Inspection on 12/01/06 for Milton Heights

This inspection was carried out on 12th January 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

Milton Heights 25/05/06

Milton Heights 15/11/05

Milton Heights 14/03/05

Milton Heights 23/11/04

Milton Heights 28/01/04

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

CARE HOME ADULTS 18-65 Milton Heights Milton Abingdon Oxfordshire OX14 4EH Lead Inspector Catherine Kane Unannounced Inspection 12th January 2006 03:00 Milton Heights DS0000013110.V277746.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 Milton Heights DS0000013110.V277746.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. Milton Heights DS0000013110.V277746.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Milton Heights Address Milton Abingdon Oxfordshire OX14 4EH 01235 831686 01235 821956 emma.pithers@nft.org.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Home Farm Trust Mrs Emma Pithers Care Home 39 Category(ies) of Learning disability (39), Learning disability over registration, with number 65 years of age (39) of places Milton Heights DS0000013110.V277746.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The total number of services users accommodated at any one time must not exceed 39. 15th November 2005 Date of last inspection Brief Description of the Service: Milton Heights is one of four registered homes in Oxfordshire run managed by Home Farm Trust (HFT), a national voluntary organisation that provides care services for people with learning disabilities. It is registered to accommodate 39 people. The accommodation is split into a number of self-contained houses and is situated in a rural location within easy reach of Didcot, Abingdon and Oxford. A day centre with a café and shop and large gardens with a greenhouse are included within the Milton Heights site. Here a variety of day activities, learning and work opportunities are provided for the people who live at Milton Heights and for people living in the community. Milton Heights DS0000013110.V277746.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection visit took place during the afternoon of Thursday 12 January 2006. The manager and staff did not know the inspector was planning to visit. The purpose of the visit was to see how the home is meeting National Minimum Standards. The visit took almost three hours and the inspector spent most of this time with ten residents who currently live in one house on the Milton Heights site. The inspector also spoke with the manager and two staff on duty. The inspector would like to thank each resident for taking the time to speak with her and making her feel very welcome. She also would like to thank the manager and staff for their assistance during the inspection. What the service does well: What has improved since the last inspection? What they could do better: From the standards looked at and what the inspector saw during this visit the inspector cannot suggest how the home could do better at this time. Milton Heights DS0000013110.V277746.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. Milton Heights DS0000013110.V277746.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 Milton Heights DS0000013110.V277746.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): None Standard 2 was assessed at the inspection held on 15 November 2005. EVIDENCE: Milton Heights DS0000013110.V277746.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): None Standard 6, 7 and 9 were assessed at the inspection held on 15 November 2005. EVIDENCE: Milton Heights DS0000013110.V277746.R01.S.doc Version 5.1 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Residents are free to move around the home but know they should respect others privacy in their own bedrooms. Residents have many and varied opportunities to take part in interesting activities of their choice and within their local community. Contact with family and friends is very important to residents and staff help with this where necessary. Some residents are aware of their rights and take responsibility to make sure they keep their home tidy and clean. Residents help with the planning and preparation of meals and said they were happy with the meals provided. EVIDENCE: Residents told the inspector about all the different activities they take part in from going to the day service run by HFT, courses, parties and a wide variety of other leisure and social activities. Milton Heights DS0000013110.V277746.R01.S.doc Version 5.1 Page 11 Some residents also have jobs, working in the coffee shop and gardens. They have a very busy lifestyle. The inspector saw how residents take responsibility for making sure their home is clean and tidy by sharing the housework tasks and helping staff. They were all very proud of their home. The inspector saw how the staff on duty had built a strong bond with each resident as they shared jokes together. One resident told the inspector about the discussion group they go to. They said that it took a lot of hard work but now a new road crossing is being made so that people who live at Milton Heights can cross the busy main road in safety. The registered manager told the inspector that the people who are involved with the discussion group have done a lot of hard work to suggest improvements that could be made. They have also helped raise funds for the new mini bus. One resident, when asked what could be improved at Milton Heights, said, “to let people live with who they would like to live with”. Another resident said “to get out more at the weekends – other people get out more”. From talking with this group of residents and with the registered manager following the inspection the inspector feels that it is very important that the residents who live at Milton Heights continue to be encouraged to say what they feel and that their views are listened to. Milton Heights DS0000013110.V277746.R01.S.doc Version 5.1 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None Standard 18, 19 and 20 were assessed at the inspection held on 15 November 2005. EVIDENCE: Milton Heights DS0000013110.V277746.R01.S.doc Version 5.1 Page 13 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 complaints procedure is easy to follow. The policies and procedures that protect vulnerable people are robust. EVIDENCE: The manager related to the inspector how she responded when issues were raised. This was in line with the homes complaints procedure. This home operates in accordance with the Oxfordshire Multi-Agency Code of Practice to protect vulnerable adults from abuse. Staff confirmed a good understanding of their ‘duty of care’ to protect vulnerable people and some staff have attended specific local training. Milton Heights DS0000013110.V277746.R01.S.doc Version 5.1 Page 14 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): 24 and 30 The standard of décor and furnishings through out the areas visited during this visit was generally good and was homely and comfortable. EVIDENCE: The manager provided details of what was being done to improve and repair buildings within the Milton Heights site. Some of these involve some major building work. On the day of the inspection areas visited by the inspector were seen to be generally clean and tidy. Residents told the inspector about how they were fully involved in sharing responsibility for cleaning their home were obviously very proud of how they kept their home tidy. Milton Heights DS0000013110.V277746.R01.S.doc Version 5.1 Page 15 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): None Standards 31, 32, 33, 34, 35 and 36 were assessed at the inspection held on 15 November 2005. EVIDENCE: Milton Heights DS0000013110.V277746.R01.S.doc Version 5.1 Page 16 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, 39 and 42 This home is generally well run and professionally managed. EVIDENCE: The registered manager has taken further responsibilities within the HFT organisation. An application to register with CSCI has been received from the manager who currently manages services on a day-to-day basis from the Milton Heights site. The inspector receives copies of the proprietors representatives monthly visit reports. The manager provided details of all health, safety and welfare records kept, these were well maintained were made available for inspection. Residents explained in full detail about what they must do if there was a fire drill; the fire procedures were very clear. HFT, who run this service, has financial and accounting systems subject to internal and external audits. Milton Heights DS0000013110.V277746.R01.S.doc Version 5.1 Page 17 Milton Heights DS0000013110.V277746.R01.S.doc Version 5.1 Page 18 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 3 X 3 X X 3 X Milton Heights DS0000013110.V277746.R01.S.doc Version 5.1 Page 19 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 Milton Heights DS0000013110.V277746.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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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