Inspection on 06/10/05 for Farm View

This inspection was carried out on 6th October 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 View 17/10/06

Farm View 07/12/05

Farm View 07/02/05

Farm View 15/09/04

Farm View 06/02/04

Farm View 08/09/03

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Farm View Highlands Farm Woodchurch Ashford Kent TN26 3RJ Lead Inspector Lois Tozer Unannounced Inspection 6th October 2005 02:45 Farm View DS0000023420.V256673.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 View DS0000023420.V256673.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 View DS0000023420.V256673.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Farm View Address Highlands Farm Woodchurch Ashford Kent TN26 3RJ 01233 861516 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) Canterbury Oast Trust Mrs Jayne Shilling Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Farm View DS0000023420.V256673.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 4 People with learning disabilities aged between 18 - 65 years. Resident with acquired Brain injury to be restricted to one whose dob is 12/09/1973 7th February 2005 Date of last inspection Brief Description of the Service: Farm View is registered to provide accommodation, personal care, and support to four people who have a learning disability, aged 18 – 65, of mixed gender. The home is a modern bungalow situated on the grounds of Highlands Farm, Woodchurch. This is also the home of the South of England Rare Breeds Centre, a major tourist attraction. The home is set in its own spacious garden with a large, furnished patio. A beech hedge has been recently planted around the perimeter of the garden, to complement the large screen fence to increase privacy from all directions. The home is an ordinary, domestic dwelling, and has two communal bathrooms and toilets, and a large lounge / diner for communal use. The kitchen is spacious and has a breakfast bar type seating arrangement. One resident has a full en-suite facility. The site itself offers many opportunities for community contact, and some residents have work placements within the rare breeds centre. The home has access to a vehicle to enable residents to get into the wider community. Community activities and education is a regular feature of life in the home. Farm View DS0000023420.V256673.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This statutory unannounced inspection took place on 6th October 2005 between 2.45pm and 5.05pm. There are currently four people living at the home, one residents was in during the visit and gave some feedback, clearly indicating that the home is a very happy place to live. Observations of staff with the individual in the home indicated that they all got on very well, and the resident was actively encouraged to be fully involved in the all daily aspects of home life, including being involved with interviews for potential staff. Paperwork seen included individual support plans, risk assessments; medication and administration documents, fire precaution records and menu. A tour of the communal parts of the home and one bedroom, plus the surrounding gardens took place. What the service does well: What has improved since the last inspection? The statement of purpose and service user guide has been tailored to specifically reflect the home. Farm View DS0000023420.V256673.R01.S.doc Version 5.0 Page 6 Policies and procedures were not seen, but have been reviewed centrally. An ongoing consultation process is in place to offer policies in draft form for comment before they are made firm. Permanent staffing levels have improved and two staff are just completing their NVQ level 3. New staff are keen to get on and train for this qualification. The quality assurance system has been reviewed and now seeks the views of families and professionals who have contact with people living 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. Farm View DS0000023420.V256673.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Farm View DS0000023420.V256673.R01.S.doc Version 5.0 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 the following standard(s): 2 Existing residents have had their needs assessed prior to moving into the home, but the manager has not had experience of the current assessment process used by the Trust. EVIDENCE: The previous recommendation to assess the needs assessment against NMS 2 was discussed. There have been no vacancies for many years, and as such, the manager is not familiar with the assessment used by the Trust. The recommendation that this be obtained and assessed against services and facilities offered by the Farm View and to compare against this standard remains in place, but the outcome for existing residents has been met. Farm View DS0000023420.V256673.R01.S.doc Version 5.0 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 the following standard(s): 6, 7, 8, 9, 10 The individual plan is comprehensive and tells the reader how best to support each individual. A variety of methods are used to enable people to make decisions. All residents participate in the day-to-day running of the home in a meaningful way. Assessments are in place and describe the actions that reduce risks to enable people to retain independence. Documents are stored safely and securely. EVIDENCE: Individual plans are descriptive and highlight specific support needs. Symbols and picture cards are used where needed, to help people make choices and decisions (such as menu planning). Staff offer positive support to reinforce involvement in the running of the home, giving opportunities to be involved at the level right for the individual. Risk assessments highlight what action staff must take to enable activities to take place safely, these are reviewed regularly. All information is stored securely, and residents have chosen their folder colour, enabling recognition of their particular files. Farm View DS0000023420.V256673.R01.S.doc Version 5.0 Page 10 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): 11, 12, 13, 14, 15, 16, 17 Resident’s personal development opportunities are offered frequently, within and away from the home. All residents have regular opportunities to participate in educational and occupational activities that they enjoy. Although the home is situated in a rural location, regular trips into the wider community are facilitated. A range of leisure activities chosen by residents is available on a regular basis. Residents are supported to maintain close family connections and have friendships. All residents participate in some way to meal preparation. EVIDENCE: Each resident has a weekly planner that is personal to