Inspection on 12/09/05 for Ivers

This inspection was carried out on 12th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Ivers 20/11/06

Ivers 12/01/06

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 September 2005 10:00 Ivers DS0000026825.V249569.R01.S.doc Version 5.0 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.V249569.R01.S.doc Version 5.0 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.V249569.R01.S.doc Version 5.0 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.V249569.R01.S.doc Version 5.0 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. 21st March 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.V249569.R01.S.doc Version 5.0 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 seven hours, three of which were spent at the Home. A tour of the premises and grounds took place and records/documentation were all readily available for inspection. Students were observed to be busy throughout the inspection going about their various courses and activities. A group discussion was held over lunchtime but on this occasion students were not spoken with individually. The next inspection visit will be arranged to ensure that those students who would like to be involved in the inspection process have plenty of opportunity without disrupting their working day / timetable. This was a positive inspection of a service that continues to develop and where staff work side by side with students with varying abilities and needs. The inspection process was assisted by the openness of the staff and the inspector was grateful for their time and commitment to the inspection. Not all the standards where requirements had been made from the previous inspection were assessed a this inspection, however following the previous inspection a full and comprehensive action plan had been submitted to the C.S.C.I. clearly indicating that many had since been met or work was in progress. Many of these standards will be assessed at the next inspection to verify this information. What the service does well: The Registered Manager with the support of the staff maintain a relaxed and homely atmosphere whilst ensuring the National Minimum Standards are achieved. Staff demonstrated skills of comfortably working side by side with students in making and supporting daily decisions. All the students have varying abilities, needs, likes and dislikes and all these details were reflected in their Individual Care and Learning Plans/assessments. Students are supported to be as independent and active as possible participating in daily timetables, which cover an extremely wide range of learning, educational, social and work experience opportunities. The key worker system ensures positive continuity of care for each student. Ivers DS0000026825.V249569.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? 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.V249569.R01.S.doc Version 5.0 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.V249569.R01.S.doc Version 5.0 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&4 • The Registered Manager has clear criteria for ensuring that the home can meet the needs and aspirations of any prospective student that helps both students and their representatives make an informed choice. • Prospective admissions are carefully considered and planned by the Registered Manager and only students whose needs can be met by the home are admitted. EVIDENCE: The Registered Manager is very clear about the needs that can be met by the home and prospective students are not considered where the compatibility with others already residing at Ivers would not be conducive and where staff have not got the knowledge to meet specialist needs. The Registered Manager always requests from the student’s existing providers/Social Worker/Allied professionals current Assessments /Plans/Reports which are then evaluated and provide additional information to aide the admission process. Since the last inspection three students have been admitted to the home. One set of these records were checked and there was evidence on the student’s file that the admission had been a planned and careful process involving the student at every stage. Following the initial enquiry, then visit and the evaluation of available documentation an initial assessment had been completed prior to the six-week assessment during which time a comprehensive Care and Learning Plan had been developed with the student and their key worker. The contents of this Plan were comprehensive. Ivers DS0000026825.V249569.R01.S.doc Version 5.0 Page 9 Whilst there was evidence that the student was actively involved in this process staff need to ensure that the student where possible signs to confirm their contribution and agreement with their Plan. Ivers DS0000026825.V249569.R01.S.doc Version 5.0 Page 10 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): 6&8 • Individual needs and learning goals are clearly identified in the student’s Care and Learning Plans and regularly reviewed with the students to ensure changing needs and a record of their goals achieved are noted. • The Registered Manager and staff are committed and proactive in ensuring students are fully consulted and participate in the running of the home making decisions about their own lives. EVIDENCE: Evidence of how students’ independence and participation is encouraged was noted by discussions with the Registered Manager, staff, and students and from observations made throughout the inspection process. Three files were read and contained evidence of regular reviews with the students. Each showed the monthly reviews jointly held with their key worker and personal tutor in addition to the weekly one to one sessions with these staff. Twice a term full student meetings are held where one student will chair whilst another takes the minutes. The responsibility for these tasks is taken in turn by all the students. Ivers DS0000026825.V249569.R01.S.doc Version 5.0 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): 11 & 13 • All students have a programme of educational and social activities, which provide each student with many opportunities