Inspection on 14/03/06 for St Teath Site

This inspection was carried out on 14th March 2006.

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

St Teath Site 24/07/06

St Teath Site 16/08/05

St Teath Site 13/01/05

St Teath Site 14/07/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 St Teath Site Trehannick Road St Teath Bodmin Cornwall PL30 3LQ Lead Inspector Mike Stokes Unannounced Inspection 14th March 2006 4:00 St Teath Site DS0000009240.V277425.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 St Teath Site DS0000009240.V277425.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. St Teath Site DS0000009240.V277425.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service St Teath Site Address Trehannick Road St Teath Bodmin Cornwall PL30 3LQ 01208 851462 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) www.hft.org.uk Home Farm Trust Mrs Christine Arlette Tucker Care Home 10 Category(ies) of Learning disability (10) registration, with number of places St Teath Site DS0000009240.V277425.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Service users to include up to 5 adults aged 18 - 64 with a Learning Disability (LD) to be accommodated in Valley View. Service users to include up to 5 adults aged 18 - 64 with a Learning Disability (LD) to be accommodated in Rendle House.. Total number of service users not to exceed a maximum of 10 Date of last inspection 16th August 2005 Brief Description of the Service: The Home Farm Trust are registered to provide accommodation and personal care for a maximum of 10 adults with learning disability, in the age range of 18 to 64 years. Service users have complex needs falling within the Autistic Spectrum. The St.Teath Site comprises of two buildings, each providing the full range of services for 5 service users. The original Valley View home remains but has been refurbished to provide less accommodation with improved facilities and Rendle House is a purpose built home. The homes are close together on a safe, enclosed site with extensive views of the surrounding countryside. The 8 acre site is situated on the outskirts of the village of St. Teath, which provides community facilities. St Teath Site DS0000009240.V277425.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection was completed to review care standards at the home. Senior support staff on duty at the home assisted me in discussing developments and reviewing various records maintained at the home. During the inspection I observed service users in their interactions with staff, completed a partial tour of the home and met a visiting relative. 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. St Teath Site DS0000009240.V277425.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 St Teath Site DS0000009240.V277425.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): 1,2 and 4. The home has a statement of purpose and service users guide that provides information about the home in an appropriate format for service users and their representatives. Prospective service users will receive a thorough assessment to record their individual aspirations and needs. EVIDENCE: The statement of purpose and service users guide has been completed and these are available within the home for service users, advocates and relatives. The registered manager understands the need for a thorough admission process and the assessment reports of existing service users include the minutes of meetings, trial visits and service users needs that are recorded appropriately. The registered manager understands that compliance with this standard is a crucial element to assist in the admission of service users with complex needs. St Teath Site DS0000009240.V277425.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. Service users are living in a stable and supportive environment. The service users are involved in decisions affecting their lives and enabled to participate in chosen activities. EVIDENCE: Care plans inspected ensure that service users changing needs and assessments are referred to specialist support services as required. An annual review of care and 6 monthly care plan reviews occur. A discussion occurred with the support staff regarding the recording of progress or outcomes for service users that would assist the review process. The support staff were observed to communicate effectively and exhibit appropriate skills and attitudes in their interactions with service users. The home has developed detailed programmes of activity with service users and these were being implemented during the inspection. Service users and support staff were preparing to travel into St. Austell for a hydro pool activity and have a meal afterwards. The support staff stated that this activity included the participation of a relative of a service user. Appropriate risk assessments are completed for the various aspects of service users health needs, daily living, anticipated behaviours and physical activities such as day care opportunities, horse riding, walking or swimming. St Teath Site DS0000009240.V277425.R01.S.doc Version 5.1 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): 11, 12, 14 and 17. The home ensures that service users have access to a range of opportunities for development and leisure activities. EVIDENCE: The home attempts to maximise service users individual skills through involvement in community and in-house social interaction and maintaining living skills at the home. The support staff discussed the opportunities available to service users to participate in various community-based opportunities for day care at Wadebridge, on site activity, attendance at College and work placements. The home is supporting all service users with an organised programme of activities and interest. The home provides vehicles to support service users in this rural area by providing opportunities to access facilities by day, weekends and during the evening. The annexe at the home, polytunnel and external portacabin provide gardening, arts and crafts, computer facilities and a sensory room. The home provides discreet fencing around the grounds in response to the risk of service users leaving the area without supervision. A relative of a service user was met after attending a meeting with staff and a dietician to provide for the individual needs of this service user. St Teath Site DS0000009240.V277425.R01.S.doc Version 5.1 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): 18, 19 and 20. The personal and health care needs of service users are met with evidence of promoting