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Inspection on 11/01/07 for Tablehurst Farm Cottage

Also see our care home review for Tablehurst Farm Cottage for more information

This inspection was carried out on 11th January 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Tablehurst Farm Cottage offers residents and those who live and work there a unique experience of being part of a virtually self-sufficient organic farming community, that follows the guiding principles of Rudolf Steiner. The home is an integral part of this community and the focus remains very much on the ongoing care and support needs of the residents. The service provides residents with varied opportunities for personal development and social interaction, combined with a high level of care and appropriate support, within a safe yet stimulating environment. The cottage itself provides a homely setting that is well maintained and equipped to meet their needs. Residents are clearly included and directly involved in the running of the farm and the ethos of the home, whilst being supported to be part of the local community. The relaxed, homely and welcoming environment has evolved over several years and reflects the stability and commitment within the staff team, the dedication and efficiency of the experienced registered manager and his open and inclusive management style. Through working closely, sensitively and consistently with residents, staff have developed a sound understanding of their individual care and support needs. Residents are encouraged and supported to make decisions about their lives and, where appropriate and practicable, they are involved and regularly consulted on many aspects of life in the home and wider community, including menu planning, colour schemes and their individual recreational and occupational opportunities.

What has improved since the last inspection?

Residents` individual care plans have been reviewed and amended since the previous inspection, as required, to include specific management guidelines. Also since the last inspection, medication policies and procedures, relating to the administering and recording of medicines, have been reviewed and improved.

What the care home could do better:

Information made available to prospective residents and their relatives, including the Statement of Purpose and Service User Guide, needs to be accurate and up to date. Residents must be protected from potential abuse by appropriate staff training and relevant and up to date policies and procedures. It is recommended that the repainting or upgrading of several of the radiators be included in the ongoing maintenance programme for the home.

