Care Home: Gunters Grove Farm

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What the care home does well Gunters Grove provides a homely and personalised environment for one person. Information about the home and services offered has been personalised for the individual using the service. The individual using the service benefits from one to one staffing and is supported to develop and maintain independent living skills. The home has a small and stable staff team who feel well supported. The person using the service benefits from a person centred approach to care. An individualised activity programme has been developed with the person using the service and the individual is supported to access a wide range of leisure pursuits and to be part of the local community. The individual is fully involved in, and in control of all aspects of life at the home. The registered manager is fully involved in the day to day support of the person using the service and the individual and staff were very positive about the registered provider/manager. The individual is fully involved in menu planning, shopping and cooking and is supported to follow a healthy diet. The home has procedures in place to ensure that people feel confident in raising concerns. The home have not received and complaints and no complaints have been raised directly with the Commission. What has improved since the last inspection? As required at the last inspection, all staff have now received training in moving and handling and food hygiene. What the care home could do better: This was a positive inspection and no statutory requirements were raised. CARE HOME ADULTS 18-65 Gunters Grove Farm Shurton Stogursey Bridgwater Somerset TA5 1QH Lead Inspector Kathy McCluskey Unannounced Inspection 19th September 2008 2:00pm Gunters Grove Farm DS0000066962.V368521.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 Gunters Grove Farm DS0000066962.V368521.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. Gunters Grove Farm DS0000066962.V368521.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Gunters Grove Farm Address Shurton Stogursey Bridgwater Somerset TA5 1QH 01278 653751 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) Mrs Tracey Morgan Mrs Tracey Morgan Care Home 1 Category(ies) of Learning disability (1) registration, with number of places Gunters Grove Farm DS0000066962.V368521.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th September 2006 Brief Description of the Service: Gunters Grove is registered with the Commission for Social Care Inspection to provide personal care for one person between the age of 18 & 65 years who has a learning disability. Mrs Morgan is the Registered provider and manager. Gunters Grove is situated just on the outskirts of the small village of Shurton which is near Stogursy, Bridgwater. The home is a self contained property which is attached to the providers farm house. It is set in a peaceful rural setting with views over the surrounding countryside. Accommodation is arranged over two floors and consists of a well equipped kitchen, utility and spacious lounge/dining room on the ground floor. The first floor is accessed by stairs and consists of a large bedroom, bathroom and office/staff sleep in room. The home is not fitted with any aids or adaptations and would therefore only be suitable for a person who is fully mobile. We were informed that current fees levels are agreed depending on the individual’s assessed needs. These are currently £1996 per week. The individual is responsible for meeting the costs of personal items. Gunters Grove Farm DS0000066962.V368521.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 3 star. This means the people who use this service experience Excellent quality outcomes. The focus of this inspection visit was to inspect relevant key standards under the Commission’s ‘Inspecting for Better Lives 2’ framework. This focuses on outcomes for service users and measures the quality of the service for each outcome group under four general headings. These are; - excellent, good, adequate and poor. This key inspection was conducted over one day (4hrs) by CSCI Regulation Inspector Kathy McCluskey. The registered provider/manager was available throughout this inspection and all required information was made available to us. We spent time with the person using the service and were able to speak with the staff member on duty. The home submitted their Annual Quality Assurance Assessment (AQAA) to the Commission within agreed timescales. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. The person using the service completed a comment card for the Commission. Information has been included in this report where appropriate. We would like to thank all concerned for their time and cooperation with the inspection process. The following is a summary of the inspection findings and should be read in conjunction with the whole of the report. What the service does well: Gunters Grove Farm DS0000066962.V368521.R01.S.doc Version 5.2 Page 6 Gunters Grove provides a homely and personalised environment for one person. Information about the home and services offered has been personalised for the individual using the service. The individual using the service benefits from one to one staffing and is supported to develop and maintain independent living skills. The home has a small and stable staff team who feel well supported. The person using the service benefits from a person centred approach to care. An individualised activity programme has been developed with the person using the service and the individual is supported to access a wide range of leisure pursuits and to be part of the local community. The individual is fully involved in, and in control of all aspects of life at the home. The registered manager is fully involved in the day to day support of the person using the service and the individual and staff were very positive about the registered provider/manager. The individual is fully involved in menu planning, shopping and cooking and is supported to follow a healthy diet. The home has procedures in place to ensure that people feel confident in raising concerns. The home have not received and complaints and no complaints have been raised directly with the Commission. What has improved since the last inspection? What they could do better: This was a positive inspection and no statutory requirements were raised. Gunters Grove Farm DS0000066962.V368521.