for personal development involving positive links and experiences in the community. EVIDENCE: Opportunities for personal development were recorded in the students Personal Care and Learning Plans, and everyone has their weekly timetable of activities which may range from any of the following: - daily living skills, essential Skills, work experience, leisure and social activities and craft and creative activities plus land based activities including, riding, gardening, DIY skills and animal care. A large timetable is available in the student’s leisure room and this is produced in both text and symbols. On the morning of the inspection one group had been working on the subject of “ Healthy Living” and this had involved discussions and then preparing an exotic fruit salad, which was available for all the students at lunchtime. (this was one of many choices at lunchtime). Students’ access local towns for shopping and some are now confident to make the trip by public transport though this is limited in a rural area. Ivers DS0000026825.V249569.R01.S.doc Version 5.0 Page 12 Ivers has annual events for family and friends and the local community and recently held a very successful Barn Dance. A summer fete was enjoyed and also raised a consider sum of money in the process. Ivers DS0000026825.V249569.R01.S.doc Version 5.0 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): 18 & 19 • The home offers a good standard of personal support with individual preferences taken into account. • Students’ healthcare needs are provided for with evidence of good multidisciplinary work. EVIDENCE: All students are registered with local G.P’s, Dentist and Opticians and evidence of regular check ups were recorded in the student’s files viewed on the day of this inspection. Personal care needs are identified in the main Care & Learning Plan, which includes specific health needs where appropriate. The designated key worker system operated at Ivers also provides consistency and continuity of support to students. Both the Registered Manager and staff demonstrated a good awareness and understanding of the needs of the students and from observations were sensitive in dealing with personal issues. Ivers DS0000026825.V249569.R01.S.doc Version 5.0 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): These standards were not assessed at this inspection and will be addressed at the next inspection visit. EVIDENCE: Ivers DS0000026825.V249569.R01.S.doc Version 5.0 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): 24 & 28 • Ivers provides a comfortable, homely environment with ample communal spaces to meet individual and group needs of all the students. EVIDENCE: Accommodation for students on the main site is in three sections: - the main house which has nine bedrooms one of which has en suite facilities, the south wing has two en suite rooms, and the bungalow which has three bedrooms and shared bathroom facilities. Further accommodation is provided in a property in the village however this was not viewed at this inspection. Some bedrooms were viewed and each had been decorated and personalised according to the students’ interests and hobbies. The communal areas are comfortably furnished but will require upgrading in the future and this aspect has been identified in the Three Year Strategic Plan 2004-2007. Ivers has several acres of well-maintained gardens and grazing for their own stock. The students’ have access to their own kitchenettes where they make drinks for themselves throughout the day and with assistance make their own breakfasts. Ivers DS0000026825.V249569.R01.S.doc Version 5.0 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): These standards were not assessed at this inspection and will be addressed at the next inspection visit. However, the staff training programme was viewed and a series of training events have been booked for the autumn. EVIDENCE: Ivers DS0000026825.V249569.R01.S.doc Version 5.0 Page 17 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): 42 • Regular servicing and maintenance of equipment and working practices in the home ensure the health and safety and welfare of students is promoted. EVIDENCE: Most of the records seen at this inspection were up to date and accurate however, the fire records need to be organised to clearly identify night and day staff. All staff, as part of their induction, are issued with a very comprehensive Fire Prevention/Training Manual. In the future all Health & Safety Policies and Procedures and staff Training will be managed and regulated by an External Agency. The Registered Manager is currently researching the best company to undertake this work. All students complete Fire Prevention Training and those student files viewed on the day of this inspection had certificates verifying this information. Ivers DS0000026825.V249569.R01.S.doc Version 5.0 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 x 3 x 3 x Standard No 22 23 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x 3 x x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x 3 x x LIFESTYLES Standard No Score 11 3 12 x 13 3 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ivers Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 2 x DS0000026825.V249569.R01.S.doc Version 5.0 Page 19 YES 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 YA6 Good Practice Recommendations It recommended that staff record the process and consultation & work with each student in developing & reviewing the students’ Personal Care & Learning Plans and where possible encourage all students to sign and verify this activity. Please note there is excellent student participation however, staff need to demonstrate this in the records. The registered manager must ensure so far as is reasonably practicable the health, safety and welfare of service users and staff and this must be reflected in the accurate maintenance of records. 2 YA42 Ivers DS0000026825.V249569.R01.S.doc Version 5.0 Page 20 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.V249569.R01.S.doc Version 5.0 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. 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