Inspection on 17/07/07 for Whitley Farm Cottages

This inspection was carried out on 17th July 2007.

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

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Whitley Farm Cottages 10/06/09

Whitley Farm Cottages 18/12/08

Whitley Farm Cottages 27/07/06

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

Pennine Camphill

Muston Road (70)

Grayling

The Cornerstone

John Street Nursing Home

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

CARE HOME ADULTS 18-65 Whitley Farm Cottages Whitley Farm Cottages Doncaster Road Whitley Bridge Goole East Riding Of Yorks DN14 0HZ Lead Inspector David White Key Unannounced Inspection 17th July 2007 09:30 Whitley Farm Cottages DS0000064380.V343660.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 Whitley Farm Cottages DS0000064380.V343660.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. Whitley Farm Cottages DS0000064380.V343660.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Whitley Farm Cottages Address 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) Whitley Farm Cottages Doncaster Road Whitley Bridge Goole East Riding Of Yorks DN14 0HZ 01977 663476 F/P01977 663476 whitleyfarm@btconnect.com Mary Theresa Care Homes Ltd Mrs Lyn Scaife Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Whitley Farm Cottages DS0000064380.V343660.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Whitley Farm Cottages is owned by Mary Teresa Care Homes Limited and is registered to provide personal care and accommodation for up to 8 people with learning disabilities. The home is a large detached building and has 8 single bedrooms over two floors. There is a variety of communal space and five activity rooms. There is a private drive to the house with parking facilities for visitors and staff. Whitley Farm Cottages is situated in Whitley Village 10 minutes drive from Selby, where there are many amenities, local shops and railway station. The home has a statement of purpose that explains information about the care and services on offer at the home. The current scale of charges at the time of the site visit on 17th July 2007 range from £1900 to £2500 per week and extra charges are made for chiropody, hairdressing and newspapers. Whitley Farm Cottages DS0000064380.V343660.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key inspection has used information from different sources to provide evidence for this report. These sources include: • • • Reviewing information that has been received about the home since the last inspection. Information provided by the manager on an annual quality assurance assessment of the home. Comment cards returned by four people who use the service, three relatives and a GP. This report follows an unannounced site visit undertaken on the 17th July 2007. This visit was carried out by one Regulation Inspector and took 6.5 hours with 4 hours preparation time. Time was spent talking to one person living at the home; two care staff, the maintenance worker, deputy manager and the manager. Records relating to people at the home, staff and the management activities of the home were inspected. During the visit care practices were observed, where appropriate, and time was also spent watching the general activity in the home and interactions between staff and people at the home. This helped in gaining an insight into what life is like for people living in Whitley Farm Cottages. The manager was available throughout the inspection and the findings were discussed with her and the deputy manager at the end of the site visit. What the service does well: Information about each person living in the home is well detailed so that staff are clear about what they need to do to meet their needs. Each person is encouraged to make their own choices and this helps them to have control over their lives. The home has developed good links and arrangements with local doctors, dentists and specialist teams. This helps to make sure that people receive the healthcare they need in a way that is sensitive to their needs. Staff provide support in a way that respects the dignity and privacy of people living at the home. The home provides fresh, home made food that is nutritious and what people at the home enjoy. Whitley Farm Cottages DS0000064380.V343660.R01.S.doc Version 5.2 Page 6 The staff team is settled and committed to providing good standards of care. This means that the care is consistent from a staff team who have a good understanding of each person’s needs. The home is well managed so that good standards are maintained, people’s interests are put first and people living in the home are involved in decisionmaking about how the home is run. 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. Whitley Farm Cottages DS0000064380.V343660.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 Whitley Farm Cottages DS0000064380.V343660.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2. 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 this service. Proper pre-admission arrangements are in place to make sure that only suitable people are admitted into the home. EVIDENCE: At the time of the previous inspection visit there were no people living at Whitley Farm Cottage. Since that time there have been four admissions into the home. The care records show that before any person is admitted to the home, information is obtained from all available sources such as the placing authority so that the home is aware of the needs of the person and the support they require. This helps in decision-making about whether the person is suitable for the home. On receiving this information which includes information about the risks that the person may present either to themselves or others, the manager or her deputy then arranges to go out and see the person in their home if appropriate, to carry out their own assessment of the person’s needs. This supports the home in deciding whether they have the skills and resources to meet the person’s needs. People who are thinking about moving into the home and their relatives are able to visit before making any decision about moving in. They are also given Whitley Farm Cottages DS0000064380.V343660.R01.S.doc Version 5.2 Page 9 information about the care and services on offer to help with their decisionmaking and this is available in different formats to assist people with communication difficulties. Before moving into the home one person had previously lived in the south of the country. This limited the number of visits the person could make to the home before moving there. In order to make sure that this person and their family had sufficient information about the home a DVD was sent to their home address explaining the care and services on offer at Whitley Farm Cottages. Staff said that by the time the person did get a chance to visit the home, they were aware of all the staff’s names and this helped in reducing the person’s anxieties. A comment card returned from a relative indicates that they had been given enough information about the home before making a decision about their relative moving in there. Whitley Farm Cottages DS0000064380.V343660.