Inspection on 23/05/05 for Otterhayes Trust

This inspection was carried out on 23rd May 2005.

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

Otterhayes Trust 31/05/06

Otterhayes Trust 23/09/05

Otterhayes Trust 18/11/04

Otterhayes Trust 22/06/04

Otterhayes Trust 10/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Otterhayes Trust Salston Ride Ottery St. Mary Devon EX11 1RH Lead Inspector Vivien Stephens Announced 23 May 2005 rd 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 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 Stationary 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. Otterhayes Trust D54-D06 21999 Otterhayes 216248 230505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Otterhayes Trust Address Salston Ride, Ottery St. Mary, Devon, EX11 1RH Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01404 816300 01404 816309 mark@otterhayes.co.uk The Otterhayes Trust Limited Mr Richard James Allen Care Home 8 Category(ies) of LD Learning Disability [8] registration, with number of places Otterhayes Trust D54-D06 21999 Otterhayes 216248 230505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Age Range 18 to 45 years Date of last inspection 18/11/04 Brief Description of the Service: The Otterhayes Trust is a registered charity. The home can provide personal care for up to eight adults who have learning disabilities. It is a condition of registration that the home must only admit adults between the ages of 18 and 45 years, although those people who have lived at the home for many years and have already passed the age of 45 can remain living there as long as they wish and are able. The home is situated in 4 acres of woodland in the beautiful countryside of Ottery St Mary with a stream, pond and walled lawns. There are outbuildings equipped for pottery, crafts, offices, computer and practical life skills. The home has been altered and extended to provide spacious accommodation. There are two lounges and two dining rooms in the main house. Bedrooms are of a good size and have en suite facilites. The Trust also has four small houses within the grounds that provide supported living accommodation for 10 people. The home is run as a family business with eight members of the family working between the care home and the supported living accommodation. This number includes the registered manager, Mr Richard Allen and his wife. Members of the family have accommodation within the grounds. Otterhayes Trust D54-D06 21999 Otterhayes 216248 230505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one day, starting at 10am and finishing at approximately 5.30pm. The morning was spent looking at care files and talking with Mr and Mrs Allen and their staff about the guidance and support they provide. Other records relating to the management of the home were also inspected. Lunch was taken with some of the residents and staff in one of the dining rooms. In the afternoon a tour of the home was conducted, and time was spent sitting and talking to the residents. At the time of this inspection seven residents were living at Otterhayes Trust. What the service does well: The home provides well-written information to prospective new residents and their representatives. Plenty of time and care is taken to get to know new residents before they move in permanently in order to make sure that the home is suitable and able to meet their needs. Good care planning methods are in place to ensure the personal care, health, social and emotional needs are met. Residents and their representatives are fully involved and consulted on all aspects of the care and support provided. There are good procedures in place to address any concerns or complaints. Staff have received training in abuse awareness, and on the home’s policies and procedures to ensure residents are safeguarded. The home provides a very high standard of accommodation. The building has been altered and extensively upgraded in recent years to provide spacious and comfortable facilities. There are eight single bedrooms, each of a good size, personalised, and having en suite facilities. The grounds are extensive and well maintained. Various outbuildings provide facilities for crafts, education and leisure pursuits. Residents lead active and fulfilling lives. They have individual programmes drawn up to meet their chosen interests, educational and vocational needs. Transport is provided to enable them to go out and about in the local community. Regular holidays are provided. Good staffing levels are provided. Care is taken when recruiting staff to take up references and checks in order to safeguard residents. New staff receive thorough induction, and all staff have received a good level of training in all relevant subjects. Otterhayes Trust D54-D06 21999 Otterhayes 216248 230505 Stage 4.doc Version 1.30 Page 6 The home actively seeks the views of everyone living, working or regularly visiting the home. Meetings, reviews, supervision, training, questionnaires and telephone contact are some of the ways in which the home communicates and consults with everyone involved in the home. Good systems are in place to ensure the health and safety of residents, staff and visitors are safeguarded. What has improved since the last inspection? 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. Otterhayes Trust D54-D06 21999 Otterhayes 216248 230505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Otterhayes Trust D54-D06 21999 Otterhayes 216248 230505 Stage 4.doc Version 1.30 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 standard(s) 1, 2, 3, 4 The home provides comprehensive and easy to read information about Otterhayes. The assessment process is thorough and plenty of opportunity is given to prospective new residents to visit and get to know the home in order that they can make an informed choice about where they want to live. EVIDENCE: The home has a brochure containing a wide range of information about the accommodation and facilities, management, staff and care provision. It is presented in a colourful folder with pictures of the home. There is also a shorter version of the information set out in symbols for those who may find this easier to read. The document also includes a sample copy of a contract statement. No new residents have been admitted in