Inspection on 16/08/05 for Tablehurst Farm Cottage

This inspection was carried out on 16th August 2005.

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 13 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Tablehurst Farm Cottage 11/01/07

Tablehurst Farm Cottage 15/03/06

Tablehurst Farm Cottage 18/01/05

Tablehurst Farm Cottage 09/08/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Tablehurst Farm Cottage Tablehurst Farm Forest Row East Sussex RH18 5DP Lead Inspector Niki Palmer Unannounced 16/17 August 2005 10:45 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Tablehurst Farm Cottage H59-H10 S21383 Tablehurst Farm V237846 160805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Tablehurst Farm Cottage Address Tablehurst Farm Forest Row East Sussex RH18 5DP 01342 823536 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Tablehurst Farm Ltd Mr Peter Brown & Mrs Brigitte Brown Care Home (CRH) 3 Category(ies) of Learning Disability (LD), 3 registration, with number of places Tablehurst Farm Cottage H59-H10 S21383 Tablehurst Farm V237846 160805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The maximum number of residents to be accommodated is three. 2. The residents accommodated will be adults between the ages of 18 and 65 years on admission. 3. Only residents with learning disabilities will be accommodated. Date of last inspection 18 January 2005 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 400 acres. There is a 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 live 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. Tablehurst Farm Cottage H59-H10 S21383 Tablehurst Farm V237846 160805 Stage 4.doc Version 1.40 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 unannounced inspection took place over a Tuesday and Wednesday and lasted approximately five hours. The inspection began with discussions with the owners of the home in respect of progress made since the last inspection, followed by the examination of some of the home’s administration systems, care plans, recruitment procedures and medication practices. In order to gather evidence on how the home is performing, individual discussions took place with three residents, and one visitor to the home. In addition four care staff were spoken with. The home is currently occupied by three gentlemen. What the service does well: What has improved since the last inspection? What they could do better: Two matters of serious concern were identified during this inspection relating to the home’s recruitment procedures and medication practices. Immediate requirements for improvement were issued on the day of inspection. The home has been asked to reply in writing to the Commission for Social Care Inspection how these concerns have been appropriately dealt with. In order to ensure the safety and well-being of residents, the home must ensure that risk assessments are completed for all activities on the farm and implement clear procedures for staff to follow in the event of suspecting abuse. Tablehurst Farm Cottage H59-H10 S21383 Tablehurst Farm V237846 160805 Stage 4.doc Version 1.40 Page 6 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. Tablehurst Farm Cottage H59-H10 S21383 Tablehurst Farm V237846 160805 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Tablehurst Farm Cottage H59-H10 S21383 Tablehurst Farm V237846 160805 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4 and 5. Sufficient information and trial visits are provided to prospective residents and their relatives in order to help them make a decision of where to live. EVIDENCE: Tablehurst Farm has a combined Statement of Purpose and Service Users’ Guide in place, which were last updated in March 2005. It outlines the home’s overall aims and objectives, philosophy of care, the accommodation provided, details of staff members and a copy of the home’s complaints procedure. It is written in a user-friendly language that is easy for residents to understand. The current residents have lived at the home over a number of years. Detailed records were seen on the day of inspection that their needs had been assessed by the home alongside the individual, their relatives and Social Worker prior to admission. All of the residents spoken with and one of the visitors stated that they had the opportunity to visit the home on an informal basis before deciding to move in permanently. This gave them the opportunity to meet with the houseparents, have a look around the home and the extensive farm to see whether the ethos of Tablehurst Farm would meet their needs and aspirations. A trial period of up to two weeks is offered by the home. A review then takes place after three months, to ensure that the individual, their relatives, and the houseparents feel that the placement is suitable. Each of the residents have a terms and conditions of contract, a copy of which is in the home’s Statement of Purpose and Service Users’ Guide. Tablehurst Farm Cottage H59-H10 S21383 Tablehurst Farm V237846 160805 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8 and 9. Residents are supported by the home to make individual choices regarding many aspects of their lives, however the home needs to ensure that these choices are risk assessed