Inspection on 01/08/07 for The Farthings

This inspection was carried out on 1st August 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Farthings 13/07/06

The Farthings 29/09/05

The Farthings 28/07/05

The Farthings 25/11/04

The Farthings 24/05/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 The Farthings Geoffrey Harris House Coombe Road Croydon Surrey CR0 5RD Lead Inspector James O’Hara Key Unannounced Inspection 1st August 2007 8:55 The Farthings DS0000025848.V347256.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 Farthings DS0000025848.V347256.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 Farthings DS0000025848.V347256.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Farthings Address Geoffrey Harris House Coombe Road Croydon Surrey CR0 5RD 020 8686 7649 020 8680 5318 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) Surrey and Borders Partnership NHS Trust Siew Ying Tan Care Home 5 Category(ies) of Learning disability (5) registration, with number of places The Farthings DS0000025848.V347256.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th July 2006 Brief Description of the Service: The Farthings is a residential home for up to five adults with profound learning disabilities, autism and challenging behaviour. It is owned, managed, and staffed by the Surrey and Borders NHS Trust, a specialist health provider for people with learning disabilities. The Farthings is in a semi-rural setting, on a campus style site shared by a Day Centre and other residential homes. It is close to Lloyd Park and local transport links including the Tram, which gives the home easy access to shopping and leisure facilities. The premises consist of a lounge, dining room, five bedrooms, a small office and bathroom facilities. The home has a garden to the front and rear of the building. The home provides respite care for a regular group of people. The Farthings DS0000025848.V347256.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit was carried out between 8.55am and 10.45am on a Wednesday morning. Methods of inspection included a tour of the premises, observation of contact between staff and people who use the service and discussion with a member of staff and the acting home manager. Records examined included care plans, person centred plans, risk assessments, complaints, staffing training records, medication, and health and safety records. Requirements and recommendations from the previous inspection were also discussed with the acting home manager. What the service does well: What has improved since the last inspection? The acting home manager is working with Croydon Councils Person Centred Planning Co-ordinator in developing Person Centred Plans for people who use the service. Some people have person centred plans on the homes computer. The plans included videos, pictures, word and music. These will be kept on a DVD and kept under review by people and their key workers. It is evident that the home is continuing to develop better communication systems for the benefit of people who use the service and staff. The Speech and Language Therapy Team has been contacted for support in developing communication passports for all of the people who use the service. The Farthings DS0000025848.V347256.R01.S.doc Version 5.2 Page 6 The staff team has now been trained on Autism so some people who use the service can be sure that staff can meet their health care needs in a consistent and confident manner. 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 Farthings DS0000025848.V347256.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 Farthings DS0000025848.V347256.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 and 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides people who plan to use the service and their representatives with the information they need so that they can make an informed decision about whether or not to use the service. People who use service can be assured that their assessed care needs and aspirations will be met . EVIDENCE: The home has a Statement of Purpose and Service Users Guide. Information included in these documents reflects what is required in the Care Home Regulations. The home is registered to support five people however at present there are four people living at the home. The home also has one spare room and offers a respite service to two people. The registered manager stated at the last inspection in July 2006 that a respite person who had used the homes respite service for over six years planned to move into the home. It was observed at that inspection that the placing The Farthings DS0000025848.V347256.R01.S.doc Version 5.2 Page 9 authority had recently carried out a needs assessment. This person has now moved into the home. The Surrey and Borders NHS Trust has an Admission Procedure, that states that people are only admitted to the home once a full assessment has been completed by an appropriate person (usually a care manager) and sent to the home, along with any other information about the persons needs. The person’s family is also involved, if it is appropriate. The Farthings DS0000025848.V347256.