Inspection on 23/09/05 for Otterhayes Trust

This inspection was carried out on 23rd September 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 23/05/05

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 Unannounced 23rd September 2005 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 244972 220905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Otterhayes Trust Address Salston Ride, Ottery St Mary, Devon, EX11 1RH 01404 816300 01404 816309 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) The Otterhayes Trust Limited Mr Richard James Allen Care Home providing Personal Care CRH-PC 8 Category(ies) of LD - Learning Disability (8) registration, with number of places Otterhayes Trust D54-D06 21999 Otterhayes 244972 220905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 01/04/2002 Age Range 18 to 45 years Date of last inspection 23/05/2005 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 244972 220905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over two separate visits. The first visit took place on 23rd September beginning at 8.30am and ending at 11.30am. The second visit took place on 29th September. Eight residents were accommodated at the time of the first visit. All of the residents were at home during the morning and many of them had chosen to attend a drama class that was held by a visiting drama therapist. During the morning there were seven members of staff including Mr and Mrs Allen, plus the drama therapist present. On the second visit an inspection of the medicines administration took place. The main focus of this inspection was to talk to residents and staff about life at Otterhayes, to observe interactions, and to find out about daily and weekly routines. What the service does well: The home has a very detailed, careful and thorough admission process. Prospective new residents have good opportunity to get to know the home before they move in permanently. Residents are encouraged and enabled to develop a wide range of skills. Otterhayes provides excellent opportunities for residents to socialise both within the home and within the local community. Friendships and family relationships are nurtured and encouraged. A high priority is placed on providing a healthy diet to suit individual needs and tastes. Fresh fruit and vegetables are grown in the grounds, planted and tended by some of the residents, and menus are well planned by the residents with guidance from the staff to ensure individual dietary needs and preferences are met. Staff know the residents well and have a clear understanding of health and personal care needs and how these must be met. Medications have been administered appropriately. The home has been well maintained throughout. All areas were bright, clean, spacious and comfortable. The home has been decorated and furnished to suit residents’ tastes and preferences. Staffing levels are high. Staff are able to meet both individual and group needs of the residents. Otterhayes Trust D54-D06 21999 Otterhayes 244972 220905 Stage 4.doc Version 1.40 Page 6 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 244972 220905 Stage 4.doc Version 1.40 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 244972 220905 Stage 4.doc Version 1.40 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 has a very detailed, careful and thorough admission process. Prospective new residents have good opportunity to get to know the home before they move in permanently. EVIDENCE: The admission process was discussed with staff, and one care plan was inspected in order to find out the level of information gained by the home, and the information they give to prospective residents before a prospective new resident decides to move in permanently. The care plan contained detailed information about the individual care needs and covered all relevant areas. Residents are encouraged to visit Otterhayes several times before moving in, including short stays. Information is obtained from all relevant sources including care managers, health professionals, family and advocates, and from previous care providers. There was evidence to show that the home have carefully considered the interests and abilities of prospective new residents and have carefully considered if they able to meet those needs and aspirations. Otterhayes Trust D54-D06 21999 Otterhayes 244972 220905 Stage 4.doc Version 1.40 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 The home has a good range of systems in place to ensure the individual needs and choices of each resident are met. There is an open and relaxed atmosphere that enables full consultation and mutual support and promotes independence. EVIDENCE: One care plan was seen during the inspection. This contained full and detailed information about the resident covering all areas of need. There was evidence to show that staff follow these plans on a daily basis, and the plans are reviewed and updated regularly. During the morning residents were seen making a number of decisions about their daily activities. While many chose to join in with the drama session, a few chose to do other things, and staff were willing and able to assist them. A greengrocer shop visited the home and several residents went out and chose their own fruit and vegetables. Residents talked about the things they like to do, their friends and families, holidays, and food, and in each case it was clear that they are encouraged to make decisions, both individually and collectively, about life at Otterhayes. Otterhayes Trust D54-D06 21999 Otterhayes 244972 220905 Stage 4.doc Version 1.40 Page 10 Residents have regular meetings to discuss issues relating to daily life at the home. Less formal discussions are held every day at mealtimes or when the residents and staff gather socially. During the inspection many of the staff and residents were sat around the dining table for a morning coffee break. They talked about their plans for the day. Residents and staff were happy and relaxed and there was a great deal of fun and laughter. Relationships between the staff and residents were friendly and supportive. Otterhayes Trust D54-D06 21999 Otterhayes 244972 220905 Stage 4.doc Version 1.40 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, 17 Residents are encouraged and enabled to develop a wide range of skills. Otterhayes provides excellent opportunities for residents to socialise both within the home and within the local community. Friendships and family relationships are nurtured and encouraged. A high priority is placed on providing a healthy