Inspection on 09/06/05 for Highfield Farm

This inspection was carried out on 9th June 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

Highfield Farm 05/12/07

Highfield Farm 08/08/06

Highfield Farm 13/12/05

Highfield Farm 07/12/04

Highfield Farm 15/06/04

Similar services:

Grayling

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Highfield Farm Upper Sheffield Road Worsborough Barnsley S70 4PU Lead Inspector Sue Stephens Unannounced 09 June 2005 11:00 - 16:00 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. Highfield Farm J51 S49850 Highfield Farm V231683 090605 UI Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Highfield Farm Address Upper Sheffield Road Worsborough Barnsley S70 4PU 01226 287111 01226 248434 None Voyage Limited 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) Mrs Ruth Vivian (not yet registered) PC Care home only 8 Category(ies) of LD Learning Disability (8) registration, with number of places Highfield Farm J51 S49850 Highfield Farm V231683 090605 UI Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The minimum staffing levels must be maintained at, at least, the level required by the `Residential Forum Care Staffing in Care Homes for Younger Adults` published by Residential Forum April 2002. A minimum of one waking plus one sleeping in member of care staff must be on duty between 22:00 and 07:00 hours. 2. Date of last inspection 7 December 2004 Brief Description of the Service: Highfield Farm is a care home for younger adults providing personal care and accommodation for 8 people with learning disabilities. Voyage Ltd owns the home. The home is situated on a small road off Sheffield Road, about one mile from the town centre and is close to shops, pubs, and other amenities; the home is close to a main bus route. The home has ground floor and first floor accommodation with single bedrooms, which have ensuite facilities. The premise stand in large gardens and grounds with parking space. A swimming pool is attatched to the home, residents can access with staff supervision only. Highfield Farm J51 S49850 Highfield Farm V231683 090605 UI Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over 5 hours, between 11:00am and 16:00 pm. A partial tour of the premises was carried out. Consultation with residents, staff and the manager took place. Samples of the homes records, including three residents’ records, were checked. Seven residents were consulted, either individually or in small groups; and observations were made of the resident’s daily routines, and their relationship with staff and the manager. Staff were consulted, or observed carrying out their duties. The residents, staff and manager are thanked for the welcome they gave to the inspector and their assistance during this inspection. What the service does well: What has improved since the last inspection? Medication system had been changed to encourage residents to be more involved in their medication. Staff said thy felt that resident’s choice and autonomy had very much improved. Residents said they could express their views and their concerns would be listened. Monitoring and recording systems had improved. Highfield Farm J51 S49850 Highfield Farm V231683 090605 UI Stage 4.doc Version 1.30 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. Highfield Farm J51 S49850 Highfield Farm V231683 090605 UI Stage 4.doc Version 1.30 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 Highfield Farm J51 S49850 Highfield Farm V231683 090605 UI Stage 4.doc Version 1.30 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) 2,3 and 4 Thorough assessments were carried and residents specialist needs were met. Trial visits were designed to suit individuals being introduced to the home. EVIDENCE: The home had carried out good assessments; they were thorough and were carried out with the resident. The assessments had been regularly reviewed providing a good understanding of the resident’s developments and changing needs. Good practice guidelines supported residents needing specialist care, these included communication and dealing with behavioural needs. Staff encouraged good communications and openly praised the resident’s efforts. Residents responded very positively to this approach. Staff were mindful of advice given by other professionals, for example speech therapy and physiotherapist and good health outcomes had been achieved. Trial visits had been provided to the new resident in a way that suited the resident; the home continued to reassess the resident’s needs as they settled in. Highfield Farm J51 S49850 Highfield Farm V231683 090605 UI Stage 4.doc Version 1.30 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 and 9. Residents were involved in decisions about their care through well-managed care plans and risk assessments. Resident’s choices and understanding of their care needs would be further improved by introducing a more person-centered approach. Residents were encouraged to make choices and be involved in the running of their home. Highfield Farm J51 S49850 Highfield Farm V231683 090605 UI Stage 4.doc Version 1.30 Page 10 EVIDENCE: Residents were aware of their care plans and they were encouraged to be involved. The information was good, including the action staff must take to support the resident’s. The plans were well-organised and included