Inspection on 16/02/07 for The Old Dairy

This inspection was carried out on 16th February 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Old Dairy 12/02/09

The Old Dairy 27/01/06

The Old Dairy 22/07/05

The Old Dairy 11/10/04

The Old Dairy 14/07/04

The Old Dairy 01/12/03

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 The Old Dairy Market Street Nailsworth Glos GL6 0BZ Lead Inspector Mr Tim Cotterell Key Unannounced Inspection 16th February 2007 10:00 The Old Dairy DS0000016622.V318974.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 Old Dairy DS0000016622.V318974.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 Old Dairy DS0000016622.V318974.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Old Dairy Address Market Street Nailsworth Glos GL6 0BZ 01453 835380 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) Gloucestershire Group Homes Joanne Wheeler Care Home 6 Category(ies) of Learning disability (6) registration, with number of places The Old Dairy DS0000016622.V318974.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27th January 2006 Brief Description of the Service: The Old Dairy is a three-storey house with accommodation for six adults with Aspergers Syndrome. The home offers a very specialised, individual service for people with Aspergers syndrome, and staff receive training to support service users appropriately. The home is conveniently situated in Nailsworth, which enables service users to access local community facilities. Service users also have access to transport that is provided by the home and this enables them to access facilities in several other local towns. The home is staffed 24 hours a day, seven days a week. Family and friends are welcome to visit the home at any time and service users can meet them in private if they wish to. The service users attend various activities, which include day services provided by Gloucester Group Homes and College courses. The Old Dairy DS0000016622.V318974.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. The inspection was undertaken over two visits and took six hours to complete. During the visits five support workers, to include the senior, and five service users were seen and spoken to. The home had a relaxed atmosphere and it was clear that service users saw the Old Dairy as their home. Staff were seen as sensitive and caring and flexible in their individual responses. Service users said that they enjoyed living in the home and that they felt staff were supportive and friendly. What the service does well: The Old Dairy provides a flexible and supportive service which is able to respond to the individual and differing needs of the respective service users. The flexible life style enables service users to enjoy choice and individual life experienced. Staff had detailed knowledge of individual disabilities and strategies and this ensured that individuality could be enjoyed The Old Dairy DS0000016622.V318974.R01.S.doc Version 5.2 Page 6 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 summary of this inspection report can be made available in other formats on request. The Old Dairy DS0000016622.V318974.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 Old Dairy DS0000016622.V318974.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): Not inspected EVIDENCE: Not inspected as there have not been any admissions since the last inspection The Old Dairy DS0000016622.V318974.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): 679 Quality in this outcome area is good. Individual needs and wishes are identified and wherever possible met. Staff offer adequate support to ensure service users are able to make decisions. Responsible risk taking is encouraged. EVIDENCE: Service users have an assessment of need on admission and this is then developed through an annual review and Individual Personal Programme, which is reviewed quarterly. Staff informed the inspector that future profiles will include autism specific information with a brief explanation of how the individual is affected by the diagnosis. This would then be complimented by the strategies to support the individual. Service users wherever possible are involved in the planning and risk assessments. The Old Dairy DS0000016622.V318974.R01.S.doc Version 5.2 Page 10 There was considerable information in the home about local activities and this allows service users to make informed choices about how some of their time can be spent. A number of service users are able to manage their own personal allowances. Any limitations about freedom of movement would only be imposed where this was necessary to prevent harm or abuse and would be recorded. The open and inclusive environment of the home ensures all service users are consulted over how the home operates. During the inspection there was considerable dialogue between staff and service users about day-to-day issues and it was evident that their views are seen as paramount. Responsible risk taking is encouraged and assessments are written and reviewed. Staff were clear about how to manage confidential information and the home ensures documents are held safely. The Old Dairy DS0000016622.V318974.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 17 Quality in this outcome area is good. The home provides appropriate opportunities for social, leisure and educational opportunities. Integration with the local community is encouraged with adequate support and guidance. EVIDENCE: Every effort has been made to enable service users to continue with any interests they had prior to admission. The day services attached to the Old Dairy and at Spring Mill were seen by service users as stimulating and useful activities, and individual interests were met. The Old Dairy DS0000016622.V318974.R01.S.doc Version 5.2 Page 12 One service user told the Inspector that he was undertaking work experience at a local factory. Staff encourage integration in the local community and give practical support. Leisure time can be organised by service users and could include the facilities in both day care services. Alternatively service users can enjoy privacy in their bedrooms or the pleasant lounge in the home. Families and friends are welcome in the home and at the time of the inspection one support worker was travelling to London with a service user who was going home for the weekend. The home whilst providing a safe environment encourages choice and freedom of movement There is a weekly meeting to include staff and service users and this determines the meals for the next week. However, further choice is still available if the particular meal is not wanted. The Old Dairy DS0000016622.V318974.