Inspection on 05/12/05 for The Old Farm House Residential Home

This inspection was carried out on 5th December 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 Old Farm House Residential... 17/01/07

The Old Farm House Residential... 22/02/06

The Old Farm House Residential... 26/03/05

The Old Farm House Residential... 16/06/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE The Old Farm House Residential Home 48 Hollow Lane Canterbury Kent CT1 3SA Lead Inspector Tina Thomas Announced Inspection 5th December 2005 09:30 X10015.doc Version 1.40 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 Farm House Residential Home DS0000023301.V258496.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. 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 Farm House Residential Home DS0000023301.V258496.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Old Farm House Residential Home Address 48 Hollow Lane Canterbury Kent CT1 3SA 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) 01227 453685 Mr Paul Straker Mrs Vivien Fuller Care Home 23 Category(ies) of Old age, not falling within any other category registration, with number (23) of places The Old Farm House Residential Home DS0000023301.V258496.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th March 2005 Brief Description of the Service: The home is registered to provide accommodation and personal care to 23 older people. The home is an older detached building with a purpose built extension. The accommodation is on two floors. There is a passenger lift between floors. The home has nineteen single rooms and two rooms with shared occupancy, although these are sometimes used as larger single rooms. All of the bedrooms have a private toilet and wash hand basin. All rooms with the exception of the shared rooms also have a bath or shower. All bedrooms are connected to a call bell system. All of the bedrooms also have a T.V point. To the side and the rear of the property there is an enclosed garden. The home is located about a mile and a half from Canterbury town centre. The home has views of the cathedral. The home is privately owned. The Old Farm House Residential Home DS0000023301.V258496.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector conducted this announced inspection over a one-day period. The inspector spoke with the Manager, people who live in the home, visitors and staff. The inspector considered comments from comment cards received from people that live in the home and their visitors. The inspector viewed documentation including staff files, care plans of the people that live in the home and policies. Of the Standards that were inspected all except two were met. One of these was pertaining to the qualification of the Manager. The manager is undertaking suitable management qualifications, but because it has not been completed prior to 2005 it must be scored a 2. There is no doubt however, that the manager is competent in her role. What the service does well: What has improved since the last inspection? What they could do better: The home has a registration certificate issued by the Commission. It has two pages. Currently both pages are in one frame; therefore only one page is displayed. Both pages of the certificate should be displayed. People’s daily records should be maintained individually in line with data protection and so as to protect people’s privacy. Although there was no evidence that items stayed open in the fridge for any length of time, jars of jam, sauces etc. should be labelled once opened, to display the date of opening. This would assist the staff to ensure that food is used within an appropriate time scale. The Old Farm House Residential Home DS0000023301.V258496.R01.S.doc Version 5.0 Page 6 Some staff have not had suitable manual handling training prior to manual handling people, this is not in line with manual handling regulations. The registered provider, or a nominated person (not the manager), because the provider does not run the home on a day-to-day basis, must complete a monthly audit called a regulation 26 visit. This is to ensure that he is aware of activities within the home for which he is responsible. 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 Old Farm House Residential Home DS0000023301.V258496.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection The Old Farm House Residential Home DS0000023301.V258496.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 The needs of each person that lives in the home are assessed prior to them choosing to live there, to ensure the home can meet their needs. EVIDENCE: The home conducts an in-depth, holistic pre-admission assessment prior to people deciding whether they want to live at the home. The home assesses the physical, psychological and social needs of each person. The inspector viewed completed forms. The home also had copies of assessments of needs completed by the care managers of people that are funded by social services. The Old Farm House Residential Home DS0000023301.V258496.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,10 Each service user has a care plan. People’s health care needs are fully met. People that live in the home feel they are treated with respect, and their privacy maintained. EVIDENCE: People that live in the home have a plan of care. Information for the plan is taken from the homes pre- assessment of needs, and additionally, in some cases, the care manager’s assessment of needs. Personal goals are reflected in individual plans, which describe how staff should assist and enable people who live in the home, any potential risks are suitably managed. Agreement to each plan has been signed by the person it belongs to. Plans are reviewed on a monthly basis. The home keeps a daily report on each person. This is good practice. These are kept in a daily records book. Several people are referred to on each page. The Provider and manager both confirmed that they had been told sometime in the past, by an inspector, to conduct this practice. This practice was at one time common in homes, but has now become outdated. It is not considered to be best practice as it is not in-line with data protection and could impinge on an The Old Farm House Residential Home DS0000023301.V258496.R01.S.doc Version 5.0 Page 10 individual’s privacy. A recommendation was made that daily records for each person are kept individually. Recommendation 1 Part A Records, comments from staff, people that live in the home, and their visitors indicated that people’s health care needs were fully met. One person wrote in their comment card ’when I came home from hospital I was pleased with the way I was looked after.’ A relative expressed that they were pleased that one issue for their relative was treated with ‘kind, solid interaction, not drugs-excellent work.’ Records showed that people’s psychological needs were carefully monitored and intervention sought by appropriate health care professionals when necessary. Staff and people that live in the home confirmed that personal care was given in people’s own bedrooms or in bathrooms. They confirmed that staff knock on the doors before entering peoples own bedrooms. Shared rooms did not compromise individuals privacy. The Old Farm House Residential Home DS0000023301.V258496.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13,15 People’s expectations, and preferences are met in a flexible manner. Family and community contact are maintained. People have choice and control over their lives. Meals are wholesome, plentiful and nutritious. EVIDENCE: People that live in the home confirmed that they could get up and go to bed when they wanted. They confirmed that they could have an alternative meal if they chose. Staff confirmed, together with the people that live in the home, that mostly people were happy to occupy themselves. Some people spoke to the inspector about playing scrabble and spending time in the garden. The home offers activities such as kip fit, bingo, ladies days i.e. face cleanse, manicures, film shows trips in the mini bus and reminiscence work. The inspector asked some people who lived at the home, if the home met their expectations. They expressed that they had not had any expectations prior to entering the home, and although they would have preferred, ideally, to be in their own homes, they were happy with their choice of home and felt well looked after. People that live in the home can have visitors when they choose. Some visitors completed a Commission comment card. Each reflected that they were always made welcome at the home. The Old Farm House Residential Home DS0000023301.V258496.R01.S.doc Version 5.0 Page 12 The home has regular, recorded and actioned meetings for the people that live there so that they can influence matters at the home. All the people that live in the home or their families, or a nominated person, look after their finances. The home does not look after the finances of anyone that lives there. The cook and the manager have completed a basic food hygiene course. The home provides a healthy nutritious menu. People that live in the home, their relatives and staff confirmed that there is an alternative choice if people do not want the main meal. The home has two people that are vegetarians and there is evidence that they are well catered for. People that live in the home have fresh vegetables with their meals everyday. Fresh fruit is available in fruit bowls. Although there was no evidence that items stayed open in the fridge for any length of time, jars of jam, sauces etc. should be labelled once opened, to display the date of opening. This would assist the staff to ensure that food is used within an appropriate time scale. Recommendation made regarding this matter. Recommendation 2 Part A The dining rooms is set out in an inviting manner, with attractive table settings. The dinning room looks on to decking and a herb garden. The Old Farm House Residential Home DS0000023301.V258496.R01.S.doc Version 5.0 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 The home investigates complaints in a suitable manner in line with its own complaints procedure. EVIDENCE: The home has a suitable complaints procedure. In the past year the home has had four complaints. All the complaints were fully investigated and the investigation fully documented. One relative expressed that they were satisfied with the investigation and outcome of a complaint, and had felt confident that the manager would deal with the complaint in an appropriate manner. The Old Farm House Residential Home DS0000023301.V258496.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21,23,24,26 People live in a home that is fit for its purpose. The home has safe, comfortable communal facilities both inside and out. The home has sufficient and suitable lavatories and washing facilities. People’s own rooms meet their individual needs. The home is clean and hygienic. EVIDENCE: The home is suitable for its purpose. The home is clean and well maintained. Furnishings, carpets and decoration were of good quality. There are no offensive odours throughout. The home has several communal areas for the people living at the home to enjoy, which includes a library with tea making facilities. The home has a well tended, attractive garden, with lots of seating areas. The staff and people living at the home discussed how they enjoyed the BBQ’s that they have at the home in the summer. Peoples own rooms met their needs. People that lived in the home and their relatives confirmed this. One double bedroom was viewed. It is set out very individually for both people that use it. All individual rooms have locks for The Old Farm House Residential Home DS0000023301.V258496.R01.S.doc Version 5.0 Page 15 people to use if they choose. Five of the bedrooms have balconies, which lead to the garden. Bathroom and toilets are clean and uncluttered. All bathrooms have suitable locks. The home has a selection of assisted bathrooms. People that live in the home have the option of having either a bath or a shower, in a purpose built shower room. Bathrooms have suitable equipment and aids so as to promote independence, for example: support bars and toilet raisers. The home has a purpose built large laundry. The laundry floor and finishes are impermeable and walls easily cleaned. The washing machines have the specified programming ability to meet disinfection standards. Radiators are covered to prevent the risk of burns. The Old Farm House Residential Home DS0000023301.V258496.