Inspection on 19/10/06 for The Old Rectory [Musbury]

This inspection was carried out on 19th October 2006.

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

Other inspections for this house

The Old Rectory [Musbury] 19/01/06

The Old Rectory [Musbury] 04/08/05

The Old Rectory [Musbury] 22/11/04

The Old Rectory [Musbury] 11/05/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 The Old Rectory [Musbury] Musbury Axminster Devon EX13 8AR Lead Inspector Vivien Stephens Key Unannounced Inspection 19th October 2006 10:00 The Old Rectory [Musbury] DS0000039128.V309911.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 Old Rectory [Musbury] DS0000039128.V309911.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 Old Rectory [Musbury] DS0000039128.V309911.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Old Rectory [Musbury] Address Musbury Axminster Devon EX13 8AR 01297 552532 01297 553511 oakpriceltd@hotmail.co.uk 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) Oakprice Limited Mr Robin Andrew Barrie Farrington Care Home 15 Category(ies) of Learning disability (15), Learning disability over registration, with number 65 years of age (15) of places The Old Rectory [Musbury] DS0000039128.V309911.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. To take service users over the age of 35 years only Date of last inspection 19th January 2006 Brief Description of the Service: The Old Rectory provides support and personal care for 15 people with a learning disability who are over the age of 35 years. The home is a detached, converted and extended property on the edge of the small village of Musbury. It is a short car journey to either Seaton or Axminster. Residents bedrooms are single with en-suite facilities. Residents share the use of the lounge, dining room and conservatory. There is a large private garden with a decked area outside of the conservatory. The Old Rectory is run as a family business with many family members working at the home. At the time of this inspection weekly fees ranged from £377 to £1125. Copies of inspection reports are available in the home on request. The Old Rectory [Musbury] DS0000039128.V309911.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Several weeks before this inspection a questionnaire was completed by the home and forwarded to the Commission. On receipt of this information survey forms were sent to residents, care staff, relatives and health and social care professionals. Responses were received from 15 residents, 10 care workers, 6 relatives and 1 general practitioner. The results of these surveys have informed the outcomes of this inspection. This inspection began at 10am and finished at 5pm. During the day conversations took place with the owner/manager, Robin Farrington, two care workers and most of the residents. For those residents who have limited verbal communication skills, observations were made of their interaction with care workers. A relative who was visiting the home talked to the inspector about his observations of the care and facilities provided. The care of two residents was ‘tracked’ from their admission to the time of this inspection, checking all relevant records including medication administration. The areas covered during this inspection included medication storage and administration, assessment and care planning procedures, meals, protection of vulnerable adults, recruitment and training of staff, record keeping, and diet and nutrition. The inspector shared a meal with the residents at lunchtime. A tour of the home also took place. What the service does well: Anyone who considers moving into The Old Rectory will be given plenty of opportunities to get to know the home before they move in permanently. They are given either written or audio information about the home. The person is encouraged to visit the home, possibly have some short stays, and to have an assessment of their needs carried out before anyone makes a firm decision about moving in. Information is gathered by the home from the prospective resident and/or their family or representatives, from their previous home, and from any health or social care professional involved in their care. This information is then used to draw up a plan of care. Plans seen during this inspection covered all areas of needs and provided clear information to care staff about the daily care tasks to be carried out. The plans included information about any risks and how these could be minimised or eliminated. The care plans also gave good evidence of how the heath needs of the residents are met. This was confirmed by one GP, and by the residents who responded to this inspection through survey forms. The inspector sat with the residents and shared a meal at lunchtime. The meal was tasty, and was served in an attractively decorated and furnished dining room. Residents were given discreet and sensitive help where necessary. There is a four-weekly menu that has been drawn up to meet the nutritional The Old Rectory [Musbury] DS0000039128.V309911.R01.S.doc Version 5.2 Page 6 needs of residents. Residents are consulted over the choice of meals through regular Residents’ Meetings. Good systems are in place for the receipt, safe storage and administration of medicines. Staff have received training medicine administration. The home has been well maintained both internally and externally. The property is close to the centre of the village, and has lovely views of the surrounding