Inspection on 21/03/07 for Larchpine

This inspection was carried out on 21st 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Larchpine 05/10/07

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 Larchpine Kenley Road Headley Down Nr Liphook Hampshire GU35 8EJ Lead Inspector Michael Gough Unannounced Inspection 21st March 2007 10:30 Larchpine DS0000068502.V330539.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 Larchpine DS0000068502.V330539.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. Larchpine DS0000068502.V330539.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Larchpine Address Kenley Road Headley Down Nr Liphook Hampshire GU35 8EJ 01428 713307 01428 713307 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) Omega Elifar Ltd Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Larchpine DS0000068502.V330539.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: Larchpine is situated in a quiet residential area of Headley Down and the village post office and local shop is situated close by. The village of Greyshot is approximately 3 miles away and the towns of Haselemere and Petersfield are a 10 minute drive away. The home has a minibus that is equipped to provide transport for physically disabled service users. The home is a converted bungalow and all bedrooms and communal areas are fully wheelchair accessible. The home is operated by Omega Elifar Limited and provides support and accommodation for up to 5 service users who have a learning disability. Fees at the home are approximately £1000 per week and service users are responsible for paying for their own toiletries and items of a personal or luxury nature. Larchpine DS0000068502.V330539.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 evaluation of the quality of the service provided at Larchpine and takes into account the accumulated evidence of the activity at the home since the home changed hands in October 2006 and this is the first inspection visit to the home since the change of ownership. The inspection took into account the homes pre inspection questionnaire; and evidence for this report was obtained from reading and inspecting records, touring the home and from observing the interaction between service users and staff. It was not possible to gain the definitive views of all the service users due to their verbal communication difficulties. It was however possible to gain the views of 2 members of staff and to meet with the 3 service users who live at the home. Comment cards were received from 2 relatives and the homes manager was available on the day of the inspection and assisted the inspector throughout the visit. The home is registered to provide support for 5 service users and at the time of the inspection there were 3 service users living at the home. What the service does well: What has improved since the last inspection? What they could do better: The inspection report will make 1 requirement, which will help improve the service provided for residents. The homes medication policy and procedures were examined and discussed with the homes manager and there was not always clear information recorded for some “when required” medication on how much medication had been given. The manager must ensure that clear records are kept of the amount of medication given on each occasion it is administered. Larchpine DS0000068502.V330539.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Larchpine DS0000068502.V330539.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 Larchpine DS0000068502.V330539.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. Prospective service users needs are assessed before they move into the home. EVIDENCE: The home has an assessment process in place to ensure that the needs of service users are fully assessed before they move into the home. There are comprehensive social service assessments undertaken as well as the homes in house assessments. These assessments were kept on file at the home and formed the basis for the care plans that are in place. The inspector discussed the current vacancies at the home and the acting manager stated that there is currently one new service user who has expressed an interest in moving in and that the assessment process is underway to see if the home can meet the individuals needs Larchpine DS0000068502.V330539.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 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users assessed needs and personal goals are reflected in an individual plan of care and service users are supported to make decision about their lives with assistance given by staff. Service users are supported to take responsible risks and this allows service users to live an independent lifestyle as much as possible. EVIDENCE: The inspector looked at the care plan of one service user and this was a comprehensive document and was clear and easy to follow, it gave clear information for staff on the support the service user requires and detailed how and when this support should be given. All service users have a key worker and they review care plans monthly then inform staff if any changes have been made. Larchpine DS0000068502.V330539.R01.S.doc Version 5.2 Page 10 Service users are encouraged to be involved in the care planning process as much as possible and there is evidence in daily notes that show that service users are involved in making informed decisions. Service are supported to make choices through regular service user meetings and staff informed the inspector that because of the communication needs of some of the people living at Larchpine gauging their views involves knowing the service users and observing their responses to different situations. The inspector observed staff interacting with service users and taking their views into account. Service users care plans contained comprehensive risk assessments and these gave details of the assumed risk, the service users understanding of the risk and the support required and the action to be taken to minimise any identified risk. Larchpine DS0000068502.V330539.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported to take part in age, peer and appropriate activities and they access the local community on a regular basis. The homes visiting policy supports service users to maintain family links and friendships both inside and outside the home and service users rights are respected. Service users are offered a healthy and varied diet and service users enjoy their meals at the home. EVIDENCE: None of the service users at the home are able to undertake any form of paid employment. Due to the natures of service users learning disability all service users require staff support to go out into the local community. Service users regularly go shopping, visit local pubs and cafes and attend local fetes and community events in the local area. There is a clear visiting policy and the inspector was informed that all service users have family involvement and receive regular visitors. Staff stated that Larchpine DS0000068502.V330539.R01.S.doc Version 5.2 Page 12 they would respect service users wishes on who they wished or did not wish to see. Staff were observed interacting with service users and their preferred form of address was used. Service users were not able to verbally communicate with the inspector, however it was clear through observations that they were very happy at the home and that service users and staff get on well together. Service users are able to access all areas of the home. Menus at the home are made up using a four-week rolling menu, which is flexible and allows service users to make their own choice of what they would like to eat. The likes and dislikes of service users are taken into account as is their nutritional needs. Service users go out regularly for meals and the home has picture symbols to help service users make informed choices. Staff at the home make all meals, however service users are encouraged and supported to be involved as much as possible. Service users are encouraged to eat their meals at the dining table in the kitchen, however they can eat elsewhere if they wish. Food shopping normally takes place once a week and service users are encouraged to go with staff to buy the shopping for the home. Larchpine DS0000068502.V330539.