Inspection on 04/05/06 for Pontesbury Project

This inspection was carried out on 4th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Pontesbury Project 25/11/08

Pontesbury Project 04/11/05

Pontesbury Project 20/07/05

Pontesbury Project 01/11/04

Pontesbury Project 18/05/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Pontesbury Project Hill Farm Pontesford Shrewsbury Shropshire SY5 0UH Lead Inspector Mike Moloney Key Unannounced Inspection 4th May 2006 10:00 Pontesbury Project DS0000020662.V293880.R01.S.doc Version 5.1 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 Pontesbury Project DS0000020662.V293880.R01.S.doc Version 5.1 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 Adults 18-65. 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. Pontesbury Project DS0000020662.V293880.R01.S.doc Version 5.1 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 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) The Pontesbury Project Mrs Jennifer Anne Curtis Care Home 6 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (1) of places Pontesbury Project DS0000020662.V293880.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th November 2005 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. The home has a service user guide which it make available to all stake holders and is available in an “easy read” version for those who may require it. The home receives payment of between £850 and £1500 per month for the care of each service user. Pontesbury Project DS0000020662.V293880.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was used to make judgements about this service. This includes: information from the provider, records kept in the home, medication records, discussion with people who use the service, discussions with the staff team, discussion with the manager, tour of the premises, previous inspection reports, the quality assurance process and observation of care experienced by people using the service. 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. Pontesbury Project DS0000020662.V293880.R01.S.doc Version 5.1 Page 6 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 Outcomes Statutory Requirements Identified During the Inspection Pontesbury Project DS0000020662.V293880.R01.S.doc Version 5.1 Page 7 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 the following standard(s): EVIDENCE: No new service users have joined this home for some time therefore the key standards in this outcome group could not be fully assessed. However, discussions with the registered manager indicated that should the need arise any new service user would be admitted in a professional manner. Pontesbury Project DS0000020662.V293880.R01.S.doc Version 5.1 Page 8 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 the following standard(s): 6, 7 and 9 Quality in this outcome area is good. 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 records of two of the service users were looked at and these contained the information that would help staff to work towards their goals. The manager explained that the range of needs and the dependency levels of the service users 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 they confirmed that they had been asked for them before the plans were agreed. Both of the plans seen had been reviewed during the previous six months. Looking at 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. Pontesbury Project DS0000020662.V293880.R01.S.doc Version 5.1 Page 9 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. Pontesbury Project DS0000020662.V293880.R01.S.doc Version 5.1 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 the following standard(s): 11, 12, 13, 14, 15, 16 and 17 Quality in this outcome area is good. The service users are offered a range of activities and opportunities that are consistent with their identified needs. EVIDENCE: The records seen during the inspection contained information about the activities that the service users had been involved in. Each set of activities were different for each individual and contained such things as college courses, visits to special interest groups and shopping. The manager explained that each activity had been chosen because the individual concerned had either said that they wanted to be involved in it or had enjoyed it when they had tried it previously. Some of the service users were able to confirm this. 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. Pontesbury Project DS0000020662.V293880.R01.S.doc Version 5.1 Page 11 Policies and procedures were found 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 lunch during the inspection and very obviously enjoyed it. Talking with one of the service users established that she chooses what is to be included in her packed lunch and she helps to prepare it. 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. During the inspection one of the service users who has difficulty with verbal communication made it very clear through the use of signs and facial expression that he likes the food that is offered to him. Pontesbury Project DS0000020662.V293880.R01.S.doc Version 5.1 Page 12 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 the following standard(s): 18, 19 and 20 Quality in this outcome area is good. The personal and healthcare needs of the service users are met. EVIDENCE: The records seen during the inspection identified a range of medical needs for each of the service users. Within those records it could be seen that these needs were reviewed on a regular basis. They also showed the times that the service user had visited or been visited by various healthcare professionals. The social needs and preferences of the service users were also seen within the records with indications of such things as how they prefer to be given personal care and how they prefer to be addressed being included. The medication needs of the individuals were also identified and records were seen that indicated that the service users were being given their medication at the correct times. The medication was also seen to be securely stored in appropriate cabinets so as to decrease the possibility of them being accidentally taken at the wrong times by the wrong person. Pontesbury Project DS0000020662.V293880.R01.S.doc Version 5.1 Page 13 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 the following standard(s): 22 and 23 Quality in this outcome area is good. 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. The level of the disabilities of the service users means that most are unlikely to be able to access these formal policies but 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. Pontesbury Project DS0000020662.V293880.R01.S.doc Version 5.1 Page 14 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 the following standard(s): 24 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. Walking around the home it was seen that everywhere was clean and well maintained with the grounds providing a similarly pleasant but secure area for the service users to be. 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. Pontesbury Project DS0000020662.V293880.R01.S.doc Version 5.1 Page 15 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 The service users receive a good level of support from a skilled, caring and well supervised staff team. 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 and talking to the staff confirmed that they had received regular supervision. The staff also confirmed that they receive a range of training opportunities that they are encouraged to undertake. These included such things as the mandatory safety training through to qualifying through the NVQ system. This had ensured that two thirds of the staff team had qualified to NVQ2 or above and therefore provided the service users with a trained staff team who could give them with the support that they require. The records of the two staff who had started at the home since the last inspection were looked at and appropriate background checks had been carried out. On the day of the inspection neither were available as they were away receiving training as part of their induction package. Pontesbury Project DS0000020662.V293880.R01.S.doc Version 5.1 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 This home is run and managed to a good level. There is a clear vision for the home that is supported by the management committee and effectively passed on to the staff. EVIDENCE: The person who currently named as the registered manager is now responsible for the Pontesbury Project as a whole. An assistant manager has been appointed with a view to this person being put forward for registration as the manager for the home with the Commission for Social Care Inspection. The home is visited each month by a member of the management committee who takes a critical look at various areas with a view to improving the service received by the residents. Reports are then produced and the Commission for Social Care Inspection are sent a copy. A variety of records were looked at that showed that fire precautions, portable appliances, water temperatures and suchlike are tested or monitored on a regular basis so as to safeguard the safety of the service users and the staff. Pontesbury Project DS0000020662.V293880.R01.S.doc Version 5.1 Page 17 Similarly records also showed and the staff available at the time of the inspection confirmed that there is an ongoing programme of safety training for them. Pontesbury Project DS0000020662.V293880.R01.S.doc Version 5.1 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 Standard No Score 1 x 2 N/A 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 4 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 x 3 3 x 3 x x 3 x Pontesbury Project DS0000020662.V293880.R01.S.doc Version 5.1 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Pontesbury Project DS0000020662.V293880.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate 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. 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