Inspection on 15/12/05 for Place Farm House

This inspection was carried out on 15th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Place Farm House 04/11/08

Place Farm House 25/01/07

Place Farm House 30/06/05

Place Farm House 18/01/05

Place Farm House 17/08/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Place Farm House Ladies Mile Road Patcham Brighton East Sussex BN1 8QE Lead Inspector Paul Endersby Unannounced Inspection 15th December 2005 10:00 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 Place Farm House DS0000014225.V254670.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. Place Farm House DS0000014225.V254670.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Place Farm House Address Ladies Mile Road Patcham Brighton East Sussex BN1 8QE 01273 563902 01273 508911 placefarmhouse@yahoo.co.uk 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 Margaret Winifred Tomlinson Mrs Margaret Winifred Tomlinson Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (20) of places Place Farm House DS0000014225.V254670.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The number of people accommodated must not exceed 20 The people accommodated will be aged 65 years or over on admission Date of last inspection 30th June 2005 Brief Description of the Service: Place Farm House is a family run home registered to provide personal care for 20 older people, the registered provider and manager, for the past 22 years is Mrs Margaret Tomlinson. The home is situated in a residential part of Brighton within easy reach of local transport and amenities. There is unrestricted on road car parking in the roads around the home. The home is on two floors both served by a shaft lift and accomodation is provided in eighteen single and one shared room. All rooms have en-suite facilities. There is a good range of communal space which includes a lounge and dining room, with level access to small well-maintained garden areas. Many of the rooms provide views of the Downs and surrounding area. Place Farm House DS0000014225.V254670.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place during the morning and early afternoon. The Inspector met with the provider/registered manager, the deputy manager plus other staff members and some of the residents. The inspection included a tour of the building and a review of care plans, records and other documentation. The inspection lasted 4¾ hours What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Place Farm House DS0000014225.V254670.R01.S.doc Version 5.0 Page 6 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 Place Farm House DS0000014225.V254670.R01.S.doc Version 5.0 Page 7 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): 3&5 The admission procedure includes the assessment process which provides information to ensure only residents whose needs can be met are admitted to the home. Opportunities are provided for prospective residents and their families to visit and assess the quality and suitability of the home. EVIDENCE: Either the manager or the deputy manager assess all prospective residents to ensure that the staff team can meet their needs. Verbal information from relatives plus contributions from relevant health care professionals and others are all part of the assessment process. Information gained during the assessment process is used to provide the basis of the initial care plan. The staff team is experienced with a low turnover, who are provided with regular training. This contributes to their ability to meet the needs of residents on an individual basis. Prospective residents are encouraged to visit the home and spend time with the current residents prior to making a decision regarding whether they wish to move into the home. Where such visits are not possible then relatives or other Place Farm House DS0000014225.V254670.R01.S.doc Version 5.0 Page 8 representatives visit on their behalf. All new residents are admitted for an initial 8-week trial period. Place Farm House DS0000014225.V254670.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): 9 & 10 The arrangements for overseeing medication are well managed. Residents feel that they are treated with dignity and respect. EVIDENCE: As reported at the last inspection, the manager has recently changed the medication administration practice to a monitored dosage system. It was reported that following some initial difficulties the new system is now working well. All staff involved in the administration of medication have received relevant training. A medicine trolley, controlled drug cupboard and drug fridge have been provided for the storage of medication. Since the last inspection action has been taken to improve the assessment of residents who retain responsibility for any part of their own medication. These assessments are checked on a regular basis and any changes or decisions are recorded. The home’s Pharmacist visits every quarter to check the medication arrangements and provided advice and guidance to staff. Albeit residents seen by the Inspector stated that staff treat them with respect, and are respectful of their dignity and privacy, the Inspector noted one Place Farm House DS0000014225.V254670.R01.S.doc Version 5.0 Page 10 member of staff entered a residents room without knocking on the bedroom door before entering. Place Farm House DS0000014225.V254670.R01.S.doc Version 5.0 Page 11 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 & 15 Residents are enabled to maintain contact with their families and receive visitors of their choice. Choice in daily living is an important part of the ethos of the home. A varied and wholesome menu, with choices, is provided for residents. EVIDENCE: A visitor’s policy has been prepared and a record of visitors is maintained. There are open visiting times, although visitors are asked to not to visit before 9.30am. Residents confirmed that visitors are welcomed and can be met with in private, e.g. in their rooms, or in communal areas. Residents can choose whom they see and whom they do not. Residents confirmed that they are able to make choices around their activities of daily living. This includes how they spend their time each day. Some spend time in their own accommodation, others prefer to be with other people in one of the communal areas. There is a range of activities available to residents. They may bring their own possessions into the home, which can include small items of furniture with prior agreement from the manager. The manager and staff team do not take any responsibility for resident’s monies. The manager is able to access advocates for residents if needed. Place Farm House DS0000014225.V254670.R01.S.doc Version 5.0 Page 12 Residents are provided with a range of nutritious meals and snacks from a very clean, well equipped kitchen. Without exception all residents seen by the Inspector spoke positively about the food and confirmed that choices were available. There