Inspection on 19/07/05 for Finn Farm Lodge

This inspection was carried out on 19th July 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

Finn Farm Lodge 17/07/06

Finn Farm Lodge 10/01/06

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 19 July 2005 9:30 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. Finn Farm Lodge H56-H05 S32336 Finn Farm Lodge V238302 190705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Finn Farm Lodge Address 2 Bathurst Road, Folkestone, Kent, CT20 2NJ 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) 01303 252821 01303 252821 finn.farm.lodge@craegmoor.co.uk Parkcare Homes (No. 2) Limited Natasha Lydia Jane Pryke Care home only 5 Category(ies) of Learning Disability x 5 registration, with number of places Finn Farm Lodge H56-H05 S32336 Finn Farm Lodge V238302 190705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 25/01/05 Brief Description of the Service: Finn Farm Bungalow is a Care Home for adults with learning disabilities, 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 compromises five single bedrooms, which are all en-suite. 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 and Residents generally move into the Home from the company’s sister Home Finn Farm House when they are ready to adopt a more independent way of life. The home also considers applications from prospective residents external to the company. Finn Farm Lodge H56-H05 S32336 Finn Farm Lodge V238302 190705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of Finn Farm Lodge which started at 10.00 and took place over five hours. Four of the five residents were at home at the time of the visit and were spoken with. The fifth resident was out at work. Residents were looking well cared for, relaxed and cheerful. One said “I love it here.” Time was spent with the manager, and the team leader and a support worker were interviewed in private. A tour of the premises was undertaken which included being shown a bedroom by one of the residents. Lunch was shared with a resident. Some records were examined, including care plans, a staff file and complaints records. The residents, manager and staff are thanked for their welcome and assistance during the inspection. What the service does well: What has improved since the last inspection? Through staff support and encouragement, two residents are interacting with staff more, and are making their feelings known with more confidence. A third resident now no longer needs one to one staff support at weekends. The security and storage arrangements for medication have improved. Three residents have new furniture in their bedrooms. Finn Farm Lodge H56-H05 S32336 Finn Farm Lodge V238302 190705 Stage 4.doc Version 1.40 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 H56-H05 S32336 Finn Farm Lodge V238302 190705 Stage 4.doc Version 1.40 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 Finn Farm Lodge H56-H05 S32336 Finn Farm Lodge V238302 190705 Stage 4.doc Version 1.40 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) 2,4 The company’s pre-admission needs assessment form is detailed and comprehensive and forms part of a clear pre-admission process. This in turn informs the care planning system. EVIDENCE: There have been no recent admissions to the home. However, previous inspections have confirmed that comprehensive pre-admission needs assessment forms are in place, and are called Outcome Based Evaluations. The needs of any prospective residents would be assessed using these forms which would enable the home to judge the person’s suitability for admission. The manager said that any prospective resident and their supporters would be invited to visit the home to meet both current residents and staff, and that these could include overnight stays. She said the views of the other residents would be taken into consideration before making the decision to admit or not. A trial period of residence would be offered. Finn Farm Lodge H56-H05 S32336 Finn Farm Lodge V238302 190705 Stage 4.doc Version 1.40 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) 6,7,8,9,10 There is an excellent care planning system in place which provides staff with the information they need to meet residents’ needs. Residents are supported to make decisions and are offered opportunities to participate in the life of the home. EVIDENCE: The sample of care plans viewed showed that residents’ needs have been fully identified. Strategies for meeting need have been clearly recorded, and these include helpful and informative management guidelines for working with challenging behaviours. There are also a number of risks that have been assessed, and as with the care plans, these are being regularly reviewed. There is a section on “things I would like to do” which residents have been supported to complete. It is a recommendation of this report that one or two of these goals for each resident are prioritised for specific attention, broken down into separate steps where necessary, and properly actioned and monitored. This will give residents a greater chance of work being done to actually meet the goals. Residents are receiving assistance in making decisions about their lives. One resident, for