CARE HOME ADULTS 18-65
Dixons Farm Wigan Road Bamber Bridge Preston Lancashire PR5 6AS Lead Inspector
Val Turley Unannounced Inspection 17th August 2007 09:30 Dixons Farm DS0000064059.V343711.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 Dixons Farm DS0000064059.V343711.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. Dixons Farm DS0000064059.V343711.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Dixons Farm Address Wigan Road Bamber Bridge Preston Lancashire PR5 6AS 01772 626916 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) Progress Adult Services Limited Miss Jessica Elizabeth O’Neill Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Dixons Farm DS0000064059.V343711.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. The home is registered for a maximum of 6 service users in the category LD - (Learning Disability). The Service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidelines which may be issued through the Commission for Social Care Inspection regarding staffing levels in care homes. 6/7/06 Date of last inspection Brief Description of the Service: Dixon’s Farm is one of the three homes operated by Progress Adult Services Ltd, which is a company caring for young adults whose severe learning disabilities are compounded by severe challenging behaviour. The service aims to provide an individualised, integrated service within which, communication therapy and high quality care, combine to reduce challenging behaviour and reinforce and maintain positive changes. The home is a detached property with a large enclosed secure garden to the rear and side, and parking area to the side of the property. The home offers accommodation over three floors for up to six young adults who each have their own bedroom. There are three bedrooms located on the first floor, of these two have en-suite facilities and are adjacent to a bathroom. There are two further bedrooms on the second floor. The property has a self -contained annexe with its own lounge with dining area, bedroom and bathroom. In addition, the home has a large lounge, a dining room and kitchen. There is a small conservatory to the rear of the house. There is an office and a staff sleep in room with an adjacent shower room. The laundry and staff room are situated in an outbuilding to the rear of the home. The basic fee range is £130,000 to £172,000 per annum, with additional charges for any extra staffing support required depending on the individual needs of the young adults. The young adults are responsible for purchasing any personal items such as toiletries, clothing and make a contribution towards holidays. Dixons Farm DS0000064059.V343711.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an inspection that took place over a thirteen-month period and culminated in a site visit to the home over one day in August 2007 by one regulatory inspector. At the time of the site visit there were 5 young adults living at the home. The inspection involved discussion with people living at the home where this was possible, discussion with staff, observation of staff supporting the young adults and an examination of records, policies and procedures. Every year the registered persons are asked to provide us with written information about the quality of the service they provide and to make an assessment of the quality of their service. We use this information, in part, to focus our inspection activity. Information was also provided through surveys completed and returned by 1 young person living at the home, 1 relative and 1 health professional. As part of the inspection, the inspector used ‘case tracking’ as a means of assessing some of the National Minimum Standards. This process enabled the inspector to focus on one of the people living at the home. Records relating to that individual were inspected and discussion took place with the staff team in relation to the support needs of that person. What the service does well:
Dixons Farm provides clean, comfortable and well-maintained accommodation for the young adults who live there and a pleasant working environment for the support staff. The home has a thorough and detailed pre-admission process that ensures as far as possible that the home is able to provide appropriate support to a prospective resident and also, whenever possible, encourages and supports the prospective resident to make a decision themselves as to whether they wish to live at the home. The home has a history of being person centred in its approach and places an emphasis on the abilities, interests and hobbies of the young adults with the intention of supporting them to enjoy a fulfilling life. The home involves the young adult, people who know the young adult best, (including family members involved health and social care professionals and the staff working at the home); in the process of deciding how best to provide the necessary
