Care Home: Park Farm House

What the care home does well Generally the home was found clean, tidy and warm and free from unpleasant odour. Staff were working as a team and interacting with residents. The residents seen looked well cared for at the home. A robust complaint procedure is in place and all complaints are investigated properly and action taken where required. The manager stated in the Annual Quality Assurance Assessment (AQAA) that prospective service users are appropriately assessed before admission to the home to ensure that their needs would be met. The AQAA states that the home provides a welcome t all their visitors taking time to discuss up to date information and helping them to feel confident to leave their loved relative/ friend in a specialist care.Evidence seen on the day led us to believe that nutritious meals are provided at the home and residents have a choice when and where they have their meals. Relatives stated in the comment cards returned that families are encouraged to make contact with the residents to ensure family and friends` links are maintained. A robust complaint procedure is in place and all complaints are investigated properly and action taken where required. The home manager stated that the home is a small family home, in a rural community, safe and secure where residents come first and are offered individualised care. The environment is suited for people with dementia. What has improved since the last inspection? Staff members have started various levels of National Vocational Qualifications. The manager stated that the home had introduced Professional Development Personal Portfolio to all staff members. The home had created a new office space for administration and secure storage of residents and home documentation. The manager and one staff member have attended a 3 day course on Challenging behaviour to enable them to cascade the training to other staff members. CARE HOMES FOR OLDER PEOPLE Park Farm House Parkfield Pucklechurch South Glos BS16 9NS Lead Inspector Grace Agu Unannounced Inspection 17th July 2008 09:15 17/07/08 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 Park Farm House DS0000003369.V364087.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. Park Farm House DS0000003369.V364087.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Park Farm House Address Parkfield Pucklechurch South Glos BS16 9NS 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) 0117 9372388 0117 9372388 jhanney04@aol.com Mrs. Margaret Joan Hanney Mr. Jeffrey Hanney Mrs Margaret Joan Hanney Mr. Jeffrey Hanney Care Home 7 Category(ies) of Dementia - over 65 years of age (7) registration, with number of places Park Farm House DS0000003369.V364087.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th October 2007 Brief Description of the Service: Park Farm House is an old farmhouse set in a peaceful location away from public amenities. It has been renovated and extended over the years. Access is from an unadopted lane to which the owners of the house have full rights of way at all times. The village of Pucklechurch is the nearest shopping area about a mile away. An infrequent bus service ends a little short of the lane to the home. The home is comfortably furnished and residents’ rooms are attractively decorated. Communal areas are spacious and well set out. The accessible garden is enclosed and residents are able to use this independently. Parking is available to the front of the home. Fees range from £430-£500 per week. Park Farm House DS0000003369.V364087.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. This was an unannounced site visit undertaken as a part of a key inspection that was undertaken over nine hours to review the requirements made at the last inspection and also to review the care practice to ensure that it is in line with the Legislation and that current and best practice is followed at the home. At the last inspection four requirements and five recommendations were made in regard to different areas of service provision to ensure that the residents are protected and that the quality of service provided is what they expect and deserve. It was pleasing to note that most of the requirements had been met. We noted that the home had made efforts to include the relevant information required in the Statement of Purpose and the Service Users Guide, there were outstanding information missing. The manager told us that updated copies of the documents would be sent to the Commission as soon as they are completed. The Manager and staff were seen, interacting with the residents, in a respectful, dignified and sensitive manner. An atmosphere of strong teamwork was noted throughout the home. A tour of the building was undertaken and a number of records were viewed. Seven residents, two staff members and two relatives were spoken with during the visit. What the service does well: Generally the home was found clean, tidy and warm and free from unpleasant odour. Staff were working as a team and interacting with residents. The residents seen looked well cared for at the home. A robust complaint procedure is in place and all complaints are investigated properly and action taken where required. The manager stated in the Annual Quality Assurance Assessment (AQAA) that prospective service users are appropriately assessed before admission to the home to ensure that their needs would be met. The AQAA states that the home provides a welcome t all their visitors taking time to discuss up to date information and helping them to feel confident to leave their loved relative/ friend in a specialist care. Park Farm House DS0000003369.V364087.R01.S.doc Version 5.2 Page 6 Evidence seen on the day led us to believe that nutritious meals are provided at the home and residents have a choice when and where they have their meals. Relatives stated in the comment cards returned that families are encouraged to make contact with the residents to ensure family and friends’ links are maintained. A robust complaint procedure is in place and all complaints are investigated properly and action taken where required. The home manager stated that the home is a small family home, in a rural community, safe and secure where residents come first and are offered individualised care. The environment is suited for people with dementia. 