Inspection on 20/01/06 for The Farmhouse

This inspection was carried out on 20th January 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

The Farmhouse 15/05/07

The Farmhouse 17/05/05

The Farmhouse 03/11/04

The Farmhouse 05/06/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 The Farmhouse Ravenswood Village, Nine Mile Ride Crowthorne Wokingham Berkshire RG45 6BQ Lead Inspector Yvonne Souden Unannounced Inspection 20th January 2006 08:45 The Farmhouse DS0000011406.V272715.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 The Farmhouse DS0000011406.V272715.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. The Farmhouse DS0000011406.V272715.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Farmhouse Address Ravenswood Village, Nine Mile Ride Crowthorne Wokingham Berkshire RG45 6BQ 01344 755533 01344 773174 farmhouse@norwood.org.uk www.norwood.org Norwood Ravenswood T/A Norwood 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 Alicia Anne Dennis Care Home 8 Category(ies) of Learning disability (7), Learning disability over registration, with number 65 years of age (1) of places The Farmhouse DS0000011406.V272715.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th May 2005 Brief Description of the Service: The Farmhouse provides care and accommodation for up to eight service users with moderate and complex learning disabilities, and is situated within Norwood Ravenswood Village. Ravenswood Village is a community setting providing care and accommodation within individually managed group homes to people who have a learning disability. The Farmhouse aims to provide high-quality care that will maximise service users personal development and develop a strong sense of religious and cultural identity, as the belief, practices and values of Judaism underpin all aspects of the service users lives. The home is a detached two-storey building with eight single rooms, a large communual lounge, dining room and kitchen that is furnished to a high standard; patio doors open from the dining room through to a sensory garden were seating is provided. There is a village shop and community hall within Ravenswood where various clubs for the service users are held. Ravenswood owns their own vehicles that assist service users to access services outside of Ravenswood. Public transport is not readily available within the village, but the village of Crowthorne and towns of Wokingham, Bracknell and Reading are within a short drive. The Farmhouse DS0000011406.V272715.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection originally taken place on the 20th of January 2006, however on the inspectors arrival the residents and staff were in the process of leaving the building to go on an arranged outing. The Inspector chose not to carry out the inspection, as it would have resulted in the cancellation of the residents outing that they were clearly looking forward to. The Inspector completed an unannounced inspection on the 23rd of January 2006. 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. The Farmhouse DS0000011406.V272715.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 The Farmhouse DS0000011406.V272715.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): 2&4 Service users needs are assessed prior to the offer of a placement, and are encouraged to visit the home several times before the admission date. EVIDENCE: The admission of one service user has taken place since the last inspection, and records identify that their needs and associated risks were assessed prior to their admission, with an action plan in place to meet those needs and minimise risk. The information that the home had collated on the needs of the service user was through multi-agency working, and from the homes continuous assessment of the service users needs from several visits that the service user had made to the home, prior to the agreed admission date. The Farmhouse DS0000011406.V272715.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): 7&9 Service users are supported to make decisions about their lives and are supported to take risks as part of an independent lifestyle. EVIDENCE: Service users ‘Personal Plans’ review their plan of care and sets aims and objectives that the service user hopes to achieve within the coming year. Records and discussions with staff and service users confirmed that service users have regular key worker meetings to support the service users within their decision-making, and monitor where they are at in meeting their aims and objectives. Records show that service users have a risk assessment that is reviewed regularly and has an action plan to minimise risk. Following a recommendation made at the previous inspection in May 2005 the manager has commenced work to review the service users risk assessments to ensure they are concise and user-friendly documents and are filed alongside the service users plan of care. The Farmhouse DS0000011406.V272715.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): 12, 13, 15, 16 & 17 Service users are supported to take part in age, peer and culturally appropriate activities within the community, and maintain personal and family relationships. The home provides a nutritionally balanced menu plan. EVIDENCE: On the morning of the inspection there was a hub of activity as service users finished their breakfast and prepared excitedly for the days events. One service user pointed to his individual weekly activity plan that was next to the other service users activity plans, and confirmed that he was going to ‘Frogmore’ for exercises. Another service user was disappointed that the activity planned for that morning had been cancelled due to staff shortage, but was quickly reassured by staff as another activity was put in place. It was evident talking to service users and staff, and from observations on the day, that service users are supported to go about their daily lives as chosen, stretching from paid employment to chosen activities, and are supported to maintain links with family and friends. Service users are supported to maintain sexual relations within a risk management framework that protects the service user, and ensures awareness of their decisions