Inspection on 29/09/09 for 3a Farfield Drive

This is the latest available inspection report for this service, carried out on 29th September 2009.

CQC found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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Extracts from inspection reports are licensed from CQC, this page was updated on 18/02/2010.

Key inspection report Care homes for adults (18-65 years) Name: Address: 3a Farfield Drive 3a Farfield Drive Pudsey Leeds West Yorkshire LS28 5HN     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Frederick Rawlins     Date: 2 9 0 9 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: 3a Farfield Drive 3a Farfield Drive Pudsey Leeds West Yorkshire LS28 5HN 01132575231 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): marie.simpson@leeds.gov.uk Leeds City Council Department of Social Services Name of registered manager (if applicable) Mrs Marie Elayne Simpson Type of registration: Number of places registered: care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: 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: Service users with a learning disability - Code LD. 2. The maximum number of service users who can be accommodated is 5. Date of last inspection Brief description of the care home Farfield Drive is a purpose built detached house and has a garden to the side and rear. Parking is available in the front. The respite service is in the Pudsey/Bramley area of Leeds. The area is well served by public transport. There are a number of local facilities and people who use the service Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 0 5 Brief description of the care home make good use of these. The home is registered to provide accommodation and care service (respite) for up to five adults with a learning disability. All the facilities are located on the ground floor. The furnishings and fittings are of a very high standards and all bedrooms are of a good size with en-suite facilities. The communal rooms are large and comfortable offering enough space for people. The kitchen/dining room are wheelchair friendly with hight adjustable units and table. There is a large specialist bath and separate toilets are provided. The gardens are secure and wheelchair friendly wth raised flower beds. The main aim of the home is for carers and people being cared for to have a break. Staff are available in the home at all times and focus on helping people to enhance their daily living skills. Care Homes for Adults (18-65 years) Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The inspection process included looking at information we have received about the service, as well as this unannounced visit to the home, which was carried out in two days over a period of eight hours by one inspector. The purpose of the visits was to assess what progress the home had made and the impact of any changes in the quality of life experienced by people using the service. This was th first inspection we have carried out at Farfield Drive since the service was registered in March 2009. Before the inspection evidence about the home was reviewed. This included looking at any reported incidents, accidents and complaints. This information was used to plan the visits. An Annual Quality Assurance Assessment (AQAA) had been completed by the home before the visits to provide additional information. Care Homes for Adults (18-65 years) Page 6 of 27 During the visits a number of documents were looked at and areas of the home were visited. A good proportion of time was spent talking with people who were staying at the home. The manager and staff were also spoken with. Feedback was given to the manager at the end of the visit. The fees for the service currently range from eight pounds and eight pence to fourteen pounds and seventy pence per day. Details of the exact charge can be obtained by contacting the manager. Care Homes for Adults (18-65 years) Page 7 of 27 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service can be sure that the home will meet their needs following assessment. Written and verbal information provides enough information for them to decide whether the home will meet their needs. Evidence: The Statement Of Purpose, which provides information on the services provided by the home, is available from the managers of the home. The manager said they are working on producing a brochure for the home and this would be produced in an easy read format. The needs of people who use the service have been assessed before they moved in to the home. The assessment used covers all aspects of daily living. Care plans are then drawn up from any needs that are identified, risk assessment and attending care review meeting if required. People who use the service also has a re-assessment carried out, if their needs had changed. Care Homes for Adults (18-65 years) Page 10 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are in the main, aware of the individual needs of people who use the service. People are encouraged to make decisions about their lives and are involved in planning their care and support. Evidence: We looked at care plan and risk assessment records for some people who stay at the home. They were person centred and individual to each person. People or their representatives are involved in drawing up support plans and making decisions about how care and support will be given. However the manager should ensure staff date and sign documents. The plans had clear and detailed instruction on how the needs of people who use the service are met. There is clear emphasis on furthering peoples independence and involving them in the daily life of the home. People are given support to be as involved as they can be. One person said that staff had talked to him about his care plan. Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: People are encouraged to make choices and decisions about what they do. Staff said they encourage people to choose what to do, where to go out, what to eat and what to be involved in around the house. People who use the service also have meetings at the begin of their stay. Issues discussed are activities, menus and any dissatisfaction people may be feeling. Staff interactions with people were very good. Staff showed warmth and a positive approach to people who use the service. Staff gave good examples of what they do to make sure people who use the service are encouraged with their independence. One staff said Being independent make people feel good. A person who uses the service said, I am able to do what I want. Risk to people who use the service have been identified and assessed. Care Homes for Adults (18-65 years) Page 12 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home offers opportunities to people who use the service for personal development in addition to a range of leisure activities. People who use the service are able to make choices about their lifestyle. They also benefit from a good, healthy and varied diet. Evidence: Staff said that people who use the service have a variety of activities that they are involved in within their local community. This includes day centres, shopping, meals out, going out to the pub and going to shows. On looking through activity records and photos for people who use the service, it is clear that people get out and about a lot. Staff said they felt there were enough staff to make sure people who use the service get a good level of activity. Activity is also provided and encouraged within the home. Staff said they try to meet the diversity of peoples needs by providing a varied programme of activity such as Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: baking, drawings and board games. One of the home workers brings her dog to the home at times and it seem people get a lot of pleasure from their interaction with the dog. The homes aims and objectives are to promote independence and for people using the service to live a full and enjoyable life style. Staff said that some people who use the service are able to practice their independence skills in the homes kitchen. Menus are developed based on the likes and dislikes of people who use the service. They are well balanced and nutritious. A good variety of food is available and staff make sure there is plenty of fresh produce such as fruit and vegetables. People who use the service said they enjoyed the food. Comments included, What I dont like I dont get, I like my food and We have all sort of things. People who use the service said they were happy with their