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 Park Farm House DS0000003369.V364087.R01.S.doc Version 5.2 Page 7 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Park Farm House DS0000003369.V364087.R01.S.doc Version 5.2 Page 8 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 Park Farm House DS0000003369.V364087.R01.S.doc Version 5.2 Page 9 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): 12,3,4,5 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 service users are assessed before admission to ensure that their needs will be met. However the Statement of Purpose and Service Users Guide need to provide accurate information to prospective service users and their relatives. EVIDENCE: The home has a Statement of Purpose and a Service Users Guide. However these two documents need to be updated. This is to provide accurate and required information to prospective service users and their relatives when they visit the home or make enquiries to enable them to make an informed choice about moving into the home. The registered manager stated that these documents would be reviewed and copies sent to the Commission for Social Care Inspection. Updated copies of Park Farm House DS0000003369.V364087.R01.S.doc Version 5.2 Page 10 the above documents were received at the Commission before the report was completed. At a discussion with a recently admitted service user relatives, the individuals stated that they came to look round and was satisfied with the home before placing their relative at the home. The relatives stated that they were made aware of a one-month trial period to enable them to decide whether to stay. The registered manager told us that the individual was assessed when he visited the home before admission to the home. There is evidence in the care file to confirm that this happened. Terms and conditions of their stay at Park Farm House were noted in a file viewed. Park Farm House DS0000003369.V364087.R01.S.doc Version 5.2 Page 11 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): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home offers care and support to service users throughout their lives and towards the end. It fails to protect service users by adequate risk assessments and care plan reviews. Furthermore medication administration practices are satisfactory and protect individuals living in the home. EVIDENCE: We looked at all one care file at this visit. Records showed that one recently admitted individual had pre-admission assessment. There was evidence of individualised care plans, which described how these needs are to be met, and the care plans were recently reviewed. Park Farm House DS0000003369.V364087.R01.S.doc Version 5.2 Page 12 The home has an equal opportunity policy in place, to ensure that staff provide care to the service user based on individual needs and capabilities. The service users relative that we spoke with confirmed that their privacy was never compromised when staff assisted them with personal care. They told us that they were satisfied with their care and services provided at the home. One resident said, “I always get the help I need, the staff are very respectful One comment card received from a relative states “ I feel that the care that my mother receives at Park Farm house is exceptional and I hope that she is able to spend many happy years there”. Another comment states, “The care that my relative receives enabled her to live a dignified life”. Another comment states, “The home provides one to one for the residents, they take excellent care of the residents, personal hygiene and they always have clean clothing. Staff will hand feed my relative when she refuses to do it herself”. Staff were noted knocking at the service users’ doors and waiting for an answer before going in to assist service users with personal care demonstrating that individuals living in the home are treated with respect and that their privacy is maintained. We looked at one care file of individuals with recent falls. We noted that the persons had risk assessment put in place to help to minimise these falls. Furthermore, we noted that there was a care plan identifying that these persons were prone to falls this have been reviewed following these falls. This is necessary so that staff can support and protect this individual from possible injury. There was evidence of visits from the Doctor, optician, chiropodist and other health professionals on the care files reviewed. Medication administration was reviewed and was noted satisfactory. Records show that the home has a medicine policy was in place, there was evidence of receipt and disposal of medication and these were properly recorded. Action has been taken to provide training about medicines for staff, and this is good practice to help staff administer medicines safely. A local pharmacy supplies medicines monthly using a blister pack monitored dosage system. All medication is ordered and received by staff. and stored securely. Park Farm House DS0000003369.V364087.R01.S.doc Version 5.2 Page 13 There was evidence in the care files viewed of details of service users’ wishes in the event of death. The home has a Death and Dying policy and procedure to enable staff to care for people who use the service in the event of a terminal illness and at death. The staff member was aware of the importance of keeping information about service users’ confidential. Park Farm House DS0000003369.V364087.R01.S.doc Version 5.2 Page 14 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): 12,13,14,15 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The Home enables the service users to maintain contacts with families, friends and representatives. It also provides them with meaningful activities and a choice of meals. EVIDENCE: Service Users and relatives spoken with on the day of the visit confirmed that the Home enables and supports individuals living in the home to maintain contact with their families and friends. One individual spoken with stated that the son and daughter visits anytime and regularly. Two relatives met at the home confirmed that they are able to visit at any time and that there are no