Inspection on 02/12/08 for Owls Barn

This inspection was carried out on 2nd December 2008.

CSCI found this care home to be providing an Good service.

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 06/06/07

Owls Barn 21/12/05

Owls Barn 15/08/05

Owls Barn 16/03/05

Owls Barn 19/11/04

Owls Barn 12/02/04

Similar services:

Hillside

Applegarth

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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 13/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Owls Barn 47-49 High Street Marton Gainsborough Lincolnshire DN21 5AL     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Tobias Payne     Date: 0 2 1 2 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 25 Information about the care home Name of care home: Address: Owls Barn 47-49 High Street Marton Gainsborough Lincolnshire DN21 5AL 01427718842 Telephone number: Fax number: Email address: Provider web address: loraineolsen@btinternet.com Name of registered provider(s): Name of registered manager (if applicable) Ms Loraine Olsen Type of registration: Number of places registered: Ms Loraine Olsen care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability mental disorder, excluding learning disability or dementia Additional conditions: The maximum number of service users who can be accommodated is 6. The registered persons may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission are within the following category: Learning disability - Code LD. Mental disorder - Code MD. Date of last inspection Brief description of the care home 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 owner. The home is registered to provide personal care for up to five adults in the categories of learning disabilities and mental disorders, currently housing five people. The bedrooms are situated on the ground and upper floors, with Care Homes for Older People Page 4 of 25 Over 65 0 0 6 6 Brief description of the care home 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. The philosophy of Owls Barn is to provide service users with a secure, relaxed and homely environment in which their care, well being and comfort is prime importance. The fees on the day of the inspection ranged from £365 to £411 a week. Extras were hairdressing which ranged from £3 to £20 and chiropody £8. Information about the home including the statement of purpose, service users guide and a copy of the last inspection report can be obtained from the manager who is also the owner of the home. Care Homes for Older People Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This key inspection was unannounced and started at 8.30 am. We did this using a review of all the information available to us about Owls Barn. It took place over 4 hours. We spoke with all of the 4 people living in the home who were full of praise for the way the home was run, their accommodation and care and support from the manager and staff. We spoke with 3 members of staff and the manager who is also the owner of the home. The main method was called case tracking. This involved selecting one person and tracking the care they received through the checking of records, discussions with Care Homes for Older People Page 6 of 25 them, the care staff and observation of how staff responded to their needs and that of the other people living in the home. We also examined the annual quality assurance assessment (AQAA) that was sent to us by the manager before this key inspection. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the home. It was very clear and detailed. Before making our visit we asked the people who live there to send us comments about the support they receive. We received comment cards from 5 relatives on behalf of the people living in the home. All comments were very positive. There were no negative comments. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 25 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at this home receive clear information to enable them or their relatives/advocates to make an informed choice as to whether or not they wish to live in this home. Where a person is referred to the home they receive an assessment to ensure that their needs can be met. Evidence: There was clear information about the home in the form of a statement of purpose and service users guide. This included the aims and objectives and philosophy of care with the emphasis on promoting the peoples rights, privacy and dignity, independence and freedom of choice. We noticed that it did not contain our Cambridge Regional Office address and telephone number. The manager agreed to act on this as soon as possible. Since the last inspection there had been one admission to the home. Records showed Care Homes for Older People Page 10 of 25 Evidence: the person had been assessed by the manager and had been involved in their admission. From the pre-admission assessment a care plan had been produced. We spoke to all the people living in the home on the day of our inspection visit and all were very happy to live in the home. The person who had been admitted recently told us that she was very happy and had settled in well. Staff had the skills to be flexible in the way they worked taking into account the varying and needs of the people coming into the home. The care staff spoken with were aware of individual peoples assessed care needs and how these were met. They do not provide intermediate care. Care Homes for Older People Page 11 of 25 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is a clear care planning system in this home. This ensures that the health and welfare needs of people living in the home are fully met. People are encouraged to make decisions for themselves and be independent with the support and guidance of staff. Medication is safely given by staff who know what they are doing and are safe in their practise. Evidence: Each person had a care plan