Dixons Farm DS0000064059.V343711.R01.S.doc Version 5.2 Page 6 support. The care plans are detailed and include information regarding the young adults preferred routines and preferences and also details of how to implement strategies to ensure that the young person and other people are kept safe. Care plans are reviewed and updated as often as necessary but at least every six weeks. The young adults are supported to make choices and decisions as far as they are able. Each of the young adults living at the home has their own activity timetable that enables them to follow their own interests and hobbies and participate in the local community as far as possible. They enjoy a number of activities including shopping trips, pub lunches, and visits to leisure centres, the cinema, a local pottery and holidays. Flexible staffing arrangements enable the young adults to take part in activities outside of the home and also spend time alone if they wish. The home enjoys good links with families who are made to feel welcome at the home. Meals are planned to suit the preferences, likes and dislikes of the young adults with any dietary needs being taken into consideration. Meals are unhurried and the young adults may eat in their rooms if they wish. Each young adult has a health care plan in place and these outline what steps need to be taken to help ensure that the young adults continue to enjoy good health. A number of health and social care professionals are involved in the home, providing additional support for the young adults and the staff support the young adults to attend any out patient and routine health appointments. The home manages medication well, helping to ensure the health and wellbeing of the young adult. A social care professional wrote the home ‘manages the needs of the clients well considering the complexity of the health issues combined with behaviours that clients can present’. The home has good policies and procedures in place to protect the young people living at the home and has also provided staff with training in this area. Staff are carefully recruited with all of the necessary checks being undertaken before a new member of staff starts work in the home. One member of staff said she felt very positive about her job and well supported by the management and staff team. The young adults living at the home appear to be relaxed in the company of the staff and the staff themselves speak sensitively to and about the young adults and respect their privacy and dignity. One relative wrote ‘I feel the staff go to great efforts to met the needs of my son’ and that ‘there are some exceptional members of staff at Dixons Farm’ The staff team have a good mix of skills having attended a range of appropriate training courses. The home does not use agency staff and this
Dixons Farm DS0000064059.V343711.R01.S.doc Version 5.2 Page 7 approach helps ensure that the young adults receive a continuity of care by staff who are familiar with the young adults and the working practices of both the home and the parent company. The home is well managed and provides a safe and relevant service for the young adults living there. The registered manager is continuing to work towards her NVQ4 and registered mangers award and has undertaken other training to keep her skills and knowledge up to date. The home also receives good support and guidance from the senior management team including the responsible individual who visits the home regularly. There are a number of internal quality assurance audits undertaken to ensure that the home is run safely and the home has also achieved the Investors in People Award, a quality assurance award accredited by an external agency. The health, safety and welfare of the young adults and staff are promoted and protected with appropriate training being provided and systems and equipment in the home being maintained and serviced. What has improved since the last inspection?
The home has reviewed and updated its Statement of Purpose to accurately reflect the services the home provides. It has also produced a Service Users Guide in an accessible format. This provides information in pictures, symbols and words that some of the young adults will be able to understand. Since the last inspection the home has changed the format of the young adults files and has used person centred planning as a method of providing information about the individual young adults in a more positive way. The care plans are as a result of this, more positive in their approach and they are backed up by strategies and guidelines to help keep both the young adults and others safe. The psychology service which the home use are involved in the assessment of any prospective residents and are consulted regarding any specific issues such as the management of challenging behaviour or the provision of counselling. There have been some changes to the environment with a new laundry and staff room being created in an outbuilding. The office has been moved to a more convenient room in the home and additional plans are being considered to make better use of the space available. The home has started to provide more person specific support and training to help ensure that the staff team have the necessary skills to work there. A training matrix had also been developed to enable the manager to have an overview of staff training achievements and needs.