CARE HOME ADULTS 18-65 Tablehurst Farm Cottage Tablehurst Farm London Road Forest Row East Sussex RH18 5DP Lead Inspector Nigel Thompson Unannounced Inspection 11th January 2007 10:00 Tablehurst Farm Cottage DS0000021383.V324110.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 Tablehurst Farm Cottage DS0000021383.V324110.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. Tablehurst Farm Cottage DS0000021383.V324110.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Tablehurst Farm Cottage Address Tablehurst Farm London Road Forest Row East Sussex RH18 5DP 01342 823536 01342 824873 tablehurst_farm@talk21.com 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) Tablehurst Farm Limited Mr Peter Brown Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Tablehurst Farm Cottage DS0000021383.V324110.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The number must not exceed three The people accommodated will be adults between the ages of 18 and 65 years on admission 15th March 2006 Date of last inspection Brief Description of the Service: Tablehurst Farm Cottage is a family run home, providing accommodation for three adults with learning disabilities. The property is situated on a community organic farm, which is currently working 500 acres. There is a popular farm shop on site, which is used to sell the produce. Accommodation consists of three single rooms, a bathroom with bath and toilet and a separate toilet. There are currently two live-in staff members. The kitchen and lounge areas are shared with the live-in carers. The residents work on the farm and take part in the daily activities needed to run it. The Registered Provider and Registered Manager lives in the main farmhouse. All farm staff and residents join together for meals that take place on a rotational basis in the different farm properties. There is also emphasis on integration into the wider community. Support is available to enable residents to go shopping, the cinema, swimming, and to undertake various other activities. Family and friends are made welcome and may join the small community for meals. Tablehurst Farm is inspired by Christian ideals as articulated by Rudolph Steiner and is based on the acceptance of spiritual uniqueness of each human being, regardless of religious or racial background. Information about the service, including the Statement of Purpose, Service User’s Guide and CSCI reports is made available to prospective service users or their relatives, on request, as part of the admission process. The current weekly fees at Tablehurst Farm Cottage, as of 11 January 2007, is £618.00 Additional charges are made for hairdressing, chiropody, toiletries, newspapers/magazines and certain leisure activities, including swimming and outings. Tablehurst Farm Cottage DS0000021383.V324110.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The reader should be aware that the Care Standards Act 2000 and Care Homes Regulations Act 2001, uses the term ‘service user’ to describe those living in care home settings. For the purpose of this report, those living at Tablehurst Farm will be referred to as ‘residents’, and the live-in carers as ‘houseparents’. This key unannounced inspection took place over four and a half hours in January 2007. It found that the majority of the National Minimum Standards that were assessed had been met or partially met and the overall quality of care provided was good. Service users spoken with during the inspection expressed satisfaction with the home, the staff and the service provided. The purpose of this inspection was to assess compliance with the requirements of the previous inspection and to generally monitor care practices at the home. The inspection included observation of working practices, examination of the home’s records, discussion with the registered manager of the home, the home’s house-parents and speaking individually with all three residents. The inspection also included a tour of the premises and the farm itself, whilst each resident agreed to show the Inspector their bedrooms. Responses from a CSCI service users’ survey, regarding their views on the home and quality of care provided, now form part of the inspection process and have also been included in this report. What the service does well: Tablehurst Farm Cottage offers residents and those who live and work there a unique experience of being part of a virtually self-sufficient organic farming community, that follows the guiding principles of Rudolf Steiner. The home is an integral part of this community and the focus remains very much on the ongoing care and support needs of the residents. The service provides residents with varied opportunities for personal development and social interaction, combined with a high level of care and appropriate support, within a safe yet stimulating environment. The cottage itself provides a homely setting that is well maintained and equipped to meet their needs. Residents are clearly included and directly involved in the running of the farm and the ethos of the home, whilst being supported to be part of the local community. The relaxed, homely and welcoming environment has evolved over several years and reflects the stability and commitment within the staff team, the Tablehurst Farm Cottage DS0000021383.V324110.R01.S.doc Version 5.2 Page 6 dedication and efficiency of the experienced registered manager and his open and inclusive management style. Through working closely, sensitively and consistently with residents, staff have developed a sound understanding of their individual care and support needs. Residents are encouraged and supported to make decisions about their lives and, where appropriate and practicable, they are involved and regularly consulted on many aspects of life in the home and wider community, including menu planning, colour schemes and their individual recreational and occupational opportunities. 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. Tablehurst Farm Cottage DS0000021383.V324110.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 Tablehurst Farm Cottage DS0000021383.V324110.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): 1, 2 & 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The thorough admission policy and procedure ensures that service users are admitted only on the basis of a full needs assessment, undertaken by people competent to do so. Prospective service users know that the home is able to meet their individual care and support needs. EVIDENCE: Information is available to prospective and existing service users in the from of a brochure, Statement of Purpose and Service User Guide, which have been thoughtfully produced to a satisfactory standard and are both comprehensive and informative. However it was noted that these documents are now in need of updating to ensure that they accurately reflect the current situation at the home. It is evident that there have been no admissions to Tablehurst Farm Cottage for over three years, however the manager confirmed that before someone is admitted to the home a thorough assessment is carried out to establish their individual care and support needs. In care plans that were examined there was documentary evidence of a completed social services care needs assessment Tablehurst Farm Cottage DS0000021383.V324110.R01.S.doc Version 5.2 Page 9 (SCA) that outlined the needs of the resident and detailed how such needs are to be met, in a structured and consistent manner. Having