Inspection on 14/12/05 for Frognal Farmhouse

This inspection was carried out on 14th December 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Frognal Farmhouse 26/11/08

Frognal Farmhouse 19/12/06

Frognal Farmhouse 29/06/05

Frognal Farmhouse 09/02/05

Frognal Farmhouse 26/01/05

Frognal Farmhouse 13/02/03

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

CARE HOME ADULTS 18-65 Frognal Farmhouse Lower Road Teynham Sittingbourne Kent ME9 9BY Lead Inspector Christine Lawrence Announced Inspection 14th December 2005 02:00 Frognal Farmhouse DS0000024073.V260467.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 Frognal Farmhouse DS0000024073.V260467.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. Frognal Farmhouse DS0000024073.V260467.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Frognal Farmhouse Address Lower Road Teynham Sittingbourne Kent ME9 9BY 01795 521764 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) Care Management Group Limited Audrey Emmett Care Home 16 Category(ies) of Learning disability (16) registration, with number of places Frognal Farmhouse DS0000024073.V260467.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th June 2005 Brief Description of the Service: Frognall Farmhouse is a care home providing personal care and accommodation for 16 people with learning disabilities. The home is located on the outskirts of Teynham in a rural setting. It is within walking distance of the village where there are shops and other amenities. Public transport, both rail and bus is located about half a mile away. The home has its own minibus. Accommodation is split between the main house (in which there are eleven beds) and three detached bungalows near by, one for a single person and the other two each accommodating two residents. Within the grounds there is a skills centre which provides a day service for residents choosing to attend. Frognal Farmhouse DS0000024073.V260467.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over an afternoon and the following morning. The inspection consisted of looking at standards not inspected during the unannounced inspection of 29 June 2005 (the report of that inspection can be used to gain further information about this home). The inspector looked at care plans and policies and procedures. Residents chatted informally with the inspector who also had discussions with staff. Fourteen residents were helped by staff to complete comment cards for this inspection and ten relatives and/or friends also sent in completed comment cards. 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. Frognal Farmhouse DS0000024073.V260467.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 Frognal Farmhouse DS0000024073.V260467.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): None These standards were not assessed at this time EVIDENCE: Frognal Farmhouse DS0000024073.V260467.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): 9 Service users are supported to take risks so they can live as independent a life as possible. EVIDENCE: There is a designated folder with risk assessments as well as information on individual files. The information contained therein clearly shows that the home tries to enable residents to live as independent a life as possible. Some examples include using public transport, using a bicycle, smoking, working in the kitchen and walking to the village unescorted. The assessments are individual where appropriate but there are also some more generalised ones. The manager and deputy manager explained that risks are identified as part of the pre-admission assessment and an example of this was noted. There are guidelines in the event of a missing person. Frognal Farmhouse DS0000024073.V260467.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): 12 and 13 Residents are able to take part in appropriate activities both inside the home and in the local community which leads to a feeling of fulfilment. EVIDENCE: Programmes were seen by the inspector for activities in the house. These are individual and vary according to age and ability of the resident. There are domestic chores within the house, both personal and communal. Residents are involved in shopping and cooking wherever possible. There is also a programme for daily activities within the Skills Centre on site. Some residents also attend college courses. Two residents are involved with work experience. The management is currently looking at further opportunities for meaningful activities. The records indicate that residents use local shops at the village. There are also opportunities to go to the cinema, pubs, restaurants, theatre, ten-pin bowling, church and boot fairs. The home has transport (a car and an eight seater) and residents might also use public transport. Residents are all registered to vote and the Skills Centre sets up mock facilities to support those residents who wish to vote. The rota shows that staff are available at weekends and in evenings. Frognal Farmhouse DS0000024073.V260467.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): 20 Residents are protected by the homes policies and procedures regarding medication. EVIDENCE: Nobody within the home is currently able to self-medicate. The storage for medication is in a locked cupboard in the lower lounge. This cupboard was neat and tidy. The home uses a monitored dosage system. There are policies and procedures in place regarding medication as well as the Royal Pharmaceutical Society of Great Britain’s guidelines. There are very clear details about any medication which has to be given as required. A monthly audit is carried out to inform the process for ordering medications. Each person has an individual medication profile which can be used if a resident has to attend hospital in an emergency. Patient information leaflets for all medications are available in a folder for reference purposes. Training has been provided to staff who administer medication. Frognal Farmhouse DS0000024073.V260467.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): None These standards were not assessed at this time EVIDENCE: Frognal Farmhouse DS0000024073.V260467.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): 30.4 The laundry area is not totally fit for purpose and may compromise hygiene. EVIDENCE: The work planned for improving the floor and walls within the laundry has still yet to be completed. Susan Lewis has decided to move things forward by using a local contractor rather than wait for the company’s people. Frognal Farmhouse DS0000024073.V260467.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): 35 Staff are appropriately trained and can therefore meet residents’ needs. EVIDENCE: The records of training were viewed during this inspection. The deputy manager oversees the training programme in conjunction with the manager. Courses are booked either through the company’s own training and development section or external as required. The home manages its own budget so is able to make judgements about training needs. The records further showed that all staff receive induction and foundation training in keeping with TOPSS standards. The manager is aware that TOPSS is now Skills for Care and she is to review their new recommendations for induction training. The preparation for new staff varies according to past experience. ‘Shadowing’ an experienced person forms part of this. A matrix is maintained so the deputy manager can see at a glance when updates to training are required. Supervision notes viewed showed that individual’s training needs and wishes are identified. The company provides more than five training days per year. Frognal Farmhouse DS0000024073.V260467.R01.S.doc Version 5.0 Page 14 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): 39 The quality assurance system in place means that residents’ views are taken into account EVIDENCE: The company sends out questionnaires to all residents. Information about the responses is then sent to the home for an Action Plan to be compiled. A Residents’ Forum is also set up for the whole organisation and Frognall Farmhouse has sent representatives. There is a residents’ newsletter. Residents’ friends and/or relatives are also consulted. Policies and procedures are reviewed by the company on a regular basis. The home is always responsive to recommendations or requirements from the Commission for Social Care Inspection. Frognal Farmhouse DS0000024073.V260467.R01.S.doc Version 5.0 Page 15 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 X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X 2 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Frognal Farmhouse Score X X 3 X Standard No 37 38 39 40 41 42 43 Score X X 3 X X X X DS0000024073.V260467.R01.S.doc Version 5.0 Page 16 Yes 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 YA30 Regulation 13(3) Requirement The planned improvements to the laundry walls and floor to go ahead. The date for the work to start should be notified to the Commission. Timescale for action 31/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Frognal Farmhouse DS0000024073.V260467.R01.S.doc Version 5.0 Page 17 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 Frognal Farmhouse DS0000024073.V260467.R01.S.doc Version 5.0 Page 18 - 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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