example, is considering whether to move on to a supported living placement and staff are providing her with the support and assistance she Finn Farm Lodge H56-H05 S32336 Finn Farm Lodge V238302 190705 Stage 4.doc Version 1.40 Page 10 needs in order to make this life changing decision. Another resident made the decision to only spend one week away with a relative as opposed to two. Residents are being given support and encouragement to participate fully in the life of the home. A resident was seen, for example, rubbing down and painting the external window shutters. A kitchen cleaning rota was seen, detailing tasks residents are invited to undertake on a daily basis, such as cleaning fridges and so on. A resident said that he hoovers and cleans his room. Residents participate in the preparation and cooking of meals, and one resident was in the process of preparing a roast meal during the inspection. Staff demonstrated awareness around issues of confidentiality, and as recommended from the last inspection, the written policy now refers to when matters raised in confidence may need to be shared. Finn Farm Lodge H56-H05 S32336 Finn Farm Lodge V238302 190705 Stage 4.doc Version 1.40 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) 11,12,13,14,15,1617 Personal development and active and fulfilling lives are promoted in the home. EVIDENCE: The home is effectively supporting residents in learning new skills and becoming less reliant on staff. The resident who is thinking about moving on, is being enabled to learn new and build on existing skills she may need. For example, she is now doing her own laundry and ironing and is helping to identify what food provisions are needed each week and plan the shopping list. Educational board games are also used to help residents progress in areas ranging from literacy and numeracy to being able to recognise the tablets they are on. Residents attend college courses during term time and one resident said that with a lot of staff support, he has been able to complete a whole year’s college programme. He recognises this as being a fine achievement. Two residents have been undertaking paid employment for half a day each week. Some of the residents are able to go out independently and arrange their own leisure activities. For those needing more support, activities such as swimming, ten pin bowling, trips out in the car are offered by staff. Residents are making good use of local community facilities and amenities. Daily routines are flexible and a resident said that he is free to spend time in his room Finn Farm Lodge H56-H05 S32336 Finn Farm Lodge V238302 190705 Stage 4.doc Version 1.40 Page 12 whenever he wishes. Residents contribute to the weekly menus and said they like the food provided. Staff said there is always an alternative to the main meal if requested. Contact with families is encouraged, and a resident said that staff ensure that he continues to see his family by driving him to their home which is some distance away. Finn Farm Lodge H56-H05 S32336 Finn Farm Lodge V238302 190705 Stage 4.doc Version 1.40 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 Staff have a very good understanding of residents’ support needs and residents’ healthcare is promoted. The storage and security of medication has improved. EVIDENCE: Care plans refer in detail to the degree of support and assistance residents need in the way of personal support, for example, oral care. Residents were all looking nicely presented. Where needed, NHS healthcare professionals are accessed, and the manager said that she is currently liaising with a psychiatrist from the Community Learning Disability Team in support of one of the residents. Arrangements for the storage of medication have improved as required from the last inspection. The medication cupboard is no longer located on the main thoroughfare of the premises. Each resident now has an individual medication cabinet in their room. The manager outlined sound procedures for the administration, ordering and receipt of medication. This includes the auditing of medication in each cabinet on a daily basis. MAR charts were in order, and there is clear and useful information on each of the medications residents are on in their care plans. Finn Farm Lodge H56-H05 S32336 Finn Farm Lodge V238302 190705 Stage 4.doc Version 1.40 Page 14 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 Residents are being protected from abuse. The home has a satisfactory complaints system with some evidence that residents feel their views are listened to and acted upon. The complaints system would be improved by the home recording all complaints, no matter how minor. EVIDENCE: Written policies and procedures on adult abuse and whistle blowing are available. These have been made more clear since the last inspection by the development of a flowchart outlining what is expected by staff in the event of an allegation being made. The two staff who interviewed individually were both clear in their understanding of procedures. One complaint is in the process of being investigated at the time of inspection. No other complaints had been recorded. The manager agreed however, that from time to