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, 8 and 9. Quality in this outcome area is excellent. This judgement has been made using all the available evidence including a site visit to this service. The home is run on a person centred approach, residents are involved in decisions about their lives, and play an active role in planning the care and support they receive. EVIDENCE: The acting home manager stated that the home is working with Croydon Councils Person Centred Planning Co-ordinator in developing Person Centred Plans for people who use the service. The acting home manager demonstrated person centred plans currently under development on the homes computer. These plans included videos, pictures, word and music. The acting home manager stated that these would be kept on a DVD and kept under review by people and their key workers. The acting home manager stated that she had attended training with Croydon Council on Person Centred Planning and all staff are due attend training on the topic the week following the inspection. The Farthings DS0000025848.V347256.R01.S.doc Version 5.2 Page 11 All people who use the service has had their placement/needs assessed by their placing authority. It was observed that the new person had her needs assessed by a care manager from the placing authority on the 09/06/06 just prior to moving into the home but has not had another assessment since then. There was evidence of a review meeting held on the 27/04/07 when the care manager sent her apologies for non-attendance, however the acting home manager passed minutes of the meeting on to her. There was also evidence on file that the acting home manager had written to the care manager requesting that the new persons placement is reviewed. It is recommended that the acting home manager contacts the new persons care manager again and requests her placement to be reviewed. Each person has a file, the file includes a My Plan, a health action plan, a communication dictionary, a Person Centred Plan including an action plan and up to date risk assessments. Each file includes a Surrey and Borders NHS Trust residents risk assessment. This risk assessment is wide ranging and covers situations in the home and in the community. One person poses a risk to himself by running out of the house and across tramlines. The member of staff on shift explained that the back gate and the front gate are always locked when this person is at home. Risk assessments for this are also in place and kept under review. The file also included a person profile that included the person’s weekly activities, likes and dislikes, communication profile, independence, spirituality, behaviours and emotional needs, preferred activities and routines. The acting home manager provided evidence that the home is working to improve communication and the Speech and Language Therapy Team has been contacted for support in developing communication passports for all of the people who use the service. Four members of staff have been trained to use Makaton sign language to better communicate with some of the people who use the service. The acting home manager stated that Surrey and Borders NHS Trust has designated a week in October 2007 as Diversity Week and she planned to use the week to request that staff mainly use Makaton in order to meet the needs of some of the people who use the service and develop staffs skills. So that the diverse needs of people who use the service are considered, care plans and person centred plans could include reference to how the service will meet their needs and preferences in relation to race, religion, gender, sexual orientation, age and disability. People hold meetings are on a regular monthly basis. Minutes of these meetings are completed in words and pictures for the benefit of people who The Farthings DS0000025848.V347256.R01.S.doc Version 5.2 Page 12 use the service and indicate that people are offered opportunities to participate in the day-to-day running of the home. The Farthings DS0000025848.V347256.R01.S.doc Version 5.2 Page 13 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. Quality in this outcome area is excellent. This judgement has been made using all the available evidence including a site visit to this service. The home better communication systems benefit the people who use the service and assist them in making their own decisions and developing their independence. Social and leisure opportunities for people to engage in both inside the home and in the wider community are well managed, age appropriate, and provide people with daily variety and stimulation. People have regular contact with friends and relatives. Dietary needs are well catered for and well-balanced, nutritional meals, based on personal preferences are being prepared and eaten by people who use the service. EVIDENCE: The Farthings DS0000025848.V347256.R01.S.doc Version 5.2 Page 14 On the day of the inspection two people had gone off to Cherry Orchard day service. Another person had gone to her parents. One person was at home but left to go shopping. One persons weekly activities plan included aromatherapy, trampoline, swimming, visiting friends, meals out, facial and nail treatments as well as domestic activities such as cooking and keeping their home tidy. One person has a tricycle and is able to ride around the Geoffrey Harris House site in relative safety. There is great emphasis within the home on communication between people who use the service and staff. It was noted that staff treated people with respect and staff use Makaton sign language to communicate with one particular person. The staff