CARE HOME ADULTS 18-65
Whitley Farm Cottages Whitley Farm Cottages Doncaster Road Whitley Bridge Goole East Riding Of Yorks DN14 0HZ Lead Inspector
Mary Slattery Key Unannounced Inspection 27th July 2006 09:30 Whitley Farm Cottages DS0000064380.V304445.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 Whitley Farm Cottages DS0000064380.V304445.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. Whitley Farm Cottages DS0000064380.V304445.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Whitley Farm Cottages Address 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) Whitley Farm Cottages Doncaster Road Whitley Bridge Goole East Riding Of Yorks DN14 0HZ 01977 663476 01977 663476 Mary Theresa Care Homes Ltd Mrs Lyn Scaife Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Whitley Farm Cottages DS0000064380.V304445.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: None. Date of last inspection This is the first inspection following the registration of the home on 28th November 2005. Brief Description of the Service: Whitley Farm Cottages is owned by Mary Teresa Care Homes Limited and is registered to provide personal care and accommodation for up to 8 service users with learning disabilities. The home is a large detached building and has 8 single bedrooms over two floors. There is a variety of communal space and five activity rooms. There is a private drive to the house with parking facilities for visitors and staff. Whitley Farm Cottages is situated in Whitley Village 10 minutes drive from Selby, where there are many amenities, local shops and railway station. The current scale of charges is £1900 to £ 2,500 and extra charges are made for transport, hairdressing and newspapers. The information was provided by the registered provider in the pre inspection questionnaire. Whitley Farm Cottages DS0000064380.V304445.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This report follows an unannounced site visit undertaken on 27th July 2006. This was carried out by 1 Regulatory Inspector and took 5 hours plus 3 hours preparation time. At the time of the site visit there were no service users living in the home. Admissions were due to take place over the two weeks following the visit. The site visit comprised of a full inspection of the premises and facilities. The pre admission assessment record of one service user was looked at which included risk assessments and the first part of the personal and health care plan. A selection of the homes’ records was looked at, which included policies and procedures, staff records, staff rota, health and safety records and the quality assurance and quality monitoring records. Time was spent talking to the 5 members of staff including the Registered Manager. Information was also used from the Regulatory Inspectors record, which detailed the history of the home. The focus of the inspection was on a number of key standards, inspecting the homes’ records to establish if the service would meet the needs of the service users it is registered to accommodate. The registered manager was available at the site visit and the findings were discussed with her at the close of the visit. Two recommendations were made at this site visit. What the service does well:
A statement of purpose and a service user guide have been made available to prospective service users and their representatives and staff have spent time discussing the services and facilities offered. Service users pre assessments have been carried out to make sure that the staff have the skills to meet their needs and service users have visited the home to look at the accommodation and to meet with the staff. Whitley Farm Cottages DS0000064380.V304445.R01.S.doc Version 5.2 Page 6 Provides service users with a pleasant place to live where they can have their personal possessions around them and enjoy a wide range of social and therapeutic activities. The registered provider and the registered manager make sure that the staff Have a training and development programme in line with the service users care needs, that the staffing levels are sufficient to meet the individual needs of the service users and that all staff are supervised. 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. Whitley Farm Cottages DS0000064380.V304445.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 Whitley Farm Cottages DS0000064380.V304445.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 3 and 4. Quality in this outcome area was good. The judgement has been made using available evidence and a visit to the service. Service users will know what the home offers to provide and their needs will be assessed before they move in. EVIDENCE: Copies of the statement of purpose and service users guide were available in the home and the manager reported that all prospective service users and their representatives have been provided with information about what the home offers to provide. Contract/terms are to be agreed upon admission. There were no service users living in the home at the time of the site visit but there was an opportunity to look at the assessment of a service user that was to move in the week of the visit. The assessment gave information about the service users condition, health and social care needs, family contacts, and known risks to safety. The service user had visited the home for a short stay and the staff had carried out their assessment in the service users current accommodation and day services. From the information gathered the staff were drawing up the service users care plan. Whitley Farm Cottages DS0000064380.V304445.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6. Quality in this outcome area was good. The judgement has been made using available evidence and a visit to the service. Service users will be supported to make decisions and to participate in all aspect of life. EVIDENCE: The care plan of the service users who was due to move in to the home had been completed in part giving information about known personal, health and social care needs. Methods of communication and details of know risks and any challenging behaviour. The staff said that following admission they would work with the service user with the development of the care plan and set a date for a review. Whitley Farm Cottages DS0000064380.V304445.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): 11,13, and 15. Quality in this outcome area was good. The judgement has been made using available evidence and a visit to the service. Service users will have the support they need for personal development and to be part of the local community. EVIDENCE: There were no service users living in the home at the time of the visit. The staff, the statement of purpose and the policies and procedures gave information about what opportunities there will be available for service users personal development, social activities, education and relationships with family and friends. Whitley Farm Cottages DS0000064380.V304445.R01.S.doc Version 5.2 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): 18. Quality in this outcome area was good. The judgement has been made using available evidence and a visit to the service. Service users personal and health care needs will be mat. EVIDENCE: The assessment and the first part of the care plan that has been developed for the service user who will be moving into the home gave information about all known personal and health care needs. The staff have liaised with the service user, family, care manager and other health care professional to gather information that will assist them in supporting the service user with all areas of