Inspection on 04/08/05 for The Old Rectory [Musbury]

This inspection was carried out on 4th August 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 Rectory [Musbury] 19/10/06

The Old Rectory [Musbury] 19/01/06

The Old Rectory [Musbury] 22/11/04

The Old Rectory [Musbury] 11/05/04

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 Rectory (Musbury) Musbury Axminster Devon EX13 8AR Lead Inspector Belinda Heginworth Announced 4 August 2005 th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. The Old Rectory (Musbury) D54-D06 S39128 The Old Rectory V234564 040805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Old Rectory (Musbury) Address Musbury, Axminster, Devon, EX13 8AR 01297 552532 01297 553511 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Oakprice Limited, 5 Somerset Place, Teignmouth, Devon, TQ14 8EP Mr Robin Andrew Barrie Farrington Care Home 15 Category(ies) of LD - Learning Disability (35 - 65 years)(15) registration, with number LD(E) - Learning Disability - over 65 (15) of places The Old Rectory (Musbury) D54-D06 S39128 The Old Rectory V234564 040805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 17/10/2002 To take Service Users over the age of 35 years only Date of last inspection 22/11/2004 Brief Description of the Service: The home provides support and personal care for 15 people with a learning disability who are over the age of 35 years. The Old Rectory is a detached, converted and extended property on the edge of the small village of Musbury. It is a short car journey to either Seaton or Axminster. Residents bedrooms are single with en-suite facilities. Residents share the use of the lounge, dining room and conservatory. There is a large private garden with a decked area outside the conservatory. The Old Rectory (Musbury) D54-D06 S39128 The Old Rectory V234564 040805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over three and a half hours. The provider was present throughout. Some residents living at the home have limited verbal communication skills and were therefore were unable to contribute fully to the inspection process. Time was spent talking with some residents and observations were made throughout the inspection. Two staff and one relative were consulted and their views on the home were discussed. The inspector looked round parts of the building and a number of records were inspected. What the service does well: What has improved since the last inspection? Information important to residents has been produced in pictures and audiotape. This enables residents with limited verbal communication skills to understand this information. Information relating to the cost of transport has improved making it clearer how much residents pay for and how it is monitored. The environment now provides single en-suite bedrooms. The Old Rectory (Musbury) D54-D06 S39128 The Old Rectory V234564 040805 Stage 4.doc Version 1.30 Page 6 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 Old Rectory (Musbury) D54-D06 S39128 The Old Rectory V234564 040805 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection The Old Rectory (Musbury) D54-D06 S39128 The Old Rectory V234564 040805 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 Residents benefit from good assessment and admission practice that ensures that the home is able to meet their needs. EVIDENCE: Residents were unable to remember the assessment process prior to their admission to the home but some remembered visiting. The manager completes a detailed assessment of need to ensure the home is able to meet that person’s needs prior to admission. Residents are admitted to the home on a trial basis before making a decision to live there. Residents are given a contract or statement of terms and conditions on admission. The Old Rectory (Musbury) D54-D06 S39128 The Old Rectory V234564 040805 Stage 4.doc Version 1.30 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 & 9 Staff are provided with written information to help them meet residents’ needs effectively and safely. EVIDENCE: Each resident has a detailed plan of care that highlights care and health needs clearly. Any risks associated with residents’ needs or care is assessed and the action necessary to reduce the risks is clearly explained. Residents have a dedicated person (Key worker) who is responsible for co-ordinating the care. Key workers review the care plans monthly. Staff demonstrated a good understanding of residents needs and kept good daily records of events and issues for each resident. The daily records reflected the care plan goals. Some residents have limited verbal communication skills and are therefore unable to contribute to the care planning process. Staff described how some residents let them know their needs, which is then reflected in the care plan for other staff to understand and follow. Any decisions made on behalf of residents are discussed with relatives, representatives and other community professionals. The Old Rectory (Musbury) D54-D06 S39128 The Old Rectory V234564 040805 Stage 4.doc Version 1.30 Page 10 The home has started a residents’ “focus” group where they are consulted and their views of the home discussed. Safety posters and relevant policies are produced in formats suitable to the residents’ communication needs. These include pictorial posters and policies and the use of an audiotape. The Old Rectory (Musbury) D54-D06 S39128 The Old Rectory V234564 040805 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13, 14 & 17 Residents use the local and surrounding community for leisure pursuits. Residents are offered a healthy and varied diet. EVIDENCE: Residents said they enjoyed going