Inspection on 18/07/07 for Long Furrows

This inspection was carried out on 18th July 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 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 22/06/06

Long Furrows 14/02/06

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 18th July 2007 09:00 Long Furrows DS0000017871.V346576.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 Long Furrows DS0000017871.V346576.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. Long Furrows DS0000017871.V346576.R01.S.doc Version 5.2 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 Dementia (14), Learning disability (14), Physical registration, with number disability (14) of places Long Furrows DS0000017871.V346576.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home accommodates 14 people with learning disabilities who may also have physical disability who may also have dementia. 22nd June 2006 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. Discussion with the registered manager at the time of the inspection indicated that the fee range for the home is between £2,260 per month and £6,316 with additional charges being made for the following: Chiropody, Hairdressing, Toiletries activities and holidays. 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.V346576.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report follows an unannounced key inspection to Long Furrows, which took place on the 18th of July 2007, and which lasted 6.5 hours, the home’s registered manager was in attendance throughout the inspection. The inspection included discussion with the registered manager, service users and staff. In addition to the above discussions a range of documentary evidence was sampled and found to be in order. A total of twenty-five of the forty-three National Minimum Standards were inspected, of which one was exceeded, with the remainder all being met. A tour of the premises was undertaken, with included service users rooms, bathing facilities, communal areas and gardens, this tour indicated that the premises are well equipped to meet the needs of the service users in residence, being equipped with a variety of aids and adaptations designed to enable service users to maximise their independence. What the service does well: What has improved since the last inspection? What they could do better: The home is now consistently providing a good standard of care, and this is reflected in the fact that there are no requirements or recommendations set as part of this report, it is now for the home to explore ways in which it can take its care provision to the next level. Long Furrows DS0000017871.V346576.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. Long Furrows DS0000017871.V346576.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 Long Furrows DS0000017871.V346576.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 excellent. This judgement has been made using available evidence including a visit to this service. Prospective service users can be assured that their needs and aspirations will be assessed prior to a service being provided. EVIDENCE: Three residents care plans were sampled, and each was found to have in place a comprehensive needs assessment, which had been completed by a representative of the home, this needs assessment was then used as the basis for formulating the residents plan of care. The assessments sampled comprehensively covered the residents following areas of need: • • • • • • • Physical and mental health care needs. Assessment and management of risk Family and social contact Mode of communication Likes and dislikes Medication Spirituality Long Furrows DS0000017871.V346576.R01.S.doc Version 5.2 Page 9 • • • Vision and hearing Mobility and dexterity Choice and decision-making. As well as identifying the need the assessment then included a paragraph on the actions that should be followed to address the identified need, all entries made were written in a person centred way. Long Furrows DS0000017871.V346576.R01.S.doc Version 5.2 Page 10 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 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be assured that their individual needs and goals will be reflected within their plans of care, and they will be supported to the best of their individual abilities to make choices about their lives. EVIDENCE: As mentioned above residents care plans are developed from the comprehensive needs assessment carried out by the home. The care plans seen all contained detailed information relating to residents personal care and how they should be supported. The care objectives were clear and unambiguous, as were the actions to be followed by care staff. The care plans seen had review dates set. Long Furrows DS0000017871.V346576.R01.S.doc Version 5.2 Page 11 Although the needs of the residents residing in the home are complex, staff were seen and heard interacting with residents in a way that encouraged them to make decisions relating to their care and support. Staff were seen and heard asking residents about their choice of activity that they would like to do, and the responses seen by residents clearly left the inspector with the view that this was a normal interaction that takes place naturally, as opposed to something staged. The home has in place risk assessments, and those seen were detailed, clearly identifying the nature of the risk, and the steps that should be followed to minimise the identified risk. Long Furrows DS0000017871.V346576.R01.S.doc Version 5.2 Page 12 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 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be assured that they will be supported to take part in activities that are of their choosing, and that they will be supported to maintain links with people that are important to them. Service users can be assured that they will be provided with a varied and nutritious diet. EVIDENCE: There are currently no residents residing in the home who are taking part in any paid or voluntary employment. The home continues to provide a range of activities, which were posted on the homes notice board, the activities included: Long Furrows DS0000017871.V346576.R01.S.doc Version 5.2 Page 13 • • • • • • • Supported cooking Needlecraft Knitting Jigsaws Karaoke Playing skittles Singing and dancing. One service user spoken with spoke of their hobby of doing jigsaw puzzles, and was keen to show the inspector their latest challenge. Another resident was seen using the home’s computer to access information about their interest in trains, this activity was taking place with support from a member of the staff team. The same resident during discussion spoke of their pleasure at having recently attended a local rock concert, and following this of their desire to go to another. Residents residing in the home continue to have access to a small but well equipped snoezalen room, the equipment available included sensory stimulation equipment, soft play area and a hammock chair, at the time of viewing the room no residents were making use of its facilities. Discussion with the registered manager and members of the care team indicated that residents continue to access the local community for meals out, visits to the local garden centres. Visits to local railway stations was to meet one particular resident’s keen interest in every thing to do with trains. The home continues to have an open door policy on the receiving of visitors, and residents key worker continue to support them to maintain links with their relatives through the sending of cards, letters and e-mails. Residents are free to receive their visitors where they choose, and the home has a quiet lounge or conservatory area that can be used to accommodate visits, if residents own rooms are not used. Meals continue to be provided three times daily, at least one of which is a hot meal. The menu was sampled for the period 12/7/07 and was seen to be varied and nutritious. Residents take their meals in the dinning room which is adequate for its purpose, however both the inspector and the registered manager felt that there might be further scope