moved into the home, the manager confirmed that residents undergo a ‘flexible’ trial period, during which time their suitability and compatibility are assessed and it is established whether their identified care and support needs are able to be met. In line with many of the home’s policies and procedures, it is recommended that the admission policy and procedure, including the Statement of Purpose, be reviewed and updated. Tablehurst Farm Cottage DS0000021383.V324110.R01.S.doc Version 5.2 Page 10 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 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Comprehensive care plans enable staff to meet the assessed support needs of service users in a structured and consistent manner. Systems for consultation and participation are effective. Service users are treated with respect and encouraged and enabled to make decisions about their day-to-day living. EVIDENCE: Satisfactory care plans have been developed for each service user and are clearly and directly linked to the individual’s assessed needs. Plans examined were found to be accurate and generally well maintained. Clear documentary evidence was in place of residents or their relatives being given the opportunity to be more involved, as required, in developing or reviewing individual care plans. Tablehurst Farm Cottage DS0000021383.V324110.R01.S.doc Version 5.2 Page 11 It was noted that regular monitoring reviews are held to ensure that care plans reflect any changes in situation or circumstances. The house parents spoken with during the inspection also confirmed that the current and ongoing care and support needs of the residents are routinely discussed at their weekly meetings. Risk assessments for all three residents are in place relating to both when they are in the home or working on the farm. The risk assessments were seen to be comprehensive and robust and clearly detailed the nature of any risk, such as working with machinery and open fires and provided appropriate guidance for staff as to how such risks can be minimised. As part of their induction programme, the manager confirmed that all staff receive instruction on the principles of dignity and respect. This was evident, through discussion during the inspection, and from direct observation of staff interacting sensitively and professionally with residents. Tablehurst Farm Cottage DS0000021383.V324110.R01.S.doc Version 5.2 Page 12 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): 11, 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are enabled and supported to maintain contact with family and friends as they wish and effective links with the community enrich their social and occupational opportunities. Service users benefit from appropriate recreational and leisure activities and menus that are balanced and nutritious, reflecting their individual likes and preferences. EVIDENCE: Tablehurst Farm continues to place considerable importance on supporting the independent abilities of residents and all three residents are encouraged to engage in life skills development. This includes assisting with the preparation of all communal meals, making tea and coffee as and when they wish and most importantly working on the farm as part of the communal farm team. Tablehurst Farm Cottage DS0000021383.V324110.R01.S.doc Version 5.2 Page 13 All three residents are assisted to participate in most aspects of the day to day working of the farm are also supported to develop the jobs and activities they most enjoy and appreciate. From direct observation and through discussion with residents during the inspection it is evident that they are aware of their roles and responsibilities both in the home and out on the farm. They clearly enjoy the varied work they carry out on the farm and are proud of their achievements in gaining and developing practical skills and experience and of being part of the farms communal workforce. The farm also has a shop on site that sells it’s organic meat, poultry and produce that member’s of the public can buy from three times a week. Residents’ family links continue to be encouraged and supported. One of the house parents confirmed that, in accordance with the wishes of the residents, visitors to the home are welcome, at any reasonable time. However, they are asked to respect mealtimes. Residents may see friends or relatives in the lounge or in the privacy of their own room. Residents are provided with a varied, wholesome and nutritious diet. Lunchtimes are evidently very sociable events with many of the farm and shop workers eating together and enjoying the ‘home grown’ produce, prepared that morning by one of the residents and a member of staff, in the cottage. Positive comments received from residents during the inspection indicate a high level of satisfaction with the choice and standard of the meals provided: ‘The food here is very good and there is always plenty of it!’ Tablehurst Farm Cottage DS0000021383.V324110.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 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff have developed close and positive relationships with service users and demonstrate an awareness and sound understanding of their individual care and support needs. Service users are protected by clear and comprehensive policies and procedures in place for the control and safe administration of medication. EVIDENCE: In accordance with their personal care plan, residents are fully supported and enabled, as far as practicable, to exercise control over their lives and maintain maximum levels of independence and individuality. During the inspection, residents were observed being supported in a sensitive, professional and respectful manner by members of staff. Documentary evidence was in place to demonstrate that the health and emotional care needs of residents continue to be met within the home. Tablehurst Farm Cottage DS0000021383.V324110.R01.S.doc Version 5.2 Page 15 All residents are registered with local GPs and have access to other health care professionals, including district nurses, chiropodists and dentists, as required. It was noted, in care plans that were examined, that all appointments with, or visits by, health care professionals are recorded. Up to date and detailed policies and procedures relating to the control, storage, administration and recording of medication are in place. Medicines are stored and recorded satisfactorily. The manager confirmed that staff responsible for administering medication have received appropriate training and are individually assessed and authorised to do so. This was confirmed through discussions with staff and supported by training records examined. Tablehurst Farm Cottage DS0000021383.V324110.