team have put the aims and objectives of the home in symbol format on the walls of the communal areas. People have individual communication boards indicating planned activities for the day and evening and a board containing staff photographs indicating staff on shift throughout the day. It is evident that the home is continuing to develop better communication systems for the benefit of people who use the service and staff. The visitor’s book was examined and indicated that people advocates and friends attended the home on a frequent basis. The homes menus are varied and nutritious in content, are based on a fourweek rota and are checked by a dietician for nutritional balance. People are offered an alternative to the main meal on offer. The Farthings DS0000025848.V347256.R01.S.doc Version 5.2 Page 15 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. Quality in this outcome area is good. This judgement has been made using all the available evidence including a site visit to this service. The arrangements for meeting the health care needs of people who use the service are good and people receive personal support in the way they prefer. The staff team has now been trained on Autism so some people who use the service can be sure that staff can meet their health care needs in a consistent and confident manner. EVIDENCE: As required at the last inspection all but one member of staff has attended training on Autism. The acting home manager stated that she found the autism training very informative and that it would be very beneficial to staff and people who use the service. People’s preference on how they receive personal care is recorded in their Person Centred Plans. The Farthings DS0000025848.V347256.R01.S.doc Version 5.2 Page 16 Medication is stored in a locked cabinet in the dinning area. Medication administration records were checked on the day of the inspection and were up to date and accurate. The home has the support of a pharmacist for advice and a report from a visit on the 20/02/07 indicated that medication is stored and recorded appropriately. Staff training records indicates that there is a regular ongoing training programme for administration of medication. The Farthings DS0000025848.V347256.R01.S.doc Version 5.2 Page 17 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. Quality in this outcome area is good. This judgement has been made using all the available evidence including a site visit to this service. The home has an appropriate complaints procedure in a number of formats so that people who use the service can understand. The home has suitable vulnerable adult protection and abuse prevention measures in place so that people are so far as reasonably practicable protected from abuse. EVIDENCE: The acting home manager stated that there have been no complaints made to the home since that last inspection. All staff attended adult protection training in November 2006 or January 2007, the acting home manager attended adult protection in February 2007. The acting home manager stated that the Trust was in the process of reviewing its policy and procedures. The Surrey and Borders NHS Trust has a Whistle Blowing Policy. It is recommended that the Surrey and Borders NHS Trusts new Whistle Blowing Policy be discussed with staff when it is reviewed. The Farthings DS0000025848.V347256.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. Quality in this outcome area is good. This judgement has been made using all the available evidence including a site visit to this service. The home is suitable to meet the needs of the people who live there, comfortable and in good decorative order. EVIDENCE: There are many “homely” touches around the unit such as people who use the service artwork on the walls and photographs of family and friends. Maintenance for the home is provided on an as required basis by The Surrey and Borders NHS Trust works dept. It was observed that the living room door had an automatic release mechanism however the door was wedged open with a newspaper. A member of staff explained that the battery had run out and provided evidence that the Surrey and Borders NHS Trust Works Department had been contacted and had arranged to visit later that day. The Farthings DS0000025848.V347256.R01.S.doc Version 5.2 Page 19 It was observed that two peoples bedroom doors were held open with chairs. The member of staff stated that this was in order to air the room. If staff needs to keep bedroom doors open in order to air the room then the home should consider installing an automatic door release mechanism connected to the fire alarm system in the home. The registered provider must make sure that practice of wedging open peoples bedroom doors is eliminated. People’s bedrooms are decorated to a good standard and personalised to reflect their individual character and tastes. The member of staff explained that one person was going to replace all of the furniture in his bedroom and was planning a trip to IKEA to look at items with this person. It was noted that this person’s bedroom had a lingering smell of urine. The member of staff explained that this person sometimes urinated behind the wardrobe. It is recommended that the registered provider seek professional advice before, (in conjunction with the person) devising a programme to support the resident with this issue. The home has well kept garden to the rear of the house. The rear garden had appropriate furniture. A member of staff showed the inspector around the garden, the home has a garden project and people who use the service had grown flowers, herbs, courgettes and tomatoes. The member of staff pointed out that a blind in the bathroom was broken; he explained that one person likes to pull it down. It was recommended that the home hang curtains on Velcro in the bathroom. The home has appropriate laundry facilities separate from the kitchen and the preparation of food. The washing machine is capable of washing clothes at high temperatures, which helps with the control of infections. The Farthings DS0000025848.V347256.