Care Home: 29 Firgrove Hill

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What the care home does well The home provides a relaxed and friendly atmosphere. Good relationships were observed between people and staff. Staff were seen to be respectful, caring and attentive to the needs of people living in the service throughout this visit. The home has developed detailed and comprehensive person centred care plans, which are completed in consultation with people, these were accessible and formulated with pictures and symbols. People living in the service attend a range of meaningful educational, recreational and social activities. During this visit one person left the service to attend further education and two people have part time employment. A person living in the service said, " I like going line dancing and going to the church on Sundays" People are supported to make choices and encouraged to be independent. The home holds regular meetings and carries out monthly key worker meetings. People are consulted about their meals, which they choose, and meets their preferences. One person said, " I am having pizza today which is my favourite". And another person said, "nice house". A relative commented, "clients are encouraged and supported to live as full life as possible and all their choices are respected" A number of other positive comments were received from relatives including," the home gives extremely good personal good attention to all aspects of the service users needs"; " very excellent service we are happy with everything they do for our relative" and "there is total commitment to clients health care needs and constant progress monitoring at all times". What has improved since the last inspection? An accurate record of medication administered to people living in the service was maintained. The homes safeguarding vulnerable adults from abuse policy has been reviewed and updated. What the care home could do better: The responsible individual must appoint a permanent manager to run the home and make an application to the Commission for them to be registered. A risk assessment and consultation must take place with environmental health in respect of the uncovered radiators throughout the home ensuring the health, welfare and safety of people living in the service. CARE HOME ADULTS 18-65 Firgrove Hill (29) 29 Firgrove Hill Farnham Surrey GU9 8LN Lead Inspector Lisa Johnson Unannounced Inspection 15th May 2008 09:20 Firgrove Hill (29) DS0000013479.V363349.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 Firgrove Hill (29) DS0000013479.V363349.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. Firgrove Hill (29) DS0000013479.V363349.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Firgrove Hill (29) Address 29 Firgrove Hill Farnham Surrey GU9 8LN 01252 721580 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) www.mencap.org.uk Royal Mencap Society Mrs Deborah Alison Skidmore Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Firgrove Hill (29) DS0000013479.V363349.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Of the 5 residents accommodated 1 resident may fall within the category of LD(E), Learning Disabilities/Older Person The age/age range of the persons to be accommodated will be: 18 64 AND ONE PERSON AGED OVER 65 YEARS The named condition of registration in the CSCI letter dated 11th April 2005. 29th May 2007 Date of last inspection Brief Description of the Service: 29 Firgrove Hill is a detached Victorian house situated in the centre of Farnham, just off a busy road and within easy access of the town centre. The property is owned by Advanced Housing and managed by Mencap. The home provides accommodation and personal care to five adults with learning disabilities under the age of 65 years. Accommodation is provided in 5 large single occupancy rooms that are on the two upper floors. The home has two bathrooms available. There is a communal lounge, kitchen/diner and a large garden available for use by the service users. Some parking is available at the front of the house. The weekly fees are £732.72 Firgrove Hill (29) DS0000013479.V363349.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good outcomes. This site visit was part of a key inspection. The site visit was unannounced and took place over seven hours commencing at 09.20 am and finishing at 4.10 p.m. Mrs. L Johnson Regulation Inspector carried out this visit. Information was provided to us by the service prior to this visit in the Annual Quality Assurance Assessment. (AQAA) This is a self-assessment that focuses on how well outcomes are being met for people using the service. Reference is made to this assessment throughout this report. A full tour of the premises took place. Care plans, risk assessments, medication administration records staff personnel files, training records and policies and procedures were seen during this visit. During this visit we were able to speak to three people, the interim manager and a member of care staff. We also received comments from three relatives. The inspector would like to thank the people living in the service and staff for their time, assistance and hospitality during this inspection. What the service does well: The home provides a relaxed and friendly atmosphere. Good relationships were observed between people and staff. Staff were seen to be respectful, caring and attentive to the needs of people living in the service throughout this visit. The home has developed detailed and comprehensive person centred care plans, which are completed in consultation with people, these were accessible and formulated with pictures and symbols. People living in the service attend a range of meaningful educational, recreational and social activities. During this visit one person left the service to attend further education and two people have part time employment. A person living in the service said, “ I like going line dancing and going to the church on Sundays” People are supported to make choices and encouraged to be independent. The home holds regular meetings and carries out monthly key worker meetings. People are consulted about their meals, which they choose, and meets their preferences. One person said, “ I am having pizza today which is my favourite”. And another person said, “nice house”. A relative commented, Firgrove Hill (29) DS0000013479.V363349.R01.S.doc Version 5.2 Page 6 “clients are encouraged and supported to live as full life as possible and all their choices are respected” A number of other positive comments were received from relatives including,” the home gives extremely good personal good attention to all aspects of the service users needs”; “ very excellent service we are happy with everything they do for our relative” and “there is total commitment to clients health care needs and constant progress monitoring at all times”. 