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Inspection on 12/06/07 for Thorntree Farm Nursing Home

Also see our care home review for Thorntree Farm Nursing Home for more information

This inspection was carried out on 12th June 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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home has good pre-admission procedures. People`s needs are assessed before they move in and they are given the opportunity to visit the home to see if it is the right place for them. People are supported in making decisions about how they live their lives and are encouraged to be as independent as possible, for example by managing their own money or doing their own cooking. The management team are aware that lack of motivations and social isolation are risk factors for people with mental health illnesses and deal with this by providing a fairly structured approach to daily life. The home provides a range of social events and activities inside and outside the home. People are also encouraged to pursue their personal interests, for example some people go to cookery classes, and another person goes to art classes. We asked people for their views of what the home does well and one person said, "Encouraging clients to integrate socially, offer varied activities and outings to promote social inclusion". People living in the home told us they get the care and support they need and one person said, "The home is very pleasant to live in with company". The staff team know people well and understand their needs. They are sensitive to people`s state of mind and show a genuine concern for the welfare of the people living in the home.

What has improved since the last inspection?

Work has started on replacing the double glazed units, this will mean that rooms will have more light and people will have a clearer view. The care records have improved and provide clear instructions for staff on how to meet people`s needs. There was evidence that people have access to their care records and are consulted about how their care needs will be met.

What the care home could do better:

The home needs to continue with the programme of refurbishment and redecoration so that it continues to be a pleasant place for people to live. The home needs to develop and maintain a formal quality assurance system. So that people using the service have the opportunity to contribute to its development and improvement.