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 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The open and inclusive atmosphere and effective communication systems within the home enable service users, staff and visitors to feel able to express any concerns, confident that they will be listened to and acted upon. Service users are safeguarded from abuse through relevant staff training and robust policies and procedures. EVIDENCE: For the benefit of residents living in the home, a complaints procedure has been developed and is contained in the statement of purpose. However it was noted that there is no accessible copy of the policy and procedure for relatives or other visitors to the home. Close working relationships, effective and ongoing communication and consultation provide adequate opportunities for any concerns to be raised and discussed, before they become complaints. Residents and members of staff, spoken with during the inspection, confirmed that they would have no hesitation in speaking to the manager or making a complaint if necessary and each person was confident that they would be listened to. Tablehurst Farm Cottage DS0000021383.V324110.R01.S.doc Version 5.2 Page 17 Appropriate policies and procedures are in place relating to adult protection and abuse, including a whistle blowing policy. The procedures detail the actions that all staff must take if they have any concerns regarding the welfare of residents including neglect, harm or abuse. As part of their induction training, all staff in the home and those who work at the farm are expected to read and be fully aware of the home’s adult protection policies and procedures. This was supported by members of staff during the inspection and evidenced through individual training records. However in view of changes to legislation and following discussion with the manager and staff, it is recommended that relevant and up dated adult protection training be provided. Tablehurst Farm Cottage DS0000021383.V324110.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, 25, 26, 28 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is accessible, safe and clean and remains clearly suitable for it’s stated purpose. Service users benefit from pleasant accommodation that is comfortable, well maintained and generally decorated to a satisfactory standard. EVIDENCE: Other than routine redecoration and refurbishment, it is evident that there has been little change in the physical environment of the home since the previous inspection and the majority of standards remain satisfactory throughout. During my ‘guided tour’ of the premises, including residents’ accommodation and spacious communal areas, it was evident that the generally well Tablehurst Farm Cottage DS0000021383.V324110.R01.S.doc Version 5.2 Page 19 maintained décor and adequate furniture and furnishings continue to provide a comfortable, pleasant and homely environment for residents. The manager confirmed that independence and individuality continue to be promoted within the home and this is evident from the personalising of residents’ individual rooms, which clearly reflects individual tastes and interests. There is currently no programme of routine maintenance, refurbishment and renewal is in place. A house parent confirmed that any redecorating work is carried out as necessary. However, it was noted that some of the paintwork, including on certain radiators throughout the home, is beginning to look tired and neglected. Infection control procedures are in place and levels of cleanliness remain satisfactory throughout. Tablehurst Farm Cottage DS0000021383.V324110.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 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected and benefit from the home’s recruitment policy and procedures and from sufficient trained, competent and appropriately supervised staff on duty at all times to meet their assessed care and support needs. EVIDENCE: Both house-parents have experience of caring for and supporting vulnerable people and are currently studying for the National Vocational Award (NVQ) level 2 in Care, which they are hoping to complete in the near future. They have also both undertaken training in food hygiene, first aid and health and safety. It was evident from discussion with residents and from direct observation during the inspection that staff work very closely with residents and have developed close and positive relationships, awareness and sound understanding of their individual care and support needs. Tablehurst Farm Cottage DS0000021383.V324110.R01.S.doc Version 5.2 Page 21 The manager is clearly aware of the need for thorough and robust recruitment procedures, to ensure the protection of service users. Individual files that were examined, relating to recently appointed members of staff, were found to be well maintained, containing all relevant and necessary information, including two satisfactory references, proof of identity and satisfactory Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures. Tablehurst Farm Cottage DS0000021383.V324110.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, 38, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from effective management, comprehensive quality monitoring systems and are protected by satisfactory health and safety checks and guidelines and efficient record keeping. EVIDENCE: From direct observation and through discussions with residents and members of staff, it is evident that the manager continues to demonstrate a clear sense of leadership and direction. He is clearly motivated, positive and approachable and continues to create an open and inclusive atmosphere within the home. Tablehurst Farm Cottage DS0000021383.V324110.R01.S.doc Version 5.2 Page 23 The home continues to operate effective quality monitoring systems, including regular satisfaction questionnaires for both residents and their relatives. Positive comments received from the last survey indicate a high level of satisfaction with the home and the care services provided: ‘I am very satisfied with the way …… is cared for at Tablehurst Farm Cottage. He seems very settled and content. Long may it continue!’ ‘……is much more outgoing and happy with the new care staff in the home and is it noted that he has more family life’. ‘Thank you for looking after …… so well’. The manager confirmed that the health, safety and welfare of residents and staff remains of paramount importance within the home. Staff training is provided in many aspects of safe working practices, including moving and handling; food hygiene; fire safety and first aid. All staff training is recorded. COSHH assessments and guidelines are in place. Regular fire drills are undertaken and recorded. Temperature regulators are fitted to all hot water outlets, accessible to service users. All accidents, incidents and injuries are recorded and generally reported, as required. Tablehurst Farm Cottage DS0000021383.V324110.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 2 2 3 3 3 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 2 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 X 28 3 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 3 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 3 X 3 3 3 X X 3 X Tablehurst Farm Cottage DS0000021383.V324110.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA1 Regulation 6 (a) Requirement Timescale for action 31/03/07 2. YA23 13 (6) It is required that all information made available to prospective residents and their relatives, including the Statement of Purpose and Service User Guide, be accurate and up to date. It is required that 31/03/07 residents be protected from potential abuse by appropriate staff training and relevant and up to date policies and procedures. 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 YA24 Good Practice Recommendations It is recommended that the repainting or upgrading of the radiators be included in the ongoing maintenance programme for the home. Tablehurst Farm Cottage DS0000021383.V324110.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Tablehurst Farm Cottage DS0000021383.V324110.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. 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