personal and health care needs. Relationships have bee established with local GP’s and community nurses. Whitley Farm Cottages DS0000064380.V304445.R01.S.doc Version 5.2 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): 22 and 23. Quality in this outcome area was good. The judgement has been made using available evidence and a visit to the service. Service users will be enables to make complaints and be protected by the homes’ staff recruitment practices. EVIDENCE: The statement of purpose and the service users guide gave information about how people can make a complaint against the service and details of the investigation procedure. Staff said that information regarding service users communication skills is gathered at the initial assessment to make sure that systems are in place for them to make their wishes known and to make complaints against the service. These systems will include the use of signs and pictures. The records showed that as part of the quality audit of the service the views of relatives and other stakeholders will be sought. The staff reported and the records confirmed that all staff have had a CRB and POVA check and have attended abuse awareness training. Whitley Farm Cottages DS0000064380.V304445.R01.S.doc Version 5.2 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): 24, 26, 27, 28, 29 and 30. Quality in this outcome area was good. The judgment has been made using available evidence and a visit to the service. Service users will live in a pleasant safe environment suitable to their individual needs and abilities. EVIDENCE: Whitley Farm Cottage has been redesigned and extended to accommodate eight service users with a learning disability. The accommodation is over two floors and has eight single bedrooms with either an en-suite shower of bathroom. There are two staircases giving access to the first floor. The furniture, fixtures and fittings are of a high standard throughout the home. Each bedroom had subdued lighting, a telephone point and ample storage for personal belongings. There is sufficient space in each bedroom for service users to enjoy their own hobbies and interests. The house has a main kitchen and a smaller kitchen for service users to use either independently or with staff and a laundry. The main dining room is on the small side but there are other rooms that can be used for dining purposes. There is a lounge and a conservatory, an activities room, treatment room and a sensory room.
Whitley Farm Cottages DS0000064380.V304445.R01.S.doc Version 5.2 Page 14 The office is in a building adjacent to the house and there are call bells situated in all rooms and communal toilets. There is a driveway to the house with parking and the entrance gates are fitted with security locks. There is plenty of outside space with seating and security lighting. All the required safety certificates were in place and the records looked at showed that all the required safety checks are carried out. The door from the hallway to the dining room is a fire door and was held open by the use of a wedge. There were no service users in the home at the time of the visit so their safety was not compromised. It was advised that advice is sought from the fire safety officer regarding this matter before service users are admitted to the home. Whitley Farm Cottages DS0000064380.V304445.R01.S.doc Version 5.2 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 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): 31, 32, 34 and 36. Quality in this outcome area was good. The judgement has been made using available evidence and a visit to the service. Service users needs will be met by a well-trained staff group. EVIDENCE: The staff currently employed have been involved in setting up the home in preparation for the service user moving in. They have been undertaking the assessments of service users, developing relationships with them and their relatives, local health care professionals and establishing links with local activities groups and educational centres. They have had the opportunity to undertake training including non-crisis intervention, autism, health and safety, moving and handling, fire safety. A number of the staff have completed NVQ Level 2 and 3.The support staff on duty have all had previous experience in providing support for service users who have learning disabilities. Further training planned is safe handling of medication and specific training on learning disabilities. The staff records showed that all staff have completed application forms, and the required references and CRB and POVA checks were carried out prior to employment. Staff confirmed induction, supervision and staff meetings and the records confirmed this.
Whitley Farm Cottages DS0000064380.V304445.R01.S.doc Version 5.2 Page 16 The service users will have one to one support when they are at home and two to one support when they are taking part in activities outside of the home. The deputy manager is also a psychologist and is responsible for assisting the staff with the development of the care plans and behaviour management plans, he also has a teaching role. Whitley Farm Cottages DS0000064380.V304445.R01.S.doc Version 5.2 Page 17 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, 40, 42 and 43. Quality in this outcome area was good. The judgement has been made using available evidence and a visit to the service. Service users will benefit form a well managed home where their needs and wishes will be put first. EVIDENCE: The registered manager has worked in the home for twelve months and had worked toward setting up the service. The manager has worked in a social care setting for a number of years both in a caring role and as a manager. She has achieved NVQ Level 4 Registered Managers Award, D32, 33 and 34. Further training includes Autism and health and safety. The registered manager is responsible for the day-to-day management of the home, recruitment and selection of staff and management of the homes budget, which includes food, domestic items, minor maintenance emergency repairs and staffing. Whitley Farm Cottages DS0000064380.V304445.R01.S.doc Version 5.2 Page 18 The responsible individual visits the home on a regular basis and to monitor and audit the service, she produces a report on the conduct of the home, copies of which were available for inspection and spends time with the manager in supervision. There is a quality audit and quality monitoring system in place for all aspects of the service which will include seeking the vies of service users, relatives and other stake holders following a reasonable time after the admission of service users. Whitley Farm Cottages DS0000064380.V304445.R01.S.doc Version 5.2 Page 19 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 3 2 N/A 3 3 4 3 5 N/A 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 N/A 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 N/A 34 3 35 N/A 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 N/A N/A N/A N/A LIFESTYLES Standard No Score 11 3 12 N/A 13 3 14 N/A 15 3 16 N/A 17 N/A PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 N/A N/A N/A 3 N/A N/A 3 N/A 3 3 Whitley Farm Cottages DS0000064380.V304445.R01.S.doc Version 5.2 Page 20 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. 1. Refer to Standard YA24 Good Practice Recommendations It is recommended that advice be sought from the fire safety department about the fitting of mechanical hold open devices for the fire door leading to the dining room. Whitley Farm Cottages DS0000064380.V304445.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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