Inspection on 09/11/05 for Cornfields

This inspection was carried out on 9th 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 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 16/08/05

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 Unannounced Inspection 9th November 2005 11:00 Cornfields DS0000012416.V265002.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 Cornfields DS0000012416.V265002.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. Cornfields DS0000012416.V265002.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Cornfields Address 98 Roman Road Basingstoke Hampshire RG23 8HD 01256 844 607 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) c.wyatt@liaise.co.uk Liaise Loddon Limited Mrs C A Wyatt Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Cornfields DS0000012416.V265002.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users in the category LD are not to be admitted under the age of 16 years. 16th August 2005 Date of last inspection 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 bedroom 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 Basingstokes main shopping centre, and therefore is close to amenities within Leisure, Shopping and Health & Social Care Services. Cornfields DS0000012416.V265002.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection of the year 2005/2006. The inspection focused on key standards not assessed at the previous inspection, therefore should be read in conjunction with the last report. No service users were at home during the inspection, one domestic member of staff and one senior were spoken to and assisted with the inspection. What the service does well: What has improved since the last inspection? What they could do better: Cornfields DS0000012416.V265002.R01.S.doc Version 5.0 Page 6 A recommendation to review the procedure for returning medication has been made. 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 DS0000012416.V265002.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Cornfields DS0000012416.V265002.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Liaise Loddon’s corporate policy for assessing and admitting service users ensures people are appropriately placed. EVIDENCE: The organisation has a corporate policy for assessing and admitting service users which has been discussed with managers in other homes in the company. On the day of inspection it was not possible to access any assessments but the corporate policy is suitable and ensures service users are fully assessed with the involvement of families, advocates and relevant professionals. Cornfields DS0000012416.V265002.R01.S.doc Version 5.0 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 the following standard(s): 9 Arrangements for assessing risks enable service users to take risks in a way which protects them while encouraging their independence. EVIDENCE: Assessing risks is an important pat of the roles of staff who work at Cornfields. The member of staff spoken to said he had been involved in risk assessments and had received relevant training. Risk assessments are undertaken daily to ensure the safety of service users. For example there is a ‘going out’ risk assessment which is carried out and documented on behalf of each service user before they leave the home. The risk assessing looks at their mood, whether medication is required to be taken out and other personal safety issues. Risk assessments are also undertaken for activities such as making drinks to encourage and support independence. Cornfields DS0000012416.V265002.R01.S.doc Version 5.0 Page 10 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): 15 Arrangements are in place to support service users to maintain contact with their families. EVIDENCE: Families visit the home regularly and service users are supported to keep in contain through letter writing and telephone calls. Service users are also supported by staff to visit their families. Regular trips to local pubs, shops and restaurants offers service users the chance to mix with the community. Cornfields DS0000012416.V265002.R01.S.doc Version 5.0 Page 11 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 Policies and procedures for storing and administering medication protects service users. The home would benefit from a better system for recording returned drugs. EVIDENCE: Medication is appropriately stored and the member of staff on duty was fully aware of the home’s policies and procedures. Two staff sign for medication one of whom signs to say the medication was seen to be taken. Only staff who have undergone training actually administer medication. There is a clear procedure for ordering and counting in medication and for recording if medication is refused or not taken for any other reason. The information is recorded in several places and it was difficult to clearly track what medication had been returned to he pharmacy. A recommendation to review the recording procedure for returning medication has been made. Cornfields DS0000012416.V265002.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 There is a suitable complaints procedure in place and service users are supported to air their views. Policies, procedures and training protect residents from abuse. EVIDENCE: There is a corporate procedure for the management of complaints which had been read and signed by staff. It is unlikely service users would know how to use the complaints procedure. The member of staff spoken to was able to give examples of how service users could make their views known, in particular if they were unhappy about something. Expressions of dissatisfaction would be recorded and acted upon. The home has the Hampshire adult protection policy and a corporate abuse policy. The member of staff on duty had had suitable training which is mandatory for all staff. Cornfields DS0000012416.V265002.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 Arrangements for cleaning the home ensure service users live in a clean and hygienic environment. EVIDENCE: A domestic member of staff was on duty during the inspection. He is employed Monday to Friday for four hours each day. His responsibilities are to clean all communal areas and bedrooms if required. He was aware of health and safety issues such as warnings for wet floors and keeping hazardous substances appropriately stored. The home was clean on the day of inspection. Cornfields DS0000012416.V265002.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 The arrangements for recruiting and training staff ensures service users are protected. EVIDENCE: The home’s recruitment procedures are suitable to protect service users. Three staff files were inspected, of these all had the necessary paperwork, for example, an application form, two suitable references and a criminal record check. Staff are interviewed by management and notes of their interview are held on file. It is the policy of Liaise Loddon that all staff undertake ongoing training to maintain the standard of the service provided and ensure staff are skilled and educated to do their jobs. There is an annual training programme for all staff which includes, fire safety, adult protection, rights of service users, challenging behaviour and first aid. Specialist training is also provided to support staff to work with the complex needs of individuals in the home. Staff spoken to said the training was really good. Staff are supported to undertake National Vocational Qualifications (NVQ) although it was not possible to establish how many have currently achieved or are undertaking this training as those records were not accessible. Cornfields DS0000012416.V265002.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 and 42 The home is well run and procedures and policies uphold the health and safety of service users. EVIDENCE: The home is well run by an experienced and qualified manager. The registered manager has over fourteen years experience in a senior capacity and has an NVQ level 4. Policies and procedures and training are in place to maintain the health, safety and welfare of service users. All policies are read and signed by staff. Training such as health and safety, food hygiene, fire training and first aid is undertaken by all staff. Staff are given specific responsibilities such as medication or first aid. There is also a health and welfare officer, this ensures regular checks are made and procedures are followed consistently. Cornfields DS0000012416.V265002.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 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X 3 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 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X X 3 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Cornfields Score X X 2 X Standard No 37 38 39 40 41 42 43 Score 3 X X X X 3 X DS0000012416.V265002.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA20 Good Practice Recommendations The manager should review the home’s procedure for returning medication to the pharmacy. Cornfields DS0000012416.V265002.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Cornfields DS0000012416.V265002.R01.S.doc Version 5.0 Page 19 - 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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