CARE HOME ADULTS 18-65
Hillview Farm Ashmore Green Road Ashmore Green Thatcham Berkshire RG18 9ER Lead Inspector
Mrs Rhian Williams-Flew Unannounced Inspection 25th January 2006 14:30 Hillview Farm DS0000011208.V267001.R01.S.doc Version 5.1 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 Hillview Farm DS0000011208.V267001.R01.S.doc Version 5.1 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. Hillview Farm DS0000011208.V267001.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Hillview Farm Address Ashmore Green Road Ashmore Green Thatcham Berkshire RG18 9ER 01635 861496 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) HILLVIEW.FARM@tiscali.co.uk Mr Kevin Roy Tarbox Mrs Helen Louise Parkin Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Hillview Farm DS0000011208.V267001.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 4th August 2005 Brief Description of the Service: Hillview Farm provides care to adults with learning disabilities. The home aims to support its service users in physical, emotional, financial and healthcare matters but excludes primary nursing care. (Extract from the Statement of Purpose). The home is registered to take up to five adults between the ages of 18-65 years of age. The accommodation includes three single rooms within the main house and an annex, which is able to provide self-contained accommodation for a couple or a single service user. Presently, there are four residents. The home is situated in a semi-rural area between the town centres of Newbury and Thatcham. The home is that throughout 24-hours, at night the staff sleep in. The home also provides day services if service users wish to take up this option. The activities include horticulture, animal husbandry, woodwork, arts and crafts. Hillview Farm DS0000011208.V267001.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection occurring on a weekday between 14.30 and 17.00 hours. The Registered Manager was present for the majority of the inspection. Three of the service users were spoken with and one member of staff (other than the Registered Manager). The focus of the inspection was to review the key standards that had not been inspected on the last inspection on 4 August 2005. The findings of this report should be read in conjunction with the findings of the previous report so that a complete picture of this home is seen. What the service does well: What has improved since the last inspection? What they could do better:
There are few improvements that can be made as this home is well managed and maintained and all of the service users spoken with are very happy with the care they receive and the environment they live in. Only two recommendations have been made. For members of staff to ensure that they comply with a best practice guidance on food safety and for the Responsible Individual to consider refurbishing two bathroom floors in the not
Hillview Farm DS0000011208.V267001.R01.S.doc Version 5.1 Page 6 too distant future to ensure that the good hygiene standards in the home are not compromised. 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. Hillview Farm DS0000011208.V267001.R01.S.doc Version 5.1 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 Hillview Farm DS0000011208.V267001.R01.S.doc Version 5.1 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): 2 This home does have a policy to ensure that all new service users would be assessed thoroughly before being considered for admission to the home. EVIDENCE: This home has not had a new service user for a number of years. However, the home does have a clear policy that all new service users would only be admitted to the home following a thorough assessment. Hillview Farm DS0000011208.V267001.R01.S.doc Version 5.1 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): These standards were not inspected on this occasion. EVIDENCE: These standards were not inspected on this occasion. Hillview Farm DS0000011208.V267001.R01.S.doc Version 5.1 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): These standards were not inspected on this occasion. EVIDENCE: These standards were not inspected on this occasion. Hillview Farm DS0000011208.V267001.R01.S.doc Version 5.1 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): 20 The majority of members of staff have received training with regard to the administration of medication. EVIDENCE: A previous recommendation has been met. The Registered Manager has accessed medication training for the majority of the staff group. This training reflects the needs of the people who live in the home. The last two members of staff will receive the training in the near future. Hillview Farm DS0000011208.V267001.R01.S.doc Version 5.1 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): These standards were not inspected on this occasion. EVIDENCE: These standards were not inspected on this occasion. Hillview Farm DS0000011208.V267001.R01.S.doc Version 5.1 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): 24; 25; 26; 27; 28 & 30. This home is very clean, comfortable and homely. The residents in the home clearly appreciate their environment and enjoy living there. Consideration of refurbishing two bathroom floors is indicated. EVIDENCE: The home is suitable for its stated purpose. It is homely and comfortable and reflects the needs and interests of the people who live there. All the service users have good mobility and are therefore able to access all areas of the property. The home is regularly maintained and the Registered Manager confirmed that the premises, complies with the requirements of all other regulatory bodies. Three of the individual bedrooms were viewed. They are sufficiently large for the service users to pursue their hobbies and interests and the rooms are personalised to their individual tastes. The rooms were clean and well decorated. The furnishings and fittings within each room comply with the standard and each of the service users exercise their choice to lock their bedroom doors when they are away from home. Hillview Farm DS0000011208.V267001.R01.S.doc Version 5.1 Page 14 There are sufficient toilets and bathrooms in the home to meet the needs of the service users. There is one sitting room/dining room this is the hub of the home. Service users use this area freely or if they wish to be private they usually retire to their rooms. Members of staff do have access to a sleeping in room. The home is clean and hygienic. The laundry facilities are within a large shower area but correct precautions are taken when transferring dirty laundry to this area. The flooring in the main bathroom and the bathroom in the area of the home known as the Lodge will need to be considered for refurbishment as they might compromise hygiene conditions within the next six months. All the service users who were spoken with, to ask about the facilities they have available to them, were very complimentary. They enjoy living in the home and the facilities it offers. Hillview Farm DS0000011208.V267001.R01.S.doc Version 5.1 Page 15 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): 34 This home has a clear and robust recruitment policy that is followed. EVIDENCE: The recruitment records of the most newly appointed member of staff were reviewed and they complied with the regulations. Hillview Farm DS0000011208.V267001.R01.S.doc Version 5.1 Page 16 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): 38; 39 & 42 The Registered Manager is competent and well respected by her staff team and service users. The home has developed good quality assurance systems. These contribute to the smooth running of the home and are reviewed regularly. All members of staff must be mindful to ensure that they comply with best practice guidance for food safety. EVIDENCE: The Registered Manager is well established and competent. She is well respected by her staff team and gives a clear sense of direction and leadership. She also commands considerable respect from the service users who live in the home. She is clearly an important person in their lives. The home has clear policies and procedures that are reviewed regularly. An annual survey of the service users who live in the home and their relatives and care managers is held usually in February. The survey from this previous year
Hillview Farm DS0000011208.V267001.R01.S.doc Version 5.1 Page 17 was reviewed and it was noted that the outcomes of service users were extremely positive. The representative of the Responsible Individual provides regular regulation 26 notifications for the Registered Manager. Any recommendations are acted upon. A review of the menus presented to the service users was undertaken and were found to comply with the guidance from the environmental health department about recording the food service users eat each day. A review of the food stored in the refrigerators was also held and it was found that not all products in the fridge had been labelled to indicate when they had been opened. Hillview Farm DS0000011208.V267001.R01.S.doc Version 5.1 Page 18 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 X 30 2 STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X X 3 3 X X 2 X Hillview Farm DS0000011208.V267001.R01.S.doc Version 5.1 Page 19 N/A 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. Standard Regulation Requirement Timescale for action 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 YA30 Good Practice Recommendations Consideration should be given to the refurbishment of the two identified bathroom floors within the next six months to ensure that they do not compromise the good standards of hygiene in the home. That all members of staff are mindful of the good practice requirements for food safety and ensure that they label foodstuffs once they are opened and refrigerated. 2 YA42 Hillview Farm DS0000011208.V267001.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks RG7 4SA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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