Inspection on 19/12/05 for The Old Farmhouse - The Briars

This inspection was carried out on 19th December 2005.

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

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

Other inspections for this house

The Old Farmhouse - The Briars 01/02/08

The Old Farmhouse - The Briars 30/10/06

The Old Farmhouse - The Briars 04/02/05

The Old Farmhouse - The Briars 26/07/04

The Old Farmhouse - The Briars 12/03/04

The Old Farmhouse - The Briars 04/09/03

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

CARE HOME ADULTS 18-65 The Old Farmhouse/The Briars The Old Farmhouse Avishayes Lane Chard Somerset TA20 1RU Lead Inspector Lesley Jones Announced Inspection 19th December 2005 09:30 The Old Farmhouse/The Briars DS0000030383.V260782.R01.S.doc Version 5.0 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 Farmhouse/The Briars DS0000030383.V260782.R01.S.doc Version 5.0 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 Old Farmhouse/The Briars DS0000030383.V260782.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Old Farmhouse/The Briars Address The Old Farmhouse Avishayes Lane Chard Somerset TA20 1RU 01823 423126 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) Somerset County Council (LD Services) Miss Laura Diane Anderton Care Home 9 Category(ies) of Learning disability (0) registration, with number of places The Old Farmhouse/The Briars DS0000030383.V260782.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users may have concurrent sensory impairment There are a maximum of 5 service users in The Old Farmhouse and 3 service users at The Briars. This condition will be evaluated at each inspection. 25th May 2005 Date of last inspection Brief Description of the Service: The Old Farmhouse caters mainly for service users on the Autistic Spectrum. All service users can display behaviours, which are challenging to manage. The total numbers of service users is currently restricted to eight. This is a condition of the homes registration, and reflects long- term difficulties related to staffing levels. The home is made up of The Old Farmhouse, a newer bungalow, (The Briars), and a self-contained annex (known as the annex). The Old Farmhouse has six single, en-suite bedrooms, a kitchen, dining and living areas, communal WC and garden areas. A sun room/lounge provides additional living space. The Briars bungalow has four bedrooms, with washing facilities, communal bathroom and WC, kitchen/dining room and a living room. One of two living rooms in the Briars has been altered to provide separate accommodation to one service user. It consists of an en-suite bedroom, patio area and sun room/lounge. The houses are linked by office and cloakroom space. Outside, there are enclosed patio and green areas, car parking space, a partly converted barn and remains of outbuildings. There is potential for clearing the extra fields of old farming machinery and developing the area as a horticultural and recreational resource. The home is sited at the edge of Chard, off a farm track, but close to a housing estate and to Chard’s reservoir and nature trails. It is also near local shops and facilities. The Old Farmhouse/The Briars DS0000030383.V260782.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home has good written procedures for pre-admission work and information sharing. There is a skilled and enthusiastic work force and staff team, whose efforts to provide opportunities, meet individual needs and to involve residents are to be praised. Staff continue to work hard to promote independence and to assist residents in accessing occupational training, social and leisure opportunities. The complaints procedure is available to residents in an appropriate format. All bedrooms are bright, well furnished and maintained. All bedrooms have single occupancy, and six are fitted with en suite shower or bath facilities. There are sufficient toilet and bathroom facilities and adaptations are provided where needed. There is good induction and foundation training for staff linked to NVQ training and specialist training for working with challenging behaviour. It is clear that the manager and her staff are enthusiastic and committed to achieving good outcomes. What the service does well: What has improved since the last inspection? Since the last inspection, most of the staff vacancies have been filled. The Old Farmhouse/The Briars DS0000030383.V260782.R01.S.doc Version 5.0 Page 6 The home is cleaner and neater, this reflects increased numbers of staff and there is more activity in the grounds. This too reflects the increase in staff numbers, and the specific skills and interests that staff hold. Individual programmes have been reviewed with more opportunities developed for social activities and getting together with residents from other services. Staff and residents have also benefited from additional training from educators from Chard Hospital in improving dental hygiene. Staff have also undertaken a lot of preparatory work to help service users get used to accessing the primary health care services. 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 Farmhouse/The Briars DS0000030383.V260782.R01.S.doc Version 5.0 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 Old Farmhouse/The Briars DS0000030383.V260782.