Inspection on 16/08/05 for Stallcombe House

This inspection was carried out on 16th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Stallcombe House 18/04/07

Stallcombe House 02/02/06

Stallcombe House 09/11/04

Stallcombe House 15/06/04

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

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

CARE HOME ADULTS 18-65 Stallcombe House Farm Sanctuary Lane Woodbury Salterton Exeter, Devon EX5 1EX Lead Inspector Caroline Rowland-Lapwood Announced 16 August 2005 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. Stallcombe House Farm D54-D06 22040 Stallcombe House 227552 160805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Stallcombe House Farm Address Sanctuary Lane, Woodbury Salterton, Exeter, Devon, EX5 1EX 01395 232373 01395 233351 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) Stallcombe House Farm Trust Mr Christopher Robert Thistle Care Home 26 Category(ies) of LD(E) - Learning disability - over 65 (26) registration, with number MD - Mental Disorder (26) of places MD(E) - Mental Disorder - over 65 (26) LD - Learning disability (26) PD - Physical disablility (9) Stallcombe House Farm D54-D06 22040 Stallcombe House 227552 160805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 09/11/2004 Brief Description of the Service: Stallcombe House Farm is home to 26 adults with learning disabilities.The home sits in 55 acres of land on the outskirts of Woodbury. The property consists of a main house and cottage, which are the main living areas for the service users. There are also a variety out buildings, which are used for such things as woodwork. There is a large working garden, which is kept attractive and well tended.Stallcombe House Farm is a registered charity. The home has achieved The Investors in Peoples Award. All the service users living at Stallcombe House Farm now have single bedrooms.The home offers a wide range of educational and leisure activities. Arts and crafts, weaving, woodwork, cookery, music, drama, dance and horse riding are some of the therapeutic activities that can be enjoyed daily.The service users help with the maintenance of the home’s organic garden and the hen houses, egg collection and delivery. Stallcombe House Farm D54-D06 22040 Stallcombe House 227552 160805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A number of the residents living at Stallcombe House farm have limited verbal communication skills therefore were unable to contribute fully to the inspection process. 13 residents were spoken with or spent time with. Four staff were spoken with including the care manager. This announced inspection took place over 5 hours. The registered manager, Mr Christopher Thistle was present throughout the day. The inspector looked around parts of the building and a number of records were inspected. What the service does well: Stallcombe House is well run by a team who follow the ethos of the home – promoting independence and person-centred care and personhood. The team is managed by a manager with commitment and who has a clear vision for the home, which he communicates well. The home has a strong and well-developed ethos of person centred care. Each resident is treated as an individual who has rights and responsibilities and who should be supported to live the life they wish to live. Health needs are well met with evidence of good multi disciplinary working. Personal support is provided in a way that promotes privacy, dignity and independence. The food is excellent. Much of the produce is home grown, organically, and meals are varied and wholesome. Residents appeared to be happy and comfortable. The staff were seen acting in a caring and respectful manner towards residents. Care plans provide accessible information and guidance to staff. Stallcombe House Farm D54-D06 22040 Stallcombe House 227552 160805 Stage 4.doc Version 1.30 Page 6 The home offers a lot of activities, ranging from horse riding, walks, shopping to swimming, night school, computer lesions, weaving pottery and many more. 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. Stallcombe House Farm D54-D06 22040 Stallcombe House 227552 160805 Stage 4.doc Version 1.30 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 Stallcombe House Farm D54-D06 22040 Stallcombe House 227552 160805 Stage 4.doc Version 1.30 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) 2 Service users benefit from good admission and assessment practice, which ensures that the home is able to meet their needs. EVIDENCE: The care manager visits prospective residents before they come to the home to assess their needs. All service users admitted have a care plan generated from this assessment. A full and comprehensive social history is gained from the relatives in order to ascertain their preferred lifestyle and to devise an appropriate work/leisure programme. The assessment was seen of the latest person to be admitted to the home. Stallcombe House Farm D54-D06 22040 Stallcombe House 227552 160805 Stage 4.doc Version 1.30 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) 6,7,9 Care planning and risk assessments provide staff with the information they require to satisfactorily meet residents’ needs safely. EVIDENCE: Residents have limited communication skills and have a limited understanding of care plans and are therefore many are unable to contribute to their formulation or reviews. Care plans provide accessible information and guidance about assessed needs and set individual goals that encourage independent living skills. Relatives and the staff team advocate on behalf of the residents and work hard to identify any changes in their assessed needs. Staff demonstrated an excellent knowledge and understanding of the plans. Risks