Inspection on 16/08/05 for Cornfields

This inspection was carried out on 16th August 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

Cornfields 06/03/07

Cornfields 09/11/05

Cornfields 26/11/04

Cornfields 29/07/04

Cornfields 11/02/04

Cornfields 17/07/03

Cornfields 21/03/03

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

CARE HOME ADULTS 18-65 Cornfields 98 Roman Road Basingstoke Hampshire RG23 8HD Lead Inspector Liz Palmer Unannounced 16 August 2005, 13:30 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. Cornfields H54 S12416 Cornfields V232442 160805.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Cornfields Address 98 Roman Road Basingstoke Hampshire RG23 8HD 01256 844607 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) Liaise Loddon Limited Mrs C A Wyatt Care Home 4 Category(ies) of Learning Disability - LD - 4 registration, with number of places Cornfields H54 S12416 Cornfields V232442 160805.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Service users in the category LD are not to be admitted under the age of 16 years. Date of last inspection 26.11.04 Brief Description of the Service: Cornfields is a care home providing personal care and accommodation for four young adults who have autism, and associated restrictive complex behaviours within the category of learning disability; and is owned by Liaise Loddon. The home is a four bedroomed detached house with a communal lounge and conservatory /dinning room that opens out to a paved patio area. There is a separate building in the grounds used for sensory and social group activities; the laundry facility for the home is also located within this building, and behind the building is a further area of garden laid to lawn with a large swing and seating. Cornfields is within a residential area of Basingstoke close to local shops and within a five minute car journey to Basingstoke’s main shopping centre, and therefore is close to amenities within Leisure, Shopping and Health & Social Care Services. Cornfields H54 S12416 Cornfields V232442 160805.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection of 2005/2006 and was unannounced. The inspection took place over three and half hours during an afternoon. There is one vacancy at the home. All three current service users were met during the inspection as was the registered manager and five of her staff. Due to their complex communication needs service users were not able to give their comments verbally therefore, time was spent with service users and observing staff working with them. Two relatives’ comment cards were received and stated positive comments about the home. All standards assessed were met and two exceeded the national minimum standard. No requirements were made as a result of this inspection. Any key standards not assessed on this occasion will be looked at during the next inspection. What the service does well: What has improved since the last inspection? Two bedrooms have been redecorated. A gardener/handyman has been employed. Four new staff have been employed, two life skills workers and two care staff. There are now four staff on each shift. The induction programme has been revamped. Cornfields H54 S12416 Cornfields V232442 160805.doc Version 1.40 Page 6 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. Cornfields H54 S12416 Cornfields V232442 160805.doc Version 1.40 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 Cornfields H54 S12416 Cornfields V232442 160805.doc Version 1.40 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) None of these standards were assessed. EVIDENCE: Cornfields H54 S12416 Cornfields V232442 160805.doc Version 1.40 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 and 7 Arrangements for planning and reviewing care ensure service users’ needs are met and changing needs identified. Service users are helped to make decisions through well thought out and individual care plans which detail their preferred ways of communicating. EVIDENCE: Three care plans were looked at and found to be person centred, very detailed and reviewed at least six monthly. There was evidence to show that they are reviewed more frequently if it is needed. For example, a sudden change in a persons life or if extreme behaviour is displayed. Long and short term objectives are set for each individual and reviewed regularly. Care plans detailed service users’ likes and dislikes, their individual communication needs, important relationships and how they prefer their care to be given. There was evidence that any significant events or changes are discussed with families at the time and that families are involved in reviewing care and drawing up care plans. Each service user has written guidelines for offering choice. This can be choice of activity or what they would like to eat. For example, one service user uses Cornfields H54 S12416 Cornfields V232442 160805.doc Version 1.40 Page 10 photographs. For another, the care plan states how they communicate yes and no. Cornfields H54 S12416 Cornfields V232442 160805.doc Version 1.40 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) 11, 12, 13, and 17 The arrangements for recreational and educational activities means service users are engaged in stimulating activities. Opportunities to use local shops and pubs have helped service users become part of their local community. Arrangements for meals ensure service users receive a healthy, balanced diet suited to their needs and tastes. EVIDENCE: Life long education is part of the philosophy of the