Inspection on 27/02/06 for Willowdene Farm

This inspection was carried out on 27th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 02/12/05

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 Joy Hoelzel Unannounced Inspection 27th February 2006 12:30 Willowdene Farm DS0000020720.V275984.R01.S.doc Version 5.1 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.V275984.R01.S.doc Version 5.1 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.V275984.R01.S.doc Version 5.1 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.V275984.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd December 2005 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.V275984.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over two hours on Monday 27th February 2006 and is the second of the two statutory inspections for 2005/06. Nine people are currently in residence and are fully supported with a highly skilled staff group. During the morning residents had been attending a training course in welding, with various activities arranged for the afternoon period. This inspection focused on the ‘key’ standards that were not inspected at the previous visit in December 2005. Relevant documents were inspected, discussions were held with residents and staff and a tour of the farm was conducted. What the service does well: What has improved since the last inspection? The farm is now accredited with various awarding bodies and provides and offers many opportunities to the residents for educational and vocational training. The members of staff present a proactive and innovative commitment to the development and improvements to the service. Willowdene Farm DS0000020720.V275984.R01.S.doc Version 5.1 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. Willowdene Farm DS0000020720.V275984.R01.S.doc Version 5.1 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.V275984.R01.S.doc Version 5.1 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): YA 1,2,3, 4,5 The information provided to current and prospective service users is presented in an exemplary clear manner enabling them to make a properly informed choice about the home EVIDENCE: The home has produced a detailed and comprehensive statement of purpose in addition to the resident’s handbook. Both documents are readily available to all prospective residents and other interested parties. The healthcare professionals and staff at the home prior to a person moving in undertake a full assessment of need. One resident confirmed that he had been interviewed and had visited the farm prior to the decision being made for him to move into the home. A letter confirming the placement is kept in the individual’s case file. The home offers a very specialised service to people with a previous drug dependency and provides clear information about the purpose, duration of the stay and requirements of the rehabilitation programme. A copy of the terms and conditions of residency is included in the statement of purpose and is discussed at the referral stage of the admission procedure. A signed copy is included in the individual’s case file. Willowdene Farm DS0000020720.V275984.R01.S.doc Version 5.1 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): YA 7, 8, 9 The care plans are comprehensive and concise, with clear indicators for the progression of the rehabilitation programme. EVIDENCE: The residents are fully involved in the development of their care plan, it is reviewed every 6-8 weeks with personal goals being identified for set periods throughout the programme The plan sets out the programme calendar with dates of reviews training assessment and completion planning, projected discharge date and a resettlement plan. Full details of health, legal status and education/employment history are taken at the point of admission. The restrictions on choice and freedom required as part of the rehabilitation programme are discussed and agreed with the residents. The whole programme is designed to promote individual achievement and success in living a drug free life. One resident discussed the difficulties in achieving this aim prior to being included on this programme. The residents are encouraged and supported in decision making, any limitations that are identified as part of the structured programme are fully discussed with each individual. The home has very clear guidelines for Willowdene Farm DS0000020720.V275984.R01.S.doc Version 5.1 Page 10 restricting contact with people outside of the home during the first few months of residency. All identified risks and hazards are assessed and reviewed at regular intervals. A risk assessment is undertaken for any home leave that is taken during the programme, one resident stated that staff discuss issues with residents before they leave the home and then again on their return. Willowdene Farm DS0000020720.V275984.R01.S.doc Version 5.1 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 the following standard(s): YA 12,13,15,16,17 Residents are offered the opportunity to gain experience and training in many occupational areas to prepare them for employment at a later date. EVIDENCE: The home now has full college status and is accredited with various awarding bodies for 20/25 recognised qualifications. The training director discussed the difficulties with some residents with numeracy and literacy skills and this training is included in the educational programme. An