Inspection on 28/07/05 for The Farthings

This inspection was carried out on 28th July 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.

Other inspections for this house

The Farthings 01/08/07

The Farthings 13/07/06

The Farthings 29/09/05

The Farthings 25/11/04

The Farthings 24/05/04

Similar services:

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Edenvale

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Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 The Farthings Geoffrey Harris House Coombe Road Croydon, Surrey CR0 5RD Lead Inspector James OHara Unannounced 28 July 2005 08:50 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. The Farthings G53-G53 S25848 TheFarthings unann V196827 280705 Stage 0.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Farthings Address Geoffrey Harris House Coombe Road Croydon Surrey CR0 5RD 020 8686 7649 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) Surrey Oaklands NHS Trust Care Home 5 Category(ies) of Learning disability (5) registration, with number of places The Farthings G53-G53 S25848 TheFarthings unann V196827 280705 Stage 0.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25/11/04 Brief Description of the Service: The Farthings is a residential home for up to five adults with profound learning disabilities, autism and challenging behaviour. It is owned, managed, and staffed by the Surrey and Borders NHS Trust, a specialist health provider for people with learning disabilities. The Farthings is in a semi-rural setting, on a “campus” style site shared by a Day Centre and other residential homes. It is close to Lloyd Park and local transport links including the Tram, which gives the home easy access to shopping and leisure facilities. The premises consist of a lounge, dining room, five bedrooms, a small office and bathroom facilities. The home has a garden to the front and rear of the building. The home provides respite care for a regular group of service users. The Farthings G53-G53 S25848 TheFarthings unann V196827 280705 Stage 0.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The home was inspected under the National Minimum Standards. This unannounced inspection started at 8.50am and finished at 11.00am on a Thursday morning. The home manager was not present however the members of staff on shift Christine and Coreen ably supported the inspection process. Methods of inspection included previous inspection experience of the home, a tour of the premises observation of contact between staff and service users, discussion with staff. Records examined included risk assessments, staff supervisions, medication records, care plans and service user reviews. What the service does well: What has improved since the last inspection? What they could do better: There was one requirement and two recommendations set at the last inspection, as the home manager was not available on the day of the inspection these could not be fully discussed. The home manager should contact the Commission For Social Care Inspection and arrange a date to inspect staff Criminal Records Bureau Checks. The Farthings G53-G53 S25848 TheFarthings unann V196827 280705 Stage 0.doc Version 1.40 Page 6 The recommendations will be discussed at the next inspection. There were no requirements or recommendations set as a result of this inspection. The inspector would like to thank the service users and the staff for their support in the inspection process. 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 Farthings G53-G53 S25848 TheFarthings unann V196827 280705 Stage 0.doc Version 1.40 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 The Farthings G53-G53 S25848 TheFarthings unann V196827 280705 Stage 0.doc Version 1.40 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. Information available to prospective service users is good. No new service user has moved to the home since the last inspection however all the procedures are in place should they be needed. EVIDENCE: The home has a Statement of Purpose and Service Users Guide that includes a detailed list of charges to service users for extra services such as hairdressing, leisure activities, newspapers, holidays and clothing is included in the Statement of Purpose. The home has an Admission Procedure, that states that service users are only admitted to the home once a full assessment has been completed by an appropriate person (usually a care manager) and sent to the home, along with any other information about the service users needs. The family of the service user is also involved, if it is appropriate. There have been no new admissions to the home for five years. Service users placements are regularly reviewed by their care managers and assessed in the My Plan/Person Centred Plan reviews. The Farthings G53-G53 S25848 TheFarthings unann V196827 280705 Stage 0.doc Version 1.40 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 and 9. Service users Person Centred Plans (My Plan) are comprehensive and include detailed information on the service users needs and personal goals and service users have had individual risk assessments and risk management strategies carried out thus enabling them to participate in activities in the home and in the community with appropriate support. EVIDENCE: Service users have My Plan/Person Centred Plan (in a symbol format), which is a record of their aims and goals as well as their achievements. One service user file was examined. The service user had a Person Centred Plan review and a placement/needs assessment carried out in November 2004. The service user, a relative, key worker, home manager, General Practitioner and care manager attended the placement/needs assessment. The service users My Plan/Person Centred Plan indicate that the service user is completing skills teaching programmes using a systematic instruction method for making tea, sandwiches and baking cakes, thus promoting the service users communication and independent living skills. Service users risk assessments have been reviewed as recommended at the last inspection The Farthings G53-G53 S25848 TheFarthings unann V196827 280705 Stage 0.doc Version 1.40 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) 11, 13, 14 and 15. Provision is made so that all service users attend appropriate social activities, day centres and become part of the local community. EVIDENCE: On the day of the inspection two service users were attending a day service at Geoffrey Harris House, one service user had activities planned for the day and another service user was due to visit his parents as part of his regular weekly routine. All service users have a varied programme of social activities with an emphasis on using community facilities. The home timetable illustrated the wide variety of activities that the service users access during the week including hydrotherapy sessions, community lunches, aromatherapy, bowling and art therapy. During the inspection one service user was visited by another care provider who was completing an assessment with a view to a possible move to their establishment. The Farthings G53-G53 S25848 TheFarthings unann V196827 280705 Stage 0.doc Version 1.40 Page 11 The Farthings G53-G53 S25848 TheFarthings unann V196827 280705 Stage 0.doc Version 1.40 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) 18, 19 and 20. Arrangements made for the health care needs of the service users is good and the home has the