Inspection on 03/10/05 for Kingston Farmhouse

This inspection was carried out on 3rd October 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 25/04/05

Kingston Farmhouse 24/11/04

Kingston Farmhouse 02/04/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

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 Inspection 3rd October 2005 09:30 Kingston Farmhouse DS0000012503.V251492.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 Kingston Farmhouse DS0000012503.V251492.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. Kingston Farmhouse DS0000012503.V251492.R01.S.doc Version 5.0 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.V251492.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th April 2005 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. The home is situated in a semirural 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. Members of the present resident group were found to be living full and active lives and all are engaged in a variety of educational, social and recreational activities. Staff within the home strive to promote independence amongst the residents and support them in developing a range of social and life skills. All the residents are accommodated in single rooms that have been decorated to their taste. One resident with mobility difficulties is accommodated in a ground floor room that has had major alterations, including the installation of an ensuite bathroom. Kingston Farmhouse DS0000012503.V251492.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on a busy Monday afternoon in early October. During the course of the inspection opportunities arose to meet with five staff, including the home’s manager. A number of residents were also spoken with on their return from day services. During the course of the inspection a full tour of the building was undertaken and a variety of documents and reports examined. From the information gathered it was apparent that the home was operating effectively and providing good quality care to a group of residents with diverse, physical, social and emotional needs. What the service does well: What has improved since the last inspection? What they could do better: Nothing identified during this inspection Kingston Farmhouse DS0000012503.V251492.R01.S.doc Version 5.0 Page 6 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 DS0000012503.V251492.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 Kingston Farmhouse DS0000012503.V251492.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): 1&5 The home has a well established admissions procedure and all prospective residents undertake trial stays prior to admission. All new residents are provided with a service users guide that details the services and facilities associated with residency. EVIDENCE: The home has produced a detailed statement of purpose that outlines the home’s philosophy and the services it provides. The statement contains, amongst other things, colour photographs of the facilities, a floor-plan of the building, the social activities on offer and a description of the local area. The statement uses both the written word and pictures. The home’s manager confirmed that all residents have been provided with a copy. Since the last inspection, the home has admitted one new resident. The young man in question was spoken with and confirmed that he had both received information and undertaken a number of trial visits to the home before deciding to move in. He had, in his own words, ‘settled in well’ and ‘liked the staff and residents’. Kingston Farmhouse DS0000012503.V251492.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): 10 The home has a written policy and procedure on the handling of confidential information. Confidential information was observed to be appropriately stored. EVIDENCE: All staff are introduced to the home’s policy and procedure on confidentiality through their initial induction. Confidential information relating to residents was observed to be stored in appropriately locked facilities. The manager explained that residents can, if they wish, access their care plans. Kingston Farmhouse DS0000012503.V251492.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): 11, 14, 16 & 17 The home’s residents are encouraged to live full and active lives. All are involved in daily activities outside of the home. Discussions with residents confirmed that opportunities were made available both within the home and in the local community. EVIDENCE: The philosophy of Kingston Farmhouse incorporates the idea that staff should assist residents in gaining the necessary knowledge and skills to help themselves. For example, residents are encouraged to accept responsibility for such things as keeping their rooms tidy and in assisting staff in drawing up a menu plan. Residents spoken with confirmed they undertook a variety of daily domestic tasks such as preparing their own packed lunches, setting tables, assisting with the preparation of meals etc. While there is an expectation that residents will contribute to the day to day running of the home staff are always available to provide support when needed. Within the home there are a range of recreational facilities for residents that includes; a television and video, music centre, play station and computer. Kingston Farmhouse DS0000012503.V251492.R01.S.doc Version 5.0 Page 11 Residents now have, with the help of staff, direct access to the internet. Many of the residents’ rooms were observed to contain their own televisions and music centres. Staff said that residents had enjoyed the home’s garden throughout the summer and the purchase of new garden furniture allowed many meals to be taken out of