Inspection on 15/05/07 for The Farmhouse

This inspection was carried out on 15th May 2007.

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

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

Other inspections for this house

The Farmhouse 20/01/06

The Farmhouse 17/05/05

The Farmhouse 03/11/04

The Farmhouse 05/06/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 The Farmhouse Ravenswood Village, Nine Mile Ride Crowthorne Wokingham Berkshire RG45 6BQ Lead Inspector Kerry Kingston Unannounced Inspection 15 May 2007 11:30 The Farmhouse DS0000011406.V330820.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 Farmhouse DS0000011406.V330820.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 Farmhouse DS0000011406.V330820.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Farmhouse Address Ravenswood Village, Nine Mile Ride Crowthorne Wokingham Berkshire RG45 6BQ 01344 755533 01344 773174 farmhouse@norwood.org.uk bucketsandspades@norwood.org.uk Norwood Ravenswood Ltd T/A Norwood 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) Mrs Alicia Anne Dennis Care Home 8 Category(ies) of Learning disability (7), Learning disability over registration, with number 65 years of age (1) of places The Farmhouse DS0000011406.V330820.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection January 2006 Brief Description of the Service: The Farmhouse provides care and accommodation for up to eight people with moderate and complex learning disabilities, and is situated within Norwood Ravenswood Village. Ravenswood Village is a community setting providing care and accommodation within individually managed group homes to people who have a learning disability. The Farmhouse aims to provide high quality care that will maximise people’s personal development and develop a strong sense of religious and cultural identity. The home is a detached two-storey building with eight single rooms, a large communal lounge, dining room and kitchen that is furnished to a high standard; patio doors open from the dining room through to a sensory garden where seating is provided. There is a village shop and community hall within Ravenswood where various clubs for the service users are held. Ravenswood owns their own vehicles that assist service users to access services outside of Ravenswood. Public transport is not readily available within the village, but the village of Crowthorne and towns of Wokingham, Bracknell and Reading are within a short drive. The fees are £43,076 to £65,434 per annum. The Farmhouse DS0000011406.V330820.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced site visit which took place between the hours of 11.30am and 5.00pm on the 15th of May 2007, to collect additional information to inform the report for the key inspection. The information was collected from a pre-inspection questionnaire completed by the manager, surveys completed by the families of six people who use the service and four other professionals who are involved in the care of those who live in the home. Discussions with two staff members, the deputy manager and four people who use the service took place. There was further communication with and observation of other people and staff during the course of the visit. A tour of the home and reviewing service user and other records was also used to collect information, on the day of the visit. The home has excellent outcomes for service users in several areas. What the service does well: The home makes sure that anyone coming to live in the home is going to like it and that they are going to be living in a place that can meet all their needs. People who use the service have care plans to make sure that staff can help them in the right way and all their needs are properly met. The staff make sure that residents know all about their care plans and what they think about them. The home makes sure that people can do as much for themselves as possible, as safely as they can. People have plenty of activities that they can choose to do during the daytime and in the evenings. People are helped to keep in touch with their families and friends. People are helped to look after themselves properly and they go to the doctor or the specialist when they are not well. People who live in the home are protected and kept as safe as possible. Staff make sure the home is comfortable, looks nice and is a nice place to be for everybody who lives there. The Farmhouse DS0000011406.V330820.R01.S.doc Version 5.2 Page 6 All of the staff are qualified and the staff team stays the same for long periods of time, so they know everyone well, and can care for the residents in the best way. Staff are given training to make sure they know how to look after anyone with special needs. The home is very well run, the people who live there and what they think are very important to the manager and the staff. 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. The Farmhouse DS0000011406.V330820.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 Farmhouse DS0000011406.V330820.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 4 and 5. People who use the service experience excellent quality outcomes in this area. The home develops individual admission programmes for people who are going to live in the home. They involve the person as much as possible, ensure their views are properly recorded and make changes to the admission process to suit the individual. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is registered for eight people. It has one vacancy that is to be filled in the near future. The prospective resident is due to be admitted at the end of May from another home on the site, that is closing. The home has completed an assessment and the resident has a transition diary which notes visits and the persons reactions to home. Staff are being trained to ensure that they are able to meet his special health needs. There is evidence that the move has been discussed with him. One staff member from the existing home is transferring to the service with him. A keyworker has been identified to ensure that all his needs are looked at and that a relationship can be built before the admission date. The individual has chosen the décor (paint colour and bed linen) for his new bedroom. The Farmhouse DS0000011406.V330820.R01.S.doc Version 5.2 Page 9 A transition plan was developed from the assessment and transition meeting. Notes of the meeting identify how the home can meet his needs and what additional resources are necessary, for example an occupational therapy assessment has been completed and recommendations to meet physical needs are being met. The necessity for extra staffing and staff training has also been identified and agreed. The home has all the necessary information to enable people to choose whether they want to live in the home and individual admission programmes ensure that it is a suitable placement. The home has a comprehensive Statement of Purpose and Service User Guide produced in a suitable format for the residents. All residents have a contract/statement of terms and conditions. The Farmhouse DS0000011406.V330820.