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 20 Quality in this outcome area is good. Service users health needs are met by clear policies and sensitive practices and all healthcare needs are addressed and met in a dignified manner. EVIDENCE: The Inspector saw the personal support given to a service user who was unwell during the inspection. The support was personal and indicated that staff were good listeners and were sensitive to individual needs. The home is aware of the health services available and this included some specialist services. The records indicated that the services are accessed when required. All health care needs and services provided are recorded Medication was managed by the home and the records were seen. The home has a record of the receipt, admiinisation and disposal of drugs. It is recommended that any changes to medication provided by the pharmacist are The Old Dairy DS0000016622.V318974.R01.S.doc Version 5.2 Page 14 clearly recorded and includes the name of who is making the alteration the date on which it is made and the authority. One of the National Minimum Standards is that the staff receive accredited training in the management of medicines. In the circumstances all staff, must undertake the training to ensure they are suitably trained and competent. The Old Dairy DS0000016622.V318974.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 23 Quality in this outcome area is good. Service users are protected from abuse by suitably trained and competent staff. EVIDENCE: The home has a complaints procedure. The Inspector felt that service users had an excellent relationship with staff and that if any concerns arose service users would feel comfortable about approaching staff directly. Staff had received training in the identification of abuse and were seen to respond to service users in manner, which respected their rights. The Old Dairy DS0000016622.V318974.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 30 Quality in this outcome area is adequate The home provided a safe and comfortable physical environment. Service users have been able to personalize their bedrooms and they clearly indicated the likes/interests of the occupants. The communal areas are pleasant and appropriately furnished. EVIDENCE: The home has been maintained to a good standard and this refers specifically to the service users bedrooms and communal areas. The outside windows on the ground floor (dining room) are in urgent need of painting and to visitors may provide a picture of neglect. There is some damp in the activities room and this needs attention. The Old Dairy DS0000016622.V318974.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. JUDGEMENT – we looked at outcomes for the following standard(s): 32 34 35 Quality in this outcome area is good. The home is staffed by suitably qualified and competent staff who offer appropriate support and guidance to the service users. EVIDENCE: All staff have job descriptions and were clear about their roles and responsibilities. Staff had a good understanding of the needs of the individuals and there was a positive relationship between staff and service users. The Trust has an induction programme and provides training as and when required. A number of staff have or are undertaking a distance-learning course through Birmingham University. The course is modular and delivered online. Students are able to progress to a Certificate in Higher Education and are able to specialise in specific areas of the Autistic Spectrum. The Old Dairy DS0000016622.V318974.R01.S.doc Version 5.2 Page 18 The Old Dairy has one member of staff on duty in the main house and a support worker in the adjacent flat. The senior member of staff advised the inspector that additional staff would be provided if there was a need. During the inspection the senior support worker and four support workers were seen and spoken to individually. The inspector felt that staff were committed to provide a flexible and supportive service where individual needs of the service users were seen as paramount. There is a dedicated number of bank staff and they would be known to the service users. The Inspector did not inspect any recruitment records and these will be inspected at Spring Mill through an arrangement with the Registered Manager of the Old Dairy. The senior support worker meets with staff and also provides individual supervision. The Old Dairy DS0000016622.V318974.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37 39 42 Quality in this outcome area is good. The service users live in a home that is well managed and one in which their views are sought and wherever possible implemented. EVIDENCE: The registered manager is responsible for three homes and this includes the Old Dairy. The senior support worker told the Inspector that there is good support and that she sees the registered manager most days. The registered manager undertakes the monthly Regulation 26 visits to the Old Dairy. The Old Dairy DS0000016622.V318974.R01.S.doc Version 5.2 Page 20 The inspector was advised that the Old Dairy has a quality assurance and quality monitoring system and this includes the views of relatives and service users. Health and Safety issues were seen as important and all staff receive training in food hygiene, fire and first aid. The Old Dairy DS0000016622.V318974.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 2 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 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 2 X 3 X 3 X X 3 x The Old Dairy DS0000016622.V318974.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. 1 YA20 Standard Regulation 13 Requirement The home must ensure all additions/amendments on the administration of medication sheets include the details specified in this report The home must arrange for the outside areas specified in this report are repaired/repainted Timescale for action 14/03/07 YA24 2 23 30/04/07 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 Old Dairy DS0000016622.V318974.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 Old Dairy DS0000016622.V318974.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!