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 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 this service. People using the service are encouraged to be independent whilst taking into account any risks that need to be considered. EVIDENCE: Individual plans of care are very detailed to provide staff with information about what help and support to give to meet people’s needs. A new member of staff made comments that the care plan documentation is “clear and easy to follow”. The plans contain information about various aspects of each person’s daily life and focus on promoting each person’s independence and choice in meeting their needs. People using the service have autism and complex needs and need help with decision-making. All the staff know how to use sign language and this can be helpful in their communication with some of the people in the home. The care plans clearly show how decisions have been made in helping each person to achieve their goals. A key worker system is in place and this enables staff to spend time with people on an individual basis. Whitley Farm Cottages DS0000064380.V343660.R01.S.doc Version 5.2 Page 11 This also ensures that people receive consistent care from staff they are familiar with and this is particularly important to the needs of the people at the home. The plans are regularly reviewed with relatives and professionals who are involved in the person’s care so that the information in them is kept up to date. The home is looking at more effective ways to involve the people living in the home in this process and is introducing PEC (Picture Exchange Communication) systems. This will help staff to communicate with the people who are using the service through the use of pictures and in supporting people who are using the service in their decision-making. One person who is living at the home said they made their own choices about their daily routines and this could be seen at the time of the site visit. Staff have a good understanding of the needs of the people at the home and receive appropriate training to support them with this. A comment card from one person at the home stated, “I feel I have achieved a lot since moving into the home”. A range of risk assessments is in place for each person to promote their independence and safety. The assessments include information about how decisions have been made where people could be restricted in what they are able to do. One person who is living at the home has recently sustained a serious injury through their behaviour. Appropriate measures have been put in place following the incident to minimise the risk of further harm to the person concerned and regular reviews of risk assessments take place to address any changes. Daily entry records are detailed, up to date and reflect the care that is being given. Whitley Farm Cottages DS0000064380.V343660.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 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 this service. People are supported with their personal development and lifestyle choices and have involvement with the local community. EVIDENCE: Staff help people at the home with their communication skills both in the home and when accessing the community to enable people to participate fully in daily living activities. The PEC system will be introduced into activity planning to help people to communicate their lifestyle preferences. Staff have equality and diversity training to enable their care practices to promote the individual’s rights and choices. Each person has a weekly planned activity chart which as much as is practically possible is planned with his or her involvement. One person likes shopping on specific days and has an activity clock to show which day it is. Whitley Farm Cottages DS0000064380.V343660.R01.S.doc Version 5.2 Page 13 Two people at the home attend specialist college placements and there are regular visits to the local pubs, shops and cinema. One person tried to enrol on a computer course at a local college but the course was not suitable for the individual’s needs. In order to address this need the home bought a computer for their arts and crafts room and all the people in the home can access this. People who choose to smoke are able to do so in the garden. The home has their own vehicle to support people with their transport needs. Some activities are planned with people at the home in their house meetings, however, others tend to be arranged on a more ad hoc basis. Whilst all the people at the home have the opportunity to go out regularly, this is mainly to the local shops and pub. It is recommended that more structured arrangements be put in place to plan trips out so that people have more opportunity to go on day outings. Visitors are welcome and a number of relatives make visits to the home. One person living at the home goes to visit their family at home every week and stays overnight. The menu is varied and offers healthy eating options and there is always an alternative meal if someone does not like what is on the menu. Staff are guided by information in each person’s care records about their food likes and dislikes and know by observing people if they are enjoying a meal. One person living at the home said that they “enjoy the meals very much” and this could be observed during a mealtime at the time of the site visit. None of the people at the home need assistance with eating. Whitley Farm Cottages DS0000064380.V343660.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. 