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. Firgrove Hill (29) DS0000013479.V363349.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 Firgrove Hill (29) DS0000013479.V363349.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, 2 & 4 People using the service experience good outcomes in this area This judgement has been made using available evidence including a visit to this service. Prospective people considering this service as a place to live are provided with information they need to make an informed choice about its suitability. The needs of prospective people are assessed prior to admission to the home. EVIDENCE: The home provides a statement of purpose and service user guide, which has been updated. Information supplied in the annual quality assurance assessment states that the home intends to make the statement of purpose and home brochure more accessible in pictorial format. During this visit pre- admission assessments were sampled for two new people which were detailed and comprehensive and covered a wide range of areas including health, personal, emotional social and cultural and religious needs. The service also obtains information from other professionals including care managers and health care professionals. People and their families considering moving into the home are able to visit and stay in the home prior to moving in. Firgrove Hill (29) DS0000013479.V363349.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 & 9 People using the service experience excellent outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are provided with a care plan, which records their individual needs and goals and they are supported to make decisions about their lives. People using the service are supported to take risks as part of an independent lifestyle. EVIDENCE: Each person has a comprehensive person centred care plan, which are designed to enable personal, emotional, health, social, cultural and religious needs of each person to be addressed. Three person centred plans were sampled which are accessible and formulated in pictures. The manager said these are to be further developed with photographs to make them more personal. Monthly reviews are conducted involving people and their key workers where goals are reviewed and outcomes are recorded on an accessible checklist. The home also conducts annual reviews. During this visit the manager was in the process of ensuring that people had signed their care plan confirming their agreement. Firgrove Hill (29) DS0000013479.V363349.R01.S.doc Version 5.2 Page 10 The service has systems in place to support people to make decisions about their daily lives this includes regular home meetings. The home is developing information in accessible formats including the staff rota, which contained photographs of the members of staff on duty. People are supported to manage their finances and where support is required this was clearly documented in their care plan. During this visit one person was assisted to go out to pay his rent and to go the bank. We were informed that one person has advocacy support. The means of communication for people was recorded in their care plan. One person communicates by non-verbal means, which was recorded in their care plan, and staff demonstrated good knowledge and understanding when communicating with this person. The home supports people to maintain an independent lifestyle and range of risk assessments was in place. Risk plans sampled included bathing, community access, and cooking and fire awareness. Risk plans were also signed by staff to confirm their understanding. Firgrove Hill (29) DS0000013479.V363349.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): 12, 13, 15, 16 & 17 People using the service experience excellent outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are provided with a range of appropriate activities and engage in a range of leisure pursuits. People are supported to take part in the local community and their rights and responsibilities are respected. The home is able to demonstrate that people are provided with a well-balanced and nutritious diet. EVIDENCE: Person centred plans, discussion with people and staff and observations during this visit demonstatrated that the home supports people to access and attend a range of educational, recreational and social activities. During this visit one person told us about the day activities they attend and said, “ I like going line dancing and I go to church on Sundays”. Another person attended Further Education College and two people have part time employment. The manager told us that due to the changing needs of oneFirgrove Hill (29) DS0000013479.V363349.R01.S.doc Version 5.2 Page 12 person staff have been having meetings with this person’s employer to explore other means of support to ensure they can continue their employment. A member of staff spoken with told us that one person had attended a world wrestling match, motorcycle show and was also being supported to attend a motor show. People visit local facilities such as shops, restaurants, and cafes and one person told us that she is going away on holiday. Information viewed in another persons care plan demonstrated that staff have actively supported a new person to identify new meaningful activities, which meets their preference and interests. People living in the service maintain links with their families and friends. One person said that he visits his family at weekends and another person said that she has a friend who visits the home on Sunday for dinner. In agreement with people they are supported write regular newsletter to their families about all the things they have been doing. Observation of conversations demonstrated that people are encouraged to make choices and maintain their independence. Staff were seen to be respectful, caring and attentive to the needs of people living in the service throughout this visit. People