Care Home: Bendalls Farm

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What the care home does well At the last inspection it was reported Bendalls Farm provides a very comfortable environment for service users who wish to live in a rural setting and have a keen interest in farm work/activities. The home is furnished and maintained to a high standard. There is ample communal space. All bedrooms have en-suite facilities and reflect individual preferences and lifestyles. Care and support plans reflect individual needs and contained appropriate documentation. The Registered Manager has conducted detailed risk assessments and where restrictions are imposed this is well recorded. The home promotes choice, service user involvement and empowerment. Service users confirmed that they access a variety of leisure and recreational facilities. The home has clear management policies and procedures in relation to the protection of vulnerable adults. There are detailed policies on the use of physical intervention and the management of challenging behaviour. All staff have received NAPPI training. The home is well run and the Registered Manager shows leadership and direction. Staff receive support and regular supervision." During this inspection these findings remain and the service continues to provide a good standard of care and support. What has improved since the last inspection? At the last inspection a requirement was made to fit a lock to the fridge that is used for the storage of medication. To date this has not been fitted although it should be noted that no drugs were in stock, which required refrigerated storage. The second requirement made related to the development of risk assessment to the first floor windows. These are now in place and appropriate action has been taken in response to these assessments. What the care home could do better: Drug records were viewed as part of the inspection process. During this review it was noted that only one staff member checks any drugs received into the building. Good practise guidelines state that two people should complete and sign the Medication Administration Record that this has been completed. CARE HOME ADULTS 18-65 Bendalls Farm Green Ore Nr Wells Somerset BA5 3EX Lead Inspector Justine Button Unannounced Inspection 21st November 2007 09:30 Bendalls Farm DS0000064605.V353316.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 Bendalls Farm DS0000064605.V353316.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. Bendalls Farm DS0000064605.V353316.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Bendalls Farm Address Green Ore Nr Wells Somerset BA5 3EX 01761 241014 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) madele@bradburyhouse.com Mr Neil Bradbury t/a Bradbury House Organisation Mr Lee M. Janes Care Home 10 Category(ies) of Learning disability (10), Mental disorder, registration, with number excluding learning disability or dementia (10) of places Bendalls Farm DS0000064605.V353316.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home providing personal care only- Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Learning disability- Code LD 2. Mental disorder, excluding learning disability or dementia- Code MD The maximum number of service users who can be accommodated is 10. 04/09/06 Date of last inspection Brief Description of the Service: Bendalls Farm is a large detached property situated in approximately 200 acres of farmland. It is located 4 miles from the market town Wells. The home is in easy access of main roads and local services. The Registered Manager is Mr Lee Janes. Bradbury House Organisation owns the home. The home was registered with the Commission for Social Care Inspection (CSCI) on the 17/05/06. Currently there are six service users accommodated at the home. The accommodation is arranged over two floors. On the ground floor there is a lounge, a games room with a kitchenette, kitchen, utility area, toilet and staff office space. On the first floor there are six bedrooms with full en-suite facilities, all with shower cubicles however, there is also a communal bathroom for service users if they choose to have a bath. Staff sleep-in facilities are also located on the first floor. The home does not have a lift therefore; it would be unsuitable for service users with high mobility needs, however a bedroom with full en-suite facilities can be provided if needed. This bedroom meets the national minimum standards. Bendalls Farm DS0000064605.V353316.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was a Key Unannounced Inspection and was conducted by one Inspector. The inspection lasted one day (8hrs). The Inspector met with a number service users and a number of the care team. The Registered Manager was present for the inspection. As part of the inspection process the inspector viewed records in relation to care and support plans, health and safety, medicines, risk management, the management of behaviours and physical intervention, staff recruitment and viewed all areas of the home. The Inspector would like to thank the service users for making the Inspector welcome in their home and for their contribution in the inspection process. The Registered Manager and care team were very welcoming and presented themselves in a professional manner. Due to a clerical error on behalf of the CSCI the service