Inspection on 04/07/06 for PIA - Barnfield

This inspection was carried out on 4th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

PIA - Barnfield 18/06/07

PIA - Barnfield 12/01/06

PIA - Barnfield 14/07/05

PIA - Barnfield 26/01/05

PIA - Barnfield 22/06/04

PIA - Barnfield 12/01/04

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 09/07/2008.

CARE HOME ADULTS 18-65 Pia - Barnfield Church Lane Gaydon Warwickshire CV35 0EY Lead Inspector Kevin Ward Key Unannounced Inspection 4th July 2006 07:45 Pia - Barnfield DS0000004279.V302706.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 Pia - Barnfield DS0000004279.V302706.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. Pia - Barnfield DS0000004279.V302706.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Pia - Barnfield Address Church Lane Gaydon Warwickshire CV35 0EY 01926 640521 02476 640146 dbadger@people-in-action.co.uk 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) People in Action Mrs Denise Badger Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Pia - Barnfield DS0000004279.V302706.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Denise Badger must successfully complete the NVQ Registered Managers Award or a qualification equivalent to a diploma in management studies (NVQ 4) and a qualification equivalent to NVQ 4 in care by 1st July 2007. Denise Badger must inform the Commission for Social Care Inspection when she has achieved these qualifications. 12th January 2006 2. Date of last inspection Brief Description of the Service: The home is a large domestic bungalow in a small village setting, providing accommodation and care for 5 young adults who have severe learning disabilities and/or physical disabilities. South Warwickshire Primary Care Trust owns the property. People in Action manage the home. Two of the five bedrooms have en-suite facilities. The current charge for the service (4/7/06) is £1308 per week. The people living at the home are required to pay for their personal toiletries, leisure activities, holidays, fuel, aromatherapy and drinks/meals out. Pia - Barnfield DS0000004279.V302706.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection focused on assessing the main key Standards and on reviewing progress to meet the requirements that were made at the last inspection. As part of the inspection process the inspector reviewed information about the home that is held on file at the Commission, such as notifications of accidents and incidents. The manager of the home also completed and returned a questionnaire containing further information about the home. The inspection included meeting with the people living at the home. All the current service users do not communicate verbally, so it was not possible to get their spoken views about the service. Two visitors comment cards were completed and returned to the inspector, enabling a relative and a health professional to comment on the work of the home. The inspection also involved talking with the staff and the shift leader on duty. A number of records, such as care plans and fire safety records were also sampled for information as part of this inspection. What the service does well: The people living at the home are relaxed and at ease in the company of staff indicating they enjoy their company. A member of night staff was seen to respond very sensitively and with kindness to the needs of a service user on the morning of the inspection visit. People’s preferred routines are recorded in their care plans and comments made by staff indicated a satisfactory knowledge of people’s needs. Staff were seen to show a suitable regard for people’s privacy and to carry out all personal care tasks behind closed doors. The people living at the home are supported to go on a reasonable variety of outings and undertake activities in the home. The people living at the home are supported to access advice and support from appropriate health professionals to ensure that diagnosed health needs are appropriately addressed. People’s health records confirm that the home has made purposeful use of an excellent range of health professionals. Staff are being provided with vulnerable adult abuse training so that they know how to recognise and report any suspicions of abuse. There have been no complaints made at the home since the last inspection. The people at the home are provided with a varied menu based on their known food preferences and this is currently been reviewed to promote healthy eating. Pia - Barnfield DS0000004279.V302706.R01.S.doc Version 5.2 Page 6 The home is clean, comfortable and is very well equipped to meet the needs of people with learning difficulties and disabilities. Overall the home is maintained in good condition and as a good sized garden with activities equipment for people to use. Staff are provided with access to training related to safe practices in the home and plans are being carried out to increase the number of staff trained in NVQ courses to fully equip them for their care role. 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. Pia - Barnfield DS0000004279.V302706.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 Pia - Barnfield DS0000004279.V302706.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Suitable procedures are in place for assessing the needs of people before they move into the home to ensure that their needs can be met before they move in. EVIDENCE: Standard 2 was not fully assessed on this occasion as no new people have moved into the home since the last inspection. This Standard has previously been assessed as met. A full assessment was seen on file for the last person referred to the home last year. Pia - Barnfield DS0000004279.V302706.