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 & 3. Thorough assessments are carried out before new residents are admitted to the home. Progress has been made, and the manager feel that they are ‘back on tract’ in developing individual programmes. To continue to meet the needs of residents, good staffing levels must be maintained. To this end, the manager has highlighted the importance of staff receiving training, which focuses on the need of people with Autism and since the last inspection, progress has been made in providing this. EVIDENCE: Generally, the home follows corporate policies and procedures that are good, seeking pre-admission information from all involved. Somerset is pioneering communication methods seeking to involve service users in their life, care and support services. Where necessary, advocacy is engaged. The Old Farmhouse/The Briars DS0000030383.V260782.R01.S.doc Version 5.0 Page 9 The compatibility of any new service user is very important due to their complex needs and the potential of expressing behaviours that are challenging to all. The person who moved to the Briars most recently has settled well. The records demonstrate that the move was well planned and the manager gathered that good assessment information. At the time of me of this inspection, there were two service users living at The Briars, and one other in the annex (self contained unit). The service user in the annex has 1:1or 2:1 staffing, and one staff member is allocated to the two people living at the Briars. There are five service users in The Old Farmhouse. Progress has been made in developing individual programmes. It is difficult to get direct feedback from residents, due to their disability, however I was able to observe residents getting involved in some activities. These included working with staff from the home and Yeovil College on developing communication skills, going out for lunch, and going out for a walk. The manager and staff deserve praise for their flexibility, creativeness and genuine affection for residents. The Old Farmhouse/The Briars DS0000030383.V260782.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9. All residents have well written and maintained care plans. Individual ‘My Day’ programmes (a record a daily activities for residents) are regularly reviewed and progress has been made in developing and a wider range of daily activities. Risk assessment are carried out as necessary and regularly reviewed. This enables staff to support residents in a wide range of options. EVIDENCE: The Inspector discussed care and support issues, staffing levels and incidences of violence as well as other stresses and sickness levels. All changes indicate some improvement. Throughout the day residents were observed relaxed and willing to interact and make friendly contact with each other and staff. Care plans and observation on the day, demonstrate that the right of each service user to make decisions is encouraged as part of their life skills and personal development. The Old Farmhouse/The Briars DS0000030383.V260782.R01.S.doc Version 5.0 Page 11 Service users rights are sometimes limited following an assessment of risk, i.e. service users cannot access outdoors safely alone, and electronic pads are fitted to exit doors for their protection. Staff continue to be sensitive to service users’ needs and are ready to respond appropriately. In recognition of the need for specialist training for staff working with this client group, the manager is looking at the whole issue of training and plans to get involved with a group which will provide Autism specific training. Service users go to the local shops and access the local facilities in Chard. While they need assistance with managing their cash, they all have individual savings accounts. A local authority administrator checks transactions relating to personal finances approximately once a month and was at the home during this visit. Service users need one-to-one encouragement and support for most activities of their daily life. Risk assessments are completed for many aspects of individual’s lives. Service users are encouraged to gat involved in tasks related to daily living as much as they are able. This includes tidying their room, shopping, cooking and banking. Service users are assisted to choose what to do and what to eat, aided by a range of visual resources and communication techniques. Staff demonstrated a good personal knowledge of each service user’s likes dislikes and needs. The Old Farmhouse/The Briars DS0000030383.V260782.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 &17. The Old Farmhouse/The Briars DS0000030383.V260782.R01.S.doc Version 5.0 Page 13 With an increase in staffing levels, staff are now in a better position to maintain regular activities. This is imperative has for this group of autistic service users whose fundamental need is for structure and routine. The manager feels that there has been a regression in some people’s behaviour due to too many changes in the home and insufficient permanent staff to maintain routines and structure. At the last inspection, there had been an increase in the amount of challenging behaviour; although not all have ended in incidents, there had been many ‘near misses’. With improved staffing levels this situation is starting to improve Although things are much improved, the inexperience of new staff (who need to get to know the residents) have limited the range of opportunities available to residents. This is achieved and residents are part of the local community. It is evident that residents are well liked and respected. Appropriate policies and procedures are in place to promote and respect confidentiality. Healthy eating is promoted and residents are encouraged wherever possible to be involved in planning, shopping for and cooking their meals. EVIDENCE: The Old Farmhouse/The Briars DS0000030383.V260782.R01.S.doc Version 5.0 Page 14 All service users have a daily programme of activities. The home has links with Yeovil College. Service users can access college and a trainer works in the home twice a week during term time. During holidays staff continue this work. At the time of this inspection, there were eight residents at the home. Five residents go to the Laurels (a local resource centre) in Chard for a weekly session with a music therapist. Some residents have accessed the local swimming pool, when the home has combined with other services to hire the pool. On the day of inspection, one-service users had gone out for a walk and then for lunch, other residents were working with staff from Yeovil College on communication skills, and others went out for a walk. The home has a minibus that staff