Inspection on 06/12/06 for Camphill Devon Community

This inspection was carried out on 6th December 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 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 14/11/05

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 Key Unannounced Inspection 6th December 2006 09:30 Camphill Devon Community DS0000003669.V310311.R01.S.doc Version 5.2 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.V310311.R01.S.doc Version 5.2 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.V310311.R01.S.doc Version 5.2 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.V310311.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may accommodate two persons with Learning Disabilities over the age of 65 14th November 2005 Date of last inspection Brief Description of the Service: For the sake of brevity, the service will be referred to as “the Community” in this report. Service users have expressed a preference for the term villager and this term will also be used. The Camphill Community is located on two sites. Hapstead Village is a large site in a remote rural setting near the village of Buckfastleigh. The site comprises residential accommodation in five houses, workshops, offices, agricultural land and farm outbuildings. An outdoor swimming pool is also available for villagers’ use. “Braemar”, another house, provides additional accommodation and is a short distance from Hapstead Village. The occupants of Braemar use the facilities of the Hapstead Village site. 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. The Community also provides supported living with which this inspection is not concerned. Fees at the time of the inspection ranged from £550 to £1070 per week. Camphill Devon Community DS0000003669.V310311.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Manager sent the Inspector some information before he visited Camphill. The Inspector sent some questions to people before he visited. Seven villagers, seven staff and three Care Managers wrote down their answers and sent them back. The Inspector visited Camphill and spent two days there. He visited all the houses and spent time with twenty villagers. Some villagers spoke with the Inspector on their own. On both days the Inspector ate lunch with villagers and staff. The Inspector went to two meetings. He also spoke with 8 House Managers. The Manager spoke with the Inspector and showed him records about Camphill. They also talked about future plans for Camphill. What the service does well: Staff make sure they know what villagers need before they move in. Plans for villagers are written down. Villagers can talk with staff about their plans. They get the chance to make decisions about how they live. There is very good help for them to do this. There are plenty of interesting things to do at Camphill. Villagers also do things outside like going to college. Staff have a good attitude and treat villagers well. Villagers can spend time alone if they want. They can keep in touch with their friends and relatives. The food is very good. Villagers get help to look after their health. There is also help if they feel sad or angry. If a villager is very ill, they get the help they need. Staff understand how villagers might feel when someone dies. Camphill Devon Community DS0000003669.V310311.R01.S.doc Version 5.2 Page 6 Villagers are helped to say their opinions. Staff take villagers’ opinions seriously. They are well protected from being harmed by other people. The houses at Camphill are clean, comfortable and safe. There are enough staff to help villagers. Staff are taught how to do their jobs properly. The Manager makes sure that people are safe to work with villagers. The Manager is very good at his job. He puts villagers first. He thinks about what villagers might need in the future. The Manager makes sure things at Camphill keep improving. 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. The summary of this inspection report can be made available in other formats on request. Camphill Devon Community DS0000003669.V310311.R01.S.doc Version 5.2 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 Camphill Devon Community DS0000003669.V310311.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2: Quality in this outcome area is good. Prospective villagers can feel confident that their needs and aspirations will be properly assessed before they move into Camphill. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The files of fifteen villagers were examined. All these files contained ongoing assessments of need. Newer villagers’ needs and aspirations had been assessed before they moved to the Community. Information had also been gathered from the referring agencies. The staff group includes a qualified Occupational Therapist and Social Worker who are able to provide professional input to the assessment process. Villagers confirmed that they had spent time at the Community before moving in. This forms part of the assessment. Copies of letters to villagers were seen confirming that Camphill could meet their needs and offering a place. Two Care Managers returned comment cards. These both stated that the staff had a clear understanding of villagers’ needs. Camphill Devon Community DS0000003669.V310311.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7, 8 and 9: Quality in this outcome area is good. Villagers can feel confident that staff understand their needs. There is very good support for villagers to make choices and decisions. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Villagers all had individual plans. Fifteen were examined. The plans were clearly organised and contained details of villagers’ physical and emotional wellbeing, communication needs, activities, relationships, cultural and religious needs. Conversations with individual villagers confirmed that the plans accurately reflected their needs and interests. The plans showed a clear cycle of planning, action and review. For example, in one instance there was evidence of clear planning for a villager to move to a more independent form of living. All the plans examined had been reviewed regularly. Each section of the reviews contained “My view” and “Staff View”. Villagers’ signatures appeared on the reviews. Villagers’ files contained details of external professional involvement. For instance, one plan referred to a villagers’ challenging behaviour. There was Camphill Devon Community DS0000003669.V310311.R01.S.doc Version 5.2 Page 10 evidence of consultation with