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 The judgement for this outcome group is good. Suitable systems are in place for planning and monitoring people’s needs and for reducing everyday living hazards. There is a need to review and update some information in people’s care plans to ensure that it is all still relevant and to review the use of the chain for cordoning off the kitchen to safeguard people. EVIDENCE: The people living at the home all have care plans in place outlining their care needs. This includes information about people’s personal routines so that staff are able to support people in the way they like. This information is particularly important, as the people living at the home are not able to communicate verbally. Reasonable levels of information are in place to help staff to understand how individual service users communicate their needs so that they are better equipped to understand their non-verbal communication. Staff were seen to make use of some basic makaton signing with one person. Discussions with staff indicate that people are encouraged to choose what they want to wear with guidance from staff and to shop for new clothing. Systems are in place for reviewing people’s care needs, including monthly key worker meetings with the manager. Pia - Barnfield DS0000004279.V302706.R01.S.doc Version 5.2 Page 10 Entries in a service user’s records confirmed that staff have kept their nearest relative involved and informed about plans for the persons care. Whilst some information in the care plans has recently been reviewed and updated, other information has not been reviewed to confirm that it is still relevant. Risk assessments are in place covering a good range of everyday hazards associated with people’s personal needs, e.g. moving and handling assessments, showering, bathing, swimming etc. Protocols are in place to inform staff of the safe procedure to follow in the event that people with epilepsy have seizures. When staff are not in the kitchen / dining area the kitchen is closed off with a chain to discourage one service user from entering. Discussions with a shift leader explained that this to stop the person concerned from inappropriately accessing all the foodstuffs that are stored in the fridges and cupboards and the manager reports that this is also to ensure the person’s safety when meals are cooking. There is a need to write a risk assessment and to consider other solutions and safeguards to address this matter. Pia - Barnfield DS0000004279.V302706.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13,15,16 and 17 Overall the judgement for this outcome group is good. People are supported to have access to a satisfactory level of social activities and provided with a reasonably balanced diet, in keeping with their preferences. Independent advocacy would be of benefit for people with no relatives involved to represent their interests. EVIDENCE: Information provided the manager in the pre inspection questionnaire indicates that the home provides people with a suitable range of activities and outings and activities, e.g. crafts, cookery, puzzles, DVD’s, videos, aromatherapy, sensory sessions, bowling, swimming, theatre, walk and dining out. Further evidence was found in a service user’s photographic journal of outings and holidays and by staff comments. One person who enjoys gardening has been supported to plant some beans in the garden and to routinely water them. The shift leader explained that two people had recently been on holiday to Norfolk and that plans are in place for people to go on holiday with staff support. Pia - Barnfield DS0000004279.V302706.R01.S.doc Version 5.2 Page 12 One person has an advocate involved from Warwickshire Advocacy Alliance to help him to manage his finances and one person receives regular contact from a family member. The shift leader explained that the other people at the home do not have any consistent representation from relatives or advocates. A small number of staff have had training regarding sexuality and personal relationships and the home is making use of psychology services to provide advice and guidance where required so that staff are consistent in their response to sexuality issues. A 4 weekly choice menu is in place at the home based on peoples’ known food preferences. Two members of staff have recently attended nutrition training and comments made by one of the people involved confirmed that this learning has been used as part of a review of menus that is currently taking place at the home, with a view to promoting healthier eating. As previously noted, on the morning of this inspection visit a member of staff was seen to support a more able service user to take part in preparing his breakfast. Two people have PEG tubes fitted. Comments by staff indicated a good awareness of the reasons for this and confirmed that had received appropriate training from a community nurse. PEG tube feed protocols are also in place at the home to support safe practice. The home provides a large dining table with sufficient space available for wheelchair users, so that everyone is able to eat together. Pia - Barnfield DS0000004279.V302706.R01.S.doc Version 5.2 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 the following standard(s): 18,19 and 20 Overall the judgement for this outcome group is good. People are provided with appropriate support to ensure that their health needs are properly monitored and met. The medication system would be improved by the addition of a record to account and keep track of the amount of PRN medications left in the home for individuals. EVIDENCE: Staff were seen to provide unhurried support to people as they went about their morning routine. One person was allowed to sleep in longer and to rise at his own pace, in keeping with his preferred morning routine. Staff were seen to show an appropriate regard for people’s privacy and carried out all personal care tasks behind closed doors. A member of staff was seen to patiently support a service user to take part in preparing his own breakfast. At lunchtime a member of staff was seen providing sensitive assistance to support a service user to eat their meal. Comments made by a member of staff confirmed that people are encouraged to choose the clothes they wish to wear with assistance from staff and are taken to shop and choose new clothing. The people living at the home were all well groomed and dressed in age appropriate, clean clothing. The shift leader explained that people are assisted to change into fresh clothing in the afternoon. Pia - Barnfield DS0000004279.V302706.R01.S.doc Version 5.2 Page 14 Weight charts are in place for monitoring people’s weight and this information is being reviewed with the aid of health professionals. Information contained in people’s health records indicate that the home has made appropriate use of the dietician and speech therapist to ensure that people’s dietary intake is provided in a safe manner. Staff have been provided with