Inspection on 17/05/05 for Barnfield Farm

This inspection was carried out on 17th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Barnfield Farm 29/11/07

Barnfield Farm 18/07/06

Barnfield Farm 05/12/05

Barnfield Farm 12/10/04

Barnfield Farm 18/05/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Barnfield Farm Robert Owen Communities (Greenacre Farm) Luppitt Honiton EX14 4SJ Lead Inspector Bel Heginworth Announced 17 May 2005 th 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. Barnfield Farm D54 D06 S21883 Barnfield Farm V217256 170505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Barnfield Farm Address Robert Owen Communities (Greenacre Farm Communities) Luppitt Honiton EX14 4SJ 01404 891627 01404 891963 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) Robert Owen Communities (Greenacre Farm Communities) Mrs Caroline Matthews CRH PC Care Home providing Personal Care 15 Category(ies) of LD Learning Disability [15] registration, with number of places Barnfield Farm D54 D06 S21883 Barnfield Farm V217256 170505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 12th October 2004 Brief Description of the Service: Barnfield Farm is similar to a smallholding, in a very rural setting on the edge of the village of Luppitt. The nearest main town and shopping facilities are in Honiton. There are two main buildings, one very old thatched house known as ‘Long Barn’, which is a listed building and a separate modern house known as ‘The Shippon’. There are several outbuildings, which are used as workshops and for keeping pets. There are extensive grounds that are used for growing produce and rearing some animals. Residents’ bedroom accommodation is on the first floor of each house. The rooms in the older building are only accessible via very steep and narrow staircases. The home has some shared bedrooms but there are development plans to change these to single rooms. The home is operated by Robert Owen Communities, previously known as Greenacre Farm Communities. The change of name has not yet been approved by the CSCI. The home is registered to accommodate 15 younger adults who have a learning disability. The home has reduced the number of people living there to 13. Barnfield Farm D54 D06 S21883 Barnfield Farm V217256 170505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Nine residents and four staff were consulted and their views on the service discussed. This announced inspection took place over five hours with the manager, Caroline Matthews present throughout the day. The inspector looked round parts of the building and a number of records were inspected. The home currently has 13 residents living there. What the service does well: What has improved since the last inspection? What they could do better: Improvements are needed in the decoration and carpets around parts of the home. Records kept on some staff need to improve. Barnfield Farm D54 D06 S21883 Barnfield Farm V217256 170505 Stage 4.doc Version 1.30 Page 6 Training to protect vulnerable people and training to help staff meet the needs of residents needs to improve. Methods for monitoring the quality of care delivered in the home needs small improvements. 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. Barnfield Farm D54 D06 S21883 Barnfield Farm V217256 170505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Barnfield Farm D54 D06 S21883 Barnfield Farm V217256 170505 Stage 4.doc Version 1.30 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 standard(s) 0 Not inspected on this occasion. EVIDENCE: Barnfield Farm D54 D06 S21883 Barnfield Farm V217256 170505 Stage 4.doc Version 1.30 Page 9 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, 7 & 9 Care planning and risk assessments provide staff with the information they require to meet residents’ needs safely. Residents are consulted and participate in decisions on all aspects of their lives. EVIDENCE: Residents had a good knowledge and understanding of their care plans and risk assessments. They attended care plan reviews and said their views were listened to, recorded and acted on. The construction of care plans and risk assessments have significantly improved. Documents are organised into smaller folders that enable staff to access information easily. Care plans include residents’ personal goals and the action needed to meet the goals. The manager intends to improve these further by recording time scales and the people responsible for each action. Risk assessments highlight areas of risk with clear instruction on how to reduce the risks. Barnfield Farm D54 D06 S21883 Barnfield Farm V217256 170505 Stage 4.doc Version 1.30 Page 10 In addition to regular home and care management care plan reviews, key workers have begun completing a monthly residents’ summary report. The summary is a review of residents’ needs and is completed in consultation with each resident. The summary report is presented at the home’s staff meetings. The manager intends to instruct key workers to include care plan goals and or risk assessments. The home maintains good daily records that provide staff with detailed information on the days events, appointments, unusual incidents, health issues and so on. The manager intends to include daily information