CARE HOME ADULTS 18-65 Thorntree Farm Nursing Home Low Lane Clayton Bradford West Yorkshire BD14 6QA Lead Inspector Mary Bentley Key Unannounced Inspection 12 June 2007 10:00 Thorntree Farm Nursing Home DS0000019903.V332507.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 Thorntree Farm Nursing Home DS0000019903.V332507.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. Thorntree Farm Nursing Home DS0000019903.V332507.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Thorntree Farm Nursing Home Address Low Lane Clayton Bradford West Yorkshire BD14 6QA 01274 817523 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) Mr Sikandar Divan Mrs Sheila Divan Mr Sikandar Divan Mrs Sheila Divan Care Home 20 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (20) of places Thorntree Farm Nursing Home DS0000019903.V332507.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th May 2006 Brief Description of the Service: Thorntree Farm provides nursing care and accommodation for up to 20 people of mixed ages with a mental health illness. Most are physically active and can self- care, with prompting and support, and all are independently mobile. The home is located in a semi- rural position between the villages of Clayton and Thornton and, for people with reasonable mobility, is within walking distance of bus routes. The home uses the community transport bus, and its own vehicle for transport as required. The home is a renovated farmhouse, with an extension (known in the home as the cottage), and a renovated farm building, which provides a three-bedroom bungalow. There are four shared bedrooms and six rooms have en-suite facilities. There are plenty of communal rooms including four lounges, dining/kitchen areas, a designated smoking lounge, and a games room. The home has a nice garden and there is a greenhouse which people are encouraged to use to grow plants and vegetables. In May 2007 the weekly fees ranged from £493.00 to £573.00. This does not include the cost of transport, holidays, or organised outings. Thorntree Farm Nursing Home DS0000019903.V332507.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was done in one day by two inspectors; in total we spent approximately 13.5 hours in the home. The purpose of the visit was to look at how the needs of people using the service are met. During the visit we spoke to people living in the home, staff and management. We looked at various records relating to care, staff, and maintenance, looked around the home, and observed how people are cared for. Before the visit we sent comment cards to 15 people who live in the home and 6 to health and social care professionals who visit the home. Comment cards give people the opportunity to tell us what they think about the service. The information we get is shared with the home but we do not identify who has provided it. Eleven comment cards were returned. Overall, people were happy with the service. The information we received is included in this report. The owners completed a pre-inspection questionnaire and the information they provided has been included in this report. What the service does well: The home has good pre-admission procedures. People’s needs are assessed before they move in and they are given the opportunity to visit the home to see if it is the right place for them. People are supported in making decisions about how they live their lives and are encouraged to be as independent as possible, for example by managing their own money or doing their own cooking. The management team are aware that lack of motivations and social isolation are risk factors for people with mental health illnesses and deal with this by providing a fairly structured approach to daily life. The home provides a range of social events and activities inside and outside the home. People are also encouraged to pursue their personal interests, for example some people go to cookery classes, and another person goes to art classes. We asked people for their views of what the home does well and one person said, “Encouraging clients to integrate socially, offer varied activities and outings to promote social inclusion”. People living in the home told us they get the care and support they need and one person said, “The home is very pleasant to live in with company”. The staff team know people well and understand their needs. They are sensitive to people’s state of mind and show a genuine concern for the welfare of the people living in the home. Thorntree Farm Nursing Home DS0000019903.V332507.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Thorntree Farm Nursing Home DS0000019903.V332507.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Thorntree Farm Nursing Home DS0000019903.V332507.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2&5 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s needs are assessed before they are offered a place in the home. People are given information about the range of services offered and the terms and conditions which apply to their stay. EVIDENCE: The care records we looked at contained detailed pre-admission assessments, signed contracts, and copies of the service users guide. The contracts state that people may be charged for damage caused in the home. The owners explained the circumstances in which charges might be made, for example as part of a programme of behaviour modification. People who do not have the capacity to understand the consequences of their behaviour or to respond to a behaviour modification programme are not charged. Eight of the nine people living in the home who completed comment cards said they had received contracts. One person we spoke to said she had been to look at the home before moving in. The owners have clear admission criteria and understand the importance of taking account of the needs of people living in the home when they are considering new referrals. Thorntree Farm Nursing Home DS0000019903.V332507.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People’s individual needs are identified and the care plans provide staff with good information on how to address these needs. People are supported in making decisions about their lifestyle and there is evidence of this in the care records. EVIDENCE: The care plans are based on assessments, which include information on physical and mental health, social needs and interests. There is evidence that people are given the opportunity to discuss and change their care plans. People are asked if they want their representatives to be allowed to see their care plans and this is recorded. The care plan for one person who was likely to be aggressive provided clear information on how this should be managed. There was also information on how to reduce the risk of episodes of aggression occurring. Thorntree Farm Nursing Home DS0000019903.V332507.R01.S.doc Version 5.2 Page 10 The care plans are evaluated monthly. The daily records are detailed and give a good picture of people’s state of mind and how they spend their time. Risks are identified and the actions to be taken to reduce risk are recorded. Some people manage their own money. Others have their money managed by the Court of Protection and this is documented. The home manages money for four people, all transactions are recorded, and receipts are kept. These four people have individual bank accounts. One health care professional said the home usually supports people to live the life they choose although this can sometimes cause difficulties. They said, “Family influences often put pressure on the home to make the client act and behave as they want rather than what the client wants, this sometimes causes conflict for the care provider”. Thorntree Farm Nursing Home DS0000019903.V332507.