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. Gunters Grove Farm DS0000066962.V368521.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 Gunters Grove Farm DS0000066962.V368521.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&3 Quality in this outcome area is Good This judgement has been made using available evidence including a visit to this service. Information about the home and the services offered are tailored specifically to the individual. EVIDENCE: The home has produced a Statement of Purpose and Service User Guide and, as the home is only registered for one person, these documents have been personalised to the individual. The person using the service completed a comment card for the Commission and confirmed that they had received enough information about the home before they moved in. They said; ‘I wanted to live at Gunters Grove and I do now’ The person using the service has been there for many years and their needs were fully assessed at the time. This being the case, standard 2 could not be assessed. The home is able to demonstrate that it is able to meet the needs and aspirations of the person living there. This was ascertained through discussion with the person using the service, a staff member and the registered provider/manager. Gunters Grove Farm DS0000066962.V368521.R01.S.doc Version 5.2 Page 10 The home’s completed AQAA states; ‘The service provided is tailored specifically to meet the individual needs’. Gunters Grove Farm DS0000066962.V368521.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, 8 & 9 Quality in this outcome area is Excellent This judgement has been made using available evidence including a visit to this service. The home ensures that the individual receives a person centred approach to care. The individual is supported to live an independent lifestyle and is involved in all aspects of life in the home. EVIDENCE: We looked at the care plan for the person using the service. This contained very detailed information about the person’s assessed needs, abilities and preferences. The care plan also contained information about the individual’s wishes for the future. All staff had signed the care plan and the person using the service told us that they had been involved in the care planning process. The person using the service showed us daily entries which had been made by staff. It was apparent that the individual was fully involved in their care planning process. Gunters Grove Farm DS0000066962.V368521.R01.S.doc Version 5.2 Page 12 The home’s completed AQAA stated; ‘We provide an individual care plan which reflects the needs and choices of our service user. This care plan is a working document and is updated and changed as needed, but is reviewed annually as a minimum’ Through discussion with the registered provider/manager and the staff member it was apparent that they had a very good understanding as to the needs and preferences of the individual. The person using the service told us that they were very much in control of their life and that they made choices about how and where to spend their day. In response to the question; Do you make decisions about what you do each day?’ the person said, ‘Always’. The individual told us about their weekly activity plan and of how much they enjoyed all of the activities. The person has a structured activity plan which takes into account their abilities and preferences. The person using the service benefits from one to one staffing over a 24 hour period and this is sometimes increased to two staff for some activities outside of the home. This means that the individual receives a very person centred approach to care. There was evidence that the person is assisted to utilise leisure and shopping facilities within the community. The home supports the person to visit their family on a regular basis. In their completed comment card, the person using the service told us; ‘I do like doing activities at Gunters Grove, I chose my activities’ The person using the service is fully involved in all aspects of life at the home. They told us that they enjoy cooking and shopping. The individual is supported to carry out all household chores. A menu is developed with the individual. There was evidence that the individual is supported to take informed risks as part of an independent lifestyle. We were able to see that risk assessments had been developed to address areas of need. Gunters Grove Farm DS0000066962.V368521.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 Excellent This judgement has been made using available evidence including a visit to this service. The individual is supported to access a range of leisure activities of their choice. The service is specifically tailored to the needs and preferences of the individual and this means that their rights are respected and responsibilities recognised in their daily lives. The individual is fully involved in menu planning, shopping and cooking and is supported to follow a healthy diet. EVIDENCE: As previously mentioned in this report, the person using the service benefits from one to one staffing and is the only person living in the home. This being the case, the individual is supported throughout the day to maintain and Gunters Grove Farm DS0000066962.V368521.R01.S.doc Version 5.2 Page 14 develop social, emotional, communication and independent living skills. The individual also receives regular support from a psychotherapist. All activities undertaken by the individual have been planned with their preferences and wishes in mind. We were informed that the person actively chooses not to engage in any activities with other people with a learning disability. This was also confirmed by the person using the service. In the home’s completed AQAA it stated; ‘We respect that the service user actively wishes to avoid members of their peer group and concentrate instead on community activities that regularly bring them into contact with people outside of the home’. As previously mentioned, the individual is supported to access the local community and because of how the home is staffed, there are no restrictions with regard to evenings or weekends as staff are always available. In the completed comment card, the individual using the service told us; ‘I like doing activities with staff’, ‘I sort out the chickens, collect the eggs, do gym workout, bowling, shopping, swimming and going for massage’, ‘I like going for lunch out and going to the farmers