countryside. All bedrooms are single, and have been attractively decorated and furnished to suit the tastes and interests of the individual resident. Most of the bedrooms have en-suite facilities. Aids, equipment and adaptations have been provided where necessary to enable residents to move around as safely as possible. During the inspection some of the residents showed the inspector their rooms, and were clearly very happy with the way the rooms were furnished and decorated. There is a committed and positive staff team. Staff talked about how they work closely to ensure the best possible care for the residents. Staff records seen during the inspection showed that good recruitment procedures are followed. The range of training is increasing. Good systems are in place to monitor the quality of the services and facilities and ensure continuous improvements are made. Staff have received training on all aspects of health and safety. Equipment has been well maintained and checked regularly to ensure it is safe. All areas of the home were found to be clean, fresh and hygienic. What has improved since the last inspection? What they could do better: At the last inspection it was noted that the kitchen door was locked when staff were not present. The door was still being locked at this inspection. Robin Farrington said that this was due to possible risks to some residents, and has been documented in care plans. However, he agreed to consider ways of ensuring any risks within the kitchen are limited, and therefore enable residents to have safe access to this room at all times. The Old Rectory [Musbury] DS0000039128.V309911.R01.S.doc Version 5.2 Page 7 Where creams or lotions have been prescribed for residents there should be clear written instructions to staff to show when, how, where and why the creams should be applied Overall, good procedures are in place to protect residents’ money and valuables. However, improved systems of double-checking transfers of money from building society accounts should be implemented. 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 Rectory [Musbury] DS0000039128.V309911.R01.S.doc Version 5.2 Page 8 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 Rectory [Musbury] DS0000039128.V309911.R01.S.doc Version 5.2 Page 9 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): 1, 2, 3, 4, 5 “Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service.” The home has excellent admission and assessment procedures in place, ensuring that residents are able to make an informed choice about where they want to live. EVIDENCE: Robin Farrington explained the procedure they usually follow when they receive an enquiry from someone considering moving to The Old Rectory. He would normally visit the person to carry out an assessment of their needs and at this stage he will give as much information as possible about life at The Old Rectory. Verbal information is backed up by written information, and if necessary they also have audiotapes for those who have reading difficulties. The person is invited to visit The Old Rectory as many times as they want in order to get to know the home and help them decide if it is the right place for them. In the last year three people have moved into the home. Their care plan files and assessment documents were inspected and found to contain good information about their health, social and personal care needs. The information gathered by the home showed that they had carefully considered the suitability of the home before offering to accommodate them. The care plans from the previous homes had been obtained, plus information from health and social care professionals. The Old Rectory [Musbury] DS0000039128.V309911.R01.S.doc Version 5.2 Page 10 One of the new residents talked about how he chose the home. He said that when he visited the home he was quite certain that it was the right place for him. Since he moved in he has been very happy and therefore it was clear that he had made the right decision. Through discussions with Robin Farrington and care staff there was good evidence to show how the home has considered carefully the needs of other new residents following their admission. For example, they were planning alterations to the layout of the accommodation for one resident. They were able to demonstrate careful observation and insight into the personality of another resident with poor verbal communication skills. Through discussion with the staff team they adjusted their approach, and this has helped the person settle in quickly and happily. All of the residents have received a written contract of residence. The Old Rectory [Musbury] DS0000039128.V309911.R01.S.doc Version 5.2 Page 11 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 “Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service.” The home has good information systems that clearly show how residents’ needs and wishes are met. Residents are usually supported to take responsible risks. An exception to this has been access to the kitchen when staff are not present. EVIDENCE: Three care plans were seen. These contained wide-ranging information about all aspects of each resident’s needs. They contain a summary sheet that gives straightforward instructions to care staff about the assistance they must give to each resident on a daily basis. While the current care plans are satisfactory, they are written from the viewpoint of the staff that have written them. Robin Farrington is