restrictions. Staff are mindful of the type of activities to provide for the residents in relation to their capabilities. Each resident is assessed for the timing of provision of care as far as is practicable, their wishes are considered and where it is not possible the relatives and /or advocates are involved to ensure that personalised care is provided. Park Farm House DS0000003369.V364087.R01.S.doc Version 5.2 Page 15 Evidence from the records we looked at showed that the home provides service users with activities and entertainment based on their choice. Recorded activities included music movement and dancing, table skittles, painting, chair aerobics and soft-ball Quiz, walks in the garden, one to one, sing –a long Tambourine and Reminiscence. One staff stated that the recently admitted service user is taken for a walk every day and the provider Mr Hanney said that this individual was taken down to Cheddar for a ride in the car and the person was very happy. The registered manager also told us that the conservatory is in the process of being rebuilt and that it is expected to provide a bigger space for the service users when the work is completed. The lunch on the day looked nutritious and balanced and the residents spoken with stated that they enjoyed their meal. A staff member assisted one service that was unable to feed her self in a discrete respectful and dignified manner. Park Farm House DS0000003369.V364087.R01.S.doc Version 5.2 Page 16 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): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents and their relatives are enabled to complain and are confident that the home is able to protect them from abuse. EVIDENCE: The home’s complaint procedure contains required information of how the people living in the home are to contact the Commission for Social Care Inspection if they were not satisfied with the outcome of their complaints to the organisation. This procedure was noted displayed at the entrance of the home. Two relatives spoken with on the day stated, “There is no need to complain everything we have always wanted for mum is in this place. It is a blessing. We know that residents monies are correctly recorded so don’t have to worry about it”. No complaint was recorded in the complaints book. Two new staff members’ files reviewed evidenced that two satisfactory references and Criminal Record Bureau Disclosures had been obtained before commencement of employment to ensure that individuals living in the home are adequately protected. The home has a Whistle blowing and Protection of Vulnerable Adults from Abuse policy to enable staff to report any bad practices without fear of any Park Farm House DS0000003369.V364087.R01.S.doc Version 5.2 Page 17 reprisal and there was also evidence of the South Gloucestershire Council document on how to report incidents of suspected abuse. Staff files showed evidence of training on Protection of Vulnerable Adults. Park Farm House DS0000003369.V364087.R01.S.doc Version 5.2 Page 18 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): 19, 20, 21 24 25 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents enjoy a pleasant, safe and homely environment and good standard of hygiene EVIDENCE: Park Farm House is an old farmhouse set in a peaceful location away from public amenities. It has been renovated and extended over the years. Access is from an unadopted lane to which the owners of the house have full rights of way at all times. The village of Pucklechurch is the nearest shopping area about a mile away. An infrequent bus service ends a little short of the lane to the home. Park Farm House DS0000003369.V364087.R01.S.doc Version 5.2 Page 19 The home is comfortably furnished and residents’ rooms are attractively decorated. Communal areas are spacious and well set out. The accessible garden is enclosed and residents are able to use this independently A tour of the building showed that the environment was well maintained and suited to residents needs. The home’s standard of decoration is satisfactory and creates a comfortable environment for the individuals living in the home. The garden was noted to be well maintained and had suitable garden chairs for the relaxation of the residents and their families during the summer months. The home was found warm and well lit. Whilst the home was found to be generally clean it was noted that the home is in the process of rebuilding the conservatory to make the area safer and comfortable for the residents. The residents were found sitting in the communal areas and appeared relaxed in their homely environment. Residents’ bedrooms viewed looked homely, clean and had small items of personal possessions in individual rooms. Residents spoken with stated that they were happy with their bedrooms and felt safe at the home. However we noted that two bedrooms had slippery vinyl flooring that could potential cause falls / accident to the residents occupying the room. It was recommended that the floorings be replaced as soon as possible in order to prevent accidents. The home’s Maintenance book was well maintained and appropriate action taken in relation to repairs to be carried out was recorded. There was evidence of regular hot and cold-water temperature checks and other routine checks in line with the Health and Safety legislation. The laundry area was found clean and tidy. Park Farm House DS0000003369.V364087.R01.S.doc Version 5.2 Page 20 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): 27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The recruitment procedure of the Home is robust and offers protection to residents at the Home. Staffing levels is adequate to the needs of the service users. Staff undertake training appropriate to their role. EVIDENCE: The rota reviewed on the day confirmed that two staff were on duty from 830 am –1700, two staff from 1700 - 2100, one staff from 2100-0830. Staff spoken with stated that there were always two staff members on each shift during the day and one staff member on night shift and that this arrangement meets the needs of the service users. The two staff on duty on the day were very professional in their observations and took appropriate action in regards to specific care needs