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 this service. People’s personal and healthcare needs are well met. EVIDENCE: Each person’s personal and healthcare needs are clearly recorded in their individual care plans and there is clear guidance for staff on how this is to be achieved. People could be seen being supported in a sensitive and dignified manner and personal care is provided in private. Each person at the home has a General Practitioner (GP), dentist and has access to other healthcare services. The home has had problems in accessing dental services for people living at the home but has managed to register with a dental practice that are experienced in working with people who have a learning disability. Due to the complex needs of the people at the home, visiting a GP surgery can be especially distressing for them particularly if it is busy. In order to reduce distress to the people at the home from this, the home has made an arrangement with the surgery that people at the home will be seen by the GP for the first or last appointment of the day and the GP will Whitley Farm Cottages DS0000064380.V343660.R01.S.doc Version 5.2 Page 15 also make visits to the home when needed. This clearly shows that the staff team are caring and sensitive to the needs of the people in their care. People living at the home also receive support from the local Community Team for Learning Disabilities and those with mental health problems have support from the local mental health services. The home did have an in-house psychologist who has recently left and referrals are now made to psychology services through the GP. Staff also said that the Community Team for Learning Disabilities provided “good advice and guidance” in helping them to effectively manage difficult behaviour. Referrals are made to other specialist services as needed. One person currently has a physical health problem and is receiving regular visits from a district nurse. Health care information is very well recorded in explaining the health needs of each person and how these are to be met. Staff support people in attending appointments and the outcomes from these visits are well recorded so that staff are aware of any actions they need to take in order to make sure the person’s health needs are properly met. Relatives are contacted about important matters affecting their relative at the home and any contact is recorded. One relative made comments that “the manager is very good at keeping me informed of things”. Relatives attend care plan reviews so that they are involved in decision-making and care planning for their relative. Staff are aware of the rights of individuals and the need to protect these. A request had been made for some information about a person living at the home. Advice was sought from appropriate agencies and a review meeting arranged before a decision was made that it would not be in the best interests of the person for this information to be shared. Medication is administered using a safe, recognised system, which minimises the chances of mistakes happening. All the medication records are up to date and systems are in place for the receipt and disposal of medications. Medication reviews are regularly carried out by the GP. All staff that administer medication receive appropriate medication training. Whitley Farm Cottages DS0000064380.V343660.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. 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 this service. Proper arrangements are in place to make sure that people’s concerns are acted on and they are safeguarded from abuse. EVIDENCE: The home has a complaints procedure that details how to make a complaint and explains what will happen afterwards. The procedure is available in signs and picture format. Staff said that they would notice if people using the service have any concerns through observation of their behaviour. The home has received one complaint since the last inspection visit and the records show that appropriate action was taken in response to the complaint. There are a number of policies and procedures in place to address issues around bullying, harassment and abuse so that people who live and work at the home are safeguarded from harm. Staff have a good understanding of what abuse is and the actions they would need to take in response to it. Individual risk assessments are carried out to reduce any risks to the person or others from their behaviour and these are regularly reviewed so that staff are clear about their actions. Staff receive training on how to calm down difficult situations in order to reduce risks of potential harm to people in the home and themselves. Whitley Farm Cottages DS0000064380.V343660.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. 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 this service. The home is clean, comfortable and safe for people living at the home. EVIDENCE: On the day of the site visit the home was clean, tidy and free from any offensive odours. Accommodation is over two floors and each bedroom has either an en-suite shower or bathroom. There is ramped access to the home to assist people with mobility problems to enter and leave the home, although access between floors is by stairs only. Décor is planned around the needs of the people at the home with subdued lighting and soothing colours and there is a sensory room that provides stimulation and relaxation for people at the home. There is a lounge area that has recently been re-decorated and a dining lounge and conservatory where people can sit. The home has a garden with furniture and seating so that people can sit outside if they want to. The garden is in the process of being developed as a sensory area. One person at the home enjoys the odours from the herbs and lavender that are currently Whitley Farm Cottages DS0000064380.V343660.R01.S.doc Version 5.2 Page 18 growing in the garden. The activities room is used for recreational purposes but also has kitchen facilities and a computer. The environment is safe and well maintained. Aids and adaptations are in place to promote people’s independence, mobility and dignity. There was a concern at the last visit about a fire door being wedged open leading to the dining lounge. The manager has addressed this matter and at the time of the site visit no fire doors were wedged open and people had safe and easy access to and from lounge areas. The home has entrance gates that are fitted with security locks to promote people’s safety and there is a driveway to the house with car parking. This is a busy area and the amount of car parking space that is available is very limited. This needs looking at as it could affect access to the home for people working there, relatives and emergency services. The home has a separate laundry area where people’s clothes and bedding are looked after. The laundry room has a domestic washing machine and tumble dryer and it was observed that there was a lot of laundry that needed attending to. The manager said that plans are in place to revamp the laundry area and that an industrial washing machine and tumble dryer is being purchased to cope with the amounts of washing that need doing. This needs addressing soon in order to make sure that the washing of people’s personal clothing and bedding is kept up to and to reduce the impact that the current laundry arrangements are having on staff’s time. Whitley Farm Cottages DS0000064380.V343660.R01.S.doc Version 5.2 Page 19 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 and 35. 