Inspection on 17/01/07 for The Old Farm House Residential Home

This inspection was carried out on 17th January 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

The Old Farm House Residential... 22/02/06

The Old Farm House Residential... 05/12/05

The Old Farm House Residential... 26/03/05

The Old Farm House Residential... 16/06/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE The Old Farm House Residential Home 48 Hollow Lane Canterbury Kent CT1 3SA Lead Inspector Jenny McGookin Key Unannounced Inspection 17th January 2007 10:00 X10015.doc Version 1.40 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 Old Farm House Residential Home DS0000023301.V312510.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 Older People. 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 Old Farm House Residential Home DS0000023301.V312510.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Old Farm House Residential Home Address 48 Hollow Lane Canterbury Kent CT1 3SA 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) 01227 453685 Mr Paul Straker Mrs Vivien Fuller Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places The Old Farm House Residential Home DS0000023301.V312510.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd February 2006 Brief Description of the Service: The Old Farm House is privately owned and is registered to provide accommodation and personal care to 23 older people. It is located about a mile and a half from Canterbury town centre, with all the community resources and transport links that implies. What was originally a rural setting (hop fields), this is now a residential area, but the home retains views of the cathedral. There is ample car parking space. The home comprises an older detached building with a purpose built extension, set within an enclosed garden. The accommodation is on two floors, linked by a passenger lift and staircase. There are nineteen single rooms and two rooms with shared occupancy, although these are sometimes used as larger single rooms. Each bedroom has a private toilet, wash hand basin, and (with the exception of the shared rooms) a bath or shower. All rooms are connected to a call bell system, and each bedroom also has a T.V and telephone point. The current fees for the service at the time of the visit range from £395-£440 per week. Information on the Home’s services and the CSCI reports for prospective service users should be detailed in the Statement of Purpose / Service User Guide. The e-mail address for this home is: paul@strakerp.fsnet.co.uk The Old Farm House Residential Home DS0000023301.V312510.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced site visit, which was used to inform this year’s key inspection process and to check on any developments since the last available inspection report (February 2006), given all the timeframes had run their course. The inspection process took eight and three quarter hours. It involved meetings with three residents (including one group of two over lunch), three relatives, the manager and proprietor, a care assistant and the cook, and a visiting NVQ verifier. Interactions between staff and residents were observed throughout the day. The inspection also involved the examination of records and the selection of three residents’ case files, to track their care. Six bedrooms were inspected for compliance with the National Minimum Standards on this occasion, along with communal areas / facilities. What the service does well: What has improved since the last inspection? The Old Farm House Residential Home DS0000023301.V312510.R01.S.doc Version 5.2 Page 6 The manager has completed her Registered Managers Award, and has obtained an exemplary level of NVQ accreditation in the staff team. The manager has also struck up a partnership with another home, to obtain economies for them both in their mandatory training investments. A more formal, systematic Quality Assurance system is in the process of being set up, to integrate more conspicuously with the home’s business planning and auditing processes (Regulation 26 visits, complaints) and consultation processes (group meetings, feedback questionnaires). As part of the home’s commitment to continuous improvement, new job descriptions for the care assistants and domestics have been produced, and there is a new job specification for a care manager for the night shift. One member of staff is doing work on activities for the residents as part of her NVQ3 accreditation. And there have been negotiations with a local reflexologist to provide services to enhance the residents’ quality of life. 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 Old Farm House Residential Home DS0000023301.V312510.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Old Farm House Residential Home DS0000023301.V312510.