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Care Home: Perry Cottage

  • Lower Cotley Farm Fluxton Ottery St Mary Devon EX11 1RJ
  • Tel: 01404814961
  • Fax:

Perry Cottage is in a rural area close to a small village in East Devon. On the top floor there is a separate flat where a member of the Registered Provider`s family lives, and takes some responsibility for the residents` safety at night. On the lower two floors live three young men who have a learning disability. The cottage has a beautiful conservatory and veranda, which was built by the providers and the residents. The Registered Providers live and work at a farm within walking distance of Perry Cottage. Residents assist with the farm work, which they all enjoy. They are supported to live in Perry Cottage by the Registered Providers who visit the cottage frequently. Residents are included in all aspects of family life. Fees range from £300 to £686 per week. Residents` contribute towards the cost of transport through their disability allowance. Currently only personal items are charged in addition to the fees and transport. Reports from the Commissions are available upon request to residents, relatives and care managers.

  • Latitude: 50.729999542236
    Longitude: -3.2969999313354
  • Manager: Mr Simon Charles Knight
  • Price p/w: £493
  • UK
  • Total Capacity: 3
  • Type: Care home only
  • Provider: Mrs Nicolette Knight,Mr Simon Charles Knight
  • Ownership: Private
  • Care Home ID: 12273
Residents Needs:
Learning disability

Previous Inspections

This may not be the latest inspection for this service as we are having techinical problems updating from CQC - please check directly on the regulators website for the most recent report; bestcarehome hopes to be back to regular updates shortly.

For extracts, read the latest CQC inspection for Perry Cottage.

CARE HOME ADULTS 18-65 Perry Cottage Lower Cotley Farm Fluxton Ottery St Mary Devon EX11 1RJ Lead Inspector Vivien Stephens Unannounced Inspection 27th February 2009 03:00 Perry Cottage DS0000022008.V374316.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 Perry Cottage DS0000022008.V374316.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. Perry Cottage DS0000022008.V374316.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Perry Cottage Address Lower Cotley Farm Fluxton Ottery St Mary Devon EX11 1RJ 01404 814961 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) simon.nikki@tiscali.co.uk Mr Simon Charles Knight Mrs Nicolette Knight Mr Simon Charles Knight Mrs Nicolette Knight Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Perry Cottage DS0000022008.V374316.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th January 2007 Brief Description of the Service: Perry Cottage is in a rural area close to a small village in East Devon. On the top floor there is a separate flat where a member of the Registered Providers family lives, and takes some responsibility for the residents safety at night. On the lower two floors live three young men who have a learning disability. The cottage has a beautiful conservatory and veranda, which was built by the providers and the residents. The Registered Providers live and work at a farm within walking distance of Perry Cottage. Residents assist with the farm work, which they all enjoy. They are supported to live in Perry Cottage by the Registered Providers who visit the cottage frequently. Residents are included in all aspects of family life. Fees range from £300 to £686 per week. Residents’ contribute towards the cost of transport through their disability allowance. Currently only personal items are charged in addition to the fees and transport. Reports from the Commissions are available upon request to residents, relatives and care managers. Perry Cottage DS0000022008.V374316.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 two star. This means the people who use this service experience good quality outcomes. Several weeks before this inspection we sent an Annual Quality Assurance Assessment document to the home and asked them to complete it. They returned the completed form in good time. We also sent three survey forms to the home for the people living there to complete. These were not returned to us by before our inspection, but the owners agreed to make sure each person gets help to complete the forms and return them to us as soon as possible. This inspection began at approximately 3pm and ended at approximately 7pm. During our visit we talked to two people living at the home at length, and one person just briefly. The three people showed us their rooms, and we saw all of the communal areas and the garden. We also talked to the owners, Simon and Nikki Knight and their son about the way the home is run. We looked at the records they have maintained including care plans, medication records, and records of each person’s savings. What the service does well: Perry Cottage provides a lovely family home for three men who enjoy living in the countryside and working on a farm. The emphasis is clearly on providing meaningful work and learning opportunities in a fun and caring environment. The three men have lived at Perry Cottage for many years and it is unlikely there will be any vacancies at the home for the foreseeable future. If, however, a vacancy should occur we were