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 and 9. People who use the service experience excellent quality outcomes in this area. The home makes sure people know their assessed and changing needs by encouraging them to be involved in the care planning process. People are encouraged to make as many decisions and choices for themselves as possible, and are supported to lead as independent a lifestyle as possible by using robust risk assessments and setting short and long term development goals, agreed to by the individual. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans for two people who use the service were looked at. They are detailed and clear and include communication, diet, personal care, cultural issues, religious needs, healthcare, activities and leisure, family contact, behaviour, likes/dislikes, how staff can help them to make choice, sleep patterns and mobility. The Farmhouse DS0000011406.V330820.R01.S.doc Version 5.2 Page 11 There are also several documents that note that complaints, medication, door keys and bedroom furniture have been discussed/explained to people and their reaction. If they are able, people have signed the documents and, if not, staff have interpreted their reaction/behaviour or got parents/advocates to sign on their behalf. The care plan format is: Things I can do for myself/Things I would like to do for myself/Things staff need to remind me to do/Things staff need to do for me/Things I like/Things I dislike. The residents are as involved in the care planning as possible and their involvement is noted on the plans. Individual Personal Planning meeting notes are produced in symbols/pictures and simple language. The care plans note the way staff should approach people and describe how they ensure dignity, how they treat people with respect and allow them to make their own decisions. Care plans are reviewed three monthly by the key worker. Annual reviews note long and short term goals, which are signed by residents if they are able. People’s involvement in their Individual Planning meeting/review is noted. Two people confirmed that they go to their own reviews. The home has developed excellent risk assessments and care guidelines so that people are able to do as much for themselves as they are able, safely. Resident meetings are held monthly and minutes are produced in symbols and an easy read format. The content of the meetings demonstrates that staff keep residents informed of what is going on in the home, such as new staff, how they feel about menus, food and the care the home gives. The community has a residents’ forum and the home has one representative. He doesnt always attend but is provided with minutes from the meeting in an easy to read format. The Farmhouse DS0000011406.V330820.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): 12,13,15,16 and 17. People who use the service experience excellent quality outcomes in this area. The people who live in the home are helped to lead a positive, fulfilling life by being offered plenty of activities that suit them, by being supported to access the wider community and by being helped to stay in contact with people who are important to them. They have suitable food, of their choice, available to them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Activity programmes are designed around the individual needs of residents. There is an imaginative range of activities such as hydrotherapy, swimming, horse riding, donkey carts, Special Olympics, bowling, cookery, training for work experience and artworks. People choose their activities with their keyworkers for a term (similar to the school year). The Farmhouse DS0000011406.V330820.R01.S.doc Version 5.2 Page 13 There are good opportunities for ‘going out’ during the day, the evening and usually an outing on a Sunday (in good weather). There are discussions in files that show people are consulted on what they would like to do on a Sunday and for other outings. All residents have an annual holiday and there is evidence that they are supported to access the wider community regularly. Extra staff are provided if it is necessary to ensure that people can access activities. People do ‘post’ and milk’ rounds as a work experience. A discussion was observed between staff and a resident about whether he went to a football tournament or did his usual milk’ round. The ‘milk’ round was obviously very important to him as were his other activities. One person decribed clearly his trip to London on a train and it was clear how much he had enjoyed it. Four people said they have plenty to do and enjoy their activities. A survey received by The Commission noted that a resident has a very fulfilling life. One survey from a parent said, They go over backwards to help my daughter to keep in touch. People all have some family contact and the home attempts to find befrienders for people who have limited contact with families or friends. Family contacts are noted in care plans and the home holds some family occassions throughout the year. such as a barbeques and a summer fete. Socialisation, social relationships and relationships are included in care plans. A survey from a professional stated, Service users are dealt with, with the utmost respect. Staff were seen communicating positively with people, treating them with respect and dignity. People were observed to be very comfortable telling staff what had happened during the day, asking for advice and interacting very effectively with them. There were notes in residents’ meetings showing that residents’ rights and responsibilities were discussed regularly. Three people said that they liked living in the home. The menus showed balanced and varied menus and there was evidence of discussions about what residents wanted on the menu. The food is homemade as it has to be Kosher. Three people confirmed that they can choose whatever they want if they do not like what is on the menu. Four people said, ‘The food is good’. There is a spacious and pleasant dining area, which is used as a place to eat and as a social forum. Any special needs with regard to individual’s diets such as high blood pressure/high cholesterol are noted clearly and risk assessments are completed as necessary. The Farmhouse DS0000011406.V330820.