Inspection on 14/08/07 for The New Barn

This inspection was carried out on 14th August 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 New Barn 17/08/06

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 The New Barn The New Barn Goldstone Market Drayton TF9 2NA Lead Inspector Mike Moloney Draft Unannounced Inspection 14th August 2007 09:00 The New Barn DS0000065940.V348469.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 The New Barn DS0000065940.V348469.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. The New Barn DS0000065940.V348469.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The New Barn Address The New Barn Goldstone Market Drayton TF9 2NA 01630 661 583 0207 969 1881 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) LDCG Limited Care Home 10 Category(ies) of Learning disability (10) registration, with number of places The New Barn DS0000065940.V348469.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th August 2006 Brief Description of the Service: The New Barn is situated in a quiet rural area of Goldstone, near Market Drayton, North Shropshire. The home is owned by LDCG, the principal shareholder being Mr Jabber Mir, who purchased the home in 2004. The home is registered with the Commission for Social Care Inspection to provide accommodation and personal care for up to ten people with learning disabilities. Since 2004 the home has undergone many environmental improvements and major refurbishment with positive receptions from not only staff and service users but also the community and service users families. The stated intention is to continue investing to make the home into a highly regarded Learning Disabilities care home. Due to the location of the home, access to community resources is limited and transport is a necessity. The home does have its own transport available to support service users. Further information is available in the form of a service user guide which is available in an easy read version. Fees currently range from £880 pw to £1500 pw. The New Barn DS0000065940.V348469.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was used to make judgements about this service. This includes: information from the provider, records kept in the home, medication records, discussions with the staff team, a tour of the premises, previous inspection reports and talking with as well as observing the care experienced by people using the service. What the service does well: What has improved since the last inspection? What they could do better: To make this home a safer place for the residents to live the staff must have more safety training. Things like infection control, food hygiene and Adult Protection training should be given to more staff more often. The New Barn DS0000065940.V348469.R01.S.doc Version 5.2 Page 6 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. The New Barn DS0000065940.V348469.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 The New Barn DS0000065940.V348469.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): As no new service users have been admitted to the home since the last inspection it was not possible to assess the admissions procedures. This judgement has been made using available evidence including a visit to this service. EVIDENCE: No new service users have been admitted to the home since the last inspection. The New Barn DS0000065940.V348469.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 and 9 Quality in this outcome area is good. Individuals are involved in decisions about their lives and play an active role in planning the care and support they receive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The records for two of the service users were looked at and these showed that their support plans had been reviewed within the last six months. During the inspection staff were seen talking with service users and checking with them what they wanted to do or have. The files were seen to contain lists of the likes and dislikes and the staff confirmed that these had been obtained by talking with the service users or by watching them make choices The service user records were also seen to contain a range of risk assessments relevant to the activities identified in their support plans such as working in the garden. The New Barn DS0000065940.V348469.R01.S.doc Version 5.2 Page 10 Risk assessment training for staff was seen to have been included in the range of training that they have to undergo. The New Barn DS0000065940.V348469.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): 12, 13, 15, 16 and 17 Quality in this outcome area is good. People who use services are able to make choices about their life style and are supported to develop their life skills. Social, educational, cultural and recreational activities meet individual’s expectations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two of the service users records were looked at and these contained weekly timetables of activities for the individuals concerned. The activities ranged from attending local day services to social clubs to working in the grounds with the gardener. Risk assessments for a number of these activities were seen and these included how any behaviour management procedures should be applied. Records were seen of family and other social contacts as were lists of dates that were important such as the birthdays of family members. The New Barn DS0000065940.V348469.R01.S.doc Version 5.2 Page 12 Talking with the staff also confirmed that the home has vehicles that are available to get residents to the places that their support plans say they need to be. The records of all of the meals were seen in the kitchen. Talking with the staff confirmed that they know what individuals want by talking to them, observing their reactions to different food at meal times and letting them help with the shopping. The menus appeared varied and nutritious and talking with the staff showed that they were aware of the various religious dietary needs of the residents and in particular of those around meat. All of the bedrooms were seen to have appropriate. Staff were seen to knock before they entered a residents bedroom or any of the bathrooms. The visitors book was seen to contain the names of numerous visitors despite being regularly tidied away by one of the service users. The New Barn DS0000065940.V348469.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. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Looking at the service users’ records showed that health of each of the service users is closely monitored. Examples of the areas included in the monitoring were mental health, behavioural issues, oral hygiene, epilepsy and sleep. A record of each visit to or by a health care professional was seen to be kept. Talking with the managers and the staff confirmed that these appointments had been made as and when necessary. The administration and storage of medication was looked at with storage consisting of a secure cupboard within a secure storage area. At the time of the inspection no controlled drugs were kept in the home. Appropriate administrative systems were seen to be in place and the records showed that The New Barn DS0000065940.V348469.R01.S.doc Version 5.2 Page 14 they had been followed. The staff confirmed that only those who had received the appropriate training were allowed to administer the medications. The New Barn DS0000065940.V348469.R01.S.doc Version 5.2 Page 15 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. People who use the service are able to express their concerns and have access to a robust, effective complaints procedure, are protected from abuse and have their rights protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The managers present said that the home has received no allegations of abuse or complaints. The home had a copy of the local policies and procedures for the protection of vulnerable adults as well as a copy of their own complaints procedure both being part of the systems that ensures that the service users are listened to and protected from abuse, neglect and self-harm. Although the level of some of the disabilities of the service users means that they are unlikely to be able to access these formal policies, observation of the staff interacting with them and communicating between themselves indicated that they, the staff, would be aware of any dissatisfaction expressed by a service user and it was seen that a whistle blowing policy is available to be used. The managers also explained that some of the service users monies are managed by the home. Full records were seen to be kept outlining any transactions and those records are monitored by the home’s area manager and are also subject to three monthly checks by the company’s accountants. The New Barn DS0000065940.V348469.R01.S.doc Version 5.2 Page 16 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 and 30 Quality in this outcome area is good. The physical design and layout of the home enables people who use the service to live in a safe, well-maintained and comfortable environment, which encourages independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is situated in rural area and is a property that has been converted to its present use in a sensitive and practical manner. Walking around the home it was seen that everywhere was clean with the grounds providing a similarly pleasant but secure area for the service users to be. All of the furnishings and fittings were seen to be of good quality and in good condition. The home has its main laundry area situated so that access is through areas that are not used for food preparation or consumption thereby reducing the risk of cross contamination. The New Barn DS0000065940.V348469.R01.S.doc Version 5.2 Page 17 A number of the service users’ bedrooms that were seen and these were all pleasantly decorated and had been personalised to the preferences of each of the occupants although some had been modified to account for the heavy use by some of the residents. The New Barn DS0000065940.V348469.R01.S.doc Version 5.2 Page 18 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 adequate. Staff in the home are skilled and in sufficient numbers to support the people who use the service, in line with their terms and conditions and to support the smooth running of the service. However, further training would ensure that they are fully able to meet the needs of the residents safely. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the time of the inspection there were five staff on duty with two of those attending a training course A number of the service users were attending activities that were run by outside agencies. The staff on duty said that they thought that there were enough of them on duty to support the residents who were present. Those staff that were there were heard chatting to and engaging with the service users in a positive and supportive manner. Talking with the managers and the staff present during the inspection confirmed that they have access to an ongoing NVQ training scheme and a significant proportion of them have already achieved NVQ 2 or above in Care. The New Barn DS0000065940.V348469.R01.S.doc Version 5.2 Page 19 However, the training records showed and the managers confirmed that training in such things as food hygiene, infection control and moving and handling were not up to date. The records of a number of staff recently recruited by the home were looked at and these showed that the appropriate background checks had been carried out to see if those recruited were fit to work with vulnerable people. New staff also stated that they had undergone a formal induction process and the managers confirmed that appropriate foundation training was available to those who were new to the industry. The New Barn DS0000065940.V348469.R01.S.doc Version 5.2 Page 20 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, 39 and 42 Quality in this outcome area is good. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by qualified, competent management. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the time of the inspection there was no registered manager at the home and the owner was in the process of appointing someone who would be put forward for registration with the Commission for Social Care Inspection. The home is currently being run on a day to day basis by the deputy manager with support from the senior management of the company. Part of the support is the regular completion of the monthly visits that are required by law which look at a range of issues that may affect how the needs of the service users The New Barn DS0000065940.V348469.R01.S.doc Version 5.2 Page 21 are met. Talking to the staff made it clear that the senior management of the company are regular visitors to the home at other times. Equality and diversity for the service users were seen to be promoted throughout the home within the assessments, care plans and activities. Talking with one of the maintenance staff and looking at a variety of records confirmed that weekly checks take place on bath water temperatures and fire detection equipment. The home also has a fire risk assessment in place. Other records seen, such as the fridge and freezer temperature records showed that food safety is routinely monitored. Accident records were looked at and these showed that such incidents were monitored by the senior management. Records showing that the safety testing of portable electrical appliances takes place at appropriate intervals were found to be maintained. The New Barn DS0000065940.V348469.R01.S.doc Version 5.2 Page 22 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 x 3 x 4 x 5 x 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 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 2 36 x 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 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x The New Barn DS0000065940.V348469.R01.S.doc Version 5.2 Page 23 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 New Barn DS0000065940.V348469.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 The New Barn DS0000065940.V348469.R01.S.doc Version 5.2 Page 25 - 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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