Inspection on 25/07/08 for The Barn Heath Farm

This inspection was carried out on 25th July 2008.

CSCI found this care home to be providing an Good service.

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

Other inspections for this house

The Barn Heath Farm 02/08/06

The Barn Heath Farm 08/12/05

The Barn Heath Farm 20/06/05

The Barn Heath Farm 18/11/04

The Barn Heath Farm 14/06/04

The Barn Heath Farm 04/03/04

The Barn Heath Farm 24/09/03

The Barn Heath Farm 04/12/02

Extracts from inspection reports are licensed from CQC, this page was updated on 09/11/2008.

CARE HOME ADULTS 18-65 The Barn Heath Farm Heath Road Scopwick Lincoln LN4 3JD Lead Inspector Wendy Taylor Unannounced Inspection 25th July 2008 09:30 The Barn Heath Farm DS0000002370.V368937.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 The Barn Heath Farm DS0000002370.V368937.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. The Barn Heath Farm DS0000002370.V368937.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Barn Heath Farm Address Heath Road Scopwick Lincoln LN4 3JD 01526 320312 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) cathpartington@autismcare.co.uk autismcareuk.com Autism Care (UK) Limited Alix Lisa Shinkins Care Home 11 Category(ies) of Learning disability (11) registration, with number of places The Barn Heath Farm DS0000002370.V368937.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care Home - Code PC to people of the following gender: Either whose primary care needs on admission to the home are within the following categories: 2. Learning disability LD. The maximum number of people who can be accommodated is 11. Date of last inspection 2nd August 2006 Brief Description of the Service: The Barn is located near to the village of Scopwick, and is approximately 10 miles from the town of Sleaford, Lincolnshire. It is part of a complex of services, which include three other registered homes and a main administration centre on the same site. In the village of Scopwick there is a village shop and pub, and nearby Sleaford offers a good range of shops and other amenities. The Barn was previously registered as a part of a wider complex of services, but has now become registered as a separate service. It is registered for 11 people who have Autistic Spectrum Disorder and a learning disability. The accommodation is a spacious two-storey building, which offers a range of living and recreational areas. The Barn is owned by Autism Care (UK), and the Responsible Individual for the service is Mrs Maggie Sykes. Alix Shinkins is the Registered Manager. The Registered Manager told us that the current fees for the service range from £2101.70 per week to £6616.48 per week. Information about these costs and the day-to-day operation of the home, including a copy of the last inspection report, is available from the main office of the home. The Barn Heath Farm DS0000002370.V368937.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 stars. This means that the people who live at the home receive good quality outcomes. This key unannounced inspection took place on one day in July 2008 and lasted for approximately 8 hours. The care and support received by three people who live at the home was followed in detail, using a method called ‘case tracking’. This method involved talking to the people and observing the care and support they receive. People were not always able to tell us their views and opinions, so we used lots of other ways to get the information. We looked at care plans and general records in the home, we spoke to staff, we sent questionnaires to people who live there, their relatives and staff, and we looked around the building and gardens. We also used information that we already had, such as a selfassessment completed by the manager. Comments that were made by people who live there, their relatives and staff are contained in the body of the report. What the service does well: What has improved since the last inspection? Since the last inspection visit the home have made a number of improvements to the way they support people who live there. For example, menus change more often so that more choices can be offered. People who live at the home now have more individual activities and time with staff, and the manager told us that there is more opportunity for them to use local community facilities than there has been in the past. Care plan files have been improved by putting information into clear sections so that the information is easier to find and use, and staff now have more frequent supervision sessions. The Barn Heath Farm DS0000002370.V368937.R01.S.doc Version 5.2 Page 6 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. The Barn Heath Farm DS0000002370.V368937.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 The Barn Heath Farm DS0000002370.V368937.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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. People have enough information to decide where they want to live, and the assessment process tells them that their needs and wishes can be met. EVIDENCE: All of the files we looked at had a service user guide in them. The service user guide has photographs in it as well as written information so that everyone can use it. There is also a statement of purpose in the office that people can look at. The people who live at the home told us, through surveys and by talking to them, that they had been given a choice to come and live at the home, and they had been given enough information to make their choice. One person said that they had met with staff before moving in. We saw that contracts and the terms and conditions for the placement are kept in people’s personal files. Everyone who lives at the home helps to complete an assessment before they move in. The assessment is specially designed for people who have autism, and looks at all of their needs such as health, personal care, communication and education. There is a lot of information about each person’s needs and everyone who is important in their life is able to take part in the assessment. Things like people’s religion and culture are also looked so that staff can make The Barn Heath Farm DS0000002370.V368937.R01.S.doc Version 5.2 Page 9 sure that these needs are met. We saw that risk assessments are carried out during the assessment (see Standards 6-10), and the people who pay for the placement give the home a care plan so that they can see what they should be providing for the person. The Barn Heath Farm DS0000002370.V368937.