had not received an Annual quality Assurance Assessment (AQAA). Due to this feedback forms were not sent to any party. Comments from the people met during the inspection were very complimentary however. The findings of the AQAA and formal surveys will be contained in the next inspection to the service. The current fee levels are on average £2000 per week. The fees charged however are dependant on the needs of the individual and would be discussed during the admission process. What the service does well: At the last inspection it was reported Bendalls Farm provides a very comfortable environment for service users who wish to live in a rural setting and have a keen interest in farm work/activities. The home is furnished and maintained to a high standard. There is ample communal space. All bedrooms have en-suite facilities and reflect individual preferences and lifestyles. Care and support plans reflect individual needs and contained appropriate documentation. The Registered Manager has conducted detailed risk assessments and where restrictions are imposed this is well recorded. Bendalls Farm DS0000064605.V353316.R01.S.doc Version 5.2 Page 6 The home promotes choice, service user involvement and empowerment. Service users confirmed that they access a variety of leisure and recreational facilities. The home has clear management policies and procedures in relation to the protection of vulnerable adults. There are detailed policies on the use of physical intervention and the management of challenging behaviour. All staff have received NAPPI training. The home is well run and the Registered Manager shows leadership and direction. Staff receive support and regular supervision.” During this inspection these findings remain and the service continues to provide a good standard of care and support. What has improved since the last inspection? What they could do better: Drug records were viewed as part of the inspection process. During this review it was noted that only one staff member checks any drugs received into the building. Good practise guidelines state that two people should complete and sign the Medication Administration Record that this has been completed. Bendalls Farm DS0000064605.V353316.R01.S.doc Version 5.2 Page 7 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. Bendalls Farm DS0000064605.V353316.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Bendalls Farm DS0000064605.V353316.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a detailed Statement of Purpose and Service user Guide. The service user guide is presented in an accessible format. The home has a detailed Pre-Admission assessment process. EVIDENCE: The home has a detailed Statement of Purpose and has developed a Service User Guide that is produced in an accessible format for service users. The Fee varies depending on the individual service user’s assessed needs. The home has an assessment and admission policy. Each potential service user is assessed on a needs led basis. The manager stated that the admission process involves visits to the home. This may include staying at the home for meals and overnight stays, to meet staff and other people living at the home. Visits to the farm can be included in these visits. Visits can be numerous, Bendalls Farm DS0000064605.V353316.R01.S.doc Version 5.2 Page 10 dependant on the needs of the individual who is thinking about moving into the home. This was confirmed at the last inspection, which was conducted on the 04/09/06 when preadmission assessment and details of visits were confirmed. These were not available on this inspection, as no person had recently been admitted to the home. The manager and staff confirmed however that there had been no change to the admission process. Bendalls Farm DS0000064605.V353316.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6 7 9 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has detailed care plans that reflect service user’s current needs. There are also detailed risk assessments that support and restrictions imposed on service users. Service users are offered as much choice as possible and are encouraged to make decisions. Service users confidential information is kept secure. EVIDENCE: We viewed two care plans during the inspection. The plans gave clear guidance to staff on the care and support needs of the individuals living at the home. Bendalls Farm DS0000064605.V353316.R01.S.doc Version 5.2 Page 12 This included a range of risk assessments for any restrictive practises in line with the Department of Health Guidance. We were able to ascertain the care and support needs of the individuals from the plans that were in place. The care plans clearly set out any restrictions on choice and freedom and focuses on structured environments and positive behaviour. Each service user has an allocated key worker. The key worker completes a monthly summary of the care that has been provided and identifies areas of concern and positive outcomes. The home also completes day-to-day diaries for each service user. The service users that the Inspector spoke to were aware of their care plans and were able to make comments about some of their content. It was evident from the care and support plans and from discussion with people living at the home that staff actively support and encourage service users choices and self determination. Any restrictions and limitation on choice or human rights are identified in the care plan. However, service users were able to inform the Inspector of restrictions that are imposed and the reasons why. All service users are able to voice their opinion and currently do not need advocacy services. Service users who manage their finances are supported where needed. The home has completed accessible and detailed risk assessments in relation to any restrictions and limitations imposed. These are reviewed on a regular basis. Bendalls Farm DS0000064605.V353316.