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is adequate 1, 2, 3, 4, 5, 6 Prospective residents and their representatives do not have all the information needed to choose a home, which will meet their needs They have their needs assessed; and a contract, which tells them about the service, they will receive (though this will require further attention). This home does not provide intermediate care. EVIDENCE: The home’s Statement of Purpose and Service User Guide have been combined into one document, which usefully provides a range of information on the home, its principles of care and its facilities and services. This is available in larger print, and an audiotape version is currently under consideration. Other languages are not currently warranted, though the manager said she could arrange for some other languages to be catered for. However, even when read in combination, this document does not fully comply with all the elements of the National Minimum Standards which apply, so that The Old Farm House Residential Home DS0000023301.V312510.R01.S.doc Version 5.2 Page 9 prospective residents and their representatives do not have all the information they should have to make an informed choice of home. The detail has been reported back to the home separately. The residents spoken to on this occasion were not able to recall the preadmission process in any detail, but relatives were better able to. An assessment of needs is carried out before each admission, which records confirm would also take into account assessments and care plans set up either by the relevant funding authority or by other providers, and are developed thereon. There was good evidence of the manager exercising her own professional judgement over one admission in particular, to good effect. There are opportunities for residents or their representatives to visit the home before admission to assess its suitability for themselves, and there is a trial stay. Each admission should be confirmed by a contract, but this was only available for inspection in 2/3 files selected for case tracking, and two relatives with Power of Attorney were not aware of it. Work will need to be done to update the terms of the contract to take into account current legislation, and to obtain full compliance with the National Minimum Standard, and to ensure interested parties are conversant with it. These matters have been reported back to the home in detail separately. This home does not provide intermediate care. See sections on “Environment” and “Health and Personal Care” for findings in respect of the home’s capacity to meet the needs of its residents. The Old Farm House Residential Home DS0000023301.V312510.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good 7, 8, 9, 10, 11 The health and personal care, which a resident receives, is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Each resident has a plan of care based on the initial preadmission assessment or previous care plan. The care plans properly set out, in generally good practical detail, the action, which needs to be taken by care staff to ensure that all aspects of the health and personal care needs of the residents are met. And care plans are properly underpinned by daily reports and a range of risk assessments, both generic and specific - covering the individuals, their behaviour, activities and their environments. Less clear, however, was compliance with the National Minimum Standard in respect of reviews, to reflect changing needs. Records need to better evidence this. It was not clear, moreover, to what extent residents or their relatives / representatives are actively engaged in the care planning process, except in The Old Farm House Residential Home DS0000023301.V312510.R01.S.doc Version 5.2 Page 11 respect of reviews carried out by care managers. None of the residents or relatives spoken to on this occasion showed any recognition of the process, though they did recall being asked questions about their care on a day-to-day basis and were very appreciative of the level of care given. The home’s staff were also reported to be very good at notifying relatives of any changes. The residents’ health is monitored regularly. This home is served by seven GP practices, so that residents have some choice. And records confirm they have access to a range of medical services, according to need. Residents would need to pay for chiropody, physiotherapy or any special or private treatment of medication themselves. The home uses the Boots Monitored Dosage System of medication, over a 4week cycle. Since the last inspection the manager has introduced a revised policy and procedures, for the receipt, recording, storage, handling, administration and disposal of medicines. And this policy has been submitted to the home’s pharmacist for scrutiny, to ensure it complies with best practice. The home also has ready access to a copy of the latest copy of The Royal Pharmaceutical Guidance, for reference. Ten staff are authorised to administer medication. The home’s Medication trolley is kept properly secured when not in use. With two exceptions, all the bedrooms in this home are single occupancy, which means health and personal care can be given in privacy. Residents and relatives confirmed that the daily routines are as flexible as healthcare needs and staffing levels will allow. Since the last inspection, the home’s policy on the action to take in the event of a resident’s death has been amended to include the full scope of the home’s regulatory duties, and information on support services are on display. The Old Farm House Residential Home DS0000023301.V312510.