about care plan goals on the same record. Barnfield Farm D54 D06 S21883 Barnfield Farm V217256 170505 Stage 4.doc Version 1.30 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) 16 Residents are respected and consulted about all aspects of their lives. EVIDENCE: Residents who are able to manage and choose have a key to their bedroom door. Assessments are completed to ensure any risks involved are reduced. Residents who have chosen to have a key said they valued being able to lock their bedroom. Residents said that staff are kind and respectful. They said staff consult them about how the home is run, through residents’ meetings and care plan reviews. Some residents living at the Shippons requested a door bell be fitted to stop residents from the main house entering uninvited. Door bells have now been fitted to both houses. Barnfield Farm D54 D06 S21883 Barnfield Farm V217256 170505 Stage 4.doc Version 1.30 Page 12 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) 20 Medicines and administration are managed well. EVIDENCE: The home does not have residents who administer their own medicines. The majority of residents said that they understood why they took medication and were happy to do so. The medication system and policies have improved since the last inspection. The home has changed the administration of medicines to a monitored dosage system, which reduces the risk of mistakes being made. The home also uses some medicines that are not prescribed but bought “over the counter”. There is a policy (Homely Remedy Policy) that describes what “over the counter” medicines have been approved for use by a GP. The manager intends to expand the policy to include medicines found on the day of the inspection that were not included in the policy. The manager has improved the home’s medication policy. It provides clear instructions on what staff should do in the event of a medication error. The manager intends to expand the policy to include what to do if prescribed medication is not given and intends to have a clear monitoring system. Barnfield Farm D54 D06 S21883 Barnfield Farm V217256 170505 Stage 4.doc Version 1.30 Page 13 Staff responsible for given out medicines have attended a one-day course provided by a pharmacy. The manager intends to introduce a format to regularly assess staffs’ competencies in relation to medication. Barnfield Farm D54 D06 S21883 Barnfield Farm V217256 170505 Stage 4.doc Version 1.30 Page 14 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 & 23 The home has a good complaints system with evidence in care plans that residents’ views are listened to and acted upon. The home has good systems in place to protect residents from abuse, neglect and self-harm. EVIDENCE: The majority of permanent staff have received Adult Protection training. The manager has completed an adult protection course for trainers. This will enable the manager to provide this training to all staff working at the home. A recommendation has been made in relation to this under standard 35. (See section 31 – 36). The home has detailed policies relating to adult protection. Staff demonstrated a good knowledge and understanding of the policy and knew what to do if they suspected abuse. The home has a clear complaints policy. Residents are provided with a “pictorial” policy that suits their communication skills. Residents confirmed they knew what to do and who to speak to if they were not happy with anything in the home. The manager has worked hard to open individual bank accounts for residents. All residents now have their own bank accounts where the majority of residents’ benefits are paid and standing orders are set up to pay fees. (This is a slow process from the benefits agency and some residents are still waiting for the transfer arrangements to be completed). Some residents said they enjoyed using the bank with the support of staff. Barnfield Farm D54 D06 S21883 Barnfield Farm V217256 170505 Stage 4.doc Version 1.30 Page 15 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 Residents live in a homely environment that is comfortable and safe. Improvements are needed to the decoration of the home. EVIDENCE: The majority of residents said they found the home comfortable and were fairly happy with the facilities, but said they would like to re-decorate areas that are looking “scruffy”. On the whole the accommodation is homely, domestic in style, bright and cheerful. It was highlighted during the last two inspections that some areas of the home are in need of re-decoration and some carpets are in need of replacing. The manager started a decoration programme. The hall of the main house has been painted recently. Robert Owen Communities (ROC) have had plans to develop the home and change the structure of the building for some time, therefore the re-decoration and re-carpeting has been put on hold. These plans have been going on for almost two years and will not be completed by 2005 as first thought. It is therefore important that ROC either provide definite dates for the changes or Barnfield Farm D54 D06 S21883 Barnfield Farm V217256 170505 Stage 4.doc Version 1.30 Page 16 an action plan for a reasonable time scale to complete the decoration and carpet replacement. This will be