made. The Farmhouse DS0000011406.V272715.R01.S.doc Version 5.0 Page 10 Service users are supported to practice their chosen religion that is predominantly Jewish within the home; the manager and staff confirmed that a service user is supported to attend a Christian church within the local community and was supported to participate in recent Christmas celebrations. Menu plans demonstrate that choice is given and that the menus are nutritionally balanced, with evidence of fresh fruit and vegetables used. A senior staff member spoke enthusiastically about her delegated task to review the menu plans so as to promote users service user communication and choice, this was viewed as a positive step on the day of the inspection. The Farmhouse DS0000011406.V272715.R01.S.doc Version 5.0 Page 11 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 Service users are supported and protected by the home policy and procedures for dealing with medicines. EVIDENCE: Standard 20 was revisited at this inspection following requirements and recommendations made at the inspection on the 17th of May 2005. A CSCI pharmacist visited the home on the 6th of September 2005 to assess the homes Policy and Procedures on the administration of homely remedies, and on the administration of homely remedies to staff. The pharmacist was satisfied that Policies and Procedures were in place to protect service users in the administration of their medicines and made two recommendations: To review with the pharmacist whether non-prescription items should be printed on medication charts and, To ensure that staff are aware of the circumstances and procedures for use of non-prescription medicines, and that staff use is monitored in the home. Discussions with the manager and staff identified that the home has complied with those recommendations made. The Farmhouse DS0000011406.V272715.R01.S.doc Version 5.0 Page 12 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): Standard 22 and 23 were not assessed at this inspection EVIDENCE: The Farmhouse DS0000011406.V272715.R01.S.doc Version 5.0 Page 13 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): Standard 24 to 30 were not assessed at this inspection. EVIDENCE: The Farmhouse DS0000011406.V272715.R01.S.doc Version 5.0 Page 14 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 Service users are supported by an effective staff team who have the qualifications and competence to meet their needs. Service users are protected by the homes recruitment policy and practices. EVIDENCE: Records show that the home has employed one new member of staff since the last inspection and had ensured appropriate safety checks/references had been obtained prior to a position being offered. Staff training records identify that staff receive an induction and are supported to attend mandatory and specialist training to meet the needs of the service users. Staff were enthusiastic about training and support received from management, confirming that this has enabled them to progress within their development needs and given them promotional opportunity within the management structure of the home. Staff have attained National Vocational Qualifications in care, and on the day of the inspection an NVQ assessor visited the home. Staff were observed to show respect towards the service users and have knowledge and understanding of the individual service users needs. There was evidence of clear professional working relationships within the staff team as staff liaised with a visiting physiotherapist and NVQ assessor, and spoke to health care professionals on the telephone with an overall objective in meeting the needs of the service users. The Farmhouse DS0000011406.V272715.R01.S.doc Version 5.0 Page 15 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 Service users benefit from a well-run home, and quality assurance and quality monitoring systems ensure their views underpin the development of the home. EVIDENCE: There is evidence within the home to indicate that the home is well run by the manager who has over 20 years experience in working with people with a learning disability and has attained a National Vocational Qualification in care. The manager ensures she attends periodic training to develop and update her knowledge, skills and competence while managing the home. There has been no service user survey developed, but the views of the service users are obtained through their personal plan and through residents meetings within the village of Ravenswood and within the home. The home has policies and procedures in place that are reviewed to ensure they are in line with current legislation and good practice. The views of family, friends and advocates and of stakeholders in the community are not sought on how the home is achieving goals for service users and this is an area that the manager aims to make improvements. The home ensures regular auditing of Health The Farmhouse DS0000011406.V272715.R01.S.doc Version 5.0 Page 16 and Safety for example: fire safety checks, fridge freezer and food temperature monitoring and working within COSHH standards. Monitoring of staff training and development needs is ongoing as evidence was in place that identified the manager to be proactive in improving training records in place. Regular monthly visits is undertaken by the registered provider that monitors how well the home is meeting the National Minimum Standards and a copy of these reports are sent to CSCI. The Farmhouse DS0000011406.V272715.R01.S.doc Version 5.0 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 3 X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 X 3 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 4 13 4 14 X 15 4 16 4 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Farmhouse Score X X X X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X X X DS0000011406.V272715.R01.S.doc Version 5.0 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. 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 The Farmhouse DS0000011406.V272715.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks RG7 4SA 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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