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good Residents are able to choose their life style, social activity and keep in contact with family and friends. Social, cultural and recreational activities meet resident’s expectations. Residents receive a healthy, varied diet according to their assessed requirement and choice. EVIDENCE: As was the case at the last inspection, residents were not able to give many examples of any particular interests or hobbies being actively promoted by the home, but were not able to suggest any others and said they were generally very content. Residents are able to have visitors at any reasonable time and there was evidence of this throughout the day of this site visit. There are some links with the local community (see also section on “Environment”). All the bedrooms have telephone points and residents can have their own phone lines installed at their own expense. There is also a cordless handset in the office, which can be taken into other areas for privacy. Unless other arrangements have been made, residents receive their mail unopened. The Old Farm House Residential Home DS0000023301.V312510.R01.S.doc Version 5.2 Page 13 The daily routines in this home are flexible, to suit the residents’ individual preferences and capacities, and there are some opportunities for appropriate exercise (e.g. Keep Fit sessions), and occasional minibus trips out. Activities on site include Bingo, and flower craft and there is a good supply of videos, tapes, and reminiscence - the library visits to replenish the home’s own stocks. A hairdresser comes in regularly, and there is a visiting chiropodist. Some residents also attend day centres and outlets such as Age Concern. Others make use of travel permits or family support to access the local community resources (shops, restaurants, cultural events). Catering needs are properly identified as part of the preadmission process and updated or amended thereon. There is a selection of menus, which is applied flexibly, usually one week in advance, and alternatives are always available. Records are maintained of the options chosen by individuals, as required. The inspector joined two residents for lunch and judged the meal well prepared and well presented. The residents confirmed this was representative, and that alternatives were readily available. The pace was unhurried and congenial. The dining room provides a pleasant setting. Some special equipment (e.g. plate guards, beakers and straws) and therapeutic diets are provided; and staff are ready to offer assistance in eating where necessary, sensitively. When asked, the cook said she hadn’t had specialist training for the elderly or dementia (this is recommended), but had experimented with different dishes and, in one case, pureeing food to diversify the residents’ palate, all to good effect. The Old Farm House Residential Home DS0000023301.V312510.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good 16, 18 Residents have access to a robust, effective complaints procedure. Residents are protected from abuse and have their legal rights protected. EVIDENCE: This home has a simple, clear and accessible complaints procedure, which includes the stages and timescales for the process, so that complaints can have confidence in any concerns being dealt with promptly and effectively. Residents and their relatives said they knew who to talk to if they had any concerns or complaints. However, the policy still gives the Commission as a last resort (matter raised at the last inspection). This is an incorrect interpretation of the regulations and NMS, and the procedure will require updating to take into account the new arrangements once they are announced. The requirement to put an unresolved or serious complaint to the owner in writing is judged likely to be off putting to someone with a visual or reading impairment. Information on local advocacy services (CROP leaflet) is on open display on a notice board, and records confirm that there are regular residents’ group meetings, every 2-4 months, to discuss a range of matters relating to the running of the home – and these are very well attended. The Old Farm House Residential Home DS0000023301.V312510.R01.S.doc Version 5.2 Page 15 The home has procedures to ensure that service users are safeguarded from abuse in all its forms, and staff confirmed their commitment to challenge and report any incidences of abuse, should they occur. The Old Farm House Residential Home DS0000023301.V312510.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good 19, 20, 21, 23, 24, 25, 26 The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: The location and layout of the home is suitable for its stated purpose; it is accessible, safe and well-maintained. The home is on the A28, linking it to Canterbury City Centre and Ashford, with all the community resources and transport links that implies. Car parking facilities are good, and measures are in place to keep the premises secure against unauthorised access, without infringing on the residents’ freedom of movement. The home makes provision for the small number of residents who smoke, but it is not ideal as the designated smoking area is also the home’s library, and likely therefore to prove off putting to non smokers. Alternative provision is, however, being planned. The Old Farm House Residential Home DS0000023301.V312510.R01.S.doc Version 5.2 Page 17 All areas of the home inspected were found to be homely and comfortably furnished. Comfortable temperatures and lighting levels were being maintained throughout. The residents have a good choice of communal areas, and, with the exception of the library, they are each spacious. The furniture tends to be domestic in style and of good quality, and there were homely touches everywhere. All corridors have handrails on each side, and there is a shaft lift and staircase to access both floors, so that residents can move about as independently as possible. All areas are linked with a call bell system. Specialist equipment includes raised toilet seats, grab rails and lifting equipment, including hoists. This home is registered to provide care for up to twenty three residents, and with the exception of two double bedrooms, all the bedrooms are single occupancy, so that residents can for the most part be assured of privacy. All the bedrooms are well in excess of the National