Inspection on 12/01/06 for Ivers

This inspection was carried out on 12th January 2006.

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

Ivers 20/11/06

Ivers 12/09/05

Ivers 21/03/05

Ivers 21/01/05

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Ivers Hains Lane Marnhull Sturminster Newton Dorset DT10 1JU Lead Inspector Marion Hurley Unannounced Inspection 12th January 2006 01:30 Ivers DS0000026825.V274372.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 Ivers DS0000026825.V274372.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. Ivers DS0000026825.V274372.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Ivers Address Hains Lane Marnhull Sturminster Newton Dorset DT10 1JU 01258 820164 01258 820258 ivers.college@btinternet.com 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) Ivers House Limited Linda Anne Matthews Care Home 23 Category(ies) of Learning disability (23) registration, with number of places Ivers DS0000026825.V274372.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The number of persons for whom residential accommodation, with both board and personal care, is provided in the Home at any one time (excluding the persons carrying on or employed at the Home and their relatives) shall not exceed: Twenty-three (23) within the Category of LD (Learning Disability) being Twenty (20) at Ivers, Hains Lane and Three (3) at `Felicity`, Lovells Mead. 12th September 2005 Date of last inspection Brief Description of the Service: Ivers is registered as a care home for adults with a learning disability. It is also registered as a college with the Learning and Skills Council and provides education and life skills training. The service users, known as students, are mainly aged between 18 and 35. Ivers is subject to regulation from both the Commission for Social Care Inspection and OFSTED. Ivers is situated on the outskirts of Marnhull, a large village which includes such facilities as shops, pubs, a post office, church and GP surgery. On the main site there is the original building and a separate extension, which provides accommodation on the ground floor and classrooms at first floor level. A small bungalow, accommodating three service users, is situated in the main part of the village, approximately half a mile away. The home/college admits young adults with a moderate learning disability who do not present severe challenging behaviour. Service users stay at Ivers for an initial placement of 3 years; sometimes placements continue on a longer-term basis. Each year is divided into 4 terms, linked by short holiday periods when the majority of service users return to their own home. Ivers DS0000026825.V274372.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection has been undertaken as part of the statutory inspection process in accordance with the Care Standards Act, 2000. Ivers was assessed according to the Care Home for Adults (18-65) National Minimum Standards. The overall time spent to complete the inspection process was a total of ten hours; four of which were spent at the home meeting and discussing living and working at the home with students, staff, and the Registered Manager. Records and documents were also checked during this time. Both Mr Chesseman and Linda Matthews are Registered Managers at Ivers and were available on the day of this inspection visit. What the service does well: What has improved since the last inspection? Since the last inspection new staff have successfully been recruited and one student has moved to Ivers. The student appears settled in their routines and activities and seems to enjoy observing the other students. Recruitment procedures are well managed and the files and records accurately maintained. A shower room in the main building has been totally refurbished. Ivers DS0000026825.V274372.R01.S.doc Version 5.1 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. Ivers DS0000026825.V274372.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 Ivers DS0000026825.V274372.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): The key standards were assessed and met at the last inspection. EVIDENCE: Ivers DS0000026825.V274372.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): 7&9 • Students living at Ivers are encouraged to make their own decisions about everyday matters and the staff make every effort to make sure the student’s views are understood and supported. • Students living at Ivers are helped and encouraged to lead a more independent lifestyle. EVIDENCE: Five student files were read and each provided evidence of student participation in making decisions affecting their everyday lives at Ivers. The records also demonstrated through risk assessments how students are encouraged to strive for further independence. The files each contained a care plan with a summary sheet signed by the student, risk assessments and daily living notes. The summary sheets use both symbols and text and were clearly set out including comments from students “ I have talked to staff about the help I need and the things I want in my care plan”, “I can speak very clearly and ask questions and make choices. One section, about staying safe had a student comment, “I know what to do when the fire alarm rings”. Risk assessments varied from practical everyday tasks i.e. wet shaving, making hot drinks to more demanding activities gardening, horse riding. Ivers DS0000026825.V274372.R01.S.doc Version 5.1 Page 10 Students spoken to said they were involved in all aspects of daily living and participated in the household duties. Students are actively involved in making choices from what they choose to eat, their “educational/vocational classes and the social and leisure activities pursued on and off site. From discussions with staff it was evident considerable thought is given to the value of particular activities, and the benefits and risks involved for each student. A positive example of this has been the social benefits for a small group going out regularly with a member of staff to the local pub. Over time this group have developed their individual social and communication skills and now manage confidently in an open environment mixing with others. Ivers DS0000026825.V274372.R01.S.doc Version 5.1 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 the following standard(s): 15,16 & 17 • Staff ensure students are supported in maintaining contact with family members and in developing appropriate friendships. • The rights of the students are respected and recognised within the home and where possible independence and choice and freedom of movement are promoted within the home. • Students are offered a healthy diet based on choice. Mealtimes are flexible to suit residents’ lives. EVIDENCE: Student records include a personal profile, which has a section on Family and Friends. This contains information of the student’s family and any particular friends they keep in touch with. Most of the students have mobile phones and phone their family and friends when they wish. Others have established a set time and often do this with their key worker. Some students do not speak on the phone but still get benefit from listening to the voices of their family. Students are friends amongst themselves and some consider “my key worker is my friend”. One student spoken with described going to the local church regularly and how they have made friends through this weekly contact. Ivers DS0000026825.V274372.R01.S.doc Version 5.1 Page 12 Students go to social events and discos organised by the Local Educational & Social Centre, Stourcastle. Observations made throughout the inspection visit demonstrated clearly that staff respect the wishes of students but balance this with positive