lifestyle at the home. They said they enjoy are able to please themselves what they do. One person told us how much he enjoyed going to the ruby headingly and meeting the police and other friends. The home has a lovely garden and people sit outside whenever the weather permits. Staff said during the summer months there has been regular barbeques which people staying at the home and staff have fully enjoyed. Care Homes for Adults (18-65 years) Page 14 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples health-care needs are well met and based upon their individual needs. They are consulted about how their care needs will be met. Evidence: In the AQAA, the manager said they meet peoples needs well. She said Pre calls are made to all carers and customers before their planned stay so up to date information can be sought. This includes any changes in the persons life, health, medication, lifestyle etc. Peoples health action plans gave good detail on peoples medical history and good information on the support people may need. There are suitable systems in place to make sure that medications are managed safely and people get their medicines as prescribed. Staff have received training in medication and have been trained on how to administer peg feeds. We checked some medication administration records (MAR) sheets. These were found to be in good order. Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: Each person has a safe and medication cabinet within their room to assist them to self medicate, risk assessments are in place for this and agreed within their support plan. Specialist equipment is in place and the building is purpose built to meet all physical needs of the people staying there. Staff had good knowledge of peoples personal support needs. Staff were thoughtful, discreet and respectful of peoples dignity when attending to any needs. People seen staying at the home looked well supported, well dressed and groomed. Care Homes for Adults (18-65 years) Page 16 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service and their relatives have their views listened to, taken seriously and acted upon. There are systems in place to protect people from abuse. Evidence: In the AQAA, the manager said, All complaints and compliments are logged in the complaints and complements file, we have very few complaints but these are dealt with quickly. The complaints procedure is user friendly and symbolised. A copy is sent to all new customers and carers. The home record show they have had two complaint since March 2009, however one did not fully show the outcome action. No complaints have been referred to us. People staying at the home said they knew what to do if they were unhappy about anything. One person said they would talk to the manager or their keyworker if they had any concerns. The manager said in the AQAA, All staff are trained in the safeguarding policy. There are simple flow charts for staff to follow when dealing with safeguarding issues. Policies and procedures are regularly discussed with staff in team meetings and training. Discussion with staff and checking records confirmed they have received training in Care Homes for Adults (18-65 years) Page 17 of 27 Evidence: safeguarding young adults. This help to ensure people who use the service are safe and protected. Records are kept of the finances of people who use the service at the home and their monies are kept safe. Care Homes for Adults (18-65 years) Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The environment is homely, comfortable and safe for people who stay at the home. Staffs practices, control the spread of infection. Evidence: Farfield is a purpose build home consisting of 5 large en-suite bedrooms. The accommodation is well equipped and furnished and fitted to a high standard to meet the needs and preference of the people using the service. Each person has their own lockable bedroom with a key available to them. Each bedroom has been named and colour coded, the people state their preference and this has been added to their support plans. A tour of the home was carried out. The bathroom include aids and adaptations to meet the needs of the people using the service. The kitchen and laundry are designed to enable and promote the involvement of people in domestic tasks and as part of developing or maintaining independence. The spacious communal areas were clean and there were no odours noted. The home is set in large garden and there is ample parking space. There is a patio Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: area that is well used by the people who use the service. Some people who use the service like to help out with planting in the garden. Staff have received training in infection control as part of their induction and were able to say what other infection control measures are in place. Hand washing and hand drying facilities were available in all areas of the home. This ensures good hygiene practice. Care Homes for Adults (18-65 years) Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are trained, skilled and in sufficient numbers to support people who use the service. Evidence: In the AQAA, the manager said, All new and existing staff have received a full weeks induction package before commencing working within city wide respite and emergency services. Further new staff also receive full induction within 2 months of recruitment. People who were staying at the home said they liked and got on well with them. Their comments included: They are good they take me places I have a good laugh with them If I need help they will help. We looked at recruitment records. These showed that recruitment is properly managed by the home; interviews are held, references and CRB (Criminal Record Bureau) checks are obtained before staff start work and checks are made to make sure staff are eligible for work. Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: Staff said their induction had been good and prepared them well for their job. We looked at training records and these showed that most staffs training was up to date or if updates were needed, they were planned. Staff said they were pleased with their training and confirmed they got updates when needed. We looked at staffs supervision records and saw that in most cases regular one to one sessions are being provided for staff to discuss their roles. The management agreed to ensure all supervisions are kept up-to date. Staff spoken with said they are happy with the support they get from the management. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is well managed. The interests of the people who use the service are seen as important to the manager and staff. Evidence: In the AQAA, the manager said, the management team are competent and fully qualified to manage the service and receive regular training and updates. The manager researches and keeps herself up-to date with any current trends and changes in government policies. Records we looked at showed that regular health and safety checks are carried out. Accidents and incidents are all recorded appropriately. The home management has a good understanding of risk assessments. They said all equipment has been serviced or tested as recommended by the manufacture or regulatory body. Social Services provide a comprehensive manual of policies and procedures for staff to refer to. Staff were clear on their responsibilities and how to report and record accidents or incidents. Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: The home sends out annual questionnaires to people who use the service and their relatives. This means they are always seeking peoples views on how the service can improve. Regular staff meetings are arranged and minutes of these meetings were seen. There is an open door policy for both staff and people using the service. There was a relaxed atmosphere in the home at the time of the visit. Care Homes for Adults (18-65 years) Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 1 The home should produce a brochure with details of the respite provisions available to people, so that people are more informed of what is available to them when they make enquirers. All information/documents should be dated and signed to show when these information have been gained. The manager should record all complaints and record fully the outcome and action taken. The manager should ensure all staff supervisions are kept up-to date. 2 3 4 6 22 36 Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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