Dixons Farm DS0000064059.V343711.R01.S.doc Version 5.2 Page 8 The home has looked at the way it delivers manual handling training to ensure that its approach meets the needs of the young adults and the staff team. The home has worked with the staff team to ensure as far as possible that they are aware of their responsibilities to the young adults and themselves should there be a fire at the home. The reports from the monthly monitoring visits made by the responsible individual to the home were available for inspection at the home. 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. Dixons Farm DS0000064059.V343711.R01.S.doc Version 5.2 Page 9 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 Dixons Farm DS0000064059.V343711.R01.S.doc Version 5.2 Page 10 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): 2 Quality in this outcome area is excellent. The pre-admission process is in sufficient detail to ensure that prospective residents support needs are fully assessed before admission. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The file of one of the young adults was examined during the site visit. It was clear from the information contained in it and also from the information provided by the manager and support staff that the home had worked hard over an extended period to ensure that the young persons move into the home was as comfortable as possible. Information had been obtained from the previous placement and the home had undertaken its own assessment as well. The key worker spoke of the visits that had been made to the young adults previous placement and visits made by the young adult to the home during the pre-admission process. The young adults family had also been involved in the pre-admission process helping to make it a success. The care plan reflected the complex support needs identified within the preadmission process and provided support staff with guidance as to how these needs should be met. Dixons Farm DS0000064059.V343711.R01.S.doc Version 5.2 Page 11 The home has reviewed and updated its Statement of Purpose to accurately reflect the services the home provides. It has also produced a new service user guide that uses colour, pictures, signs and words making it more accessible to some of the service users. The guide included information, including photographs of the members of staff, to give the young adults a good outline of the support they should receive in the home. Dixons Farm DS0000064059.V343711.R01.S.doc Version 5.2 Page 12 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): 6,7 and 9 Quality in this outcome area is excellent. People living at the home are supported appropriately in their daily lives enabling them to work towards a more independent lifestyle. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care of one of the young adults living at the home was tracked during the course of the site visit. The home has a history of being person centred in its approach and works with the young adults to help them achieve greater independence within a secure environment. The format of the young persons files has been changed since the last inspection and the information and guidance provided is presented in a more person centred format. This means that staff are provided with more positive information about the young person and their individual support needs. The young persons family, the staff team and as far as possible the young person had been involved in providing this information. In addition to this, guidance is provided as to how to implement strategies to ensure that the young person and other people are kept safe. The members of staff spoken to were interest in and had an understanding of the support needs of the young adult and a willingness to help the young adult live a fulfilling lifestyle.
Dixons Farm DS0000064059.V343711.R01.S.doc Version 5.2 Page 13 The young adults care plans are reviewed and updated at every six to twelve weeks and are reviewed formally on a six monthly basis when other professionals are invited to be involved in this process. The care plans include information of the strategies that should be used to enable the young adults to make choices and decisions. Staff were heard to ask the young adults what they would like to do and offer appropriate choices and they were supported to do this. Support staff are aware of the individual likes and dislikes of the young adults and these were recorded within the care plans. Dixons Farm DS0000064059.V343711.R01.S.doc Version 5.2 Page 14 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): 12, 13, 15, 16 and 17 Quality in this outcome area is excellent. The daily routines in the home promote the independence of the people living at the home, encouraging and supporting them to make safe choices and decisions and become involved in valued and worthwhile activities. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each of the young adults living at the home has their own activity timetable which enables them to follow their own interests and hobbies as well as giving them opportunities to make decisions themselves about what they would like to do. The young adults are supported to participate in the local community as far as possible and this includes shopping, visits to leisure centres, a local pottery, the cinema, pub lunches etc. The service has recently employed a dance and movement teacher and it is planned that she will have some input into the home. Flexible and extra staffing enables the young adults to take part in activities outside of the home but there is also the recognition that routine and familiarity are important to the young adults. On the day of the site visit the staff were observed to spend time with the young adults but also to give
