Inspection on 25/04/05 for Kingston Farmhouse

This inspection was carried out on 25th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Kingston Farmhouse 22/03/07

Kingston Farmhouse 09/08/06

Kingston Farmhouse 03/10/05

Kingston Farmhouse 24/11/04

Kingston Farmhouse 02/04/04

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Dalewood Respite Care

Orchard,The

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Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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 David Coulter Unannounced 25th April 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Kingston Farmhouse H55 H04 S12503 Kingston Farmhouse V218132 220405 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Kingston Farmhouse Address Beatrice Avenue, Whippingham, East Cowes, Isle of Wight, PO32 6LL Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01983 294145 01983 289667 Mrs Jennifer Ann Bacon Mrs Trudie Manton Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Kingston Farmhouse H55 H04 S12503 Kingston Farmhouse V218132 220405 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24/11/2004 Brief Description of the Service: Kingston Farmhouse is a registered care home that provides care for up to nine adults of both sexes with learning disabilities. Members of the present resident group all live full and active lives and are engaged in a variety of educational, social and recreational activities. Two of the residents are engaged in sheltered employment schemes and all the others attend day services or college. Staff within the home strive to promote independence amongst the residents and support them in acquiring a range of social and life skills. All the residents are accommodated in single rooms. 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. The home is situated in a semi-rural position in a quiet cul-de-sac on the outskirts of East Cowes. The property is a detached house with some historic interest, having connections with the nearby Osborne House Estate. It sits in its own grounds and offers some fine views of the Medina Valley from its secluded rear garden. The home is within walking distance of a main bus route and is convenient to ferry services to the mainland. Kingston Farmhouse H55 H04 S12503 Kingston Farmhouse V218132 220405 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on a busy Monday morning in April. At the time of the inspection there were three members of staff and three residents present. During the course of the inspection a full tour of the building was undertaken, a variety of documents and reports examined and discussions held with residents and staff. From the information gathered it was apparent that residents were active in decision making within the home and were exercising choice over most aspects of their lives. What the service does well: * The home has established systems to ensure that residents views are sought on all aspects of their lives within the home. * Staff encourage residents to develop their social and life skills * Residents live full and active lives that includes attendance at day services and sheltered employment. * Residents have access to their own transport. * Residents go out and about within the local community * All residents have their own rooms which they can decorate to their own taste. * The home has developed a good range of policies and procedures. Kingston Farmhouse H55 H04 S12503 Kingston Farmhouse V218132 220405 Stage 4.doc Version 1.30 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. Kingston Farmhouse H55 H04 S12503 Kingston Farmhouse V218132 220405 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Kingston Farmhouse H55 H04 S12503 Kingston Farmhouse V218132 220405 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 3 & 4 The home has clear aims and objectives that determine the nature of the service it provides. All prospective residents are subject to a detailed assessment in order to determine if their identified care needs could be appropriately met within the home. The views of the existing residents are sought before any placement becomes permanent. The admissions process usually includes daily visits and overnight stays. Prospective residents are provided with clear information on the nature of the service and the terms and conditions of residency. EVIDENCE: At the time of the inspection the home had one vacancy. Through discussions with a member of staff on duty it was evident that a prospective new resident had been identified and that a number of introductory visits to the home had already been arranged. An examination of a residents care plan revealed that initial assessments aimed to identify, amongst other things, areas of potential risk, health and medical requirements and abilities in regards to social and communication skills. Kingston Farmhouse H55 H04 S12503 Kingston Farmhouse V218132 220405 Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8&9 From discussions with residents and staff and an examination in a number of records, including care plans, it was evident that the home operates in the best interests of the residents and that their views and opinions form a major part of the decision making process within the home. EVIDENCE: The views of residents about all aspects of life within the home are sought on both an individual and collective basis, individually through one to one discussions with staff and collectively through weekly residents meetings and informal discussions around the meal table. The current residents were aware of the independent advocacy service and a number have used it in the past. Residents’ meetings take place every Monday evening and provide an opportunity to, amongst other things, discuss and allocate domestic duties and plan forthcoming social and recreational activities. Residents’ meetings are minuted. Likewise, home days provide an opportunity for key-workers to spend designated time with individual residents on a one-to-one basis. Staff spoken with indicated that every effort was made to assist residents pursue their particular interests and hobbies. For example, last year Kingston Farmhouse H55 H04 S12503 Kingston Farmhouse V218132 220405 Stage 4.doc Version 1.30 Page 10 arrangements were made to assist a resident achieve one of his lifelong ambitions of visiting the United States. While staff were clearly pro-active in encouraging residents to gain new experiences and develop greater self-confidence, they were also aware of their responsibilities in regard to their ‘duty to care’. All residents are subject to risk assessments that aim to highlight any potential difficulties that could be encountered during their daily lives and any new activities are always considered within a risk management framework. Kingston Farmhouse H55 H04 S12503 Kingston Farmhouse V218132 220405 Stage 4.doc Version 1.30 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 standard(s) 12,13,14 &15 It was evident residents live full and active lives and that every effort is made to support them become more independent by developing their social and life skills. EVIDENCE: Residents are encouraged to remain physically and socially active and all were found