Inspection on 25/01/07 for Place Farm House

This inspection was carried out on 25th January 2007.

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 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

Place Farm House 04/11/08

Place Farm House 15/12/05

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 Merle Blakeley Key Unannounced Inspection 25th January 2007 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.V298951.R01.S.doc Version 5.2 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.V298951.R01.S.doc Version 5.2 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.V298951.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The number of service users accommodated must not exceed 20 Service Users accommodated will be aged 65 years or over on admission 15th December 2005 Date of last inspection 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 car parking in the roads around the home. The home is on two floors both served by a shaft lift and accommodation 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 spacious lounge and dining room, with level access to small well-maintained garden areas. Many of the rooms provide views of the Downs and surrounding areas. The current fees range from £425.00 to £595.00. These fees include all extras such as toiletries, chiropody, hairdressing, newspapers, activities etc. Residents are offered the option of having a private telephone installed in their room and these fees are payable by the resident. Place Farm House DS0000014225.V298951.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection was carried out over a period of six hours on 25th January 2007. As well as this site visit information was also gained from a returned pre-inspection questionnaire, eight returned feedback survey forms, informal talks with ten residents, one visitor, four staff, the manager and the proprietor. The site visit consisted of a tour of the premises, looking at the particular needs of four residents, lunch with five residents, document reading and observing staff interactions with residents. There are currently seventeen residents residing at Place Farm House. What the service does well: What has improved since the last inspection? Since the last inspection the home has redecorated eleven of the bedrooms plus the dining room and the lounge areas. The home has recently updated the service users guide. A formal fire risk assessment has been carried out in line with recent fire safety legislation. Place Farm House DS0000014225.V298951.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Place Farm House DS0000014225.V298951.R01.S.doc Version 5.2 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 Place Farm House DS0000014225.V298951.R01.S.doc Version 5.2 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): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All prospective residents have their needs assessed before moving into the home. EVIDENCE: Any prospective resident will have their needs assessed by the manager. This assessment will determine as to whether the home is able to meet the person’s needs. The assessment will form part of the residents care plan. Two recent assessments were viewed and they contained relevant information about each persons needs. Place Farm House DS0000014225.V298951.R01.S.doc Version 5.2 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, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans are informative and up to date. Resident’s healthcare needs are being met. Medications are appropriately administered. Residents were seen to be treated with dignity and respect. EVIDENCE: Four residents care plans were viewed during this visit and the information they contained was relevant and up to date. Reviews of care plans are carried out monthly to indicate whether there have been any changes. Each resident signs a care plan agreement. Daily information logs are maintained with additional information about health appointments and visitors. The healthcare needs of the four residents were also viewed and records showed that they had had access to their own GP’s and other visiting professionals such as district nurses, community psychiatric nurses, chiropodist, continence nurse etc. The majority of residents are well at present and are not requiring any visits from healthcare professionals. One resident is waiting to be reassessed as the home has some concerns about her current mental health. Place Farm House DS0000014225.V298951.R01.S.doc Version 5.2 Page 10 The medication records for the home were checked and they were found to be in order. The manager takes responsibility for all the medications that come in and out of the home and good record keeping procedures were seen to be in place. One resident self medicates and a risk assessment had been carried out to ensure that this person was capable of understanding and administering his own medicines. This assessment is reviewed monthly. During the day staff were observed interacting with residents. Staff treated residents in a friendly and warm manner. Seven residents were asked as to whether they felt they were treated with dignity and respect by the staff. All seven responded that they were very well treated and that the staff were more like ‘friends’ to them than carers. Place Farm House DS0000014225.V298951.R01.S.doc Version 5.2 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): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are happy with the lifestyle the home offers. Visitors are welcome in the home. Residents are able to make choices and decisions. The home offers a nutritious and well balanced diet. EVIDENCE: Permanent activities that are offered by the home include fortnightly exercise and arts & crafts classes. Painting classes are held on Saturday mornings. The home also organises entertainers periodically. Some of the residents were asked about the level of activities that were offered and all said that they felt the home offered sufficient activities. Residents have the choice of whether they wish to participate or not. Two residents said they would like to have the quizzes running again. Some residents go out to attend their own local clubs. Visitors are made very welcome in the home and one was present during this visit. They stated that they were always welcome and offered a cup of tea. Staff were very friendly and there appeared to be no restricted times for visitors. The visitor’s book indicated that there are a lot of visitors coming in and out of the home. Place Farm House DS0000014225.V298951.R01.S.doc Version 5.2 Page 12 Five residents were asked as to whether they felt they had choice and control in their daily lives. All responded that within reason they could make their own decisions about most aspects of their lives. The home offers residents a well balanced diet that includes plenty of fresh produce. The home has a rolling four-weekly menu with the daily menu being on display in the dining room. Residents were asked about the meals provided and they all responded very positively and said that they thoroughly enjoyed the meals that were provided. They said there were other options available if there was something on the menu that they did not like. The inspector joined five residents for an enjoyable lunch. The dining room is located in the conservatory off the lounge and provides a very nice setting for meals. This area had been recently redecorated. The inspector had a brief look at the kitchen, which was clean and modern and offered good facilities. The home employs three part-time cooks. Place Farm House DS0000014225.V298951.R01.S.doc Version 5.2 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): 16 & 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has produced a policy and procedure for complaints and for the protection of vulnerable adults. EVIDENCE: The home has produced a policy and procedure about how residents and visitors can make a complaint. This procedure is included in the service users guide and it is on display in