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Inspection on 04/11/05 for Pontesbury Project

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

This inspection was carried out on 4th November 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

This home is for adults with severe learning difficulties and the service users are looked after well. The staff continue to follow the individuals` care plans and work to maintain their current skill levels. Watching the residents interacting with the staff it was clear that there was a close relationship between them all enabling the staff to monitor the needs of the service users that they would not otherwise be able to express.

What has improved since the last inspection?

There were no requirements made at the last inspection that would have needed an improvement to be made, however, the manager and her staff are always looking for ways to improve the service that they provide.

What the care home could do better:

No requirements have been made as a result of this visit.

CARE HOME ADULTS 18-65 Pontesbury Project Hill Farm Pontesford Shrewsbury Shropshire SY5 0UH Lead Inspector Mike Moloney Unannounced Inspection 4th November 2005 11:00 Pontesbury Project DS0000020662.V266286.R01.S.doc Version 5.0 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.V266286.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 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.V266286.R01.S.doc Version 5.0 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.V266286.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th July 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. Pontesbury Project DS0000020662.V266286.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place at short notice and started just before lunch and lasted for 1.5 hours. This was the second inspection of this home this year and as the bulk of the Key Standards had already been assessed this inspection was focussed on those that had not. The inspection was carried out by talking with the manager and staff on duty at the time of the visit, observing activity within the home, looking at records and case tracking. The nature of the needs and disabilities of the service users concerned made ascertaining their views by direct means very difficult. Therefore the views of the staff had to be relied on to a great extent. However, observation confirmed that the service users were calm and relaxed in their company approaching them freely when the need arose. 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.V266286.R01.S.doc Version 5.0 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.V266286.R01.S.doc Version 5.0 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): x EVIDENCE: No new residents have been admitted to the home for some time. Therefore it has not been possible to assess the admissions procedure on this occasion. Pontesbury Project DS0000020662.V266286.R01.S.doc Version 5.0 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): x EVIDENCE: The key standards within this section were satisfactorily assessed during the last visit and therefore a full assessment was not appropriate on this occasion. However, it was noted that the care plans are reviewed on a regular basis ensuring that any changes in the service users needs are acted upon. Pontesbury Project DS0000020662.V266286.R01.S.doc Version 5.0 Page 9 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): 15 Service users have appropriate personal and family relationships. EVIDENCE: Talking with the manager and her staff as well as looking at the individual service users records showed that they visit or are visited by families and friends on a regular basis. The home is situated within a complex where there are opportunities for the service users to mix with those from other houses who have the use of the day services situated on this site. Pontesbury Project DS0000020662.V266286.R01.S.doc Version 5.0 Page 10 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): 20 The home has safe systems for the storage and recording of medication. EVIDENCE: The recording of medication was looked at and was seen to be properly completed ensuring that the correct person got the correct medication at the right time. The medication storage was also seen to be appropriate and well ordered. Pontesbury Project DS0000020662.V266286.R01.S.doc Version 5.0 Page 11 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): x EVIDENCE: Not assessed on this occasion. Pontesbury Project DS0000020662.V266286.R01.S.doc Version 5.0 Page 12 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): x EVIDENCE: Not assessed on this occasion. Pontesbury Project DS0000020662.V266286.R01.S.doc Version 5.0 Page 13 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 The service users are cared for by a skilled and caring staff team. EVIDENCE: Talking to the manager, the staff on duty and looking at records established that the home has already exceeded the requirement to have more than 50 of the staff trained to NVQ level2 or above in that 60 have already achieved this with 50 having achieved NVQ level 3. No new staff have started at the home since the last inspection and therefore it was not possible to assess the recruitment and induction processes. Pontesbury Project DS0000020662.V266286.R01.S.doc Version 5.0 Page 14 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 and 39 The managers have a clear vision for the home which they have effectively communicated to the service users staff and relatives. EVIDENCE: The person who currently named as the registered manager is now responsible for the registered manager of the supported living part of the organisation. To help her in her duties a manager has been appointed to work full-time overseeing Hill Farm as a registered care home. That manager expects to complete her registered manager award in the near future. The home is visited on a monthly basis by members of the management committee who take a critical look at a variety of 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. Pontesbury Project DS0000020662.V266286.R01.S.doc Version 5.0 Page 15 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 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x x x x x Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 3 16 x 17 Standard No 31 32 33 34 35 36 Score x 3 x x x x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Pontesbury Project Score x x 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x x x DS0000020662.V266286.R01.S.doc Version 5.0 Page 16 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.V266286.R01.S.doc Version 5.0 Page 17 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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