to be participating in either day services or sheltered employment activities. One of the residents, with quite specific care needs, presently receives additional staffing. Through discussions with staff it was felt that a more structured programme could be developed that could exploit her particular interest in art. In the light of this it is recommended that enquiries be made about the possibility of arranging art sessions with an appropriate worker. The Home has two vehicles that are leased by residents and used to transport individuals to various social and recreational activities around the island. The running costs of the vehicles are shared between all residents. An examination of records revealed that residents had been engaged in a variety of social and recreational activities including outings to the local pub, the speedway and the Kingston Farmhouse H55 H04 S12503 Kingston Farmhouse V218132 220405 Stage 4.doc Version 1.30 Page 12 beach. Staff confirmed that individual residents were in the process of deciding on their summer holidays and a group had already decided to go to Ibiza while two others were keen to visit the Eden Project in Cornwall. Records indicated that residents were able to make decisions over many aspects of the daily lives within the home from their choice of food to the extent of contact they want with their family and friends. While the home has a television in the lounge it was observed that the majority of residents had their own televisions, video recorders and music centres. These facilities provided a choice over programming and home entertainment. As the inspection took place prior to the general election it was good to note that staff had made arrangements for each of the residents to exercise their democratic right to vote. Kingston Farmhouse H55 H04 S12503 Kingston Farmhouse V218132 220405 Stage 4.doc Version 1.30 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 standard(s) 18&19 The healthcare needs of residents are closely monitored by staff and regular checks are undertaken by a number of health professionals including GPs, dentists and chiropodists. EVIDENCE: On the morning of the inspection one of the residents was being accompanied by a member of staff to see his GP. The staff member explained that all the residents are registered with the local practice. She went on to explain that staff were in the process of completing new health passports for all residents. These passports will be used as a monitoring device to ensure that all aspects of a residents health is regularly monitored and all intervention noted. Records demonstrated that staff receive training on a variety of health related issues. Kingston Farmhouse H55 H04 S12503 Kingston Farmhouse V218132 220405 Stage 4.doc Version 1.30 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 standard(s) x These standards were not inspected during this inspection EVIDENCE: Kingston Farmhouse H55 H04 S12503 Kingston Farmhouse V218132 220405 Stage 4.doc Version 1.30 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 standard(s) 24,26,27,29 &30 The home offers accommodation that is both functional and homely. Being an older property it has its own distinct character. While all residents have their own rooms, only one has an en-suite. The home does not have a lift and can only offer limited accommodation on the ground-floor for less mobile residents. EVIDENCE: As part of the inspection a tour of both the home and its grounds was undertaken. In general the property was found to be structurally sound and in good decorative order. Residents’ rooms were observed to be furnished and decorated to their own taste. One resident spoken with talked in positive terms about his accommodation. Major adaptations have been made internally and externally to meet the needs of one resident with mobility difficulties. Communal bathrooms and toilets are located around the building. Since the last inspection the groundfloor bathroom has been refurbished and according to a member of staff spoken with, plans are being made to redecorate the lounge. Kingston Farmhouse H55 H04 S12503 Kingston Farmhouse V218132 220405 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31&33 The home operates with an experienced and well motivated staff team. Staff spoken with were clear of their roles and responsibilities. EVIDENCE: An examination of the staffing rota indicated that staffing levels were adjusted at various times to meet the needs of residents and in general there are more staff on duty in the evenings and week-ends than during the day. All residents have a ‘home day’ that provides them with the opportunity to have one-to-one contact with their keyworkers. A member of staff explained that many of the residents use their ‘home days’ to go on shopping trips. As the residents like to participate in activities in different parts of the island, it has become important for staff to be able to drive and all new staff are expected to hold a current driving licence. On appointment all new staff undertake a comprehensive induction programme that introduces them to their roles and responsibilities. New staff initially work alongside more experienced staff. Kingston Farmhouse H55 H04 S12503 Kingston Farmhouse V218132 220405 Stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37& 38 The home is run in the best interests of residents and staff are at hand to support them live full and active lives. EVIDENCE: Evidence gained through observations, an examination of records and discussions with residents and staff indicated that the home was operating effectively and that the often diverse needs of residents were being appropriately met. The ethos of the home is based on a ‘Client Centred’ approach that requires residents to participate in decision making. Staff were clear that their role was to support residents live as independently as possible within their home. The home has achieved an ‘Investors in People‘ award and as a consequence has developed a number of quality assurance monitoring systems. Kingston Farmhouse H55 H04 S12503 Kingston Farmhouse V218132 220405 Stage 4.doc Version 1.30 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 3 3 x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 4 4 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 3 x 3 3 Standard No 11 12 13 14 15 16 17 x 4 3 4 3 x x Standard No 31 32 33 34 35 36 Score 3 x 3 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Kingston Farmhouse Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x x x H55 H04 S12503 Kingston Farmhouse V218132 220405 Stage 4.doc Version 1.30 Page 19 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 11 Good Practice Recommendations Staff should try and access art sessions for the resident with specific care needs Kingston Farmhouse H55 H04 S12503 Kingston Farmhouse V218132 220405 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Mill Court Furrlongs Newport Isle of Wight, PO30 2AA 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 Kingston Farmhouse H55 H04 S12503 Kingston Farmhouse V218132 220405 Stage 4.doc Version 1.30 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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