Care Home: Holme Farm Care Home

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What the care home does well Staff in the home are very friendly and open and appear to be very knowledgeable about the people who live there. Prior to commencing employment the home ensures they are safe to work with people and are then trained to do their jobs. Support is given to each person to ensure they can have quality time to spend with each individual in the home. The care given to each person is well documented and each record is legible and clear. Giving a picture of how each person spends their day. The home also asks for assistance if necessary from other health care professionals, to ensure peoples current needs are being met. A range of activities are on offer to ensure peoples social and cultural needs are being met. Care is also taken to make links with the surrounding area and village life, so people can remain a part of the local community. The home has a robust complaints and concerns process, which people commented they would be happy to use, if the need arose. Staff had been trained to recognise abusive situations to help protect people from harm. The environment has many homely touches and has been adapted to meet people`s needs. A new extension has been added in the last year of not only bedrooms but also communal areas, including a large conservatory. People are consulted about redecoration in the home and how each area can be used to suit their individual needs and tastes. The gardens are well maintained and very colourful, with all areas accessible to wheel chair users. Through the quality audits which take place in the home the management team ensure the home is being run for the benefit of the people living their and it is a safe place in which to live and work. What has improved since the last inspection? The individual care plans of each person have improved since the last inspection. They now reflect the current needs of each person and are evaluated on a regular basis. This ensures people are free from harm and all risks have been regularly assessed. Care has been taken to ensure that all water outlets accessible to people living in the home are safe to use and people cannot be harmed. The management team have improved the way it consults people living in the home and other stakeholders about the home, so it can take action, if required, to improve the services it offers. What the care home could do better: The management team have improved the recording on supervision records for staff but there was insufficient evidence to show that this was any more than a discussion session. More evidence must be available to ensure that staff are observed in the work place and are fulfilling their job descriptions and ensuring the care they give protects people from harm. CARE HOMES FOR OLDER PEOPLE Holme Farm Care Home 9 Church Street Elsham Brigg North Lincolnshire DN20 0RG Lead Inspector Theresa Bryson Key Unannounced Inspection 30th July 2008 09:30 X10015.doc Version 1.40 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 Holme Farm Care Home DS0000002905.V369377.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 Older People. 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. Holme Farm Care Home DS0000002905.V369377.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Holme Farm Care Home Address 9 Church Street Elsham Brigg North Lincolnshire DN20 0RG 01652 688755 01652 681709 residential-home.elsham@fsmail.net 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) Mr Anthony John Steeper Mrs Janet Steeper Mr Anthony John Steeper Care Home 30 Category(ies) of Dementia (9), Old age, not falling within any registration, with number other category (21) of places Holme Farm Care Home DS0000002905.V369377.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 only Code PC To service users of the following gender: Either Whose primary care needs on admission to the Home are within the following categories: Old Age, not falling within any other category, Code OP - maximum number of places 21 2. Dementia - Code DE, maximum number of places 9 The maximum number of service users who can be accommodated is: 30 1st August 2007 Date of last inspection Brief Description of the Service: Holme Farm is situated in the small village of Elsham. The home has open views across fields and fishing ponds and very pleasant accessible gardens. The home is registered for 30 male/female service users over the age of 65 years. The home is well maintained and provides a very homely environment. The service users accommodation is on one level and bedrooms are all single occupancy. The home has a variety of sitting rooms and a dining room plus a conservatory overlooking part of the garden. The home does not offer nursing care. Service users health needs are met with the assistance of other health care professionals for example general practitioners and district nurses. Information about the home and its services can be found in the statement of purpose and residents’ guide, both these documents are available from the manager of the home. Information detailed in the pre inspection questionnaire indicates the home charges between £337 and £345 per week, which is reviewed annually. In addition residents are expected to pay for hairdressing, private chiropody treatment, toiletries and newspapers/magazines. Holme Farm Care Home DS0000002905.V369377.