Inspection on 25/10/05 for The Stables

This inspection was carried out on 25th October 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Stables 01/05/07

The Stables 14/07/06

The Stables 25/05/05

The Stables 27/09/04

The Stables 05/05/04

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

CARE HOME ADULTS 18-65 The Stables The Stables Bisterne Ringwood Hampshire BH24 3BN Lead Inspector Craig Willis Unannounced Inspection 25th October 2005 10:30 The Stables DS0000011981.V260461.R02.S.doc Version 5.0 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 Stables DS0000011981.V260461.R02.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 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 Stables DS0000011981.V260461.R02.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Stables Address The Stables Bisterne Ringwood Hampshire BH24 3BN 01425 478043 01425 461076 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) The Stable Family Home Trust Kevin Michael Forward Care Home 8 Category(ies) of Learning disability (8) registration, with number of places The Stables DS0000011981.V260461.R02.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th May 2005 Brief Description of the Service: The Stables is managed by The Stable Family Home Trust and is registered to provide care and accommodation for eight adults with learning disabilities. The home is located in Bisterne, three miles out of Ringwood and is set in four acres of agricultural land and gardens. The home forms part of the Old Stables, which provides a day, employment, training and leisure service for up to seventy service users each day. This inspection did not cover any of the day service provision. The Stables DS0000011981.V260461.R02.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection of the year April 2005 to March 2006 and took place over two hours, during which the inspector met one service user and the manager. Key standards not covered in this report were assessed at the inspection of 25th May 2005. What the service does well: What has improved since the last inspection? The risk assessments for service users have been reviewed and changed where necessary. A system has been developed to ensure that further reviews happen on time. Medication that was out of date has been returned to the pharmacist for disposal. The home’s policies and procedures are being reviewed by the director and manager to make sure they provide good guidance to staff. The Stables DS0000011981.V260461.R02.S.doc Version 5.0 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 Stables DS0000011981.V260461.R02.S.doc Version 5.0 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 Stables DS0000011981.V260461.R02.S.doc Version 5.0 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 the following standard(s): None The key standards were assessed in the inspection of 25th May 2005. EVIDENCE: The Stables DS0000011981.V260461.R02.S.doc Version 5.0 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 the following standard(s): 9 There are clear risk assessment systems in place, which provide staff with the information required to meet the needs of service users. EVIDENCE: The risk assessments of three service users were viewed. Since the last inspection the manager has ensured that these assessments have been reviewed and that there is a system in place to ensure future reviews happen on time. The assessments included action that service users and staff should take to minimise the identified risks and had been amended where necessary as a result of the reviews. The Stables DS0000011981.V260461.R02.S.doc Version 5.0 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): 13 Service users are supported to be active members of their local community. EVIDENCE: One service user spoken with said they worked at a local pub and travelled independently on public transport. The manager reported that service users were supported to do their shopping locally and that a small group of service users had started to attend Ringwood Town football matches. Service users are supported to use public transport where it is an option. The Stables DS0000011981.V260461.R02.S.doc Version 5.0 Page 11 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): 20 The medication system at the home is well managed, which protects service users. EVIDENCE: Medication was stored in a locked cabinet in the office. Since the last inspection the manager has returned all medication that is out of date or no longer required to the pharmacist for disposal. The medication administration records were fully completed and the balance recorded matched the stock held. Staff have received training in the safe administration of medication. The Stables DS0000011981.V260461.R02.S.doc Version 5.0 Page 12 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): 23 The home has suitable procedures in place to protect service users from abuse and the manager has a good understanding of adult protection issues. EVIDENCE: The Stable Family Home Trust has developed an adult protection policy, which staff have signed to say they have read and understood. The home also had a copy of the local authority adult protection procedure. The manager demonstrated a good understanding of adult protection issues and action to take if abuse was suspected or reported. Staff have received adult protection training and the manager reported that he regularly discussed adult protection issues with staff in their supervision. The Stables DS0000011981.V260461.R02.S.doc Version 5.0 Page 13 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): None The key standards were assessed in the inspection of 25th May 2005. EVIDENCE: The Stables DS0000011981.V260461.R02.S.doc Version 5.0 Page 14 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 and 35 The home has a good induction and training programme, which gives staff the skills and knowledge required to meet the needs of service users. The recruitment procedures are generally good, although failure to obtain Criminal Records Bureau disclosures and written references for staff before they start work does not protect service users. EVIDENCE: The manager reported that none of the staff currently have the NVQ level two in care, although two staff have been enrolled and were due to start the award soon. Progress on this will be followed up at the next inspection. One service user spoken with said that staff respected them and provided good support. Prospective staff are interviewed after completing an application form. The interview panel includes service users and questions that service users have set. This is seen as an area of good practice. The recruitment records of three staff were viewed, one of which did not contain written references or evidence of an enhanced disclosure from the Criminal Records Bureau (CRB). The manager reported that verbal references had been obtained and the CRB disclosure had been applied for and said that this member of staff would not be used on the staffing rota anymore, but attend induction and training sessions. The Stables DS0000011981.V260461.R02.S.doc Version 5.0 Page 15 The two new members of staff had a planned induction, which they were due to complete and follow the LDAF programme. Since the last inspection the manager had completed the induction records of other staff members. Records indicated that staff had undertaken training in first aid, food hygiene, adult protection, medication administration, fire safety, challenging behaviour, risk assessment and health and safety in the workplace. The manager has an overview of training staff have completed and plans with staff the training that is needed. The Stables DS0000011981.V260461.R02.S.doc Version 5.0 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 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 and 40 The home is well run by and effective manager and has policies and procedures in place to safeguard service users’ rights and best interests. EVIDENCE: The manager reported that he was in the final stages of the Registered Managers Award and regularly takes part in other training to maintain and update his knowledge and skills. The manager is responsible for ensuring that the aims and objectives of the home are achieved, for implementing the policies and procedures and for managing the home’s budget. Since the last inspection, Stable Family Home Trust has been reviewing and updating their policies and procedures. The manager reported that these are reviewed by the director in consultation with the home managers. The new documents are dated and state where they relate to the national minimum standards. Staff have signed the revised documents to say they have read and understood them. The Stables DS0000011981.V260461.R02.S.doc Version 5.0 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 X X X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 2 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Stables Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 3 X X 3 X X X DS0000011981.V260461.R02.S.doc Version 5.0 Page 18 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 Standard YA34 Regulation 19 (1b) Requirement The registered person must ensure that written references and a Criminal Records Bureau disclosure are obtained for all staff before they start work in the home. Timescale for action 25/10/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Stables DS0000011981.V260461.R02.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Stables DS0000011981.V260461.R02.S.doc Version 5.0 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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