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20. People who use the service experience excellent quality outcomes in this area. The home ensures that people are supported to look after their physical, emotional and mental health needs as well as their personal care needs. People’s choices and preferences are acknowledged and they are given as much control over their daily life as is possible. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans for two people who use the service were looked at. They are of a very high standard and include communication, diet, personal care, cultural issues, religious needs, healthcare, activities and leisure, family contact, behaviour, likes/dislikes, how staff can help them to make choices and decisions, sleep patterns and mobility. The care plans describe how staff should approach service users and note how they ensure people’s dignity, how they treat them with respect and allow them to make their own decisions. The care plan format is: Things I can do for myself/Things I would like to do for myself/Things staff need to remind me to do/Things staff need to do for me/Things I like/Things I dislike. The Farmhouse DS0000011406.V330820.R01.S.doc Version 5.2 Page 15 The plans are reviewed three monthly by keyworkers, and annual reviews note long and short term development goals which are shown to have been agreed by the resident. Individual Planning meetings are held annually and the people who use the service are shown to be as involved as is possible. Individual Personal Planning meeting notes are produced in symbols, pictures and simple language. Communication passports are being developed for people and will clearly describe the residents’ communication needs to improve staff and others’ understanding. People’s cultural, religious and diversity needs are addressed by individual care plans. The home focuses on meeting the needs of the individuals in their care. People were observed making and discussing their choices with staff who respectfully and sensitively offered advice and encouragement to assist them with this process. Two of the service users’ surveys noted that, They are happy and content, My brother’s needs are always met. Health professionals note, Health needs are well met. Excellent health care records included annual medication reviews, dentists, chiropodist, opticians and specialist/GP appointments. Each individual has an OK health check summary that is information for them to take with them to the doctors or to a hospital visit, to help them to express themselves and explain their health and communication needs. People with sensory impairments or difficulties are appropriately supported. Medication is in a securely locked cupboard; two staff administer them, whenever possible. One member of staff per shift is designated to be responsible for medication administration. There is a robust medication procedure with very clear instructions displayed prominently to assist and remind the staff. The deputy manager confirmed that there were few medication errors, and none have been noted this year. Each individual has a file that records their medication and any that is given when required. It includes how medication should be given, any other necessary information and photographs of the residents. Staff are trained in medication administration and then assessed by senior staff to ensure their competence. Some specialist health training is currently being completed to ensure that the staff team are able to meet the needs of a prospective resident. Two staff spoken to confirmed that they had completed medication administration training and they do refresher courses, as necessary. The Farmhouse DS0000011406.V330820.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. People who use the service experience good quality outcomes in this area. The home makes sure that it listens to the service users by using varied communication methods and supporting people to say what they think, in different forums. It ensures that people are protected from all forms of abuse by having clear procedures and an understanding of the responsibility to protect people in their care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has recorded no complaints this year. The way of making complaints is explained to residents and the discussion with the keyworker is noted on their care plans. The complaints procedure is produced in a user friendly format and is included in the individual’s service user guide. Discussions about how to make complaints is also noted in the minutes of residents’ meetings. All surveys received said that people know how to complain. The Comission for Social Care Inspection has recieved no information with regard to complaints or safeguarding adults issues. Three people who use the service said that they felt safe, I am not picked on, I do not feel scared or bad. Two people told me who they would talk to if they were not happy and said that they would tell staff or their families if they had any problems or were unhappy about anything. The Farmhouse DS0000011406.V330820.R01.S.doc Version 5.2 Page 17 Two staff were able to fully describe the complaints and safeguarding adults procedures. They were very clear about what they would do if they did not feel the home or organisation was protecting the people in their care. All staff have safeguarding adults training. Residents’ personal allowances are kept in the home, records are well kept and accurate, receipts are kept as necessary and regularly audited by the finance department and the senior staff in the home. The costs of care are noted in the individual’s Service User guide , the manager confirmed that their income/expenditure and benefits are recorded and she has copies of all letters relating to benefits so that she is able to check the right monies are being paid into their accounts. The Farmhouse DS0000011406.V330820.