Inspection on 10/01/06 for Finn Farm Lodge

This inspection was carried out on 10th January 2006.

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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Finn Farm Lodge 17/07/06

Finn Farm Lodge 19/07/05

Finn Farm Lodge 25/01/05

Finn Farm Lodge 02/09/04

Finn Farm Lodge 10/02/04

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

CARE HOME ADULTS 18-65 Finn Farm Lodge 2 Bathurst Road Folkestone Kent CT20 2NJ Lead Inspector Julian Graham Announced Inspection 10th January 2006 09:30 Finn Farm Lodge DS0000032336.V263351.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 Finn Farm Lodge DS0000032336.V263351.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. Finn Farm Lodge DS0000032336.V263351.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Finn Farm Lodge Address 2 Bathurst Road Folkestone Kent CT20 2NJ 01303 252821 01303 252821 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) Parkcare Homes (No. 2) Limited Miss Natasha Lydia Jane Pryke Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Finn Farm Lodge DS0000032336.V263351.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th July 2005 Brief Description of the Service: Finn Farm Bungalow is a Care Home for adults with a learning disability, which opened in September 2002. The home is registered to provide care for up to five residents. The Home is owned by the company Park Care Homes and the registered manager is Natasha Pryke. There are also six support workers. Finn Farm Bungalow is a large detached property with accommodation on two floors in a residential area of Folkestone. All local amenities and public transport are within easy reach of the Home. The accommodation comprises five single bedrooms, which are all ensuite. A communal bathroom is also provided. There is a large kitchen, a spacious communal lounge and a dining area. Gardens surround the property. The home aims to provide accommodation for adults with learning disabilities who are working towards independent living. Finn Farm Lodge DS0000032336.V263351.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was announced and lasted around five hours. All the residents were spoken with in the privacy of their bedrooms. A tour of the premises was undertaken and time was spent with the manager looking at paperwork. Two support workers were interviewed individually, one of whom was new to the home. Four feedback comment cards from residents were received before the inspection, and these in the main were very positive. For example, in response to the question “What’s good about living in your home?” one resident wrote “I go to bed when I want to.” A comment card was also received from a relative, who wrote “I am more than happy with the level of care at Finn Farm Lodge.” The home has two vacancies at present. One resident has very recently moved on to a supported living placement, which is a fine achievement. Another resident’s needs could no longer be met at Finn Farm Lodge and has moved to another home. What the service does well: What has improved since the last inspection? Residents continue to grow in confidence and need less personal support from staff. All complaints are being recorded, with an account of the action taken and the outcome of each complaint. New lounge furniture has been purchased, and a resident’s bedroom has been re-decorated. Finn Farm Lodge DS0000032336.V263351.R01.S.doc Version 5.0 Page 6 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. Finn Farm Lodge DS0000032336.V263351.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 Finn Farm Lodge DS0000032336.V263351.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): EVIDENCE: Not inspected on this visit. There have been no new admissions to the home since the last inspection. Finn Farm Lodge DS0000032336.V263351.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, The care planning system remains very clear, thorough and informative. Decision-making is encouraged and supported, and residents are very involved in the running of their home. EVIDENCE: Two care plans were viewed on this occasion, and as noted in the last report, these cover all aspects of residents’ personal and social support and healthcare needs, and are being drawn up to a very high standard. One resident confirmed his involvement in his care plan. There was evidence of monthly review and updating. Very clear guidelines for staff are in place regarding the management of challenging behaviours. It remains a recommendation that one or two personal goals are identified and prioritised for each resident. This process has commenced for one of the residents, with three goals selected, one of which already being achieved. It was clear that residents are being supported to make decisions about their lives. One resident made the decision to leave the home, as already noted. Two residents are largely managing their finances on their own. The minutes of residents’ meetings show that residents are being consulted on a range of matters that affect their life in the home, and all three residents were seen on Finn Farm Lodge DS0000032336.V263351.R01.S.doc Version 5.0 Page 10 the visit doing routine household chores, like hoovering and the washing up. One resident helped prepare the midday meal. Finn Farm Lodge DS0000032336.V263351.R01.S.doc Version 5.0 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 the following standard(s): 11,12,13,14,15 Personal development and active and interesting lives are promoted in the home. EVIDENCE: Opportunities are being regularly given to residents to develop a range of independent skills. One resident, for example, is more confident in speaking and is now joining two sentences together more often. Also, this person now no longer requires staff assistance when shaving. Educational games are used regularly to assist residents in learning new skills, increasing their knowledge regarding their own health, and generally becoming more confident and independent. The home is always on the lookout for more ways they can help residents become less reliant on staff. A new computer programme entitled “real life skills”, for example, and featuring banking and use of leisure time, has recently been purchased. Two of the three residents go out independently, and largely arrange their own leisure activities. One resident works in a charity shop from time to time, and also has occasional paid work in the town’s local football club. This also provides this person with opportunities to meet people and he is making a number of new friends. Another resident works in a café at the local library on one day a week. Finn Farm Lodge DS0000032336.V263351.