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Inspection on 24/11/05 for Grovelands Farmhouse

Also see our care home review for Grovelands Farmhouse for more information

This inspection was carried out on 24th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The atmosphere in the home is warm and friendly; this helps the residents to know and understand that this is their home. The residents are supported in a positive way to make choices and enjoy their chosen activities. Each resident is allocated a named key worker and care plans are kept up to date with review of care as necessary. The staff group have worked well to support residents to participate in a wide variety of community based. The manager and her staff have worked hard to support one resident to reunite with a family member and now to develop a very positive relationship between them, the home is dedicated to ensuring that the residents are able to keep in touch with families and friends.

What has improved since the last inspection?

The overall environment of the home has had considerable attention given to it to ensure that the residents can access both the home and the gardens safely. The manager has complied with all requirements made during the previous inspection and has also adopted the recommendations that were made at that time.

What the care home could do better:

The home has consistently offered a good standard of care and support to the service users. However it is essential that the home is allowed to retain all original documentation concerning the residents or the service, the head office should no longer keep them. The CSCI must be given access to ensure that the home complies with standard 42 of the National Minimum Standards for Younger Adults.

CARE HOME ADULTS 18-65 Grovelands Farmhouse Grovelands Tandridge Hill Lane Godstone Surrey RH9 8DD Lead Inspector Kenneth Dunn Announced Inspection 24th November 2005 10:00 Grovelands Farmhouse DS0000013661.V261462.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 Grovelands Farmhouse DS0000013661.V261462.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. Grovelands Farmhouse DS0000013661.V261462.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Grovelands Farmhouse Address Grovelands Tandridge Hill Lane Godstone Surrey RH9 8DD 01883 744128 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) THF Care Estates Limited Mrs Diana Hayes Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Grovelands Farmhouse DS0000013661.V261462.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The age/age range of the persons to be accommodated will be: 18-50 YEARS Only one service user between the age of 18 and 20 years may be admitted, within the total of six service users. 22nd September 2004 Date of last inspection Brief Description of the Service: Grovelands Farmhouse is a care home providing personal care and accommodation for six adults with learning disabilities between the ages of 18 and 65 years. The home provides for service users with complex needs, particularly those of a psychological nature. The home is owned by THF Care Estates Limited. The company operates other care homes, in Sussex and Surrey. The company also owns a working farm next door to the home. A range of daytime services for people with learning disabilities operate from the farm and service users living at the farmhouse attend for individually planned sessions.The farmhouse is in a remote country location, accessible via a single-track road. There is no public transport route nearby so visitors to the home use their own private car or taxi service. The home is situated close to the junction of the M23 and M25 motorways. The towns of Oxted and Godstone are easily accessible by car, and the home has its own minibus. Grovelands Farmhouse DS0000013661.V261462.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second inspection that has taken place this year 2005/2006. The inspection was announced and therefore the residents and staff were aware that the inspector was visiting. The manager was present throughout the inspection and the inspector was given plenty of opportunity to speak to residents and staff who were on duty. Records were also seen. The atmosphere in the home was relaxed. Residents were freely accessing many different areas of the home. The home was clean and tidy and there were adequate staff on duty. The inspector wishes to thank all those involved in providing the information in this report and in particular the residents, the relatives, the manager, the provider and the staff present. What the service does well: What has improved since the last inspection? What they could do better: The home has consistently offered a good standard of care and support to the service users. However it is essential that the home is allowed to retain all original documentation concerning the residents or the service, the head office should no longer keep them. The CSCI must be given access to ensure that the home complies with standard 42 of the National Minimum Standards for Younger Adults. Grovelands Farmhouse DS0000013661.V261462.R01.S.doc Version 5.0 Page 6 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. Grovelands Farmhouse DS0000013661.V261462.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 Grovelands Farmhouse DS0000013661.V261462.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): Standards 1, 2, 3 & 4 were assessed on the last inspection. EVIDENCE: For information on these standards please refer to the report of 16th June 2005. Grovelands Farmhouse DS0000013661.V261462.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): 7&9 The service users’ individual plans are clear and comprehensive including details of needs and goals. They also incorporate known or indicated preferences and choices EVIDENCE: Care plans inspected were comprehensive and set out actions which need to be taken by care staff to ensure that the needs of the service users are met. They also set out the protocols for staff to follow to ensure that the service users are encouraged and assisted to make decisions about their own lives. The care plans fully evidence that staff enable service users to take responsible risks. These risks are assessed and included in each care plan with appropriate actions/training identified to reduce the level of risk. One service user was very happy to share is passion for Chelsea Football Club with the inspector the staff fully support him to be a proactive member of the football teams supporters clubs. Another service user decided to sit in with the manager and the inspector during the inspection. Grovelands Farmhouse DS0000013661.V261462.