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Inspection on 01/06/05 for Parrot Farm House

Also see our care home review for Parrot Farm House for more information

This inspection was carried out on 1st June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home provides good day to day care to residents. There is good communication with parents who are aware of how to express their views. Complaints are taken seriously and there is an awareness by the staff team of how care practices should be developed.

What has improved since the last inspection?

The home has recruited a number of permanent staff and the use of agency staff has decreased. The staff team and resident`s families have been involved in planning for the future and clear timescales have been identified for the development and introduction of key areas of work. A number of residents have had up to date psychological assessments since the last inspection.

What the care home could do better:

The Manager has been absent from the home for 3 months due to sickness and has now resigned. This has resulted in the home not meeting some outstanding requirements from previous inspections. These must now be met within the given timescales or enforcement action may be considered. The service users files are still in need of review to show that appropriateassessment and care planning takes place. The record keeping is in need of improvement and should provide better evidence of work undertaken, especially regarding medical appointments. The staff team should receive formal supervision on a regular basis and the staff rota must be kept up to date. To ensure that the home is safe for people living there, the fire alarms must be tested weekly as well as the temperature of the hot water.

CARE HOME ADULTS 18-65 PARROT FARM HOUSE Arborfield Road Reading Berks RG2 9EA Lead Inspector Lucy Martin Unannounced 1 June 2005, 9.45 am 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. PARROT FARM HOUSE H52-H01-S11379-Parrot Farmhouse-V229769010605-Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Parrot Farm House Address Arborfield Road, Reading, RG2 9EA 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) 0118 9885051 New Support Options Care Home (CRH) 8 Category(ies) of Learning Disability (LD) registration, with number of places PARROT FARM HOUSE H52-H01-S11379-Parrot Farmhouse-V229769010605-Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 11/11/04 Brief Description of the Service: Parrot Farm House is a residential home for 6 men who have a severe learning disability and may also have additional physical, dietary, sensory, epileptic and behavioural problems. The home is detatched and surrounded by a large garden. It is situated on a busy main road. There are are a few local shops within walking distance but there is no pavement directly outside the home. The centre of Reading is approximately 5 miles away. PARROT FARM HOUSE H52-H01-S11379-Parrot Farmhouse-V229769010605-Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection which started at 9.45am and took place over a three and a quarter hour period. The inspector spoke to the Manager and to two other staff more briefly. Five of the six residents were seen and greeted. None of the service users are able to communicate their views verbally about the home. Records, including resident’s files were seen. What the service does well: What has improved since the last inspection? What they could do better: The Manager has been absent from the home for 3 months due to sickness and has now resigned. This has resulted in the home not meeting some outstanding requirements from previous inspections. These must now be met within the given timescales or enforcement action may be considered. The service users files are still in need of review to show that appropriate PARROT FARM HOUSE H52-H01-S11379-Parrot Farmhouse-V229769010605-Stage 4.doc Version 1.30 Page 6 assessment and care planning takes place. The record keeping is in need of improvement and should provide better evidence of work undertaken, especially regarding medical appointments. The staff team should receive formal supervision on a regular basis and the staff rota must be kept up to date. To ensure that the home is safe for people living there, the fire alarms must be tested weekly as well as the temperature of the hot water. 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. PARROT FARM HOUSE H52-H01-S11379-Parrot Farmhouse-V229769010605-Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection PARROT FARM HOUSE H52-H01-S11379-Parrot Farmhouse-V229769010605-Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 A service users’ guide has been developed which provides clear information to service users. EVIDENCE: It has been a requirement since 2002 to produce a service users guide which contained all the required information and this has now been done. The guide was seen and is in easy to understand language. The staff details are still to be added but everything else is in place. In discussion with the Manager it was agreed that the guide would be individually adapted to suit the needs of any service users being considered for admission to the home. PARROT FARM HOUSE H52-H01-S11379-Parrot Farmhouse-V229769010605-Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 8 The service users’ files do not all contain up to date, relevant information. Risk assessments are in place but have not recently been reviewed. EVIDENCE: It was a requirement made at the inspection in June 2005 that service users’ files are reviewed to ensure that they contain all the information as required in Standard 6. This requirement has still not been met. The home is in the process of introducing person centred planning and one file is in the new format. This was the case at the last inspection in November 2004. It is acknowledged that the introduction of person-centred planning is a big piece of work which involves the collation of information and organising meetings but the completion is long overdue. A further extension of the timescale is agreed but this work must be completed by 1 October 2005. The three service users’ files seen all had risk assessments in place but none had been reviewed in the last six months. Strategies for risk management should be recorded in the service user’s plan and reviewed every six months. Currently, service users are not being assured that their needs are being addressed. PARROT FARM HOUSE H52-H01-S11379-Parrot Farmhouse-V229769010605-Stage 4.doc Version 1.30 Page 10 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) None EVIDENCE: PARROT FARM HOUSE H52-H01-S11379-Parrot Farmhouse-V229769010605-Stage 4.doc Version 1.30 Page 11 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) 19 Service users have regular appointments with healthcare professionals but the recording of appointment is not clear in the files. EVIDENCE: All the service user’s files have a medical section where medical appointments are recorded. There was evidence that a range of medical appointments are made and attended. It was positive to note that a