Inspection on 22/03/07 for Kingston Farmhouse

This inspection was carried out on 22nd March 2007.

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

Kingston Farmhouse 09/08/06

Kingston Farmhouse 03/10/05

Kingston Farmhouse 25/04/05

Kingston Farmhouse 24/11/04

Kingston Farmhouse 02/04/04

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Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

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

CARE HOME ADULTS 18-65 Kingston Farmhouse Beatrice Avenue Whippingham East Cowes Isle Of Wight PO32 6LL Lead Inspector Neil Kingman Unannounced Inspection 22 March 2007 14:00 Kingston Farmhouse DS0000012503.V328089.R01.S.doc Version 5.2 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 Kingston Farmhouse DS0000012503.V328089.R01.S.doc Version 5.2 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. Kingston Farmhouse DS0000012503.V328089.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Kingston Farmhouse Address Beatrice Avenue Whippingham East Cowes Isle Of Wight PO32 6LL 01983 294145 01983 289667 kingstonoffice@yahoo.co.uk 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) Mrs Jennifer Ann Bacon Mrs Trudie Manton Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Kingston Farmhouse DS0000012503.V328089.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9 August 2006 Brief Description of the Service: Kingston Farmhouse is a registered care home that provides care support and accommodation for up to nine adults of both sexes with learning disabilities. The home is a detached property situated in a semi-rural position in a quiet cul-de-sac on the outskirts of East Cowes. The house itself has some historic interest, having connections with the nearby Osborne House Estate. It sits in its own grounds and offers views of the Medina Valley from some of the rooms and the secluded rear garden. The home is within ¼ mile of a main bus route and is convenient to ferry services to the mainland. Residents lead full and active lives and all are engaged in a variety of educational, social and recreational activities. The manager and staff strive to promote independence amongst the residents and support them in developing a range of social and life skills. All rooms are for single occupancy and have been decorated to residents’ individual tastes. One resident with mobility difficulties is accommodated in a ground floor room that has had major alterations, including the installation of an en-suite bathroom. Communal areas consist of a spacious lounge and separate dining room. Weekly fees are determined by the social services funding arrangements, currently £413.91 for the basic care support package. The manager states that a copy of the home’s service user’s guide, together with the terms and conditions of residency are provided to all prospective residents, or their representatives where applicable. Kingston Farmhouse DS0000012503.V328089.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report details the results of the second key inspection of Kingston Farmhouse since April 2006, and focuses on the home’s response to the requirements identified at the last inspection on 9 August 2006. During this inspection consultation with people who use the service was limited to those people in the home at the time of the site visit. A wider consultation, took place at the last inspection and included residents, relatives and visiting health and social care professionals. The responses from that consultation were very positive. During the process of this inspection we undertook a site visit to the home on 22 March 2007. The manager was available and in charge of the home and the proprietor arrived later and stayed for part of the inspection. During the visit we spoke with staff on duty, several residents as a group and others in the privacy of their rooms. We toured the building with the manager and looked at a selection of records. The outcomes from this inspection were very positive. What the service does well: What has improved since the last inspection? Significant improvements were noted following the requirements identified at the last inspection. The following issues have been addressed: • Arrangements have been made to ensure all staff receive Protection of Vulnerable Adults training. Several have already attended the training. Kingston Farmhouse DS0000012503.V328089.R01.S.doc Version 5.2 Page 6 • • • • • A new housekeeper/support worker has been recruited to undertake domestic tasks throughout each weekday morning between 09:00 and 12:00. Shortfalls in the homes recruitment procedures have been addressed so that the system of vetting is robust. The development of a staff training plan together with individual staff training profiles provide a ready means of identifying and tracking training needs and achievements. Environmental areas of the home requiring attention have been addressed, including kitchen and lounge redecorated and all areas of the home having been thoroughly cleaned. The inefficient central heating system has been upgraded with the addition of a new external boiler, pipe work and bathroom radiator. 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. The summary of this inspection report can be made available in other formats on request. Kingston Farmhouse DS0000012503.V328089.R01.S.doc Version 5.2 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 Kingston Farmhouse DS0000012503.V328089.