Inspection on 25/10/05 for Easterbrook Farm

This inspection was carried out on 25th October 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 found no outstanding requirements from the previous inspection report, but made 10 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Easterbrook Farm 27/01/09

Easterbrook Farm 20/10/07

Easterbrook Farm 24/10/06

Easterbrook Farm 14/02/06

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Easterbrook Farm Exbourne Near Okehampton Devon EX20 3QY Lead Inspector Helen Tworkowski Announced Inspection 25th October 2005 09:00 Easterbrook Farm DS0000063712.V258899.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 Easterbrook Farm DS0000063712.V258899.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. Easterbrook Farm DS0000063712.V258899.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Easterbrook Farm Address Exbourne Near Okehampton Devon EX20 3QY 07775 556536 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) Easterbrook Farm Limited Mr Simon Rooke Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Easterbrook Farm DS0000063712.V258899.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection First Inspection Brief Description of the Service: The Granary can accommodate 4 people with a learning disability, and is part of Easterbrook Farm. It is planned that Easterbrook Farm will eventually accommodate 10 people; the Granary is the first phase of the project. Easterbrook Farm is north of the village of Exbourne, and surrounded by it’s own farmland. The farm has a number of farm and out buildings, including a new poly-tunnel. The Granary consists of a lounge, kitchen/dining room toilet, and a wheelchair accessible bedroom with en-suite shower room. On the first floor there is are a further 3 en-suite bedrooms. There is also a separate laundry (which will be used by everyone at Easterbrook Farm) and staff sleeping accommodation/ office. The service is be staffed 24 hours per day and Service Users are to be encouraged to be involved in a range of activities at the Farm that are to be developed. This will include horticulture and arts & crafts. The aim of the service is to develop skills and independence, in a comfortable rural home. Easterbrook Farm DS0000063712.V258899.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection of Easterbrook Farm which was registered a few weeks before this visit. Only one Service User had moved permanently at the time of the inspection. The Inspection included a tour of the Granary, conducted by one of the Service Users, and lunch with the registered providers, staff and a Service Users. Various records, including assessments, Service User Plans and risk assessments, were examined and discussed with the Registered Manager. There are plans to register the main farmhouse of Easterbrook Farm, and to extend the Granary. 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. Easterbrook Farm DS0000063712.V258899.R01.S.doc Version 5.0 Page 6 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 Easterbrook Farm DS0000063712.V258899.R01.S.doc Version 5.0 Page 7 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, and 4 Prospective Service Users are given the opportunity to visit and stay at Easterbrook Farm as part of a decision to move. Individual assessments, which are the keystone of good care provision, were not recorded. EVIDENCE: One Service User has moved to Easterbrook Farm and a further person had stayed at the Farm for a few days and was due to move to the home a few days after the inspection. One person had some historic assessments on file. The Manager, Mr Simon Rooke, confirmed that he had spent time getting to know that individual, and had taken some notes, though these notes had not been written up to form part of an assessment. Mr Rooke had also spent time with the other Service User, and whilst he had got to know what his needs were, there was no assessment as such. A comprehensive assessment of each individual’s needs must be made before a move. Service Users need to be assured that their needs are understood and can be met. The assessment is the basis for planning care and managing risk. Both Service Users had had the opportunity to visit and stay in the Granary before finally moving. This is important in helping each individual to make an informed choice about living at Easterbrook Farm. Easterbrook Farm DS0000063712.V258899.R01.S.doc Version 5.0 Page 8 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 and 9 Service User Plans do not always contain sufficient information about how individual needs are to be met and how Service Users will be kept safe. EVIDENCE: A Service User Plan had been drawn up for the one person living at Easterbrook Farm. This Plan included information about how the person’s needs are to be met. No Service User Plan had been developed for second Service User, though the Manager expected to receive further information when the individual moved. No individual risk assessments had been developed, though these are important in the management of risk. It is important to have a comprehensive Service User Plan in place prior to a stay at Easterbrook Farm, the should plan sets out in detail how needs will be met. It should reflect that individual’s interests, choices and preferences. The plan should, as far as possible, be agreed with the Service User and their representative. The plan needs to be understood by the staff team, and where there are specific needs, staff training may be required. There is a policy to guide staff should a Service User go missing. Easterbrook Farm DS0000063712.V258899.R01.S.doc Version 5.0 Page 9 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): No standards were assessed under this section. EVIDENCE: Easterbrook Farm DS0000063712.V258899.R01.S.doc Version 5.0 Page 10 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 The medication system needs to be developed