looked at again during the next inspection. Barnfield Farm D54 D06 S21883 Barnfield Farm V217256 170505 Stage 4.doc Version 1.30 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) 34 & 35 On the whole, residents are supported by an effective and competent staff team with recruitment practices that protect service users. Improvements are needed to recruitment records and training necessary to meet residents’ needs. EVIDENCE: On the whole the home’s recruitment procedures and practices ensure that the necessary checks are carried out for the protection of residents. However, of the 3 staff files inspected one did not have the necessary documentation; for example, proof of identity, references and a copy of the birth certificate. Staff have individual training files that provide a clear record of training completed and training identified as needed. The manager assesses training needs during staff supervision and taking into account residents’ needs and staff’s interests. Relevant training is arranged, although priority recently has been essential health & safety training. The manager said that training relating to residents’ needs will be prioritised this year, in particular Adult Protection training. The manager agreed to complete this by 31/07/05 for all staff. (see section 22 –23). Staff training will be looked at again during the next inspection. Barnfield Farm D54 D06 S21883 Barnfield Farm V217256 170505 Stage 4.doc Version 1.30 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) 37, 39 & 42 The home is managed effectively, efficiently and safely. The home regularly reviews its performance through a good programme of self-assessment that includes seeking the views of relatives on how well the home is run. Improvements are needed in seeking views of other interested parties. EVIDENCE: The home has quality assurance standards that include information about staff training and supervision, care plan reviews, resident and staff meetings and other practices carried out in the home that ensures good quality care is delivered. The manager intends to develop this further as part of a continuous improvement programme. Part of this development will be to find a method that ensures that the quality assurance standards are clear to all staff, including what has to be completed and when. The manager also intends to seek the views of other interested parties on how well the home is run, for example, GPs’, Chiropodists, care managers and so on. The fire logbook was up to-date with records of relevant staff training that ensures that the health and welfare of residents are protected. Barnfield Farm D54 D06 S21883 Barnfield Farm V217256 170505 Stage 4.doc Version 1.30 Page 19 The manager completed a pre-inspection questionnaire that provides evidence that all of the necessary and relevant policies that protect staff and residents are in place. The manager was advised that a recent break-in at the home must be reported to the CSCI. Barnfield Farm D54 D06 S21883 Barnfield Farm V217256 170505 Stage 4.doc Version 1.30 Page 20 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 x x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x x Standard No 11 12 13 14 15 16 17 x x x x x 3 x Standard No 31 32 33 34 35 36 Score x x x 2 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Barnfield Farm Score x x 3 x Standard No 37 38 39 40 41 42 43 Score 2 x 2 x x 3 x D54 D06 S21883 Barnfield Farm V217256 170505 Stage 4.doc Version 1.30 Page 21 No 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 YA37 Regulation 37 (1) (f) Requirement The registered person shall give notice to the commission without delay of the occurrence of any theft, burglary or accident in the care home. (This refers to the recent breakin) 2. YA34 19 (1) (a, b, c) (2) (3) The registered person shall not employ a person to work at the care home unless - he has obtained in respect of that person the information and documents specified in paragraphs 1 to 7 of Schedule 2 of the Care home Regulations. (This refers to the home having copies of this documentation) 30/06/05 Timescale for action 18/06/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Barnfield Farm D54 D06 S21883 Barnfield Farm V217256 170505 Stage 4.doc Version 1.30 Page 22 No. 1. Refer to Standard YA24 Good Practice Recommendations Decoration and replacment of carpets should be completed within a reasonable time scale. The commission should have an action plan with definite time scales of when this will be completed or when future development plans will begin. All staff working in the care home should have training on the Protection of Vulnerable Adults. Training relating to residents needs should be given priority. The homes quality assurance method should ensure that all staff are aware of the standards, including time scales. 2. YA35 3. YA39 Barnfield Farm D54 D06 S21883 Barnfield Farm V217256 170505 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Suite 1, Renslade House Bonhay Road Exeter EX4 3AY 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 Barnfield Farm D54 D06 S21883 Barnfield Farm V217256 170505 Stage 4.doc Version 1.30 Page 24 - 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. 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