Inspection on 04/08/05 for Hillview Farm

This inspection was carried out on 4th August 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

Hillview Farm 17/04/07

Hillview Farm 25/01/06

Hillview Farm 01/02/05

Hillview Farm 16/11/04

Similar services:

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

The Farmhouse

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

CARE HOME ADULTS 18-65 HILLVIEW FARM Ashmore Green Road Ashmore Green Thatcham RG18 9ER Lead Inspector Rhian Williams-Flew Unannounced 4 August 2005 @ 10.30 hours 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. HILLVIEW FARM H52-H01-S11208-Hillview Farm-V222621-040805Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Hillview Farm Address Ashmore Green Road, Ashmore Green, Thatcham, RG18 9ER 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) 01635 861496 Mr Kevin Roy Tarbox Mrs Helen Louise Parkin Care Home (CRH) 5 Category(ies) of Learning Disability (LD) registration, with number of places HILLVIEW FARM H52-H01-S11208-Hillview Farm-V222621-040805Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 1 February 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 H52-H01-S11208-Hillview Farm-V222621-040805Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection occurring between 10.30 hrs and 14.00 hrs. The Registered Manager was present throughout the inspection. 1 of the 4 residents was at home. 1 resident was on holiday with family members the other residents were either at a vocational training session at the local college or taking part in voluntary work. Conversing with the 1 resident who was at home was limited, as they were feeling unwell. The focus of the inspection was to review the delivery of care and care plans for the residents who live in the home. Also, to ensure the previous requirements had been met. What the service does well: What has improved since the last inspection? All of the previous requirements have been met. It was noted that sufficient staff are on duty at all times; thermostatically controlled water valves have been installed on all hot water taps that residents have access to; water temperatures are regularly recorded and food is stored appropriately in the refrigerators. The Responsible Individual and Registered Manager have always been responsive to all requirements and recommendations that have made following inspection. HILLVIEW FARM H52-H01-S11208-Hillview Farm-V222621-040805Stage 4.doc Version 1.40 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. HILLVIEW FARM H52-H01-S11208-Hillview Farm-V222621-040805Stage 4.doc Version 1.40 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 HILLVIEW FARM H52-H01-S11208-Hillview Farm-V222621-040805Stage 4.doc Version 1.40 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) 1 & 5. This home provides a very clear Statement of Purpose and informative Service User Guide. Each resident has a clear contract of residency. EVIDENCE: There have been no substantive changes to the Statement of Purpose or the Service User Guide since the previous inspection on 1 February 2005. In the review of care plans it was noted that each resident has an individual contract and statement of terms and conditions of their residency in the home. HILLVIEW FARM H52-H01-S11208-Hillview Farm-V222621-040805Stage 4.doc Version 1.40 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, 9 & 10. The residents are involved in their care planning which is thorough and up-todate. EVIDENCE: 2 of the 4 residents care plans were reviewed in detail and were found to be up-to-date, thorough and reflected the needs and wishes of the residents. When the needs of residents have changed these were noted. If other professionals had been involved in the decision-making then this intervention was recorded. The care plans reflected that the residents were involved in the decision-making about their lives and lifestyles. Up-to-date risk assessments were in place to ensure that residents participated in chosen activities in a safe way. It was clear from the care records that residents are encouraged to make their own decisions but in order to make these decisions they are provided with as much information as possible. Any information concerning the care of residents is kept securely and confidentially within the home. HILLVIEW FARM H52-H01-S11208-Hillview Farm-V222621-040805Stage 4.doc Version 1.40 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 standard(s) 11, 12, 13, 14, 15, 16 & 17. This care home is well integrated within the community it is situated in. The residents participate in full and varied lifestyles and regularly use the local community facilities. EVIDENCE: It could be evidenced that the residents are afforded many opportunities to enhance their personal development. The care plans recorded that individualised work placements and activities are encouraged and pursued, depending on the persons abilities and interests. All of the residents have different activities or work placements that they participate in. Some attend the local further education college, worked based training, complete voluntary work or assist with the farm and horticultural jobs around the care home. The care home is well-established in its local community and the residents participate in local events and use local facilities. 