so that if and when medication is required, it is safely managed. EVIDENCE: No Service User living at Easterbrook was taking prescribed medication. There was a medication cabinet, but there was no medication policy in place to govern how medication should be managed should anyone require it. Easterbrook Farm DS0000063712.V258899.R01.S.doc Version 5.0 Page 11 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): These standards were not fully inspected as part of this inspection. EVIDENCE: A complains procedure has been written and is part of the Service User Guide. Easterbrook Farm DS0000063712.V258899.R01.S.doc Version 5.0 Page 12 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): 24, 25, 27, 28, 29 and 30 The Granary provides a high standard of accommodation, which will develop it’s character as people move and bring their own character to the home. EVIDENCE: The Granary has been recently refurbished to provide accommodation for four people with a learning disability. The accommodation is of a very high standard. Each bedroom is of a good size, with an en-suite shower room. One of the bedrooms is on the ground floor and is accessible to a person with mobility difficulties. The lounge is large and comfortably furnished. The Granary had limited furnishings and fittings, Service Users are to be involved in choosing decorations for their rooms and for the rest of the house. There are still some minor works to be completed in the Granary, such as door locks fitted in the toilet. The house was clean and in good order, and whilst there is a laundry which is useable floor covering is yet to be fitted. Systems for the management of cleaning materials are being developed. Easterbrook Farm DS0000063712.V258899.R01.S.doc Version 5.0 Page 13 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): 33, 34 and 35 The staff recruitment procedure is not robust, each and every person working providing care must be thoroughly checked. The initial training staff receive in their work is fragmented and needs to form part of a comprehensive induction. EVIDENCE: This service is in its early stages, and only two staff have been recruited at present. Staff files are in good order and contain relevant information. Part of the recruitment process must include obtaining two written references, however these had not always been received before starting work. This could potentially place service users at risk. All staff should receive a thorough induction to ensure that they are competent and safe in their role. For services working with people with a learning disability the Learning Disability Award Framework should be used to underpin knowledge. The two staff employed had received some initial training, however there was not comprehensive induction procedure. There was no rota available to record who was working and providing a service. These records must be kept. Easterbrook Farm DS0000063712.V258899.R01.S.doc Version 5.0 Page 14 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 There is a competent and trained manager in post. Environmental Risk Assessments need to be reviewed to ensure they are robust and protect people from unnecessary risk. EVIDENCE: Easterbrook Farm has recently been registered and the Registered Manager, Simon Rooke, who has considerable experience in working with people with a learning disability and is appropriately qualified. The process of assessing and managing risks has started and a number of risk assessment are in place. However these need to be reviewed particularly in relation to the risk of legionella and fire. Fire precautions and checks are in place but need reviewing to ensure that procedures are appropriate. Easterbrook Farm DS0000063712.V258899.R01.S.doc Version 5.0 Page 15 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 1 1 3 x Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 X X 2 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 X 3 3 3 2 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X 1 2 2 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Easterbrook Farm Score X X 2 X Standard No 37 38 39 40 41 42 43 Score 3 X X X X 2 X DS0000063712.V258899.R01.S.doc Version 5.0 Page 16 Not applicable Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 Standard YA2 YA3 Regulation 14 14 Requirement No Service User may be admitted without a full and comprehensive assessment. The Registered Provider must confirm in writing to the prospective service user that, based on the assessment, the service users needs can be met. Every Service User must have a comprehensive Plan, as described in the National Minimum Standards, which describes how needs are to be met. Individual Risk Assessments must be completed for each Service User. The Registered Person must ensure that there is a medication policy, to govern the management of medication. The Registered Person must keep a record of all staff and they hours they work in the home. The flooring in the laundry area must be completed, and be waterproof. No staff are to be recruited to work in the home with out DS0000063712.V258899.R01.S.doc Timescale for action 01/12/05 01/12/05 3 YA6 15 01/12/05 4 5 YA9 YA20 15, 13 13 01/12/05 01/12/05 6 YA33 18, 17 01/12/05 7 8 YA30 YA34 23 19 01/01/06 01/12/05 Easterbrook Farm Version 5.0 Page 17 9 YA35 18 10 YA42 13 appropriate checks, including two references. All staff must receive an induction; the Learning Disability Awards Framework should be used to underpin training and vocational qualifications. Risk assessment must be completed in relation the environment- including risks associated with fire and legionella. 01/02/06 01/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Easterbrook Farm DS0000063712.V258899.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Easterbrook Farm DS0000063712.V258899.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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