the home. The procedure includes the statement that all complaints will be dealt with within 28 days and provides the contact details for the CSCI if the complainant is not happy with the outcome. The home maintains a complaints log and this was viewed on the day. No complaints have been made to the home or to the CSCI. The home has produced a policy and procedure relating to the protection of vulnerable adults. Several staff are due to attend a refresher course in adult protection later this month. The home has not received any adult protection issues. Place Farm House DS0000014225.V298951.R01.S.doc Version 5.2 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 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents live in a very nice and comfortable home, which is maintained to a very high standard. The home is kept extremely clean and tidy. EVIDENCE: Place Farm House is a very well presented and attractive home. The communal areas within the home are decorated to a very high standard with comfortable and homely furniture and fittings. The large lounge has been thoughtfully set out with large sofas and comfy chairs. This room has been recently redecorated. Accommodation is presented over two floors with access to the first floor by a shaft lift. All bedrooms have en suite facilities. Eleven of the bedrooms have also been recently redecorated. Residents have access to a very pleasant garden area with seating. The garden area is level and would be suitable for a wheelchair user. The home employs two ancillary staff that keep the home very clean and tidy. Residents stated that they were very happy with the environment they lived in and felt the home was always kept clean and tidy. Place Farm House DS0000014225.V298951.R01.S.doc Version 5.2 Page 15 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): 27, 28, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a stable and experienced staff team. 65 of the staff hold NVQ qualifications. The home carries out suitable recruitment procedures. Staff receive core skills training. EVIDENCE: The home continues to provide a very stable staff team who are very committed and caring. The home operates as a ‘family home’ and staff were seen to treat residents like family members. Many of the staff have worked at the home for a number of years. There are normally three staff on duty in the morning plus three ancillary staff including the cook. In the afternoon there are two staff on duty from 2pm then an additional staff member comes on duty at 6pm. One night staff member is employed for the night shift. As well as the proprietor and the manager a full time business administration assistant is also employed. Residents stated that they were very fond of the staff and that they were kind and caring. Throughout the day the inspector saw evidence of very positive and friendly relationships between staff and residents. The inspector also noted that staff worked well together as a team and they appeared very supportive of the home and each other. This has in turn created a very warm and friendly atmosphere within the house. Place Farm House DS0000014225.V298951.R01.S.doc Version 5.2 Page 16 There are currently nine staff who hold NVQ qualifications in care and another two staff who have completed NVQ training and are awaiting their certificates. A further two staff have commenced NVQ Level 2 training. Three staff recruitment files were viewed and the home is carrying out suitable recruitment procedures. All staff receive a CRB clearance check and two satisfactory references before they commence employment. Suitable induction training is provided for all new employees. Staff are receiving adequate training and recent courses that some staff have attended include manual handling, medication, food hygiene, adult protection and medication training. It was also recommended that staff have the opportunity to attend training courses in dementia and continence awareness. Place Farm House DS0000014225.V298951.R01.S.doc Version 5.2 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): 31, 33, 35 & 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed in a friendly and efficient manner. The manager needs to undergo the CSCI registration process. The homes quality assurance programme needs to be expanded. The home does not look after any resident’s finances. The home is continuing to promote the health and safety of both residents and staff. EVIDENCE: The manager who was previously the deputy is now responsible for resident’s care and the staff team. The manager has twenty years experience of working in the care industry and she has obtained the Registered Managers Award (RMA). She is also a qualified NVQ Assessor. It was discussed that the homes registration certificate still states that the proprietor is the manager of the home. The manager will need to undertake the CSCI registration process to become the registered manager. The proprietor is very much involved with the Place Farm House DS0000014225.V298951.R01.S.doc Version 5.2 Page 18 home and she is present on most days of the week. The proprietor has been running the home for the past twenty-two years and she has a lot of skills and experience in working with older people. The home appears to be run in a friendly and efficient manner. Both residents and staff were asked if they found the manager and proprietor approachable. Residents said that if they had any concerns or queries they would go to either the manager or proprietor. Staff stated that the home was well run and that the manager and proprietor were both very supportive and approachable. The home currently has a basic quality assurance programme, which needs to be expanded to obtain the views of the residents. The home needs to carry out resident satisfaction surveys, which should also include input from relatives, friends and visiting professionals. It is also recommended that the home hold residents meetings whereby residents can come together to discuss any issues, ideas or concerns they may have. The home has kept of lot of cards and letters from relatives who have expressed their gratitude to the home for the way the staff team have cared for their relative. The home does not look after any of the resident’s finances. Residents manage their own finances with the help of family and friends. A health and safety check was carried out during the day and no issues were raised. A formal fire risk assessment has been carried out recently. All doors within this home have magnetic closures. Fire drills and training are carried out regularly. The emergency lighting, call bell system and hot water temperatures are checked monthly. Staff have attended certain core skills training in first aid, fire safety training, manual handling, food hygiene and infection control. The environmental health officer visited the home in April 2006. All electrical and gas appliances are checked annually, as is the shaft lift. Place Farm House DS0000014225.V298951.R01.S.doc Version 5.2 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 X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 4 X X X X X X 4 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 3 Place Farm House DS0000014225.V298951.R01.S.doc Version 5.2 Page 20 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. 1. Standard OP31 Regulation 8(1)(b) Requirement That the manager undertakes the formal CSCI process of becoming the Registered Manager of Place Farm House. Timescale for action 25/04/07 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 OP30 OP33 Good Practice Recommendations That staff have the opportunity to attend additional training courses such as dementia and continence awareness. That the home expands its quality assurance programme to include formal feedback from service users, relatives and visiting professionals. Place Farm House DS0000014225.V298951.R01.S.doc Version 5.2 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.V298951.R01.S.doc Version 5.2 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!