Inspection on 11/04/05 for 2 Farnham Road

This inspection was carried out on 11th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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.

Other inspections for this house

2 Farnham Road 28/11/06

2 Farnham Road 17/10/05

2 Farnham Road 13/09/04

2 Farnham Road 23/04/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 2 Farnham Road Fleet Hampshire GU51 3JD Lead Inspector Peter J McNeillie Unannounced 11th April 2005 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 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 Stationary 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. 2 Farnham Road Version 1.10 Page 3 SERVICE INFORMATION Name of service 2 Farnham Road Address 2 Farnham Road Fleet Hampshire GU51 3JD 01256 623248 01256 623248 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) New Support Options Ltd Monja Schuller CRH 5 Category(ies) of LD - 5 registration, with number of places 2 Farnham Road Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 12.09.2004 2 Farnham Road Version 1.10 Page 5 Brief Description of the Service: Number 2 Farnham Road is a registered care home set in its own garden accommodating up to 5 persons with a learning disability on two separate floors in individual bedrooms. The home which is managed by New Support Options Ltd who are responsible for a number of similar services in Southern England. The home is situated in a residential area with good access to the towns of Guildford, Farnborough, Camberley and Fleet. Local shops and other facilities i.e. doctors, libraries, dentists etc are all nearby. 2 Farnham Road Version 1.10 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place between 9:00am and 1:00pm. During the manager spoke with all of the service users, care staff and a visiting health care professional. Communication with some of the residents was very difficult the inspector therefore had to make judgements from his observations the body language of residents and the very positive comments from a visiting health care professional and his previous experience in visiting the home. Evidence was also gathered from a tour of the building, reading records(including care plans) , and the previous reports. What the service does well: What has improved since the last inspection? What they could do better: Records in the care plans to confirm consultation has taken place with the resident and or their representative need to be clearer. 2 Farnham Road Version 1.10 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 2 Farnham Road Version 1.10 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 Standards Statutory Requirements Identified During the Inspection 2 Farnham Road Version 1.10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 The home has a well developed system(both pre and post admission) of assessing and identifying residents needs which ensures residents safety and whether needs can be met. EVIDENCE: There have been no admissions for the past few years. A corporate admission policy and procedure is in place that requires a visit to the potential resident to be made by the manager or another member of senior staff where an in house assessment of needs and risk in consultation with the service users or their representative is produced. Records seen and a visiting health care professional confirmed that all assessments of need and risk involving current residents are reviewed monthly and the service user or their representative and visiting health care professionals such as doctors, district nurses, physiotherapists, nutritionists ,occupational therapists etc involved /consulted. 2 Farnham Road Version 1.10 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7and 9 The arrangements for planning care to ensure the care needs of all residents within a risk taking policy were satisfactory. Records seen need to include confirmation that residents or their representatives were consulted. EVIDENCE: Detailed care plans which included action plans to meet resident needs based on assessments of need and risk were available for all service users. Records seen confirmed service users and/or their representatives are generally consulted about the plans and are involved in reviews. The inspector was advised and shown corporate literature regarding the development and implementation of a more user friendly personal centered planning approach. When fully implemented the homes statement of purpose will need to be revised. Service users’ rights to take risks are seen as fundamental. Detailed written risk assessments on a number of areas of day to day living activities, bathing, community access, swimming, use of kitchen, etc were seen and form key part of the overall assessment/care planning process. 2 Farnham Road Version 1.10 Page 11 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,15,16 and 17. The social activities, family contacts and the provision of varied and nutritious meals were well managed and reflected residents choices. EVIDENCE: 2 Farnham Road Version 1.10 Page 12 Individual support programmes that reflect residents needs and choices involving one to one contact were available for residents These programmes including external support workers involve the user in areas such as personal shopping, use local facilities, cinemas, libraries, sports halls, visits to animal parks, use of transport etc. A number of in-house programmes were also available ie visits to pantomimes, lunch out (pubs), aromatherapy, art group, music group, seasonal activities (fireworks), church etc, anything service users who any interest in. Daily individual programmes for service users are produced in pictorial/photographic format. Records confirmed residents or their representatives were consulted about their individual plans. Residents are free to receive and communicate with visitors at any time. During previous inspections visiting relatives informed the inspector that the home arranges transport for them to and from the home and without this assistance visits would be almost impossible. Transport is also available for the service users to visit home. Both services are still available. Those responsible for the efforts in ensuring family contact are to be commended.. Visits from family members were regular. Staff informed the inspector relationships between staff and family often went back many years. Menus seen were based on individual likes and dislikes. Day