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 that the people who use this service experience good quality outcomes. The site visit took place over one day in July 2008. Prior to this surveys were sent to people using the service but none were returned. We also checked our records to see what information the home had given us since the last key inspection. The home also sent us their Annual Quality Assurance Audit (AQAA), which tells us about the service, what they have achieved in the last year and their plans for the future. It also gives us a lot of statistical data about the home. During the course of the visit we were able to speak to a number of people who are resident in the home, some relatives and other visitors in the home as well as some staff. A number of records and documents were also seen. The owner/manager was present through out the visit and every one was very cooperative, friendly and open about how the home is run. What the service does well: Staff in the home are very friendly and open and appear to be very knowledgeable about the people who live there. Prior to commencing employment the home ensures they are safe to work with people and are then trained to do their jobs. Support is given to each person to ensure they can have quality time to spend with each individual in the home. The care given to each person is well documented and each record is legible and clear. Giving a picture of how each person spends their day. The home also asks for assistance if necessary from other health care professionals, to ensure peoples current needs are being met. A range of activities are on offer to ensure peoples social and cultural needs are being met. Care is also taken to make links with the surrounding area and village life, so people can remain a part of the local community. The home has a robust complaints and concerns process, which people commented they would be happy to use, if the need arose. Staff had been trained to recognise abusive situations to help protect people from harm. The environment has many homely touches and has been adapted to meet people’s needs. A new extension has been added in the last year of not only bedrooms but also communal areas, including a large conservatory. People are Holme Farm Care Home DS0000002905.V369377.R01.S.doc Version 5.2 Page 6 consulted about redecoration in the home and how each area can be used to suit their individual needs and tastes. The gardens are well maintained and very colourful, with all areas accessible to wheel chair users. Through the quality audits which take place in the home the management team ensure the home is being run for the benefit of the people living their and it is a safe place in which to live and work. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Holme Farm Care Home DS0000002905.V369377.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Holme Farm Care Home DS0000002905.V369377.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 2, 3 and 6 were checked. Quality in this outcome area is good. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are given adequate information to ensure they can make an informed choice about using the home. EVIDENCE: The new Statement of Purpose and Services Users Guide was seen as it has recently been updated to reflect the change in Registration category for the home and an increase in bed numbers. This reflected the services available in the home, the lay out of the building and all other aspects of living in the home, including the type of living space. This gave people the opportunity to see whether the home could meet their needs by giving them as much information as possible about the home, prior to a visit. Holme Farm Care Home DS0000002905.V369377.R01.S.doc Version 5.2 Page 9 The new contract was also seen as subtle changes had been made. For example the £2 weekly charge to go into the Residents fund had changed to £1. Although every one currently in the home had agreed to this charge being made we were assured by the manager that if a person objected it would be struck off the contract format. The contract also detailed current fee levels, so people could check this against their monthly invoices. Prior to coming to the home a pre-assessment visit is made to each person and all details logged on the appropriate form. This ensured every one had an holistic assessment to ascertain whether the home could meet their needs. Relatives spoken to stated how this pre-assessment visit had helped them focus on their loved ones needs and gave them opportunity to ask questions of the manager or deputy prior to visiting and/or joining the home. The home does not provide intermediate care, therefore Standard 6 is not applicable. Holme Farm Care Home DS0000002905.V369377.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 7, 8, 9 and 10 were checked. Quality in this outcome area is good. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People’s needs are regularly evaluated to ensure the home is meeting their current needs. EVIDENCE: During the site visit 6 people were spoken to plus 3 relatives and one other visitor to the home. Although a number of surveys were sent out by The Commission to people using the service none were returned. There was also opportunity for us to speak to 7 staff. 