IT suite is available for all residents with the opportunity for developing computer skills. The staff team assist residents with completing applications for employment, undertaking interviews and finding appropriate accommodation as part of their rehabilitation programme. Restrictions are in place for accessing community based activities, due to the very complex needs of the residents. However, social and leisure activities are organised each week, where the environment is deemed as safe, and include swimming, ten pin bowling, fishing and golf. Visits from family and relatives are restricted and are made on an arranged basis only. For the first three months and especially for the first month social Willowdene Farm DS0000020720.V275984.R01.S.doc Version 5.1 Page 12 contact is restricted due to the complexities of each individual and as part of the therapeutic process. The daily routines and house rules are clearly set out in the statement of purpose and residents handbook. It is the expectation that all residents will partake in the daily household chores and for dealing with their own laundry. A structured isolation policy is operational where access to mail, telephone and family contact is restricted, as the programme progresses the restrictions are lifted subject to an assessment of risk and conformity and success of the programme. All food is provided at the home for the residents on a mainly ‘help yourself’ basis. The staffs prepare the midday meal. There are clear guidelines for residents for the preparation and eating of food with the kitchen being open and available for food from 9am until 9.30pm. Willowdene Farm DS0000020720.V275984.R01.S.doc Version 5.1 Page 13 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): YA 18, 19, 20 Staff encourage and assist the residents in all areas of healthcare support. The medication administration procedure is safe and secure. EVIDENCE: Willowdene does not provide personal care to any of the residents. The healthcare needs are very well met with access facilitated to the G.P, dentist, optician and chiropodist when required. The registered manager explained that these areas of healthcare support are needed as they are often neglected when a person is a drug user. Medication is kept to an absolute minimum with only homely remedies being given. Where there is a medical need for other medications to be prescribed, the medicines are stored in a locked cupboard with the onus being placed on the resident to ensure that the medication is available from staff at the correct time. Each administration of medication is recorded, with the dosage and time it was given, and signed by the member of staff. Willowdene Farm DS0000020720.V275984.R01.S.doc Version 5.1 Page 14 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): YA 22,23 Procedures are in place should a person wish to complain about the service. EVIDENCE: The registered manager stated that no complaints have been made and none have been sent directly to Commission for Social Care Inspection. The complaint procedure is included in the statement of purpose and residents handbook. One resident stated that if he had any concerns, grumbles or complaints he would be able to discuss the issues with a member of staff. The home has a robust procedure for dealing with potential abuse issues; the resident’s handbook contains a section on what constitutes unacceptable practice by staff. The registered manager explained the procedure for dealing with and the safe keeping of personal monies when necessary. Willowdene Farm DS0000020720.V275984.R01.S.doc Version 5.1 Page 15 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): YA 24, 30 The standard of the environment is good providing residents with a secure and comfortable place to live EVIDENCE: Willowdene Farm is most appropriate for the stated client group being in a quiet village in the rural area of Shropshire. The home consists of kitchen, laundry, dining room, large lounge, quiet area, large decked area outside of the lounge, storage for boots and Wellingtons, showers and toilets. Other buildings and workshops are located within the farm area for the various training programmes included in the rehabilitation schedule. The comprehensive policy for dealing with laundry is clearly set out and included in the resident’s handbook. The laundry is well equipped with domestic type appliances and all appeared to be in working order. Hand washing facilities are available in all areas on the farm. Willowdene Farm DS0000020720.V275984.R01.S.doc Version 5.1 Page 16 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): EVIDENCE: These standards were not fully inspected at this inspection. Willowdene Farm DS0000020720.V275984.R01.S.doc Version 5.1 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): EVIDENCE: These standards were not fully inspected at this inspection. Willowdene Farm DS0000020720.V275984.R01.S.doc Version 5.1 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 Standard No Score 1 4 2 4 3 4 4 3 5 4 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 4 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score N/A 4 3 X X X X X X X X Willowdene Farm DS0000020720.V275984.R01.S.doc Version 5.1 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.V275984.R01.S.doc Version 5.1 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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