risk assessments, reviews and daily recordings. Staff were knowledgeable and confident with the system; enabling consistent care approaches, for example dealing with behaviours. Care plans had not been developed using a person centred planning approach, for example including, larger and clearer photos, pictures to aid understanding (bathing, healthy diet, family connections) and preferred routines, likes and dislikes. The manager however said training had been organised for some staff. By encouraging good communication skills residents were supported in decision-making and participation; residents and staff used sign language where appropriate. Staff interviewed said giving residents more choice and autonomy was the home’s best improvement. Residents confirmed they felt involved in the running of the home and chose, for example, when to cook and help clean. Residents were confident in giving the staff and the manager their opinion about their home. Highfield Farm J51 S49850 Highfield Farm V231683 090605 UI Stage 4.doc Version 1.30 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) 12,13,14,15 and 16. Resident’s social, educational and emotional needs were well understood and supported. Staff had a positive and caring approach towards helping residents develop their skills. Highfield Farm J51 S49850 Highfield Farm V231683 090605 UI Stage 4.doc Version 1.30 Page 12 EVIDENCE: Each resident had an agreed routine of activity and education, based on their needs and preferences. Included were, college courses, social groups, community activities, voluntary work and helping out at the organisations other sites. Residents spoke very enthusiastically about their activities, some said they particularly liked helping out on a farm and with Birds of Prey. Residents were encouraged to enjoy regular exercise, and interesting activities; they were well supported by staff who were motivated and energetic, residents responded very positively to this approach. Support was provided to keep involved with family and friends, and respectful support was provided to residents who had caring and close relationships with partners. Highfield Farm J51 S49850 Highfield Farm V231683 090605 UI Stage 4.doc Version 1.30 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 and 20. Personal support was provided with dignity and respect. Physical and emotional health needs were met through monitoring, and providing support to access health services. Medication was managed safely and encouraged resident’s independence and dignity. Highfield Farm J51 S49850 Highfield Farm V231683 090605 UI Stage 4.doc Version 1.30 Page 14 EVIDENCE: Routines such as bedtimes and mealtimes were flexible and support was given to access specialist support including physiotherapist, speech therapists and mental health support. Health care was monitored and well recorded, and access to G.P, and NHS health care including dentist and optician was provided. A fluid input chart was not accurately used or recorded. Medication storage was tidy, clean and organised; clear records were maintained and staff had received training. A staff member said training had included a test of knowledge and staff were shadowed for a month before they could administer medication. Residents were encouraged to take a more independent role in their medication, for example by preparing their own drink and accompanying staff to collect their medication rather than being ‘served’ the medication. Highfield Farm J51 S49850 Highfield Farm V231683 090605 UI Stage 4.doc Version 1.30 Page 15 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 and 23 Residents could air their concerns and these would be acted upon. Systems were in place to help protect residents from risk of harm. EVIDENCE: The complaints procedure was clear and placed in prominent areas including resident bedrooms. The procedure was also on display in sign form, an easier format to understand for people who found it difficult to read. Residents consulted said they knew how to complain and could do this easily to any staff or manager if they needed. Staff consulted said they had received adult protection training and understood the whistle blowing procedure. Adult protection training was given at induction and as additional training. Highfield Farm J51 S49850 Highfield Farm V231683 090605 UI Stage 4.doc Version 1.30 Page 16 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) 24,25,26,27,28,29 and 30. Residents lived in a comfortable and homely environment. The environment suited the resident’s needs and helped promote their independence. The plan for a conservatory would benefit residents. The home needs to improve maintenance of slabs and toilet seats to avoid possible injury. Safety and comfort were put at risk by the uneven slabs and loose toilet seats. Highfield Farm J51 S49850 Highfield Farm V231683 090605 UI Stage 4.doc Version 1.30 Page 17 EVIDENCE: The home was clean, comfortable and well maintained and rooms were well decorated and furnished, creating a homely environment. The swimming pool, attached to the home, had procedures in place to ensure residents safety, including locks on doors and gates. The kitchen and laundry were tidy and clean and residents could use them with staff support to develop independence skills. Some slabs around the home including the