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11 12 13 14 15 16 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users have access to facilities to develop and nurture skills and provide meaningful occupation. Service users are supported to access a variety of social and leisure activities. The home provides service users with very good facilities to promote hobbies and recreation. Contact with families is supported. The home promotes service user involvement, choice and decision-making. Healthy eating is promoted. Bendalls Farm DS0000064605.V353316.R01.S.doc Version 5.2 Page 14 EVIDENCE: Bradbury House Organisation also operates a day service facility within the 200 acres of land that the home is located. It offers people opportunities to develop skills and experience in horticulture, agriculture and animal care. This facility is also an accredited educational outreach centre for Filton College. All service users attend the day service facility. Some of the service users who live at Bendalls Farm also access work placements at the facility for which they receive therapeutic earnings. All service users that the Inspector spoke to stated that they loved working with the animals and enjoyed going to the day centre facility. Service users are able to access a variety of local facilities and resources and pursue their own hobbies and interests. Due to the needs of some service users visits and trips out are always supported by care staff. Where appropriate detailed risk assessments are completed. Service user confirmed that they enjoy going for a walk on the farm, listening to music in their rooms, watching television, DVD and computer games. One person living at the home described how he enjoyed going to college and going to a drama group. He also described that he was not at the farm today as he had completed some household chores such as his laundry and was going shopping in the afternoon to do some personal shopping. The home also has a large games room that has a pool table, dartboard, tabletop football and a Hi-Fi. This appears to be a very popular resource. There is also a small kitchenette with a fridge and tea and coffee making facilities. Service users maintain regular contacts with their family and friends. The home keeps records of contacts and visits. The service users that the Inspector spoke to confirmed that they have regular contact with their families and friends as they so wish. The service users are encouraged to partake in all aspects of the running of the home. All service users are responsible for cleaning their bedrooms and ensuite facilities and are involved as mush as possible in the laundry of their clothes and other household responsibilities. Service users have a key to their bedroom. The Inspector observed staff interacting with service users in a mature, relaxed and professional manner. One service user has a dog as a pet and takes it for walks around the farmland. All service users agreed to this. The pet does not live in the main part of the home. Smoking is not allowed in the home. If service users or staff wish to smoke an allocated are has been provided outside of the home. Bendalls Farm DS0000064605.V353316.R01.S.doc Version 5.2 Page 15 The home obtains most of its organic vegetables from the farm. Healthy eating is promoted. However, the home does not have set menus as service users choose on a daily basis what the preferred meal option is. Alternatives are provided. Each service user takes it in turn to cook the main meal of the day. All meals provided are recorded daily. One person living at the home was observed to be making the sandwiches for lunch. Staff were giving appropriate support. Staff were observed eating lunch with people living at the home which promoted an inclusive environment. Bendalls Farm DS0000064605.V353316.R01.S.doc Version 5.2 Page 16 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18 19 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users are provided with appropriate assistance to meet their personal care needs. The home supports service users in accessing healthcare services. Service users are protected by arrangements in the home for managing medication. However the home does not currently provide lockable fridgerated space in which to store medication. EVIDENCE: The service users that the Inspector spoke to confirmed that there are no set time for getting up and going to bed. Service users are independent when it comes to support with personal care. All bedrooms have en-suite facilities therefore privacy is further promoted. Service users choose their own clothing. All service users were very well attired. Bendalls Farm DS0000064605.V353316.R01.S.doc Version 5.2 Page 17 All service users have access to additional specialist support services if required. The Inspector