considering using an alternative care planning systems that is written by (or from the viewpoint of) the resident, and uses symbols. This would further improve the way the care needs are planned and implemented. The Old Rectory [Musbury] DS0000039128.V309911.R01.S.doc Version 5.2 Page 12 Two care plans were ‘case tracked’ during the inspection, tracking the care from initial assessment up to the present time. The documents provided examples of how the residents have been able to make decisions about their everyday lives. Staff and residents talked about the choices that are offered in meal planning and preparation, shopping, outings and activities, and choice of clothes. The philosophy of the home is clearly to give as much power as possible to the residents. Where appropriate, residents have advocates who will help them to make decisions, or to act on their behalf. Residents’ meetings are held regularly, and these also enable residents to make decisions about all aspects of daily life at the home. Care plan files include risk assessments for all activities where there is a history or clear likelihood of harm. One area of risk that was highlighted at the last inspection was the kitchen. A number of the residents like to help with meal preparation or making drinks. When staff leave the kitchen the door is usually locked. This practice was discussed with Robin Farrington and he agreed to consider ways of making the kitchen safe, while allowing residents access to the room at all times. The Old Rectory [Musbury] DS0000039128.V309911.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 “Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service.” Residents lead interesting and fulfilling lives. The nutritional needs of residents are met through a varied and appetising range of meals. EVIDENCE: Since the last inspection the level of activities provided for residents has improved. Each resident now has a weekly timetable of activities. Group activities include music sessions using professional musicians, outings and shopping trips, aromatherapy, arts and crafts, games, and walks in the local area. Some of the planned activities include household tasks such as cleaning, cooking or laundry. Evening activities have also improved since the last inspection following adjustment of the staff shifts. Specialist training has been organised for the staff to help them develop the range of activities further. On the day of this inspection a group of residents went out for a trip to Seaton. Another group enjoyed dancing and listening to music in the lounge. A few The Old Rectory [Musbury] DS0000039128.V309911.R01.S.doc Version 5.2 Page 14 residents did not want to join in with group activities and preferred to sit quietly either in their own rooms or in the dining room and carry out activities of their choice. Some of the residents were going for a short holiday the following weekend. Others had been on holiday earlier in the year. A relative who was visiting the home on the day of this inspection talked about they way the home welcomes visitors and encourages their involvement in the home wherever possible. Staff talked about how residents are consulted over the menus. There is a four-weekly menu that has been drawn up in consultation with the residents. The inspector sat and shared lunch with the residents. The meal was sausages, mashed potato, and mixed vegetables with a tasty onion gravy. Discreet help was provided to those residents who have difficulty feeding themselves. Specialist crockery was provided where required to promote independence. The dining room has been attractively decorated and furnished, making mealtimes a pleasant experience. All of the residents who completed a survey form before this inspection said they always enjoy the meals. The Old Rectory [Musbury] DS0000039128.V309911.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 “Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service.” Residents’ personal and healthcare needs are well met. Medicines are stored and administered safety. Clear written instructions on the administration of creams and lotions would further safeguard the administration procedures. EVIDENCE: The care plans clearly set out how the staff should assist each resident with any personal or health care needs. Each resident is accommodated in a single room, and all but one bedroom has en-suite facilities, therefore providing privacy and dignity. Adaptations have been carried out where necessary to enable residents to have a shower independently. Daily reports were sampled and these clearly show the tasks that have been carried out in line with the care plan. There is a balance of male and female staff to ensure that residents can be assisted by a staff member of the same sex if they prefer. The Old Rectory [Musbury] DS0000039128.V309911.R01.S.doc Version 5.2 Page 16 Regular healthcare checks and treatments are provided as required. A comment card completed by a GP confirmed that the home seeks advice and treatment appropriately. Specialist health professionals are also involved where required. All of the residents who responded to this inspection by completion of a survey form said they were satisfied with the support they receive from the home to obtain medical advice and treatment. This was also confirmed by a relative who was visiting the home on the day of the inspection. The home uses a monitored dosage system of medication supplied in blister packs