the last year, but there is a possibility a new resident may be admitted in the near future. The managers explained the way they assess prospective new residents. This involves visits to Otterhayes, short stays, and detailed consultation with all relevant persons. Time is spent getting to know the prospective new resident, and giving them as much information about the home as possible in order to make sure they make an informed choice of where they want to live. Otterhayes Trust D54-D06 21999 Otterhayes 216248 230505 Stage 4.doc Version 1.30 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 standard(s) 6, 7, 8, 9 There are good systems in place to ensure residents are fully involved and consulted in all aspects of their care and the day-to-day running of the home. Residents are encouraged to make decisions about their lives, and given good support to help them lead an independent lifestyle. EVIDENCE: Each resident has an individual care plan and personal file containing risk assessments and all relevant information. These documents provide good evidence about how the home supports each resident to live as independently as possible. Each resident has a key worker whose role is to provide social and emotional support in order to help them build confidence and develop life skills. During the inspection those residents who were at home for the day were helping with daily tasks such as gardening and meal preparation. Residents and their families or representatives are invited to read the policies and procedures and comment. The brochure contains a statement about the commitment to involve residents in the daily running of the home. Residents make choices about their daily lives including menu planning, holidays and outings, and how their bedrooms are decorated and furnished. Otterhayes Trust D54-D06 21999 Otterhayes 216248 230505 Stage 4.doc Version 1.30 Page 10 Detailed risk assessments have been carried out on a wide range of identified risks. Otterhayes Trust D54-D06 21999 Otterhayes 216248 230505 Stage 4.doc Version 1.30 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 standard(s) 11, 12, 13, 14, 15, 16 and 17 The home gives good support and encouragement to help residents develop and maintain social, emotional, communication and independent living skills. The home provides an excellent range of opportunities for residents to lead active and fulfilling lives. Residents participate fully in the local community. The home provides a good choice and variety of meals to suit all dietary needs and preferences. EVIDENCE: Each resident has an individual plan of their weekly routines. The home supports them to attend a range of educational and work related opportunities in the local community. There are also facilities within the home and grounds, including workshop and craft rooms, training kitchen, clubhouse and gardens. On the day of the inspection a group of residents were in the Lyme Bay area working on conservation tasks. One resident was helping out in the garden, and two others were helping in the house. In the afternoon when the group Otterhayes Trust D54-D06 21999 Otterhayes 216248 230505 Stage 4.doc Version 1.30 Page 12 returned they talked about some of the things they enjoy doing, and the places they like to visit. Popular activities include swimming, horse riding, drama and music classes, crafts and computer skills. Families are fully involved in the home and encouraged to visit and participate. Residents talked about their regular visits to see their families. Each resident has at least one holiday each year. They talked about how they choose where they want to go. Some have chosen holidays abroad, while others have chosen destinations in this country. The kitchen and dining rooms have recently been upgraded and extended. There are two bright and stylish dining rooms with large windows overlooking the gardens. The kitchen has a comprehensive range of modern units and equipment, and staff said that the layout and equipment make cooking and enjoyable task. Residents talked about how they are involved in drawing up the menus, and said they always enjoy the meals. Fresh vegetables are grown in the gardens and these are incorporated into the menus when in season. Menus provided for the inspection were varied and balanced and show which resident chose the main meal for the day. Individual dietary needs, likes and dislikes are catered for. Otterhayes Trust D54-D06 21999 Otterhayes 216248 230505 Stage 4.doc Version 1.30 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 standard(s) 18, 19 The staff have a close relationship with the residents and understand how they want to be supported. Good procedures are in place to identify health needs and to ensure that the residents receive treatment and advice from the relevant health care professionals. EVIDENCE: The care plans contain a wide range of information to staff about how each resident wants to be assisted. Residents are fully involved in the regular review of their care plans. Health care needs are documented in the care plans and records showed that healthcare professionals are involved appropriately. All residents were in good health at the time of this inspection. Otterhayes Trust D54-D06 21999 Otterhayes 216248 230505 Stage 4.doc Version 1.30 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 standard(s) 22 and 23 The home encourages residents and their families or representatives to voice any concerns or complaints, and there are good systems in place to deal with these. Staff have good received training to ensure they can recognise abusive or poor practice. Residents are safeguarded by good policies and procedures, and by staff who are confident and competent to take appropriate action if abuse is suspected. EVIDENCE: The home has a clearly written procedure inviting persons to voice their comments, compliments, suggestions or complaints directly to Otterhayes Trust. The procedure suggests various routes for views to be heard, either through family or non-family members or direct to the Commission. Since the last inspection a concern has been received by the Commission from an anonymous member of the public. This was forwarded to the home for investigation. The home responded promptly and demonstrated that they undertook a thorough investigation. The