Care Home: Highfield Cottage

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What the care home does well Information is available to help people make an informed choice about the service before they decide to use it. The person who lives at the home has had their needs assessed to make sure the home can give them the care and support they need.The staff at the home treat the person as an individual. They support them to live the life they choose as much as possible, so they will have new experiences and know that their opinions are valued. The person who lives at the home experiences a variety of activities. This gives them choice, as well as building their self-esteem and confidence. The home is clean, warm and pleasantly furnished so the person who uses the service has a comfortable place to live. The building is clean and generally well maintained. The home has procedures for staff for the administration and recording of medication. This is to make sure that the person at the home receives their medication when they need it and at the correct times. The home has procedures for dealing with complaints so any disputes are settled quickly so good relationships are maintained. Clear protection procedures are in place so staff know how to protect the person from risk of harm. The staff are supervised and trained so they know how to provide the person at the home with good care. Sufficient numbers of staff are in post to meet the needs of the person at the home. Recruitment procedures are in place which help to prevent risk of harm to residents. Quality assurance systems are in place. This will help the people who use the service to influence it`s quality and make sure it is run in their best interests. What has improved since the last inspection? The home was not occupied at the last inspection. CARE HOME ADULTS 18-65 Highfield Cottage Highfield Cottage 54 Highfield Road Longlands Middlesbrough TS4 2QP Lead Inspector Hilary Stewart Unannounced Inspection 26 March 2008 08.00 th Highfield Cottage DS0000068289.V357044.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 Highfield Cottage DS0000068289.V357044.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. Highfield Cottage DS0000068289.V357044.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Highfield Cottage Address Highfield Cottage 54 Highfield Road Longlands Middlesbrough TS4 2QP 01642 228946 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) A J Residential Care Ltd Mrs Susan Burniston Care Home 1 Category(ies) of Learning disability (1) registration, with number of places Highfield Cottage DS0000068289.V357044.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th February 2007 Brief Description of the Service: Highfield Cottage is a two-bedroom bungalow that is indistinguishable from other properties in the local area. The home is for one person and domestic in style and appearance. The home comprises of a good size rear garden and dining room with separate kitchen. There is a lounge and a bathroom with separate bath and shower and a room designated as a quiet area. One bedroom is allocated for a resident and the other as a sleep-in room/office. The home has a member of staff on waking night cover and there is 2:1 staffing provision at all times. The home has easy access to main roads and public transport and is within close distance to local amenities. The charges at the home are £3250.00p per week for an adult to stay at Highfield Cottage. Highfield Cottage DS0000068289.V357044.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 quality outcomes. Before the visit: We looked at: • Information we have received since the last visit on 26th February 2007. • How the service dealt with any complaints, concerns and safeguarding issues since the last visit. • Any changes to how the home is run. • The provider’s view of how well they care for people. • The views of people who use the service and the staff. The Visit: An unannounced visit was made on 12th March 2008 but no one was at home so another visit was made on the 26th March 2008. On the second visit an expert by experience spent some time at the home as well and told the inspector what they thought of the service. The person who uses the service does not use speech as their main means of communication. During the visit we: • • • • • • • • Talked with the staff and the manager. Observed the person who lives at the home. Looked at information about the person who uses the service & how well their needs are met, Looked at other records which must be kept, Checked to see if the staff had the knowledge, skills & training to meet the needs of the person they care for, Looked around the building to make sure it was clean, safe & comfortable, Checked what improvements had been made since the last visit. Surveys were sent out but non were returned. We told the manager what we found. What the service does well: Information is available to help people make an informed choice about the service before they decide to use it. The person who lives at the home has had their needs assessed to make sure the home can give them the care and support they need. Highfield Cottage DS0000068289.V357044.R01.S.doc Version 5.2 Page 6 The staff at the home treat the person as an individual. They support them to live the life they choose as much as possible, so they will have new experiences and know that their opinions are valued. The person who lives at the home experiences a variety of activities. This gives them choice, as well as building their self-esteem and confidence. The home is clean, warm and pleasantly furnished so the person who uses the service has a comfortable place to live. The building is clean and generally well maintained. The home has procedures for staff for the administration and recording of medication. This is to make sure that the person at the home receives their medication when they need it and at the correct times. The home has procedures for dealing with complaints so any disputes are settled quickly so good relationships are maintained. Clear protection procedures are in place so staff know how to protect the person from risk of harm. The staff are supervised and trained so they know how to provide the person at the home with good care. Sufficient numbers of staff are in post to meet the needs of the person at the home. Recruitment procedures are in place which help to prevent risk of harm to residents. Quality assurance systems are in place. This will help the people who use the service to