to day menus are displayed in a pictorial/photographic format to assist understanding. Mealtimes are flexible to meet individual residents needs. Records confirmed that staff had attended nutrition workshops; as a result of this day to day menus are colour coded to ensure a balanced diet, ie fibre, protein, carbohydrates with appropriate areas that may lead to problems. Records also confirmed regular nutritional assessments and consultation with specialist health care professionals had been carried out. 2 Farnham Road Version 1.10 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19 and 20 The arrangements for the delivery of personal support and the meeting of emotional and health care needs( including medication) was satisfactory. EVIDENCE: Records indicated that a multidisciplinary assessment of needs and risk are carried out on all residents to ensure that all needs including the provision of both personal and shared aids such as handrails special toilets etc are met. Staff informed the inspector residents choose mealtimes when to get up and when to go to bed but are expected to keep to previously agreed arrangements. Residents are free to choose the gender of staff providing their personal care. All drugs are securely stored, recorded and administered in accordance with an in house and corporate medication policy and procedure which was seen. No service users are self medicating. Risk assessments were available to support this position. All drugs are dispensed by a pharmacist into a unit dosage system. All staff involved in the administration of drugs and medicines have received training. All records relating to the administration and disposal of drugs and medicines were accessible accurate and current. Staff and records confirmed consultation with external health care 2 Farnham Road Version 1.10 Page 14 professionals such as doctors, district nurses, specialists dentists chiropodists, opticians etc. 2 Farnham Road Version 1.10 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 The protection of service users and arrangements for the investigation and recording of complaints were satisfactory. EVIDENCE: A corporate Adult Protection Policy and Procedure that acts in tandem with the procedure produced by Hampshire County Council was available. Training records( including bank staff,) confirmed all staff had received training in the protection of vulnerable adults. Staff spoken to were able to demonstrate they were aware of the procedure to follow should they witness or suspect a service user was being abused. A corporate complaints procedure that formed of the service users guide in a dual written and pictorial format included information on how to contact C.S.C.I. was seen as was record of complaints that indicated no complaints had been received since the last inspection. 2 Farnham Road Version 1.10 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 an 30 A safe, well maintained clean and suitably furnished home is provided for all residents which meets their needs. EVIDENCE: A tour of the building indicated that the building was fit for its stated purpose, accessible, safe, well maintained meeting all users needs and well equipped with furniture which was comfortable homely and in keeping with the décor. A previous requirement relating to the repair of an external window sill has been complied with. The garden which has improved considerably over the past 12 months due to the efforts of staff is a real asset providing a pleasant area to look at and relax in as witnessed by the inspector. Through out the home which was clean, hygienic and free from adverse odours all wash hand basins were equipped with soap and towels. An infection control policy and procedure was in place. 2 Farnham Road Version 1.10 Page 17 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35. All staff are recruited and selected using a procedure designed to protect residents. EVIDENCE: All care staff are employed in accordance with a corporate recruitment and selection policy and procedure. Records confirmed all staff after completing an application form and a Rehabilitation of Offenders Declaration, are interviewed and only commence employment following satisfactory reference (2) CRB and POVA checks. All employment is subject to a probation period. 2 Farnham Road Version 1.10 Page 18 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 and 42 The management of the home offers a needs driven service based on the views of residents or their representatives in an environment where health and safety considerations are of paramount importance. EVIDENCE: 2 Farnham Road Version 1.10 Page 19 Records confirmed a quality monitoring that seeks the views of service users or their representatives has been implemented. Visits as require by regulation 26 and the forwarding of the subsequent reports to C.S.C.I. have and are taking place. A corporate health and safety policy was in place. A record of all accidents was available Records confirmed all staff had received training in the techniques of moving and handling first aid health and safety and the procedures to follow in the event of fire (including evacuation). A corporate health and safety policy was in use. All of the hot water supplies to baths were fitted with thermostatic controls set at 43 degrees C. All radiators and hot pipes had been covered. The records of servicing equipment being used within the home were available. 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. Where there is no score against a standard it has not been looked at during this inspection. 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x 3 x x Standard No 22 23 ENVIRONMENT Score 3 3 Standard No 24 Version 1.10 Score 3 Page 20 2 Farnham Road INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score 25 26 27 28 29 30 STAFFING x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 x x 3 3 3 Standard No 31 32 33 34 35 36 Score x x x 3 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x 2 Farnham Road Version 1.10 Page 21 Are there any outstanding requirements from the last inspection? 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 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 Good Practice Recommendations 2 Farnham Road Version 1.10 Page 22 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton Hampshire, SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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