Inspection on 12/05/05 for Farm Lane House

This inspection was carried out on 12th May 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Farm Lane House 05/10/06

Farm Lane House 13/01/06

Farm Lane House 27/10/04

Farm Lane House 18/05/04

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

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

CARE HOME ADULTS 18-65 Farm Lane House 59 Farm Lane Honicknowle Plymouth PL5 3PH Lead Inspector Kim Fowler Announced 12 May 2005 th 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 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 Stationary 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. Farm Lane House D52-D04 S3528 Farm Lane House V214972 120505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Farm Lane House Address 59 Farm Lane, Honicknowle, Plymouth, Devon, PL5 3PH Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01752 775848 01752 775848 Royal Mencap Society Ms Fiona Jane Hannay Care Home 9 Category(ies) of Learning disability (9), Physical disability (9) registration, with number of places Farm Lane House D52-D04 S3528 Farm Lane House V214972 120505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service User over the age of 65 2. Service Users with a Physical Disability must also have a Learning Disability Date of last inspection 27/10/04 Brief Description of the Service: Farm Lane House is a care home providing personal care and accommodation for nine people aged 18 – 65, who have learning disabilities, and may also have physical disabilities. The home is run by the Royal Mencap Society, which is a voluntary sector organisation. The home is located in the residential area of Honicknowle, close to shops, pubs and other local amenities.The home was opened in 1987 and is purpose built, consisting of a single-storey building, suitably adapted for people who may need to use wheelchairs. All the home’s bedrooms are single though none have en suite facilities. There are separate lounge and dining rooms and there is an emergency call system throughout the home. The home has a patio and garden that are well maintained and easily accessible. The home is staffed 24 hours a day, this includes waking night staff. Farm Lane House D52-D04 S3528 Farm Lane House V214972 120505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 2 days and a total of 6 ½ hours and was a planned Announced inspection. A full tour of the premises took place and staff and care records were inspected. Some of the staff and 6 of the 9 service users were spoken with during this inspection as well as the Registered Manager. The CSCI received 5 Relatives/Visitors comment cards and 5 Service users comment card. What the service does well: What has improved since the last inspection? What they could do better: The home would benefit from confirmation from the GP about the prefered choice of administration of medication to one service user. All staff would benefit from completing the Devon Adult Protection training as this would ensure better protection for service users. Farm Lane House D52-D04 S3528 Farm Lane House V214972 120505 Stage 4.doc Version 1.30 Page 6 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. Farm Lane House D52-D04 S3528 Farm Lane House V214972 120505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Farm Lane House D52-D04 S3528 Farm Lane House V214972 120505 Stage 4.doc Version 1.30 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 standard(s) 1/2/3/5 Service users in the home can be confident that Farm Lane provides information on the Statement of Purpose and Service Users Guide enabling them to make an informed choice of care home. EVIDENCE: The home has a Statement of Purpose and Service User’s Guide and both theses documents have been amended as required in the last inspection and sent to the CSCI office. The last service user admission was over a year ago. Case tracking provided evidence that the home has a through assessment completed prior to admission. This was also supported by the care managers assessment and risk assessments but provided to the home before admission. The home and staff team have the capacity to work with people with a learning disability and who require a high level of support some with additional physical disabilities. The contract for one service user admitted last year was seen on individual file. This contract clearly showed the terms and conditions of occupancy, room number and a care manager finance assessment on fees payable. Also added in the Service Users Guide was recorded who pays for any additional extras. Farm Lane House D52-D04 S3528 Farm Lane House V214972 120505 Stage 4.doc Version 1.30 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 standard(s) 6/7/9 Due to the needs of the service users in the home they are unable to make many decisions but are encouraged to as much as possible. EVIDENCE: The service users care plan for one service user was read and this provided evidence that it had been signed and updated by the staff who completed the review. This care plan has been broken down into clear sections including medication, likes and dislikes and the manager is planning to attach the completed risk assessments to each relevant section. The homes advocate assists service users when needed and due to communication skills of the service users in this home many are unable to made independent decisions. Staff, advocates and family assist service users who are unable to make decisions were possible. The home has a key worker system in place and family are involved as much as possible. Due to the needs of the service users in the home none are able to mange their own finances. The Registered Manager is appointee for most of the service users. One service user has their family to manage their money. All this information was seen recorded into individual care plans. The manager informed the inspector that each service user has an individual bank account and a savings account. All money is paid into these accounts. Case tracking provided evidence that finance records were Farm Lane House D52-D04 S3528 Farm Lane House V214972 120505 Stage 4.doc Version 1.30 Page 10 correct and updated. The home has an excellent procedure in place to protect the service users in the home. Risk