out to the shops and pubs. On the day of the inspection some were going out to a local horticultural show. Some residents use a local advocacy group where activities are arranged. The inspector shared a meal with the residents. The atmosphere throughout the meal was relaxed and fun. Residents who could, said they enjoyed the food. Menus showed a balanced and varied diet. Staff had a good knowledge of residents’ likes and dislikes. The Old Rectory (Musbury) D54-D06 S39128 The Old Rectory V234564 040805 Stage 4.doc Version 1.30 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 & 20 Residents’ health care needs are well met. EVIDENCE: Most residents were unable to discuss their health needs due to limited verbal communication skills. Some residents said they felt they were well taken care of. Staff demonstrated a good understanding of residents’ health care needs. Care plans provided further evidence that health care needs were assessed, monitored and met. Senior staff assess staff competencies on the administration of medicines. However not all staff have received accredited training on the safe handling of medicines. It was agreed that this should be implemented as soon as possible. The Old Rectory (Musbury) D54-D06 S39128 The Old Rectory V234564 040805 Stage 4.doc Version 1.30 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 & 23 Residents’ views are listened to and acted upon. Arrangements for protecting residents from the risk of harm or abuse are good. EVIDENCE: Residents said that staff listened to them. Staff were seen to be acting in a caring and respectful manner. A relative spoke highly of the staff team and said that the home consulted him about his relative’s care. The relative felt confidant that any concerns would be dealt with efficiently. All but one staff have received full abuse awareness training. The provider is in the process of arranging training for the member of staff and 3 new staff. One member of staff demonstrated a good understanding of abuse awareness and knew what to do if abuse was suspected. The Old Rectory (Musbury) D54-D06 S39128 The Old Rectory V234564 040805 Stage 4.doc Version 1.30 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 Residents live in a homely, safe and comfortable environment. EVIDENCE: The home has recently been extended providing en-suite single bedrooms for 15 residents. Residents who were able said they liked their new rooms and helped to choose the décor and furnishings. Residents share a lounge, kitchen, dining room and conservatory. There is a large garden with a decked area outside of the conservatory. The standards of decorations, furniture and fittings are of a high standard creating a warm and homely atmosphere. The Old Rectory (Musbury) D54-D06 S39128 The Old Rectory V234564 040805 Stage 4.doc Version 1.30 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 & 34 Residents are supported by an effective team and protected by the home’s recruitment practices. EVIDENCE: The home has 4 staff on duty during the morning and 3 in the afternoon. Residents who were able said that the staff had time to meet their needs, take them out and spend time with them. Evening activities usually have to be planned as the number of staff on duty in the evening reduces to 2. The provider intends to review this to look into ways of providing more staff on in the evenings. This would allow “ad hoc” activities to take place. This will be looked at again during the next inspection. Recruitment files of the newest staff members were inspected and found to have the necessary information and checks to ensure that residents are well protected. A detailed induction had been completed. Police checks have been completed for all staff. The Old Rectory (Musbury) D54-D06 S39128 The Old Rectory V234564 040805 Stage 4.doc Version 1.30 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 The health & safety of residents are well protected. EVIDENCE: The manager completes a questionnaire prior to the inspection. This provides conformation that relevant and appropriate polices and procedures are in place and have been updated. This ensures that staff and residents’ welfare and safety are protected. The provider has worked hard to produce relevant policies into a format that residents are able to understand. The fire logbook was found to be up to date and accurate and included relevant staff fire training. The Old Rectory (Musbury) D54-D06 S39128 The Old Rectory V234564 040805 Stage 4.doc Version 1.30 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 2 x x x Standard No 22 23 ENVIRONMENT Score 2 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 x x 3 3 x x 3 Standard No 31 32 33 34 35 36 Score x x 3 3 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Old Rectory (Musbury) Score x 3 2 x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x D54-D06 S39128 The Old Rectory V234564 040805 Stage 4.doc Version 1.30 Page 18 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. 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. 1. Refer to Standard YA9 Good Practice Recommendations All staff responsible for administering medication should receive accrediated medication training. The Old Rectory (Musbury) D54-D06 S39128 The Old Rectory V234564 040805 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection Exeter Office, Suites 1 & 7 Renslade House Bonhay Road Exeter, EX4 3AY 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 Rectory (Musbury) D54-D06 S39128 The Old Rectory V234564 040805 Stage 4.doc Version 1.30 Page 20 - 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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