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. To ensure residents care and support needs are met, a proper assessment is undertaken before they move into the home. EVIDENCE: Pre-admission assessment Kingston Farmhouse provides long-term care and support for up to nine younger adults with learning disabilities. At the time of the inspection the home was accommodating nine residents, all of whom have been referred through Social Services Care Management, the most recent having moved into the home in June 2005. It is therefore the case that the home has not had to implement its pre-admission assessment process for almost two years. However, it was noted that an assessment portfolio is in place and each resident has a needs assessment on his or her file. The manager showed a good understanding of the importance of a preadmission assessment in the process of choosing the right home, describing how there would be several introductory visits by the prospective resident to establish compatibility with existing residents, and to judge whether the home would be suitable. Kingston Farmhouse DS0000012503.V328089.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Opportunities for residents to make decisions and choices in their lives are determined by assessment and recorded in individually agreed personal plans, drawn up between the home and the residents. Residents are enabled to take control over their lives. Any limitations are identified in the assessment process and recorded in their personal plans. They are encouraged to be as independent as possible and to take sensible risks, which enhance their enjoyment of life. EVIDENCE: Personal plans – The home operates a key worker system with key support workers having additional responsibilities for identified residents. Each resident has a personal plan, which reflects their individual needs, aspirations and goals. At the site visit we looked at a selection of three plans. It was noted that they identify Kingston Farmhouse DS0000012503.V328089.R01.S.doc Version 5.2 Page 10 residents’ skills, abilities and daytime activities, and set out clear guidelines for staff around routines. In addition, they provide specialist information applicable to individuals. While information in plans is written up in the ‘third person’ it is very much person centred, with various pictorial representations to assist residents with their understanding of the content. Information is comprehensive and covers such general and specific areas as: Living Advocacy Risk taking Empowering Pen portrait Risk history Finance Health Skills assessment In discussions with the manager and one of the care support workers it was understood that key workers meet with their key residents every five weeks to review their personal plans and discuss their needs, wants and choices for activities over the next five weeks. At the last inspection we spent time with residents to discuss the content of their individual files. It was clear at that time that people understood what was recorded about them and the reasons why records were being maintained. Decision making Information in Personal Plans and discussions with staff on duty provided evidence of staff respecting residents’ rights to make their own decisions. In addition, it was clear from discussions with one resident who had been busy baking cakes during the afternoon, instead of going out, that the home very much respects residents decisions and gives full support to their choice of activities. Residents house meetings have brought up suggestions and comments from residents about activities, concerns, menus and the general running of the home. It was a busy day when we visited the home and residents were coming and going; one was baking cakes, another had been helping staff to transfer articles from another location, while others returned at various times from day services. Communication between residents and staff was good and interactions were good humoured. One resident is involved with an advocacy group and attends the period meetings that are held. The manager explained that there is a strong emphasis on self-advocacy for those with the cognitive ability to do so. For others the home will access the advocacy service when required. Kingston Farmhouse DS0000012503.V328089.R01.S.doc Version 5.2 Page 11 We looked at the system in place for managing residents’ finances. Each resident has their own bank account and is given support to be as independent as possible in this respect. The arrangements were fully explored and judged to be appropriate. Risk taking – During the site visit we noted specific risk assessments on residents’ personal plans, with clear guidance for staff on how risks are to be managed. Details of the risk history for each resident together with their pen portrait help to provide an understanding of the needs of each resident. In discussions with the manager it was evident that significant progress had been made with one resident’s challenging behaviour. Through a process of risk management it had been possible to gradually lift some necessary restrictions in the individual’s room, thereby enhancing the resident’s quality of life and rights to make decisions. Kingston Farmhouse DS0000012503.V328089.