can drive. Service users walk to and from the local shops. With the modernisation of day services in April 2004, some service users have continued to have reduced access to the facilities at The Laurels Resource Centre. The home’s staff are responsible for all planned activities for all waking hours. Staff assist service users to maintain and develop family and other social links. Service users continue to access local shops, PO, pubs, cinema, leisure centres, cafes and restaurants, although staffing shortages have resulted in a reduction of trips into the community. There is a nature reserve close to the home, used by local people and where some service users like to walk. The local college comes in to provide training and service users access the college for individual courses as appropriate. Service users have aromatherapy, hydrotherapy sessions, and hairdressing. The Old Farmhouse/The Briars DS0000030383.V260782.R01.S.doc Version 5.0 Page 15 Links with relatives are promoted, assisting service users with sending cards, celebrating special occasions, and by informing relatives of the programme of care and support. Relatives are involved in the care (some also with the health care) of six service users, assisting with appointments, shopping, holidays, taking home for weekends and visiting each other. Daily routines are planned as much as possible to meet service users’ needs. Limitations to the freedom of movement are in place as already mentioned, in connection with safety needs and are justified by individual risk assessments. Service users have free access to communal areas of the home and to their own private room. Care and support plans and risk assessment are in place and regularly reviewed. To support healthy eating, the home now purchases organic vegetables. The Old Farmhouse/The Briars DS0000030383.V260782.R01.S.doc Version 5.0 Page 16 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20. There is good evidence to support these standards, service users are looked after well. The home’s medication file is very informative with lots of useful guidance for staff. It was evident, however that not all staff are following its guidance. EVIDENCE: Service users are registered with the local practice. The home accesses NHS community staff such as the district nurse and continence advisor. The team assesses the best option for each service user, according to disability needs, whether to attend a particular clinic or to ask specialists to visit service users at home, in each area of health care. Attention is paid to introduce service users to treatments and health checks that may distress them on a gradual basis until they are relaxed and able to cooperate. There is involvement from the speech and language therapist. The Old Farmhouse/The Briars DS0000030383.V260782.R01.S.doc Version 5.0 Page 17 Standard 20 The Boots MDR system is in use and staff have been instructed on how to use the system. Plans are in hand to introduce a medication questionnaire to check the ongoing competency of staff. Medication is kept in the home’s medicine cupboards, one in each house. Service users’ bedrooms have lockable space in them. The pharmacist continues to audit this area twice a year. A number of recommendations were made following the last visit, which have not yet been implemented. Areas in need of attention include, two staff signatures on all hand transcribed medication, and staff signatures and quantity on all medication received in the home. Staff are not always following the house policy of obtaining two staff signature when administering medication. The management and administration of controlled drugs must be recorded in a numbered hardback book and not the index card system currently in use. This affords greater accountability. The home’s medication file is very informative with lots of useful guidance for staff and it is at hand, together with other health and safety books in the staff room/office. The consultant psychiatrist has been involved with reviewing, and reducing the medication that service users have had prescribed, in connection with mood and behaviour. The Old Farmhouse/The Briars DS0000030383.V260782.R01.S.doc Version 5.0 Page 18 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23. There is a clear complaints procedure written in special format for service users. The changes to day services have meant that more service users are at home for longer periods during the day. To ensure harmonious living and minimise the number of incidents, it is essential to maintain both well-structured days and good staffing levels. Progress has certainly been made in this respect. The manager hopes to be able to retain new staff through specialist training, and recruiting staff with experience of working with people with autism. EVIDENCE: There had been no complaints since the last inspection. Advocates had been involved when there have been problems in the past. I was able to see staff raise issues on behalf of residents, and staff said that they hold frequent discussions with the manager concerning residents. The network manager audits the home during monthly visits, and more often when necessary. The home has a corporate policy for the protection of vulnerable adults. The home uses forms to report accidents and incidents. The manager had a summary of incidents for each month. Summaries show that incidences of violence between service users are reduced, although this is sometimes at the The Old Farmhouse/The Briars DS0000030383.V260782.R01.S.doc Version 5.0 Page 19 cost to staff. Strategies adopted that separate service users have clearly helped with this. The inspector remains concerned about the welfare of service users and staff now that the modernisation of day services is in operation, and more service users are at home for longer periods during the day. The Old Farmhouse/The Briars DS0000030383.V260782.R01.S.doc Version 5.0 Page 20 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30. The home is clean and staff work