are assisted to prepare their own meals and carry out domestic tasks, such as washing, cleaning and washing up which was observed during this visit. One person told us that they enjoy porridge for breakfast and showed us the instructions for undertaking this task, which was provided by means of pictures to assist them People’s privacy is respected and they maintain their own key for their bedrooms. A relative commented, “All clients are encouraged and supported to live as full life as possible and all their choices are respected” Menus are based on individual preferences and health eating is promoted. People are involved in the menu planning which is formulated in pictorial format. One person said, “the meals are nice” and another person said, “We are having pizza tonight which is my favourite”. Menus were varied and well-balanced and fresh fruit was available in the kitchen for people to help themselves to. Firgrove Hill (29) DS0000013479.V363349.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): 8, 19 & 20 People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is able to demonstrate that people living in the service receive personal support in the way they prefer. People’s physical and health needs are met and they are protected by medication administration procedures. EVIDENCE: Each person has a health action plan in place, which recorded peoples medical, and health histories. People’s likes, dislikes and preferred routines and gender of staff to provide support was recorded. Each persons support needs were clearly documented advising staff how this is to be supported such as personal hygiene. One persons care plan identified that they need encouragement to drink fluids and was provided with a favourite milk shake drink on return from day activities. Another persons plan identified that they have sight difficulties and the home has demonstrated that hey have worked with this person, advocate and a representative from the Surrey Association for visual impairment to promote this persons independence and they have been provided with a telephone with a large key pad. Firgrove Hill (29) DS0000013479.V363349.R01.S.doc Version 5.2 Page 14 A relative commented, “my relative has been given total support and care to maintain and improve their life in all aspects” and “there is total commitment to clients health care needs and constant progress monitoring at all times”. The service maintains records of each person’s health screen checks and appointments including general practitioner, chiropody and dentist. The home also maintains links with the community team for people with learning disabilities. The medication policies and practices were examined. Medication profiles were in place recording how medication is to be administered and any identified allergies. Medication is dispensed using the monitored dose system (MDS) system. A photographs of each person was available with their medication administration records and all medication administered had been signed for. Staff training files viewed demonstrated that staff have received appropriate training and the local pharmacy carries out visits to the home. Records were maintained for the receipt and disposal of medication. During this visit we were informed that the office had been relocated and it was observed that the medication cupboard had not yet been fixed to the wall. The manager was aware of this and was arranging for this to be completed shortly. One medication card had been hand transcribed by staff but had not been checked and signed by two members of staff, which was bought to the attention of the manager who promptly responded to this matter, which was completed during this visit. Firgrove Hill (29) DS0000013479.V363349.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): 32 & 33 People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. The service is able to demonstrate that the views of people are listened to and acted upon and safeguards people from abuse and takes action to follow up any allegations. EVIDENCE: There is a complaints procedure in place, which is also available in an accessible pictorial format, which was seen on display on the kitchen notice board. Since the previous visit the Commission has received no complaints or concerns. The service has also not received any complaints. The complaints procedures also provided to relatives who stated that the service listens and responds to any concerns. One person spoken with said that she feels safe and would see her key worker if they had any concerns. Another person used the Makaton sign “thumbs up” to indicate that he was feeling happy .As part of the monthly meeting that people have with their key worker complaints and concerns are discussed A relative commented, “ Very excellent service we are happy with everything they do for our relative”. The organisation has reviewed and updated their own safeguarding adults from abuse procedure and the local authority multi agency procedure was also available. A member of staff spoken with was aware of the procedure and clear about the action they should take if they witness or are made aware of Firgrove Hill (29) DS0000013479.V363349.R01.S.doc Version 5.2 Page 16 any incident where the safety or protection of a vulnerable person is compromised. All new staff receive training during their induction and two members of staff training records confirmed their attendance. Since our last visit one matter was referred to the local authority, which is now closed. Firgrove Hill (29) DS0000013479.V363349.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, 25, 26 & 30 People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People receiving the service have a safe and well-maintained environment that is homely, clean, comfortable, pleasant and hygienic. EVIDENCE: The home was generally maintained and we were informed that a new housing association has taken over and a redecoration programme is being planned. There is a comfortable, homely sitting room and a large open plan kitchen/dining room. There is an accessible garden to the rear the house, which was pleasant and well presented which contained garden furniture. We had the opportunity to view two bedrooms. One person’s room had been repainted with his family another persons room was comfortable, reflected their gender and was personalised. This person was particularly pleased with their new television, which they had purchased. Firgrove Hill (29) DS0000013479.V363349.R01.S.doc Version 5.2 Page 18 The home was clean and hygienic. Suitable washing equipment was available. Infection control procedures are in place; separate utility room and staff records sampled confirmed that staff receive training in infection control. Firgrove Hill (29) DS0000013479.V363349.