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 and 17 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are encouraged and supported to take part in a range of activities appropriate to their age and individual likes and dislikes. They are supported to maintain regular contact with families, friends and the local community. Routines in the home promote independence for the residents who have unrestricted access around the home. They are offered meals they enjoy, which are varied and healthy. EVIDENCE: Education and occupation The manager said that the assessed needs of most of the residents are such that seeking jobs for them is not appropriate. However, the skills assessment process has identified that three residents have been able, with support, to find and keep appropriate jobs; one with a local supermarket, another at one Kingston Farmhouse DS0000012503.V328089.R01.S.doc Version 5.2 Page 13 of the day centres under the ‘no barriers’ project, and the third at one of the cafes in Cowes. Other residents attend various day centres through the week. During the site visit we spoke with one particular resident at some length. He described the activities he was involved in at the day services during the week and confirmed that he enjoyed them. Community links, social inclusion and relationshipsIt was clear from our observations and from information in personal plans that residents enjoy going out from the home, especially during the day. However, the manager said that over the years their interests in leisure activities had changed to the extent that they were not so keen to go out in the evenings. A weekly programme of activities ensures their lives are varied and interesting. Staff treat residents as individuals and support them variously to visit local pubs, speedway, walks, shopping and trips out, especially in the summer. The home is contracted by social services to provide one-to-one support for some of the residents. At the five weekly reviews that key workers hold with the key residents preferences for activities are discussed and arrangements are made. There was evidence in personal plans and from discussions with management and staff that contractual issues around the additional one-toone support highlighted in the last report had been fully addressed. Residents go on holiday and this year they are looking forward to a trip to Euro-Disney. For trips out the home has its own minibus to which residents contribute with their mobility allowance. The manager said that they hoped to replace the current vehicle with one more suitable to the physical needs of all of the residents. It was established at the last inspection that residents maintain contact with their families to varying degrees. The views sought from relatives at that time were very positive. Daily routines Bedrooms were seen to be well personalised and reflected residents’ different interests and preferences. Staff respect their privacy and were seen to knock before entering their rooms. As previously mentioned in the report communication is very good and we observed the interactions between staff and residents during the afternoon. There was good humour and the banter was warm and friendly. Daily routines and household tasks have been discussed and agreed at the residents house meetings. They have a rota for table laying, washing up, getting breakfast ready and one day a week one of the residents cooks a meal. Kingston Farmhouse DS0000012503.V328089.R01.S.doc Version 5.2 Page 14 Each is responsible for keeping his or her room tidy and this generally takes place on one of the ‘home days’. Meals – At the Monday house meetings residents take the opportunity to suggest ideas for meals during the week ahead. The food is varied and there are healthy options. Some eat out at the day centres, while others take a packed lunch. One resident cooks the Monday evening meal with assistance, and others cook meals according to their abilities, but not regularly. During the site visit we observed residents laying the table and helping with the activities around the evening meal. It was noted to be a sociable affair with all but one eating together in the dining room. The meal was roast chicken with vegetables and it was apparent from residents’ comments that they all enjoyed it. Kingston Farmhouse DS0000012503.V328089.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff provide flexible but consistent support for residents and are responsive to their changing needs. They encourage residents to make choices, which reflect their individual personalities. Residents’ healthcare needs are assessed and key workers enable and support them to receive healthcare checks at appropriate intervals. Medication is securely held and appropriate records maintained. EVIDENCE: Personal support – There are currently nine residents at Kingston Farmhouse. One uses a wheelchair and occupies a room on the ground floor, which is suitably adapted. While another has mobility difficulties he can access all areas of the home without the assistance of staff. We noted that residents were dressed differently, as one would expect, according to their ages and preferred tastes. Key workers take note of any clothing or toiletry requirements and support the residents to purchase items themselves in one-to-one sessions with them. Kingston Farmhouse DS0000012503.V328089.R01.S.doc Version 5.2 Page 16 Residents are largely self-caring, being able to mange their own personal hygiene, with encouragement and support in some cases. They confirmed in discussions that they could go to bed and get up when they want. Also, they could remain in their room if they want, as we noted with one resident, whose respect for his privacy was particularly important. Respect for residents’ privacy and dignity was noticeable. The manager knocked on doors, and waited for a response before entering. Staff addressed residents by their preferred names. We noted from records and in discussions with the manager that the home had accessed bereavement counselling for