PEG tube feed training by an appropriately qualified health professionals and protocols are in place for staff to follow safe practice. People’s health notes contain well documented evidence to confirm that their needs are being appropriately monitored with the support and advice of a range of relevant health professionals, such as, consultant psychiatrists, psychologist, speech therapists, dietician, epilepsy nurse, occupational therapist, physiotherapist and speech therapist. Entries in people’s health records and comments by staff confirm that people are also being supported to access local community health services, such as GP, dentists, opticians and flu vaccinations. The shift leader confirmed that no one at the home has pressure sores. The manager reports that appropriate tools (waterlow assessment) were used to assess the skin care needs of a service user who was previously at risk. Comments by staff indicate that care is taken to monitor peoples skin care needs where there are any concerns and to intervene with prescribed barrier creams / skin care creams on the basis of GP advice. Comments by staff confirmed that they had been provided with medication training and some staff have undertaken more in depth distance learning training. A suitable cupboard is in place for the safe storage of medication. The contents of the cupboard were seen to be tidy and well ordered. Photographs of service users are in place in the medication file in front of their records as an extra safeguard for ensuring that medication is given to who it is intended. The manager carried out regular medication checks and completes a brief report of any issues / errors identified so that practices are properly monitored and improved where necessary. The pharmacist also carries out periodic medication audits at the home. Discussions with staff indicate that there are currently no records for keeping count of PRN medication (as required) in the home. Pia - Barnfield DS0000004279.V302706.R01.S.doc Version 5.2 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 the following standard(s): 22 and 23 Overall the judgement for this outcome group is good. Procedures are in place for responding to complaints and staff are trained to respond to suspicions of abuse. EVIDENCE: There have been no complaints made to the Commission for Social Care Inspection since the last inspection. The shift leader also confirmed that there have been no recent complaints made at the home. A complaints procedure is available at the home and in the home’s Statement of Purpose. The manager was not able to confirm that this information had been passed to the relative of a person living at the home but undertook to do so. Comments by staff indicated a satisfactory awareness of the adult protection procedures and confirmed that staff are being provided with vulnerable adult abuse training by the organisation to help them to recognise and report any suspicions of abuse. Training information provided by the manager reports that staff have been trained in “positive approaches to behaviour” so that they are equipped to respond appropriately to people’s needs / challenges. The manager also explained that psychology input has recently been sought to support staff with a common approach to the specific needs of one person at the home. Pia - Barnfield DS0000004279.V302706.R01.S.doc Version 5.2 Page 16 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 the following standard(s): 24 and 30 The judgement for this outcome group is good. Overall the home provides people with comfortable, clean and well-equipped accommodation. Improvements are necessary to bring the kitchen cupboards to an acceptable standard. EVIDENCE: All the rooms in the home are at ground floor level and provide reasonable wheelchair access. Overall the home is well decorated and airy. Since the last inspection good work has taken place to redecorate some areas and the shift leader explained plans for the lounge to decorated shortly and for a new carpet to be fitted. Similarly positive improvements have been made to improve access to the garden, with the addition of automatic patio doors and low gradient wheelchair ramping. The gardens are well maintained, providing a pleasant area for people to relax in. Discussions with staff indicate that people are making better use of the garden since the new doors and `ramping were put in. Pia - Barnfield DS0000004279.V302706.R01.S.doc Version 5.2 Page 17 The home is well equipped with specialist equipment, such as hoists, accessible shower and adjustable bath to appropriately meet the individual needs of the people living at then home. People’s bedrooms are pleasantly decorated and efforts have been made to personalise these areas, e.g. with pictures, electrical equipment, mobiles, etc. Overall the home was seen to be clean and free from any unpleasant odours. Discussions with staff demonstrated a good understanding of infection control practices and confirmed that suitable cleaning procedures are in place. Discussions with staff confirmed that they had been provided with infection control training. This is supported by a cleaning schedule at the home. Staff were seen to make use of protective clothing where necessary and stocks of gloves and aprons were seen in the home. A suitable clinical waste contract is in place at the home and disposable continence management products are used where necessary. New worktops have recently been fitted in the kitchen to improve this area, however several cupboard doors have been removed as they were reportedly hanging off and could not be re-hung properly, causing a health and safety hazard. The manager periodically meets with the landlord to address any improvements and maintenance issues at the home. Pia - Barnfield DS0000004279.V302706.R01.S.doc Version 5.2 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 The judgement for this outcome group is good. The home provides a stable and reasonably trained staff team that have been vetted to ensure they are suitable to work with people with learning disabilities. EVIDENCE: Comments by staff and information contained in recent staff rotas confirm that the home continues to provide 3 or 4 staff on duty in addition to a manager. Systems are in place for ensuring accountability in the home, including the designation of a shift leader. During