Inspection on 02/12/05 for Willowdene Farm

This inspection was carried out on 2nd 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

Willowdene Farm 14/12/06

Willowdene Farm 27/02/06

Willowdene Farm 21/12/04

Willowdene Farm 22/06/04

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

CARE HOME ADULTS 18-65 Willowdene Farm Chorley Bridgnorth Shropshire WV16 6PP Lead Inspector Gurinder Cheema Unannounced Inspection 2nd December 2005 11:30 Willowdene Farm DS0000020720.V269974.R01.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 Willowdene Farm DS0000020720.V269974.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 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. Willowdene Farm DS0000020720.V269974.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Willowdene Farm Address Chorley Bridgnorth Shropshire WV16 6PP 01746 718658 01746 718039 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) Willowdene Farm Ltd Mrs Jennifer Mary Home Care Home 12 Category(ies) of Past or present drug dependence (12) registration, with number of places Willowdene Farm DS0000020720.V269974.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st December 2004 Brief Description of the Service: Willowdene Farm is situated in the rural village of Chorley, Shropshire and is owned and managed by John and Jenny Home. The Farms purpose is to provide rehabilitation support over a nine-month period, to recovering drug addicts. This programme has enabled the home to commence their expansion plans and increase the student turnover, without diminishing the quality of therapy, support and care being provided. All referrals are made via care management and potential students are made fully aware of the commitment needed to complete the programme, prior to admittance. As a student, facilities are available for total rehabilitation, including the opportunity to safely learn new skills, gain qualifications and receive therapeutic support. A routine and structure is in place that encourages self worth, responsibility and trust. All services are provided in line with regularly reviewed care plans and risk assessments. Support is given to enable students to find accommodation and employment as part of the resettlement and discharge programme. A conscious decision was made earlier in the Farms history to accommodate male students only. Willowdene Farm DS0000020720.V269974.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes first inspection of the year. Care homes are inspected at least twice a year. The inspection was unannounced and took place on 2nd December 2005 between 11:30am and 14:30pm. The management team, staff on duty, and one resident who was at the home on the day of inspection, were all very welcoming and helpful throughout the inspection. All of the National Minimum Standards inspected were met identifying that the overall quality of care provided is very good. The care home has a history of meeting national minimum standards and providing a good service for people; consequently on this occasion mainly those standards identified as “key” by CSCI have been inspected. And only those key standards within the Staffing and Conduct and Management of the Home sections were inspected. Therefore to gain a full overview of the homes performance against national minimum standards both inspection reports should be read together. What the service does well: What has improved since the last inspection? There were no requirements made from the last inspection conducted in December 2004. However, since then a number of things have been improved or added such as a new shower room, a new workshop has been built for Willowdene Farm DS0000020720.V269974.R01.S.doc Version 5.0 Page 6 training in welding, new flooring has been laid in the kitchen and residents landing, re-decoration has taken place to a number of residents bedrooms, an up-grade of the computer suite and two residents were taken to Guyana with another two being taken in January 2006. 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. Willowdene Farm DS0000020720.V269974.R01.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 Willowdene Farm DS0000020720.V269974.R01.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 EVIDENCE: These standards were not fully inspected at this inspection. However, the Registered Manager stated that all referrals are assessed by the homes assessment systems before any agreement is reached on taking on an individual. A resident spoken to confirmed this process. Willowdene Farm DS0000020720.V269974.R01.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): None EVIDENCE: These standards were not fully inspected at this inspection. However, all records appeared to be appropriately handled and the Registered Manager informed the inspector that there are very detailed risk assessments and insurances in place to cover the activities offered by the home. Willowdene Farm DS0000020720.V269974.R01.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): None EVIDENCE: These standards were not fully inspected at this inspection. However, the resident interviewed did comment on the extent of personal development and community interaction the homes places its important on. He also commented on how well the staff and management team respect their rights as individuals. Willowdene Farm DS0000020720.V269974.R01.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): None EVIDENCE: These standards were not fully inspected at this inspection. The home however does not provide any personal care but appeared to assist greatly towards the emotional needs of individuals. Willowdene Farm DS0000020720.V269974.R01.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): None EVIDENCE: These standards were not inspected at this inspection. However, there is an adequate complaints procedure at the home. Willowdene Farm DS0000020720.V269974.R01.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 EVIDENCE: These standards were not fully inspected at this inspection. However, the environment appeared to be well maintained for its intended purpose. Willowdene Farm DS0000020720.V269974.R01.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 Residents are supported by a well-trained and committed staff group who are meeting the needs of each individual in a sensitive and professional manner. EVIDENCE: The staff team supporting the 12 residents at Willowdene farm continue to be highly skilled and suitably qualified. The staff team includes various people who look after different aspects of the residents’ rehabilitation. These include an Operations Manager, Therapists, Land Based Training Manager, Financial Manager, Admin & IT Tutors, Catering Manager, Resettlement Manager, Woodwork Trainer, Training Manager, Maintenance workers, House parents, Sessional Workers and Volunteers. There were 3 staff files audited at this inspection and although a high number of staff working at the Willowdene Farm are family members, these demonstrated that the home follows a robust recruitment procedure and that all requirements and checks are conducted and in place. Willowdene Farm DS0000020720.V269974.R01.S.doc Version 5.0 Page 15 Only one staff member was available to talk to at this inspection as all but one of the residents were out on an activity day. He confirmed and evidence gathered showed that staff employed at Willowdene Farm are actively encouraged to regularly update their skills and achieve further relevant qualifications. The training plan clearly demonstrates the varied but relevant training events that staff are attending. Also staff and residents attend moving and handling training, first aid updates and health and safety awareness regular intervals to coincide with the farms programme cycle. Willowdene Farm DS0000020720.V269974.R01.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): 37,39 and 42 There are clear lines of accountability within the home’s management structure and the management approach creates an open and positive atmosphere from which the residents benefit. EVIDENCE: Mr Home has completed the Registered manager’s award and also holds many qualifications specific to the work being carried out at Willowdene Farm with the students. Although he continues to take overall responsibility for implementing the homes policies and procedures he now largely supported by his son. Quality assurance is an ongoing entity at Willowdene Farm. There is an inhouse questionnaire which is completed midway through the every programme, and upon its completion, to determine the residents view about the effectiveness of the programme. All study and training courses that take place on the farm are evaluated for their effectiveness and the staff in charge of that programme will take on board the comments and action if necessary. Willowdene Farm DS0000020720.V269974.R01.S.doc Version 5.0 Page 17 Willowdene Farm places a high status on the health and safety of its residents and staff at all times. All of the staff and residents attend a health and safety course at the start of the programme as well as a moving and handling course. The majority of the staff are qualified first aiders. The residents complete a first aid at work course and first aid boxes are strategically placed throughout the house, classrooms and workshops. Protective equipment is always available and was seen to be worn appropriately. The Farms emergency lighting is checked on a monthly basis and all of the appliances used within the home and Farm are regularly serviced and maintained by suitably qualified people. The Farm maintains policies on Health & Safety, COSHH, Accident Reporting, Accident Investigation, Fire Safety, Control of Contractors and the Safe Storage of Garden Materials and Pesticides. Willowdene Farm DS0000020720.V269974.R01.S.doc Version 5.0 Page 18 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 x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X 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 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 4 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Willowdene Farm Score X X X X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 3 X DS0000020720.V269974.R01.S.doc Version 5.0 Page 19 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. Refer to Standard Good Practice Recommendations Willowdene Farm DS0000020720.V269974.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Wolverhampton Area Office 2nd Floor St. Davids Court Union Street Wolverhampton WV1 3JE 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. 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