assessments are in place and all hot surface are covered. The home has a missing persons policy and procedure. Farm Lane House D52-D04 S3528 Farm Lane House V214972 120505 Stage 4.doc Version 1.30 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 standard(s) 12/13/14/15/16/17 The service users in this home can be confident that they will be part of the local community and will be supported by staff when needed. EVIDENCE: Some service users attend a day centre and some are at retirement age. Many use the local community with staff support and within walking distances is a chemist, café, hairdressers and newsagents. The manager informed the inspector that all these facilities are used regularly. No service users currently attend church. One service user makes use of the local library and other who attend day centres have a choice of activities available at the local college including IT, life skills and community participation. Some service users go to the theatre and swimming with an enabler. Some attend the theatre monthly. The home currently has enabler for 6 service users. The home felt that they have a good relationship with their neighbours. All service users received a voting form for postal voting but due to their needs were unable to complete this. The home sent with the pre-inspection questionnaire a staff rota and the manager informed the inspector that this rota is flexible to cover service users holidays and sickness. Holidays are arranged around individual needs with either day trips, short breaks or weekends away. Case tracking provided Farm Lane House D52-D04 S3528 Farm Lane House V214972 120505 Stage 4.doc Version 1.30 Page 12 evidence that one service user has family involvement including management of this service user money. 5 feedback cards were received from the family to the CSCI. 3 service users attend a music group at a local community college. The staff knock on service users bedroom door but due to their needs the service users are not always able to acknowledge entry. All bedrooms have keys available and mail is opened with service users present. Evident during the inspection was some service users assisting with house keeping tasks. The homes menus were sent with the pre-inspection questionnaire and the home has employed a new cook who is due to start soon. Farm Lane House D52-D04 S3528 Farm Lane House V214972 120505 Stage 4.doc Version 1.30 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 standard(s) 18/19/20 This home provides excellent personal support for the service users in the home. EVIDENCE: Evidence was seen of manual handling risk assessment for individuals to support staff and service users. Some service users are able to choose which staff member assists them and other are encouraged to do so when possible. All rooms are single to aid privacy and all personal care is carried out in private. Meal times are flexible to meet the needs of the service users in the home. Technical aids include electric bath, hoists beds, moulded wheelchairs and individual lounge chairs. Evidence was seen recorded into care plans of Speech and Language therapist involvement. One service user has weekly visits by the District Nurse and the home has a designated District Nurse file that was seen as evidence during this inspection. This file contained information on treatments for the staff to carry out. The home also has a dementia nurse and physiotherapist who visits regularly. The home has a new PRN medication procedure in place and this was written with advice from all staff and GP involvement. The home uses the blister pack system for medication. The home has a clear record of medication administered and a procedure for staff to follow for any errors. Seen written into one service user care plan was their preferred choice of how medication is administered. The Farm Lane House D52-D04 S3528 Farm Lane House V214972 120505 Stage 4.doc Version 1.30 Page 14 inspector has recommended that the home confirm this preference with the GP. Farm Lane House D52-D04 S3528 Farm Lane House V214972 120505 Stage 4.doc Version 1.30 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 standard(s) 22/23 The home has a clear complaints procedure, also available in sign, in place and service users can be confident that their complaints or concerns will be listened to and dealt with. EVIDENCE: Case tracking provided evidence of the complaints procedure in one service user file. This document was also available in sign. Service users are able to complete a card to complain. This can be completed by either the service user, staff, relative or the advocate. The home has a copy of the Devon adult protection procedure as well as the Mencap procedure. The home has a good induction course that includes adult protection issues and staff are encouraged to sign when they understand this procedure. The inspector has recommended that the management and staff completed the Adult Protection course with the local adult protection coordinator. Farm Lane House D52-D04 S3528 Farm Lane House V214972 120505 Stage 4.doc Version 1.30 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 standard(s) 24/25/26/27/28/29/30 This home maintains a suitable environment for its stated purpose. EVIDENCE: The home has been purpose built and the premises were accessible to all the service users with level access throughout. It is comfortable, well furnished and clean. Total living space (bedroom and communal) exceeded 14.1 sq m and, for those in the four larger bedrooms, exceeded 18 sq m. There were CCTV cameras on the outside of the building, monitoring the car parking area and people approaching both the front and back doors can be seen. The receiving monitor was situated in the dining room so service users and staff can see who is approaching the building. All bedrooms were single rooms and none of them had en suite facilities. Service users’ bedrooms were all decorated individually and reflected the personality of the occupant, with many personal possessions. The home had a cordless telephone that service users could use if they were able to. All bedroom doors were fitted with locks that could be opened from the outside by staff in an emergency. There was no lockable storage space in bedrooms as the service users would