was able to view documentation in relation to visits to other healthcare professionals. The Inspector viewed the arrangements for medicines. The home has a policy for the management of medicines and designated staff are nominated to dispense medicines. They have been assessed as competent in the management of medicines. The Inspector viewed the MAR sheets. It is recommended that two people confirm receipt of any drugs or medication entering the home. The fridge that stores the insulin must be fitted with a lock. The home maintains a record of the temperatures. The home maintains a medicines returns book. There are no controlled medicines stored at the home. There is a protocol for the administration of PRN medication. Bendalls Farm DS0000064605.V353316.R01.S.doc Version 5.2 Page 18 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users felt their views were listened to and acted on. The home has systems in place to protect the service users from abuse. EVIDENCE: People who live at the home are protected by a clear complaints procedure and by the company’s corporate policies for whistle blowing and for the protection of vulnerable adults. One service user spoken with felt confident in raising concerns or complaint. Staff spoken with confirmed their understanding of adult protection and complaints procedure. Essential checks such as Criminal Records Bureau (CRB) and identification are completed and evidence is included in the file of a new staff member. All necessary checks required in Care Standards Act 2000, Schedule 2 are completed. Bendalls Farm DS0000064605.V353316.R01.S.doc Version 5.2 Page 19 All staff have received training in Abuse Awareness and have undertaken NonAbusive Psychological and Physical Intervention Training (NAPPI) and receive refresher training annually. The home keeps detailed records in relation to the use of physical intervention. The Inspector was able to view detailed care plans, behaviour management guidelines, risk analysis and risk assessments in relation to the management of behaviours and the use of physical intervention. The Inspector spoke to one service user who has experienced the use of physical intervention. They commented that when it has been used the staff knew what they were doing and they did it to keep me safe. We reviewed the arrangements for the management of service user’s finances with the Registered Manager. People living at the home have individual bank or building society accounts. Detailed records are kept where the home supports service users to manage their personal allowance only. Where able service users countersign the receipt of personal spending money and manage the money themselves. The Registered Manager audits the financial records on a monthly basis. Bendalls Farm DS0000064605.V353316.R01.S.doc Version 5.2 Page 20 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has been decorated and furnished to a good standard. Appropriate adaptations have been provided. The home has sufficient communal areas and bathrooms to meet service users’ needs. All bedrooms have full en-suite facilities. They also reflected individual lifestyles and needs. The home was found to have a high standard of cleanliness. Bendalls Farm DS0000064605.V353316.R01.S.doc Version 5.2 Page 21 EVIDENCE: Bendalls Farm provides a very comfortable and homely environment. The furnishings and fittings are of a high standard and quality. It is located in approximately 200 acres of farm land but is in easy access of the market town of Wells and is on a bus route with easy access to local facilities. All bedrooms are single occupancy and are located on the first floor. They are fitted with appropriate locks. It was noted that the service users have keys to their bedroom. One person living at the home offered to show the inspector around the home including his bedroom. The bedroom was personalised to his liking and contained a variety of personal possessions and appeared very homely and appropriate to the age group of the service users. Where appropriate SKY TV is installed in bedroom areas as well as in the lounge. All bedrooms meet or exceed the national minimum standards. All bedrooms have full en-suite facilities that are fitted with shower cubicles. Therefore, privacy and dignity is further promoted. Service users stated that staff knock on the bedroom doors before being invited to enter. There is also a family style bathroom if a service user wishes to take a bath. The bath has an automatic fill that has a time delay and other safety measures fitted. There are adequate communal toilet facilities with appropriate hand washing facilities. The home has ample communal space. There is a large lounge area that has quality furnishings and fittings and has access to a patio area to the front with extensive views across the farm. There is a very large games room that has a pool table, table football, darts board, Hi-FI and a small kitchenette where service users can make a drink. This is a very popular facility. There is also a smaller room that houses two Playstations and the home supports service users to access appropriate games. These are excellent facilities and well liked by the service users. The laundry and kitchen facilities are domestic in style. Staff have appropriate sleep-in facilities. The sleep-in room is located on the first floor. Waking night staff