number of the service users have had a recent appointment with a Psychologist in order to produce up to date guidelines on behaviour and a Speech and Language Therapist is to attend a Team Meeting in the near future. However, the recording of the outcome of appointment was not clear in the files. There was no care given to ensure the information was in date order and one service user who had an operation earlier in the year had no information in the medical section of his file giving relevant details. It was a requirement made in June 2004 that service users’ are weighed on a regular basis but this has not been met. The monitoring of weight is a necessity for some service users and should be undertaken on a regular basis. PARROT FARM HOUSE H52-H01-S11379-Parrot Farmhouse-V229769010605-Stage 4.doc Version 1.30 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 There is a clear complaints procedure which relatives are aware of and make good use of. There should be evidence that all complaints have been promptly investigated and concluded. EVIDENCE: The complaints book was seen which provided good evidence that the families of service users feel able to express their views. There was a clear record of complaints made and in most cases the actions taken and the outcome was recorded. There was a complaint made in March 2005 which had not been concluded. This will need to be done as soon as possible. PARROT FARM HOUSE H52-H01-S11379-Parrot Farmhouse-V229769010605-Stage 4.doc Version 1.30 Page 13 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) None EVIDENCE: PARROT FARM HOUSE H52-H01-S11379-Parrot Farmhouse-V229769010605-Stage 4.doc Version 1.30 Page 14 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, 36 The home has sufficient numbers of staff and low use of agency staff. Staff do not receive formal supervision on a regular basis. EVIDENCE: At the time of the last inspection in November 2004, there were 6 staffing vacancies and a high use of agency staff. This situation has now improved. A number of staff have been recruited and there is now minimal use of agency cover. During the day there are three staff on Duty in the morning and in the afternoon as well as Day Service staff. At night there is a waking member of staff on Duty as well as a member of staff who sleeps-in. On the week of this inspection, some staff were working some overtime shifts to provide cover whilst other staff were on Annual Leave. One member of staff was working 8 shifts in seven days and on one occasion working two double shifts in a row with a sleep-in. This means that he was on duty continually from 7.30am one morning until 9.30pm the following evening. These occasions should be kept to an absolute minimum. The staff rota was not found to be up to date and could not provide an accurate overview of the staffing of the home over the past month. It has been an outstanding requirement since 2002 that the formal supervision of staff takes place on a regular basis. This is still not happening. The Manager PARROT FARM HOUSE H52-H01-S11379-Parrot Farmhouse-V229769010605-Stage 4.doc Version 1.30 Page 15 was absent from work due to sickness for 3 months this year which has not helped the situation. However, this aspect of staff support must be prioritised for action. PARROT FARM HOUSE H52-H01-S11379-Parrot Farmhouse-V229769010605-Stage 4.doc Version 1.30 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39, 42 There has been instability within the management of the home but the team has been involved in planning for the future. There was evidence that routine health and safety checks are not taking place. EVIDENCE: The Manager has been absent from the home due to sickness for 3 months and had returned to work for 3 weeks at the time of this inspection. She has resigned and is due to leave the Manager’s post at the end of June. During the absence the Day Services Co-ordinator has been Acting as Manager. It is hoped that a new Manager will be appointed as soon as possible. The team and two parents have been involved in a planning day which was facilitated by the Service Manager. It was positive to see that clear deadlines had been set for the completion of various pieces of work. The health and safety records were not all up to date. The fire records seen showed that fire drills and the servicing of the equipment takes place on a PARROT FARM HOUSE H52-H01-S11379-Parrot Farmhouse-V229769010605-Stage 4.doc Version 1.30 Page 17 regular basis. However, the weekly check on the fire alarm system had not been carried out since March 2005. Likewise, there was no indication that the temperature of the hot water had been checked since April. These matters need to be rectified as soon as possible to ensure the safety of service users. PARROT FARM HOUSE H52-H01-S11379-Parrot Farmhouse-V229769010605-Stage 4.doc Version 1.30 Page 18 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 x x x x Standard No 22 23 ENVIRONMENT Score 2 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 1 x x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 x x x x x x x Standard No 31 32 33 34 35 36 Score x x 3 x x 1 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 PARROT FARM HOUSE Score x 2 x x Standard No 37 38 39 40 41 42 43 Score 2 x 3 x x 1 x H52-H01-S11379-Parrot Farmhouse-V229769010605-Stage 4.doc Version 1.30 Page 19 Yes 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 18(2) Regulation 36 Requirement The formal supervision of staff takes place on a regular basis at least 6 times a year. (Previous timescale of 11/1/05 not met) Service users files are reviewed to ensure that they contain all the information required in Standard 6. (Previous timescale of 1/2/05 not met) Service users are weighed on a regular basis. (Previous timescale of 11/1/05 not met) The damage in the bathrooms is attended to. (Previous timescale of 11/1/05 not met) The duty rota is maintained up to date (Previous timescale of 11/1/05 not met) There are weekly checks of the fire alarm system which are recorded. The temperature of the hot water is checked on a weekly basis and is recorded. NA H52-H01-S11379-Parrot Farmhouse-V229769010605-Stage 4.doc Timescale for action 1/9/05 2. 17(1)(a) 6 1/10/05 3. 12(1)(a) 19 1/8/05 4. 23(2)(b) 27 1/8/05 5. 17(2) 33 Schedule 4 23(4) 13(4) N/A 42 42 N/A 1/8/05 6. 7. 8. 1/7/05 1/7/05 N/A Page 20 PARROT FARM HOUSE Version 1.30 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. 2. Refer to Standard 9 19 Good Practice Recommendations Service users risk assessments are reviewed regularly at least 6 monthly. There is clear recording in service users files in date order of medical appointments including stays in hospital. PARROT FARM HOUSE H52-H01-S11379-Parrot Farmhouse-V229769010605-Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection 1015 Arlington Business Park Theale Berks RG7 4SA 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 PARROT FARM HOUSE H52-H01-S11379-Parrot Farmhouse-V229769010605-Stage 4.doc Version 1.30 Page 22 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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