influence it’s quality and make sure it is run in their best interests. What has improved since the last inspection? What they could do better: The care plans should be improved so they give a good level of detail to staff, this would make sure that they have the information they need to support the person at the home and keep them safe. If all staff receive fire instruction at the required intervals this will make them more aware of how to keep the people who use the service safe if a fire occurred. Highfield Cottage DS0000068289.V357044.R01.S.doc Version 5.2 Page 7 The bathroom could be improved if discoloured sealant was replaced. This would make the home more comfortable and pleasant for the people who live there. Guards fitted to the radiators would make sure that the person at the home is protected form possible injury. The manager must make sure that all checks have been carried out with staff before they start to work at the home. This will make sure that only suitable people work there which will keep the people who use the service as safe as possible. 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. Highfield Cottage DS0000068289.V357044.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 Highfield Cottage DS0000068289.V357044.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): 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Thorough assessments are carried out before people receive the service and plans are made which ensure they get the care and support they need. EVIDENCE: The manager said and records showed that the person who lives at the home had their needs assessed before and after they moved in. A person can only move into the home if the manager is sure that the persons needs can be met there. The home was developed around the needs of the person who lives there now. They were gradually introduced by having visits before they moved in permanently. Highfield Cottage DS0000068289.V357044.R01.S.doc Version 5.2 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Care plans did not have enough clarity or enough detail to fully show how the needs of the person are met. The person who uses the service gets the personal support they require from staff and at the same time they make sure that their privacy, dignity and independence is respected. The person at the home is supported to become more independent but risks need to be effectively assessed, so staff can reduce the risks and keep the people who use the service as safe as possible. EVIDENCE: The manager stated that they consult the person at the home as much as possible. There is a lot of information in the care plan but it is not clearly laid out and in some part not in enough detail. It was not clear from the recordings if any progress was being made with the strategies that were being used by the staff. Highfield Cottage DS0000068289.V357044.R01.S.doc Version 5.2 Page 11 The behavioural profile did not contain sufficient information. Staff could describe how they work consistently with the person at the home but this was not recorded in the care plan. Guidelines had been written for staff about how to manage this behaviour but they were not in enough detail. The plan stated that to prevent self-injury staff should use the strategy of “ use of cushions” and “shaker bottles” but the plans did not give any details of why or how these methods would be effective. It also did not describe the contingency plan if these methods did not work. The manager could however describe what they would do. One care plan about support with personal hygiene and dressing was not written in sufficient detail. For example it had comments such as,” staff to encourage……… to participate in personal care” The care plan about communication stated, “Ensure staff have a common communication system” but again both did not give details about the communication system used or the type of support staff need to give the person. Staff said that they were aware of the different needs of the person and the different ways they communicated. This was not written up in any detail in the care plan. The layout and design of this care plan made it difficult to identify the actions that staff carry out to support this person. In separate sections of the care file information on a hand written pages was available that did list some of the actions that staff had to carry out. However it was not clear which was the latest or the most up to date strategy for staff to follow. The staff and the manager did know but it was not clearly written in the care plan. Staff said that the person who lives at the home is given choices as much as possible. They take part in planning the activities but may not understand due to their disability. Their timetable showed that they had different individual activities and were going out to a day centre on the day of the inspection visit. The manager and staff said that they consult the person who lives at the home as much as possible. They observe their facial expressions and gestures to see if they are enjoying something or not. There are some general risk assessments about the home and also individual ones to support the person who lives there to have a more independent lifestyle. However, one risk assessment identified that self-injury was reduced through strategies implemented by the challenging behaviour team. It was not clear in the care plan what these strategies were. Reasons for any restrictions on the person’s movements were not recorded in the plan, for instance they cannot leave the home without staff supervision. Highfield Cottage DS0000068289.V357044.R01.S.doc Version 5.2 Page 12 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The person at the home is supported by staff who value them, while maintaining links with their families and friends. This means they can have new experiences and interests and do not become isolated. EVIDENCE: The person who lives at the home is given choices as much as possible. They have different activities and attend a day centre during the week; they were going out the morning of the inspection visit. The person was unable to comment on what they thought of their activities. Daily records show that activities take place. The daily routines within the home are structured around the person who lives there. Sufficient staff were on duty to enable them to take part in activities. Highfield Cottage DS0000068289.V357044.R01.S.doc Version 5.2 Page 13 The activities are based upon what the person likes to do. Some