3 care plans were tracked in depth and reflected different types of need – from low, to high and a person’s who was suffering from symptoms of dementia. Some new formats were now in use and each document was followed through to supplementary records and each section was legible and clear. Of the ones tracked there was good documented evidence that all needs were being Holme Farm Care Home DS0000002905.V369377.R01.S.doc Version 5.2 Page 11 evaluated on a regular basis to reflect current need. For example when the accident records were checked, there was documented evidence this had been recorded on the daily report sheet and that the falls risk assessment had been re-evaluated. Changes were referred to in the monthly evaluation of each care plan section so staff could see what current needs each person has. People using the service made such comments as “ they look after me very very well” and “cannot say anything nasty about any of the staff”. A relative stated, “my…..appreciates the way staff look after her and so do I”. Another relative commented on how kind and patient staff are with their loved one, as she is “very slow in walking”, but felt she was never hurried. A visitor to the home said how knowledgeable staff were about each person and when required gave them assistance when they asked for help. Staff stated they felt every one worked as a team and if one person did not know as much about one person there was “always someone on shift who will”. There was also well documented evidence that some times staff seek the help of other health care professionals such as district nurses, the local falls coordinator and local GPs’. Relatives said they felt “comforted” by the thought that staff, will if necessary seek help from outside the home to meet each person’s needs. A senior member of staff tracked the drug administration records with us and they appeared to be using safe practises to ensure everyone had the current medication given to them. The records appeared accurate. The home is currently changing over to a new system but appeared to have the control to ensure they were not being compromised in the good level of practise they were giving. It was recommended that the home follows good practise guidelines to record the room temperature of the storage area to ensure medication is kept at the correct temperature at all times. At the time of the site visit this was well within the limits set. During the course of the site visit staff were observed giving personal care to people in the home, sitting and talking to them, assisting with meals and confirming care issues with relatives. Each task was performed with dignity and respect to each person and each staff member had a calm and pleasant approach to each person. People spoken to stated how they were being encouraged by staff to continue to pursue old hobbies such as knitting, doing the newspaper quizzes and keeping in touch with church events. As one person stated “ I do more now than when I was at home on my own, as I have company to explore new things”. Holme Farm Care Home DS0000002905.V369377.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 14 and 15 were checked. Quality in this outcome area is good. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People’s social and cultural expectations are being met through a varied programme of activities. EVIDENCE: When tracking the care plans of individuals in the home there was written evidence that peoples individual social needs were being regularly updated. Staff also record on a regular basis the quality time they spend with each individual. This details when events have occurred, what type of activity it covered, who arranged the event and comments about the event. This included such items as if a person enjoyed a new entertainer in the home or if they had enjoyed a trip to the shops. People spoken to commented on how kind staff are in helping them arrange visits outside the home, are accommodating to their relatives and have helped them settle into new events after recent illnesses. Holme Farm Care Home DS0000002905.V369377.R01.S.doc Version 5.2 Page 13 The home is in the process of recruiting a volunteer to help facilitate activities and were awaiting a clear Criminal Records Bureau check prior to them commencing work in the home. Records were also seen of regular residents meetings where people had been able to express their wishes on what type of social events they would like and some they would rather not have again. This appeared to be an open forum and if people could not attend comments were made in the quality time sections of the care plan documentation. Care has been taken in each person’s bedroom area to ensure they are comfortable and have items around them, which reflect their personal tastes and needs. One person commented on a small table, which they had been allowed to bring in which reminded them of a friend. Another stated that photographs on display were a constant source of discussion with staff and visitors and kept their memory alive when talking about events surrounding the taking of photographs. During a tour of the kitchen, where a senior member of the kitchen staff accompanied us, records were seen to show that all safety checks were being adhered to so food is prepared in a clean and safe environment. An environmental health officer’s visit had occurred two weeks prior to our site visit, the home had received no recommendations or requirements the report stated. The home has a 4-week cycle of menus and can cater for most tastes and will offer an alternative. People spoken to about the food made such comments as “food is very good” and “we have ample