Inspecting for better lives Random inspection report
Care homes for adults (18-65 years)
Name: Address: Dixons Farm Wigan Road Bamber Bridge Preston Lancashire PR5 6AS The quality rating for this care home is: The rating was made on: three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Stephanie West Date: 2 5 0 9 2 0 0 8 Information about the care home
Name of care home: Address: Dixons Farm Wigan Road Bamber Bridge Preston Lancashire PR5 6AS 01772626916 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Jessica Elizabeth O`Neill Type of registration: Number of places registered: Progress Adult Services Ltd care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability 6 Over 65 0 Conditions of registration: The registered person may provide the following category/ies of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following conditions: Learning disability - Code LD The maximum number of service users who can be accommodated is: 6 Date of last inspection Brief description of the care home Dixons 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 Care Homes for Adults (18-65 years)
Page 2 of 8 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 young adults are responsible for purchasing any personal items such as toiletries, clothing and make a contribution towards holidays. Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
The home was randomly selected for a visit to look at the arrangements for handling medication. The visit lasted approximately two hours and involved discussing the handling of medication with the manager, examination of medicine records and storage arrangements. At the end of the inspection feedback was given to the manager. Overall, we found that medicines are managed well helping to ensure that the people who live at the service receive their medicines as prescribed. We looked at the arrangements for administering people’s medicines. The manager said all staff had completed formal medicines training and confirmed that staff were supervised and observed before being allowed to handle people’s medicines. Individual protocols had been written detailing how people were to be supported with taking their medicines. When people were away from the home arrangements were in place to ensure any medicines that may be needed were taken with them. We looked at how medicines were recorded and found that records of receipt and administration were generally clear and accurate. But, there were occasional ‘gaps’ in the record keeping, particularly for prescribed creams. From talking with staff it would appear application had probably been refused. To ensure clarity of record keeping any refusal should be recorded, if medication is regularly refused GP advice should be sought. Where stocks of medicines were ‘carried forward’ to the next month the quantity was not recorded. This is recommended to make it simple to ‘track’ the safe handling of these medicines. The actual time that medicines are administered is not included on the pre-printed records from the pharmacy. The pharmacist should be approached to see if this is possible. We looked at a sample of care plans and daily records and found that the information about medicines was generally clear and detailed. Staff spoken with were clear about when ‘when required’ medicines may be needed and how this need may be communicated. But, this was not always as clearly recorded. Having detailed information about these medicines will help ensure consistency and make sure that they are given when they are needed. We found that medicines were stored securely. This helps to ensure that they are not misused or mishandled. The home did not handle any controlled drugs, but the law has recently changed. Should any be prescribed, the home will need to ensure they are stored in a legally compliant cupboard. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking Care Homes for Adults (18-65 years) Page 4 of 8 following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 6 of 8 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 8 of 8 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