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. People can make choices and decisions about their daily life, and they have respectful and individualised support from staff who understand their needs. EVIDENCE: Everyone who lives at the home has a care plan. The care plans give staff lots of detail about how to support a person with needs like communication, diet, finance, socialising, motivation, and life skills. The plans also show staff how to support students with behaviour needs in a very positive way. There is clear information about how staff should use physical support methods with individual people. A report is made each time that physical support is used so that staff can show that they have used the methods correctly. Because there is a lot of information in the care plans, each personal file has been separated into clear sections so that the information is easier to find. The plans also tell staff how the person makes decisions, and when they need help to do this. People told us that they could make choices and decisions for themselves The Barn Heath Farm DS0000002370.V368937.R01.S.doc Version 5.2 Page 11 about what they want to do, and how they want staff to help them. They also made comments like ‘staff treat us very well’, and ‘staff listen to what we have to say’. Some people have a person centred plan as well as a care plan, which is all about their wishes and what they want to do in the future. The manager told us that that there are specially trained staff to help people make their own person centred plan, and everyone who lives at the home will be helped to do this. The care plans show that people are supported to be as independent as they can be, and there are risk assessments to help them stay safe with things like travelling, fire safety, and road safety. A recommendation was made at the previous inspection for risk assessments to cross reference with care plans, and this has now been done. Records showed us that care plans are reviewed at least once every 3 months, and then yearly with everyone involved in the person’s life. There are lots of details written down about the yearly reviews, but we suggested that there is more information written down about the 3 monthly reviews so that any changes to the plans can be clearly seen. People who live at the home told us that that they are involved in planning and reviewing their care, and records of the review meetings show that they attend. As well as talking to each other, we saw staff and the people who live at the home using different ways to communicate, such as sign language, body language, and pictures. We also saw that staff worked in a calm and respectful way, and followed the instructions in people’s care plans. Staff showed us that they know the people who live in the home very well, including what their likes, dislikes and preferences are. They offered clear choices to people who live there, and asked for their opinions about things. Information that we had before we visited told us that there are policies in place about how people’ should be supported with their privacy, dignity, choice and independence. Rotas show that staff are allocated to work with the same person during a shift so that the person has consistency. The Barn Heath Farm DS0000002370.V368937.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): 12, 13, 14, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People can choose from a range of social and learning opportunities, which help them to live a fulfilling life. EVIDENCE: During the visit, people who live at the home were joining in with activities such as going swimming or shopping, playing football, doing their laundry, and preparing foods. One person was being supported to visit their family for a weekend. The manager told us that there is a policy about how to help people stay in contact with family and friends, and care plans give clear instructions about how each person likes to do this. Each person has their own activity plan, which show that they do things like bowling, swimming, pub visits, walks, drama sessions, horse riding, cinema visits, and they can have aromatherapy. A family member said that there is a ‘good social life’ at the home. Picture cards are used to help people understand their daily routines The Barn Heath Farm DS0000002370.V368937.R01.S.doc Version 5.2 Page 13 and schedules, and people told us that they could choose what activities they like to do. The manager told us that they have developed links with the local university so that people can take courses to help them develop skills. We saw staff showing respect and understanding towards people’s chosen lifestyles and differing needs, and the staff helped the inspector to respond in the ways that people preferred. Although there is information in personal files about people’s religious needs, care plans did not give clear information about how some of those needs should be supported (see Standards 18-21). People told us that they like the food that they have at the home, and they can make a choice of what they want to eat. They said that they take turns to go to the local supermarket to buy the food, and they can have a barbeque or eat out if they want. There are planned menus available, and the manager told us that they change more frequently than they used to, so that more choice can be offered. The Barn Heath Farm DS0000002370.V368937.