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): 17 The meals in this home are good offering both choice and variety and catering for special dietary needs. EVIDENCE: Care workers encourage service users to make their own choices and this is reflected in the variety of foods the service users receive. The home provides three main meals per day with snacks of fruit, soft drinks, tea coffee and biscuits throughout the day. On the day of inspection there was a good supply of food, in the home. Grovelands Farmhouse DS0000013661.V261462.R01.S.doc Version 5.0 Page 11 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 Personal care and healthcare support and assistance is planned and was seen to be provided, where needed, in a respectful and sensitive manner. EVIDENCE: At the time of this inspection only one service user required the assistance of staff for their personal care needs, this was clearly set out in the service users individual plan. The manager explained that the remaining service users are independent with their personal care and are only offered the minimum of assisted to maintain and develop that independence. The care plans sampled also provided evidence that service users’ healthcare needs are being met. Service users are all registered with a local GP and referrals to other health care professionals are obtained, as necessary, from the GP surgery. Grovelands Farmhouse DS0000013661.V261462.R01.S.doc Version 5.0 Page 12 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): Standards 22 & 23 were assessed on the last inspection. EVIDENCE: For information on these standards please refer to the report of 16th June 2005. Grovelands Farmhouse DS0000013661.V261462.R01.S.doc Version 5.0 Page 13 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): Standards 24, 25, 26, 27, 28 & 30 were assessed on the last inspection. EVIDENCE: For information on these standards please refer to the report of 16th June 2005. Grovelands Farmhouse DS0000013661.V261462.R01.S.doc Version 5.0 Page 14 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 appeared to be enthusiastic and committed to supporting residents. Generally the training and development of staff within this service is given a high priority. EVIDENCE: The relationship between the service users and staff was observed to be relaxed and friendly, creating a warm and homely feel. The service users are encouraged and supported to be as independent as they were able. Training and development of staff has been given a high priority. The service has embarked upon the Investors in People award and has successfully completed the initial process for the award. Training continues to improve within the organisation and there is a detailed training programme in place. Grovelands Farmhouse DS0000013661.V261462.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): 39, 42 & 43 There is good leadership and consistent direction to staff in this home to ensure that Service Users receive consistent quality care. The manager is fully aware of the needs of the Service Users in the home and as such is able to communicate this to staff through regular staff meetings and individual supervision sessions. The inspector was not able to review standard 43 again as the information was not available. EVIDENCE: Grovelands Farmhouse DS0000013661.V261462.R01.S.doc Version 5.0 Page 16 The evidence seen of the frequency of staff meetings and informal supervision is indicative of the open and supportive atmosphere of this home. Regulation 26 (Monthly visits by the proprietor) are undertaken and copies are sent to the CSCI inspector. All relevant policies and procedures were in place. They included policies and procedures for the health, safety and welfare of service users and staff. Systems existed to demonstrate these had been communicated to staff. Detailed policies and procedures were in place in relation to safe working practices. There is a system where the organisation conducts a full quality assurance audit of the relatives of the service users and any other relevant professional who have regular contact with the service users. However the manager is not party to this process and is only given basic feed back from her head office. It is essential that the manager has full access to the returned forms and is allowed to retain the originals on site for future reviews. The inspector was also unable to review the financial status of the home (standard 42), as the relevant items for audit were not available. The manager had made considerable efforts to ensure that the required items were on site and called the financial manager during the inspection to ascertain if the papers would be made available unfortunately these items failed to arrive before the inspection was concluded. Grovelands Farmhouse DS0000013661.V261462.R01.S.doc Version 5.0 Page 17 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 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 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 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Grovelands Farmhouse Score 3 X X X Standard No 37 38 39 40 41 42 43 Score X X 1 X X 3 1 DS0000013661.V261462.R01.S.doc Version 5.0 Page 18 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 YA39 Regulation 24 Requirement It is essential that the manager has fully access to the returned forms and is allowed to retain the originals on site for future reviews. The organisation must ensure that a copy of the all relevant financial information is retained at the home for future inspections. Timescale for action 01/01/06 2 YA43 25 01/01/06 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 Grovelands Farmhouse DS0000013661.V261462.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Grovelands Farmhouse DS0000013661.V261462.R01.S.doc Version 5.0 Page 20 - 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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