Inspection on 15/08/05 for Owls Barn

This inspection was carried out on 15th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Owls Barn 02/12/08

Owls Barn 06/06/07

Owls Barn 21/12/05

Owls Barn 16/03/05

Owls Barn 19/11/04

Owls Barn 12/02/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Owls Barn 47-49 High Street Marton Gainsborough Lincs DN21 5AL Lead Inspector Vanessa Gent Unannounced 15 August 2005 @ 10.00 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 Older People and 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. Owls Barn C53 C04 S2517 Owl Barn V244472 150805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Owls Barn Address 47-49 High Street Marton Gainsborough Lincs DN21 5AL 01427 718842 01427 718842 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) Mrs Loraine Olsen Mrs Loraine Olsen Care Home 5 Category(ies) of Learning Disability over 65 years of age (LD(E))registration, with number - 1 of places Mental Disorder, excluding learning disability or dementia - over 65 years of age (MD(E)) - 1 Learning Disability (LD) - 2 Mental disorder, excluding learning disability or dementia (MD) - 1 Owls Barn C53 C04 S2517 Owl Barn V244472 150805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 16/02/05 Brief Description of the Service: Owls Barn is a large, two-storey, old, rambling cottage situated on the High Street in the village of Marton near Gainsborough, close to local shops and facilities. It is owned, managed and run by the Provider with the assistance of one employee - the deputy manager - and occasional voluntary help. The home is registered to provide personal care for up to five adults in the categories of learning disabilities and mental disorders, currently housing four residents in two single and one double, ensuite bedroom. The bedrooms are situated on the ground and upper floors, with stairs giving access to the upper storey and steps throughout the varying levels of the ground floor. There are attractive, enclosed, well-kept gardens to the front and rear of the property. Owls Barn C53 C04 S2517 Owl Barn V244472 150805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over five hours. A tour of the home took place and the lunch was sampled. All four residents, the provider and the deputy manager spoke with the inspector. The main method of inspection used is called case-tracking which involves selecting a proportion of residents and tracking the care they receive through the checking of records, discussion with them, the care staff and observation of care practices. Two residents were case-tracked. What the service does well: What has improved since the last inspection? Excellent paperwork, required for the safe care of the residents is now in place. This includes a record of what food is provided at each meal, risk assessments of all aspects of the home, especially the kitchen, quality monitoring of the home and the service provided and new-style recruitment files. Enquiries to attend and complete all the training required has been made and will be started as soon as there are courses available. The provider is completing her Registered Managers Award and the deputy manager has completed an induction course in ‘working in care’. Daily discussion takes place between the provider and deputy manager, each checking on and suggesting improvement to the other’s work practices when necessary, although this is not usually written down. Owls Barn C53 C04 S2517 Owl Barn V244472 150805 Stage 4.doc Version 1.40 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Owls Barn C53 C04 S2517 Owl Barn V244472 150805 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Standards Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Owls Barn C53 C04 S2517 Owl Barn V244472 150805 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitablity of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2(YA), 3(OP) There are thorough procedures for the admission of new residents. EVIDENCE: No new residents have been admitted to the home for a long time, although procedures are in place should an admission happen at some time in the near future. Paperwork is in place should a new resident be admitted. Owls Barn C53 C04 S2517 Owl Barn V244472 150805 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) 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 (YA), 7, 8, 9, 10, 11 (OP) The provider and deputy manager ensure that the residents’ healthcare needs are met and that they are respected in all aspects of their lives. EVIDENCE: Care plans are clear, easy to read and understand and involvement of all the residents is clearly evident throughout the documents. Residents have full autonomy and choice and are consulted with in all aspects of their lives. Risk assessments on areas of the home to which residents have access are done and recorded to prevent them being at risk of harm. Owls Barn C53 C04 S2517 Owl Barn V244472 150805 Stage 4.doc Version 1.40 Page 10 The provider and deputy manager contact healthcare and other professionals whenever necessary; this is well-documented. Owls Barn C53 C04 S2517 Owl Barn V244472 150805 Stage 4.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. Service Users find the lifestyle experiencd in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. Service users find the lifestyle experienced in the home matches their expectations and preferences and satisfies their social, cultural, religious and recreational interests and needs. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 14, 16, 17 (YA), 12, 14, The residents have a lifestyle, choice and autonomy that suits them and maintain as much independence as possible, within their capabilities. They have a varied and nutritious diet. Owls Barn C53 C04 S2517 Owl Barn V244472 150805 Stage 4.doc Version 1.40 Page 12 EVIDENCE: None of the residents are able or wish to take any employment or pursue further education outside of the home. The provider takes them out as they want or are able to cope with, especially shopping and going to the pub in the village. A seven-seater multi-person vehicle is provided for transport. One resident has his own ‘workshop’ shed in the garden. Others help with easy tasks, engage in hobbies or watch television and films. The provider takes time to read stories to them which they enjoy. They all say they can do what they want and get up and go to bed when they choose and their wishes and opinions are taken into account. Visitors are always welcome to the home. The provider’s family lives near by and offers them friendly support. The residents say that the provider and her family is like family to them. The residents say the food is excellent and that the provider is a wonderful cook. A cooked lunch with a variety of fresh vegetables is provided each day. The meal eaten during the inspection was home-cooked, tasty, nutritious and attractively served. Owls Barn C53 C04 S2517 Owl Barn V244472 150805 Stage 4.doc Version 1.40 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) 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. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) 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, 21 The provider and deputy manager ensure that the residents’ healthcare needs are met, that they are fully aware of and involved in their health and medication and that they are respected in all aspects of their lives. EVIDENCE: The provider and deputy manager contact healthcare and other professionals whenever necessary; this is well-documented. None of the residents wants to self-medicate but most know the effects their medicines have, as the provider keeps them fully informed at all times and they attend doctors and their GPs for regular medication reviews. Both provider and deputy manager are booked to attend the ‘managing and safe handling of medicines’ training when the next course is available. Owls Barn C53 C04 S2517 Owl Barn V244472 150805 Stage 4.doc Version 1.40 Page 14 The residents were seen to be treated in a manner which is dignified and respectful. They all confirmed this. The residents said that the recent death of a resident was treated in a sympathetic and sensitive manner and the other residents were supported through the sad experience with understanding and kindness. Owls Barn C53 C04 S2517 Owl Barn V244472 150805 Stage 4.doc Version 1.40 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16, 18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are sageguarded. (OP NMS 35) The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 16, 18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, 23 The residents are safe, well-cared for and have their rights protected. EVIDENCE: The residents say they feel very safe, loved and cared for by the provider and deputy manager and their families. They take any worries or concerns to the provider who, they say, “listens to them and puts everything right”. They say the provider is like a mother to them. They feel valued and loved. Adequate measures are in place to protect them from harm or abuse. It was clearly observed that the residents could and did express their views to the provider and deputy manager who responded appropriately. Some of the residents took part in the last local and government elections. Owls Barn C53 C04 S2517 Owl Barn V244472 150805 Stage 4.doc Version 1.40 Page 16 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 26, 27, 28, 30 (YA), 19, 20, 21, 24, 25, 26 (OP) The residents are provided with a safe, comfortable and attractive environment which meets their needs and tastes. EVIDENCE: Risk assessments have been completed on all areas of the home to which the residents have access. They are not restricted unless it is deemed unsafe for them and it has been discussed and agreed by the resident. Owls Barn C53 C04 S2517 Owl Barn V244472 150805 Stage 4.doc Version 1.40 Page 17 The personal and communal areas of the home are beautifully maintained, well-decorated, clean, tidy and fresh. In the residents’ rooms, attractive bed linen, curtains and furnishings have been provided which make them cosy and comfortable and suit the residents’ tastes. The gardens are colourful, enclosed, safe and enjoyed by all the residents. There are two bathrooms, one of which is ensuite, and several toilets, all situated on the ground floor. All radiators are fitted with covers and the water at the outlets is of a safe temperature. CCTV cameras are fitted around the outside only of the home for security purposes. Owls Barn C53 C04 S2517 Owl Barn V244472 150805 Stage 4.doc Version 1.40 Page 18 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 34 and 35 (Adults 18-65) and Standards 27,29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 34, 35, 36 (YA), 27, 28, 29, 30 (OP) The residents are protected by safe staffing practices, with training being undertaken as available. EVIDENCE: The provider lives on the premises and both she and the deputy manager run the home between them with occasional assistance from a volunteer. The home is run on a family-home basis, with the residents willingly doing tasks that are risk-assessed for their safety and abilities and which they enjoy and benefit from. Owls Barn C53 C04 S2517 Owl Barn V244472 150805 Stage 4.doc Version 1.40 Page 19 The provider and deputy manager have enquired about courses to complete their mandatory and other study requirements and it was evidenced that these will be undertaken as soon as places are available. The provider is undertaking the Registered Managers Award and the deputy manager has completed an induction course in Care. Owls Barn C53 C04 S2517 Owl Barn V244472 150805 Stage 4.doc Version 1.40 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. Service users live in a home which is run and managed by a person who is fit to be in charge of good character and able to discharge his or her responsibilities fully. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) 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 homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 39 and 42 (Adults 18-65) and Standards 33,35 and 38 (Older People) 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, 41, 42, 43 (YA), 31, 32, 33, 35, 36, 37, 38 (OP) Procedures are in place to promote and safeguard the residents’ health and welfare and protect them from harm. Owls Barn C53 C04 S2517 Owl Barn V244472 150805 Stage 4.doc Version 1.40 Page 21 EVIDENCE: The provider has worked in health care for many years and has owned and run the home for eighteen years. Because the provider lives on the premises, she checks the quality of care, the premises, maintenance, repairs and improvements on an ongoing basis. Residents’ personal finances and bank accounts are meticulously maintained and recorded, receipts and two staff signatures and that of the residents for all transactions being seen. The provider and deputy manager supervise each other’s care practices on an ongoing basis but this is not normally documented. The health and safety records examined are meticulous. Fire safety drills and testing are completed as required. The last fire officer’s report showed that no issues were outstanding. Owls Barn C53 C04 S2517 Owl Barn V244472 150805 Stage 4.doc Version 1.40 Page 22 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x 3 x x x Standard No 22 23 Score 3 3 Score ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 4 3 x 4 x x 3 x 4 4 Standard No 24 25 26 27 28 29 30 STAFFING 4 x 4 4 4 x 3 Score 11 12 13 14 15 16 17 Standard No 31 32 33 34 35 36 x 3 3 3 3 3 3 4 3 x 4 3 4 Version 1.40 Page 23 CONDUCT & MANAGEMENT PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Owls Barn Score 4 3 4 4 37 38 39 40 41 42 43 C53 C04 S2517 Owl Barn V244472 150805 Stage 4.doc 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. 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 Owls Barn C53 C04 S2517 Owl Barn V244472 150805 Stage 4.doc Version 1.40 Page 24 Commission for Social Care Inspection Unity House, The Point Weaver Road Lincoln LN6 3QN 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. Extracts may not be used or reproduced without the express permission of CSCI. 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