entrance to the swimming pool were uneven, creating a tripping hazard. The home lacked a suitable separate place for activities or to relax away from the main lounge, the manager said planning permission was being sort for a conservatory, which should resolve the problem. Resident’s said they liked their bedrooms and said they had everything they needed in them; some residents were choosing new colour schemes for their rooms, this encouraged them to take pride and personalise their own rooms. Toilets and bathrooms were clean and well maintained; however two toilet seats were loose, this could cause a safety hazard or discomfort. A monitor system had been provided for one resident, who requested it, to help the resident feel safer and allow staff to act promptly if the resident needed them. Highfield Farm J51 S49850 Highfield Farm V231683 090605 UI Stage 4.doc Version 1.30 Page 18 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 and 35. Residents were well supported by a positive and well-trained staff team. EVIDENCE: Staff understood their role well, this was evident by the way they supported and encouraged residents; staff consulted said they felt well supported, had clear direction and received good training. A staff member said training in dealing with behaviours had been useful and had improved confidence, another staff said it encouraged distraction, which was better for the residents. Comments made by the staff about the home included, “good support”, “good team” “it’s fantastic” “I think it is brilliant”. Residents said they were fond of the staff; this was evident from resident’s positive response to staff, who created a lively, attentive atmosphere for individuals. Some staff had achieved NVQ qualifications in care at levels 2 and 3, and a further 11 were working towards the qualification or were waiting for verification, this was contributing to the staff teams effectiveness. Highfield Farm J51 S49850 Highfield Farm V231683 090605 UI Stage 4.doc Version 1.30 Page 19 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) 37,38,39 and 42. This home was well managed, resulting in good quality care for residents. Some of the safe working practice records and staff training was insufficient; this could result in service users welfare and safety not being protected. Highfield Farm J51 S49850 Highfield Farm V231683 090605 UI Stage 4.doc Version 1.30 Page 20 EVIDENCE: The manager was applying to the commission for registration. The manager demonstrated good leadership skills and understood the needs of the residents. Residents enjoyed a pleasant and humorous rapport with the manager and she was aware of their needs and preferences. Staff said the home had improved a lot with the new manager and she treated residents and staff with respect. The manager had completed NVQ level 4 in management and was waiting for verification. Quality assurance systems included, monthly visit reports, monitoring of health and safety, reviews, and the introduction of residents and staff meetings, this gave the organisation good measures on how the home was progressing. Health and safety checks included fire, electrical, equipment, water and heating, and most staff had received training in safe working practises. Recorded fire drills did not include blocked exits, identifying the person giving the instruction and individual’s signatures. Three staff were overdue a fire drill. Fire training had been given yearly; it should be twice yearly. Most staff had not received moving and handling training and guidance on infection control. Highfield Farm J51 S49850 Highfield Farm V231683 090605 UI Stage 4.doc Version 1.30 Page 21 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 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 2 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 x Standard No 31 32 33 34 35 36 Score 3 3 x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Highfield Farm Score 3 2 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x 2 x J51 S49850 Highfield Farm V231683 090605 UI Stage 4.doc Version 1.30 Page 22 Are there any outstanding requirements from the last inspection? No 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 19 24 Regulation 13 23 Requirement Fluid input records must be correctly used. Uneven slabs must be made safe. The toilets seats must be made secure and maintained that way. fire drill records must include relevent information. Staff must receive fire training twice yearly. Staff must receive moving and handling training. Staff must receive guidance in infection control. Timescale for action 30.06.05 30.06.05 3. 42 23 31.07.05 4. 42 18 31.07.05 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. 2. Refer to Standard 6 28 Good Practice Recommendations Person centred planning principles should be introduced to the home. The plans to provide a conservatory should be pursued. J51 S49850 Highfield Farm V231683 090605 UI Stage 4.doc Version 1.30 Page 23 Highfield Farm Commission for Social Care Inspection Ground floor, Unit 3 Waterside Court Bold Street Sheffield, S9 2LR 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 Highfield Farm J51 S49850 Highfield Farm V231683 090605 UI Stage 4.doc Version 1.30 Page 24 - 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. 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