Inspection on 07/02/07 for Ryan Q.C. Homes, Farthings

This inspection was carried out on 7th February 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

Ryan Q.C. Homes, Farthings 16/02/06

Ryan Q.C. Homes, Farthings 08/11/05

Ryan Q.C. Homes, Farthings 04/01/05

Ryan Q.C. Homes, Farthings 13/05/04

Similar services:

Hillside

Applegarth

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Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Ryan Q.C. Homes, Farthings 86 Lumbertubs Lane Boothville Northampton Northants NN3 6AH Lead Inspector Mrs Linda Preen Key Unannounced Inspection 7th February 2007 16.00 Ryan Q.C. Homes, Farthings DS0000012905.V329905.R01.S.doc Version 5.2 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 Ryan Q.C. Homes, Farthings DS0000012905.V329905.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 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. Ryan Q.C. Homes, Farthings DS0000012905.V329905.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ryan Q.C. Homes, Farthings Address 86 Lumbertubs Lane Boothville Northampton Northants NN3 6AH 01604 643726 01604 492770 laurierqch@aol.com 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 Laurie Duggan Mrs Margaret Laurie Duggan Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Ryan Q.C. Homes, Farthings DS0000012905.V329905.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th February 2006 Brief Description of the Service: The Farthings is one of two homes run by Ryan Q.C. Homes and provides personal care for up to six younger adults who have learning disabilities. The home is situated in a residential suburb of Northampton and is indistinguishable from neighbouring houses. The home is a detached house with large private gardens and provides all single occupancy bedrooms. Fees range from £667 to £1538 per week according to resident’s assessed needs. Ryan Q.C. Homes, Farthings DS0000012905.V329905.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two hours were spent prior to the inspection reviewing previous requirements and recommendations and collating information provided by the service. The Commission sent comment cards out to a random selection of residents and to General Practices providing a service to the home. The inspection took place over a period of two and a half hours as part of the statutory inspection programme. Three residents were chosen in order that their experience in the home could be assessed. The method used was “Case Tracking”. This involved looking at their records, talking to them and also to the staff concerning the care received. In addition to this staff rotas and medication records were seen. 2 comment cards had been received from residents, both of which were positive in their comments, and information was available from a questionnaire completed by the providers of the service. What the service does well: What has improved since the last inspection? Ryan Q.C. Homes, Farthings DS0000012905.V329905.R01.S.doc Version 5.2 Page 6 Records of the testing of fire equipment have now been amalgamated into one book to more clearly demonstrate that these checks are being made. 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. The summary of this inspection report can be made available in other formats on request. Ryan Q.C. Homes, Farthings DS0000012905.V329905.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Ryan Q.C. Homes, Farthings DS0000012905.V329905.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 5. Quality in this outcome area is good. Thorough assessments are completed to ensure resident’s needs may be met in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three residents were chosen in order that their experience in the home could be assessed. All of these residents had comprehensive assessments in place in order to inform staff of their needs and how these could be met. One of the residents spoken to, confirmed that the Registered Manager had visited her in hospital prior to her moving into the home, in order to tell her about the home and to ask her if she would like to move in. Copies of terms and conditions of residency were available in the files checked. Ryan Q.C. Homes, Farthings DS0000012905.V329905.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9. Quality in this outcome area is good. Residents are encouraged to live as independent life as possible within a supported environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Detailed and individual care plans were available for each of the residents who were happy to discuss the contents of their files with the inspector. Information was presented in both written and pictorial forms in order to help their understanding. Where possible, residents also sign to confirm their agreement with the plans formulated. Evidence of regular reviews was in place, ensuring that the information is up to date and current. Residents are encouraged to help with household tasks, and one resident said she liked to help with the washing up, taking it in turns with another resident to wash or dry the dishes. Another resident said she had been involved with putting away the weekly grocery delivery. Ryan Q.C. Homes, Farthings DS0000012905.V329905.R01.S.doc Version 5.2 Page 10 Residents are encouraged to be as independent as possible and risk assessments are in place for all activities of daily life. Ryan Q.C. Homes, Farthings DS0000012905.V329905.R01.S.doc Version 5.2 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. 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. Social Activities and meals are both well managed, creative and provide daily interest and variation for people living in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents have individual activity programmes to ensure different needs and preferences are catered for. One resident said she spent the daytime at another home belonging to the company, where she was involved in various activities, organised by a tutor who comes in twice a week. She reported that they had recently been involved in a project about Northamptonshire, which had been interesting and also that she enjoyed doing craft projects. She had made a Valentines Card that morning to give to her father. Another resident said she attends the local college where she is currently doing a cookery course. Ryan Q.C. Homes, Farthings DS0000012905.V329905.R01.S.doc Version 5.2 Page 12 Photographs in individual files depicted them in various activities, outings and holidays. A resident confirmed that they had enjoyed a holiday to Skegness in the summer, when they went to Butlins. One of the residents said she had been to a friend’s house for the day and that they had enjoyed lunch at the local public house. She confirmed that this happened weekly and that her friend also visited her in the home on another day each week. A second resident had a visit from her father during the inspection. He expressed satisfaction with the care provided and stated “It could not be better”. He confirmed that he visited once a week as he lived locally. He was made welcome by the staff in the home and was given a lift home by a staff member at the end of his visit. Records of choices concerning daily activities, food and lifestyle were available in each file in order that staff could assist them in these areas where necessary. Menus provided as part of the pre-inspection questionnaire demonstrated that a healthy, nutritious diet is provided. Residents are involved in the weekly menu planning and individuals were also asked what they wanted for their evening meal when they returned from daytime activities. Residents spoken to confirmed that the standard of food was good and that it was provided in sufficient quantities. Ryan Q.C. Homes, Farthings DS0000012905.V329905.