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 The needs of those living at the home are met by appropriate numbers and skill mix of staff. The homes recruitment and selection process protects people that live at the home. Staff are trained and competent to do their jobs. EVIDENCE: Staffing numbers and skill mix of qualified/unqualified staff are appropriate to the assessed needs of the people that live in the home. The home has a staff of 12 carers; six of these are trained to NVQ Level2. This is the required 50 that the home needs to meet national minimum standards. One carer is completing NVQ Level 3. The home has a robust recruitment procedure based on equal opportunities and ensuring the protection of service users. Each member of staff has a CRB check and two references in place, prior to confirmation of post. Therefore ensuring as far as possible the safety of people that live in the home. The Old Farm House Residential Home DS0000023301.V258496.R01.S.doc Version 5.0 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,38 The registered manager is competent and experienced to run the home and meet its stated purpose, aims and objectives. She is not as yet qualified to NVQ Level 4 in management and care. The home has strong leadership and management. The home is run in the best interest of the people that choose to live there. People’s financial interests are safeguarded. The health, safety and welfare of service users is generally promoted and protected. However manual handling regulations have been breached. EVIDENCE: The registered manager is currently undertaking an NVQ level 4 in management and the registered managers award. Because this has not been achieved by 2005, the Standard must be scored 2. There is no doubt however, that the manager is competent in her role. The registered manager can demonstrate that she has undertaken periodic training to update her knowledge, skills and competence, whilst managing the home. The Old Farm House Residential Home DS0000023301.V258496.R01.S.doc Version 5.0 Page 18 The registered manager ensures that the management approach of the home creates an open, positive and inclusive atmosphere. Staff, people that live in the home and visitors confirmed that the manager was approachable and supportive. Regular recorded and actioned meetings are in place for staff and people that live at the home. This allows them all to influence the running of the home. The home has effective quality assurance and quality monitoring systems, based on seeking the views of people that live in the home, and are in place to measure success in meeting the aims, objectives and statement of purpose of the home. Apart from staff and resident meetings, staff supervision and appraisal and yearly reviews for all people that live in the home, the home issues quality assurance questionnaires twice a year. The manager also works some night duties to ensure that she is aware of nighttime practice within the home. The home does not deal with any finances of the people that live there. The home has suitable insurance. The home has a business and financial plan. The Home is kept in a secure manner. The Manager generally ensures compliance with relevant legislation to ensure that the health, safety and welfare of Service User and staff is promoted and protected. The Inspector noted that some carers have not had suitable training in manual handling, prior to handling people. Requirement made regarding this matter. (Requirement 1 Part A). The inspector understands that the registered provider attends the home on a regular basis. However, because he is not in day to day control of the home he, or a nominated person, (not the manager) must complete regulation 26 visits. This is to ensure that he is aware of activities within the home for which he is responsible. To date these visits have not been performed. Requirement made regarding this matter. (Requirement 2 Part A) The Old Farm House Residential Home DS0000023301.V258496.R01.S.doc Version 5.0 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 3 3 X 3 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 3 3 3 3 X X 2 The Old Farm House Residential Home DS0000023301.V258496.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? NO 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 2 Standard OP38 No standard Regulation 13.5 26 Requirement All staff must have suitable manual handling training. The Provider or a nominated person must perform on a monthly basis Reg 26 visits Timescale for action 01/03/05 01/03/05 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 OP7 OP15 Good Practice Recommendations Daily records should be maintained individually. Jars of jam, sauces etc. should be labelled once opened, to display the date of opening. The Old Farm House Residential Home DS0000023301.V258496.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Kent and Medway Area Office 11th Floor International House Dover Place Ashford Kent TN23 1HU 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 Old Farm House Residential Home DS0000023301.V258496.R01.S.doc Version 5.0 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. 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. 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