of the residents. Records of one recently appointed staff member evidenced that appropriate recruitment procedures were followed as well as appropriate induction to enable the staff to familiarise themselves with needs of the residents and the home’s general routine before assisting the residents with personal care. Evidence from the staff training records showed that staff have attended training on First Aid, Basic food Hygiene and Manual Handling. One staff Park Farm House DS0000003369.V364087.R01.S.doc Version 5.2 Page 21 member attended the Residential Care Seminar to enable her to gain more understanding of care provided in this setting. The individual is currently undertaking NVQ 4 in care management. The manager Mrs Hanney told us that she attended a course on Understanding and Influencing Change on 7th and 14th March 2008. The manager also stated in the AQAA that the home has introduced Professional Development Personal Portfolio to all staff members to ensure that peoples training needs are assessed and any gaps addressed. Staff were noted knocking at the doors and waiting before and assisting residents with personal care and there was evidence that staff were also working together as a team. There is good team building at the home; this had contributed to continuity of care for the residents and low staff turnover. Residents enjoy a friendly, homely and inclusive environment and families and friends are welcome at any time. Park Farm House DS0000003369.V364087.R01.S.doc Version 5.2 Page 22 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): 31,32,33,35,36,37,38 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 managed; it protects the residents by ensuring appropriate risk assessments, accident recording and other health and safety practices. EVIDENCE: A well- qualified and competent manager who has been at the home for many years manages Park Farm House. Margaret Hanney has attended several training courses to enable her to provide leadership and direction to staff team in order to meet the needs of the residents. Relatives and staff spoken with at this visit were supportive and complementary of the Mr and Mrs Hanney’s commitment to the home care provided to the residents, Margaret’s ability to manage the home. Park Farm House DS0000003369.V364087.R01.S.doc Version 5.2 Page 23 Staff spoken with stated that they receive regular supervision to enable them to perform their duties effectively and deal with any areas that need improvement in relation to meeting the needs of the residents. Individual service users’ records were noted securely locked at the newly created office space within the home along with other service user information. The homes audits the quality of its’ services through feedback from residents relatives, staff and other visitors The manager stated that the home has good relationship with the General Practitioner and District Nurses and we were told that regular feedback from this source had always been positive. Other tools used to monitor quality include, staff supervision, care plan reviews, daily communication at handovers. The fire-log book is well maintained as well as the home’s maintenance book. There is evidence that staff have attended fire lectures, however some staff members have nor attended fire drills ensure that they are aware of action to be taken in actual fire emergency. We have issued a requirement to ensure that this happens in order to protect the residents. Health and safety records including, fire alarm systems, and generic risk assessments of various areas of the home were up to date. The manager stated that the machine to test all the portable electrical appliances at the home was arriving on the day of the visit to enable the home to undertake the tests. It was agreed that the home should undertake the 5yearly periodic inspection of the electrical installation safety to provide adequate protection to the residents and forward a copy of the certificate to the Commission. Accident reports were reviewed and it were noted to be satisfactorily recorded Regulation 37 notifications are sent to the Commission for Social Care Inspection to report any incidences/ serious accidents as required by the regulation. Policies and procedures in the home included, Health and Safety, Nutrition, Complaints, Protection of Vulnerable Adults and Medication Control of Substances Hazardous to Health (COSHH). These were noted updated. One residents’ money was checked and was found satisfactorily recorded and securely stored away. Park Farm House DS0000003369.V364087.R01.S.doc Version 5.2 Page 24 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 3 3 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 3 3 3 3 2 3 3 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 3 3 X 3 2 3 3 Park Farm House DS0000003369.V364087.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? NO 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 OP1 Regulation 5(2) Requirement Ensure that all residents or their representatives are supplied with a copy of the Statement of Purpose and Service User’s Guide (aims & objectives). Timescale for action 30/09/08 2. OP1 4(1) & (2) sch 1 Amend the Statement of Purpose 31/08/08 to include information stated in schedule 1 and supply a copy of the amended document to the commission. Ensure that generic risk 30/09/08 assessment includes bedrooms and other areas service users have access to. Ensure that identified staff 30/09/08 members attend fire drill in order to protect the service users. 3. OP38 13 4. OP38 24 (4) 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 Good Practice Recommendations DS0000003369.V364087.R01.S.doc Version 5.2 Page 26 Park Farm House 1. Standard OP29 The use of an application form for new applicants would enable the home to keep clear staff records in accordance with the regulations. It recommended that the vinyl flooring in two bedroom be replaced with a non –slip type to prevent fall to the individuals living in those rooms. 2 OP24 Park Farm House DS0000003369.V364087.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 Park Farm House DS0000003369.V364087.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. 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!