Inspection on 14/11/05 for Camphill Devon Community

This inspection was carried out on 14th November 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Camphill Devon Community 11/11/08

Camphill Devon Community 06/12/06

Camphill Devon Community 18/05/05

Camphill Devon Community 03/11/04

Camphill Devon Community 25/05/04

Camphill Devon Community 27/01/04

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 Camphill Devon Community Hapstead Village Buckfastleigh Devon TQ11 0JN Lead Inspector Graham Thomas Unannounced Inspection 14th November 2005 10:00 Camphill Devon Community DS0000003669.V249542.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 Camphill Devon Community DS0000003669.V249542.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. Camphill Devon Community DS0000003669.V249542.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Camphill Devon Community Address Hapstead Village Buckfastleigh Devon TQ11 0JN 01364 642631 01364 644188 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) Camphill Devon Community Limited William John Southcombe Care Home 48 Category(ies) of Learning disability (48) registration, with number of places Camphill Devon Community DS0000003669.V249542.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may accommodate two persons with Learning Disabilities over the age of 65 18th May 2005 Date of last inspection Brief Description of the Service: The Camphill Community, Hapstead Village is situated in a remote rural setting close to the village of Buckfastleigh. The site comprises residential accommodation in five houses, workshops, offices, agricultural land and farm outbuildings. “Braemar, an additional house, is situated within two miles of the main site. The residents of “Braemar” use all the facilities of the main site. An outdoor swimming pool is also available for villagers use. The Community grew out of the national Camphill movement with which it maintains a loose affiliation. Founded on the anthroposophical principles of Dr Rudolf Steiner, the service aims to provide home, work, religious, social and cultural life as well as therapeutic activities within a village-style community for up to 45 adults with learning disabilities. These resources are not part of this inspection. Service users have expressed a preference for the term “villager” which will be used in this report. Camphill Devon Community DS0000003669.V249542.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection looked at the progress made in meeting previous requirements and recommendations. New “key standards” introduced since the last inspection were also inspected. The Inspector visited all the houses, inspected medication systems and met with villagers, the Registered Manager and staff. A meal was taken with staff and villagers. What the service does well: What has improved since the last inspection? What they could do better: 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. Camphill Devon Community DS0000003669.V249542.R01.S.doc Version 5.0 Page 6 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 Camphill Devon Community DS0000003669.V249542.R01.S.doc Version 5.0 Page 7 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): 3 Prospective villagers can be assured that Hapstead Village will meet their needs and aspirations. EVIDENCE: The inspector met one prospective villager who was on a trial placement. She was clear that this was a part of the process by which she could decide whether or not she would like to live at Hapstead Village. During the inspection she received information and reassurance from staff that she would be able to continue to pursue her interests. She was also discussing with staff the possessions which she could bring with her to the Community. Staff were seen to have the ability to communicate effectively with service users and various aids to communication (e.g. pictures, symbols) were in use. There are existing links with local specialist teams and an active advocacy programme. Camphill Devon Community DS0000003669.V249542.R01.S.doc Version 5.0 Page 8 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 Villagers can feel confident that their needs are reflected in their individual plans. EVIDENCE: A sample of care plans was examined. Findings from this examination remain broadly the same as at the last inspection. Individual plans had been produced in a user-friendly format and showed evidence of regular review involving the individual villager. Each plan contained details of the villager’s own views about their care. The information in the plans also included health and medication, home life, activities, relationships, and independent living skills. Restrictions on choices and freedoms are shown in the plans together with procedures for responding to challenging behaviour. Risk assessments had been produced in a standard format and those examined had been updated as required. Camphill Devon Community DS0000003669.V249542.R01.S.doc Version 5.0 Page 9 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): EVIDENCE: None of the above standards was inspected. Camphill Devon Community DS0000003669.V249542.R01.S.doc Version 5.0 Page 10 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): 20 Villagers are not adequately protected by the service’s procedures concerning medication EVIDENCE: Systems for the administration of medicines were inspected. Since the last inspection, the system has been audited, staff have received training from a local Pharmacist and a new system of recording has been introduced. The new system involves the use of pre-printed medicine administration records supplied by the pharmacy. Inspection revealed that the new system had not been fully implemented in all the