two residents who had recently experienced some personal difficulties. This was an ongoing process, which, according to the manager had produced some positive outcomes. Healthcare – Care records showed that residents’ health care needs are regularly addressed. They receive checks from the GP, dentist, optician and specialist health care professionals. All health care needs of the residents are identified in their personal plans. The manager said that all residents receive ‘well man’ or ‘well woman’ checks each February and are registered with one of several GPs in the East Cowes health centre. The manager confirmed that the home enjoys a good liaison with the Community Psychiatric Nursing team. Medication We looked at the home’s arrangements for residents’ medication with the manager. Records showed that medication is administered by staff who have been trained and deemed competent by the manager. At the time of the site visit medication for residents was securely held, and records relating to its safekeeping and administration were found to be in good order. Kingston Farmhouse DS0000012503.V328089.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ complaints are treated seriously and given an appropriate response. The home’s policies, procedures and practices ensure that residents are safeguarded from abuse. Procedures for responding to suspicion or evidence of abuse are robust. EVIDENCE: At the last inspection there were shortfalls identified in the home’s recruitment procedure (covered later in the report), contractual issues with social services, and lack of adult protection training for staff. At this inspection there was evidence of significant improvements having been made in these areas. Complaints At the last inspection this standard was judged to have been met. The home has a formal complaints policy and procedure and while the residents and visiting relatives were not exactly clear about the detail they showed in their responses to surveys that they knew how to complain, and who to go to if they had any concerns. At this site visit one resident spoken with at length said he would speak to his key worker or the manager if he was unhappy with anything. Adult protection - Kingston Farmhouse DS0000012503.V328089.R01.S.doc Version 5.2 Page 18 The home has an adult protection policy and procedure. The manager said that all staff employed at the home had, since the last inspection, attended the Safeguarding Vulnerable Adults training course provided by social services. We saw evidence of this in the training calendar and individual training records. The care support worker spoken with was aware of the policy. She confirmed that the training had been given and was very clear about the importance of reporting any issues of concern without delay. Kingston Farmhouse DS0000012503.V328089.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s premises are suitable for its stated purpose. They are comfortable, safe and well maintained. On the day of the site visit the home was clean, hygienic and free from unpleasant odours. EVIDENCE: Premises It was evident through observations during a tour of the building with the manager that the areas of concern highlighted at the last inspection had been addressed. Since that time the following refurbishment and redecoration has been carried out: • • Kitchen - walls and cupboards painted. Lounge – Fireplace removed and boxed in, redecoration carried out, new carpet laid and furniture upgraded. DS0000012503.V328089.R01.S.doc Version 5.2 Page 20 Kingston Farmhouse • • • New carpet laid in annex hall and resident’s bedroom New central heating boiler and bathroom radiator. Two further bedrooms redecorated. In general terms the home is suitable for its stated purpose; accessible to all residents; safe and well maintained. All bedrooms are for single occupancy, most being located on the first floor. A large single room adapted to meet the needs of a wheelchair user is located at ground level and has an en-suite facility. The home has a good-sized lounge with adequate seating, and a separate dining room, which comfortably accommodates all residents and some staff members. There is a kitchen and separate utility room where the laundry is carried out. The premises are bright, airy and comfortable. One resident was happy to show us his room and seemed proud of the way it was decorated and equipped. Rooms looked to reflect the personalities of the residents and were clearly decorated according to their individual tastes. Outside is a patio area with some seating. The home has sufficient bathing and toilet facilities to meet the needs of residents and staff. Cleanliness Since the last inspection the home has recruited a new member of staff with responsibility for ensuring the home is clean and tidy. During the site visit all areas were noted to be clean, tidy and free from unpleasant odours. There is a laundry area equipped with commercial grade machines for ensuring articles are washed at appropriate temperatures. Walls can be wiped clean and the floor has an impermeable covering. Kingston Farmhouse DS0000012503.V328089.