Inspection on 14/02/06 for Long Furrows

This inspection was carried out on 14th February 2006.

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

Long Furrows 18/07/07

Long Furrows 22/06/06

Long Furrows 07/10/04

Long Furrows 09/06/04

Long Furrows 28/03/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Long Furrows 4 Long Road Mistley Manningtree Essex CO11 2HN Lead Inspector Neal Cranmer Unannounced Inspection 14th February 2006 09:30 Long Furrows DS0000017871.V262384.R01.S.doc Version 5.1 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 Long Furrows DS0000017871.V262384.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 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. Long Furrows DS0000017871.V262384.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Long Furrows Address 4 Long Road Mistley Manningtree Essex CO11 2HN 01206 392634/391488 01206 391695 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) Mr M Volf Mrs J Volf Mrs Shirley Ann Bendall Care Home 14 Category(ies) of Learning disability (14), Physical disability (14) registration, with number of places Long Furrows DS0000017871.V262384.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home accommodates 14 people with learning disabilities who may also have physical disabilities 29th July 2005 Date of last inspection Brief Description of the Service: Long Furrows provides a service to people with learning and physical disabilities. The home is a detached building situated next door to another home (Little Manor), which is also owned and operated by the same provider. It has 13 bedrooms, 12 of which are single, the majority benefiting from en-suite facilities. A passenger lift services the bedrooms on the first floor. There are two separate bathrooms, the one on the ground floor being equipped with a specialist bath. The home benefits from two lounges, a conservatory and a separate dining room on the ground floor. There is also a multi-sensory room equipped with a variety of sensory stimulation equipment. In addition, the home has a computer room which is accessible to all service users. To the rear of the property there are extensive grounds which are readily accessible to service users. At the front of the premises there is ample parking space for vehicles. Long Furrows DS0000017871.V262384.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that was carried out over one day in February 2006, lasting 6.25 hours. The inspection process included discussion with the registered manager and four members of the staff team. Due to the complex needs of the service users seen it was not possible to obtain their views of the home, however from observation it was evident that they were at ease and relaxed in their environment. During the course of the inspection a range of documentary evidence was sampled, all of which was found to be in order. Fourteen of the forty three standards were inspected all of which were met. This included one requirement and one recommendation from the previous inspection of 29th July 2005. What the service does well: What has improved since the last inspection? The only requirement from the last inspection was for the registered provider to make provision for the registration of a registered manager to manage the home; this requirement has now been met. A recommendation was also made that at least 50 of the staff team should be NVQ Level 2 or better qualified; this matter has now also been addressed. Long Furrows DS0000017871.V262384.R01.S.doc Version 5.1 Page 6 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. Long Furrows DS0000017871.V262384.R01.S.doc Version 5.1 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 Long Furrows DS0000017871.V262384.R01.S.doc Version 5.1 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): No outcomes for this set of standards were inspected on this occasion. EVIDENCE: Long Furrows DS0000017871.V262384.R01.S.doc Version 5.1 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): 7. Service users are supported by the home to make decisions about their lives to the best of their individual abilities and with the necessary help to enable them to do so. EVIDENCE: In respect of supporting service users to make decisions, the registered manager spoke of holding home meetings once a month during which service users were supported to make choices to the best of their individual abilities. The file of one service user contained evidence of the support provided to them in making choices. Specifically it included the key words used by the service user to indicate their wishes. The home accesses advocacy services and at the time of the inspection one service user had an advocate acting on their behalf. Long Furrows DS0000017871.V262384.R01.S.doc Version 5.1 Page 10 All service users have their own bank accounts, although the registered provider is the identified appointee for all service users’ benefits. All money belonging to service users goes directly into service users’ personal accounts. Three service users’ financial records were sampled in respect of money held on their behalf by the home; all money and records were found to be in order. Long Furrows DS0000017871.V262384.R01.S.doc Version 5.1 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 the following standard(s): 12, 15 and 16. Service users are supported to take place in activities that are age appropriate. Service users are actively supported to maintain links with their families and friends. The rights of service users are respected at all times and they have unrestricted access to all areas of the home and its gardens, dependent on their individual needs. EVIDENCE: One service user attends paid employment at a local business one morning a week for just over one hour where they are employed to do paper shredding. Long Furrows DS0000017871.V262384.R01.S.doc Version 5.1 Page 12 In the past service users have attended local courses, however service users have chosen to stop attending. The home provides a range of in-house activities which include: • • • • • • • • • • • Snoezalen Massages Supported cooking Needlecraft Knitting Jigsaw puzzles Kareoke Painting and drawing Skittles Dough making Singing and dancing Access to educational activities is limited due to the complex needs of the service users, however discussion with the registered manager indicated that the home works proactively to ensure that service users are kept occupied and stimulated. The home has an open door policy on the receiving of visitors. The registered manager spoke of relatives being welcome to have a meal whilst at the home. Service users are free to receive their visitors in the privacy of their own rooms or, if they wish, there is access to a quiet lounge or conservatory area. The manager spoke of approximately 50 of service users having contact with their families, this ranging from frequent contact to minimal. Relatives are always invited to reviews and the staff team work hard at supporting service users to maintain contact through the sending of cards and letters. The needs of the service users are such that they would be unable to give permission to staff to enter their rooms. The manager described the process adopted to address this issue, being to knock and wait a few discreet