support of the local pharmacist for advice on medication. EVIDENCE: There has been an ongoing issue regarding the challenging needs of one of the service users and the impact of these behaviours on other service users and staff in the home. Appropriate risk assessments and guidelines are in place and have been completed with input from the Psychologist and Psychiatrist. The home manager rang the home and said that incidents of aggression towards other service users and members of staff from this service user have increased and there are plans for this service user to find a more suitable placement. During the inspection this service user was visited by another care provider who was completing an assessment with a view to a possible move to their establishment. The service users need varying degrees of assistance with their personal care and level of support a service user needs is detailed in My Plan/Person Centred Plans. The trust has a policy on the administration of medication and also provides accredited training in this area. Medication is kept in a locked cabinet in the dining room. Medication recording sheets examined were up to date and The Farthings G53-G53 S25848 TheFarthings unann V196827 280705 Stage 0.doc Version 1.40 Page 13 accurate on the day of the inspection. During the last inspection evidence of regular visits from the local pharmacist who checks medication and offers advice to the home were observed. The Farthings G53-G53 S25848 TheFarthings unann V196827 280705 Stage 0.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23. The home has appropriate complaints procedure in place. The home has suitable vulnerable adult protection and abuse prevention measures in place to ensure the service users are so far as reasonable practicable protected from abuse, neglect and/or harm. EVIDENCE: The home has a complaints procedure in place, which clearly states how complaints will be investigated, recorded and redressed. The complaints procedure is also available in a symbol format for the benefit of the service user. There have been no complaints recorded at the home since the last inspection. A copy of the Croydon Councils Protection of Vulnerable Adult Policy was available in the home as well as the trust’s own procedure. The Farthings G53-G53 S25848 TheFarthings unann V196827 280705 Stage 0.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 27 and 30. The overall impression when visiting this home is that it is homely, clean and hygienic and the staff promotes an environment that contributes to the service users health and emotional wellbeing. EVIDENCE: The Farthings is a purpose built bungalow for service users with challenging behaviour and autism. The home provides a permanent home for four service users and one respite bed. It is situated on the same site as a day centre and other residential homes. The home has five bedrooms, a lounge, dining room and kitchen as well as bathrooms. There is also a garden to the front and rear of the property. There are many “homely” touches around the unit such as service user artwork on the walls and photographs of family and friends. The staff team have put the aims and objectives of the home in symbol format, as well as the timetables and menu, these are on the walls of the communal areas. Maintenance for the home is provided on an as required basis by The Surrey and Borders NHS Trust works dept. The Farthings has only one bathroom, which is shared by five service users. The home manager and Surrey and Borders NHS Trust should discuss the previous recommendations that the home should consider adding a second The Farthings G53-G53 S25848 TheFarthings unann V196827 280705 Stage 0.doc Version 1.40 Page 16 bath/shower and consider adding a conservatory or extension that could be utilised for extra space. The home was clean and free of offensive odours throughout on the day of the inspection. The Farthings G53-G53 S25848 TheFarthings unann V196827 280705 Stage 0.doc Version 1.40 Page 17 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) 34 and 36. The home has a well-supported staff and management team who receive the level of regular supervision required so that the service users benefit from having a consistent approach to their needs. EVIDENCE: Staff supervision records examined indicates that in general all staff has had regular supervision at least three times from April 2005. There was also evidence that the home manager is receiving regular supervision from her line manager. A requirement was set at the last inspection that the manager must ensure that all staff Criminal Record Bureau Checks is available in the home for inspection at the next unannounced inspection. As the home manager was not available on the day of the inspection a requirement is set that the home manager contact the Commission For Social Care Inspection and arrange a date to inspect staff Criminal Records Bureau Checks. The Farthings G53-G53 S25848 TheFarthings unann V196827 280705 Stage 0.doc Version 1.40 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 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. Over the last few years the home has had a number of managers and there was a need for a settled management team. The new manager has experience with working with service users that present challenging behaviours and this will benefit to both the service users and staff working at the home. EVIDENCE: The home manager was not present during the inspection however she did phone the home. The home manager said that she has completed and was successful at an interview with the Commission For Social Care Inspection to become the registered manager for the home. She is awaiting a reference from a previous employer and the certificate of registration. The Farthings G53-G53 S25848 TheFarthings unann V196827 280705 Stage 0.doc Version 1.40 Page 19 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 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x 3 x x 3 Standard No 11 12 13 14 15 16 17 3 x 3 3 3 x x Standard No 31 32 33 34 35 36 Score x x x 2 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Farthings Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x x x x x x G53-G53 S25848 TheFarthings unann V196827 280705 Stage 0.doc Version 1.40 Page 20 Yes. 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 34 Regulation 19(1) Requirement The home manager must contact the Commission For Social Care Inspection and arrange a date to inspect staff Criminal Records Bureau Checks. Timescale for action 31/08/05 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. 2. Refer to Standard 28. 27. Good Practice Recommendations The inspector recommends that the manager consider adding a conservatory or extension that could be utilised for extra space. The manager should consider providing the home with an additional (second) bath /shower to ensure that no more than three service users have to share bathing facilities. The Farthings G53-G53 S25848 TheFarthings unann V196827 280705 Stage 0.doc Version 1.40 Page 21 Commission for Social Care Inspection Croydon, Sutton & Kingston Office 8th Floor, Grosvenor House 125 High Street, Croydon CR0 9XP 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 The Farthings G53-G53 S25848 TheFarthings unann V196827 280705 Stage 0.doc Version 1.40 Page 22 - 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. 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