Inspection on 08/02/06 for Crouch House and Crouch Cottage

This inspection was carried out on 8th February 2006.

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 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Crouch House and Crouch Cottage 24/02/09

Crouch House and Crouch Cottage 20/02/07

Crouch House and Crouch Cottage 06/11/05

Crouch House and Crouch Cottage 09/11/04

Similar services:

Flint House

The Ley Community

Yeldall Manor

Cherwood House Care Centre

The Manor Clinic

Francis House

1 Butler`s Drive

Stoneleigh

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

CARE HOME ADULTS 18-65 Crouch House and Crouch Cottage Forest Mere Health Farm Liphook Hampshire GU30 7QJ Lead Inspector Annie Taggart Unannounced Inspection 8th February 2006 10:00 Crouch House and Crouch Cottage DS0000051857.V281784.R01.S.doc Version 5.1 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 Crouch House and Crouch Cottage DS0000051857.V281784.R01.S.doc Version 5.1 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. Crouch House and Crouch Cottage DS0000051857.V281784.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Crouch House and Crouch Cottage Address Forest Mere Health Farm Liphook Hampshire GU30 7QJ 01256 766711 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) The Sporting Chance Clinic Mr James Albert West Care Home 4 Category(ies) of Past or present alcohol dependence (4), Past or registration, with number present drug dependence (4) of places Crouch House and Crouch Cottage DS0000051857.V281784.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of two service users may be accommodated in the large bedroom of Crouch House, based on the assessed needs of each service user. 6th November 2005 Date of last inspection Brief Description of the Service: Crouch House and Crouch Cottage are registered to provide personal care (PC) for up to four service users in the Categories A Past or Present Alcohol Dependency and D Past or Present Drug Dependency. Dependent on need the duration of the stay can be between seven and twenty eight days. Programmes are adapted for service users on an individual basis. The service is run for mainly professionals or ex-professional sportsmen and women who experience addictions. The establishment is located on the grounds of Forest Mere Health Farm. Accommodation is provided over two floors. There is one shared room, one small single and a double with en-suite facilities. The service is a charitable organisation. The Registered Manager is Mr James West. The Responsible Person on behalf of the company is Mr Peter Kay. Crouch House and Crouch Cottage DS0000051857.V281784.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The visit was carried out at 10am and lasted for 2.5 hours during which time a tour of the buildings was undertaken and conversations with two service users were held. The service was coming to the end of providing a twenty-eight day therapeutic recovery programme for three service users and the inspector was able to see assessments, care plans and other documentation relating to the service provided. The inspector saw documentation for the running of the service including staff records, health and safety documentation and also saw some of the service’s policies and procedures. The Registered Manager, Mr West was present and assisted with information during the visit. The Responsible Individual Mr Kay was also at the service for part of the time and was present to receive feedback. Crouch House and Crouch Cottage DS0000051857.V281784.R01.S.doc Version 5.1 Page 6 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. Crouch House and Crouch Cottage DS0000051857.V281784.R01.S.doc Version 5.1 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 Crouch House and Crouch Cottage DS0000051857.V281784.R01.S.doc Version 5.1 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, 3, 4, 5, 6 Service users are involved in the assessment process, are aware of the services offered and are given a contract stating the terms and conditions of occupancy. EVIDENCE: The manager of the service, or one of the other therapists carries out a preadmission assessment either at the service or at an agreed venue. Service users said they were fully involved in the assessment process and were given comprehensive information about the recovery programme in which they would be involved. Each person receives a contract setting out the terms and conditions of the service and these are agreed and signed. Copies of these documents were seen to be on file. Crouch House and Crouch Cottage DS0000051857.V281784.R01.S.doc Version 5.1 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): 6, 7, 8, 9, 10 Service users can be confident that they will be involved with the assessment process and that they will be consulted about their individual plan of care. EVIDENCE: For each of the current three service users there was a plan of care in place, which contained comprehensive information about the services with which they would be provided whilst undergoing the programme. The plans are generated from the assessment process and contain personal background information and details of health and social care needs. There is evidence that the plans are agreed with service users and a weekly progress review is carried out and recorded. Service users confirmed that they were very involved with the plan of care and were given opportunities daily to give feedback and air feelings. Crouch House and Crouch Cottage