in order to safeguard them from harm. EVIDENCE: Two individual plans of care were seen during the inspection, both of which were found to contain detailed information relating to all aspects of daily living. The plans of care are divided into sections such as healthcare, daily life and social activities, incidents/accidents, dietary needs and personal care. It was noted however, that behavioural guidelines were not in place for one of the residents accommodated, who at times may require additional support. It was evident throughout the inspection that all of the residents are supported to make decisions about their lives. For example, holidays, leisure activities, jobs on the farm and the running of the home. They are supported to attend weekly meetings and share their views with regard to the running of the home and farm. The vast majority of the jobs on the farm contain an element of risk. The National Farmers Union (NFU) carries out regular risk assessments of the farm alongside the owners of the home. It was concerning to note that individual risk assessments had not been completed for each of the residents with regard to their particular jobs. This was discussed in detail and a requirement made. Tablehurst Farm Cottage H59-H10 S21383 Tablehurst Farm V237846 160805 Stage 4.doc Version 1.40 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15 and 17. Tablehurst Farm provides residents with an exceptional and varied lifestyle to meet individual needs. EVIDENCE: Each of the residents has a variety of opportunities to maintain and develop social and independent skills. For example one of the residents has recently learned to use machinery on the farm to weigh and bag up animal feed, whilst others carry out jobs on the farm such as weeding in the polytunnels, looking after the animals, preparing vegetables and harvesting, depending on the season and the jobs that need to be done. In the home, residents are encouraged to help with different household chores such as cleaning, tidying and washing up. The farm shop is open to the public, therefore the residents are in contact with a variety of different people on a daily basis, many of which are regular customers and known to the residents and staff. One of the residents said that he visits a nearby residential home based on the same ethos as Tablehurst Farm. This allows him to integrate with other people and maintain and develop friendships. Tablehurst Farm Cottage H59-H10 S21383 Tablehurst Farm V237846 160805 Stage 4.doc Version 1.40 Page 11 Residents are supported to go shopping, deliver fruit and vegetables in the local village, swimming, the cinema and other amenities close by. On the day of the inspection, one of the residents was going to stay with a relative, whilst the other two were taken to the beach for the afternoon. All of the residents, staff and one of the relatives spoken confirmed that visitors are always made welcome to the home, however due to the busy dayto-day lifestyles of the residents, they are not always at the cottage when visitors may arrive. Tablehurst Farm provides three well-balanced and nutritious meals daily. The vast majority of meat and vegetables served are produce of the farm. Residents are encouraged and supported to help with the preparation of food. All staff working on the farm and the residents meet together for lunch in the new kitchen that has recently been built on the farm, whilst a light supper is prepared in the comfort of the cottage. Residents spoken with said that mealtimes are a relaxed, enjoyable and sociable experience. Tablehurst Farm Cottage H59-H10 S21383 Tablehurst Farm V237846 160805 Stage 4.doc Version 1.40 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19, 20 and 21. There is evidence that residents’ personal and physical healthcare needs are met by the home. The systems for the administration of medication are poor and potentially place residents at risk. EVIDENCE: Each of the residents are reasonably independent and are able to advocate the way in which they would prefer their personal care needs to be met. This was confirmed by residents, houseparents and detailed within individual plans of care. Each of the residents are registered with a local General Practitioner in the local village and there was clear written evidence within their plans of care that healthcare advice is sought when needed. A recommendation has been made in respect of the home seeking specialist support from the local Community Learning Disability Team with regards to meeting residents’ emotional needs. None of the residents living at Tablehurst Farm have been prescribed any medication until recently. Although the home has a written medication policy in place, it was concerning to note that there were no written records maintained in respect of medicines received, administered, leaving the home or returned to the pharmacy. An immediate requirement was issued. The care of a resident who is unwell, dying and their personal wishes following death were discussed in detail on the day of inspection. Tablehurst Farm Cottage H59-H10 S21383 Tablehurst Farm V237846 160805 Stage 4.doc Version 1.40 Page 13 Although the home does have a policy in place regarding the dying and death