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home have the necessary skills and experience to meet the needs of the people who live there. At the time of the inspection 67 of the care support workers were qualified at NVQ level 2 or above. A robust recruitment procedure ensures residents are protected. EVIDENCE: At the last inspection there were identified shortfalls in staff recruitment procedures, which have the potential to put residents at risk. In addition, there was a requirement for the home to have a system to track training needs and achievements. At this inspection there was evidence of significant improvements having been made in these areas. Staff recruitment The manager confirmed that three new care support workers and a housekeeper had been recruited since this standard was last assessed. Individual staff recruitment files were available for inspection and showed that the home’s recruitment procedure includes an application form, a contract of Kingston Farmhouse DS0000012503.V328089.R01.S.doc Version 5.2 Page 22 employment, a health declaration, proof of identification, two written references and police and Protection of Vulnerable Adults (POVA) checks on all staff. We looked at records where shortfalls had been identified at the last inspection and also checked the records for the new recruits. It was noted that all the information required was in place. Staff training, development and competencies We looked at the staff training plan and individual training profiles, which had been developed since the last inspection. They give details of training completed and scheduled. Staff confirmed the content of the training programme, which includes all statutory subjects, together with safe handling of medicines and adult protection. The manager described and produced evidence of the induction programme care support workers undertake when joining the home. The current programme recently introduced follows the Common Induction Standards recommended by ‘Skills for Care’. The manager confirmed and records showed that six of the nine care support workers have achieved the NVQ at level 2 or above. The manager said that two staff are undertaking separate Learning Disabilities Framework (LDAF) training and arrangements are in place for one new member of staff to start training for NVQ at level 3. . Kingston Farmhouse DS0000012503.V328089.R01.S.doc Version 5.2 Page 23 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a home where the registered manager has the experience together with the relevant management qualifications to run the home and meet its stated purpose, aims and objectives. There are good quality assurance measures in place to ensure the home continues to meet its aims and objectives. The home’s policies, procedures and staff training ensure as far as is reasonably practicable, the health and safety of the residents and staff. EVIDENCE: At the last inspection there were concerns involving social services contractual arrangements and the failure of the management to fully undertake the appropriate security checks for new staff. At this inspection there was evidence of significant improvements having been made in these areas. Kingston Farmhouse DS0000012503.V328089.R01.S.doc Version 5.2 Page 24 Management – The registered manager Mrs Trudie Manton has been in post since 2002. She has twelve years experience in a service for younger adults with learning disabilities and has achieved the NVQ at level 4 in care, and also in management. She has stated her intention to undertake training for the Registered Managers Award. Staff spoken with during the site visit felt the home was well managed; staff morale was high and communication was good. Quality assurance – Kingston Farmhouse has achieved the Investors in People Award. The manager gave examples and we saw records of the home’s approach to quality assurance, which includes: • • • • • • • Regular residents meetings where issues are recorded and addressed. Yearly care reviews involving the social services care manager, the key worker, the resident and a relative. Five weekly in-house personal plan reviews involving the key worker and the resident. Regular statutory visits by the proprietor to monitor the conduct of the home Regular staff meetings and formal supervision sessions. Written residents satisfaction surveys in pictorial format. Written satisfaction surveys sent to family members together with a newsletter and copy of the complaints procedure. The manager confirmed that she had carried out an analysis of the survey results and had used them to make improvements where identified. Health and safety All care support staff undertake statutory training, which includes first aid, health and safety awareness, food hygiene, manual handling and fire awareness. At the last inspection it was judged that generally the health, safety and welfare of the residents is well managed, as evidenced via previous inspection reports, and a range of health and safety materials, policies and procedures available. During this site visit it was noted that the kitchen boiler and fire extinguisher/alarm system had been serviced. In addition it was noted that mixer valves had been replaced on taps to protect residents from being scalded by hot water. Kingston Farmhouse DS0000012503.V328089.R01.S.doc Version 5.2 Page 25 Kingston Farmhouse DS0000012503.V328089.R01.S.doc Version 5.2 Page 26 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 3 23 3 ENVIRONMENT Standard No Score 24 3 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 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Kingston Farmhouse DS0000012503.V328089.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? No 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 Kingston Farmhouse DS0000012503.V328089.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Kingston Farmhouse DS0000012503.V328089.R01.S.doc Version 5.2 Page 29 - 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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