doors. The majority of residents went on holiday this year with a large party going on a self-catering holiday to Ibiza while some others opted for a stay in Cornwall. It was evident from observing the interaction between residents and staff that relationships within the home were based on mutual respect. Interaction was observed to be both spontaneous and warm. All residents’ rooms have lockable doors and it was observed that staff only entered their rooms after knocking and being invited in. During the inspection it was possible to observe the preparation of the evening meal. The member of staff cooking was being assisted by one of the residents. Staff explained that the home operates a rolling five-week menu plan to ensure variety, however, residents are regularly consulted as to their individual preferences and issues relating to food are discussed at the weekly residents meeting every Monday evening. All agreed menu plans incorporate seasonal variations and individual’s special dietary needs. The home does not employ designated catering staff and care staff assume responsibility for the production of meals. All meals are eaten communally in the home’s dining room and form an important part of the home’s day. The evening meal is the main meal of the day. Those residents who attend day services can make packed lunches to take with them. Residents are often involved in shopping and on their home days help to prepare the evening meal. Residents spoken with talked positively about the quality and quantity of food on offer. Kingston Farmhouse DS0000012503.V251492.R01.S.doc Version 5.0 Page 12 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 & 21 There was evidence in the residents’ care plans that their health care needs were closely monitored and that intervention was sought when required. The arrangements for the storage and administration of medication were found to be appropriate. EVIDENCE: According to the manager, all care staff undertake training on the safe handling and administration of medication. Only when they have demonstrated their competence are they allowed to assume full responsibility. At the time of the inspection there was only one resident who undertook any form of self-medication and that was limited to the use of a Ventolin inhaler. The manager said that if an instance arose where a resident wished to selfmedicate a full risk assessment would be undertaken first. Medication is dispensed via a pre-packed monitored dosage scheme. Medication was found to be stored in an appropriately locked facility. A record of all medication administered is noted. Any spoilt or refused medication is returned to the pharmacy. The manager explained that when the subject of death arose, informal discussions often developed. However, residents and staff within the home have, over the last few years, had to try and come to terms with a number of Kingston Farmhouse DS0000012503.V251492.R01.S.doc Version 5.0 Page 13 bereavements. While this has been difficult, the manager said that everyone within the home has tried to support each other. Staff spoken with were aware of significant times such as anniversaries during which individual residents might require additional support. The manager said that the home had recently sought assistance from an independent advocate to help one of the residents to write their will. Kingston Farmhouse DS0000012503.V251492.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): 22 & 23 The home has a well established complaints procedure. There had been no complaints registered since the last inspection. All the residents spoken with indicated that they would have no difficulty in raising concerns with any of the staff. EVIDENCE: The manager reported that the home had not received any complaints since the last inspection and went on to explain that Monday evening residents’ meetings provide a forum for the discussion of problems or concerns as they arise. Minutes are taken of the meetings and any issues arising passed directly to the manager. The manager explained that staff were pro-active in seeking out the views and opinions of residents on a daily basis. Residents spoken with said they would have no difficulty raising concerns with any of the staff. The home has an adult protection policy and procedure and all staff are introduced to it during their induction. All allegations are recorded and the Isle of Wight Adult Protection Policy implemented if required. Staff spoken with were clear about their personal responsibilities in regard to the protection of vulnerable adults and confirmed that they had experience regarding the implementation of policies and procedures. Kingston Farmhouse DS0000012503.V251492.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): 25 & 28 The home operates as a small residential community and there is an expectation that the residents will participate in many aspects of domestic life. The tour revealed that the home was generally clean and tidy. It was evident that residents had personalised their rooms and those spoken with confirmed that they had been consulted over their decorations and furnishing. A discussion was held with the manager about future developments including the introduction of a new heating system and refurbishment of the kitchen area. EVIDENCE: As part of the inspection a tour of both the home and its grounds was undertaken. In general the home was found to be structurally sound and in good decorative order. All the residents have their own rooms which have been decorated and furnished to their taste. There is a secluded well-stocked garden that surrounds the home. Major adaptations have been made internally and externally to accommodate a resident with mobility problems. The home is subject to both environmental health and fire inspections. It was clear that the kitchen/dining area is a popular gathering point for both residents and staff and as such receives regular traffic. The redecoration of the kitchen was discussed with the manager who acknowledged that a Kingston Farmhouse DS0000012503.V251492.R01.S.doc Version 5.0 Page 16 refurbishment was now due. However, as a new central heating system is to be installed in the spring, it was agreed the refurbishment of this area could be delayed until the central heating work was completed. The home has introduced a number of new sofas to the lounge area. Kingston Farmhouse DS0000012503.V251492.