Minimum spatial standards. Six bedrooms were inspected on this occasion, and judged well maintained and personalised. In terms of their furniture and fittings, they were not all fully compliant with all the provisions of the National Minimum Standards. Some did not have lockable bedroom doors, the equivalent of two double sockets, and/or a second comfortable chair. While their non-provision was verbally justified, this needs to be supported by fully documented consultation and/or risk assessment. All bedrooms have telephone points, television points and all are linked to a call system facility. Since the last inspection three residents have been assessed by an OT, but the home itself might benefit by periodic assessments by an OT to ensure it maintains its capacity to meet the needs of residents as they age or become more dependent. The new wing has five en-suite showers, and there is a main shower room. Other rooms have all got en-suite bathrooms, so that residents have some choice. Two double rooms have WCs and hand basins. The communal bath is a standard one with a hoist. At the last inspection an adapted bath was recommended. This recommendation still stands. The premises are kept generally clean, hygienic and free from offensive odours throughout and systems are in place to control the spread of infection. However a recent inspection by an Environmental Health officer has raised some minor matters for attention. All the maintenance records seen were up to date and systematically arranged. A few matters were raised for consideration or attention, to improve the facilities. The Old Farm House Residential Home DS0000023301.V312510.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good 27, 28, 29, 30 Staff in the home are well trained and deployed, to fill the aims of the home and meet the changing needs of residents. EVIDENCE: This home’s staffing arrangements are designed to ensure that (excluding the manager) there are always at least two care staff on duty, day and night (including weekends), and that in the absence of the manager there is always someone in charge, with an on-call system as a back up. Although staffing rotas were not included in the pre-inspection documentation submitted to the Commission (this will be required practice in future), there was compliance with the staffing arrangement as described on the day of this site visit (which was unannounced); and there have been no concerns raised with the Commission about the home’s capacity to maintain these staffing levels. The home operates a bonus system for staff who cover shifts or come in on short notice. An examination of three personnel records, selected at random, confirmed feedback from staff, that this home has a systematic recruitment process to comply with the key elements of the standard, induction and, to exceed the standard, in respect of supervision – to keep the residents safe. Staff confirmed that their supervision sessions properly covered all those elements The Old Farm House Residential Home DS0000023301.V312510.R01.S.doc Version 5.2 Page 19 prescribed by the standard. See also section on “Management and Administration” in respect of the manager’s qualifications and ethos. Staff continued to confirm information obtained at previous inspections i.e. that there is a generally adequate level of investment in mandatory training (e.g. moving and handling, medication, food hygiene, First Aid and Health and Safety, COSHH and infection control) to keep the service users safe, as well as some specialist training such as dementia care, Parkinson’s. The manager has struck up a partnership with another home, to obtain economies in their mandatory training investments. The manager has reported having obtained something like 90 of staff accredited to NVQ Level 2 or above. This is judged exemplary. The inspector met with a visiting verifier, who said that when compared with homes of a similar size, this home compares with the best of them. The verifier said she was impressed with the speed with which the candidates at this home were working through their tasks, and their clear commitment. They were providing good, solid in-depth evidence. The verifier also said she found the manager very responsive as were the individual candidates. One matter raised for attention at the last inspection was, however, found to be still outstanding, namely that staff need to be conversant with the code of conduct and practice set by the GSCC and need to be routinely given copies of the code. The Old Farm House Residential Home DS0000023301.V312510.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good 31, 32, 33, 34, 35, 36, 38 The management and administration of the home is based on openness and respect, but there needs to be better evidence of effective quality assurance systems. EVIDENCE: Mrs Vivien Fuller has been the registered manager since March 2005 and the Commission’s registration process has established that she has a range of relevant qualifications and experience. Since the last inspection she has completed all the elements of her NVQ Level 4 accreditation, and was in the process of Assessor Award training, which should facilitate the level of staff accreditation (already judged exemplary) even further. There are clear lines of accountability within the organisation and staff and residents have reported that in-house line management is accessible and The Old Farm House Residential Home DS0000023301.V312510.R01.S.doc Version 5.2 Page 21 supportive. One relative said, “I’d hate her (i.e. the manager) to ever leave – she makes you feel so secure”. See section on “Staffing” in respect of supervision of staff. Since the last inspection, the proprietor (who visits almost daily) has been able to robustly evidence compliance with his duty to carry out formal documented inspection visits of his own at least once a month (Regulation 26). With one exception, the current residents are white British. One is male – the rest are female. All the staff are currently female and predominantly White British. As evidence of this home’s commitment to value diversity, and in direct response to one matter, the residents’ placement contract has been amended to make racist abuse grounds for terminating placements after a 2nd warning. Records confirm there are regular meetings with the residents as a group to discuss the running of the home, and there have been periodic quality assurance initiatives (including questionnaires) to evaluate the home’s performance against its stated aims and objectives. The home’s management does not act as appointee for handling any resident’s financial affairs, but makes provision for the proper storage and accounting of personal effects and small sums of pocket money. Since the last inspection the proprietor arranged for the submission of a summary statement in respect of its audited accounts, which indicate the business is showing food financial viability. As reported at the last inspection, there is a summary statement of the home’s development plan for the current financial year but this is concerned with property development / refurbishment. The home’s development plan needs to reflect local provision and resources – and to link with its quality assurance initiatives and auditing arrangements, to obtain full compliance with this standard. The views of service users and feedback from other stakeholders will be crucial to the success of this. The home’s property maintenance certificates seen were up to date. The Old Farm House Residential Home DS0000023301.V312510.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 2 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 3 3 3 2 3 2 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 4 3 3 3 4 X 3 The Old Farm House Residential Home DS0000023301.V312510.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 OP1 Regulation 4, 5 & Schedule 1 5& Schedule 4 22 Requirement The home’s Statement of Purpose / Service User Guide document needs to be fully compliant with all the elements of this standard. The home’s contract needs to be updated and needs to be amended to be fully compliant with all the elements of this standard. Complaints Policy. This needs to be amended to give the CSCI as an option at any stage if that is the complainant’s preference. The registered person will need to correct all copies, and further amend them when the new arrangements come into force. Original timeframe: 31/03/06 The home needs to show that staff are employed in accordance with the code of conduct and practice set by the GSCC and need to be given copies of the code. Original timeframe: 30/04/06 Kitchen. The home needs to address the minor matters raised for attention by the DS0000023301.V312510.R01.S.doc Timescale for action 28/02/07 2 OP2 28/02/07 3 OP16 31/03/07 4 OP29 18 30/04/07 5 OP38 16 (2)(j) 28/02/07 The Old Farm House Residential Home Version 5.2 Page 24 Environmental Health Officer’s inspection visit (19 12 06) Action plan to be submitted RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP1 Good Practice Recommendations Given the poor recall of some residents, and relatives, the home should consider including the issue of a Statement of Purpose, Service User Guide and contract in an admissions checklist. Care Plans. The following matters are raised for attention: • There should be better evidence of active follow-up of some social care needs (interests, activities). o One resident particularly wanted to start attending the Community Centre events she had enjoyed before coming into residential care. • Records should show the extent to which residents or their relatives are involved in formal reviews. The home should consider training for the elderly or dementia for catering staff. The home’s complaints procedure should be amended so that complaints are not required to put their complaints to the owner in writing, as this may be off putting to someone with a visual or reading impairment. The property / site would benefit by periodic assessments by an OT to ensure it maintains its capacity to meet the needs of residents as they age or become more dependent. Bedrooms. The following matters are raised for attention: • Locks on bedroom doors should be standard provision unless non-provision can be justified by documented consultation or risk assessment • There should be the equivalent of 2 double sockets (ideally sited 3 feet from floor so residents don’t have to bend or ask staff to assist) There should be a second comfortable chair in each room. The home’s development plan needs to reflect local provision and resources – and to link with its quality assurance initiatives and auditing arrangements, to obtain DS0000023301.V312510.R01.S.doc Version 5.2 Page 25 2 OP7 3 4 OP15 OP16 5 OP22 6 OP24 7 OP33 The Old Farm House Residential Home full compliance with this standard. The views of service users and feedback from other stakeholders will be crucial to the success of this. The Old Farm House Residential Home DS0000023301.V312510.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI The Old Farm House Residential Home DS0000023301.V312510.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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