DS0000051857.V281784.R01.S.doc Version 5.1 Page 10 Part of the programme includes written assignments and group work and service users said that they found these to be very instructive and beneficial to their recovery. Risk assessments are carried out as part of the assessment process and are documented as part of the plan of care. The service has a confidentiality policy, which all new service users sign to agree on admission. Records are safely stored in the office. Crouch House and Crouch Cottage DS0000051857.V281784.R01.S.doc Version 5.1 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 the following standard(s): 11, 12, 13, 14, 15, 16, 17 Service users have opportunities for personal development, leisure activities and involvement with the local community. There is a wide choice of fresh and healthy food available. EVIDENCE: Service users confirmed that they had been involved in identifying areas of development and personal goals to achieve whilst undergoing the programme of recovery and these goals are reviewed on a weekly basis. Attendance at local support groups forms part of the programme and service users said they really enjoyed meeting other people in recovery and felt involved and supported. There is a wide programme of activates available including use of the Forest Mere Health Spa, where people can use the sports facilities, swimming pool and gym. Crouch House and Crouch Cottage DS0000051857.V281784.R01.S.doc Version 5.1 Page 12 One of the service users says that they had attended yoga sessions, which was a new experience for them and had found it both enjoyable and beneficial. Service users said that one of the most important things to them as sportsmen was that their fitness regimes were carried on as normal during the programme so that they would still be physically fit and healthily when they rejoined their team or sport. There is also a weekly session where people work with horses as part of the therapeutic programme and service users said that this was a very special experience, which helped them with their selfperception and relationship building. Meals are chosen from the Forest Mere restaurant but visits to café’s and other restaurants are also held and service users said that they could choose other meals if they wished. During the last weekend of the programme the service hosts a family day where the families and children of the service users visit the service for the day to meet with the staff team, socialise and be made aware of the recovery programme. Crouch House and Crouch Cottage DS0000051857.V281784.R01.S.doc Version 5.1 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 the following standard(s): 18, 19, 20 Healthcare needs are assessed and recorded and the recovery programme ensures that emotional needs are met. EVIDENCE: Service users do not require personal care but their personal care skills are monitored as part of the recovery process. As previously stated it is very important to service users to keep up their fitness levels while undergoing the programme and to ensure this is achieved, assessments are carried out by physiotherapists or a sports therapist and an appropriate regime put in place. There is evidence of input from a Consultant Psychiatrist and there is also at least one trained therapist present during the day to offer support and counselling and to manage group work. Health needs are recorded and specialist needs can be catered for by the service. There is a policy in place regarding the storage and administration of medication. The policy states that all medication must be handed to the Crouch House and Crouch Cottage DS0000051857.V281784.R01.S.doc Version 5.1 Page 14 manager and is stored in the office. Service users come to the office and selfmedicate as required. There were no service users presently taking medication so the system could not be tracked but new service users are made aware of the policy on admission to the service. One service user said, “ The therapists are amazing and we sometimes meet up to three times a day. There is almost a family bond, they make sure you feel safe and we are always treated with respect”. Another person said. “ I couldn’t have imagined that I would be doing this programme and feeling so good about it, its very intensive but they just want you to be happy”. Crouch House and Crouch Cottage DS0000051857.V281784.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Service users can be confidant that their concerns will be listened to an acted upon and working practices are designed to protect people from risk of abuse. EVIDENCE: There have been no formal complaints recorded since the last visit. Service users said that they were aware of the complaints procedure but found that any concerns they expressed were listened to and dealt with immediately. The address on the service’s literature has now been changed form Hampshire to West Sussex. The service has policies and procedures in place with regards to the protection of vulnerable adults from abuse and in-house training has taken place. As good practice the procedure should be reviewed and updated to include the need for referral to the Protection of Vulnerable Adults team should the manager suspect that an abuse has taken place. Crouch House and Crouch Cottage DS0000051857.V281784.R01.S.doc Version 5.1 Page 16 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): Service users benefit from an attractive, comfortable and well-maintained environment. EVIDENCE: Crouch House is attractively decorated and furnished to a high standard and service users expressed their satisfaction with the accommodation and the quiet rural location. There is a large communal lounge and dining room, a well-equipped kitchen a counselling room and private gardens overlooking the countryside. Bedrooms are of a good standard and the environment is homely, clean and hygienic. The office and staff accommodation is in a separate building easily accessible from the house. A service user said, “ The house and surroundings are great, it’s quiet, away from everything and gives you a chance to think and face your problems”. Crouch House and Crouch Cottage DS0000051857.V281784.