houses. In one house, the information from the pre-printed sheet was being copied by staff onto an internally produced sheet from the former system. This poses a potential risk of error. In one house, the administration of the morning’s medication was not recorded. In two houses the recording sheets were being initialled with a single initials. These were the same as codes used for events such as “refused”. It was, therefore not clear whether the medication had been administered successfully. One service user had been prescribed PRN (as required) medication. A risk assessment had been completed and some guidelines prepared for staff. However, these needed to be more precise in order to clearly identify the circumstances in which the medication should be administered, and by whom. None of the houses had a system for clearly recording medicines returned to the pharmacy. Camphill Devon Community DS0000003669.V249542.R01.S.doc Version 5.0 Page 11 Camphill Devon Community DS0000003669.V249542.R01.S.doc Version 5.0 Page 12 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): 22 and 23 Villagers and their relatives have access to an effective complaints procedure. There are sound systems in place to protect villagers from abuse. EVIDENCE: Since the last inspection, the Commission has received one complaint about the service. This was dealt with promptly by the Registered Manager within the framework of Camphill’s complaints procedure. Following a requirement made at the last inspection, the arrangements for visitors have been reviewed and the policy revised. This now offers improved protection for villagers from potential abuse. Risk assessments were seen during this assessment which identified issues of potential personal vulnerability and the means of reducing this. Camphill Devon Community DS0000003669.V249542.R01.S.doc Version 5.0 Page 13 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): 30 Villagers live in clean and hygienic surroundings. EVIDENCE: All areas of the Community visited on this occasion were found to be adequately clean, tidy and free from offensive odours. In accordance with a requirement made at the last inspection, the laundry floor of “Pellinore” house has been resurfaced to render it impermeable and cleanable. Camphill Devon Community DS0000003669.V249542.R01.S.doc Version 5.0 Page 14 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 and 34 EVIDENCE: Staff were seen to be approachable, accessible and committed to meeting villagers’ needs. Discussion with staff and the Registered Manager confirmed the findings of the previous inspection with regard to training. There is a rolling programme of NVQ training for permanent staff and apart from the Registered Manager, some house managers have also completed an NVQ 4 / Registered Managers Award. Volunteer co-workers confirmed that they were undergoing a comprehensive induction programme. Other training includes topics relevant to meeting villagers’ individual needs (e.g. Bereavement and loss, autism awareness, care planning and risk assessment). Additionally, there is ongoing training to enable staff to meet their health and safety responsibilities. During the inspection, a prospective staff member visited for verification of identity provided for her criminal records check. The recruitment practices of the service was discussed with the Registered Manager. These include the checks previously described, two references, visits to the service and an interview. Camphill Devon Community DS0000003669.V249542.R01.S.doc Version 5.0 Page 15 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 Villagers are receive a service which is well managed and supervised by a competent Registered Manager. EVIDENCE: The Registered Manager has an NVQ level 4 in care and the Registered Managers Award. He has extensive supervisory and managerial experience. Since taking up the post in 2004 he has introduced many improvements to the systems and practices of the community. For example, care planning has been extensively modified to provide a consistency of approach and a clear focus on the needs of villagers. His robust pursuit of appropriate levels of funding for individual service users has produced visible benefits and improvements to their opportunities and lifestyle. Camphill Devon Community DS0000003669.V249542.R01.S.doc Version 5.0 Page 16 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 3 X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Camphill Devon Community Score X X 2 X Standard No 37 38 39 40 41 42 43 Score 3 X X X X X X DS0000003669.V249542.R01.S.doc Version 5.0 Page 17 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 YA20 Regulation 13 Requirement Timescale for action 23/11/05 2. YA20 13 3. YA20 13 4. YA20 13 The administration of all medicines must be recorded on the Medicines Administration Record provided by the supplying pharmacy The service must establish a 23/11/05 means of recording all medicines returned to the pharmacy for each house Signatures for the medicines 23/11/05 administered must be clearly distinguishable from codes used on the Medicines Administration Record ‘PRN’ (as required medicines) 23/11/05 must have clear guidelines in place as to the circumstances in which they are to be used and by whom the decision is to be made. 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 Good Practice Recommendations DS0000003669.V249542.R01.S.doc Version 5.0 Page 18 Camphill Devon Community Standard Camphill Devon Community DS0000003669.V249542.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Camphill Devon Community DS0000003669.V249542.R01.S.doc Version 5.0 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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