his or her own choice and level of development. Plans are flexible and always take into account the individual wishes on the day. A wide range of enjoyable educational opportunities are available, many of which are based in the community. Leisure time is spent as the individual wishes, and activities are available at weekends if desired. Family and friends are welcome to visit, and contact between residents and families is very well supported. One individual is supported through a community based slimming club and has achieved personal satisfaction in learning healthy eating plans and exercise routines. The residents, with staff support, choose ranges of varied and healthy meals. Farm View DS0000023420.V256673.R01.S.doc Version 5.0 Page 11 Staff take the lead in main meal preparation, but encourage all residents to be involved in relevant tasks. Farm View DS0000023420.V256673.R01.S.doc Version 5.0 Page 12 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): 18, 19, 20 The individual plan makes clear how each person wishes to be supported when receiving personal care. Health care needs are well supported, with follow up action taking place as required. Very little medication is held in the home; that held is well managed. EVIDENCE: All residents are encouraged to be as independent as possible in their personal care. Documentation is specific to the individual and makes clear where and what sort of help is needed. Physical and mental health needs are well supported; all contact with health care professionals is documented and appropriately followed. Medication storage is safe and hygienic. Records are well maintained and are clearly understood by staff. Farm View DS0000023420.V256673.R01.S.doc Version 5.0 Page 13 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): 23 Staff have received training to increase awareness and recognise abuse. Resident’s finances are handled safely. EVIDENCE: Training has been provided to staff, through formal induction, to raise awareness of adult protection issues. Staff spoke to the resident in the home in an encouraging and respectful way, and offered opportunity for decision making and protection of dignity. All resident’s finances is robustly accounted and handled in a safe manner. Farm View DS0000023420.V256673.R01.S.doc Version 5.0 Page 14 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, 26, 27, 28, 29, 30 The home is comfortable, homely, and safe. Bedrooms are highly personalised. Shared space is limited to two rooms, but is well maintained. Adaptations are minimal, as per individual assessments. The main bathroom is homely and pleasant; the second shower room is rather clinical, but infrequently used. The home is clean and hygienic throughout. EVIDENCE: The bungalow is an ordinary shared home, with the minimum of adaptation, most of which are grab rails in the bathrooms. It is well furnished and cheerfully decorated. Resident’s individual rooms are highly personalised and meet their needs. Shared space consists of a lounge / diner and the kitchen. Staff have a small office with a bed for ‘sleep in’ duties. One resident has a full en-suite facility. Both bathrooms are fully functional, one has benefited from a new floor. The shower room is quite stark, however, is seldom used for daily use. It is situated off the laundry, conveniently for showering after working with the farm animals. The home operates a strict infection control policy for clinical waste collection. Some concerns with the building structure have been identified and have been swiftly followed up. Farm View DS0000023420.V256673.R01.S.doc Version 5.0 Page 15 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): 34 A recommendation that equal opportunity of employment is discussed with residents who may need additional support to accept new staff. EVIDENCE: A potential staff member was attending interview during the visit, and a resident was invited to be involved, demonstrating inclusion. A discussion ensued, regarding another resident who may have strong views on particular staff employment. A recommendation is made that this be explored further with the area manager, and the consideration of educational support be offered to the individual. Farm View DS0000023420.V256673.R01.S.doc Version 5.0 Page 16 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, 39, 42 The home is well organised and run in the best interests of the residents. A quality assurance system is in place, but would benefit from simplification for some residents. Health and safety of all people living and working in the home is well supported. EVIDENCE: The manager, who holds the NVQ 4 Registered Managers Award, has a good relationship with staff and residents. The home is well organised and all requirements and recommendations that are the direct responsibility of the manager have been met. The quality assurance system currently in place has asked many relevant questions, but possibly not in a way that can be clearly understood by all people living at the home. Some questions may not actually be meaningful to individuals, so it is strongly recommended that this is revised and the use of pictorial aids incorporated, to aid fuller understanding. The previous recommendation to include families and other professionals has been met. Checks to ensure the safety of all persons within the home take place on a regular basis. Fire alarms are tested weekly, with resident involvement. Farm View DS0000023420.V256673.R01.S.doc Version 5.0 Page 17 Farm View DS0000023420.V256673.R01.S.doc Version 5.0 Page 18 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 2 X X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 X 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Farm View Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 2 X X 3 X DS0000023420.V256673.R01.S.doc Version 5.0 Page 19 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 2 3 Refer to Standard YA2 YA34 YA39 Good Practice Recommendations Obtain a copy of the assessment tool used and to ensure that it covers the range of facilities offered by Farm View and also covers the range of points highlighted in NMS 2.3 Equal opportunities education / counselling be offered to service users who may find acceptance of new staff difficult. Quality assurance for residents ask questions that presented in a manner they may understand, with pictorial aids as necessary, and hold relevance for the individual. Farm View DS0000023420.V256673.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 View DS0000023420.V256673.R01.S.doc Version 5.0 Page 21 - 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. 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