by the pharmacy. Medicines were found to be stored securely. At the time of this inspection no medicines required refrigeration, and no controlled drugs had been prescribed. Records of medicines administered were found to be in good order. All but two recently recruited staff have received comprehensive training on the safe administration of medicines. The new staff have received basic instructions and are currently supervised if they administer medications in order to ensure their competency. Where residents have been prescribed creams and lotions there were no clear explanation either on the administration records or in the care plans to show how, when, why or where these should be applied. Robin Farrington was confident that all staff had received verbal instructions on how to administer the creams, but agreed to ensure there are also clear written instructions in place. Records should be completed each time a cream or lotion is administered. The Old Rectory [Musbury] DS0000039128.V309911.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 “Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service.” Excellent measures have been put in place to protect residents from abuse. There is an open and positive culture in the home where residents and staff feel safe and supported to raise concerns or complaints. Overall, good procedures are in place to protect residents’ money and valuables. However, improved systems of double-checking transfers of money from building society accounts should be implemented. EVIDENCE: No complaints have been received by the home or by the Commission since the last inspection. The complaints procedure is displayed in the hallway next to Robin Farrington’s photograph and the procedures have been explained to residents. Residents who completed survey forms prior to this inspection said they knew who to talk to if they are worried or upset, or if they want to make a complaint. Relatives who completed survey forms also confirmed this. All staff have received training on the protection of vulnerable adults. Robin Farrington talked about his awareness of the difficulties and complexities faced in a family-run home where a number of the staff are related. He explained the careful consideration that has been given to ensuring all staff, whether family or not, can feel safe and secure in alerting bad practice or raising concerns. He stressed that the Deputy manager is deliberately non-family for this reason. Protection of vulnerable adults is a subject that has been discussed at length with all staff. All of the staff that completed questionnaires prior to this inspection confirmed that there are good procedures for the The Old Rectory [Musbury] DS0000039128.V309911.R01.S.doc Version 5.2 Page 18 prevention of abuse. They also spoke highly of the open and positive atmosphere in the home where issues can be raised with complete confidence. Records of cash and building society accounts handled by the home were sampled. The records were found to be generally in good order. However, one error was noted in the transfer of money from one building society account to the individual cash wallet of one resident. While all daily cash transactions are double-checked by a second member of staff, there has been no similar method of double-checking transfers from building societies accounts to the individual cash wallets held by the home to ensure the records are correct. It is recommended that the records of all transactions are double checked regularly by someone who is competent in financial recording. The Old Rectory [Musbury] DS0000039128.V309911.R01.S.doc Version 5.2 Page 19 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, 26 28, 29, 30 “Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service.” Residents live in a comfortable, safe, clean and attractive environment. EVIDENCE: In a tour of the home all areas were found to be maintained, decorated and furnished to a high standard. Each resident has a single bedroom that has been decorated and furnished to suit their tastes and preferences, and clearly reflect their personality and interests. All but one bedroom has en suite facilities. In one bedroom specialist furniture has been purchased to suit the height and stature of the resident. One of the relatives who completed a survey form said “My brother…. is very happy at the home. His bedroom is like a 5 star hotel.” Residents have been encouraged to help choose the decorations and furnishings in the communal areas. The atmosphere is one of a relaxing and comfortable environment where residents can feel truly at home. The Old Rectory [Musbury] DS0000039128.V309911.R01.S.doc Version 5.2 Page 20 In the last 2 years the home has been enlarged and improved to provide further bedrooms, and to improve existing rooms. Adaptations have included the provision of a lift between the ground and first floors. Further alterations are planned to an en suite facility to help the resident to move around with greater ease and independence. Access around the home is good. A call bell system is in place to enable residents to obtain assistance from staff if needed. The lounge is comfortably decorated and furnished and there is also a large and comfortable conservatory providing an alternative sitting area. The gardens are large and well maintained and provide space for relaxing and socialising in the summer months. All rooms have lovely views over the gardens and surrounding countryside. All