diet to suit individual needs and tastes. EVIDENCE: Residents talked about their daily and weekly routines. They each have an individual weekly programme that has been drawn up to suit their interests, abilities and preferences. Educational and work related opportunities include Bicton College – (various courses including horticulture), Art, Gardening, drama, and conservation. Residents also talked about their leisure interests. These included shopping trips, barbeques and parties, pub outings, horse riding, swimming, music, Otterhayes Trust D54-D06 21999 Otterhayes 244972 220905 Stage 4.doc Version 1.40 Page 12 handicrafts and cooking. The home has workshops and activity rooms providing a wide range of facilities. Residents also talked about their holidays this year. Holidays have been provided for small groups, and destinations have included Portugal, Euro Disney and Cornwall. Everyone clearly had a good time – comments included “Brilliant!” and “Big party –good fun!” Residents also talked about how they keep in touch with families and friends. Some have been taken to visit their families on a regular basis, and some families and friends regularly visit Otterhayes. Families are encouraged to participate in the home as much as possible. During the morning a local mobile greengrocer visited the home. Fresh fruit and vegetables were purchased, including some lovely fresh leeks that were immediately used to make fresh soup for lunch. The home also grows a wide range of organic fruit and vegetables in the grounds, planted and tended by some of the residents. Menus have been drawn up by the residents and several enjoy helping with meal preparation, shopping, and clearing up after meals. Residents talked about their favourite foods, and said they always enjoy the meals served. The dining rooms are bright and well furnished. The kitchen was completely refurbished 18 months ago with high quality fixtures and fittings and the standard of hygiene is high. Otterhayes Trust D54-D06 21999 Otterhayes 244972 220905 Stage 4.doc Version 1.40 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, 20 Staff know the residents well and have a clear understanding of health and personal care needs and how these must be met. EVIDENCE: Through discussion with residents and staff, and through information seen in two care plans there was evidence to show that all personal care needs have been considered and agreed through the care planning process. Staff talked about the ways in which they help, monitor or advise residents in their personal care tasks. Health needs have been carefully monitored and recorded, and health care specialists have been consulted where necessary. Dietary needs are monitored and healthy eating is encouraged. Residents talked about visits to such health care professionals as dentists, doctors, and opticians. Regular appointments are recorded and systems are in place to ensure appointments are not missed. All residents were in good health. The home uses a monitored dosage system for the administration of medicines. Medicines are supplied in weekly blister packs by a local pharmacy and the home has found the service to be very reliable. The amount of medicines held in the home is very low, and regular checks have been carried out to ensure medicines are within expiry date and stored appropriately. Otterhayes Trust D54-D06 21999 Otterhayes 244972 220905 Stage 4.doc Version 1.40 Page 14 Policies and procedures are in place. Staff have recently received training on administration of medicines. Otterhayes Trust D54-D06 21999 Otterhayes 244972 220905 Stage 4.doc Version 1.40 Page 15 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) EVIDENCE: These standards were not covered during this inspection. No complaints have been received by the Commission since the last inspection. Otterhayes Trust D54-D06 21999 Otterhayes 244972 220905 Stage 4.doc Version 1.40 Page 16 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 The home has been well maintained throughout. All areas were bright, clean, spacious and comfortable. The home has been decorated and furnished to suit residents’ tastes and preferences. EVIDENCE: During the inspection the lounge, dining rooms, kitchen, corridors and one bedroom were seen, plus gardens, office and activities room. All areas were clean, bright, and in good order. Decorations and furnishings are modern, stylish and homely. One resident showed the inspector her room, and was proud to demonstrate how she had chosen the furnishings, colour scheme, ornaments and personal finishing touches. The gardens have been laid to lawns, patio areas, level paths flower beds and vegetable patches. Otterhayes Trust D54-D06 21999 Otterhayes 244972 220905 Stage 4.doc Version 1.40 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) 33 At all times during the inspection there were plenty of staff on duty. EVIDENCE: On arrival at the home there were 4 care staff plus Jim and Carol Allen. Later in the morning care staff attached to the supportive accommodation units came over to the main house to help with the residents. This meant that staff could work on a one-to-one basis with residents who did not want to join in with the drama session. It also enabled some staff the time to carry out administrative, cooking and maintenance tasks while ensuring that there were sufficient staff working directly with residents. The staff talked about a happy and relaxed atmosphere. Otterhayes Trust D54-D06 21999 Otterhayes 244972 220905 Stage 4.doc Version 1.40 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 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) EVIDENCE: These standards were not covered in detail during this inspection (see previous inspection report). Otterhayes Trust D54-D06 21999 Otterhayes 244972 220905 Stage 4.doc Version 1.40 Page 19 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 x x 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 x x x x x x Standard No 11 12 13 14 15 16 17 4 3 4 4 4 x 4 Standard No 31 32 33 34 35 36 Score x x 4 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Otterhayes Trust Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x D54-D06 21999 Otterhayes 244972 220905 Stage 4.doc Version 1.40 Page 20 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 244972 220905 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Exeter Office, Suites 1 & 7, Renslade House Bonhay Road Exeter, EX4 3AY Tel: 01392 474350 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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