a Clinical Psychologist and a medical referral in this file. Risk assessments were contained in villagers’ files. These had been reviewed regularly and Demonstrated how villagers could take reasonable risks in a managed way. One such assessment, for example, related to a villager using public transport independently. At the time of this inspection visit, further development of the plans was taking place. A more user-friendly person-centred plan was being piloted in one of the houses. The Registered Manager stated the intention to introduce the new style plans throughout the Community. There are well developed systems at Camphill to involve villagers in making decisions for themselves and the Community. This is supported by an independent advocate from “Vocal” who wrote to the Inspector before the visit. Individual service users spoke with the Inspector about their choices and options. These included, for example, college attendance, daily activities and involvement in the various groups about the running of the Community. For example, a “circle group” facilitated by an advocate, meets every two weeks and provides opinions to the trustees and Management group. Cultural activities are co-ordinated by a fortnightly group involving villagers. Camphill Devon Community DS0000003669.V310311.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 15, 16 and 17:Quality in this outcome area is good. Villagers are very well supported to participate in the many social and cultural activities provided at Hapstead. There is also good support to participate in the life of the wider community. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Camphill provides a wide range of activities for villagers on the Hapstead site. Activities in the wider community are also increasingly supported. All the villagers with whom the Inspector spoke talked of their activities on or off the Hapstead site. This was confirmed by observation, examination of care plans and discussion with staff. The Hapstead Village site has its own farm and various workshops. Villagers spoke enthusiastically about their work tending the farm animals, working in the pottery, weavery and in the woodwork and copper workshops. Cultural activities such as film evenings, music and art groups were discussed with staff and villagers. Camphill Devon Community DS0000003669.V310311.R01.S.doc Version 5.2 Page 12 Some villagers also talked about attendance at groups and courses held at local Community Colleges. These included, for example, cookery and keep fit. Trips into Newton Abbot, Plymouth and Exeter discussed with staff and service users. These were confirmed in various records. These trips included shopping, meals out and other social activities. Some villagers said they liked to attend church in the nearby village of Buckfastleigh and had been supported to do so. For those villagers unable to travel independently, transport is provided. The Community produces its own newsletter in a user friendly format. The November issue contained photographs and articles about these activities. This inspection visit took place just before Christmas and some of the villagers were looking forward to end of term parties. The construction of a new hall on the Hapstead site was near completion. The formal opening of the hall and its use for cultural activities was discussed at a meeting attended by the Inspector. The hall has projection facilities a café and is accessible to wheelchair users. Villagers confirmed that they have regular and unrestricted contact with their families and visitors. Private telephone facilities were available. Camphill has ample accommodation to enable service users to meet their visitors in private if they wish. One villager talked with the Inspector about her relationship with another villager. Discussion with the House Managers showed that they were sensitive to the implications of this relationship and the needs of both parties. Staff were extremely respectful towards villagers throughout this inspection. This was evident in forms of address, respect for villagers private space and in the style of interaction. Interactions were often characterised by requests and offering choices rather than a more directive approach. All villagers have rooms with locking doors and are offered keys. Some villagers chose to spend time alone in their rooms during the inspection. The Inspector joined staff and service users for two meals. These were congenial occasions at which all were encouraged to participate in conversation. Both meat and vegetables are produced on the Community’s farm which operates on “biodynamic” principles. Menus showed a varied and wholesome diet which included fresh produce from the farm and gardens. This does not exclude other preferences. One meal taken was fish and chips form a local shop. This was relished by the villagers. Villagers said that they generally enjoyed the food at Camphill. Villagers were observed helping to prepared meals and clear away afterwards. Camphill Devon Community DS0000003669.V310311.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19, 20 and 21: Quality in this outcome area is good. Villagers’ health and personal care needs are generally well met. The processes of death and dying are very well handled. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Most service users living at Camphill are physically fit and able. Therefore personal support is mostly takes the form of prompts and emotional support. These needs were well documented in the care plans examined by the Inspector. They were also understood by the House Managers and staff. Examination of individual files showed the involvement of a variety of healthcare disciplines. These included Nursing, Psychology, Speech and Language Therapy and Occupational Therapy. There were also records of routine general medical appointments such as eye and dental checks. Systems for the administration of medicines in each house were examined. This involved inspecting a sample of records in each house. Risk assessments were seen for service users administering their own medication. Secure storage was provided for these service users. Other medication was securely stored in each house. There was additional security for controlled drugs. Where homely remedies were in use an approved list had been obtained. Medicine administration records were up to date and in good order. Some medicines Camphill Devon Community DS0000003669.V310311.R01.S.doc Version 5.2 Page 14 were labelled “as directed”. Where