are also present. The home currently does not need to provide any specialist aids and adaptations. On the day of the inspection the home was clean and hygienic. Appropriate hand washing facilities are provided in communal areas. The laundry area was clean and well managed. Staff support service users to keep their bedroom clean and tidy and are involved in the cleaning of the home. Bendalls Farm DS0000064605.V353316.R01.S.doc Version 5.2 Page 22 Bendalls Farm DS0000064605.V353316.R01.S.doc Version 5.2 Page 23 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): 31, 32, 33, 34, 35, 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are experienced and provide a good standard of care. Staffing levels are appropriate to meet service users’ needs. Staff have been provided with regular opportunities to attend training and refresher. Staff receive appropriate support and supervision. EVIDENCE: Duty rotas are maintained appropriately. Staffing levels vary according to the number of service users receiving support and their dependency levels. The Inspector spoke to a number of staff at the time of the inspection. Staff were able to demonstrate their awareness and understanding of the service users needs. All staff have received training in abuse awareness and have undertaken NAPPI Training and receive refresher training annually. Bendalls Farm DS0000064605.V353316.R01.S.doc Version 5.2 Page 24 One staff member who had recently been employed at the home was spoken to during the inspection. He described his induction, which consisted of a week in a supernummary position where he was undertaking a review of the care and support plans, policies and procedures and meeting the people living at the home. The staff member felt that he was being adequately supported and that following his induction would be well prepared to meet the needs of all people living at the home. The staff member described that in addition to the home’s induction he was undertaking LDAF (Learning Disability Awards framework) training at induction and then would go on the complete the foundation level. All staff have an individual staff training and development plan. Bradbury Homes Organisation has a Training and Development Manager. All staff receive regular supervision with records kept. Staff confirmed that they found this system supportive and useful. Bendalls Farm DS0000064605.V353316.R01.S.doc Version 5.2 Page 25 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, 40, 41, 42 43 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run. There is a relaxed and open atmosphere within the home. Health and safety checks are maintained. EVIDENCE: The Registered Manager is Mr Lee Janes. Mr Janes has been working with people with learning difficulties and mental health needs in a variety of settings for approximately twelve years. He has a NVQ Level4 in Care, NEBS Management and is due to complete the Registered Managers Award this Bendalls Farm DS0000064605.V353316.R01.S.doc Version 5.2 Page 26 autumn. He has also enrolled to undertake the A1 Assessors Award. Mr Janes has attended appropriate training and undertakes refresher training when needed. Staff and service users spoken with stated that the manager was approachable, and that they felt listened to. The area manager conducts visits as required by Regulation 26, Care Homes Regulation 2001. The home has appropriate policies and procedures in place to safeguard vulnerable service users. All records relating to service users are stored securely in accordance with the Data Protection Act 1998. Staff spoken with confirmed that the management team were supportive and open. Staff meet on a monthly basis. These meetings are minuted. No service users are currently using bed rails at the time of inspection. We viewed records relating to medication, fire safety, maintenance checks, electric safety, staff rotas, care records, menus, monthly reviews, temperature records for kitchen equipment. Health and Safety checks are maintained and up to date. The home was generally found to be well organised and well run. Bendalls Farm DS0000064605.V353316.R01.S.doc Version 5.2 Page 27 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 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 3 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 X 3 X 3 3 3 3 3 Bendalls Farm DS0000064605.V353316.R01.S.doc Version 5.2 Page 28 YES 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. 1. Standard YA20 Regulation 13 (2) Requirement The Registered Manager must ensure that a lock is fitted to the fridge used for the storage of insulin. Also, variable doses must be recorded on MAR sheets to confirm the amount administered. This requirement is outstanding form the last inspection. Previous timescale 09/10/06 Timescale for action 09/02/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA20 Good Practice Recommendations The Registered Manager should ensure that two staff signatures support hand transcribed medicines. A minimum and maximum thermometer should be purchased. Bendalls Farm DS0000064605.V353316.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Taunton Local Office Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Bendalls Farm DS0000064605.V353316.R01.S.doc Version 5.2 Page 30 - 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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