encouragement and support to develop individual levels of independence in students’ daily lives and routines. The main meal is at lunchtime and this is taken in two sittings. At each sitting students take on different responsibilities from serving at the tables, to clearing away and helping with the washing up. The menu board, which is presented in both symbols and text, provides at least two choices and students once at their tables are asked (by a student) for their choice and the order is then given to the cook. The student will then serve the individual courses. The sweets are presented from the “sweet trolley” and again students take it in turn to serve these. At teatime a choice of snacks are available and students chose what they want and under staff supervision prepare and cook their own snack tea. Drinks are available throughout the day. The record of meals showed that a well balanced, and nutritional diet is offered. Ivers DS0000026825.V274372.R01.S.doc Version 5.1 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 the following standard(s): 20 • The systems for maintaining the students’ health and medical needs are reasonable and documentation relating to medication adequate. EVIDENCE: Only a small number of students receive regular medication and the MAR charts checked had all been signed. Medication is appropriately and securely stored. The home has policies and procedures for the management and safe handling of medication. No student self medicates. Health and personal care form part of the student’s care plans and information from these plans cross reference with the student’s daily personal care record. Ivers DS0000026825.V274372.R01.S.doc Version 5.1 Page 14 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): 22 & 23 • Students as far as possible are protected by the complaints and adult protection procedures. • Students are confident that their views will be listened to and acted upon. EVIDENCE: All students receive their own copy of the Student Charter, your rights and responsibilities, the Student Handbook, things you need to know, and Complaints, who to talk to. Each leaflet is written using both text and symbols. An enlarged version is displayed on the wall in the student activities room and graphically shows the process for students if they wish to raise any concerns or complaints. In addition students are individually reminded of the procedures in their key worker and personal tutor sessions plus in the monthly student meetings. There is also a student advocacy group and dates for these meetings are booked throughout the year. The meetings discuss a mixture of practical advice / information but also discusses reminders specifically related to self-advocacy and self-determination. Students were asked if they had someone they could speak to if they had any worries and those spoken with confidently said they would talk things through with their keyworker. Staff also confirmed that students were not shy of coming forth and giving their opinions and or grumbles. Both the Registered Manager and Head of Education have completed the Dorset Multi Agency training for vulnerable adults and all but four staff have completed the POVA training. The remaining staff need to be re-booked as the last arranged training was postponed. Ivers DS0000026825.V274372.R01.S.doc Version 5.1 Page 15 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): 30 • On the day of the inspection the standard of the environment and facilities were providing students with a homely and clean place to live. EVIDENCE: All the communal areas of the home were viewed and three students showed the inspector their bedrooms. The lounge, dining room and activity room and main kitchen and student’s kitchen all appeared to be well maintained providing safe facilities for the students. Students are not permitted in the main kitchen. Ivers DS0000026825.V274372.R01.S.doc Version 5.1 Page 16 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): 32, 34 & 35 • Staffing numbers are appropriate to the existing needs of the students. Students’ benefit from being supported by qualified and trained staff. Staff are supported though induction and training. • Employment procedures are thorough ensuring all statutory checks and references are obtained which provide a level of protection to the students. EVIDENCE: Ivers employs a total of 21 care staff and a further 5 tutors plus an administrator, cook and maintenance employee. Six staff are shortly due to start studying for the NVQ level 2 and seven staff have already achieved NVQ awards. Regular staff meetings are planned through the year and these ensure staff are kept up to date with any changes. It is intended that staff meetings in the future will combine a training session / workshop. All staff will agree the topics for these extra sessions. The number of care staff on duty depends on the curriculum activities and some days may be as high as 9 whilst at other times 3 or 4. Since the last inspection new staff have successfully been recruited and the files of four staff were read and found to contain all the statutory checks and references. The files were clearly organised and had a useful checklist ensuring all requirements were being met. CRB & POVA checks are stored separately in a locked filing cabinet and it is with these records that staff Ivers DS0000026825.V274372.R01.S.doc Version 5.1 Page 17 photographs are kept. The staff rota was clear and confirmed the number of staff on duty. Minutes of staff meetings were available and up to date. Some staff photographs remain outstanding and need to be added to their records. Most staff have completed the mandatory training and four have recently been nominated for a training course Understanding Students with Dyspraxia and two sessions on Total Communication have been arranged. Five staff were spoken with and they had all been employed at Ivers for varying lengths of time from months to “many years.” Staff have obviously experienced a great deal of change during that time but have remained consistent in their loyalty to the students and continue to provide a positive service to each student supporting and encouraging personal independence. Student’s spoken with said “I like the staff here” they’re nice” and “really good.” Ivers DS0000026825.V274372.R01.S.doc Version 5.1 Page 18 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): 37 & 39 • Students benefit from a home that is managed well ensuring their health, safety and welfare are maintained. EVIDENCE: From observations made throughout the inspection visit and in discussions with both students and staff it is clear that they have all benefited from the stability and continuity of the Registered Manager’s presence who has know been at Ivers for over five years. The Registered Manager has established a good rapport with the students and this was evident in the way they spoke and communicated together. Fire records are well organised and were all noted to be up to date. Ivers DS0000026825.V274372.R01.S.doc Version 5.1 Page 19 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 x 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 3 23 3 ENVIRONMENT Standard No Score 24 x 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x 3 x 3 x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x 3 x 3 x 3 x x x x Ivers DS0000026825.V274372.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? N/A 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. Refer to Standard Good Practice Recommendations Ivers DS0000026825.V274372.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Ivers DS0000026825.V274372.R01.S.doc Version 5.1 Page 22 - 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!