concerns have not been upheld. During the inspection some of the residents talked about who they would speak to if they ever have any concerns. Some said they would talk to their family and other said they would talk to their key worker. They were confident that the staff would deal with their concerns appropriately. All staff have received training in abuse awareness and in safe holding and deescalation. Some staff have also attended ‘gentle teaching’ courses. Otterhayes Trust D54-D06 21999 Otterhayes 216248 230505 Stage 4.doc Version 1.30 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 standard(s) 24, 25, 26, 27, 28, 29 and 30 The accommodation is of a very high standard throughout. All areas are bright, spacious and homely. There are excellent facilities and equipment to meet individual needs. There are good systems in place to ensure all areas are regularly maintained. EVIDENCE: In recent years the home has been extensively altered and upgraded. The large gardens have been attractively laid with flowerbeds, patio area, lawns and car parking area. There are modern out buildings providing facilities for arts and crafts, entertainment, a training kitchen and offices. In the main building there are eight single bedrooms, each of a good size and with en suite facilities. There are two lounges, two dining rooms, and a large, bright and modern kitchen. The laundry is spacious and well equipped. There is a communal bathroom, one toilet near the dining area and two toilets outside the house near to the outbuildings. Residents were proud to show off their bedrooms. Each room has been individually decorated and furnished to reflect the preferences and interests of Otterhayes Trust D54-D06 21999 Otterhayes 216248 230505 Stage 4.doc Version 1.30 Page 16 the residents. The furniture and furnishings are of a high standard, attractive, homely and in good order. Residents have their own televisions, telephones and music equipment and can use their rooms as bed sitting rooms if they wish. All of the bedrooms have suitable locks on the doors with override facilities in the case of an emergency. Otterhayes Trust D54-D06 21999 Otterhayes 216248 230505 Stage 4.doc Version 1.30 Page 17 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35 Staffing levels ensure residents’ needs are met. Good recruitment procedures are in place to ensure new staff are competent, trustworthy and have the right qualities for the job. Staff have received thorough and comprehensive training in a wide range of subjects. EVIDENCE: Staff rotas provided for the inspection showed that there are normally 4 or 5 care and support staff on duty in the main house each day. In addition there are staff providing support between 8am and 10 am for those living in the houses in the grounds and after 10am they work with the residents in the main house. At night there are 2 sleeping-in members of staff. Mr and Mrs Allen also provide care and support in addition to their daily management of the home. Staff files seen during the inspection contained application forms, CRB and POVA checks and references obtained before confirmation of appointment. Recruitment procedures are in accordance with the requirements and recommendations set out in the National Minimum Standards and Regulations. All new staff have undertaken comprehensive induction procedures. A record of the training staff have undertaken was provided for the inspection. This Otterhayes Trust D54-D06 21999 Otterhayes 216248 230505 Stage 4.doc Version 1.30 Page 18 showed that three staff have completed NVQ level 4, two staff have NVQ level 3 and three staff have NVQ level 2. Four staff are currently undertaking NVQ level 3. All staff have received training in mandatory health and safety subjects. In addition staff have received training in a variety of subjects including mental health, gentle teaching, autism, abuse awareness and safe holding and de-escalation. Otterhayes Trust D54-D06 21999 Otterhayes 216248 230505 Stage 4.doc Version 1.30 Page 19 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39, 40, 41, 42 There is an open and positive atmosphere throughout the home. Good procedures are in place for seeking the views of everyone involved in the home. The home has demonstrated a commitment to providing a high standard of care and services through the regular review of the policies and procedures, and by ensuring all staff have a good awareness of their content. All records were found to be well maintained. EVIDENCE: Systems are in place to review the quality of care provided. Mr and Mrs Allen have put into place various methods of seeking the views of all staff, with special emphasis on those members of staff who are not immediate family members. Regular staff meetings, questionnaires, residents meetings, staff Otterhayes Trust D54-D06 21999 Otterhayes 216248 230505 Stage 4.doc Version 1.30 Page 20 supervision, and care planning reviews are some of the ways in which the home consults with everyone involved in the home. Information provided for the inspection confirmed that the home has policies and procedures on all recommended topics and these are regularly reviewed. All staff have received training on the policies and procedures. Records seen during the inspection include Brochure, statement of purpose and contract of residence Menus Care plans, assessments, risk assessments and daily reports Staff rotas Staff recruitment files Staff training records Fire logbook Otterhayes Trust D54-D06 21999 Otterhayes 216248 230505 Stage 4.doc Version 1.30 Page 21 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 4 4 4 4 4 4 Standard No 11 12 13 14 15 16 17 4 3 4 4 4 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 4 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Otterhayes Trust Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 4 3 x D54-D06 21999 Otterhayes 216248 230505 Stage 4.doc Version 1.30 Page 22 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 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. 1. Refer to Standard Good Practice Recommendations Otterhayes Trust D54-D06 21999 Otterhayes 216248 230505 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Exeter Office, 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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