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 & 17 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are supported in a variety of social and leisure activities, inside and outside the home, which reflect their interests, help them to maintain existing skills and give them opportunities for personal development. EVIDENCE: The philosophy of the home is to provide a fairly structured approach to daily life. This is designed to help people deal with the risks of social isolation and lack of motivation, which are commonly associated with mental illnesses. People living in the home have some responsibilities for domestic duties, such as helping to prepare meals and do the washing up. Some are also involved in doing the weekly grocery shopping at a local supermarket. On the day we visited people were busy, some were reading papers and doing jigsaws during the morning. In the afternoon most people went to the Richard Thorntree Farm Nursing Home DS0000019903.V332507.R01.S.doc Version 5.2 Page 12 Dunn centre, some to go swimming and others to play table tennis. This is a regular weekly event during the school term when the centre is not too busy. During school holidays the home organises different weekly outings. Later in the afternoon staff put a crossword on a board and several people joined in solving the clues. This is also a regular activity and one of the most popular according to the manager. Some people go to cookery classes and one person goes to art classes at the Cathedral centre. One person is very keen on trains and goes train spotting around Bradford and Leeds. The home is planning a trip to the Railway museum in York. A trip to Scarborough and Filey had been organised for the day after our visit. The access bus is available for people. One person said they felt a bit isolated because they could not manage the walk to the bus stop and this meant they could not go out on their own as often as they would like. The home has a car that is used to take people out and when larger groups are going out transport is hired. Some people organise trips for themselves using a local coach company based at Bradford Interchange. Eight of the nine people living in the home were satisfied that the activities provided were suited to their needs. One visiting professional said the home was good at encouraging social inclusion. Residents’ meetings take place about every 6 months and activities and menus are always on the agenda. Generally people were happy with the food, they said, • • • “We make our own meals – go to cooking classes at Bolton Royd College” “Sometimes it is only sandwiches for meals which are not sufficient all the time but usually the meals are good” “We go shopping and get what we want” One person said they would like a cooked breakfast sometimes and another said they would prefer the main meal at lunchtime rather than at 5.00pm. People who need help or supervision with eating have their meals in the kitchen. The home has one person of the Muslim faith and a halal diet is provided. Thorntree Farm Nursing Home DS0000019903.V332507.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 & 21 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are consulted about how their personal and healthcare needs will be met and they are given appropriate support to meet these needs. EVIDENCE: Eight of the nine people living in the home that completed comment cards were satisfied that they get the care and support they need. Details of visits to doctors, dentists, and opticians are recorded and show the reason for the visit and the outcome. Most people go out for these services and are accompanied by staff. The records also show that people have regular contact with psychiatrists, psychiatric nurses, and social workers. Nutritional screening is done and people’s weights are recorded every month. Falls risk assessments are done. Thorntree Farm Nursing Home DS0000019903.V332507.R01.S.doc Version 5.2 Page 14 Medicines are managed safely and any concerns about people not taking their medication are recorded. No one living in the home manages his or her own medication. Staff said people have a bath at least once a week, more often if they want. People looked clean and were appropriately dressed. The home has one person of the Muslim faith and a separate bathroom has been set aside for their exclusive use. The nature of the home is such that they do not have many deaths. Whenever possible people’s wishes about end of life care are respected. One person who had lived in the home for a long time died recently. The owners said someone had stayed with her all the time in her last hours. Other people living in the home were given the opportunity to attend her funeral. Thorntree Farm Nursing Home DS0000019903.V332507.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People are satisfied their views are listened to and acted on. There are suitable working practices to make sure that people are protected from abuse, neglect or self-harm. EVIDENCE: The nine people living in the home who completed comment cards all said they know how to make a complaint. The majority also said staff listen to them and take notice of what they say. One person said, “I speak to the owner of the home about my care” The home has not received any complaints since the last inspection and none have been referred to us. Staff have attended training on Adult Protection and more training is scheduled to take place in August 2007. One person who visits the home said, “When visiting I have never seen anyone who has not been treated appropriately.” Thorntree Farm Nursing Home DS0000019903.V332507.