are carefully identified and minimised. Stallcombe House Farm D54-D06 22040 Stallcombe House 227552 160805 Stage 4.doc Version 1.30 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 standard(s) 12,14,17 Residents receive a wholesome and varied diet. Residents are encouraged to maintain contact with their families or friends as they wish. Links with the community are good and support and enrich service users social and educational opportunities. EVIDENCE: Stallcombe House Farm D54-D06 22040 Stallcombe House 227552 160805 Stage 4.doc Version 1.30 Page 11 Menus are provided. Residents who can and who wish to, can help prepare and cook meals. The home has a new chef. She has reviewed the food provided and devises new menus every week. The weekly menu is on display on the notice board. A vegetarian choice is available daily. Service users confirmed that they are able to have an alternative if they do not like the choices. All the food was served in large dishes on the table for service users to help themselves. The majority of the vegetables, eggs and some fruit, are provided from the home’s gardens and chickens. Fresh vegetables and salad is picked daily. Fresh fruit is readily available. All food is free from salt and refined sugars. On the day of the inspection, food was served and eaten in the gardens. The atmosphere was relaxed, fun and friendly. Some of the comments made about the food by the residents included, “ the food is lovely” and “ I always want more”. Service users are encouraged and supported to pursue their own interests and hobbies. Weaving, pottery and papermaking are but a few of the craft activities that take place at Stallcombe House. On the day of the inspection there were two residents in the craft room undertaking some activities. Holidays are planned and all service users have the opportunity to go. Two residents were away on holiday with their families on the day of the inspection. Suggestions are put forward at residents meetings and they decide where they would like to go. Stallcombe House Farm D54-D06 22040 Stallcombe House 227552 160805 Stage 4.doc Version 1.30 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 standard(s) 20 Staff have a good awareness of service users’ medication and its administration. Improvements are needed in records related to medication. EVIDENCE: On the whole, the medication system is clear and safe. However, some topical creams were not dated when opened and the hand written prescription charts were not double signed. Stallcombe House Farm D54-D06 22040 Stallcombe House 227552 160805 Stage 4.doc Version 1.30 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 standard(s) not inspected EVIDENCE: Stallcombe House Farm D54-D06 22040 Stallcombe House 227552 160805 Stage 4.doc Version 1.30 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 standard(s) 24,30 The residents at Stallcombe House live in a well-maintained, homely comfortable, safe and clean home. EVIDENCE: On a tour of the building all areas were clean and tidy, were well maintained and decorated in a homely way. Residents are able to choose their own colour schemes when their rooms are being redecorated. Resident’s bedrooms are all individual personalised. Stallcombe House Farm D54-D06 22040 Stallcombe House 227552 160805 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 An effective, competent and experienced staff team supports residents. EVIDENCE: Any new staff joining the team is using an adapted induction programme, which meets the Learning Disability Award Framework (LDAF) for induction and foundation training. This will provide underpinning knowledge for progress towards achieving NVQs. Nearly all the staff have achieved NVQ qualifications. The home has a good record of staff training that meets the needs of residents Stallcombe House Farm D54-D06 22040 Stallcombe House 227552 160805 Stage 4.doc Version 1.30 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 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) 37,42 The home is managed effectively, efficiently and safely. EVIDENCE: The Registered manager and the care manager have completed the Registered Manager’s Award and are currently undertaking the NVQ 4 in care management. It was clear through observation that the manager provides a clear sense of direction that helps to ensure that residents’ needs are met. All health and safety issues at the home are managed very well by one person dedicated to do so. Fire records and the accident book were looked at and both were up to date in good order. Stallcombe House Farm D54-D06 22040 Stallcombe House 227552 160805 Stage 4.doc Version 1.30 Page 17 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 3 x x x Standard No 22 23 ENVIRONMENT Score x x 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 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 x 3 x x 4 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Stallcombe House Farm Score x x 2 x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 3 x D54-D06 22040 Stallcombe House 227552 160805 Stage 4.doc Version 1.30 Page 18 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 20 Good Practice Recommendations Topical creams should be dated when opened. Hand written prescriptiopn sheets should be checked and double signed. Stallcombe House Farm D54-D06 22040 Stallcombe House 227552 160805 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection Exeter Office, Suites 1 & 7 Renslade House Bonhay Road Exeter, EX4 3AY 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 Stallcombe House Farm D54-D06 22040 Stallcombe House 227552 160805 Stage 4.doc Version 1.30 Page 20 - 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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