privacy, dignity and good multi disciplinary working taking place. EVIDENCE: The home is experienced in providing for the welfare of service users and records show a range of services are accessed appropriately. The dietician and chiropodists had visited that day. The relative met expressed approval of the care and attention given by the home to meet the complex needs of her daughter. The key worker develops the ‘Who am I’ document with the service user to provide a record of preferences and relevant information. A discussion occurred with support staff regarding the staffing rota. Day and night care staff providing intimate care for service users is by a person of the same gender. Service users are registered with General Practitioners at Camelford and Port Issac surgeries. The Occupational Therapist has assisted in the assessment for assisted bathing procedures. The medication policy, records and procedures are appropriately maintained. Staff induction, training and double signatures from both staff involved in the administration of medication procedures are required. The registered manager has consulted appropriately with the Learning Disability support Team and assistance with communication training has occurred. St Teath Site DS0000009240.V277425.R01.S.doc Version 5.1 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): 23 The personal and health care needs of service users are met with evidence of promoting privacy, dignity and good multi disciplinary working taking place. EVIDENCE: There is a complaints procedure and the support staff working at the home have previously acted as advocates for the service users in making formal complaints to the registered manager on issues considered to be affecting the quality of life and safety issues for others living at the home. The homes management has responded to these and an assessment and review of the situation has been completed. Advice regarding various forms of potential abusive situations and procedure are available to staff and are raised during induction training and staff meetings. St Teath Site DS0000009240.V277425.R01.S.doc Version 5.1 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): 24, 25, 27, 28 and 30. Service users live in a homely, comfortable and safe environment with evidence of maintenance and improvement. EVIDENCE: Rendle House is a purpose built facility providing 3 bedrooms on the ground floor and 2 bedrooms on the first floor. The bedrooms, communal lounge areas, kitchen/dining, bathroom and w/c facilities are designed to provide a quality specification meeting the requirements of various agencies and providing a homely, spacious and comfortable home. Valley view has been refurbished to provide a large conservatory incorporating a new dining room and kitchen, bedroom, shower, bathroom and w/c facility. Bedroom accommodation is provided on the ground and first floors, appropriate communal space, bathroom and w/c facilities are provided. All service users are provided with single rooms that are individually decorated and furnished with personal possessions and belongings. An appropriate range of furniture and fittings is provided to meet service users needs. A partial tour of one of the homes occurred and the facility was clean, warm and organised to provide for the welfare of service users. St Teath Site DS0000009240.V277425.R01.S.doc Version 5.1 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): 31, 32, 34 and 36. The Home Farm Trust is providing competent support staff, in appropriate numbers to provide for the welfare of service users. EVIDENCE: Staff are provided with job descriptions and induction training that includes the range of policy documentation and service users needs through the ‘Who am I’ profiles. Appropriate recruitment procedures exist and CRB checks and references are obtained for all staff. Support staff were spoken to during the inspection and present as a stable and experienced team offering appropriate support to service users. The Home Farm Trust has a commitment to providing a trained workforce at NVQ level 2 in care or above. Staff are provided with a range of training opportunities and the support staff stated that staff training regarding Autism and communication strategies have been provided. The two homes on the site have separate staffing rotas and are organised to respond to peak times of activity, group living situations and individual needs where 3 service users have contracted staffing support at a 1:1 ratio. The registered manager and senior staff provide staff supervision at the required frequency. Supervision skills’ training has been provided to the senior staff to assist in this process. St Teath Site DS0000009240.V277425.R01.S.doc Version 5.1 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, 38, 40 and 42. The registered persons are delivering appropriate services and support staff demonstrated an awareness of their roles and responsibilities. EVIDENCE: The registered manager is registered to complete the Registered Managers Award and should inform the Commission when this occurs. The registered manager has 10 years in a management position with the Home Farm Trust. The home provides opportunities for the communication of developments and to receive feedback on the running of the home through external management reviews, staff consultation groups, supervision, grievance and complaints procedures, staff and service users meetings and the key worker role as the advocate for service users. Various consultations have occurred to develop communication strategies to involve service users with complex needs. Appropriate induction and training opportunities are provided in first aid, fire precautions, food/hygiene and moving and handling. Risk assessments regarding the vehicles, security of the buildings and the site are completed and regular maintenance of the homes equipment and facilities are organised. St Teath Site DS0000009240.V277425.R01.S.doc Version 5.1 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 Standard No Score 1 3 2 3 3 X 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 X 34 3 35 X 36 3 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 3 12 3 13 X 14 3 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 X 3 X 3 x St Teath Site DS0000009240.V277425.R01.S.doc Version 5.1 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 St Teath Site DS0000009240.V277425.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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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