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 and 36. Quality in this outcome area is good. This judgement has been made using all the available evidence including a site visit to this service. There is a competent and well-trained staff team who clearly understand the needs of people who use the service. However the home needs to ensure that the staff team receive regular supervision. EVIDENCE: The acting home manager stated that she does not have access to the staff personnel files that are kept in a locked cabinet in the office. All staff Criminal Records Bureau Checks had been seen at the last key inspection in July 2006. The acting home manager stated that one member of staff has been moved to the home from another Surrey and Borders NHS Trust service. It is recommended that the acting home manager arrange at date with the Commission for this persons personnel file to be inspected. Six member of staff has completed an NVQ level 2 or above in care and two members of staff are working towards an NVQ level 2 or above in care. The Farthings DS0000025848.V347256.R01.S.doc Version 5.2 Page 21 Staff training records was sampled at random for one member of staff the member of staff had attended training on medication, adult protection, fire safety lecture, food hygiene, health and safety and Makaton. A member of staff spoken to on the day of the inspection appeared very knowledgeable about the needs of people who use the service and stated that he had had the training and support that enabled him to work in a confident manner. He stated that he was able to use Makaton sign language with one particular person but unfortunately he had missed the Autism training. It is recommended that the acting home manager arrange for this member of staff to attend training on Autism. The acting home manager stated that she has recently started to supervise staff; she provided evidence that one staff had supervision in May, June and July and another staff had supervision in June and July. She stated that a senior member of staff has been trained so that she can supervise staff; the acting home manager stated that she plans to arrange for this member of staff to supervise some staff. The registered provider must ensure that all members of staff receive formal recorded supervision at least six times a year. The acting home manager stated that all members of staff are undergoing the Surrey and Borders NHS Trusts appraisal system “Knowledge and Skills Framework”. The “Knowledge and Skills Framework” includes a performance development plan. The Farthings DS0000025848.V347256.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. Quality in this outcome area is good. This judgement has been made using all the available evidence including a site visit to this service. The home appears to be well run and well managed. It is very evident that the acting home manager promotes an open, positive and inclusive atmosphere. The registered providers need to ensure that Regulations 26 visits are carried out at the home in order form an opinion of the standard of care provided. This will ensure that people who use the service can be confident that the home is appropriately managed. EVIDENCE: The deputy manager stated that she has been acting as the home manager since the registered manager left the home in December 2006. The acting home manager is not sure if the registered manager will return to manage the home. The Farthings DS0000025848.V347256.R01.S.doc Version 5.2 Page 23 A provider can only rely on temporary management arrangements for absences of up to six months and may need to recruit a new manager. If a provider becomes aware that their registered manager is going to be away for more than six months, they should seek registration of a new manager at the earliest opportunity. The registered manager has been away from the service for over six months. The registered providers, the Surrey and Borders NHS Trust, are required to inform the Commission in writing without delay of its plans for the management of the home. The acting home manager stated that she receives good support from the area service manager and a registered manager from another Surrey and Borders NHS Trust to run the home. The inspector was impressed by the acting home manager’s honesty and positive outlook for the future of the home. She had a clear understanding of people who use the service and their needs and a clear understanding of what it takes to support and develop the current staff team. She demonstrated a person centred approach and explained her plans to improve the service for people living at the home. It is no longer a requirement under the Care Homes Regulations that regulation 26 reports