seconds before entering. The service users are currently unable to manage their own keys to their rooms, however each room can be locked. Long Furrows DS0000017871.V262384.R01.S.doc Version 5.1 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 the following standard(s): 20. The home has in place sound policies and procedures for safeguarding service users who require their medication to be administered to them. EVIDENCE: Medication is dispensed via a measured dosage system and individually named containers. The home does not hold any controlled medications. Medication is dispensed primarily by senior carers who have all received training from Boots pharmacists. In addition, all care staff are put through the same training. Nights are covered by one waking night staff and one sleep-in staff who have also received the same level of training. Records sampled on the day of the inspection were found to be in order. Long Furrows DS0000017871.V262384.R01.S.doc Version 5.1 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 and 23. The home’s complaints and adult protection policies and procedures are robust and are comprehensively detailed so as to ensure that service users are protected from the risk of harm and/or abuse. EVIDENCE: The home’s complaints policy/procedure was sampled and was found to be clear and concise and included timescales for resolving any complaints received. The policy also included the contact details of the local Commission for Social Care Inspection (CSCI) office. The home maintains a log for the recording of any complaints or compliments received by the home. At the time of the inspection no complaints had been received by either the home or the CSCI. The home has a detailed policy on adult protection which clearly lays out the procedure to be followed in the event of a suspected or actual case of abuse or neglect. The policy clearly identifies the forms of abuse that may occur and how they may present; there was also guidance on recognising the possible signs of abuse or neglect. The policy contained clear guidance to staff as to the initial action to be taken in reporting an incident, indicating that in all cases the CSCI must be notified. Discussion with the registered manager indicated that all staff have received training in adult protection. The registered manager also spoke of the home’s intention to have all its staff refresher trained on an annual basis in this important area Long Furrows DS0000017871.V262384.R01.S.doc Version 5.1 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): No outcomes for this set of standards were inspected on this occasion. EVIDENCE: Long Furrows DS0000017871.V262384.R01.S.doc Version 5.1 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 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, 35 and 36. Service users are supported by a team of staff who are appropriately trained to meet their needs. Service users are supported by a team of staff who are well supported and supervised by the management team. EVIDENCE: At the previous inspection it was recommended that the home ensures that at least 50 of its care staff be NVQ Level 2 or better qualified. Discussion with the registered manager indicated that of a care team of 22, 15 are now NVQ Level 2 or better qualified. In addition, a further three staff are currently working towards the award. This means the home exceeds the requirement for 50 of its team to be NVQ qualified. Since the previous inspection the following training has been undertaken: • • • • • • • Infection control Appointed persons first aid Medication administration Food hygiene Manual handling Administration of rectal diazepam In-house protection of vulnerable adults DS0000017871.V262384.R01.S.doc Version 5.1 Page 17 Long Furrows In addition, the registered manager spoke of the intention for all staff to receive an annual refresher in adult protection. The registered manager also spoke of the development of a new rolling programme for mandatory training being introduced; this was reiterated during discussions with staff. Discussion with the registered manager indicated that formal supervision is taking place every six to eight weeks. The registered manager supervises all seniors, who then supervise care staff. The registered manager has received formal training in providing supervisions and has cascaded this training to senior staff. All staff receive annual appraisals. Long Furrows DS0000017871.V262384.R01.S.doc Version 5.1 Page 18 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): 37, 38, 39 and 42. Service users are supported by a team of staff who benefit from being managed in an ethos of a well managed home. The management ethos at the home is open and transparent and service users clearly benefit from this approach. The service has in place a sound process for reviewing and keeping under review the quality of its service provision. The safe working practices of the home ensure that service users’ health, safety and welfare are protected. EVIDENCE: The home now has a registered manager who has a significant degree of experience of working in the care sector. The manager holds the NVQ Level 4 in management and is in the process of awaiting their additional four units of the Level 4 care award being verified. Long Furrows DS0000017871.V262384.R01.S.doc Version 5.1 Page 19 Discussion with members of the staff team indicated that the management style at the home is open and transparent; staff spoke of the manager providing a clear sense of leadership and direction. Discussion with the registered manager indicated that the service has in place a mechanism by which to measure the quality of its service provision. This process includes the dissemination of questionnaires to a range of interested stakeholders including relatives, friends, doctors and community nurses. These questionnaires are then collated for their responses and actions identified; this process is carried out on an annual basis. The questionnaire responses are rated on the following scales: • • • • • • • • Never Occasionally Mostly Always or Bad Poor Average Good or excellent The home’s safe working practices were sampled through the viewing of the following safety certificates, which were found to be in order: • • • • • • Electrical installation certificate Gas installation certificate Fire alarms/emergency lighting Fire extinguishers certificate of inspection Record of fire instructions/drills Record of lift maintenance Long Furrows DS0000017871.V262384.R01.S.doc Version 5.1 Page 20 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 X 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 X 25 X 26 X 27 X 28 X 29 X 30 x STAFFING Standard No Score 31 X 32 X 33 X 34 x 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x 3 X X x LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 3 16 3 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 x 3 3 3 X X 3 X Long Furrows DS0000017871.V262384.R01.S.doc Version 5.1 Page 21 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. 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 Long Furrows DS0000017871.V262384.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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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