of residents, this needs to be updated to include details of what the home’s capacity is to care for someone who is unwell. The owners have experienced some difficulty in determining the wishes of the residents in respect of illness, dying and death, due to their level of ability, understanding and the sensitivity of the issue. The home is required to address these concerns within the homes policies and procedures with regards to the home’s capabilities and limitations. In addition the home is required to liaise with residents and their relatives regarding their personal wishes and preferences in the event of becoming unwell and the procedures that are to be followed after death. Tablehurst Farm Cottage H59-H10 S21383 Tablehurst Farm V237846 160805 Stage 4.doc Version 1.40 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23. The home has adequate systems in place to ensure that complaints will be dealt with appropriately, however the home needs to ensure that written policies and procedures are in place for the protection of vulnerable adults. EVIDENCE: Tablehurst Farm has a detailed complaints procedure in place within the home. Residents and visitors to the home confirmed that should they have any concerns regarding any aspect of the home, they would (and have done in the past) address them immediately with the houseparents or Registered Manager of the home. It is required that a record of all verbal complaints received by the home are recorded, including the action that was taken to address the concern and the timescale in which it was dealt with. It is an outstanding requirement from the previous inspection report that the home updates its procedures for the Protection of Vulnerable Adults in accordance with local multi-agency guidelines to show that Social Services are now the lead agency in all adult protection investigations. It is also required that all staff employed by the home are aware of and receive training in the procedures that are to be followed in the event of suspecting abuse. Tablehurst Farm Cottage H59-H10 S21383 Tablehurst Farm V237846 160805 Stage 4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 27 and 30. Tablehurst Farm Cottage provides residents with an attractive, clean and homely place to live. EVIDENCE: Tablehurst Farm Cottage is well-presented and maintained property throughout. The kitchen area is clean and homely with a large pine dining table for the residents and houseparents to use. The lounge area has comfortable sofas and chairs, a smaller table and a television. Each of the residents have their own rooms, which are furnished to their own personal preferences. Residents’ hand painted and drawn pictures are on display on the walls in their own bedrooms and communal areas. The home has one main bathroom with a bath, shower and toilet, which is situated upstairs. The houseparents have a private bathroom to use also on the first floor. There is an additional toilet on the ground floor. Hand basins are fitted in the two ground floor bedrooms. There is a separate laundry area also situated on the ground floor. Residents are encouraged to help keep the home clean and tidy. Tablehurst Farm Cottage H59-H10 S21383 Tablehurst Farm V237846 160805 Stage 4.doc Version 1.40 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33 and 34. Residents are supported by a varied team of skilful workers, however the home’s practices for the recruitment of staff place residents at risk. EVIDENCE: A number of different people are employed by Tablehurst Farm to work on the farm and support the residents. Each have their own job descriptions, a sample of which were seen on the day of inspection. Overseas apprentices are appointed to learn different farming skills, often over a period of several months. A long-term family who were the previous houseparents, left the farm in January 2005. Since this time the owners’ son and partner have been living in the cottage to support the residents in the interim. It was evident during the inspection that the residents have developed a good relationship with the current houseparents. It is anticipated that an experienced staff member will apply in due course to become the main houseparent on a full-time basis. It was a major concern to note that on the first day of the inspection a volunteer was living within the cottage alongside the residents to cover holiday. As they were not employed by the farm on a formal basis, none of the pre-employment checks (application form, written references, Criminal Record Bureau or POVA First etc.) had been carried out to ensure the safety of residents. An immediate requirement was issued. Tablehurst Farm Cottage H59-H10 S21383 Tablehurst Farm V237846 160805 Stage 4.doc Version 1.40 Page 17 In addition, not all of the recruitment files contained a current photograph of staff members, or details of their status to work in the United Kingdom. This was discussed in detailed with the Registered Manager of the home. Tablehurst Farm Cottage H59-H10 S21383 Tablehurst Farm V237846 160805 Stage 4.doc Version 1.40 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 and 42. The systems in place for feedback from residents, their relatives and other visitors to the home need to