satisfied that the owners would follow careful admission procedures to make sure that the person was suitable and their needs could be met. We heard about the work each person does on the farm, and the many things they enjoy doing in their leisure times. They all chose to live at Perry Cottage because they wanted to work on a farm. They all have similar interests including football, pub outings, clubs and social events, trips into Sidmouth, and visits to their families and friends. They are very active in the local village life and they attend many of the village events and parties. They all have at least one holiday each year. We were told there is lots of informal discussion every day between the owners and their family and the three men about daily life and routines in the home. Each person has been encouraged to make choices and decisions about every aspect of their lives and to be as independent as possible. Support has been provided in a sensitive and understanding manner. Perry Cottage DS0000022008.V374316.R01.S.doc Version 5.2 Page 6 We talked to two of the men about their diet. They told us about the food they help to produce on the farm and how this is incorporated into their meals. They clearly enjoyed their meals. Individual likes and dislikes have been catered for. They were all in good health at the time of this visit, and have received regular medical check ups and treatment as and when necessary. They told us that if they had any concerns or complaints they would talk to the owners or their family. No complaints or concerns have been received either by the home or by the Commission since the last inspection. Each person has their own bedroom that has been decorated and furnished to reflect their interests and personalities. There is a large garden and lovely views over the surrounding countryside. What has improved since the last inspection? What they could do better: The owners have cared for the three men for many years and have a very clear understanding of their needs and do not need to refer regularly to a care plan to ensure they are providing the correct care. They have care plans in place that give good information about each person and how they want to be supported. However, the plans have not been reviewed regularly and may be out of date. They should make sure the plans are kept up to date by reviewing the plan with the person, and their family or representative if appropriate. This will provide evidence of the care and support they provide. Each person should have a copy in a format they can understand. One person takes medication each day. To help him manage his tablets the owners put the tablets into a weekly dosage container. However, this practice is discouraged as it means the tablets are not taken directly from the original container with the pharmacist’s label. The practice increases the chances of an error occurring. We suggested that the owners talk to their local pharmacist to ask if they could dispense the medication in an alternative container that the person could use safely. Perry Cottage DS0000022008.V374316.R01.S.doc Version 5.2 Page 7 The owners and their son have had many years of relevant experience but have had very little formal training and do not hold a formal qualification. They have not attended any training on the protection of vulnerable adults. Nikki Knight recognised the need to undertake training in order to ensure they are up-to-date with current good practice. She said they intend to look for suitable courses they can enrol on in the coming year. 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. Perry Cottage DS0000022008.V374316.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 Perry Cottage DS0000022008.V374316.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 Quality in this outcome area is good. If any new person is thinking about moving in they can be confident their needs will be fully met and the home will follow good admission and assessment procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All of the people who live at Perry Cottage have lived there for many years. We talked to one of the owners about the procedures they would follow if they have a vacancy at any time in the future and we were assured that they would take great care to make sure no one moves in unless they are entirely suitable for Perry Cottage and the home was able to meet their needs. At the time of this inspection there was no likelihood of any vacancies occurring in the foreseeable future. We talked to two of the people who live at the home about why they chose to live at Perry Cottage. One person lived with the owners, Mr and Mrs Knight, at their previous farm on the outskirts of Exeter, and the other person moved to Perry Cottage soon after it first became a registered home. Both people said they loved working on the farm and being in the countryside, and the farm was the main reason why they chose the home. They both talked about how much Perry Cottage DS0000022008.V374316.R01.S.doc Version 5.2 Page 10 they enjoy living at Perry Cottage and the opportunities they have to do all the things they want to do every day. Perry Cottage DS0000022008.V374316.