Inspection on 17/10/05 for 2 Farnham Road

This inspection was carried out on 17th October 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 11/04/05

2 Farnham Road 13/09/04

2 Farnham Road 23/04/04

Similar services:

Pinta

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

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 Inspection 17th October 2005 10:00 2 Farnham Road DS0000011541.V262035.R01.S.doc Version 5.0 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 2 Farnham Road DS0000011541.V262035.R01.S.doc Version 5.0 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. 2 Farnham Road DS0000011541.V262035.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 2 Farnham Road Address Fleet Hampshire GU51 3JD 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) 01256 623248 New Support Options Limited Miss Monja Schuller Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 2 Farnham Road DS0000011541.V262035.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11:04:05. 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 DS0000011541.V262035.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the second of two statuatory annual inspections for 2005/2006. During this inspection the inspector who was assisted by the registered manager spoke with all of the residents (although communication was difficult) and all staff on duty. Evidence was also gathered from a tour of the building, reading records, care plans, previous reports comments by management/staff and observations. What the service does well: What has improved since the last inspection? What they could do better: There were no issues identified for action following this inspection. The inspector did however highlight the need to ensure in the future National Vocational Qualification (N.V.Q.) target of 50 qualified staff by the year 2005 will be met. 2 Farnham Road DS0000011541.V262035.R01.S.doc Version 5.0 Page 6 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. 2 Farnham Road DS0000011541.V262035.R01.S.doc Version 5.0 Page 7 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 2 Farnham Road DS0000011541.V262035.R01.S.doc Version 5.0 Page 8 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 the following standard(s): 1 and 2. Prospective residents are issued with information they need to make a Choice about living in the home which has a well developed system of assessing and identifying residents needs which assures residents safety and assessed needs can be met EVIDENCE: A dual formatted (written and pictorial) statement of purpose (which included all of the information as specified in schedule 1 of the regulations) and service users guide was available. The dual formatted service users guide is given to all residents /residents representatives on admission. No new admissions have been made for a number of years. When admissions are made they only take place in accordance with a corporate admissions policy and procedure which involves undertaking a full multidisciplinary assessment of needs and risk of all potential residents by the manager or another member of senior staff. Assessments are initially undertaken in the potential residents place of abode and later within the home during a visit or an overnight stay. A trial period of residence would then be agreed during which more detailed assessments would be carried out followed by a full review including consultation with existing residents prior to a permanent bed being agreed. Records viewed which confirmed assessments of need and risk for all current residents are reviewed on a regular basis in consultation with a number of other external health care professionals including doctors, continence advisors, nutritionists, physiotherapists, occupational therapists the community learning disability team, day services also included an acknowledgement that the resident or their representatives had been consulted and were involved in the assessment. 2 Farnham Road DS0000011541.V262035.R01.S.doc Version 5.0 Page 9 2 Farnham Road DS0000011541.V262035.R01.S.doc Version 5.0 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 the following standard(s): 6,7 and 9 There is a clear and consistent care planning system in place which ensures residents needs are met within a risk management policy that involves residents in making decisions that affect their day to day lives. EVIDENCE: Dual formatted (written and pictorial) readily accessible, detailed care plans (which are reviewed regularly) based on multidisciplinary assessments of need and risk was available for all residents. The plans included an acknowledgement that residents and/or their representatives had been consulted and participated in the production of the plan. Apart from day to day issues, all plans highlight areas of special need. Records seen and comments by care staff confirmed a system of care planning that totally reflects resident’s views; aspirations, wishes and choices are given fuller consideration. All residents care plans were being reviewed to ensure they meet new corporate guidelines relating to the more personal centred approach to the care planning process. 