for making this area more inviting and homely, the manager spoke of discussing this further with the provider. Long Furrows DS0000017871.V346576.R01.S.doc Version 5.2 Page 14 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 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service user are supported in a way that ensures that their physical and emotional needs are met in a way that is appropriate to their needs. Service users can further expect to be protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: The care plans sampled during the course of the inspection provided clear guidance to staff about the way in which residents liked to be supported to address their personal care needs, on the day of the site visit staff were seen supporting residents in a way in which their privacy and dignity was preserved, all interactions by staff were seen and heard to be polite and respectful. Long Furrows DS0000017871.V346576.R01.S.doc Version 5.2 Page 15 All residents continue to be registered with a General Practitioner (GP). Healthcare records relating to residents healthcare needs were kept clearly and concisely. The home continues to receive professional input from the following healthcare professionals: • • • • • • General Practitioners Chiropodists Community nurses Dentists Optometrists Physiotherapists and on an as and when needed basis Speech and Language therapists. Sampling of the home’s medication administration practice gave no rise for concern, medication is dispensed via a measured dosage system (MDS) or individually named containers, only senior care staff administer medicines, and this is only upon having had training. Long Furrows DS0000017871.V346576.R01.S.doc Version 5.2 Page 16 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 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be assured that the home has in place robust policies and procedures for ensuring that they are protected from harm and or abuse. EVIDENCE: The home’s complaints policy and procedure is robust, and is written in a way that ensures that the risk to residents is minimised, and included the timescales for responding to complaints, discussion with staff evidenced that they were aware of the home’s complaints procedure and were conversant with the actions they should take if a complaint was brought to their attention. At the time of the site visit no complaints had been received in respect of the home. The home’s adult protection policy is good, and clearly lays out the procedure to be followed in the event of an allegation being made. Since the previous inspection of the service no Adult Protection referrals have been made. The registered manager pointed out that all staff now receive periodic updates in Adult Protection. Long Furrows DS0000017871.V346576.R01.S.doc Version 5.2 Page 17 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, 25, 26, 28 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be assured off being supported in a home that is safe, homely and well maintained, and that is equipped and suitable to meet their individual needs and lifestyles. EVIDENCE: A tour of the premises was undertaken in the company of the registered manager, and included viewing of resident’s rooms, bathing and toilet facilities, as well as communal areas and gardens. Resident’s rooms were all individually decorated, and evidence was seen of people’s personal possessions. All of the rooms seen were equipped with the necessary aids and adaptations to enable residents to maximise their independence. Long Furrows DS0000017871.V346576.R01.S.doc Version 5.2 Page 18 The premises were safe and well maintained, and were comfortable, bright and cheery. Furnishings and fittings were domestic in nature and were of a good quality. The home’s laundry room is situated away from areas where food preparation is undertaken, and is equipped with industrial style washing machines and dryers. On the day of the inspection the home was very clean and tidy and was free from any unpleasant odours. Long Furrows DS0000017871.V346576.R01.S.doc Version 5.2 Page 19 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, 35and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be assured of being supported by a team of staff who are competent and well managed, who benefit from regular formal supervision, and who have been recruited through a robust recruitment process. EVIDENCE: The home employs twenty-two care staff, all of whom are either qualified to a National Vocational Level (N.V.Q) or are in the process of undertaking the award. The home’s recruitment practice was sampled through the viewing of records. The documentary evidence required under regulation was in place, and records in order. Long Furrows DS0000017871.V346576.R01.S.doc Version 5.2 Page 20 Sampling of staff training records, supplemented through discussion with staff indicated that access to staff training was good; records and discussion evidenced that since the last inspection of the service the following training has been undertaken by staff: • First aid • Manual handling • Infection control • Food hygiene • In-house protection of vulnerable adults • Medication administration • Health and safety training • Registered managers award • Dementia awareness. • In addition to this training identified as having taken place the following training is scheduled for the forthcoming future: N.V.Q Level 2and 3, and eye care training. Discussion with staff indicated that they receive formal supervision every six to eight weekly, currently supervisions are carried out by the registered manager, however they spoke of their intention to provide senior care staff with training in providing supervisions and annual appraisals, at which point following an assessment of competency, they will be required to take on the role of supervising junior colleagues. Long Furrows DS0000017871.V346576.R01.S.doc Version 5.2 Page 21 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, and 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 living in a home that is well managed, and in which the health and welfare of service users is paramount, and in which the views of relevant stakeholders is sought to assist them in driving the service forward. EVIDENCE: The registered manager has relevant previous experience of working in a care sector, and is qualified to National Vocational Qualification level four in both management and care. The registered manager spoke of the good level of guidance and support that continues to be provided by the registered provider, and of their commitment to enable her to continue to develop her skills and knowledge. Long Furrows DS0000017871.V346576.R01.S.doc Version 5.2 Page 22 The home has in place an annual cycle for reviewing the quality of its service provision, which includes the dissemination of questionnaires designed to seek the views and opinions of a range of interested stakeholders, including service users relatives, friends, and healthcare professionals. The home’s safe working practices were sampled through the viewing of a range of safety certificates, listed as follows, all of which were in order: • • • • • • • Electrical installation certificate Gas installation certificate Record of fire evacuations Record of fire alarm system record check Record of last visit from fire officer Record of fire instructions/drills Record of checks on fire extinguishers. Long Furrows DS0000017871.V346576.R01.S.doc Version 5.2 Page 23 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 4 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 3 26 3 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 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 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 x Long Furrows DS0000017871.V346576.R01.S.doc Version 5.2 Page 24 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 Long Furrows DS0000017871.V346576.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Long Furrows DS0000017871.V346576.R01.S.doc Version 5.2 Page 26 - 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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