home. Service users have the opportunity to gain qualifications from the Assessment and Qualifications Alliance (AQA). Each has a structured timetable of activities to suit their individual needs and preferences. Their days are structured to distinguish between education time and leisure time. For example, between 10am and 4pm on weekdays is designated for structured educational activities. Activities include, walking, cooking, shopping, letter writing, story telling, aromatherapy, swimming and trips to the pub. Service users are supported to access the community and regularly use the local shops, pubs and other Cornfields H54 S12416 Cornfields V232442 160805.doc Version 1.40 Page 12 amenities, for example, the local swimming pool. A planned trip to the pub for two service users took place during the inspection. Records of all activities are kept and comments recorded. Staff stated that the timetables reflect what actually happens and are only changed if the weather restricts the planned activity or permits a preferred alternative. Menus showed a variety of healthy food is offered on a four weekly basis which is monitored to see who eats what. One service user is supported with a specialist diet due to allergies. Service users are supported to make choices about their food and likes and dislikes are recorded. Cornfields H54 S12416 Cornfields V232442 160805.doc Version 1.40 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 and 19 Clear and detailed records make sure personal support is delivered consistently and in individuals preferred way. Arrangements for healthcare ensure that service users receive the support they need for their physical and emotional well being. EVIDENCE: Details of how each individual prefers their personal support is detailed in care plans. Staff spoke about and to service users in a respectful manner at all times. Any physical intervention used is recorded, analysed and actions to reduce the need for it are implemented. Staff said they had all had the necessary training for using physical intervention. Guidelines are clear about when it is needed for each individual and discussion with staff showed that guidelines are understood and followed. Specific training for one service user has been given to staff. They spoke positively about this and records showed the training has been used constructively. All service users are registered with a General Practitioner and medical history and medication reviews are summarised in the six monthly reviews. Specialist health care professionals are involved as needed, for example, psychologists are used as appropriate. Cornfields H54 S12416 Cornfields V232442 160805.doc Version 1.40 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) None of these standards were assessed. EVIDENCE: Cornfields H54 S12416 Cornfields V232442 160805.doc Version 1.40 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 The home is furnished in a way that supports the needs of service users and provides them with a safe and comfortable environment. EVIDENCE: The home has been furnished to meet the specific needs of the people who live there. Due to the complex needs of the service users a lot of thought has gone into furnishing the home. For example, picture frames have been specially made with rounded edges and are fixed to the wall so that people cannot injure themselves with them. Lounge furniture has also been chosen to offer safety and comfort to service users. Specially designed cabinets with safety screens are provided around the home to house the television and stereo and service users personal belongings. This allows people to have their favourite photographs and belongings on display without them posing a risk. Cornfields H54 S12416 Cornfields V232442 160805.doc Version 1.40 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Arrangements for training staff make sure service users’ individual and joint needs are met in the home. EVIDENCE: The staff training programme offers a comprehensive induction and ongoing training opportunities. Some of the staff spoken to said they were still doing their induction and were finding it very useful and tailored specifically to the individual needs of the home as well as covering the mandatory topics. Subjects covered in the induction include, core values, equal opportunities, adult protection, fire safety, communication and confidentiality. A manager is responsible for covering each standard and a test is given to make sure each course has been understood. All staff said that the training provided was excellent and relevant and provided them with the knowledge and confidence to meet service users’ needs. Cornfields H54 S12416 Cornfields V232442 160805.doc Version 1.40 Page 17 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) None of these standards were assessed. EVIDENCE: Cornfields H54 S12416 Cornfields V232442 160805.doc Version 1.40 Page 18 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 x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 x x x x x x Standard No 11 12 13 14 15 16 17 4 3 3 x x x 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Cornfields Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x H54 S12416 Cornfields V232442 160805.doc Version 1.40 Page 19 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations Cornfields H54 S12416 Cornfields V232442 160805.doc Version 1.40 Page 20 Commission for Social Care Inspection 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. 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