hard to make it as homely as possible. The home is effectively separated into three units on one site. It is this separation that underpins harmonious living. Current arrangements at the Briars, where there are two residents and one vacant room (due to a condition of registration) have been of benefit to the residents. It would seem desirable for this arrangement to continue. EVIDENCE: The layout of the home is described in the section ‘brief description’ at the beginning of this report. All residents have their own room. Six of these have en-suite shower or bath facilities. There were sufficient toilet, bathroom facilities and adaptations provided. One service user is accommodated in a separate bed-sit with its own living space. The Old Farmhouse/The Briars DS0000030383.V260782.R01.S.doc Version 5.0 Page 21 A number of bedrooms have been redecorated since the last inspection, as well as some communal areas. Service users have access to enclosed patio and grassed play areas. Access to unused farm buildings and field is restricted The manager is hoping to access some additional funds to improve facilities outside and plans to convert the on site barn into an area that can be used in poor weather. The new gardener and maintenance man has improved the appearance of the outside areas and made certain areas more accessible. The premises were clean and hygienic. A relatively new carpet cleaner keeps the carpets fresh and clean. On the day of inspection, the home was free from unpleasant odours throughout. Protective clothing was in use as appropriate. The Old Farmhouse/The Briars DS0000030383.V260782.R01.S.doc Version 5.0 Page 22 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35 & 36. It is good to see that there has been an acknowledgement of the need for Autism specific training in addition to the standard training, to support staff working in this field, and that plans are in hand to provide it. It is anticipated that this training will help with staff retention. Staffing difficulties in the past have made it difficult to take staff off shift to attend training, hopefully the improved staffing levels will be maintained and staff not prevented from attending training. EVIDENCE: The Old Farmhouse/The Briars DS0000030383.V260782.R01.S.doc Version 5.0 Page 23 The local authority’s training department has the dedicated training budget and is now developing a training database. Staff have in-house and central induction programme now linked to NVQ. There are plans to include a brief spell working at the home as a part of the induction programme for staff who will be working in other homes (i.e. not autism specific) It is hoped that this will encourage staff to work with this client group at some time in their career). There are plans to make induction training more specific to working with people with autism (as this differs in many basic ways from working with people with a learning difficulty) this year, which will be of great benefit to new members of staff. Staff reported that it has been a difficult year as a lot of experienced staff have left and that new staff took time to get to know the residents and feel confident with them. Staff also confirmed that they receive good support from each other but that they were not kept as well informed as they would like to be by management. Concern was expressed by some staff regarding the anonymity of staff questionnaires (as individuals handwriting could be recognised). Staff reported that staff facilities are poor, and that they would benefit from a ‘time out area’ It is a recommendation of this report that this view is given some consideration. The Old Farmhouse/The Briars DS0000030383.V260782.R01.S.doc Version 5.0 Page 24 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 &42. There are good systems in place to ensure that these standards are met. EVIDENCE: The Old Farmhouse/The Briars DS0000030383.V260782.R01.S.doc Version 5.0 Page 25 The network manager does quality audits every month, in line with the annual service plan. This involves service users, staff, systems and building issues. Previous targets in these areas are reviewed and new targets set in the monthly report that follows these visits. Staff use communication techniques to involve service users and to meet their needs and preferences. The speech and language therapist is engaged when necessary to guide and advise. An audit tool to seek the views of service users(or their representatives), relatives and professionals is also in use. The Old Farmhouse/The Briars DS0000030383.V260782.R01.S.doc Version 5.0 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 x x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 x x 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x x 3 x 3 2 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Old Farmhouse/The Briars Score x 3 1 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x DS0000030383.V260782.R01.S.doc Version 5.0 Page 27 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 20 Regulation 13(2) Requirement To ensure that the managemennt of medication meets Somersets own guidance and the advice of the pharmascist. A numbered hard back book must be introduced to maintain records relating to the management of controlled drugs too. Timescale for action 31/03/06 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 36 Good Practice Recommendations It is a recommendation of this report that the issues raised by staff are in this section are Staff reported that staff facilities are poor, and that they would benefit from a ‘time out area’. It is a recommendation of this report that this view is given some consideration. To promote good practice Alcohol rubs for staff should be placed in communal bathrooms and toilets. DS0000030383.V260782.R01.S.doc Version 5.0 Page 28 2 20 The Old Farmhouse/The Briars Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Farmhouse/The Briars DS0000030383.V260782.R01.S.doc Version 5.0 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!