from breakfast through to supper” And another said “if I don’t like what is on the menu someone comes to see me and I will try something else”. The home was currently looking at the staffing levels in the kitchen area as kitchen assistants prepare breakfasts, give drinks out regularly, help at all meals and do the washing up. With an increase of numbers of people in the home their time is very limited. Staff themselves stated they had been consulted and felt there was a need to have an “extra” pair of hands. Concerns were also raised about the numbers of items required to be washed after each meal, as this is done by hand. No suggestions had been put forward by the management team at the time of the site visit, but will need to be reflected upon as this may contravene health and safety guidance when staff are under pressure to keep the kitchen clean and for an ample supply of crockery and cutlery to be available. Staff were observed at a mealtime assisting people with their food. This they did with a great deal of patience and encouragement. Most people choice to eat in the dining room areas, which had recently been refurbished, making a calm and relaxed area in which to have meals and snacks. Holme Farm Care Home DS0000002905.V369377.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 16 and 18 were checked. Quality in this outcome area is good. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. A robust system is in place to ensure people can raise concerns knowing they will be dealt with promptly and in confidence. EVIDENCE: Prior to the visit The Commission records were checked and no concerns had been raised about the service since the last inspection .On submission of their Annual Quality Assurance Audit (AQAA) the home had detailed one complaint raised internally. The Records were checked at the site visit and showed a satisfactory outcome recorded for all parties, and the complaint had been dealt with in the time scale laid out in their complaints policy. People spoken to stated they had “every confidence” in the management team in dealing with any concerns” and felt “staff know a lot about us and look after us well, so any concern is addressed quickly”. Relatives spoken to felt every one in the home was approachable and they could raise any concerns knowing it would be dealt with. Since the last inspection there was documented evidence that staff have completed training in safe guarding adults and 6 had also attended a dementia awareness course to enable them to ascertain concerns around looking after Holme Farm Care Home DS0000002905.V369377.R01.S.doc Version 5.2 Page 15 people with those specific needs. Staff made comments to us such as “ I can bring anything up knowing concerns will be addressed” and also “feel supported by the management and my colleagues”. This will ensure people are protected from abuse and can feel safe when living in the home and free from harm. Holme Farm Care Home DS0000002905.V369377.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 19, 21 and 26 were checked. Quality in this outcome area is good. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People are living in a safe and comfortable environment suited to their needs. EVIDENCE: Since the last key inspection the home has received a couple of visits from The Commission Registration Team, who then registered further beds and altered the category of Registration. This was to accommodate the newly built section of the home, which has consisted of further bedrooms, bathrooms and toilets, (one bathroom which can now accommodate a hairdressing salon) and a small dining area and conservatory. Parts of the older section of the home had also received some refurbishment, which included the laundry area, some bedrooms and the dining room. Holme Farm Care Home DS0000002905.V369377.R01.S.doc Version 5.2 Page 17 All areas of the home had been tastefully furnished and care taken to ensure the surroundings were pleasing to the eye and colour co-ordinated. This has not prevented people from bringing in their own belongings to make their bedroom areas their own. Records were seen to ensure that water tempersutres are now checked on a regular basis to ensure outlets are safe for people to use. All other safety certificate records had recently been checked by The Commission Registration team and were found to be in order and so were not checked again on this inspection. All garden areas had full wheelchair access and some access was also available to areas outside the main garden around a pond and paddock. All ramps were free from hazards and people expressed their delight in being able to view such well-kept gardens. One person stated that they had been brought up in the country and appreciated the hard work, which went into the maintenance of the grounds. There was ample car parking space but space was also available on the quiet road outside the home. Holme Farm Care Home DS0000002905.V369377.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 27, 28, 29 and 30 were checked. Quality in this outcome area is good. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. A robust system is in place to ensure staff are safe to work with people in the home and are then trained to do their jobs. EVIDENCE: During the course of the site visit 7 staff were spoken to as well as the management team. 4 staff personal files were tracked in depth. Staff made very positive comments about their employment in the home and the support they receive from each other and the management team. Making such comments as “ we work as a team here” and “ we help each other out”. They were aware that safety checks had to be completed prior to and after their employment had commenced and the personal files seen showed that all adequate checks had been made to ensure they were safe to work with people in the home. After employment had commenced there was good documented evidence of the types of courses people had completed. This included all mandatory courses and others specific to meet their current needs. Including dementia awareness, infection control and challenging behaviour. Staff expressed to us Holme Farm Care Home DS0000002905.V369377.R01.S.doc Version 5.2 Page 19 how these were helping them to meet the current needs of people in the home and have a better understanding of how to look after people. The management team keeps a training matrix, which was seen by us, to ensure it keeps abreast of each staff members training programme and individual needs to ensure they can do their jobs to look after people well. To ensure there are suffiecnt staff on duty to meet peoples needs the staffing rotas and dependency levels were seen at the site visit. This appeared to meet the Residential Forum Staffing matrix and people using the service did not indicate that their needs were not being met. Staff stated they felt the numbers of staff on duty need to be carefully and more regularly monitored due to the higher level of people in the home suffering from the symptoms of dementia. There were no other indications in the care plans tracked, in speaking to relatives of those with dementia, (who could not make informed decisions) and in other records seen such as accidents and incident forms that needs were not being met by the care staff. Holme Farm Care Home DS0000002905.V369377.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 33, 35, 36, 37 and 38 were checked. Quality in this outcome area is good. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Quality checks are made on a regular basis to ensure the home is safe to live and work in and people are consulted to ensure it is being run for their benefit. EVIDENCE: Prior to the site visit the home completed and submitted to us their Annual Quality Assurance Audit (AQAA). This detailed how they were consulting with people about the home and gave us a lot of statistical information about the home. Some of the details were checked at the site visit. This included all surveys and minutes of meetings where people had been asked their opinions about the service, the audit trail from the home’s quality Holme Farm Care Home DS0000002905.V369377.R01.S.doc Version 5.2 Page 21 assurance audit and review information in care plans tracked. The information gathered by the home appeared to be very thorough and the action plan used to plan a better service for those living there. The quality assurance system has been reviewed since the last inspection and a new system was in the process of being implemented, which the management team felt was a more thorough scheme and would benefit how they looked at running the home for everyone’s benefit. People living in the home and relatives stated they felt their suggestions were acted upon and if not feasible were told the reasons why, which they felt was satisfactory. Since the last key inspection the manager and deputy have both obtained the Registered Manager’s Award, which they feel has enhanced the way they run the home and given them good contacts to go to for advice if required. They are in the process of developing a yearly programme for staff supervision to ensure they keep abreast of how staff are looking after people. Although there was documented evidence of staff supervision sessions and staff stated how beneficial they were, there was still not enough evidence to support these are carried out on a regular basis. A balance also needs to be achieved between discussion and observational supervision to ensure people can do their jobs. Holme Farm Care Home DS0000002905.V369377.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X 3 X X X X 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 2 3 3 Holme Farm Care Home DS0000002905.V369377.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 OP36 Regulation 18.2 Requirement The registered person must make sure that the care staff receive the recommended minimum of six formal recorded supervision periods per year (pro-rata) and this also includes an annual appraisal of their performances. This will support the staff in their roles and identify any training that they may require. (Previous time scale of 30/03/08 not met). Timescale for action 30/01/09 Holme Farm Care Home DS0000002905.V369377.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard OP9 OP15 OP27 Good Practice Recommendations The staff administering medication should ensure that the room temperature of the drug storage area is recorded to ensure medication is kept at a safe temperature. Care should be taken that all crockery and cutlery is washed at a suitable temperature to prevent infection. The management team should ensure that the staffing matrix is regularly reviewed to ensure enough staff are available to meet everyone’s needs. Holme Farm Care Home DS0000002905.V369377.R01.S.doc Version 5.2 Page 25 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. 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