the course of the inspectors visit staff were seen to work well together and to take on delegated tasks as agreed with the shift leader. Overall there is stable staff group at the home with a core group of people having worked together for a number of years. Information provided by the manager indicates that suitable recruitment procedures are in place for ensuring that staff are suitable to work with the people living at the home. This includes carrying out references and Criminal Record Bureau checks before people start at the home. Training information provided by the home indicates that staff are provided with regular mandatory training updates (health and safety related practices, such as food hygiene and first aid) to support safe practice in the home. This was also verified by staff comments and a sample examination of training certificates. Pia - Barnfield DS0000004279.V302706.R01.S.doc Version 5.2 Page 19 The manager reports that it has been the priority of the home to provide Learning Disability Award Framework induction and foundation training to all staff and that a greater emphasis is now being placed on staff training for NVQ qualifications. The manager reports that to date one member of staff has completed NVQ2, and 3 are completing this qualification. The manager said that the final three staff members are to be enrolled for NVQ courses by April 2007. Staff are also provided with other relevant training, such as medication, vulnerable adult abuse and autism. Staff confirmed that their training needs are regularly reviewed and a training plan was seen in the home confirming that suitable systems are in place for ensuring that training needs are properly addressed. Skin care training has not been provided at the home, although the manager has sought appropriate community nursing input where necessary. Discussions with staff indicate that the community chiropodist has withdrawn from cutting service users’ nails and that this responsibility has now passed to staff where they do not have a private chiropodist involved. Pia - Barnfield DS0000004279.V302706.R01.S.doc Version 5.2 Page 20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 The judgement for this outcome group is adequate. Quality assurance at the home would be improved by establishing a system for periodically surveying the views of relatives and professionals involved with home. EVIDENCE: The manager has recently informed the Commission for Social care Inspection that she has completed the Registered Manager Award and is now completing the NVQ 4 in Care. The manager already holds the NVQ 3 and has a number of care homes experience. The line manager for the home routinely carries out monitoring visits and copies of the reports are being retained o file. The manager is then required to report back on the progress she has made to address points raised in the monitoring report, which is then reviewed by the line manager at subsequent visits. The manager also carries out audits of the home’s medication system, which are kept on file at the home. Periodic audits of the premises are also being carried out by the manager, in conjunction with the landlord to identify and resolve maintenance issues. Pia - Barnfield DS0000004279.V302706.R01.S.doc Version 5.2 Page 21 Currently there is no process in place for surveying the views of relatives and professionals regarding the performance of the home. This is particularly necessary where people have high communication support needs and cannot easily comment on the service provided them. Information provided by the manager as part of this inspection indicates that the majority of health and safety checks required have been carried out. The manager reports that a hard wiring check has been carried out at the home in April this year but has not yet been provided with a copy of the certificate from the landlord. The fire safety log was examined and confirmed that fire alarm tests are being carried out the correct frequency. However the lighting checks have recently reduced in frequency and need to take place on a monthly basis. A hot water log was seen, indicating that hot water temperature is being monitored to ensure that it remains at safe temperature levels at outlets accessible to the people living at the home. Pia - Barnfield DS0000004279.V302706.R01.S.doc Version 5.2 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 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 2 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 2 3 x 2 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 2 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 x 2 x x 2 x Pia - Barnfield DS0000004279.V302706.R01.S.doc Version 5.2 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 2 Standard YA6 YA20 Regulation 15 (2) (b) 13 (2) Requirement Update care plans where necessary. Keep a countdown record of people’s PRN medication so that it is possible to fully account for medication in the home. Make plans to refurbish the kitchen cupboards that are in a poor condition. (Ongoing from last inspection) Survey the views of relatives and professionals involved in the home as part of the home’s quality assurance system. The registered manager must ensure that a copy of a current Electric Wiring Certificate for the home is maintained on home records. Outstanding from previous inspection timescale 28/02/06 Increase the frequency of emergency lighting testing to once a month. Timescale for action 14/08/06 30/07/06 3 YA28 23 30/09/06 4 YA39 24 31/08/06 5 YA42 23 31/07/06 Pia - Barnfield DS0000004279.V302706.R01.S.doc Version 5.2 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 2 3 Refer to Standard YA15 YA35 YA22 Good Practice Recommendations It is strongly recommended that the manager refers service users with no family involvement for an advocacy service. The manager is recommended to seek training for staff in skin care and nail care. It is recommended that where service users have relatives involved they are issued with a copy of the home’s complaints procedure. Pia - Barnfield DS0000004279.V302706.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB 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 Pia - Barnfield DS0000004279.V302706.R01.S.doc Version 5.2 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. 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!