are sent to the Commission unless it is requested, however copies of the reports must be available in the home for inspection. The acting home manager produced copies of regulation 26 visit reports for February, April and May 2007. The acting home manager stated that regulation 26 visits had not been carried out by the Trust in June and July. Given that the registered manager has not been at the home since December 2006 it would seem even more important that monthly Regulation 26 Visit are carried out in order to monitor the service and offer support to the acting home manager. The registered providers, the Surrey and Borders NHS Trust must ensure that regulation 26 visit are carried out at the home and send copies of the reports to the Commission. The Surrey and Borders NHS Trust have recently developed an assessment “The Cornwall Assessment”. The acting home manager stated that she had completed “The Cornwall Assessment” for the home and handed it to the Trust. He stated that the assessment highlighted restrictive practices and areas where the home might improve; the assessment included an action plan. The acting home manager stated relatives of people who use the service had completed questionnaires/survey in order that they could feedback about the The Farthings DS0000025848.V347256.R01.S.doc Version 5.2 Page 24 service. The questionnaires had been returned to the Surrey and Borders NHS Trust and the results of the questionnaires/survey would be fed back to the home. The acting home manager produced a questionnaires/survey for people who use the service, however these had yet to be completed. It is recommended that people who use the service complete the questionnaires/survey so that they can feedback about the service. People hold meetings are on a regular monthly basis. Minutes of these meetings are completed in words and pictures for the benefit of people who use the service and indicate that people are offered opportunities to participate in the day-to-day running of the home. The Surrey and Borders NHS Trust fire safety advisor visited the home on the 08/06/07, the acting home manager stated that he reviewed the homes fire procedures and trained staff on fire safety. The homes fire alarm system is had been checked on a regular weekly basis however there was a gap of one week recently when it was not checked. It is recommended that the acting home manager makes sure that the fire alarm system is checked on a regular weekly basis. The acting home manager produced evidence that fire drills are carried out on a quarterly basis. The acting home manager produced evidence that quarterly fire alarm audits is carried out. The last audit was carried out in April 2007. The acting home manager provided evidence that a Landlords Gas Safety check had been carried out on the 08/06/07. Portable Appliance Testing had been carried out in April 2007. Legionellas testing had been carried out on the 17/07/07. The Farthings DS0000025848.V347256.R01.S.doc Version 5.2 Page 25 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 3 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 4 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X The Farthings DS0000025848.V347256.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA24 Regulation 23 (4) c Requirement The registered provider must make sure that practice of wedging open peoples bedroom doors is eliminated. The registered provider must ensure that all members of staff receive formal recorded supervision at least six times a year. The registered providers, the Surrey and Borders NHS Trust, are required to inform the Commission in writing without delay of its plans for the management of the home. The registered providers, the Surrey and Borders NHS Trust must ensure that regulation 26 visit are carried out at the home and send copies of the reports to the Commission. Timescale for action 01/08/07 2. YA36 18 (2) 30/09/07 3. YA37 8 (1) & (2) 01/08/07 4. YA39 26 (2) 01/08/07 The Farthings DS0000025848.V347256.R01.S.doc Version 5.2 Page 27 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4 5. 6. 7. 8. Refer to Standard YA6 YA23 YA30 YA24 YA34 YA32 YA39 YA42 Good Practice Recommendations It is recommended that the acting home manager contacts the new persons care manager again and requests her placement to be reviewed. It is recommended that the Surrey and Borders NHS Trusts new Whistle Blowing Policy be discussed with staff when it is reviewed. It is recommended that the registered provider seek professional advice on incontinence. It is recommended that the home hang curtains on Velcro in the bathroom. It is recommended that the acting home manager arrange at date with the Commission for a member of staffs personnel file to be inspected. It is recommended that the acting home manager arrange for one member of staff to attend training on Autism. It is recommended that people who use the service complete the questionnaires/survey so that they can feedback about the service. It is recommended that the acting home manager makes sure that the fire alarm system is checked on a regular weekly basis. The Farthings DS0000025848.V347256.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor Grosvenor House 125 High Street Croydon CR0 9XP 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 Farthings DS0000025848.V347256.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!