Inspecting for better lives Random inspection report
Care homes for adults (18-65 years)
Name: Address: Higher Morris Farm 595 Preston Road Clayton Le Woods Lancashire PR6 7EB The quality rating for this care home is: The rating was made on: three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Vivienne Morris Date: 2 8 1 1 2 0 0 8 Information about the care home
Name of care home: Address: Higher Morris Farm 595 Preston Road Clayton Le Woods Lancashire PR6 7EB 01772324515 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Progress Adult Services Ltd care home 5 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability 5 Over 65 0 Conditions of registration: The registered person may provide the following category/ies of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following conditions: Learning disability - Code LD The maximum number of service users who can be accommodated is: 5 Date of last inspection Brief description of the care home Higher Morris Farm is one of the three homes operated by Progress Adult Services Ltd, which is a company caring for young adults whose severe learning disabilities are compounded by severe challenging behaviour. The home aims to provide an individualised, integrated service within which, communication therapy and high quality care, combine to reduce challenging behaviour and reinforce and maintain positive changes. The home is a detached property with a large enclosed secure garden to the rear, and parking area to the front and side of the property. The home offers accommodation for up to five young adults who each have their own bedroom. Care Homes for Adults (18-65 years) Page 2 of 8 Several bathrooms and toilets are located throughout the home. Three lounges, a dining room and kitchen are also provided. At the time of the site visit there were four young adults living at the home. Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
This random inspection took place over half a day during November 2008. The purpose of our visit was to ensure that the home was maintaining the excellent standard of service achieved at the previous key inspection of the 4th July 2007. During this visit discussions took place with people living at the home as well as with staff and managers of the service. We also examined a random selection of records, policies and procedures and observed the daily activity within the home. We looked at information received previously, such as the annual quality assurance assessment, which is a self assessment of the service that the managers complete every year to tell us how the home is meeting objectives for the people living there and what improvements need to be made. As part of this random inspection we we used case tracking as a means of assessing some of the National Minimum Standards. This process enabled us to focus on the care received by one of the young adults living at Higher Morris Farm. Records relating to that individual were inspected and a discussion took place with them. At the time of our visist to this service the fees ranged from 135, 000 pounds to 172, 000 pounds per year. There were no charges being incurred for additional services provided. What the care home does well:
Higher Morris Farm provides clean, comfortable and well-maintained accommodation for the young adults who live there and a pleasant working environment for the support staff. The home has a thorough and detailed pre-admission process that ensures, as far as possible that the home is able to provide appropriate support to a prospective resident and also, whenever possible, encourages and supports them to make a decision about if they would like to live at Higher Morris Farm. The home has a history of being person centred in its approach and it places an emphasis on the abilities, interests and hobbies of the young adults with the intention of supporting them to enjoy a fullfilling life. The home involves the young adult and their families in the process of deciding how best to provide the necessary support. The plans of care are detailed and they include information about the young adults preferred routines, preferences and lifestyle, but also taking into consideration the safety of the people living at the home. Each young adult living at the home has their own, individualised activity timetable that enables them to follow their own interests and hobbies and to participate in the local community as far as possible. Flexible and extra staffing enables people living at Higher Morris Farm to take part in activities outside the home, but it is also recognised that routine and familiarity were important to them. The home has strong links and good support from the families of the young adults living at Higher Morris Farm and any visitors are made to feel welcome. Care Homes for Adults (18-65 years) Page 4 of 8 Meals were planned to meet the specific needs of each of the young adults, with dietary requirements, religious needs and individual preferences being taken into consideration. A health care plan is in place for each individual and these outline the steps needing to be taken by staff to ensure their continuing good health. A number of health professionals are involved in providing support to the young adults who use the service so that their health care needs are consistently met. Staff are carefully recruited with all of the necessary checks being undertaken before a new member of staff starts work at the home. The young adults are comfortable and relaxed in the company of staff and the staff themselves speak sensitively to the people living at the home. The staff team have a good mix of skills having attended a range of appropriate training courses. The home is well managed, providing a safe and suitable service for the young adults living at Higher Morris Farm. The home also receives good support and guidance from the senior management team, who visit the home regularly. There are a number of internal quality assurance audits conducted to ensure that the home is run safely and that a good service is provided. The health, safety and welfare of the young adults and staff are promoted and protected by ensuring that the systems and equipment within the home are safe for use. The What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 6 of 8 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 8 of 8 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