outlining their care and support. The care plan had been produced wherever possible with the involvement of the person, their family/advocate and other relevant people. They included a very clear and detailed life story book with photographs, assessment of daily living, care plan and where assessed risk assesments. Entries were signed and dated. Care plans were reviewed every 2 months or when required as a result of changes which had taken place. Care records also showed any specific health needs and how these were to be met by supporting health agencies and any action taken by the home staff. Choice and decision making was clearly shown in the care plans. The people were given choice concerning their Care Homes for Older People Page 12 of 25 Evidence: interests activities and lifestyle. The people we spoke with told us that the manager and staff provided them with the care and support they needed, that care staff were respectful and promoted their privacy and dignity. Comments included, we love being here, everyone is so good and kind to us and we are like one large family. Comments we received in 5 surveys completed before this inspection also included, the manager always informs me if there are any changes, whatever they are. My relative is very happy and well settled there and Im very satisfied and grateful for the way he is looked after, he could not be in a better place, when my wife and I visit him, he tells us how comfortable and fortunate he is to be in such a lovely home, the staff are very good and We never have any complaints from him. Just the opposite, he appreciates the care they give him. He always has had the support and appropriate care that he needs. The manager makes the home so welcoming and relaxing like a home from home. In my opinion the manager does a wonderful job. Also so do her staff. We received no negative comments. Medication was handled safely with an up to date policy and procedure, records to show when they came into the home, when they were given to each person and when they were returned to the pharmacy. All staff who administer medication had received training in 2007. All the people needed some assistance with their medication. Where required, people living in the home were referred to GPs, Community Nurse, Community Psychiatric Nurse, Continence Nurse, Opticians, Dentist, Chiropodist and medical consultants. Care Homes for Older People Page 13 of 25 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Social activities are varied, well managed, creative and provide daily stimulation and interest for people living in the home. Visitors are made to feel welcome and supported. People enjoy varied and nutritious meals. Evidence: The people we spoke with told us that they felt safe living at the home, that they could spend their time as they liked and that staff respected their views. Comments included, I am going to the pub for a drink at lunch time, I like to watch television, I like to help around the home and clean and tidy up my room and I have a shed where I like to spend time during the day on my hobbies. A record of any activities which took place was provided for each person. Activities included cards, dominoes or taking part in the local activities. Comment cards received included, I find he is always well cared for and I find the home very well run and very homely. I am always made welcome. At all times they all work hard to look after the residents and make them happy. The staff members spoken with told us they respected and promoted the peoples rights and choices about their day to day lives. All the people told us they liked the meals provided and that they could choose what to Care Homes for Older People Page 14 of 25 Evidence: eat. They told us that their views about meals were sought and that they were occasionally involved in the shopping and planning of meals when they liked. Comments included, I love the food and the food is very enjoyable, the way I like it to be. They confirmed that the manager listened to any opinions about their food preferences. Care Homes for Older People Page 15 of 25 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People know how to make a complaint and feel that staff will listen to their views. The care team know how to respond to a complaint and how to act in order to protect people from abuse. They are protected from abuse by correct and safe recruitment procedures. Evidence: Each person received a copy of the complaints procedure in the service users guide. We noticed that it did not contain the address and telephone number of our Cambridge Regional Office. The manager agreed to amend this information. No complaints had been received by the home or the Commission since the last inspection. We had been made aware of a safeguarding adults investigation which was carried out by Lincolnshire County Council with the full co-opeation of the manager of the home and our involvment. All the regulations were met. None of the people living in the home or staff had any complaints about the home and felt they could discuss any concerns with staff or the management. Staff also knew what to do if they received a complaint from a person living in the home. Comments we received included, if I have any worries I can discuss them with Lorraine. Comment cards included, if I have any questions they are always dealt with immediately, I am really pleased with the progress she has made since being here, I Care Homes for Older People Page 16 of 25 Evidence: am really pleased that she has settled in so well and is so well looked after and Anything I have asked about her care has always been dealt with immediately. All staff were correctly recruited including a check by the Criminal Records Bureau (CRB). During their induction each member of staff received information about abuse. Three staff were asked what constituted abuse and all knew their role and