is a monthly menu plan which serves as the record of meals served. Additionally alternative choices made by residents are recorded. Most staff members have completed training in food hygiene. Place Farm House DS0000014225.V254670.R01.S.doc Version 5.0 Page 13 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): 17 & 18 Appropriate action is taken to ensure that residents legal rights are protected. Training for all staff in regard to Adult Abuse and Adult Protection needs to be provided at the earliest opportunity. EVIDENCE: Resident’s legal rights are protected including their right to vote at local and general elections. This is done either by using postal votes or attending the local polling station. Residents are enabled to contact financial and legal advisors if required. Information about local advocacy services is available if required. There are policies and procedures addressing the protection of vulnerable adults and staff seen by the Inspector confirmed that they were aware of their content. Since the last inspection the deputy manager has attended formal training adult protection. It is proposed that this will be cascaded by the deputy manager to all other staff members. The Inspector will be monitoring, during the next inspection, the homes progress in ensuring that all staff have received training in knowing how to identify abuse and respond to any allegations of abuse. Place Farm House DS0000014225.V254670.R01.S.doc Version 5.0 Page 14 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): 19 & 26 The overall standard of the environment within the home is high providing residents with an attractive and homely place to live. A high standard of cleanliness and hygiene is evident. EVIDENCE: The home is on two floors and is served by a shaft lift. It is well decorated and maintained, providing a high standard of comfort for residents. There is a large lounge area and an attractive separate dining area. All bed linen and carpets are replaced when a resident leaves the home and the bedrooms are redecorated. Furniture throughout the home is in a very good state of repair. The accommodation includes 18 single rooms and 1 double room. All rooms have en-suite facilities. There is level access to the garden that is attractively laid out and well maintained. Overall, access is good, particularly for service users with low mobility needs. The home does not seek to accommodate service users with high mobility Place Farm House DS0000014225.V254670.R01.S.doc Version 5.0 Page 15 needs and therefore does not provide for people who require to use a wheelchair. All areas were found to be clean and well maintained. Staff provided with protective clothing depending on the tasks they are undertaking. The clothing includes vinyl gloves and aprons and all care assistants wear tabards when entering the kitchen. Following the last inspection action has been taken to implement the recommendation to remove block soap from communal bathrooms and soap and towel dispensers have been supplied. The washing machines have a pre-wash cycle and the laundry has an impermeable floor. Place Farm House DS0000014225.V254670.R01.S.doc Version 5.0 Page 16 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): 28 & 30 The training of staff contributes to the overall safety of residents. However training should be enlarged to include the more emotional aspects of life which affect residents. EVIDENCE: Six members of the sixteen care staff have successfully achieved NVQ level 2, with five commencing training in January 2006. The deputy manager is an NVQ assessor and more recently she has successfully completed her Registered Managers Award (RMA). Staff receive mandatory training including food hygiene, first aid, moving and handling, fire safety and medication. Training is provided through visiting trainers or by staff attending training venues elsewhere. The Inspector recommended that this programme of training be further enhanced with a focus on the emotional needs of older people e.g. the ageing process, loss, bereavement and dementia. There is a comprehensive induction programme, which meets the NTO guidelines, and all staff have taken part in this on commencing work at the home. Place Farm House DS0000014225.V254670.R01.S.doc Version 5.0 Page 17 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): 34, 35 & 38 Correct business and accounting procedures provide safeguards for residents. Appropriate arrangements have been made for providing a safe environment for residents. EVIDENCE: The service provider confirmed that the home has a business and financial plan. The home’s annual accounts are audited independently. There were no indications from the day of the inspection that led the Inspector to have any concerns regarding the financial viability of the business. Appropriate insurance cover has been taken and the relevant certificate is displayed. As already indicated staff have no involvement in residents finances who handle their own financial affairs, some with support from friends/family or independent representatives where required. Place Farm House DS0000014225.V254670.R01.S.doc Version 5.0 Page 18 Appropriate action has been taken to ensure the safety of residents and staff including a range of health & safety policies. As already indicated training on matters relating to safety is provided for all staff. All doors have automatic door closures to prevent risk of fire spreading. There is regular testing and servicing of gas and electrical systems and equipment. Water temperatures are recorded on a monthly basis and bath thermometers are used to check bath water as a secondary security measure even though regulatory valves are in place. All staff have fire safety training twice yearly and fire risk assessment have been undertaken and the outcomes recorded. There are fire stops on all doors. Records confirmed that staff carry out the required safety checks, including those relating to fire prevention. Accidents are recorded and the record is signed by the manager or deputy manager. Place Farm House DS0000014225.V254670.R01.S.doc Version 5.0 Page 19 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 x x 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 x 17 3 18 3 4 x x x x x x 4 STAFFING Standard No Score 27 x 28 3 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x 3 3 x x 3 Place Farm House DS0000014225.V254670.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? YES 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. 1. Refer to Standard OP30 Good Practice Recommendations Training should be provided for staff in the emotional issues affecting older people in residential care. Place Farm House DS0000014225.V254670.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Place Farm House DS0000014225.V254670.R01.S.doc Version 5.0 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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