, for the review they complete the ‘ten big questions’ questionnaire, which addresses their level of satisfaction with the service and care provided. Care plans are mainly presented in pictorial or photographic format and detailed descriptions of individual methods of communication enable people to interact with them even though three people are non verbal and two have limited verbal skills. Support plans are enhanced by detailed guidelines for specific areas of care for the individual such as accessing the community. People also have a PATH plan (Planning Alternative Tomorrows with Hope) this shows where people are at now, what their wishes and future plans are and how the home will support them with any necessary development to meet their aims and objectives. Developments have a time line and can be accurately monitored. Daily notes showed that day to day activities supported the PATH plan. Risk assessments are individual, detailed and up-to-date and include all the necessary areas of care. People are supported to maintain or develop areas of independence, such as cooking, choosing and buying their own food and accessing social and leisure activities, by use of the risk assessment process. One person has completd a Cooking for living course to support his independence programme. Staff showed a good understanding of peoples methods of communication and needs, describing how they support people to make choices, wherever possible. They were observed discussing activities and giving choices and these were also recorded in daily notes. Parrot Farm House DS0000011379.V349584.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17. People who use the service experience excellent quality outcomes in this area. The home supports people to lead an interesting, varied and rewarding lifestyle and gives them as much choice as possible. People are encouraged to participate in new experiences to increase their enjoyment of their lifestyle. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each person has an activity plan for the week, for some it is noted that they can choose whether to attend certain activities or not. An extra staff member is rotad on duty during the day to facilitate in house activities. Daily activities include reflexology, swimming, pottery, college attendance (such as cookery), trampolining, computers, bowling, Jacuzzi, rambling and shopping. Evening activities include social clubs held three evenings of the week, in nearby Parrot Farm House DS0000011379.V349584.R01.S.doc Version 5.2 Page 12 locations. There was also evidence of drives, meals out and visits to family, residents generally have two holidays per year. Two people had just returned from a trip to Portugal, which they enjoyed. The home has also developed a sensory room, a small room containing gym equipment and music and an art and craft room. Notes of activities undertaken include peoples enjoyment or reaction to them, to help staff to plan future activities. The home is in the process of adjusting some peoples activities. Staff were observed responding to peoples requests to do activities, such as going for a walk and doing a puzzle. The manager is involved in a stay up late campaign which involves staff changing their usual shift pattern to enable people to stay out later in the evenings, if they wish. Only one person would wish to take advantage of this opportunity and the manager is in the process of organising it, this is partly in recognition of their equal rights as adults to participate in usual adult activities. There are fewer activities at the weekends as some people prefer to relax because of a busy week, but there was evidence of impromptu outings and shopping trips. Peoples preferences with regard to evening and weekend activities is noted on care plans such as ‘does not like to go out in the evenings and if he does he prefers to come home early’. One person who did not go out for some years now participates in an activity on a, generally, daily basis. Guidelines are in place for when he chooses not to leave his room. All service users have contact with their families and visits, to and by them, are facilitated by staff. All the families who were sent a survey responded and had, generally, positive comments about the standard of care offered, such as provides an intereting programme of activities, ‘’really happy at Parrot Farm, everything is highly satisfactory. Menus seen were varied and nutritious and at the midday meal staff were observed helping people in sensitive way, offering advice and support as necessary. Meals are noted in support plans and include details of any specialised diet. One person has a very specialised diet to meet his medical needs. A training course was held on the day of the visit by the dietician to inform new staff Parrot Farm House DS0000011379.V349584.R01.S.doc Version 5.2 Page 13 about the condition, so that they are aware of those dietary needs. Another person has issues with keeping a healthy body weight and another with weight gain all the varying issues are addressed in individual care plans and are dealt with by staff as detailed in the support guidelines. Staff are aware of peoples culture with regard to food but also encourage them to taste the foods of other cultures to extend their experience and choices. One person generally chooses to eat apart from the others and this has been facilitated by putting a small table in the sitting room. Parrot Farm House DS0000011379.V349584.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20. People who use the service experience excellent quality outcomes in this area. The people who use the services personal care needs are met in a way that acknowledges and respects their preferences and choices. People are supported to stay physically and emotionally healthy and their medication is administered safely. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans have detailed notes on peoples preferences and what their behaviour may indicate to staff. Staff were observed interpretting behaviours and assisting colleagues to interpret behaviour if there was some lack of clarity. One staff member was observed using the individuals own form of sign language to determine what he wanted (as detailed on the care plan). Health care is included in care plans but there is also a booklet called ‘my health’ which details all aspects of the persons health, they also have a Parrot Farm House DS0000011379.V349584.R01.S.doc Version 5.2 Page 15 document which they take when attending the G.P. or hospital to assist health staff and residents with communication. Staff always accompany people to appointments which are well recorded and kept up-to-date. Health issues are also discussed as part of the review process. There was evidence health support is sought in a timely way and peoples health is well recorded and looked after. Behaviour is seen as an indicator of ill health and staff react quickly to any changes of mood or behaviour and act appropriately to eliminate health as a cause. Specialist health care services such as psychiatrist, psychologist and dietician are accessed as appropriate. It is planned to use assistive technology to aid those with sensory and health needs to enhance their equality. None of the service users are able to self-medicate. Staff do not administer medication until they have had training and are assessed as competent to do so by a senior member of staff. Two staff, at a time administer medication and the medication administration records seen were accurate, the home uses the Boots Monitored Dosage System. The manager confirmed that there have been no medication administration errors since the last inspection. Rectal diazepam is prescribed, when necessary, for three people. Staff are trained in administering this medication. Oral diazepam was tried, as an alternative, but this was not effective. There are detailed generic and individual guidelines for the use of, as necessary, medication and these include how the residents may express pain if they are unable to verbalise it. Parrot Farm House DS0000011379.V349584.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. People who use this service experience good quality outcomes in this area. The home has a robust complaints procedure that is used effectively. The people who use the service are protected from all forms of abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One complaint has been recorded since the last inspection, it was made by a staff member acting as an advocate for a service user, it was thoroughly and appropriately dealt with, there is a detailed record of the conclusion and action to take to ensure there is no re-occurence. The complaints procedure is in a user friendly format but realistically family or staff advocate on behalf of the people who use the service. Behaviour is used as an indicator to peoples unhappiness and elimination is used to determine possible problems or issues. The manager confirmed that there have been no safeguarding adults issues since the last inspection. All staff have recievd Protection of Vulnerable Adults training which is also included in the organisations approach training which is being completed by all staff. Up-dates to The Protection of Vulnerable Aduls training is planned as appropriate such as when new procedures are put in place. The home would follow the local safeguarding adults procedures, if necessary. Parrot Farm House DS0000011379.V349584.R01.S.doc Version 5.2 Page 17 Staff spoken to had a good awareness of safeguarding adults procedures and their responsibilities with regard to the protection of the people in their care, they confirmd that they had recieved the training. It was discussed with the manager that Protection of Vulnerable Adults awareness could be added to the induction check list. The Commission for Social Care Inspection has received no information with regard to complaints or safeguarding adults issues, for this service. Financial records for two service users were seen, these were accurate as was the cash, which was securely held for them. Families or the organisation act as appointees for the people who use the service. There was a discussion about families being appointees and people not knowing their overall financial staus, that is they are not always aware of their income and expenditure. The residents contribution to the transport from the mobility element of their benefits is not clearly recorded. The manager agreed to calrify both these matters, at the earliest opportunity. Parrot Farm House DS0000011379.V349584.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. People who use the service experience adequate quality outcomes in this area. The home is comfortable and staff work hard to improve the environment for the people who live there. It is an old building and the people who live there are heavy users, this causes particular diffculties for staff to maintain it to a good level of cleanliness and decor. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has undergone some refurbishments with all the requirements from the last inspection report being met. The age and layout of the property poses major difficulties for staff to keep clean and it was discussed that this may need to be part of a ‘dedicated’ cleaning / heavy housework task rather than Parrot Farm House DS0000011379.V349584.R01.S.doc Version 5.2 Page 19 part of the care task. Care staff focus on meeting the complex and demanding needs of the current group of people who use the service. Peoples’ rooms have been decorated by staff, to individuals’ tastes, in a building of this age and size it may be more appropriate for professionals to complete decoration to ensure correct standards and materials are used. However staff have worked hard to make a more pleasant environment for the people who live there. The carpet in the hallway is new but is already heavily stained, this is being dealt with by the manager. The staff team have made good use of the available space, for the benefit of the residents and have provided a sensory room, small gym and music room and an arts and crafts room. The building is spacious and homely, everyone has their own bedroom but it looks tired and grubby in places. Toilets and sinks are scaled and tiles are missing or broken in bathrooms. The paintwork, especially on radiators is dirty and chipped, creating an impression of poor maintenance. The kitchen and laundry are clean and well ordered. Parrot Farm House DS0000011379.V349584.R01.S.doc Version 5.2 Page 20 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): 32,34 and 35. People who use the service experience good quality outcomes in this area. Staff are properly qualified and are given opportunities to participate in training that ensures their competence and ability to offer a good quality service to those who use it. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service has 13 staff, seven full time and six part time. Daytime hours are 7am to 9.30 pm when there are a minimum of three staff on duty. An additional staff member is on duty during the week, during the day, to support people to do activities. There is one waking night staff and one person sleeping in. Staff confirmed that they are able to meet the needs of the service users with the current staffing levels. Six of the staff are qualified to National Vocational Qualification (NVQ) level 2 or above and a further five staff are pursuing NVQ 2 qualifications. The manager advised that the organisation do not, generally support staff to obtain level 3 or above NVQ qualifications. One staff member has completed levels 3 and 4 which he completed in his own time and paid his own fees. Parrot Farm House DS0000011379.V349584.R01.S.doc Version 5.2 Page 21 Agency staff are rarely used in the home as they have designated bank staff that have worked in the home for sometime, when needed, this maximises consistency of care. Recruitment records for the two newest staff were seen and the files contained all the necessary information, as per regulation. Training records showed that staff had or were booked on all the necessary health and safety training, had completed Protection of Vulnerable Adults training and had opportunities to attend specific courses relating to the needs of the individuals in their care such as training given by the dietician. All staff are completing the organisations approach training, which specifically relates to values and attitudes. The home is piloting E-learning training, which is on line training for a variety of subjects. All staff complete an induction and are regularly supervised by the manager or a senior staff member. Staff confirmed that they felt well supported by the manager and have regular supervision and appraisals. Team meetings are held monthly and viewed positively by staff. Staff who supervise others have completed supervision training. The standard of care practice observed and the quality of the record keeping seen evidenced that staff are competent and able to meet the needs of those in their care. A family member noted that the main problem is retaining staff, cultural differences and attitudes can be a problem. The manager and staff team are aware of these issues and they are openly discussed and dealt with. Another family survey noted that the staff have the skills experience and personal qualities needed. Staff were observed treating the people who use the service with respect, sensitivity and adhering to the support guidelines that had been developed for them. Parrot Farm House DS0000011379.V349584.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42. The people who use the service experience good quality outcomes in this area. The home is well managed, ensures the quality of care is maintained and enhanced for the benefit of the people who live there and keeps them as safe as possible. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager has been managing the service for approximately three years, she has recently completed her registered managers award and has completed various training courses since the last inspection. She was, recently seconded to another home and was working at Parrot Farmhouse for a few days per week, she has now returned to work full time at the service. Parrot Farm House DS0000011379.V349584.R01.S.doc Version 5.2 Page 23 Staff spoken to felt motivated and supported and felt the home was well managed. Surveys noted that the manager listens to you. Several developments are planned to promote peoples’ equality and diversity needs such as assistive technology aids, the staying up late campaign and more people attending college with increased access to the community. The home has several means of assuring the quality of the service these include regular regulation 26 visits, surveys sent to parents/carers on an annual basis, the 10 big questions asked of residents and included in their reviews, the PATH plans for individuals, staff meetings, a resident forum organised by the provider but not participated in by the residents of Parrot Farmhouse and a staff forum. An annual review of the service is also undertaken, this meeting to which all interested parties are invited then produces a PATH plan for the home, this also incorporates service users views and requirements and environmental issues. The Quality Assurance process lacks the necessary documentation to link the views of interested parties to the PATH plan, currently. Samples of Health and Safety records showed that all necessary maintenance checks are up-to-date. The organisation has a Health and Safety officer who is available for advice and carries out health and safety audits, on occasions. Health and Safety training is provided to all staff, as necessary. The home adheres to their COSHH policy and has safe working practice risk assessments, both generic and individual. Accident and incident forms are detailed and audited by the organisation and manager at three monthly intervals. It was evident that a safety issue for a particular individual had been, partially identified by the accident reporting process and steps had been taken to minimise the likelihood of any further accidents or incidents occurring. Parrot Farm House DS0000011379.V349584.R01.S.doc Version 5.2 Page 24 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 2 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 4 3 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 3 X 2 X X 3 X Parrot Farm House DS0000011379.V349584.R01.S.doc Version 5.2 Page 25 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA23 YA24 Good Practice Recommendations To enable people to be aware of their overall financial status, so that they can be supported to make informed choices about their expenditure. To review whether it is the most effective use of carer’s time and skill to decorate and clean the premises and whether they are able to maintain good standards of décor and cleanliness. To develop a way of evidencing that the Annual development plan for the home has incorporated the views and wishes of the people who live there. 3. YA39 Parrot Farm House DS0000011379.V349584.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Oxford Office 4630 Kingsgate Oxford Business Park South Cowley Oxford OX4 2SU 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 Parrot Farm House DS0000011379.V349584.R01.S.doc Version 5.2 Page 27 - 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!