what abuse was. The manager told us that staff were to receive refresher training to ensure their knowledge was up to date. The manager also had a copy of Lincolnshire County Councils Adult Protection Policy and Procedures. Care Homes for Older People Page 17 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People continue to live in clean, well decorated, comfortable and safe accommodation. Evidence: Since the last inspection 4 of the bedrooms had been refurbished and redecorated as had the lounge. People we spoke with told us they liked their bedrooms and the accommodation. The kitchen was in the process of being refurbished. People we spoke with told us they were satisfied with the decoration and cleanliness of the home. They also spoke of how they liked their bedrooms all of which were single. Their rooms were personalised with items of furniture, pictures and ornaments. The home was clean and odour free throughout. Comments we received included, I like my room and the home is very nice and comfortable. Care Homes for Older People Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is a safely recruited, trained and supported staff team available who have the skills to meet the varying needs of the people living in the home. A range of in-house training and National Vocational Qualification training is provided. People living in the home have confidence in the staff. Evidence: People we spoke with did not express any worries about the level or availability of staff. During our inspection visit staff attended to the needs of the people promptly and in a calm and friendly manner. Comment cards received included, The staff are aware of his special needs and treat each person as an individual. The staff have the right caring attitude. They have amazing patience and spend time to make people feel good about themselves. I have never had to make a complaint and have no need to raise concerns about care. and I am so pleased that she has found such a lovely home to live in. The people living in the home supported these views and added nothing is too much for the staff. The manager monitored the dependency and varying needs of the people. Although there were no wakeful staff on duty at night there was always someone available during the night to assist if required. Care Homes for Older People Page 19 of 25 Evidence: We looked at the files for 2 new members of staff. Records were clear, detailed and showed that staff were safely recruited in accordance with the regulations. This included a check by the Criminal Records Bureau (CRB). Since the last inspection the range of training provided has increased. This included formal training in care to National Vocational Qualification standards (2 staff had NVQ level 2 and a new member of staff had started this). Training since the last inspection had covered, moving and handling, fire protection, diabetes, infection control, first aid, health and safety and medication. Training records were kept for each member of staff. The manager told us that she had arranged for training on abuse in the future. We have recommended in the report that the manager arrange for staff to receive training on the Mental Capacity Act 2005 and Deprivativation of Liberty Safeguards. Comments from staff were, when I came here I received a supported induction over 2 weeks and felt that at any time I could ask advice, I enjoy being with the residents and I enjoy spending time with the residents, playing games with them and doing things with them. Care Homes for Older People Page 20 of 25 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People and staff benefit from the positive and informal approach from the manager. Record systems show that the peoples health, welfare, safety and choices are promoted. The manager and staff team ensures that the people living in the home have the opportunity to voice their views and opinions. Evidence: All the people living in the home we spoke with had fulsome praise for the managers and staff approach and support. We received comment cards which included, we have always found the manager very open with us about every thing. We consider her to be a life long friend as well as his care provider and I find he is always well cared for and I find the home very well run and very homely. I am always made welcome. At all times they all work hard to look after the residents and make them happy. These views were also echoed by the 4 people we spoke with. Their comments included, Lorraine is fantastic, Lorraine has Care Homes for Older People Page 21 of 25 Evidence: done so much for me and I love being here. Staff told us Lorraine is lovely, nice and friendly and we all work well together. Peoples monies were well maintained with each person having their own folders with details of description, money in, money out, balance and signatures. Three of the people looked after their own money. Records throughout our visit were available, up to date and well maintained. There were up to date policies and procedures which included equal opportunities, health and safety and fire safety. There were regular tests of the fire system as well as monitoring of hot water temperatures. Care Homes for Older People Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 3 The manager should ensure that each person has an assessment of their mental capacity in line with the Mental Capacity Act 2005 and deprivation of liberty safeguards. In addition she should ensure that staff know about the Mental Capacity Act 2005 in order to enable them to put into day to day practise issues arising from the Mental Capacity Act 2005. This will ensure that the needs of the people living in the home can be met. Care Homes for Older People Page 24 of 25 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 25 of 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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