of the activities were home based, such as watching DVD’s or listening to music. Activities outside of the home included drives out and walks in the park, visits to the park and swimming baths. Staff said that they are always trying to think of new activities for the person to try, however they need to have some routines or they become anxious. The “expert by experience” said that the manager told them that the person who lives at the home likes to take part in the following activities during the day, evenings and weekends; • Day centres, Monday to Friday • Light and sound room • Computers • Relaxation • Small activities like play dough • Bowling • Disco’s • Cinema • Youth club • Park • Seaside • Shopping They also told them that the person likes to play with their toys and the sensory equipment even though they are not age appropriate. The expert by experience said “Although there were toys which were not age appropriate I think it is good that the resident has them in the home as it is her decision and what she likes”. Staff respect the person’s privacy and they are aware of their rights. They were observed knocking on the person’s bedroom door prior to entering. The person at the home looked relaxed and comfortable with the staff. Staff were observed explaining to them what they were doing and asking them what they would like to do before they went out. Staff involve them in domestic routines as much as they can. The manager said that the meals served at the home are what the person who lives there is known to like. They have a choice of meals and the food served is written down so staff can make sure the person has a varied diet. Stocks of food were adequate and there was some fresh fruit and vegetables. Staff cook all the meals and the meals are at a set time, as the person who lives at the home likes to keep to a routine, but they can have anything to eat throughout the day if they want to. They can have snacks and drinks at any reasonable time. The manager said that they get an adequate amount of money to buy food for the home. Highfield Cottage DS0000068289.V357044.R01.S.doc Version 5.2 Page 14 During the visit the “expert by experience” said that they thought it is good that staff encourage the resident to eat fresh fruit and vegetables as this promotes a healthy diet. He said, “I think that the resident should be able to choose her own foods and meals with the help of picture cards if possible. I think it is good that the resident is able to go food shopping with staff for food”. They also said “the manager showed me a record of the meals that the resident has had to eat. The meals were all different so the resident does not have the same thing to eat all the time and the meals sounded very nice like chicken in red wine sauce”. The person at the home is supported to keep in contact with their families and friends. They are encouraged to visit them as much as they want and the staff support them to go out and visit their family and friends. Staff said that they regularly consult the person’s family about any issues at the home. The “expert by experience” said that the manager told them that the person at the home visits their family and they visit them at the home. A friend from the person’s former home comes to visit as well. Highfield Cottage DS0000068289.V357044.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 and 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users receive personal support when they need it, so they can be as independent as possible. Healthcare needs are met, which ensures that they stay healthy. EVIDENCE: The care plans identify the personal support that the person needs with everyday tasks. They need help with their personal hygiene but the care plan did not contain enough details about what they their needs are and how staff can meet these needs. Any progress was not recorded either. The manager and staff describe how they met the care needs of the person. Specialist support is available from psychologist/psychiatric services when required and community-nursing services are used when needed. The person has a health action plan, which had been reviewed. The service user attends health appointments with staff and there was a health risk/relapse management plan which describes what actions staff need to take if the person’s health or well being deteriorates. Highfield Cottage DS0000068289.V357044.R01.S.doc Version 5.2 Page 16 The manager demonstrated the medication systems in the home. Records are in use to monitor the administration of prescribed medicines. Staff who are authorised to administer medicines are listed in the file and there is a copy of their signature. All staff have received training in the safe administration of medication or are in the process of doing so. The person at the home has an individual medication plan with their photograph, as a safety measure. Staff said that the person at the home does not control their own medication. Records did not show that this had been risk assessed and the outcome of this recorded on the medication care plan. Highfield Cottage DS0000068289.V357044.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): 22 and 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. A satisfactory complaints procedure is in place. This means that complaints are dealt with effectively, so people know that their comments are taken seriously. Satisfactory protection procedures are in place to protect the person at the home from risk of harm. EVIDENCE: Policies and procedures are in place that demonstrate how the home responds to complaints. The manager said that the home had not had any complaints since the last inspection. Staff support the person who lives at the home and their family to tell them their opinions of the service, as much as possible. They have a copy of the complaints procedure. Staff said that as the person at the home does not use the spoken words, they have to use other ways to communicate with them. They watch for any changes in behaviour, as this often is a good indicator of whether they are unhappy or possibly ill. They also observe their facial expressions and gestures to get an indication about whether they like something or not. The service currently has policies and procedures on safeguarding adults to inform staff what to do if they think a person could be suffering from abuse. There is a copy of the local authority’s safeguarding adult’s procedures in the office. Staff and the manager could describe what actions they would take to Highfield Cottage DS0000068289.V357044.R01.S.doc Version 5.2 Page 18 safeguard the people who live at the home from potential abuse. Staff have received training in safeguarding adults. Highfield Cottage DS0000068289.V357044.