2 Farnham Road DS0000011541.V262035.R01.S.doc Version 5.0 Page 11 New Support Options, (the registered provider) as part of involving residents in the decision making process about the home and the provider organisation organises service user conferences and enables residents to serve on the board and take part in staff interviews . The inspector noted that a recent forum developed and agreed regional evolution path setting out corporate goals for the future. Using this document as a basis for consultation with residents, a similar in house exercise was carried out and resulting in plan involving common issues. In house, all service users are consulted about all aspects of day-to-day living, e.g. menus, bedtime’s activities, the decorations of the building etc. Staff spoken to confirmed residents rights to take risks was fundamental, however it was clear from records, observations and talking to residents the majority of them may have difficulty in totally understanding the concept of risk and consequently were unable to fully exercise unrestricted choice and make valid safe decisions. Where any restriction was made, following a risk assessment this was reflected in the care plan. 2 Farnham Road DS0000011541.V262035.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 12,13,15,16 and 17 The communication , social activities,family contacts and the provision of varied and nutritious meals were well managed and reflected residents choices EVIDENCE: 2 Farnham Road DS0000011541.V262035.R01.S.doc Version 5.0 Page 13 . Records seen and comments made by staff confirmed residents are given the opportunity to develop their skills and participate in a range of activities provided by individual external support workers and staff in the home. Individual support programmes that reflect resident’s needs and choices involving one to one contact were available for all residents. These programmes involve the resident in areas such as personal shopping, the use local facilities, cinemas, libraries, sports halls transport, lunch out (pubs), aromatherapy, art group, music group, seasonal activities (fireworks pantomime.), church etc. 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, the service now includes a resident visiting their mother who is now a resident in a care home. Visits from family members were regular; the relationships with staff and family often went back many years. Day to day menus base on resident’s choice/likes and dislikes 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, i.e. fibre, protein, carbohydrates is served. Records also confirmed regular nutritional assessments and consultation with specialist health care professionals had been carried out. 2 Farnham Road DS0000011541.V262035.R01.S.doc Version 5.0 Page 14 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 the following standard(s): 18,19 and 20 Satisfactory arrangements are in place, ensuring the personal emotional, health care and medication needs of residents are met. EVIDENCE: Care staff confirmed any personal care or health care examinations are carried out in the privacy of the resident’s own room or a bathroom. In the case of an examination with an external health care professional care staff would only be present if the resident requested it. Residents are free to exercise total choice (subject to a risk assessment) in all aspects of their lives, bed, meal and bath times, food, what clothes they wear gender of staff that give intimate care etc. All residents have all been assessed and if appropriate provided with personal mobility/technical aids following consultation external health care specialists. Currently wheelchairs, beds, shoes, walking frames as well as environmental communal aids have been provided. Residents are free to choose their own doctor or source of other personal services such as dentists chiropodists, optician etc. Any restriction on choice in respect of a doctor was outside the control of the resident or the homes management. Records seen confirmed residents had access to a wide range of health care professionals including doctors, district nurses, speech and language 2 Farnham Road DS0000011541.V262035.R01.S.doc Version 5.0 Page 15 therapists, psychiatrists, psychologists, disability community team, continence advisers. Specialist hospital consultants would also be consulted if required. All drugs, which are securely stored, are administered disposed of and recorded in accordance with an in house and corporate medication policy and procedure. Records of administration and disposal of unwanted drugs and medicines viewed were complete and accurate. A pharmacist via a monitored dosage system dispenses all drugs administered in the home. No service users are self-medicating Risk assessment and evidence to confirm consultations as who assumed responsibility for service users drugs and medication was seen. Records seen confirmed all staff administering drugs and medicines had received training, which is up dated six monthly. 2 Farnham Road DS0000011541.V262035.R01.S.doc Version 5.0 Page 16 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 the following standard(s): 22and 23 The home has clear policies and procedures in place, which ensures residents, are protected from abuse and enable them to complain. EVIDENCE: A written personalised pictorial/symbol complaints procedure that includes details on how to contact The Commission for social Care Inspection (CSCI) was available and forms part of the service users guide. A record of complaints indicated no complaints had been received since the last inspection. The homes corporate adult protection policy and procedure, which operates in tandem with The Hampshire County Council policy and procedure, was available. Records confirming all staff had received training in the procedures to follow should they suspect abuse has occurred were seen. Staff spoken with confirmed they were fully aware of the procedure to follow should they witness or suspect the abuse of any resident. 