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28 & 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. Thorntree Farm provides a homely and comfortable place for people to live. Further refurbishment and redecoration is needed to make sure it continues to provide a pleasant place for people to live. EVIDENCE: The home is a converted farmhouse and from the outside there is nothing to distinguish it as a care home. People who need more support from staff live in the main part of the house, the old farmhouse. The four people who live in the “cottage” are more independent, for example they organise and cook their own meals. The “cottage” has its own kitchen/dining room and lounge. People living there can also use the other communal rooms, which are in the main house and include a games room and a designated smoking area. Thorntree Farm Nursing Home DS0000019903.V332507.R01.S.doc Version 5.2 Page 17 The three bedroom self-contained bungalow was not occupied at the time of the visit. This has been used in the past to give people the opportunity to try out living independently before moving out altogether. The environment is homely. The main lounge in the farmhouse is the most frequently used. When we arrived several people were in there reading the daily newspapers. The dining room in the main house has a low ceiling and is quite dark; one person who visits the home mentioned this and said it would be nice if there were a conservatory. There is a nice garden, which people can use and there is a greenhouse. The tomato plants have just been put in the greenhouse and people living in the home have drawn up a rota to make sure they are watered every day. The home was clean and people living there said it is usually fresh and clean. Work is in progress on replacing some of the double-glazing units that have clouded. Some redecorating has been done and a new cooker has been provided. People’s bedrooms are suitably equipped, some people have lots of their personal belongings around them, and some people have their own furniture. Door locks are fitted and staff said people could have keys if they wanted one; only one person uses a key at present. Parts of the home are showing signs of wear and tear. For example, some of the furniture around the washbasins in the bedrooms is chipped and some of the headboards need replacing. The upstairs corridors are narrow and improving the lighting would make them feel more spacious and airy. One person said her bedroom was sometimes cold, the plumber had been out twice, but it still felt cold at times when the thermostat in the main lounge was turned down. There is insufficient ventilation in some parts of the home. The bedroom that is over the smoking room has a strong odour of tobacco smoke. One of the en-suite shower rooms has condensation stains because there is no fan. The home does not have a lift; people who are less mobile are accommodated on the ground floor. The washing machine has a sluice cycle and there is a tumble dryer. Staff said they do all the washing. They said people prefer staff to do their washing although a domestic washing machine is available. Thorntree Farm Nursing Home DS0000019903.V332507.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 & 36 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. A well-trained and competent team of staff supports people living in the home. EVIDENCE: Duty rotas are available. The owners/managers are both qualified nurses and work in the home most days. The nursing staff team is made of psychiatric nurses and general nurses, this means they have the range of skills needed to meet the mental and physical health care needs of people living in the home. Overall, people living in the home were satisfied that staff were available when they needed them. Many of the staff have worked in the home for several years, they know people well and have a good understanding of their needs. This was evident in the interactions between staff and people living in the home. The staff we observed were kind and sensitive and showed a genuine concern for the welfare of people in their care. Thorntree Farm Nursing Home DS0000019903.V332507.R01.S.doc Version 5.2 Page 19 The home works closely with other health and social care professionals to make sure that people’s needs are met. One professional who visits the home said, “While working with the staff at Thorntree Farm I have found any suggestions and ideas have been welcomed and acted upon”. The files of 3 new staff were looked at; in most cases the required documents were available. The owners explained the absence of some documents was due to a misunderstanding of the guidance and agreed to rectify this. The home has its own induction checklist for new staff. The records showed that staff have appraisals every year, no records of supervision were seen. The owners said supervision takes place informally and up to now has not been recorded. Training has been provided on a variety of subjects including moving and handling, food hygiene, fire safety, infection control, oral health, pressure area care, palliative care and the Mental capacity Act 2005. All the staff have done first aid training and 57 of care staff have an NVQ (National Vocational Qualification) at level 2 or above. Some staff recently attended training on caring for people with mental health illnesses; they said it was very good. The owners said there is not a lot of training available locally that is specific to mental health care. Thorntree Farm Nursing Home DS0000019903.V332507.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to the service. People benefit from living in a home that is well managed. There are appropriate systems in place to make sure that people’s health and safety is protected. EVIDENCE: The home is owned and managed by Mr and Mrs Divan; they are both qualified psychiatric nurses and Mr Divan is also a qualified Social Worker. They have many years experience of working with people with mental health illnesses. People who use the service are involved in developing and reviewing their care plans. People using the service are consulted about some aspects of the running of the home in residents’ meetings that take place about twice a year. Thorntree Farm Nursing Home DS0000019903.V332507.R01.S.doc Version 5.2 Page 21 The home has a quality assurance policy. The owners said they have sent out questionnaires in the past but did not get any feedback. They said they would try again. All the required records were available for inspection and were in good order. The maintenance records showed that all the required checks on equipment and installations are carried out. Thorntree Farm Nursing Home DS0000019903.V332507.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 Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 2 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 X 2 X X 3 X Thorntree Farm Nursing Home DS0000019903.V332507.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 YA36 Regulation 18 Requirement The home must establish a system of staff supervision so that staff get the support and professional guidance they need to meet people’s needs. Timescale for action 31/10/07 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 OP24 Good Practice Recommendations People living in the home should be given the opportunity to be involved in plans for refurbishment and redecoration of the communal rooms and their private accommodation. Induction training for new staff should be based on the Skills for Care induction standards. 2 OP35 Thorntree Farm Nursing Home DS0000019903.V332507.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Thorntree Farm Nursing Home DS0000019903.V332507.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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