be improved to ensure that the home is run in the best interests of the residents. EVIDENCE: It was evident throughout the inspection that residents’ views and opinions are of paramount importance to the home, although this tends to happen on an informal basis. It is an outstanding requirement from the previous inspection report that the home implement formal procedures to seek the views of residents, their families and other visitors to the home in order to measure the success of the care provided at the home. Detailed discussions took place with the Registered Manager of the home in respect of this. Since the last inspection, monthly records of hot water temperatures are now recorded and stored within the home. In addition records show that fire drills and tests are carried out regularly by the houseparent. A requirement has been made for the home to ensure that maintenance records and certificates for the home’s wood fired boiler and other electrical equipment are stored within the home and made available for inspection. Tablehurst Farm Cottage H59-H10 S21383 Tablehurst Farm V237846 160805 Stage 4.doc Version 1.40 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 2 1 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 2 1 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x 3 x x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 x 3 Standard No 31 32 33 34 35 36 Score 3 x 3 1 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Tablehurst Farm Cottage Score 3 3 1 2 Standard No 37 38 39 40 41 42 43 Score x x 2 x x 2 x H59-H10 S21383 Tablehurst Farm V237846 160805 Stage 4.doc Version 1.40 Page 20 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA6 Regulation 15(1) Requirement Timescale for action 16/10/05 2. YA9 3. YA20 4. YA20 5. YA20 It is required that care plans are updated to include any behaviour management guidelines. 13(4)(a-c) It is required that written risk assessments are carried out for each of the residents with regards to their specific jobs on the farm. These must identify any potential risks and the action that is to taken to reduce the risk(s) to ensure personal safety. 13(2) It is required that the home 17(1)(a) maintain a written record of all Schedule medicines received and leaving 3(k) the home [IMMEDIATE REQUIREMENT]. 13(2) It is required that written records 17(1)(a) are kept of all medicines Schedule administered, including the date, 3(k) time, dose and signature of the person administering [IMMEDIATE REQUIREMENT]. 13(2) It is required that the home 17(1)(a) maintain clear records of all Schedule medicines disposed of and 3(k) returned to the pharmacy [IMMEDIATE REQUIREMENT]. 16/11/05 16/08/05 16/08/05 16/08/05 Tablehurst Farm Cottage H59-H10 S21383 Tablehurst Farm V237846 160805 Stage 4.doc Version 1.40 Page 21 6. YA21 12(2)(3) 7. YA21 15(1) 8. YA22 22(3) 9. YA23 12(1)(a) 13(6) 10. YA23 13(6) 11. YA34 19 Schedule2 It is required that the home update and amend its policy regarding the care of a resident who is unwell, dying and the procedures that are to be followed after death. Where there is difficulty in assessing residents wishes in respect of dying and death, family members/significant others or an independent advocate should be consulted. It is required that a written record is kept of any verbal complaints received by the home. This should include the action that was taken to address the concern and the timescale in which the complaint was dealt with. It is required that the home amend its adult protection procedure to state that Social Services are now the lead agency in all adult protection investigations. Contact details of the local agency must be included [THIS IS OUTSTANDING FROM THE PREVIOUS INSPECTION REPORT] It is required that all staff are aware of the homes procedures and receive training in the protection of vulnerable adults [THIS IS OUTSTANDING FROM THE PREVIOUS INSPECTION REPORT] It is required that no member of staff is employed to work at the home prior to a thorough recruitment process as detailed under Schedule 2 of the Regulations [IMMEDIATE REQUIREMENT ISSUED]. 16/11/05 16/11/05 16/08/05 16/10/05 16/10/05 16/08/05 Tablehurst Farm Cottage H59-H10 S21383 Tablehurst Farm V237846 160805 Stage 4.doc Version 1.40 Page 22 12. YA39 24(1)(a) (b) 13. YA42 13(4)(6) It is required that the home 16/10/05 introduce a system for reviewing and improving the quality of care in the home. This could be achieved in part through the use of resident/relatives/staff questionnaires [THIS IS OUTSTANDING FROM THE PREVIOUS INSPECTION REPORT] It is required that the home keep 16/10/05 records of the maintenance of equipment. These must be available for inspection. 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 YA19 Good Practice Recommendations That specialist advice is sought from the local Community Learning Disability Team to ensure that the emotional needs of residents are met. Tablehurst Farm Cottage H59-H10 S21383 Tablehurst Farm V237846 160805 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Tablehurst Farm Cottage H59-H10 S21383 Tablehurst Farm V237846 160805 Stage 4.doc Version 1.40 Page 24 - 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. 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