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): Not inspected EVIDENCE: Finn Farm Lodge DS0000032336.V263351.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): 22,23 Residents know their complaints will be listened to and acted upon. Residents are being protected from abuse. The home’s policies and practices regarding monies are good. EVIDENCE: As required from the last inspection, all complaints are now being recorded, with the action taken and outcome. Four complaints have been recorded since the last visit, and these were appropriately handled. A resident spoke to the inspector about one of these complaints, and said he was listened to and was happy with the outcome. All permanent staff have attended training on adult abuse, and the two support workers who were interviewed, were clear as to the action to take in the event of any allegation or suspicion of abuse. With regards to monies, two of the residents go on their own to the bank to collect their personal allowances which they look after themselves. One resident pays his fees directly into the company’s account, and the other is almost ready to do this, too. Staff holds the personal allowance of the third resident, and records of transactions were in order. Finn Farm Lodge DS0000032336.V263351.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): 24,26,27,28,30 Residents live in a safe, comfortable, homely and well maintained environment. EVIDENCE: The three residents showed the inspector their rooms, which were attractive and in good order. One has recently been redecorated. Other areas of the home were clean, welcoming and well maintained. New lounge furniture has been made available as required. Finn Farm Lodge DS0000032336.V263351.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): 31,33,34,35,36 The staff have good understanding of residents’ support needs, and are being well trained and supported. Since the last inspection, morale has declined and there are some issues regarding teamwork. Recruitment policies are soundly and consistently followed, offering protection to the residents. EVIDENCE: Two support workers were interviewed individually and presented well. They were clear as to their role and responsibilities, and said they enjoy working in the home. One of the staff is new to the home, and confirmed he has received a thorough induction, which he felt equipped him to carry out his duties effectively. He said he is feeling “a hundred percent” supported by the manager. Examination of this person’s file showed that sound recruitment practice is being followed, and there was a completed and signed induction programme in place. The staff training matrix showed that staff are accessing training in safe working practices and courses specific to the resident group, for example, autism. Staff meetings are held regularly, and cover a wide range of issues. A meeting held shortly before this inspection included discussing the need for greater teamwork. It appears that there has been a dip in morale since two of the residents left the home. The manager, through enabling staff to voice concerns in meetings and in supervision, is tackling this matter robustly. Finn Farm Lodge DS0000032336.V263351.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): 37,39,41 The manager has a clear vision for the home, which she is effectively communicating to the residents and staff. There is effective quality assurance. Notifying the commission of events under regulation 37 could be improved. EVIDENCE: The manager continues to have an open and positive approach to her responsibilities, and is able to take firm and decisive action when this is needed. Staff referred to her as being approachable and supportive. There is an effective quality assurance system, with a number of ways used to monitor the service, including seeking the views of the residents. There are regular residents’ meetings, and key workers meet with their key residents on a monthly basis, to check how things are. A residents’ feedback questionnaire is being developed, in addition to the questionnaire already in place for relatives. Care plans and residents’ bedrooms are audited monthly. All aspects of the home’s functioning are the subject of a “home audit” undertaken by the manager each year, which includes monitoring health and safety issues. A representative from the company undertakes the monthly Regulation 26 visits. Finn Farm Lodge DS0000032336.V263351.R01.S.doc Version 5.0 Page 17 A recent incident affecting two of the residents should have been reported to the commission under Regulation 37, and a requirement is made in respect of this. Otherwise, records are being maintained to a good standard. Finn Farm Lodge DS0000032336.V263351.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 x x x x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 x x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 3 3 x 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 x 17 Standard No 31 32 33 34 35 36 Score 3 x 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Finn Farm Lodge Score x x x x Standard No 37 38 39 40 41 42 43 Score 3 x 4 x 2 x x DS0000032336.V263351.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. 1 Standard YA41 Regulation 37 Requirement All events under Regulation 37 must be notified to the commission without delay. Timescale for action 10/01/06 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 Refer to Standard YA6 Good Practice Recommendations Residents to be consulted with regards any personal goals they may have, and for these to feature in care plans, and to be monitored and recorded. Finn Farm Lodge DS0000032336.V263351.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 Finn Farm Lodge DS0000032336.V263351.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. 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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