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. People who use the service experience excellent quality outcomes in this area. The home is well maintained, clean and comfortable. The staff make sure the environment reflects the tastes and choices of the people who live there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is very clean with no odours or hygiene issues. The laundry is well organised and the staff are aware of cross infection issues. There is good quality décor throughout the home and the bedrooms are well personalised, reflective of the taste and personality of the residents. The prospective resident has already chosen the colour and soft furnishings for his bedroom which has been decorated to his taste. There is good quality, comfortable furniture and fittings throughout the home. The bathrooms are extremely clean and well decorated. A new jacuzzi bath and power shower for comfort/choice and enjoyment of residents have recently been fitted. The Farmhouse DS0000011406.V330820.R01.S.doc Version 5.2 Page 19 Cleaning schedules are in place. They include staff and residents, which encourages people’s independence and ‘ownership’ of the home. The Farmhouse DS0000011406.V330820.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35. People who use the service experience excellent quality outcomes in this area. The home has a very well trained and qualified staff team, who are safely recruited and able to meet the needs of the people who use the service. Staff are supported to enhance and maintain their skills and knowledge levels by accessing training opportunities, staff meetings and regular supervision. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Rotas were seen and three staff spoken to, including the deputy home manager. There are a minimum of three staff during daytime hours, if all the residents are home. The staff team are all qualified and encouraged to continue their training and development after they have achieved NVQ 2. Staff said that there are, ‘Excellent training opportunities and we are encouraged to use them’. The Farmhouse DS0000011406.V330820.R01.S.doc Version 5.2 Page 21 All staff have an individual development and training plan, that is discussed at annual appraisal and supervision. Surveys said that it is, A dedicated and committed staff team, They care about peoples happiness and problems. Residents said, They are good staff, I like them, They help me to do what I want and talk to me if Im not happy. Staff have received all the manadatory training and any specialist training necessary to meet residents’ needs, for example dialysis and epilepsy training. Staff confirmed that there are regular staff meetings and supervision sessions, they receive an annual appraisal and feel that the home benefits from an ‘open management’ style. The staff spoken to were very knowledgeable with an in-depth understanding of complaints, safeguarding adults issues and the needs of the individuals they support. There have been no new staff since the last inspection, when the recruitment processes were judged as good. In the event of new staff being recruited, the same processes would be used. A personnel department supports all the homes on the site to adhere to the robust recruitment policies and procedures of the organisation. The Farmhouse DS0000011406.V330820.R01.S.doc Version 5.2 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42. People who use the service experience good quality outcomes in this area. The people who use the service benefit from an efficiently managed home that is run to meet their needs safely. Their views are listened to and their safety assured by various effective quality assurance and health and safety procedures and checks. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is well managed by a suitably qualified and experienced registered manager. There are good management systems, effectively used, and good quality record keeping. Staff spoken to said, ‘There is good management’, ‘It is a supportive and open management style’. The Farmhouse DS0000011406.V330820.R01.S.doc Version 5.2 Page 23 The home has a Quality Assurance System that consists of monthly checklists, completed by the manager, who looks at all aspects of the care given to residents and the day to day organisation of the home such as health and safety maintenance, fire checks, staff meetings and menus. Regular Regulation 26 visits are made, there is a residents’ committee (the home has one representative on this), monthly residents’ meetings within the home and a ‘drop in’ advocacy service for people to use, if they wish. The home does not produce a formally collated annual development plan, but there is evidence of forward planning and changes/developments being pursued, for example the jacuzzi bath and power shower and the communication passbook. The manager confirmed that there is also a three year plan for the development of the Farmhouse. An specific annual development plan would enhance the present quality assurance system. All health and safety maintenance checks are completed regularly. This is included on the monthly quality assurance checklist. Staff training records showed that health and safety training is an ongoing cycle with refreshers at the necessary intervals. The Farmhouse DS0000011406.V330820.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 4 3 X 4 3 5 3 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 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 3 X 3 X X 3 X The Farmhouse DS0000011406.V330820.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. Refer to Standard Good Practice Recommendations The Farmhouse DS0000011406.V330820.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Farmhouse DS0000011406.V330820.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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