2 of the residents recently won trophies for their entries in the local flower and produce show. The home is well situated for access to local amenities such as, bowling, golf, swimming, HILLVIEW FARM H52-H01-S11208-Hillview Farm-V222621-040805Stage 4.doc Version 1.40 Page 11 leisure centres, nature centre, theatres and local pubs. All of these facilities the residents regularly use. The residents right to privacy are respected and their wishes and feelings are seen as paramount. This was evidenced during the inspection. The majority of residents have family and friends that they are in contact with either through visits or telephone contact. One resident was staying with their family for one week at the time of the inspection. Although the preparation of a meal was not observed during the inspection the menus for the previous month were reviewed and were noted to be individualised. The choices on offer were nutritious, varied and balanced. As the farm grows a considerable amount of vegetable and fruit the residents are able to benefit from freshly picked produce. A few days prior to the inspection the residents had been involved in jam and chutney making that they were going to enjoy sampling for the rest of the year. HILLVIEW FARM H52-H01-S11208-Hillview Farm-V222621-040805Stage 4.doc Version 1.40 Page 12 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 & 20. The residents are provided with personalised health and personal care. The members of staff are, encouraging and enabling and strive to achieve the individual potentials for each resident. EVIDENCE: From the care plan seen it was evident that residents receive their personal support in a way that they prefer. It is done by enabling and encouraging the residents to complete as much of the tasks as they can for themselves. It was evident that when residents needed additional specialist support this had been sought and advice had been followed. The care records also demonstrated that the residents have regular access to their GP and other health-care services such as, dentistry, podiatry and any other specialist services. The majority of residents require little medication to be administered. Usually, it is for hayfever relief. None of the residents are presently able to self medicate. In recent times one resident has required further medication but this was noted to be managed correctly and safely. As the majority of staff have not received up-to-date training on medication it was recommended to the manager that she access or provide medication training to her staff that is relevant to the needs of the residents who live in the home. HILLVIEW FARM H52-H01-S11208-Hillview Farm-V222621-040805Stage 4.doc Version 1.40 Page 13 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 & 23. This home has systems in place to protect residents from abuse and has a clearly defined complaints procedure. EVIDENCE: The home has not received any complaints since the previous inspection. Members of staff receive training in the protection of vulnerable adults and the manager confirmed that she reviews their knowledge during staff meetings. HILLVIEW FARM H52-H01-S11208-Hillview Farm-V222621-040805Stage 4.doc Version 1.40 Page 14 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) None These standards were not inspected on this occasion. EVIDENCE: These standards were not inspected on this occasion. HILLVIEW FARM H52-H01-S11208-Hillview Farm-V222621-040805Stage 4.doc Version 1.40 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 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, 34 & 35. This home ensures that it recruits staff who are competent and have been selected on the basis of equal opportunities and protecting residents. Staff are encouraged, and do participate in regular training events. EVIDENCE: It was evidenced that all members of staff have a clearly defined job description and have, a clear understanding of their roles and responsibilities. Members of staff receive regular training and participate in NVQ qualifications. The home has achieved the standard of over 50 of the care staff having in NVQ qualification by 2005. A professional psychologist has provided in-house training for members of staff with regard to the specific needs of one resident. Two sets of recruitment records were reviewed and were found to contain all the documentation required by regulation. HILLVIEW FARM H52-H01-S11208-Hillview Farm-V222621-040805Stage 4.doc Version 1.40 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 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, 39 & 42. The home is well managed and focused on the needs of the residents. The team of staff are ably lead and managed by the Registered Manager. EVIDENCE: The Registered Manager is qualified, competent and experienced. She is very thorough in her management of the home and is very focused on the needs of the residents. Standard 39 was only partially inspected primarily to review the quality of the Regulation 26 notifications from the Responsible Individual to the manager and the Commission for Social Care Inspection. These reports are completed in a timely fashion, however their content does not always reflect the outcome for standard 39 as detailed above. The manager shared this view. It is recommended that the Responsible Individual and the manager review how they can best achieve the outcomes of standard 39 perhaps by, considering the use of the regulation 26 forms published on the Commission for Social Care Inspection website. HILLVIEW FARM H52-H01-S11208-Hillview Farm-V222621-040805Stage 4.doc Version 1.40 Page 17 A previous requirement to ensure that thermostatically controlled valves were placed on the hot water outlets has been achieved. HILLVIEW FARM H52-H01-S11208-Hillview Farm-V222621-040805Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 x x x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 HILLVIEW FARM Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 3 x 2 x x 3 x H52-H01-S11208-Hillview Farm-V222621-040805Stage 4.doc Version 1.40 Page 19 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 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. 2. Refer to Standard 20 39 Good Practice Recommendations The manager access medication training for the staff group that is relevant to the resident needs. The Responsible Individual and the Registered Manager review the use of the Regulation 26 notifications to ensure they met the outcome of standard 39. HILLVIEW FARM H52-H01-S11208-Hillview Farm-V222621-040805Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 2nd Floor, 1015 Arlington Business Park Theale Berks RG4 7SA 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 HILLVIEW FARM H52-H01-S11208-Hillview Farm-V222621-040805Stage 4.doc Version 1.40 Page 21 - 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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