2 Farnham Road DS0000011541.V262035.R01.S.doc Version 5.0 Page 17 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 the following standard(s): 24, 25,29 and 30. A safe, well maintained, clean and suitably furnished home and accessible garden is provided for service users 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. All residents are accommodated in individual bedrooms, which have been fitted with a lock, meet the spacial requirements of the standards and have been decorated and furnished to reflect the resident’s choice. All residents and the building have undergone a specialist assessment to ensure that any equipment and personal aids required are available. Aids currently in use within the home include hoists(various)special chairs, ,raised toilets, beds, special shoes, ramps, beds walking frames and handrails. The garden which has improved considerably over the past 18 months due to the efforts of staff is a real asset providing a pleasant area to look at and relax 2 Farnham Road DS0000011541.V262035.R01.S.doc Version 5.0 Page 18 in which is of great benefit to residents. The home, which was, cleans, hygienic and free from adverse odours. An infection control policy and procedure was in place. 2 Farnham Road DS0000011541.V262035.R01.S.doc Version 5.0 Page 19 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35. Residents needs are met by sufficient numbers of well trained.stable and supported staff who are recruited and selected using a procedure designed to protect all service users. EVIDENCE: Records confirmed all new staff are involved in an corporate/ in house five-day induction programme followed by The Learning Disability Awareness Framework (L.D.A.F.) accredited training (induction and foundation) prior to being involved in a National Vocational Qualification (N.V.Q) training programme. Core training such as fire safety, food hygiene, first aid moving and handling etc is mandatory for all staff. All training needs are reviewed on a regular basis through regular supervision (records available). Records seen confirmed all staff are recruited in accordance with a corporate selection and recruitment procedure which includes the completion of an application form, the signing of a Rehabilitation of Offenders Declaration an interview and satisfactory Criminal Records Bureau( C.R.B ) Protection of Vulnerable Adults(P.O.V.A)and reference checks. Staff turnover is very low. As part of their terms and conditions of employment all new staff agree to participate in an NVQ training programme. Records seen indicated that only 33.3 of staff have either completed or are involved in an NVQ programme which is short of the 2005 expectations of the standards which expects 50 of staff to be trained. This matter will be reviewed at a future visit to the home. 2 Farnham Road DS0000011541.V262035.R01.S.doc Version 5.0 Page 20 2 Farnham Road DS0000011541.V262035.R01.S.doc Version 5.0 Page 21 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 4 The management of the home seeks the views and opinions of residents residents representatives, safeguards the health and safety of staff and residents through the implementation of safe working practices. EVIDENCE: 2 Farnham Road DS0000011541.V262035.R01.S.doc Version 5.0 Page 22 The home registers manager is qualified at NVQ level 4 in compliance with the 2005 expectations of the standards. Records confirmed a comprehensive corporate quality monitoring system that seeks the views of service users or their representatives has been implemented results from previous surveys which had been sent to C.S.C.I . Results from these surveys have had a direct result in bringing about changes the as demonstrated by the improvements in the system of care planning referred to previously in this report. Monthly visits that are required to be undertaken by a representative of the organisation in accordance with regulation 26 and the forwarding of the subsequent reports to C.S.C.I. are taking place. A corporate health and safety policy was in place as were records of weekly health/ safety checks, the servicing of equipment, staff training in the techniques of moving and handling, first aid, health and safety, the procedures to follow in the event of fire (including evacuation) and accidents. All of the hot water supplies to baths were fitted with thermostatic controls set at 43 degrees centigrade an. All radiators and hot pipes were covered. . 2 Farnham Road DS0000011541.V262035.R01.S.doc Version 5.0 Page 23 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 X X X 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 2 Farnham Road Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 3 x DS0000011541.V262035.R01.S.doc Version 5.0 Page 24 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. 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. Refer to Standard Good Practice Recommendations 2 Farnham Road DS0000011541.V262035.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton 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. Extracts may not be used or reproduced without the express permission of CSCI 2 Farnham Road DS0000011541.V262035.R01.S.doc Version 5.0 Page 26 - 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!