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 and 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is comfortable, warm and clean so the people have a pleasant place to live, however some repairs are needed. EVIDENCE: There is a bathroom and shower in the home. The seal around the bath is discoloured and damaged and there is some damp on the wall in the staff bedroom. Radiators in the kitchen and conservatory did not have guards. A metal cloths horse had been placed in front of the radiator in the kitchen as a means of preventing the person in the home from getting too near to it. The bedroom looked comfortable and the person who lives at the home had personalised it. They had their own belongings and it had been made very individual. Highfield Cottage DS0000068289.V357044.R01.S.doc Version 5.2 Page 20 The building is clean and generally well maintained; it is clean and hygienic so the person has a pleasant, comfortable place to stay in. The expert by experience said “I thought the home was clean and tidy. I liked the way the home was a bungalow as this is ideal for people with physical impairments. I liked the way the home was decorated and I thought it felt homely. I liked the fact there were lots of lights and photographs of the resident and family”. The home looked in a good state of repair and was odour free. Highfield Cottage DS0000068289.V357044.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): 32, 34 and 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Sufficient numbers of staff are in post to meet the diverse needs of the person who lives there and they have opportunities for training so they know how to give them good care and meet their needs. Furthermore the home has recruitment procedures in place, which help to prevent risk of harm to the person who lives there. EVIDENCE: Staff said that they receive training, which helps them with their work. The manager confirmed that they make sure that they get the training and support they need. Staff receive mandatory training, such as first aid, food hygiene and safeguarding adults training. Some staff needed training in food hygiene up dated. The manager said that four staff have vocational qualifications and two are in the process of completing them. Sufficient staff were on duty at the time of the visit. Staff confirmed and records showed that enough staff had been on duty in the home the previous week. Highfield Cottage DS0000068289.V357044.R01.S.doc Version 5.2 Page 22 All staff have been CRB (Criminal Records Bureau) checked at an enhanced level to make sure they are suitable people to work at the home. The manager said that they do not see the original check from the head office but they do get written confirmation that it has been carried out. All staff go through a recruitment process and they cannot start to work at the home until this is completed. They are interviewed and are only successful when they have two satisfactory references. One-person’s second reference had not been returned even though the manager said they had asked the referee on several occasions for it. Records did not show that gaps in applicants work history had been explored during the recruitment process. Highfield Cottage DS0000068289.V357044.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, 39 and 42 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 and the opinions of the people who use the service are sought and valued as much as possible. They are used to ensure that the service is run in the best interests of the person who lives there and to improve it. EVIDENCE: The person who lives at the home and their family are asked their views about the running of the home as much as possible. Staff support them to complete audits and questionnaires about the service. The information is used to look at ways to improve the service. The home has a development plan. Highfield Cottage DS0000068289.V357044.R01.S.doc Version 5.2 Page 24 Safety checks have been carried out on the equipment in the home; such as servicing the central heating boiler. The manager said that electrical equipment is not checked as their line manager had informed them that it did not need to be, as they were such a small home. Records showed that accidents are recorded and the manager said that they check them regularly. They also said that they have health and safety checks of the building to make sure it is maintained. Fire safety risk assessments had been completed. The fire logbook showed that fire drills take place but fire instruction was not as regular as it should be. Staff said that they have fire drills and mandatory training. Records showed that regular training is provided for staff in fire safety, first aid, moving and handling. Highfield Cottage DS0000068289.V357044.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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 X 3 X X 2 x Highfield Cottage DS0000068289.V357044.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? NA 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 YA6 Regulation 15 Requirement The registered person must make sure that care plans are in enough detail, clear and accurate. Any outstanding risk assessments must be completed. The registered person must risk assess self-medication and record the reason that this is not appropriate for the person at the home. The seal around the bath must be replaced, the radiators must have guards and the damp in the staff bedroom must be dealt with. The manager must make sure that all checks have been carried out with staff before they start to work at the home. Staff must receive fire instruction at the required intervals and their names recorded. And electrical equipment must be checked regularly. Timescale for action 01/07/08 2 3 YA9 YA20 13 13 01/07/08 01/07/08 4 YA24 13 01/07/08 5 YA34 19 01/07/08 6 YA42 23 01/06/08 Highfield Cottage DS0000068289.V357044.R01.S.doc Version 5.2 Page 27 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 Highfield Cottage DS0000068289.V357044.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle upon Tyne NE1 1NB 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 Highfield Cottage DS0000068289.V357044.R01.S.doc Version 5.2 Page 29 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!