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is good. Care plans provide good information about how each person wants to be supported to meet their needs and goals, although these would benefit from more regular updating. People are supported to make decisions and choices about all aspects of their daily lives. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We talked to two of the people who live at the home about their care plans. They both knew that they had a care plan, but could not remember seeing the plan recently and they weren’t sure what was written in the plans. They were, however, completely satisfied with the way they were consulted and involved in every aspect of their daily lives, and life at the home. They gave us examples of the ways they have been consulted, and how they have been able Perry Cottage DS0000022008.V374316.R01.S.doc Version 5.2 Page 12 to make choices and decisions about their personal lives and also about daily routines at Perry Cottage. We looked at the care plans and talked to Nikki Knight about the care planning process. She was aware that the plans had not been reviewed for some time but the needs of the three people had remained stable for many years. This is a family run home run by Simon and Nikki Knight and their son, who lives on the premises. No other staff are employed. Therefore the family know each person’s needs extremely well and do not need to follow the care plans on a daily basis. Nikki Knight said she hoped the plans would be updated in the near future. It is also recommended that each person is involved in the review of their care plan and they have a copy in a format they can understand. We heard that each person has supportive families and some have care managers who keep in contact and work closely with the home to make sure the person’s needs are met. Nikki Knight told us how they regularly talk to families and involve them in the person’s care. We looked at the care plans and saw that they contained good information about all aspects of each person’s needs. We heard about some risks that had been identified and these have been assessed and any action that has been agreed has been recorded. We heard how care managers have been consulted and any restrictions agreed. Perry Cottage DS0000022008.V374316.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16, 17 Quality in this outcome area is excellent. The people who live at Perry Cottage lead busy lives doing things they have chosen to do. Their rights are respected at all times. People benefit from a very healthy diet that incorporates much of the produce grown on the farm that they have helped to produce. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each of the three people who live at Perry Cottage chose to live there because of their interest in farming. They all work on the farm each day and we heard about the jobs they enjoy doing, including checking the cattle, growing vegetables, and caring for the chickens. At the time of this inspection some alterations to the building were taking place. Everyone was involved in some way, either helping with woodwork, Perry Cottage DS0000022008.V374316.R01.S.doc Version 5.2 Page 14 helping to clear up, or making drinks. There was a happy and friendly atmosphere with everyone clearly getting on well together. We talked to people about some of the things they do in their leisure time. They regularly catch the bus into Sidmouth where they go shopping or go to a café. They are all football fans and enjoy both playing and watching football. They also like to go to the local pub, and also attend social clubs where they meet their friends. They are very popular in the village and are invited to many parties. Everyone has at least one holiday each year. They all go with a Christian group to Lourdes every year. They also visit their families several times a year. People had photographs of their families and friends in their rooms and they told us how they regularly keep in touch with their families. Some people attend church occasionally. Nikki Knight told us that if anyone says they want to go to church they will be supported to attend. Other activities we heard about were jigsaw puzzles, arts and crafts, and barbeques. We saw photographs and items in each person’s room of their many interests and hobbies. Everyone helps with domestic chores around the house, and they sometimes help with food shopping (although we heard that they were not particularly interested in this). People told us they always enjoy the meals. Much of the produce from the farm is used in the menus, and the emphasis is on fresh and healthy meals. People have been consulted over the meals and the owners know the foods they like and dislike. We heard they like routines, and always choose to have fish on a Monday, roast meals on a Sunday. They also enjoy pizzas once a week. Perry Cottage DS0000022008.V374316.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. People living at Perry Cottage lead healthy lifestyles and are supported to seek medical advice or treatment as and when necessary. The safe management of medicines could be improved by seeking advice from a pharmacist on the most appropriate packaging. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the time of this inspection the three people living at Perry Cottage were in very good health. We heard that they have received regular check-ups from the dentist and optician and they have seen a chiropodist every six weeks. We also heard how the owners have recognised signs and symptoms of possible illness in the past and have sought medical advice and investigation appropriately. They have received very good support from psychiatrists and psychologists where necessary and they have worked with other professionals to reach a satisfactory outcome. Perry Cottage DS0000022008.V374316.R01.S.doc Version 5.2 Page 16 Only one person was on regular medication. The home has supported this person to manage his own medication. Records have been maintained of each tablet taken. To make it easier for the person to take his medication the home has taken the tablets from the original container and placed them in a pill container. We recommended that the home seeks advice from a pharmacist to see if the tablets could be dispensed in a more suitable container. This would avoid the need to double-dispense and therefore reduce the risk of any possible mistake being made. We explained that the tablets should be taken directly from the original container with the pharmacist’s label and original instructions. Nikki Knight agreed to talk to their pharmacist to see if they can resolve this. Perry Cottage DS0000022008.V374316.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, 23 Quality in this outcome area is good. People can be confident that they can speak out if they have any concerns or complaints and these will be listened to and acted upon appropriately. The owners would benefit from attending formal training to ensure they are aware of current good practice and procedures on the protection of vulnerable adults. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaints procedure and relatives have been given a copy. We talked to two people who live at the home to find out if they felt able to speak out if they had any concerns or complaints. They said they would either speak to the owners or to their families if they had any concerns and they felt quite confident that the matter would be dealt with correctly. They all talked about how happy they are living at Perry Cottage. No complaints have been received by the home or by the Commission since the last inspection. Nikki Knight told us they have lots of informal discussions every day and she felt confident that each person can (and does) speak out about any issues that may concern them. The home has copies of the Department of Health’s No Secrets document to ensure they understand how to protect people from abuse, neglect or self Perry Cottage DS0000022008.V374316.R01.S.doc Version 5.2 Page 18 harm. They also have a copy of the local Alerter’s Guide. However, the owners have not received any formal training on protection of vulnerable adults. We discussed local courses available on this topic and Nikki Knight agreed to find out more and enrol on a course. This would ensure that the owners are aware of current good practice and the correct procedures to follow if a person is considered to be at risk of harm. Each person has their own bank account. We were shown copies of recent statements that showed that each person’s money has been managed safely. People can withdraw money whenever they wish, and they hold and manage their own cash. Perry Cottage DS0000022008.V374316.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, 26, 30 Quality in this outcome area is excellent. People live in a comfortable family home that has been well maintained and is currently undergoing a number of changes to provide even more space and comfort for everyone living there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Perry Cottage is situated in a peaceful rural setting with beautiful views of the surrounding countryside. At the time of this inspection work was taking place on the house to create an open plan living space. The main living room will have large doors opening onto the conservatory – this room provides views for many miles around. The kitchen was about to be refurbished and will provide open plan access to the lounge and dining room. Further alterations are planned for other parts of the home to provide larger bedrooms and a new bathroom. Planning permission has been granted for this work. Perry Cottage DS0000022008.V374316.R01.S.doc Version 5.2 Page 20 We were shown the bedrooms of the three people who are residents at Perry Cottage. Their rooms were bright, comfortably furnished, and decorated to suit their individual tastes. People can lock their room if they want to while they are out. One bedroom has recently been altered to remove a washbasin. We heard that this was to suit the needs of that person. We advised the owners that they should seek formal agreement from the Commission for this alteration, and the washbasin should be replaced if the person’s needs change. The washbasin should also be replaced if a new person moves into the room in the future. Nikki Knight agreed to write to the Commission on this matter. The owner’s son lives on the premises and is involved in their care. (The owners live at the farm a short distance from Perry Cottage.) All areas were as clean as possible, given the current building works. We heard that at the end of each day when work has finished the areas are cleared and cleaned so that people can use the communal areas safely and comfortably. Perry Cottage DS0000022008.V374316.