market’. The home provides transport and staff to enable the individual to visit their family up north on a regular basis. All parts of the home are specifically for the person using the service and the individual was very keen to show us around their home. Routines within the home are totally geared to the preferences and needs of the person living there. As previously mentioned, the individual is involved in menu planning, shopping and cooking. When we arrived at the home, the person was being supported to make a meal. They told us that the staff eat a meal with them and that they ‘liked that’. There was evidence that the individual is consulted on ‘healthy eating’. In the completed comment card, the individual said; ‘I like independence skills, keep fit and healthy eating’. In the home’s completed AQAA it stated; ‘We place high value on fresh organic, free range and locally grown produce and regularly support the local farmers market’ ‘this is enjoyed as a leisure activity and now carries the added benefit that the service user is recognised and feels involved in the community’ Gunters Grove Farm DS0000066962.V368521.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. 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. The home ensures that the person using the service receives personal support in the way they prefer and require. The home ensures that the individual has access to appropriate healthcare professionals so that their healthcare needs are met. Safe procedures are followed for the management and administration of the person’s medication. EVIDENCE: As there is only one person using the service, the individual receives a flexible approach to care. We examined the individual’s care plan and this gave clear information on the person’s abilities, preferences and needs. The person using the service told us that she ‘always’ chose what time to get up and go to bed. The staff member spoken with was very clear on the preferences of the individual. Gunters Grove Farm DS0000066962.V368521.R01.S.doc Version 5.2 Page 16 The home has ensured that the individual has access to appropriate healthcare professionals. Records are maintained relating to any contact with a healthcare professional. The home’s completed AQAA states; ‘The service user accesses the GP, psychotherapist, psychiatrist, optician and dentist regularly’. The home assists the individual to administer their prescribed medication as they are not able to self-administer. We found medicines to be securely stored. Appropriate records are maintained relating to medicines received into the home, returned to the pharmacy and for all medicines administered. We were informed that homely remedies were not currently used and that all medicines had been prescribed. Gunters Grove Farm DS0000066962.V368521.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has procedures in place to ensure that people feel confident in raising concerns. Procedures are in place to ensure that the person using the service is not placed at risk of harm or abuse. EVIDENCE: The home has a complaints procedure and the person using the service told us that they knew how to make a complaint and would feel confident in doing so. They also confirmed this in the comment card completed for the Commission. The AQAA, which had been completed by the registered provider/manager told us that the home had not received any complaints. We were informed that the home regularly communicates with the individual’s family and healthcare professionals and that feedback had been ‘very positive’. The staff member told us that they would not hesitate in raising any concerns if they had any and that they felt confident that any concerns would be responded to. The Commission have not received any concerns or complaints about the service. Gunters Grove Farm DS0000066962.V368521.R01.S.doc Version 5.2 Page 18 The home has a range of policies available to staff to reduce the risk of harm or abuse to the person using the service. The staff member spoken with confirmed that they were aware of the ‘whistle blowing’ policy and knew that they could contact other agencies as necessary. The home has a copy of the Safeguarding Adults Procedures from the placing authority though it has been recommended that the home obtains a copy of the Somerset’s Safeguarding Adults Policy (May 2007) as this can also be used as a training tool for staff. The registered provider/manager was provided with information about this during the inspection and they confirmed that a copy would be obtained. Gunters Grove Farm DS0000066962.V368521.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28 & 30 Quality in this outcome area is Excellent This judgement has been made using available evidence including a visit to this service. The spacious home is specifically for one person and has been personalised to their preferences. The standard of décor and furnishings are of a good standard and also promote a homely feel. The standard of cleanliness is very good. EVIDENCE: Gunters Grove is a very spacious self-contained annex to the provider’s farmhouse. The property has its own entrance and accommodation consists of a wellequipped kitchen, utility room and toilet and very spacious lounge/dining room. The first floor is accessed by stairs and consists of large bedroom, bathroom and staff sleep-in room/office. Gunters Grove Farm DS0000066962.V368521.R01.S.doc Version 5.2 Page 20 All areas promote a homely feel and have been personalised by the individual using the service. The standard of furnishings and décor is good. The person using the service told us that they were ‘very happy’ living at Gunters Grove. They also told us that staff always knocked on the door before they entered their bedroom. The bathroom and toilet is for the sole use of the person using the service. The standard of cleanliness at the home was very good. The person using the service told us that they liked to help keep the home clean. This was also confirmed by the individual in the comment card completed for the Commission. Gunters Grove Farm DS0000066962.V368521.