not be able to use it therefore all valuables and money were kept safely by the home. All bedrooms contained wash hand basins. There were two bathrooms, one of Farm Lane House D52-D04 S3528 Farm Lane House V214972 120505 Stage 4.doc Version 1.30 Page 17 which had showering facilities. There were three toilets, one in each bathroom and one that was separate. There is a shower and toilet off the office that can be used by service users but is principally for the use by staff. Bathrooms and toilets were lockable and could be opened from the outside in an emergency. The home is applying for a variation to change a bathroom to a larger facility to include mobile bath and a toilet. This is for health and safety reason for staff and service users. There is a patio garden at the side of the house as well as a area of garden at the front off the dining room. Kitchen and laundry facilities were satisfactory. The home has a large lounge and dining room, which provide sufficient room to manoeuvre wheelchairs. They are well and comfortably furnished. Staff do not usually sleep in however, if staff are sleeping in, they use the office that has an en suite shower and toilet. There was also a lockable cupboard available for staff to store personal belongings when on duty. The home has a high level of current level of aids and adaptations, such as grab rails, bath/mobile hoists and manual wheelchairs, met the needs of the service users. The premises were found to be clean and free from offensive odours. The home had a washing machine with a sluice facility and wash cycles that met disinfection standards.. Farm Lane House D52-D04 S3528 Farm Lane House V214972 120505 Stage 4.doc Version 1.30 Page 18 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31/32/33/34/35/36 The Registered Manager promotes and supports staff training to ensure the service users receive a good service. EVIDENCE: Case tracking of staff files confirmed that updated job descriptions were available for staff to access at any time. 7/15 staff presently have NVQ level 2 or above and 6 staff are due to commence soon. All staff hold a emergency first aid certificate. The staff rotas were sent with the pre-inspection questionnaires and provided evidence that there is sufficient staff on duty at peak times. Extra staff is available to cover holidays, sickness and service users trips. The home has had a high turnover of staff but the manager feel that this has now settled. The home hold regular staff meeting, 2 a month, this include one team meeting and one on service users needs. The home does not have anyone left in charge under 21 years old. All staff completed CRB checks and the home has provided the Commission with a list. One staff member file was checked and contained a CRB, POVA first check, 2 references, application form and a contract is issued after completion of 6 month probation. The training and development plan was seen for the coming year clearly displayed on the homes notice board. All new staff completes the Mencap foundation (via TOPPS training) course as well as a mandatory training. This includes promoting independence and respect and dignity. Staff have training issues Farm Lane House D52-D04 S3528 Farm Lane House V214972 120505 Stage 4.doc Version 1.30 Page 19 discussed at regular supervision meetings. The certificates were seen for one staff member on completed training. Farm Lane House D52-D04 S3528 Farm Lane House V214972 120505 Stage 4.doc Version 1.30 Page 20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37/39/40/41/42/43 The management of this home is very good and ensures that the records are maintained. Also that the staff have regular and updated training to met the service users needs. EVIDENCE: The registered manager is a qualified nurse and continues with her professional development. The manager is also due to start her Registered Manager award later this year. Mencap complete a Quality Assurance audit and a copy is made available at the Commission. The home has a comprehensive and complete Policy and Procedure file and many policies and procedures are updated and reviewed by Mencap. All records are secure and the records seen during this inspection were reviewed and updated as required. The Manual handling update is due for some staff and 8 new staff have completed this and certificated evidence was seen on staff files. Fire safety is carried out yearly as well as 3 monthly internal training. Fire safety is part of news staff’s induction within the first week. All staff are Farm Lane House D52-D04 S3528 Farm Lane House V214972 120505 Stage 4.doc Version 1.30 Page 21 qualified in first aid, food hygiene, health and safety and an infection control course is booked for later this month. The certificates for work carried out from the environmental health department, hoist, bath and bed servicing, gas, clinical waste bins and electrical testing. Risk assessments are in place. All accident forms were seen completed and case tracking provided evidence of completed forms and additional information recorded into individual care plans. Farm Lane House D52-D04 S3528 Farm Lane House V214972 120505 Stage 4.doc Version 1.30 Page 22 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 3 3 3 x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 4 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Farm Lane House Score 4 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 3 3 3 3 D52-D04 S3528 Farm Lane House V214972 120505 Stage 4.doc Version 1.30 Page 23 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. 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. 2. Refer to Standard 20 23 Good Practice Recommendations The home should confirm with the GP the prefered choice of administration of medication to one service user. The management and staff should complete the Adult Protection course with the local Adult Protection CoOrdinator. Farm Lane House D52-D04 S3528 Farm Lane House V214972 120505 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection 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 Farm Lane House D52-D04 S3528 Farm Lane House V214972 120505 Stage 4.doc Version 1.30 Page 25 - 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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