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, 35 Quality in this outcome area is good. People are supported by experienced and competent people who help them to lead a safe and fulfilling life, although the owners would benefit from training to ensure they are up-to-date with current good practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The owners and their son provide all of the care needed for the three people living at Perry Cottage. No other staff are employed. At the last inspection we asked the owners to ensure that a criminal records bureau check carried out on themselves an their son. At this inspection we saw evidence to show that those checks had been carried out. In the last year the owners and their son have undertaken training on fire safety and food hygiene. They have not received training on any other topics relevant to the care they provide. Nikki Knight agreed that they need to keep Perry Cottage DS0000022008.V374316.R01.S.doc Version 5.2 Page 22 up to date with good care practice and said she would look for courses to attend in the next year. Perry Cottage DS0000022008.V374316.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, 42 Quality in this outcome area is good. People live in a well managed and safe home where their views and wishes are listened to and acted upon. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Simon and Nikki Knight have owned and managed Perry Cottage for many years. Prior to owning Perry Cottage they were registered as providers for a similar home in Exeter. Therefore they have had many years of relevant experience. However, they do not hold a qualification in care. We talked to Nikki Knight about obtaining a qualification known as a National Vocational Qualification (NVQ) level 4. She said that she planned to look for a training provider that she and her son can enrol on, hopefully in the next few months. Perry Cottage DS0000022008.V374316.R01.S.doc Version 5.2 Page 24 They do not follow any formal quality assurance systems, although they have very good communication with the families and professionals involved in the care of the people who live in the home. There is close contact every day between the owners and three residents and lots of informal discussion. We discussed ways in which the owners could check the quality of the service, for instance by introducing questions about the home over an evening meal, or through a telephone conversation with families and friends, and by recording the answers. We also talked about the need to carry out regular care plan reviews (see section 2 – Individual Needs and Choices) and incorporate this into the quality assurance process. The owners completed an Annual Quality Assurance Assessment document before this inspection. The document gave us information about the way the home operates. It also showed that all required policies and procedures are in place and were reviewed approximately one year ago. The owners’ son plans to undertake a health and safety course in the near future. The owners and their son have undertaken fire safety and food hygiene training in the last year. Perry Cottage DS0000022008.V374316.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 2 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 4 x 3 x LIFESTYLES Standard No Score 11 x 12 4 13 4 14 x 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 2 x 2 x x 3 x Perry Cottage DS0000022008.V374316.R01.S.doc Version 5.2 Page 26 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA6 Good Practice Recommendations The care plans should be regularly reviewed to ensure the information held in them is always up to date. Each person should be involved in the review of their care plan and they should be offered a copy in a format they can understand. Medicines should always be dispensed from their original containers to reduce the risk of errors. The home should seek advice from a pharmacist on the most suitable packaging for medicines to enable the person to manage their own medication straight from the original pharmacist’s container. The owners should receive training on the protection of vulnerable adults and safeguarding procedures to ensure they are aware of current good practice and procedures. The owners should formally seek agreement from the Commission to remove the washbasin in one person’s bedroom. The owners and their son should undertake training in DS0000022008.V374316.R01.S.doc Version 5.2 Page 27 2 YA20 3 4 5 YA22 YA26 YA35 Perry Cottage 6 YA37 7 YA39 subjects relevant to the needs of the people living at Perry Cottage. The registered provider should take NVQ 4 in management and care. The registered person should undertake periodic training and development meeting TOPSS specifications, to maintain and update their knowledge, skills and competence while managing the home. The views of family, friends and advocates and of stakeholders in the community (eg. GP’s, chiropodist, audiologist, and voluntary organisation staff) should be sought on how the home is achieving goals for service users. Perry Cottage DS0000022008.V374316.R01.S.doc Version 5.2 Page 28 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 Perry Cottage DS0000022008.V374316.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. 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