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Personal support is given flexibly and is given in private and the physical and emotional needs of service users are met. Service users are protected by the homes policies and procedures for dealing with medicines and generally medication procedures are satisfactory, however the home must ensure that clear records are kept of the amount of medication given to each service user on each occasion it is administered. EVIDENCE: Personal support is given flexibly and service users plans give clear information to staff on how service users would like their personal support to be given and this allows for a consistent approach. Personal support is given in private and the preferences of service users on who they prefer to give them the support they need is respected. The home has a policy on cross gender care and arrangements are in place to ensure that male staff are not on duty without female support as one of the service users prefers females to give her personal care. Larchpine DS0000068502.V330539.R01.S.doc Version 5.2 Page 14 All of the service users at the home are registered with the same GP surgery, and the GP is experienced in working with service users who have a learning disability. Service users have specialist input from the local learning disability team, from district nurse’s, occupational and speech therapists, a continence adviser and physiotherapists as required. Dental checks and treatment are provided through a local hospital and eye tests are carried out once per year. The homes medication policy and procedures were examined and discussed with the homes acting manager. All staff have received training in the administration of medication and there is a policy for the receipt, storage, disposal and administration of medication. The home uses a monitored dose system for medication and records were inspected and found to be accurate and up to date, however 1 service user was prescribed paracetamol and instructions were for 1 or 2 to be given when required. The medication administration sheet was signed but it did not give clear information on how much medication had been given and the home must ensure that clear records are kept of the amount of medication given on each occasion it is administered. Larchpine DS0000068502.V330539.R01.S.doc Version 5.2 Page 15 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 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a clear and accessible complaints procedure, which includes timescales for the process. The homes policies and procedures help to protect service users from any form of abuse. EVIDENCE: The home has a clear and accessible complaints procedure and contained all of the required information and gave details of how to contact the CSCI. There have been no complaints made to the home since it opened and staff members spoken to were also aware of the complaints procedure. The home has a copy of the Hampshire Adult Protection procedure and has a whistle blowing policy. Staff receive training with regard to adult protection and POVA as part of their induction. Staff members spoken to confirmed that they had received training and were aware of their responsibilities in this area. Larchpine DS0000068502.V330539.R01.S.doc Version 5.2 Page 16 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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a homely and comfortable environment and the home is clean and hygienic and free from offensive odours. EVIDENCE: A tour of the home was conducted and the home is a bungalow over one floor, there are 5 bedrooms and 2 bathrooms with a WC. There is also a separate WC. There is a large kitchen/ dining area, a separate laundry room, a large lounge with sensory equipment and there is also a conservatory and office. All areas of the home were clean and furniture and fittings were of good quality and homely in appearance and all areas of the home were wheelchair accessible. The service was clean and hygienic and there were no offensive odours. There is a separate laundry, which has washable floors and walls. There is an industrial tumble drier and also an industrial washing machine that is able to wash clothing at appropriate temperatures. Staff carry out laundry duties and Larchpine DS0000068502.V330539.R01.S.doc Version 5.2 Page 17 there is information, which gives staff clear guidance for washing any soiled items. Staff at the home are provided with appropriate protective clothing and receive training with regard to infection control. Larchpine DS0000068502.V330539.R01.S.doc Version 5.2 Page 18 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 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Competent, qualified and appropriately trained staff support service users and meet their needs. The homes recruitment policy and practice protect service users. EVIDENCE: There is a dedicated staff team at the home and all staff are encouraged and supported to undertake National Vocational Training. Currently the home has 3 of its staff members who are undertaking NVQ training, with a further 6 due to start in the near future. The home has policies and procedures in place with regard to recruitment and staff recruitment records were inspected for 2 staff members and these contained all the required information. Training records were inspected and the home has a comprehensive induction programme, which is completed in the first 4 weeks at the home. Mandatory training is also carried out in; moving and handling, fire safety, medication procedures, first aid, health and safety, food hygiene, epilepsy, and infection control. Additional training is also carried out and the staff members spoken Larchpine DS0000068502.V330539.R01.S.doc Version 5.2 Page 19 with confirmed that they had received a good induction and said that there was regular training provided by the home. Larchpine DS0000068502.V330539.R01.S.doc Version 5.2 Page 20 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 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well run home and the views of service users and other interested parties are sought on how the home is meeting service users needs. The health, safety and welfare of residents and staff are protected. EVIDENCE: The manager has been in post since the home was registered and is in the process of obtaining the Registered Manager Award and she has applied for registration with the Commission for Social Care Inspection. The home has effective quality assurance procedures in place and the manager completes a monthly audit. Questionnaires to assess how the home is meeting its aims and objectives are given to families and visitors to the home as well as service users. There are also regular service user and staff meetings held at monthly intervals. Larchpine DS0000068502.V330539.R01.S.doc Version 5.2 Page 21 Health and Safety policies are in place and available to all staff members and staff have undertaken training in health and safety. Tests and servicing certificates were in date for of fire equipment, gas appliances, electrical wiring and hoists. Larchpine DS0000068502.V330539.R01.S.doc Version 5.2 Page 22 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 3 12 3 13 3 14 X 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Larchpine DS0000068502.V330539.R01.S.doc Version 5.2 Page 23 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 YA20 Regulation 13(2) Requirement The manager must ensure that clear records are kept of the amount of medication given on each occasion it is administered. Timescale for action 14/04/07 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 Larchpine DS0000068502.V330539.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hampshire Office 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 Larchpine DS0000068502.V330539.R01.S.doc Version 5.2 Page 25 - 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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