time issues are raised by residents, which were not recorded on the complaints form, but in daily notes or residents’ meeting minutes and so on. In order for the home to more effectively track residents’ concerns/complaints, it is recommended that all complaints are recorded on the complaints form. Finn Farm Lodge H56-H05 S32336 Finn Farm Lodge V238302 190705 Stage 4.doc Version 1.40 Page 15 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) 24,26,27,28,30 The standard of the environment is good within the home providing residents with an attractive, comfortable and homely place to live. EVIDENCE: A tour of the premises revealed good standards of hygiene and cleanliness and the home was free from offensive odours. The home is domestic is style and size and has sufficient space for the five residents living there. The written audit of residents’ bedrooms showed that items of furniture requested by residents have been purchased. A resident requested a desk for her room in a residents’ meeting and this has been obtained. One bedroom was seen on this occasion, and it was nicely decorated and furbished, with a new double seater setee and very personalised. The occupant of the room said that he does lock the door and that staff ask his permission to enter. A resident pointed out that the sofas in the lounge are very low and not very comfortable. This was confirmed by the inspector, and it is a requirement of this report that new lounge furniture is provided. Finn Farm Lodge H56-H05 S32336 Finn Farm Lodge V238302 190705 Stage 4.doc Version 1.40 Page 16 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, 33,35,36 Staff morale is high resulting in an enthusiastic workforce that works positively with residents to improve their whole quality of life. Staff are well trained and feel valued and supported. EVIDENCE: The team leader and a support worker were interviewed in private, and demonstrated a very positive approach and attitude to their work, and were clear as to their role and responsibilities. They had a very good understanding of the principles of care underpinning their work, and they evidently enjoy working in the home and feel motivated and enthusiastic. The home has a settled staff team, with just one change in personnel since the last inspection. The person appointed came from another of the company’s homes, but still underwent the induction process. Induction and foundation training records reveal a thorough grounding in the work that is expected from staff, including the requirement to complete question papers to demonstrate understanding. All staff are currently undertaking NVQ training, with the team leader just starting NVQ Level 3. Staff training records are being very well maintained and show a wide range of training undertaken by staff over the past twelve months. Staff meetings are held on a monthly basis, with minutes taken. Staffing levels allow for a minimum of two staff on duty at all times, with three on in the afternoons during weekdays. These numbers are sufficient to meet residents’ needs. Formal one to one supervision is provided by the manager Finn Farm Lodge H56-H05 S32336 Finn Farm Lodge V238302 190705 Stage 4.doc Version 1.40 Page 17 and team leader who have both recently received training on the matter. Supervision notes were seen. Finn Farm Lodge H56-H05 S32336 Finn Farm Lodge V238302 190705 Stage 4.doc Version 1.40 Page 18 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) 37,38,41,42 Residents are benefiting from a well run home. EVIDENCE: The manager is shortly to complete her RMA training and also undertakes other training from time to time to update her knowledge and skills. The manager’s approach is open and positive and is one to which residents and staff are responding well. There was evidence to show that the manager is communicating a clear sense of direction. For example, a standard agenda item in staff meetings is the reinforcing of her expectation that staff involve residents in household and leisure activities. The notes of a staff supervision session show that firm boundaries are set when necessary. Residents’ views are sought formally in residents’ meetings and through periodic feedback questionnaires. Record keeping is to a good standard and there were no obvious health and safety concerns. Finn Farm Lodge H56-H05 S32336 Finn Farm Lodge V238302 190705 Stage 4.doc Version 1.40 Page 19 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 x 3 x Standard No 22 23 ENVIRONMENT Score 2 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 3 3 x 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 x 2 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Finn Farm Lodge Score 2 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x 3 3 x H56-H05 S32336 Finn Farm Lodge V238302 190705 Stage 4.doc Version 1.40 Page 20 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. 2. Standard 22 28 Regulation 22 23 Requirement All complaints to be recorded. Suitable lounge furniture to be provided Timescale for action 19/07/05 . RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 6 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. 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