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 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): 31, 32, 33, 34, 35, 36 Recruitment procedures are robust and service users are supported by competent and caring staff. The staff-training programme is not yet in place and supervisions are not recorded. EVIDENCE: The staff files for three staff members were seen and all contained the necessary documentation including two references and a current Criminal Bureau Check. As good practice personal identification such as a copy of a passport or driving licence containing a photograph should also be kept on file. All of the therapeutic staff at the service are fully qualified in Psychotherapy, Physiotherapy or Sports Therapy and are involved in ongoing outside supervision in their respective fields of expertise. The programme of staff training and NVQ discussed at the last visit have not yet been put into place but the manager said that each member of relief/night Crouch House and Crouch Cottage DS0000051857.V281784.R01.S.doc Version 5.1 Page 18 staff had been involved in an initial meeting with an external training company and that a programme should start in the very near future. As at the last visit there was no written evidence of regular staff meeting or formal supervision for staff. There was evidence in the daybook of staff members having received regular telephone update briefings from the manager regarding the service but these have not been recorded. A requirement has again been made in respect of this Standard. Crouch House and Crouch Cottage DS0000051857.V281784.R01.S.doc Version 5.1 Page 19 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, 38, 40, 41, 42, 43 The service is run by a capable and committed manager and service users say that the outcomes for them are good. Policies and procedures are in place but the service would benefit by current health and safety and maintenance records being in place. EVIDENCE: The manager of the home is a qualified Psychotherapist and has also completed the NVQ4 in Management and Social Care. Service users spoke highly of Mr West’s commitment and approach and said that he was very caring, approachable and committed to providing positive outcomes for the users of the service. The inspector saw documents concerning health and safety and maintenance records and as at the last visit these were not all current and in good order. Records need to be kept of weekly fire tests, staff fire training and regular maintenance checks. Crouch House and Crouch Cottage DS0000051857.V281784.R01.S.doc Version 5.1 Page 20 The manager said that all maintenance in the service was carried out by the landlords, Forest Mere, but copies should be gained and kept in the service. A risk assessment is now in place for female staff members who work alone at night and risk reduction actions have been agreed with a copy kept on file for each person. Regulation 26 reports are still not being received by the Commission on a monthly basis. This was discussed with the Responsible Individual Mr Kay, who said he would action this Requirement. The Manager and Registered Provider confirmed that the service was financially viable as a charitable organisation with core funding being provided by sports bodies. The manager said that not all of the people referred needed residential therapy and could be helped by outside counselling from the service and also that the funding covered ongoing aftercare services for people who have completed the programme. The service is monitored by a board of Trustees and a current insurance document was displayed. Crouch House and Crouch Cottage DS0000051857.V281784.R01.S.doc Version 5.1 Page 21 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 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 x 3 3 3 3 2 2 3 Crouch House and Crouch Cottage DS0000051857.V281784.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 YA36 Regulation 18 Requirement To provide evidence of supervision to staff which should occur no less than 6x annually Outstanding from last visit To ensure all safety checks and fire records in the home are kept up to date Outstanding from last visit The home will complete monthly Reg 26 reports and provide a copy to the commission Outstanding from last visit Timescale for action 30/04/06 2. YA42 13(4) 28/02/06 3. YA38 26 31/03/06 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 13 Good Practice Recommendations As good practice a means of identification containing a photograph should be kept on each staff file. Crouch House and Crouch Cottage DS0000051857.V281784.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Crouch House and Crouch Cottage DS0000051857.V281784.R01.S.doc Version 5.1 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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