Inspection on 13/01/06 for Farm Lane House

This inspection was carried out on 13th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 12/05/05

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 Devon PL5 3PH Lead Inspector Kim Fowler Unannounced Inspection 13th January 2006 12:30 Farm Lane House DS0000003528.V252910.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 Farm Lane House DS0000003528.V252910.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. Farm Lane House DS0000003528.V252910.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Farm Lane House Address 59 Farm Lane Honicknowle Plymouth Devon PL5 3PH 01752 775848 01752 775848 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) Royal Mencap (Housing & Support Services) Ms Fiona Jane Hannay Care Home 9 Category(ies) of Learning disability (9), Physical disability (9) registration, with number of places Farm Lane House DS0000003528.V252910.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 1 Service User over the age of 65 Service Users with a Physical Disability must also have a Learning Disability 12th May 2005 Date of last inspection 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 DS0000003528.V252910.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 2 hours and 10 min. and was an unannounced inspection. A partial tour of the premises took place and several of the service users were met and 3 staff members were spoken with during this inspection. 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. Farm Lane House DS0000003528.V252910.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 Farm Lane House DS0000003528.V252910.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): 4 Service users can be assured that they will be invited to visit the home before making a choice of care home. EVIDENCE: The inspector spoke to 3 staff members during this inspection and all discussed the new service user who would be moving into the home shortly. The staff confirmed that this service user has visited the home several times and has stayed for a tea visit. The staff also stated that some family members have visited the home recently and discussed the needs of the service user. Farm Lane House DS0000003528.V252910.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 Service users can be confident that this home will meet there assessed needs. EVIDENCE: All staff spoken with confirmed that they had discussed the prospective new service users assessed needs and had a staff meeting to look at how to meet this service users needs. This included specialist input from physiotherapist and assessment of the bedroom the service user would be occupying. Farm Lane House DS0000003528.V252910.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): 13 The service users in Farm Lane House can be confident that they will access the local community. EVIDENCE: Due to the needs of the service users in this home they were unable to talk with the inspector. However the inspector met them and with assistance from the staff found that several of the service users were either going to the local shops of had been out already. Farm Lane House DS0000003528.V252910.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): 19 Service users can be confident that their assessed physical needs are met. EVIDENCE: The new service user due to move into the home has had the benefit of a visit to the home by the physiotherapist to assess their bedroom and train and inform staff of their needs. Farm Lane House DS0000003528.V252910.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): EVIDENCE: None of these standards were assessed on this inspection. Farm Lane House DS0000003528.V252910.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): 27 Farm Lane House continues to maintain a suitable environment to meet the needs of the service users. EVIDENCE: The home is having major construction work presently being carried out. This included the conversion of a toilet into a new bathroom. This new bathroom will allow space for a new shower trolley need to meet the needs of the new service user. The new conversion will still allow for sufficient toilets and bathrooms to met this standard. Farm Lane House DS0000003528.V252910.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): 32/33/35/36 Farm Lane House supports staff training to ensure the service users receive a good service. EVIDENCE: The inspector spoke to 3 staff members during this inspection and found that the service users in this home benefit from a competent and well trained staff team. Some staff spoken with agreed that the home has sufficient staff on duty to meet the needs of the current service users at the home. One staff informed the inspector that the staff number is due to increase when the new service user moves in. All staff stated that they attend regular staff meetings and other meetings are held to discuss the changing needs of the service users. One meeting was held to discuss the new service user and how the staff can meet his needs. All staff had attended a varied training sessions including Fire Safety, Manual Handling, First Aid and NVQ. Farm Lane House DS0000003528.V252910.R01.S.doc Version 5.0 Page 14 Several staff had recently attended a training session with the physiotherapist to understand and met the needs of the new service user due to move in shortly. All staff spoken with confirmed that they had received regularly supervision and extra support if required. One staff confirmed that they had also had a yearly appraisal. Farm Lane House DS0000003528.V252910.R01.S.doc Version 5.0 Page 15 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): 38 A competent manager who has the respect of the staff team and is highly thought of manages Farm Lane. EVIDENCE: All staff spoken with agreed that the management of this home was very good and agreed that the manager is approachable and that the home is well run. Farm Lane House DS0000003528.V252910.R01.S.doc Version 5.0 Page 16 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 X X 3 X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X 3 X X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 4 3 X 3 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Farm Lane House Score X 4 X X Standard No 37 38 39 40 41 42 43 Score X 4 X X X X X DS0000003528.V252910.R01.S.doc Version 5.0 Page 17 N/a 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. Refer to Standard Good Practice Recommendations Farm Lane House DS0000003528.V252910.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 Farm Lane House DS0000003528.V252910.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. 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!