CARE HOMES FOR OLDER PEOPLE
Owls Barn 47-49 High Street Marton Gainsborough Lincolnshire DN21 5AL Lead Inspector
Vanessa Gent Unannounced Inspection 21st December 2005 15.45 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Owls Barn DS0000002517.V273885.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. 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 DS0000002517.V273885.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Owls Barn Address 47-49 High Street Marton Gainsborough Lincolnshire DN21 5AL 01427 718842 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Loraine Olsen Mr Jorgen Olsen Mrs Loraine Olsen Care Home 5 Category(ies) of Learning disability (2), Learning disability over registration, with number 65 years of age (1), Mental disorder, excluding of places learning disability or dementia (1), Mental Disorder, excluding learning disability or dementia - over 65 years of age (1) Owls Barn DS0000002517.V273885.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 15/08/05 Brief Description of the Service: Owls Barn is a large, old, rambling, two-storey cottage situated in the village of Marton near Gainsborough, close to local shops and facilities and opposite the village church. It is owned, managed and run by the Provider with the assistance of one employee - the deputy manager - and occasional voluntary help, providing a secure and relaxed family atmosphere for the residents, some of whom have lived there for many years. 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, secure, well-kept gardens to the front and rear of the property. Owls Barn DS0000002517.V273885.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place over two and a half hours. 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. Three of the four residents, the provider and the deputy manager spoke with the inspector. One resident is currently in hospital. What the service does well: What has improved since the last inspection? What they could do better:
Owls Barn DS0000002517.V273885.R01.S.doc Version 5.0 Page 6 The home is run and maintained efficiently. No requirements or recommendations needed to be set at this inspection. 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 DS0000002517.V273885.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Owls Barn DS0000002517.V273885.R01.S.doc Version 5.0 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 4 The home is set up to accept new residents and integrate them fully into the routines of the current occupants of the home. EVIDENCE: The statement of purpose and service user guide describe well the facilities available, the philosophy of the home and way the home is run. The manager is improving the premises and will then consider admitting a fifth resident. The present residents would like another person to join them and state they will be fully involved and have a say in who is admitted. Paperwork is in place for assessing and introducing any new resident and confirming by letter that the home can meet their needs. Owls Barn DS0000002517.V273885.R01.S.doc Version 5.0 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 10 The provider and deputy manager ensure that the residents are lovingly cared for and respected in all aspects of their lives. EVIDENCE: Care plans are set out in a clear format, easy to read and understand and showing full involvement of the residents. Every aspect of the residents’ lives is well-described, starting with a personalised life history through to describing each day’s events and activities. Each resident is able to maintain their privacy and dignity and has their own ‘space’. One resident has a shed which was specially built to cater for his artistic and creative talents. Owls Barn DS0000002517.V273885.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. 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. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13, 14 The provider includes and encourages the residents in all aspects of communal and home life. EVIDENCE: The residents say that the provider and her family is family to them but contact with their own families is encouraged and maintained. One resident said that his mother was in hospital and that the provider had helped to buy his mother a bouquet of flowers and remember birthdays and special occasions. The provider, friends and residents visit the local pub and attend services at the church, which is situated opposite the home, as well as going out shopping and having meals out as a treat. The home has its own seven-seater vehicle for transport. Owls Barn DS0000002517.V273885.R01.S.doc Version 5.0 Page 11 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: On this occasion, the outcomes for these standards were not inspected. Owls Barn DS0000002517.V273885.R01.S.doc Version 5.0 Page 12 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: On this occasion, the outcomes for these standards were not inspected. Owls Barn DS0000002517.V273885.R01.S.doc Version 5.0 Page 13 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 30 Staff training ensures that the residents are kept safe and protected. EVIDENCE: Staff training is in progress, with the provider and deputy manager nearing completion of the Safety in Drug Administration course and the provider half way through the Registered Managers Award course. All other areas of training have been covered, with staff being aware of and alert to all aspects of the residents’ needs. Owls Barn DS0000002517.V273885.R01.S.doc Version 5.0 Page 14 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. 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. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 35 The provider and deputy manager manage the home in a way that makes the residents feel safe and happy that their interests are safeguarded, their independence is maintained and their lifestyles accord with their wishes and needs. EVIDENCE: The provider and deputy manager are said by the residents to be “loving and caring and treat them as family”. “She is like my Mum.” “I think the manager looks after me well.” One of the residents, who is in hospital, is visited regularly and contact is kept to ensure that the resident and the others keep in touch and are informed of his progress. Care plans examined show stringent record-keeping for each transaction, receipt of any monies coming in and savings made by the residents.
Owls Barn DS0000002517.V273885.R01.S.doc Version 5.0 Page 15 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 X 3 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 4 14 4 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 4 X X 3 X X X Owls Barn DS0000002517.V273885.R01.S.doc Version 5.0 Page 16 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Owls Barn DS0000002517.V273885.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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