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Inspection on 20/07/05 for Pontesbury Project

Also see our care home review for Pontesbury Project for more information

This inspection was carried out on 20th July 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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

What has improved since the last inspection?

No requirements were made of the home at the last inspection, however, talking to the management of the home it was clear that they are always looking for ways of improving the way in which the home is run.

What the care home could do better:

All of the standards have been met by the home and the management and staff of the home constantly review the service with a view to improving it.

CARE HOME ADULTS 18-65 Pontesbury Project Hill Farm Pontesford Shrewsbury SY5 0UH Lead Inspector Michael Moloney Unannounced 20 July 2005 16.00 th 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. Name E56 S20662 Pontesbury Project V240448 200705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Pontesbury Project Address Hill Farm Pontesford Shrewsbury Shropshire SY5 0UH 01743 791975 01743 791617 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) The Pontesbury Project Mrs Jennifer Curtis Care Home 6 Category(ies) of 5 Learning Disability registration, with number 1 Learning Disability - over 65 of places Name E56 S20662 Pontesbury Project V240448 200705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st November 2004 Brief Description of the Service: Hill Farm is a private care home registered with the Commission for Social Care Inspection to provide a full residential service for up to six adults with a learning disability.The home is owned by the Pontesbury Project, a registered charitable trust, established by people in the local area. Mrs Jennifer Curtis is the registered manager and is responsible for the day-to-day management of the home.Hill Farm is located approximately nine miles from Shrewsbury on the edge of the village of Pontesford. The home is a converted farmhouse that has been sensitively adapted to meet the needs of the service users without losing any of its homely character. Access is from Bogey Lane, along a long single-track tarmacadam road leading to the original farmyard.Hill Farm is committed to providing a warm caring environment that stimulates and supports the service users in residence. Name E56 S20662 Pontesbury Project V240448 200705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Inspection work undertaken by CSCI is proportionate in relation to how a home has performed in the past. As the Pontesbury Project has a consistent history of providing a good service for people this inspection was brief and focused only on a small number of “key” areas of work. The inspection was carried out during the late afternoon. All of the service users were at home. The nature of the disabilities of some of the service users made it difficult to include them in any discussions although this was achieved to a limited degree. The staff on duty were able to provide the information required and the home’s records were also consulted. The visit lasted for two and a half hours ending after the evening meal. What the service does well: What has improved since the last inspection? What they could do better: All of the standards have been met by the home and the management and staff of the home constantly review the service with a view to improving it. Name E56 S20662 Pontesbury Project V240448 200705 Stage 4.doc Version 1.40 Page 6 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. Name E56 S20662 Pontesbury Project V240448 200705 Stage 4.doc Version 1.40 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 Name E56 S20662 Pontesbury Project V240448 200705 Stage 4.doc Version 1.40 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) x Although this section could not be fully assessed on this occasion the presence of appropriate policies and procedures seen during the inspection provided reassurance that, should the need arise, this process would be managed in a way that would protect the best interests of the new service user and those already living there. EVIDENCE: No new service users have joined this home for some time so it was not possible to assess their service user assessment procedure. Name E56 S20662 Pontesbury Project V240448 200705 Stage 4.doc Version 1.40 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, 7 and 9 The service user plans are comprehensive and updated at appropriate intervals ensuring that the individuals’ needs are met. Where possible service users are consulted and do make decisions about their lives. EVIDENCE: The care plans contained the information that would enable staff to work towards the service users’ goals. Given the range of needs and the dependency levels of the service users these had, of necessity, involved very little direct input from some of the individuals concerned. However, some of the service users were able to express their views and the manager and her staff confirmed that they had been asked for them before the plans were agreed. These plans had been reviewed by the manager and her staff on a regular basis. By reading the Individual Personal Plans and talking to and watching the service users it was obvious that they were encouraged to make as many decisions for themselves as possible and their records showed when they should not for safety reasons. Name E56 S20662 Pontesbury Project V240448 200705 Stage 4.doc Version 1.40 Page 10 Various elements identified within the Individual Personal Plans had also been risk assessed and these documents were regularly reviewed protecting the safety of the individual concerned. Name E56 S20662 Pontesbury Project V240448 200705 Stage 4.doc Version 1.40 Page 11 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) 12, 13, 14, 16 and 17 Residents are helped and encouraged to keep in contact with their friends and make good use of the local facilities. The home provides good quality food in appropriate quantities. EVIDENCE: Looking at the individuals diaries showed that they all have a variety of