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 this service. People living at the home are receiving good care from a staff team with the skills and knowledge to meet their needs. EVIDENCE: Overall the home has a low turnover of staff so that people are receiving consistent cares from a settled team. Staffing levels are sufficient in meeting the needs of the people at the home. There is always a ratio of one member of staff on duty with each person at the home and these numbers are increased when people go out. The home also has a housekeeper who is employed to attend to domestic duties. Staff made comments that they “like working at the home”, “the care is person centred” and “we receive lots of training and support”. Police checks and other necessary pre-employment checks are carried out before people start working at the home so that the people at the home are safeguarded from possible harm. Prospective employees are asked to spend time with people using the service as part of the recruitment process. The Whitley Farm Cottages DS0000064380.V343660.R01.S.doc Version 5.2 Page 20 manager said that there have been some problems in recruiting new staff due to the location of the home. However efforts have been made to advertise on the website and in local shops and places of interests and this has led to some success in recruiting new staff. A sample of staff files show that new staff receive induction so that they know how to look after people properly and have been given guidance on basic safety procedures in the home. Staff receive a range of training that is relevant to their job roles and in meeting the needs of the people at the home. Most of the staff have had autism training to develop their skills and knowledge of the needs of the people living in the home and other specialist training is given. Well over half the staff have a recognised qualification in care. This helps in developing the competencies of the staff team at the home. There are staff supervision arrangements in place and all supervision sessions are recorded. Staff meetings are held on a regular basis and staff said they are encouraged to voice their views and opinions about the home. Whitley Farm Cottages DS0000064380.V343660.R01.S.doc Version 5.2 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. 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 this service. People living at the home benefit from a well managed home that puts their interests first. Some improvement to aspects of health and safety would protect their wellbeing. EVIDENCE: The registered manager is experienced in running the home and has a good understanding of the needs of the people at the home. She has obtained management qualifications including a Diploma in Management of Care Services to develop her knowledge and skills in management. People described the manager as “open and honest” and said that they found her to be “very supportive”. The manager has a deputy manager who supports her in providing leadership in the home. Whitley Farm Cottages DS0000064380.V343660.R01.S.doc Version 5.2 Page 22 The home has systems in place to seek the views of people at the home, relatives and professional who have contact with the home. Surveys were sent out to relatives and professionals earlier this year although the response to these was poor and the home is considering alternative ways of seeking feedback. House meetings take place to try and encourage the involvement of people in decision-making about the home. Because of the complex needs of the people at the home and their communication difficulties it is not always possible to obtain their views although the development of the PEC system should promote this. A senior person from the company carries out monthly visits to the home to monitor performance and a report is made of their findings so that any areas for improvement can be addressed. Fire safety is well maintained through fire safety checks and regular staff training and the registered manager has carried out a fire risk assessment of the premises. A random check of health and safety documentation was found to be satisfactory with all the necessary checks up to date. Hot water temperature checks are regularly carried out as well as daily checks of fridge and freezer temperatures so that any risks to the health and safety can be quickly identified and acted on. Some aspects of health and safety need improving. Whilst a range of health and safety training is provided, the training records show that some staff have not had any food hygiene or first aid training and this needs addressing to promote good working practices. During a look around the kitchen an inspection of the fridge contents was carried out. There were two types of packed food that had been opened but were not sealed or dated so it was unclear when it needed to be consumed by to prevent any risks to people’s health. The management immediately dealt with this matter so that people were not at risk from eating these foods. Whitley Farm Cottages DS0000064380.V343660.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 2 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 2 X Whitley Farm Cottages DS0000064380.V343660.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA42 Regulation 16 (2) (j) Requirement Packed foods once opened must be sealed and dated so that people eating them are not at risks to their health from foods which may have exceeded their consume by date. Food hygiene training must be provided for all staff so that proper food safety practices are followed to promote the good health of people living at the home. Timescale for action 17/07/07 2 YA42 13 (4) and 16(2) (j) 17/10/07 3 YA42 13 (4) (c) A risk assessment must be 17/08/07 completed to check what level of first aid training staff require so that people can be assured that they will be given the proper first aid attention in emergencies. The risk assessment should consider • • • the needs of the people at the home. how likely it is that first aid will be needed what kind of first aid is likely to be Version 5.2 Page 25 Whitley Farm Cottages DS0000064380.V343660.R01.S.doc needed. Where a risk assessment is not completed, there must be a qualified first aider on the premises at all times. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard YA12 YA24 YA30 Good Practice Recommendations Activities should be better planned and structured so that people have more opportunities for trips out. The current car parking arrangements should be reviewed to enable people to have better access to the home. The laundry arrangements should be improved so that staff are more easily able to keep up to the amount of laundry that needs attending to. 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