medicines have been supplied with this instruction, clear directions should be sought from the prescribing GP. These should preferably be in writing. Staff guidelines were in place for some but not all PRN (“as required”) medication. At the time of inspection one villager was suffering from a terminal illness. This villager was receiving specialist support from the local Hospice and Learning Disability Team. Weekly meetings were taking place with staff, management and external specialists. The Inspector attended one of these meetings. The discussion focussed on a number of topics to enable the service user to be supported safely and sensitively. This also provided emotional support for staff. Discussion was also taking place in the Community about how other service users could be encouraged to visit and how they might be supported through this process. Another villager had died unexpectedly since the last inspection. Service users had been given the opportunity to grieve. Discussion with the Inspector showed that this need was well understood by staff. The life of this villager was celebrated in the Community’s newsletter. Camphill Devon Community DS0000003669.V310311.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23: Quality in this outcome area is excellent. Villagers and their relatives can feel confident that their concerns will be listened to and taken seriously. There are very effective systems to protect villagers from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A complaints procedure had been produced in an accessible format. This was seen during the inspection. Written and verbal feedback from villagers showed that most could identify a person to whom they could take a concern. An independent advocate from “Vocal” visits the Community regularly and facilitates a “circle group” where villagers are encouraged to air their views. Individual advocacy is also available. There are a number of other groups relating to the running of the Community (e.g. the cultural group) on which the villagers have representation. All the group meetings are recorded. These systems provide various means by which villagers can raise concerns both individually and collectively. Some villagers referred to these groups in conversation with the Inspector. The Commission has received one complaint from a relative since the last inspection. This was passed to the Registered Manager and was satisfactorily resolved. There were robust systems in place to protect villagers from abuse. A policy and procedure were place. Records showed that staff received training in the protection of vulnerable adults as part of their induction and at other times. This was confirmed in discussion with staff. Three incidents since the last inspection have demonstrated the effectiveness and robustness of the systems in place. The first resulted in a staff disciplinary Camphill Devon Community DS0000003669.V310311.R01.S.doc Version 5.2 Page 16 action. Following another allegation, the appropriate procedure was followed. However, the Registered Manager felt that external agencies had not responded appropriately and sought to pursue this by appropriately raising concerns with the County Adult Protection Co-ordinator. This resulted in a debriefing and review of how the allegation was handled. The action demonstrated a commitment to gaining the best possible outcome for the villager and improving practice on a wider front. After another incident between villagers, one was appropriately offered the opportunity to refer the matter to the Police. All these issues were fully recorded and the Commission was kept informed. Camphill Devon Community DS0000003669.V310311.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30: Quality in this outcome area is good. Villagers at Camphill are provided with a pleasant, clean, safe and comfortable surroundings in which to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Camphill Hapstead Community consists of six houses, five of which are on the Hapstead Village site. “Braemar”, the sixth house, is sited a short distance away on the outskirts of Buckfastleigh. This house has its own large garden and some additional land a short distance away. The residents of “Braemar” share the facilities of the Hapstead Village site and are part of the Camphill Hapstead Community. Hapstead Village is sited within extensive grounds which include gardens, a farm and woodland. There are communal facilities such as an open air swimming pool and a new hall which was due to be formally opened shortly after the inspection. The site also has workshops for pottery, copper work and woodwork. There is also supported living accommodation nearby which is not part of this inspection. During this visit the Inspector toured all six houses and the new hall. All the houses were clean, comfortable and free from obvious hazards. Each was individually furnished and decorated in a homely style. Some of the furniture Camphill Devon Community DS0000003669.V310311.R01.S.doc Version 5.2 Page 18 was made on site with the involvement of villagers. Villagers’ possessions were much in evidence in their rooms and in the communal areas. Some artefacts produced by villagers were displayed in valuing ways (for example, well framed paintings and photographs). Most of the houses have ample communal space. A good standard of cleanliness and hygiene was apparent throughout. Communal wash hand basins were generally supplied with liquid soap and towels. Villagers confirmed that they were involved in cleaning as part of the everyday routines of the houses. Laundry areas were equipped with washing machines and dryers with hot wash cycles. Floors in the laundries were impermeable and walls cleanable. Investment in redecoration and upgrading the accommodation was evident. For example, in one house a new en-suite shower has been fitted specifically to meet the needs of an individual villager with a physical disability. Documents were seen relating to the maintenance of facilities and equipment. Camphill Devon Community DS0000003669.V310311.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32, 34 and 35: Quality in this outcome area is good. There are sufficient numbers of skilled and qualified staff to ensure that villagers are well supported. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staffing of the Community is complex. The staff group comprises of shortterm and long-term volunteers in addition to paid workers. Some of the staff group are recruited from abroad and may have experience of working in other Camphill Communities overseas. The majority of staff live and work on-site. Each house has “House Managers”. In most cases these are couples who live on site, some with children. There are also “co-workers” who provide care and support for villagers. Skilled workers provide day services in the workshops, farms and gardens. There are also visiting workers such as a music tutor who works on the site every week. One service user has individual support for 20 hours per week provided by an experienced support worker. The whole staff group is overseen by the Registered Manager who is supported by a small administrative team. The house Managers are generally well qualified and evidence of this was seen on files and discussed with the Registered Manager and the House Managers. Three held a registered Managers Award and NVQ level 4 in care. Two were Camphill Devon Community DS0000003669.V310311.R01.S.doc Version 5.2 Page 20 completing this award. One House Manager holds a Masters degree and Diploma in Social Work and another is a qualified Occupational Therapist. A training plan was seen which included structured induction training for new staff. There was also an ongoing training programme in, for example, health and safety topics. This was confirmed in discussion with staff. A sample of staff files was examined. These files showed evidence of safe recruitment practices. The files seen held two references, Criminal Records Bureau checks and evidence of identity checks. Further checks had been undertaken for workers recruited from abroad. These included Police checks from their home country. Recently recruited staff confirmed that they had seen the Community and met with staff and villagers as part of the recruitment process. In discussion the staff group exhibited positive attitudes and values. Observation confirmed that they were skilled in relating to people with learning disabilities. Camphill Devon Community DS0000003669.V310311.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. Villagers can feel assured that their needs and interests are at the forefront of the Community’s management. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Mr. John Southcombe was registered as the Manager of Camphill Hapstead Community in April 2004. He holds the Registered Managers Award and NVQ level 4 in Care. Mr. Southcombe had previous managerial experience in a service for people with learning disabilities. Since his registration Mr Southcombe has overseen numerous changes in the systems and practices of the Community. These have brought measurable benefits to service users. A programme of reassessment of service users’ needs has brought additional funding to the Community. This has, in one instance resulted in one-to-one support for an individual villager for 20 hours per week. This villager has complex and challenging needs and had lived in the Community for many years without additional support. There have also been changes and improvements in care planning, staff recruitment practice, Camphill Devon Community DS0000003669.V310311.R01.S.doc Version 5.2 Page 22 medication administration systems and staff training. Mr. Southcombe has overseen the reinforcement of service users’ involvement in the management of the service and independent advocacy. The prudent financial management of the service has helped to fund improved facilities. This includes, for example, the provision of an en-suite shower in one house for an individual with physical disabilities. The management of the Community is forward-looking with a clear vision of future need. For example, there was discussion with the Inspector about the ageing population of villagers. Plans are being formed for a distinct part of the service to cater for this group. Mr. Southcombe envisaged that this would include separate accommodation and a staff team with the additional training they would require. Training in dementia for the staff group is already in progress. Arrangements for funding the necessary changes to the accommodation were also in progress. Ongoing improvements in person centred planning were discussed. An example was seen in one house where this was being piloted. There was an intention eventually to roll this out to the whole Community. Discussion with staff and written feedback suggests that the process of change is being successfully accomplished with the support of the majority of the staff and service users. In written feedback one staff member commented “The Manager always has time for both villagers and staff. He is both sympathetic and conscientious and able to bring out the best in each individual”. In discussion Mr. Southcombe was keen to point to the many achievements of the staff team in introducing changes successfully. As previously stated the Community has well developed systems to involve service users in decision-making about life in the Community. This is further supported by an independent advocate who runs a regular “circle group”. Health and safety issues were examined. The staff training programme seen included health and safety topics. Villagers also receive some of this training (e.g. fire safety). This was confirmed in discussion with staff and villagers. Risk assessments were in place to cover environmental hazards such as risks relating to upper floor windows. Health and safety records were examined which included routine safety and maintenance checks of equipment and fittings. Camphill Devon Community DS0000003669.V310311.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 4 4 X 4 X X 3 X Camphill Devon Community DS0000003669.V310311.R01.S.doc Version 5.2 Page 24 Yes 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 (2) Timescale for action The registered person shall make 06/01/07 arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. All ‘PRN’ (“as required” medicines) 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. (previous timescale 23/11/05 not met) Requirement 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 YA20 Good Practice Recommendations Clear instructions should be sought from the GP for any medicines labelled “as directed”. Preferably, these should be in writing. Directions taken by phone should be recorded in writing and signed. Camphill Devon Community DS0000003669.V310311.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Devon Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V310311.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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