areas of the home were found to be clean, bright and fresh. The laundry was in good order, with commercial machines and good storage facilities. The Old Rectory [Musbury] DS0000039128.V309911.R01.S.doc Version 5.2 Page 21 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): 32, 33, 34, 35, 36 “Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service.” The needs of residents are met by a competent and well-supervised staff team. Residents are protected by good recruitment procedures. EVIDENCE: Copies of staff rotas provided for this inspection show that there are sufficient staff employed to meet the needs of the residents. This was also confirmed by residents who completed questionnaires submitted to the Commission. Four staff files were checked during this inspection. They showed that all staff have completed an application form, at least two satisfactory references have been received, and a Criminal Records Bureau check has been carried out before the staff have been confirmed in post. Good induction procedures are in place providing evidence of basic competency in all aspects of care. The percentage of staff with a relevant qualification has fallen below the recommended level of 50 . Five staff currently hold a National Vocational Qualification (NVQ) to level 2 or above. Three more staff are currently The Old Rectory [Musbury] DS0000039128.V309911.R01.S.doc Version 5.2 Page 22 undertaking NVQ’s, and when these are completed the level of qualified staff should once again be above 50 . In the last year training has been provided in first aid, autism/challenging behaviour, total communication, administration of medicines and fire safety. Robin Farrington has drawn up a business plan that includes increased training for all staff. Future training planned includes further topics relating to the needs of people with a learning disability, including epilepsy and activities/occupation. All of the staff who completed questionnaires prior to this inspection said they receive regular supervision and support. Comments from staff include – ”It’s the best home I’ve worked in”. “The manager is very approachable”. “…there is a good atmosphere which has made my start till now very comfortable. I enjoy my job. The manager has said that he will send me on all of the courses that I would benefit from to make my choice of career better, and give me a better understanding.” The Old Rectory [Musbury] DS0000039128.V309911.R01.S.doc Version 5.2 Page 23 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 “Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service.” The home is well managed. Good systems are in place to ensure there is a continuous improvement of services and facilities. The health and safety of residents and staff are protected by staff training and the provision of well-maintained equipment. EVIDENCE: Robin Farrington has many years of experience as a registered manager. He has worked in a number of homes for people with learning disabilities. He holds a National Vocational Qualification at level 4 and the Registered Managers’ Award. Residents, staff, and relatives expressed complete satisfaction in the management and ethos of the home. The Old Rectory [Musbury] DS0000039128.V309911.R01.S.doc Version 5.2 Page 24 Good systems are in place to monitor the quality of the care and services provided. These include questionnaires, meetings, and staff supervision sessions. The outcome of these has lead to the manager drawing up a business plan setting out the areas they intend to improve in the coming year. Information provided by the home prior to this inspection showed that all equipment has been regularly serviced and maintained. Health and safety checks have been carried out. Records checked during this inspection included the fire logbook and accident book. These provided evidence that the safety of residents and staff have been given a high priority. Staff have received regular training and updates on health and safety topics including fire protection and first aid. The Old Rectory [Musbury] DS0000039128.V309911.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 4 3 4 4 4 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 4 25 x 26 4 27 x 28 4 29 3 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 2 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 X 3 X X 3 x The Old Rectory [Musbury] DS0000039128.V309911.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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA9 Good Practice Recommendations Where access to the kitchen is restricted this should be clearly documented in individual risk assessments, and regularly reviewed. Where possible the home should consider ways of making the kitchen safe in order to give residents access to this area at all times. The home should continue to improve and expand the variety of activities both in and out of the home. Where creams and lotions have been prescribed there should be clear written instructions for staff to show why, how, when and where the creams should be administered. Records should be kept to show when they have been administered. Systems of double checking records of money transferred from building society accounts should be implemented 2 3 YA12 YA20 4 YA23 The Old Rectory [Musbury] DS0000039128.V309911.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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. 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