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. People have good access to health services, and medication arrangements are clear and well managed. EVIDENCE: Each person has a care plan, which shows how they are to be supported with their health and personal care needs. There are records to show when a person has visited a health professional such as their GP or their dentist, and they also show that people are able to see other health professionals such as opticians, or psychiatrists. We saw that when people were supported with their personal needs, staff made sure that their privacy was maintained. There is generally a lot of detail in the care plans, but one plan was not clear about how to meet medical needs in line with the person’s other needs. This information was available elsewhere in the file, and the manager made sure that the care plan was updated during the visit. The Barn Heath Farm DS0000002370.V368937.R01.S.doc Version 5.2 Page 15 We carried out an inspection visit in January 2008 to look at medication arrangements within the home. We did this because a safeguarding adults investigation by police and the local authority showed that in 2006, a person who lived at the home died. The inspection showed that medication was generally well managed at the time of the visit, but we made some recommendations that would help to improve things. During this inspection visit we found that the manager had put those recommendations into practice. We said that they should know what the temperature is in the room where medication is kept so that they can make sure the room does not get too hot or cold. There is now a thermometer in the room so this can be done. We said that care plans should have up to date information about medication in them, especially those that are only used when required. The care plans we looked at during this visit did have up to date information about medication, including side effects and instructions for medication given only when required. There were also risk assessments for administering some medicines. We saw that staff followed the instructions when they gave out every day medication and those that are only used when required. They also followed the set procedures when, for example, a tablet was dropped on the floor. This procedure included reporting, and re ordering new tablets straight away. The records for administration of medication were filled in properly, and we saw staff following the set procedures for leave medication. The manager told us that the local pharmacy had carried out a routine inspection of the medication arrangements in April 2008, but they did not have a report from the visit as yet. She said that as far as she was aware they had not found anything wrong with the medication arrangements in the home. We could see from records that there are also regular medication audits carried out by staff at the home. The Barn Heath Farm DS0000002370.V368937.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. People are protected by the home’s procedures for handling complaints and allegations of abuse, and they are confident that their complaints or concerns will be taken seriously. EVIDENCE: There have been three referrals made to the local authority Safeguarding Adults team since the last inspection (see also Standards 18-21). All of the referrals were substantiated, and records show that staff took the right action to report and manage the situations. When we spoke to staff they were able to demonstrate that they knew what abuse is and how to protect people who live at the home. Records show that they also have training about the subject. There is an up to date copy of the local authority guidelines on safeguarding people in the main office of the home, but some staff did not know what the guidelines contained. Information the home sent us before we visited told us that there are other policies in place to help protect people such as accidents/incidents, confidentiality, whistle blowing, and complaints. Records show that no complaints have been made about the home since the last inspection. During the visit, some people who live there told us that they know how to make a complaint or raise a concern if they need to, and they told us that they feel safe living there. They also said that staff listen to what they have to say and act upon it. Other people told us the same in the surveys that they sent to us. The Barn Heath Farm DS0000002370.V368937.R01.S.doc Version 5.2 Page 17 Most relatives told us through surveys that the home deals very well with any concerns they might have, but one relative said they did not respond quickly enough. We talked about this with the manager, who said she would look at ways to improve communication with the relative. Staff help the people who live the home to manage their spending money. The money is kept in a safe in the main office and only senior staff can get into the safe. They keep records and receipts to show how the money has been spent, and on the day of the visit the amount of money kept in the safe matched what was shown in the records. The Barn Heath Farm DS0000002370.V368937.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, 30 Quality in this outcome area is, good, This judgement has been made using available evidence including a visit to this service. People live in a safe and comfortable home, which meets their needs. EVIDENCE: On the day of the visit the most of the home was clean and tidy. There was an unpleasant smell in one part of the home, and the manager told us that although this area is cleaned regularly they have arranged for new flooring to be put down, as this is the cause of the smell. People who live there told us that they help to do housework, and keep their bedrooms tidy. They told us that they like their bedrooms, and could choose how they were decorated. We saw that they had all of the things they wanted in their rooms, and they could use the space as they wished. Other areas of the home, although decorated and furnished in a basic way, met the needs of the people who live there. Information we received before the visit told us that furniture is being replaced with more specialist makes so that it lasts longer. The Barn Heath Farm DS0000002370.V368937.R01.S.doc Version 5.2 Page 19 The manager also told us about the plans to divide the home into two smaller areas in the near future so that it will be more homely for people to live in, and people with similar needs can live together. The people who live there know all about these plans, when they are going to happen, and where they were going to stay when the work is carried out. Records showed us that maintenance work is up to date, and there is a team of people who are always around to carry out maintenance and repair work. We saw that chemicals that could cause harm to people are stored safely in a locked cupboard, and there are risk assessments to tell people how to use them safely. There are also risk assessments for things like fire safety, burns, poisoning, traffic accidents, and using garden equipment. We know from records that all of the staff have had training about controlling the risk of infections, and there is a policy about the subject. There are also notices around the home to remind people to wash their hands properly. The Barn Heath Farm DS0000002370.V368937.