This inspection was carried out on 24th January 2006.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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.
CARE HOMES FOR OLDER PEOPLE
Little Eastbrook Farm Little Eastbrook Farm Burlescombe Tiverton Devon EX16 7JT Lead Inspector
Susan Lyons Unannounced Inspection 24th January 2006 10:00 X10015.doc Version 1.40 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 Little Eastbrook Farm DS0000021968.V279529.R01.S.doc Version 5.1 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 Older People. 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. Little Eastbrook Farm DS0000021968.V279529.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Little Eastbrook Farm Address Little Eastbrook Farm Burlescombe Tiverton Devon EX16 7JT 01823 672373 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 Sandra Christine Gold Mr Ronald Herbert Gold Care Home 3 Category(ies) of Learning disability (3), Learning disability over registration, with number 65 years of age (3) of places Little Eastbrook Farm DS0000021968.V279529.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Service users over the age of 40 Date of last inspection 8th April 2005 Brief Description of the Service: Little Eastbrook Farm is a rural care home set in the countryside below the Blackdown hills. The care home offers accommodation and 24 hour care to 2 service users with Learning Disabilities. The service users share facilities with the owners, the male owners sister. There is a large garden area that is easily accessible for service users. A terraced area of the garden is accessible via handrails and steps. The home has a large 7-seater vehicle for taking service users on outings to the shops and seaside. If required holidays with the family can be arranged. Little Eastbrook Farm DS0000021968.V279529.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place in the morning. Mrs Gold was out at the time and Mr Gold helped the inspector. The inspector was told that everyone was recovering from influenza. The inspector met with both the residents and talked to them about what they had been doing. One residents showed the inspector all the knitting she had been doing. Residents live as part of the family and there was a relaxed atmosphere with the home. What the service does well: What has improved since the last inspection? What they could do better:
The home needs to consult with residents and their relatives as well as other people about the quality of the service provided. A report needs to be completed in relation to the outcomes. Little Eastbrook Farm DS0000021968.V279529.R01.S.doc Version 5.1 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. Little Eastbrook Farm DS0000021968.V279529.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS
Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Little Eastbrook Farm DS0000021968.V279529.R01.S.doc Version 5.1 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 3 was assessed on April8th 2006 EVIDENCE: The home does not offer intermediate care therefore this standard is not applicable. Little Eastbrook Farm DS0000021968.V279529.R01.S.doc Version 5.1 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These core standards were assessed on the inspection of April 8th 2005. EVIDENCE: Little Eastbrook Farm DS0000021968.V279529.R01.S.doc Version 5.1 Page 10 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 & 14 Residents benefit from good links with family, friends and the local community. Opportunitys are available for residents to make personal choices which enrich their lives. EVIDENCE: Residents said that they had recently been to a musical by coach and that they have been to an ice show. Mr Gold explained that they go on outings with local community groups when possible. They also go out into Tiverton and have a coffee etc. Residents relatives and friends are able to visit them when they wish. Currently the home manages the two residents finances. The inspector was informed that residents were able to bring there personal possessions with them when they came into the home. Residents were seen to have their own possessions in their bedrooms. Little Eastbrook Farm DS0000021968.V279529.R01.S.doc Version 5.1 Page 11 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These core standards were assessed on the 8th April 2005. EVIDENCE: Little Eastbrook Farm DS0000021968.V279529.R01.S.doc Version 5.1 Page 12 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 Residents benefit from well decorated bedrooms which they have been able to personalise. EVIDENCE: Residents bedrooms were seen and it is evident that they have been able to personalise them to meet their own needs. They are pleasantly decorated clean and tidy. Little Eastbrook Farm DS0000021968.V279529.R01.S.doc Version 5.1 Page 13 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 & 29 Residents are protected by the appropriate checks completed on adults who interact with them. EVIDENCE: The home does not directly employ any staff. Mrs Gold has completed NVQ level 2. A self-employed person comes into the home to take residents out and someone stays at the home when Mr & Mrs Gold are on holiday. CRB (Criminal Record Bureau) checks were seen for these two people, also for Mrs Gold’s daughter and husband who also help out. Little Eastbrook Farm DS0000021968.V279529.R01.S.doc Version 5.1 Page 14 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33 & 35 Residents benefit from living within a family situation but this needs to be supported by professional training. There is no system to in place to review the quality of care provided which is resident and relative involved. Good systems are in place to ensure that residents finances are safeguarded. EVIDENCE: The home is run by Mr & Mrs Gold they do not employ any staff. As no staff are employed Mrs Gold does not need to undertake the Registered Managers Award. Mrs Gold has not yet started NVQ level 4 but has many years experience of running the home. Little Eastbrook Farm DS0000021968.V279529.R01.S.doc Version 5.1 Page 15 The home needs to undertake a Quality Assurance exercise involving residents, their relatives and anyone else who is involved with the home. An action plan needs to produced as a result of this exercise. Mr Gold was unsure as to whether this had been done. Residents financial records are maintained and these were checked against the finance held and seen to be correct. It was noted that residents finances are stored securely. Little Eastbrook Farm DS0000021968.V279529.R01.S.doc Version 5.1 Page 16 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X 3 X X X STAFFING Standard No Score 27 X 28 N/A 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 1 X 3 X X X Little Eastbrook Farm DS0000021968.V279529.R01.S.doc Version 5.1 Page 17 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. 1 Standard OP33 Regulation 24 (1) (2) (3) Requirement You are required to ensure that the quality of care provided is monitored and an action plan produced. Timescale for action 30/06/06 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 OP31 Good Practice Recommendations It is recommended that you commence NVQ level 4. Little Eastbrook Farm DS0000021968.V279529.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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