Dixons Farm DS0000064059.V343711.R01.S.doc Version 5.2 Page 15 them opportunities to spend time alone if they wished to. The young adults are free to move around the communal areas of the home as they wish and are supervised appropriately by the staff team. There was evidence that the home had good links and support from the families of the young adults. A relative who completed and returned a survey stated that they were very happy with the contact that they had with the home and felt that they were well informed at all times. Meals are planned to meet the specific needs of each of the young adults, with the preferences and likes and dislikes of the young adults being taken into consideration. Mealtimes were seen to be arranged to enable the young adults to feel relaxed and unhurried. Dixons Farm DS0000064059.V343711.R01.S.doc Version 5.2 Page 16 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): 18, 19 and 20 Quality in this outcome area is excellent. The support staff have a good knowledge of individual residents preferences and personal and health care needs and provide support sensitively and in accordance with their wishes. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The person centred planning recently introduced for the young adults provides information for the support staff, including the young adults preferred routines. The care plans also include information for the support staff regarding the guidance and support the individual young adults need with their personal care. The home has key worker system in place and this gives them the responsibility of co-ordinating the health care needs of the young adults they are key worker to. There was evidence on the files examined that a number of health professionals are involved in providing support to the young adults who use the service. These include a domiciliary dentist and a psychological service. In addition to this the young adults are supported to attend outpatient appointments and routine health appointments such as the dentists and
Dixons Farm DS0000064059.V343711.R01.S.doc Version 5.2 Page 17 opticians. There is a health care plan in place for each of the young adults and these outline any steps that need to be taken by staff in order to ensure their continuing good health. The management of medication kept at the home was looked at during the site visit. The medication was well managed with records being appropriately maintained. Training in the management of medication was provided in house and in addition to this staff were undertaking additional training provided by an external training company. Additional training had recently been undertaken in relation to epilepsy and its treatment. The manager and the support staff spoken to had a good understanding of the health care needs of the young adults. Dixons Farm DS0000064059.V343711.R01.S.doc Version 5.2 Page 18 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): 22 and 23 Quality in this outcome area is excellent. The home has good policies and procedures in place in order to protect the people living at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has good policies and procedures in place to help ensure that the young adults are kept safe and that any concerns can be raised openly. The majority of the staff team have also received training in adult protection. The surveys completed and returned by a relative and a social care professional indicated that they were aware of whom to speak to should they have any concerns about the way the home is being run. One of the young adults at the home who also completed a survey said that they would speak to a member of staff if they were unhappy or worried about anything. The manager said that they received good support from the psychology service that it had access to, and that it provided advice and guidance regarding the safe management of challenging behaviour or the provision of counselling. The home has just developed a service user guide that the young adults may be able to understand more easily. This includes information on how to raise any concerns that they may have and who they can contact for help should they need it. Dixons Farm DS0000064059.V343711.R01.S.doc Version 5.2 Page 19 The home acknowledges that it is sometimes difficult to communicate with the young adults to find out their views, but the knowledge that the support staff have of the young adults helps them judge on an ongoing basis if they are happy living in the home. Since the last inspection the home has developed a policy for the safe management of the young adults money. The money held at the home is checked on a daily basis to ensure that the balances are correct, the manager checks it herself throughout the week and there is an audit by the finance department on a monthly basis. Dixons Farm DS0000064059.V343711.R01.S.doc Version 5.2 Page 20 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): 24 and 30 Quality in this outcome area is excellent. The home was clean and comfortable and provided a pleasant and safe environment for both the people living at the home and their support staff. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is clean, tidy and comfortably furnished and decorated with the need to keep the young adults safe being taken into consideration. It provides a pleasant environment for the young adults to live in and the support staff to work in. It is well maintained with any repairs being attended to quickly. There have been some changes since the last inspection with the home making good use of the space available at the home. The laundry has been moved outside to an outbuilding were there is more space to work in; a staff room has also been created here. The office has been moved to a more convenient room in the home. There are plans to develop the sleep-in room into an art room and also to install an extra WC on the top floor of the home.