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. Residents are enabled to access Health Care with consideration being given to physical, emotional and psychological aspects of need. This judgement has been made using available evidence including a visit to this service. EVIDENCE: As stated earlier, residents were fully aware of their care plans and were happy to discuss the content. Residents stated that staff were supportive and helpful, with one resident commenting that the manager was “ like a second Mum”. Records of hospital appointments and visits to the general practitioner and community nursing team were seen in the files checked. A member of staff accompanies them to appointments in order to give them support in unfamiliar surroundings. Systems for the ordering, storage, administration and disposal of medication were seen and found to be satisfactory. Arrangements are in place with the supplying pharmacist to audit the system regularly. None of the residents is able to control their own medication at present. Ryan Q.C. Homes, Farthings DS0000012905.V329905.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. Residents may be confident that their concerns will be taken seriously and action taken where required. They are protected from abuse within the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A complaints procedure is available within the home, and although residents may not be able to read this information, those spoken to were aware of with whom to raise concerns and stated that they were confident these concerns would be acted upon. No formal complaints have been received by the home since the last inspection. A member of staff spoken to confirmed that they had received training on the Safeguarding of Adults reporting system and was aware of reporting systems outside the home if needed. She also confirmed that they had received training in the types of abuse that may occur. Ryan Q.C. Homes, Farthings DS0000012905.V329905.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 28 and 30. Quality in this outcome area is good. Residents live in homely surroundings, which are well maintained and clean. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Communal areas of the home seen, were clean and tidy and were decorated and maintained in a homely manner. Several lounge areas are available as well as a pleasant garden for use when the weather allows. Residents are involved in the upkeep of the garden and enjoy raising some plants from seed. Two of the residents offered to show their rooms, and these were furnished comfortably and had evidence of personalisation in the form of personal music systems, pictures, ornaments and soft toys as well as equipment for individual hobbies and interests. One of the residents said her room had been redecorated last year and that she had chosen the colour. Ryan Q.C. Homes, Farthings DS0000012905.V329905.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is good. Staff are provided with training and in sufficient numbers to meet the needs of the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Duty rotas provided as part of the pre-inspection questionnaire, demonstrate that there are two staff in the daytime and one staff member sleeping in the house at night. The staff member spoken to confirmed that this was sufficient in her opinion to meet the needs of the residents currently in the home. Staffing is calculated according to the Residential Forum guidance and is provided slightly above this level. The company has a commitment to staff training and 75 of staff currently hold a National Vocational Qualification at level two or above. This ensures that they have training in meeting the care needs of the residents in the home. Staff files were not available for inspection as they are stored in the other home belonging to the company; however, another inspector saw them when that home was inspected in January of this year. An equal opportunities policy Ryan Q.C. Homes, Farthings DS0000012905.V329905.R01.S.doc Version 5.2 Page 17 is available, but at present no staff from ethnic minorities are employed. The majority of staff members are from the provider/manager’s family and represent both sexes and a range of ages. A member of staff confirmed that training is provided for Fire, Health and Safety, Moving and handling, Medication and specialist subjects such as epilepsy. She also confirmed that staff receive regular formal supervision by the Registered Manager. Ryan Q.C. Homes, Farthings DS0000012905.V329905.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 and 42. Quality in this outcome area is good. The Registered Manager ensures that the home is run efficiently, in a way that serves the best interests of the residents. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Registered Manager is a Registered Nurse for Mental Handicap and is currently working towards the Registered Manager’s Award. This gives an introduction to management issues in a care setting. She has many years experience of working with this client group and is fully aware of their special needs. Residents and staff appeared comfortable in her presence and approached her freely during the inspection. Ryan Q.C. Homes, Farthings DS0000012905.V329905.R01.S.doc Version 5.2 Page 19 Records of regular audits of all of the systems in the home were available with staff responsible for completing check- lists on a weekly and monthly basis. Staff meetings are held and minutes of these are available. Residents confirmed that their opinions are sought concerning any changes in the home. Records of the checking of fire alarms, fire extinguishers and emergency lighting were seen to be satisfactory. Ryan Q.C. Homes, Farthings DS0000012905.V329905.R01.S.doc Version 5.2 Page 20 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 3 3 X 4 X 5 3 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 3 26 X 27 X 28 3 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 3 3 X LIFESTYLES Standard No Score 11 3 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 3 X 3 3 3 X X 3 X Ryan Q.C. Homes, Farthings DS0000012905.V329905.R01.S.doc Version 5.2 Page 21 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 Ryan Q.C. Homes, Farthings DS0000012905.V329905.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Ryan Q.C. Homes, Farthings DS0000012905.V329905.R01.S.doc Version 5.2 Page 23 - 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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