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33 & 35 Quality in this outcome area is Good This judgement has been made using available evidence including a visit to this service. The individual using the service benefits from a small and stable staff team who provide one to one support. Staff are well supported and have been appropriately trained. EVIDENCE: The person using the service benefits from a small and stable staff team who are employed solely to work with them. Three care staff are employed and the registered provider/manager lives in the adjoining farmhouse and also provides care support to the person using the service. The person using the service benefits from one to one staffing during the day and at night a staff member provides sleep-in support. We were informed that for some activities outside of the home, staffing is increased to two. We spoke to a staff member and they told us that they really enjoyed working at the home and felt very well supported. They confirmed that they had Gunters Grove Farm DS0000066962.V368521.R01.S.doc Version 5.2 Page 22 received all the training needed to enable them to meet the needs of the individual that they were supporting. We were able to see that regular meetings are held for staff. The staff member spoken with told us that communication between the management and staff were very good. Handovers take place at the beginning of every shift. The home’s completed AQAA stated that of the three staff employed, one has achieved and NVQ Level 2 in care and one has achieved an NVQ Level 3. This equates to 67 which exceed the National Minimum Standards recommendation of 50 . It stated that the third member of staff would be undertaking an NVQ award. We were informed that there have been no changes to the staff team since the last inspection, which was conducted in September 2006. This being the case, staff recruitment files were not re-examined at this inspection. The registered provider/manager demonstrated a good understanding of the requirements for robust recruitment procedures. All staff currently employed have an enhanced criminal records check (CRB) and protection of vulnerable adults check (POVA). The registered provider/manager stated that any new staff employed would not commence employment until all required information had been received. We were informed that all staff receive an induction on commencement of employment. Given that the home is registered for only one person, the induction programme is geared very much around the individual’s routines and preferences. The home has a range of policies and procedures available for staff. As previously identified, NVQ training is promoted. Certificates were available for all staff confirming that recent training in moving and handling, first aid and food hygiene had been completed. Gunters Grove Farm DS0000066962.V368521.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 & 42 Quality in this outcome area is Excellent This judgement has been made using available evidence including a visit to this service. The person using the service benefits from an open and inclusive style of management. Effective systems are in place to seek the views of the person using the service and other stakeholders. Procedures are in place to ensure the health and safety of persons at the home. EVIDENCE: The registered provider/manager is Tracey Morgan. Mrs Morgan has a qualification is management and care. Mrs Morgan is fully involved in the day Gunters Grove Farm DS0000066962.V368521.R01.S.doc Version 5.2 Page 24 to day support of the person living at the home. Staff told us that the provider/manager was very approachable and that they would be comfortable in discussing any issues with her. The management style promoted by Mrs Morgan is open and inclusive and the person living at the home is involved and kept informed about all issues at the home. The person living at the home was very positive about the registered provider/manager and they confirmed that they ‘talked to her all the time’. The home’s AQAA tells us that; ‘The home is managed in a very friendly and informal way’ This was very apparent on the day of this inspection. As the home is only registered for one person, a formal quality assurance programme is not felt to be appropriate. The registered provider/manager told us that they were in regular contact with the individual’s relatives, care manager, GP and other healthcare professionals and that their feedback about the care provided has been ‘very positive’. The person living at the home is very able to express their opinion/views and they told us that they ‘could talk about anything’. Discussions with the individual, staff and provider/manager are ongoing throughout the day. The home has systems in place to ensure the heath and safety of persons in the home. Fire detection systems and fire fighting equipment is in place and the home makes weekly checks to ensure they remain effective. Monthly fire drills take place for the person living there and staff on duty. A copy of the home’s electrical hardwiring certificate was forwarded to the Commission following the last inspection in September 2006. The registered provider/manager informed us that visual checks on all portable electrical appliances are carried out on a regular basis and that items in regular use are replaced at least annually. It has been recommended that the home maintains a list of all portable appliances in the home so that the date and results of tests can be recorded. The person using the service does not require any specialist equipment. All staff have received up to date mandatory training. Gunters Grove Farm DS0000066962.V368521.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 4 2 X 3 3 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 4 25 4 26 4 27 4 28 4 29 N/a 30 3 STAFFING Standard No Score 31 3 32 4 33 3 34 x 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 3 x LIFESTYLES Standard No Score 11 4 12 3 13 4 14 4 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 x 3 4 3 x x 3 x Gunters Grove Farm DS0000066962.V368521.R01.S.doc Version 5.2 Page 26 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA23 YA42 Good Practice Recommendations The registered person should obtain a copy of Somerset’s policy on Safeguarding Adults (May 2007) and should ensure that staff are familiar with this policy. The registered person should maintain a list of all portable electrical appliances so that the dates and results of tests can be recorded. Gunters Grove Farm DS0000066962.V368521.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA 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 Gunters Grove Farm DS0000066962.V368521.R01.S.doc Version 5.2 Page 28 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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