Inspection on 17/08/06 for The New Barn

This inspection was carried out on 17th August 2006.

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 14/08/07

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 Key Unannounced Inspection 17th August 2006 09:15 The New Barn DS0000065940.V308755.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.V308755.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.V308755.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.V308755.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th March 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. The manager is Paul Morgan and his application to register with the CSCI is currently being processed. He is line managed by Susan Cartwright, the Service Development Manager. 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 £1382pw. The New Barn DS0000065940.V308755.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, tour of the premises, discussions with an outside contractor, 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: 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 New Barn DS0000065940.V308755.R01.S.doc Version 5.2 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 New Barn DS0000065940.V308755.R01.S.doc Version 5.2 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): EVIDENCE: There have been no new service users admitted to this home since the last inspection and so it was not possible to fully assess this group of standards. The New Barn DS0000065940.V308755.R01.S.doc Version 5.2 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 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: Comprehensive service user plans were seen to be in place and talking to the staff confirmed that they had been developed in a person centred manner. These plans are regularly reviewed involving all significant professionals and the residents can attend with support if necessary. Watching the staff and listening to them talking with the service users demonstrated that they are sensitive to the service users wishes by doing such things as asking if they want to be changed if they have slightly soiled or damaged clothing, what they would like for drinks and whether or not they want to get up. It was also clear that the staff were aware of what the likes and dislikes of the resident were. Some of these had also been noted as triggers for negative behaviours and the staff also demonstrated that they were aware of this. The New Barn DS0000065940.V308755.R01.S.doc Version 5.2 Page 9 Advocacy services are used and each resident has a ‘key worker’. Risk assessments for individuals are in place and these included how any challenging behaviour should be managed. The New Barn DS0000065940.V308755.R01.S.doc Version 5.2 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 the following standard(s): 11, 12, 13, 14, 15, 16 and 17 Quality in this outcome area is excellent. 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: Talking with the staff and watching activity throughout the inspection showed that residents are given opportunities to learn and develop and those who are able are encouraged and supported to undertake tasks and small jobs within the home. Two residents were out shopping at the time of this inspection. Weekly plans indicate which are the regular activities that the individuals take part in. Some record of these are maintained in the personal files although it was necessary to talk with staff to establish more of the content and frequency for each individual service user. It was established that service users take part in many activities and that a number of community resources are now accessed, according to the service users needs and abilities. Community The New Barn DS0000065940.V308755.R01.S.doc Version 5.2 Page 11 transport, shops, leisure centres and a number of other local resources are used. All activities are under review and continue to be developed and improved. The home has its own transport which is used daily. Family links and friendships have been developed and improved and residents are supported and enabled to visit home and receive visitors in a structured manner. Menus and looking at the meal being eaten during the inspection showed that a good and varied diet was provided. Staff were seen to be helping the residents with their meal in a discreet and sensitive manner. Staff training in Basic Food Hygiene is ongoing. The New Barn DS0000065940.V308755.R01.S.doc Version 5.2 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 the following standard(s): 18, 19 and 20 Quality in this outcome area is excellent. 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: Residents records showed and staff confirmed that the health of those people living in the home is closely monitored and referrals and appointments are made with health care professionals if necessary. Those documents were detailed and have evidence that they are reviewed by the manager on a regular basis. The support individuals require is clearly documented and looking at the records showed that residents preferences for times of getting up and having meals etc were being respected. The records seen also showed how staff should help residents to manage their own behaviour. The support of Doctors and Consultants for all service users is ongoing Behavioural changes of service users are also monitored and plans and risk assessments for activities are in place. At the time of this inspection storage, recording and administration of The New Barn DS0000065940.V308755.R01.S.doc Version 5.2 Page 13 medication appeared satisfactory. Relevant staff have received the necessary training. The New Barn DS0000065940.V308755.R01.S.doc Version 5.2 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 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: No complaints have been received by CSCI or the home since the last inspection. A full complaints procedure is available and given that a number of the current service users would have some difficulty understanding the concept of a complaint the staff continue to be trained and supported to develop methods to identify what service users like, dislike or object to and explore new avenues in efforts to overcome the difficulties. Procedures are in place to protect service users from abuse, the subject is included in all in-house training and a number of staff have attended external accredited training on the subject. Procedures for managing residents’ finances were seen to be appropriate. The New Barn DS0000065940.V308755.R01.S.doc Version 5.2 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 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. 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. 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. Some of the service users’ bedrooms were seen and these were pleasantly decorated and had been personalised to the preferences of each of the The New Barn DS0000065940.V308755.R01.S.doc Version 5.2 Page 16 occupants although some had been modified to account for the heavy use by some of the residents. The New Barn DS0000065940.V308755.R01.S.doc Version 5.2 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 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, 35 and 36 Quality in this outcome area is good. Staff in the home are trained, 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. This judgement has been made using available evidence including a visit to this service. EVIDENCE: At the time of the visit the duty rota showed and the staff confirmed that the numbers and skill mix of staff available were appropriate to meet the needs of the residents. The home has a recruitment process that enables the manager to check various elements of the applicants’ background and the records showed that they adhere to this practice. Induction and supervision records of the staff were also seen. The home continues to support staff to undertake their NVQ awards with over 50 of the staff have attained NVQ2 or above and all of the others are currently working to achieve this. A variety of other training has been undertaken and is planned for the near future and the staff spoken to indicated that such training is enabling them to further meet the service users needs. The New Barn DS0000065940.V308755.R01.S.doc Version 5.2 Page 18 Staff also confirmed that annual appraisals take place as do regular recorded supervision sessions and staff meetings. Individual training and development plans have been developed. The New Barn DS0000065940.V308755.R01.S.doc Version 5.2 Page 19 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 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 a qualified, competent manager. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager is currently undertaking the Registered Managers Award training and his application to register with the CSCI is still being processed. Quality assurance systems have been developed. Feedback is now actively sought from residents and relevant persons and a development programme is available. Provider visits are being carried out as required by the Care Homes Regulations 2001 and the Responsible Individual has undertaken to continue sending them to the Commission for Social Care Inspection so that the performance of the home can be more broadly monitored. The New Barn DS0000065940.V308755.R01.S.doc Version 5.2 Page 20 The manager also arranges resident meetings and these are recorded in a format that is more easy to understand. The staff confirmed that the homes policies and procedures are currently under review but copies were still available for them to consult so that they can maintain consistent and well informed practices amongst themselves. Staff records show that safety training is ongoing and this includes fire training, infection control and moving and handling. Training for all relevant staff in Basic Food Hygiene is ongoing. It was reported that and the rotas confirmed that there is a first aider on duty at all times. Appropriate accident records and fire log were seen to have been maintained. On the day of the inspection a specialist contractor was on the premises carrying out regular checks on the temperatures within the hot water system in order to reduce the risk of legionella or scalds. The New Barn DS0000065940.V308755.R01.S.doc Version 5.2 Page 21 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 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 x 3 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 x 3 x 3 x x 3 x The New Barn DS0000065940.V308755.R01.S.doc Version 5.2 Page 22 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.V308755.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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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