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 & 35 People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. People using the service are provided with appropriate support although this needs to be continually reviewed People are supported by staff that have in the main the appropriate qualifications and skills and they are protected by robust recruitment procedures. EVIDENCE: At the time of this visit there were two members of staff on duty including the manager who arrived at nine thirty. Another member of staff who had worked the sleep-in duty worked until ten am. There were three people present and another person left to go to college. In the afternoon there were also two members of staff on duty. There are currently three members of staff employed in the home and since our previous visit one person has left for promotion with the organisation and another person has gone on a secondment. Recruitment is in process and the home has successfully employed a new member of staff who is due to commence shortly and they also hope to recruit to the other vacant post. The home is also supported by staff that are employed by the organisations bank system. The manager said that she tries to ensure that the temporary staff used know people well to maintain consistency and one person used to be a Firgrove Hill (29) DS0000013479.V363349.R01.S.doc Version 5.2 Page 20 permanent member of staff at this home. The manager stated that the staff rota is planned to accommodate people’s activities. Due to two staff leaving the service this has impacted on the number of staff who have completed National Vocational Qualifications. Currently there is one member of staff who completing the course and consideration is being given to another member of staff enrolling on the course. The training records sampled or two members of staff demonstrated that they are supported to attend a range of training. This includes statutory training as well as specialised training such as autism and managing aggression, which meets the needs of people using the service. Staff files sampled confirmed that new staff receive comprehensive induction, which was confirmed by a member of staff spoken with, who also said that there is lots of training. The recruitment files were sampled for two members of staff, which contained the required information including a fully completed application form and two written references. Enhanced Criminal Record Bureau Checks are conducted. The manager stated that no person is employed in the home until this information has been received. Firgrove Hill (29) DS0000013479.V363349.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 & 42 People using the service experience good outcomes in this area. This judgement has been made using available evidence including a visit to this service. There is not a permanent manager in post. The home is run in the best interests of people living in the service and their health, welfare and safety is mainly protected. EVIDENCE: Currently there is no appointed permanent manager in post. The home is being run by an interim manager who is registered with the Commission for another service. Therefore it is required that the organisation must appoint a permanent manager to run the home and that an application is made for them to register with us. The interim manager holds the Registered Managers Award. A member of staff spoken with said that he felt very well supported by the manager who is hands on. The home holds regular team meetings. During this visit the manager was observed to have an open and inclusive approach. Firgrove Hill (29) DS0000013479.V363349.R01.S.doc Version 5.2 Page 22 The service provides annual feedback surveys to people, which are, analysed. The organisation holds regional forums and one person living in the service is a representative. The company also carries out annual service reviews and have introduced and follow a continuous improvement plan, which covers support, team, environment and systems. The organisation also carries out comprehensive regular quality assurance audits and monthly visits required by the Commission for Social Care Inspection. During a tour of the premises all substances hazardous to health were appropriately stored. Staff receive relevant health and safety training. The fire records were sampled which indicated that regular alarm checks and fire evacuations are conducted and regular water temperature checks are maintained. Regular health and safety audits are conducted and certificates were maintained of all servicing and maintenance of equipment, which were up to date. Staff training records sampled demonstrate that they receive training in health and safety, fire awareness, first aid, food hygeineand moving and handling. During a tour of the home it was observed that protective radiator covers in place. Therefore it was required that risk assessment is carried out and that consultation takes place with environmental health ensuring the health, safety and welfare of people. Firgrove Hill (29) DS0000013479.V363349.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 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 2 X 4 X X 2 X Firgrove Hill (29) DS0000013479.V363349.R01.S.doc Version 5.2 Page 24 No Are there any outstanding requirements from the last inspection? 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. 3 4 Standard YA37 YA42 Regulation 8 13(4) (a)(c ) Requirement The registered person must appoint a permanent manager to run the home. A risk assessment must be conducted including consultation with the environmental health department to seek advice about the uncovered radiators Timescale for action 15/08/08 15/06/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Firgrove Hill (29) DS0000013479.V363349.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Firgrove Hill (29) DS0000013479.V363349.R01.S.doc Version 5.2 Page 26 - 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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