Dixons Farm DS0000064059.V343711.R01.S.doc Version 5.2 Page 21 The management team had undertaken some work around infection control issues and worked hard to ensure that that the necessary safeguards are in place. It was recommended that some infection control training be undertaken to enable the home to determine if the precautions in place are adequate and if there is a need for any further training. Dixons Farm DS0000064059.V343711.R01.S.doc Version 5.2 Page 22 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): 32, 34 and 35 Quality in this outcome area is excellent. The home selects and trains staff appropriately to ensure that the people living at the home receive the support that they need. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the site visit, the files of two staff who had been appointed since the last inspection were examined. Records showed that all of the necessary checks had been made and references had been taken up before they had started to work at the home. These members of staff and others spoken to during the course of the site visit said they felt very positive about their jobs and well supported by the management and staff team. The records showed that these two members of staff had completed induction courses at the start of their employment in the home. Since the last inspection the induction programme had been changed and new employees are now given an opportunity to work in one of the homes during the induction period itself. The staff spoken to said that they felt that this was an improvement as it enabled them to apply some of the theory that they had learned to practical situations and get a better overview of the service provided. They said that the training was very well organised and very relevant to their work. They also
Dixons Farm DS0000064059.V343711.R01.S.doc Version 5.2 Page 23 said that they were able to discuss their training needs in supervision with the manager or senior staff in the home. The manager also explained that the home was providing more person specific support for staff to help ensure that they had the skills necessary to work at the home. The home has a training matrix in place, which showed that the manager has a good overview of the training needs of the staff team. The staff team have attended a variety of courses giving them a range of knowledge and skills. The home is still working towards 50 of the staff team achieve a nationally recognised qualification in care and the new members of staff spoken to were keen to undertake this. Staff were observed to speak to the young adults sensitively and to respect their privacy and dignity. They have a good knowledge of the way that each young person communicates and are able to respond to them appropriately. They are enthusiastic in their approach, knowledgeable about the needs of the individual young adults living at the home and are pleased when progress is made and maintained. The young adults were seen to be comfortable and relaxed in their presence. Staffing in the home is flexible enabling young adults to participate in activities with adequate staff support. The home does not use agency staff and this approach helps ensure that the young adults receive a continuity of care by staff who have a good understanding of both the young adults, the working practices of the home and the parent company. Dixons Farm DS0000064059.V343711.R01.S.doc Version 5.2 Page 24 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): 37, 39 and 42 Quality in this outcome area is excellent. The home is well managed, providing a safe and relevant service for the young adults who live there. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager is experienced in her role and is continuing to work towards her NVQ4 and registered managers award. Since the last inspection she has undertaken additional training to keep her skills and knowledge updated. The members of staff spoken to appreciated her support and guidance and it was felt by them that this helped the team work well together and be supportive of each other. Dixons Farm DS0000064059.V343711.R01.S.doc Version 5.2 Page 25 Information provided by the registered manager and the responsible individual showed that they were thinking and planning ahead with the intention of improving the service they provided for the benefit of the young adults. A recent survey of the views of involved health and social care professionals had been undertaken. It was reported that the response to this was generally poor although the feedback that was received was positive. The home continues to have ongoing discussions with the families of the young adults it provides a service to and works with them to improve the service. Moving and handling, first aid and food hygiene training is included in the induction training that the home provides giving all staff the necessary skills and knowledge that they need in these areas. Additional work had been undertaken in relation to fire training to ensure as far as possible that the staff team were clear of their responsibilities in the case of a fire. The home reviewed its policies and procedures on an annual basis and updated them as necessary. There were a range of checks and audits undertaken around the home to help ensure that the home was run safely and in the best interests of the young adults. The home has also achieved the Investors in People Award which is a quality assurance award accredited by an external agency. Information provided by the manager in the completed indicated that the systems and equipment at the home were serviced and maintained appropriately. The home receives good support from the senior management team including the responsible individual who visits the home on a very regular basis and is fully aware of the day-to-day challenges that the home manages. She also undertakes a monthly monitoring visit to ensure that the needs of the young adults are being recognised and met and that the home is being run for their benefit. A report is prepared following these visits outlining any concerns and recognising any positive work. A copy is provided for the home. Dixons Farm DS0000064059.V343711.R01.S.doc Version 5.2 Page 26 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 3 23 3 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 3 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 3 X 3 X 3 X X 3 X Dixons Farm DS0000064059.V343711.R01.S.doc Version 5.2 Page 27 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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 YA30 Good Practice Recommendations Infection control training should be undertaken to enable the home to determine if the precautions in place are adequate and if there is a need for any further training. The home should continue to work towards 50 of its staff achieve a relevant qualification in care to help ensure that the staff have the skills to work at the home. 2. YA32 Dixons Farm DS0000064059.V343711.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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
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