CARE HOME ADULTS 18-65
Ivy Cottage/Jasmine House/Rock Cottage Highlands Farm Woodchurch Ashford Kent TN26 3RJ Lead Inspector
Geoff Senior Unannounced Inspection 7th March 2006 09:45 Highlands Farm DS0000023447.V266819.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 Highlands Farm DS0000023447.V266819.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. Highlands Farm DS0000023447.V266819.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Ivy Cottage/Jasmine House/Rock Cottage Address Highlands Farm Woodchurch Ashford Kent TN26 3RJ 01233 861493 01233 860433 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) Canterbury Oast Trust Care Home 16 Category(ies) of Learning disability (16) registration, with number of places Highlands Farm DS0000023447.V266819.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 10th October 2005 Brief Description of the Service: Ivy Cottage, Rock Cottage and Jasmine House; Highlands Farm are registered as a care home to provide care and accommodation for up to 11 service users with a learning disability. The Registered Provider is Canterbury Oast Trust. Ms. J Gorham is the Registered Manager in day-to-day control of the home. Jasmine House accommodates 4 residents in self-contained apartments with their own bed-sit, kitchen and shower/toilet. Rock Cottage offers two bed sits with shared kitchen and bathroom facilities. Ivy accommodates five residents in single rooms with shared communal facilities. Highlands Farm Rare Breeds Centre is a well known tourist attraction on the rural outskirts of Woodchurch village. Ashford, Tenterden and Hamstreet shops, facilities and railway stations are a short drive away. Woodchurch village offers a Surgery; Post Office, Church and Public Houses. The houses have their own transport and a local bus service passes the farm. Highlands Farm DS0000023447.V266819.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was an unannounced inspection visit and was undertaken on 7/3/06 at 09:50. The focus of the visit was on action taken and progress made relating to the requirements and recommendations of the report of the announced visit of 10/10/05. The Inspector met and spent time talking with the Manager and a team leader. He also spoke briefly with another member of staff on duty. No service users were seen or spoken to during this visit. The Inspector viewed records and documentation relating to the requirements and recommendations. What the service does well:
The last report noted that……Residents are clearly involved in the day to day running of the home with the emphasis on inclusion and choice. The home provides a comfortable, homely and relaxed environment in which there is a high level of mutual respect. There is a wide range of educational, practical work experience and leisure opportunities available to every one. Each person has an individually tailored day plan and the residents spoken to say they are happy with their chosen activities Care and support plans have been written specifically to describe individual needs containing good detail of skills and support required in order that any needs can be met. The staff team are positive and committed to providing and improving quality of life for residents with an emphasis on independence wherever possible. There was nothing noted at this inspection that would indicate any need for amendment to the above statement. Highlands Farm DS0000023447.V266819.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. Highlands Farm DS0000023447.V266819.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 Highlands Farm DS0000023447.V266819.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): Not assessed at this visit EVIDENCE: Highlands Farm DS0000023447.V266819.R01.S.doc Version 5.0 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): Not assessed at this visit EVIDENCE: Highlands Farm DS0000023447.V266819.R01.S.doc Version 5.0 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): Not assessed at this visit. EVIDENCE: Highlands Farm DS0000023447.V266819.R01.S.doc Version 5.0 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 arrangements for handling ,storage and administration of medication appeared to be generally satisfactory. EVIDENCE: The Manager reported that the requirements of the previous report relate mainly to the Holly Cottage, which is now registered as an individual home and subject to separate inspection. She has however acknowledged the content of the comments and is endeavouring to ensure the appropriate measures are adopted in Ivy, Rock and Jasmine. Records and storage appeared to be satisfactory and up to date. Hand written amendments to the MAR sheets are to be replaced with typed labels requested from the pharmacist. The Manager reported that she is satisfied with the competency of staff and level of training they have received in medication administration Highlands Farm DS0000023447.V266819.R01.S.doc Version 5.0 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): 23 The requirement from the previous inspection report relating to benefit and witness of wills/documents has been addressed. See also NMS 34 EVIDENCE: The ‘acceptance of gifts’ policy has now been removed and replaced with additional paragraphs in the ‘ management of financial affairs’ guidelines. This clearly states what is expected of COT employees. Highlands Farm DS0000023447.V266819.R01.S.doc Version 5.0 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): Not assessed at this visit EVIDENCE: Highlands Farm DS0000023447.V266819.R01.S.doc Version 5.0 Page 14 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): 32,34,36. Recruitment practices provide for the protection of service users. Staff members are offered access to training courses to enable them to work more effectively with the service users. The staff team is well supported and supervised by the management. Issues relating to induction and appraisal noted in the previous report have yet to be fully addressed. EVIDENCE: The requirement relating to shortfalls in the recruitment procedure have been addressed following communication between the home and the H&R department. Relevant details are now copied to the individuals file in the home and are available for inspection. The Manager reported that the staff group of seven comprises; two with level 4 NVQ, one at level 3, one at level 2, one currently undertaking level 2and one to commence level 2 on satisfactory completion of the probation period. The manager reported that the induction-training programme is still under review and she is awaiting further guidance before implementation. Managers have undertaken staff appraisal training. This is planned for introduction in April
Highlands Farm DS0000023447.V266819.R01.S.doc Version 5.0 Page 15 Highlands Farm DS0000023447.V266819.R01.S.doc Version 5.0 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): Not assessed at this visit EVIDENCE: Highlands Farm DS0000023447.V266819.R01.S.doc Version 5.0 Page 17 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 X X X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X x Standard No 24 25 26 27 28 29 30
STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 X 2 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Highlands Farm Score X X 3 x Standard No 37 38 39 40 41 42 43 Score X X X 3 3 x x DS0000023447.V266819.R01.S.doc Version 5.0 Page 18 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. 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 YA36 Good Practice Recommendations Staff to receive annual appraisals Highlands Farm DS0000023447.V266819.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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