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, 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are protected by recruitment arrangements and a well trained and supported staff team. EVIDENCE: We looked at the recruitment records for three staff. They included things like application forms, two written references, criminal record bureau checks, and identification. Other staff records showed us that they have training in lots of subjects such as epilepsy awareness, autism awareness, physical support, medication administration, and behaviour management. Team leaders hold sessions about how to support people who live at the home with their individual needs, and there is also training for subjects like first aid, health and safety, fire safety, and new laws that can help people who live at the home. Staff told us that they have good training, and it helps them to understand people’s needs. They said that this also includes the training they get when they start work at the home. Information we received before the visit told us that all of the staff have a nationally recognised care qualification, and that there are plans to train staff The Barn Heath Farm DS0000002370.V368937.R01.S.doc Version 5.2 Page 21 in things like aromatherapy so that they can improve the support that they can offer to people. Relatives made comments in surveys such as ‘staff have better skills that we expected’, and ‘staff are very kind and caring’. People who live at the home told us that they like the staff. Staff told us that they get regular supervision, and they can talk about things like their training needs and any concerns they might have. We saw some records of supervision sessions, but there was not a clear system for keeping the records, and they were not all kept in the same place. Rotas show that there are satisfactory numbers of staff on duty, and people who live there can have time on their own with staff. Rotas also show that there is a manager available at all times to support staff. The Barn Heath Farm DS0000002370.V368937.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed, and systems protect the health, welfare and safety of the people who live there. EVIDENCE: Since the last inspection a new manager has started work at the home. She has worked for the provider company for the last ten years, and she has qualifications in health and social care, supporting people with autism, and managing care services. Staff and relatives told us that they have a good relationship with the manager, and she showed us that she has a good knowledge of people’s needs within the home. She also told us that that they were assessed by a national organisation for people with autism needs in November 2007, and they kept up their accreditation with them. The Barn Heath Farm DS0000002370.V368937.R01.S.doc Version 5.2 Page 23 Staff said that they have regular meetings, and records show us that they use the meetings to discuss things like key working responsibilities, work planned for the home, people’s individual needs, and health and safety issues. Our records show that the manager keeps us informed of anything that happens within the home that might affect the health, safety or welfare of the people who live there. For example if someone hurts themselves, or they have to go to hospital. Information we received before the visit told us that there are policies about health and safety such as moving and handling, and fire safety. It told us that policies are updated, for example in 2008 they have updated the whistle blowing, training, and medication polices. Records are also available to show that fire safety equipment is checked regularly. The home regularly looks at the quality of the service it provides to people. They do this by carrying out surveys to get the views of people who live there, and their relatives. A manager from the provider company visits the home regularly and makes a report about things like fire safety records, care plans, risk assessments, staff training records/levels, and health and safety issues. The report tells the manager what she needs to do to improve things, and this is then checked at the next visit. The manager also carried out regular checks for things like diet records, complaints records, physical support records, and activity programmes. The Barn Heath Farm DS0000002370.V368937.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 3 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 x 3 X X 3 X The Barn Heath Farm DS0000002370.V368937.R01.S.doc Version 5.2 Page 25 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA6 YA23 Good Practice Recommendations It is recommended that more information be written down about in-house care plan reviews. This is so that any changes to the care plan can be clearly seen and followed. It is recommended that all staff become familiar with the local authority guidelines regarding safeguarding adults. This is so that they understand the procedures and are better able to protect people who live at the home. It is recommended that a more consistent system for recording and storing staff supervision records be developed. This is so the home can demonstrate that staff receive regular supervision, and information can be found more easily. 3 YA36 The Barn Heath Farm DS0000002370.V368937.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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. 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