timetabled activities that they regularly take part in. The service users are also encouraged to take part in the normal daily activities of running the home such as shopping for food or their own needs as part of their life skills training as all had elements of these activities in their Individual Personal Plans that could be met by these activities. The staff also spoke of visits to other local amenities that gave the service users the chance to be part of the community. The manager explained that the families of the service users can visit and that some do on a regular basis and the records confirmed this and that they are also included in the care reviews when possible. Name E56 S20662 Pontesbury Project V240448 200705 Stage 4.doc Version 1.40 Page 12 Policies and procedures were seen to be in place that protected the privacy and dignity of the service users and talking to the staff confirmed that they receive training in such matters. The service users ate their evening meal during the inspection and very obviously enjoyed it with those that were able to talk saying that they are asked what their favourite foods are and that they are offered them regularly. The manager and the staff said that they observe the more non-verbal service users to see what they prefer and have developed a knowledge of their likes and dislikes and judging by the enthusiasm that with which the meal was eaten this approach appears to have worked. Name E56 S20662 Pontesbury Project V240448 200705 Stage 4.doc Version 1.40 Page 13 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) 18 and 19 The personal and healthcare needs of the service users are met. EVIDENCE: The records contained instructions about how each individual service user preferred to be approached and helped. Staff seemed to be aware of these likes and dislikes from the way that they were seen to be talking and interacting with them. They were also discreet in the way that they dealt with the personal care of people who needed it with all of the service users looking tidy and well cared for. Entries in the individuals records that were confirmed by either the staff or the manager showed that the help of various healthcare professionals was obtained when necessary. Name E56 S20662 Pontesbury Project V240448 200705 Stage 4.doc Version 1.40 Page 14 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 and 23 The service users are protected from abuse and the staff enable their views to be taken into account despite the nature of their disabilities. EVIDENCE: The manager stated that no complaints or any allegations of abuse had been made since the last inspection. The home had a copy of their complaints procedure and policies which complied with the local policies and procedures for the protection of vulnerable adults, both being part of the systems that ensures that the service users are listened to and protected from abuse, neglect and self-harm. Although the level of the disabilities of the service users means that most are unlikely to be able to access these formal policies observation of the staff interacting with them and communicating between themselves indicated that they would be aware of any dissatisfaction expressed and it was seen that a whistle blowing policy is available to be used. Name E56 S20662 Pontesbury Project V240448 200705 Stage 4.doc Version 1.40 Page 15 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) 24, 25, 26, 27 and 30 The standard of the environment is good providing service users with an attractive and homely place to live. EVIDENCE: The home is situated near Pontesbury and is an older property that has been converted to its present use in a sensitive and practical manner. The home has its main laundry area situated so that access is through areas that are not used for food preparation or consumption thereby reducing the risk of cross contamination. These facilities remain unchanged. The home has recently had the downstairs bathroom upgraded with the installation of a new assisted bath. The other bathrooms and toilets are appropriate both in number and location within the house. The service users’ bedrooms were all seen and these were all pleasantly decorated and, according to those that could express their views, were very much to their liking. Name E56 S20662 Pontesbury Project V240448 200705 Stage 4.doc Version 1.40 Page 16 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 and 36 The home ensures that enough staff are available to carry out the service user plans. Those staff receive the necessary supervision. EVIDENCE: Talking to the staff and looking at the staff rota showed that appropriate numbers of staff are on duty at all times. Records were seen that showed that the staff received regular supervision and more regularly than the standards require as the need arose. Name E56 S20662 Pontesbury Project V240448 200705 Stage 4.doc Version 1.40 Page 17 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) 42 The premises are maintained in a safe manner. EVIDENCE: Accident and fire prevention records were seen to be appropriately maintained and records showed and the manager confirmed that Portable Appliance Testing had taken place ensuring a safe environment for the service users. Name E56 S20662 Pontesbury Project V240448 200705 Stage 4.doc Version 1.40 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 x x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 x 3 3 Standard No 31 32 33 34 35 36 Score x x 3 x x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Name Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x E56 S20662 Pontesbury Project V240448 200705 Stage 4.doc Version 1.40 Page 19 no 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 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 Good Practice Recommendations Name E56 S20662 Pontesbury Project V240448 200705 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 1st Floor, Chapter House South Abbey Lawn Shrewsbury SY2 5DE 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 Name E56 S20662 Pontesbury Project V240448 200705 Stage 4.doc Version 1.40 Page 21 - 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!