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 & 36 The home benefits from an experienced, stable and well motivated staff team. All staff are provided with job descriptions and those spoken with appeared clear about their specific roles and responsibilities. Evidence indicated that staff had the knowledge and skills necessary to meet the needs of the residents. EVIDENCE: All staff, including the manager, have job descriptions, that details their roles and responsibilities. The manager provides clear guidance for staff on necessary daily tasks. There is always a senior member of staff in charge of each shift. The manager stated that consideration was always given to the staff composition on each shift. The home has a full complement of permanent full and part time staff. Since the last inspection two new members of staff have been appointed. An examination of their staff records indicated that the home’s recruitment policy and procedure had been followed and all the necessary checks, including references, obtained. The manager explained that the home is committed to having a fully trained and qualified work force. The training needs of individual staff are determined through monthly supervision and annual appraisals with the manager. The manager explained that all new staff undertake an induction programme that introduces them gradually to the policies, procedures and working practices of the home. Kingston Farmhouse DS0000012503.V251492.R01.S.doc Version 5.0 Page 18 At the time of the inspection all but two of the staff had obtained NVQ qualifications. Over the last year staff have completed training in, amongst other things, health and safety, first aid and the administration of medication. Specialised training is also accessed in response to the needs of residents. The manager explained that future training was to include a course for staff on fire safety. Kingston Farmhouse DS0000012503.V251492.R01.S.doc Version 5.0 Page 19 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): 39, 40, 41, 42 & 43 The home was found to be well managed and staff were clear about both their roles and responsibilities. The home has developed a comprehensive range of records and documents relating to the effective operation of the home. EVIDENCE: The home has achieved an investors in people award and the manager has developed a range of internal quality assurance procedures. The views of family, friends and advocates and other stakeholders in the service are sought on how the home is meeting residents’ needs. The home was observed to have a comprehensive range of policies and procedures. All staff are provided with their own staff handbook during their induction. Staff spoken with confirmed that they were consulted about proposed changes to the home’s policies and procedures. During the course of the inspection a number of records were examined including those relating to the administration of medication, staffing and fire alarm testing. All these Kingston Farmhouse DS0000012503.V251492.R01.S.doc Version 5.0 Page 20 contained recent and relevant information, and as such met the regulations. Records were found to be stored in appropriately locked facilities. The home has a Health and Safety policy that aims to provide a safe environment for both residents and staff. This policy was drawn up by reference to the relevant legislation and guidance. The manager confirmed that regular checks are carried out by relevant authorities to ensure that the home’s equipment and facilities are safe. The manager confirmed that she works closely with the proprietor and has contact with her every day, even if she is out of the country. The manager is responsible for the day to day running costs within the home and is answerable directly to the proprietor. Major purchases are agreed jointly. Budgets are, according to the manager, kept under continuous review and adjusted as necessary. The home’s accounts are audited annually. The home was found to have a valid insurance policy with appropriate cover. A discussion was held with the manager about the arrangements to be implemented to cover in her absence. Kingston Farmhouse DS0000012503.V251492.R01.S.doc Version 5.0 Page 21 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 3 x x x 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x x x x 3 Standard No 24 25 26 27 28 29 30 STAFFING Score x 3 x x 3 x x LIFESTYLES Standard No Score 11 3 12 x 13 x 14 3 15 x 16 3 17 Standard No 31 32 33 34 35 36 Score x 3 x 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Kingston Farmhouse Score x x 3 3 Standard No 37 38 39 40 41 42 43 Score x x 3 3 3 3 4 DS0000012503.V251492.R01.S.doc Version 5.0 Page 22 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.V251492.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight Ground Floor Mill Court Furrlongs Newport, IOW 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. 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