Inspection on 17/05/05 for Wootton Hall Farm

This inspection was carried out on 17th May 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

Wootton Hall Farm 21/01/09

Wootton Hall Farm 06/02/07

Wootton Hall Farm 17/10/05

Wootton Hall Farm 16/12/04

Wootton Hall Farm 05/05/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

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Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Wootton Hall Farm Tiptoe Road New Milton Hampshire BH25 5SJ Lead Inspector Roy Bega Unannounced 17/5/05 07:00am 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. Wootton Hall Farm H54 S12372 Wootton Hall Farm V227489 170505.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Wootton Hall Farm Address Tiptoe Road, New Milton, Hampshire, BH25 5SJ 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) 01425 618717 Fortune Centre of Riding Therapy Miss Jane Pritchard-Williams CRH 33 Category(ies) of LD- Learning Disability registration, with number MD- Mental Disorder of places Wootton Hall Farm H54 S12372 Wootton Hall Farm V227489 170505.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1- The home is permitted to accommodate a number of service users between 15 and 25 years of age. 2- Service Users of 15 years of age are to be accommodated for the purpose of pre admission assessment only. Date of last inspection 16/12/2004 Brief Description of the Service: Wootton Hall Farm is managed by “The Fortune Centre of Riding Therapy” which is a Specialist College offering young adults who have a learning difficulty a 3 year further education course through the media of care and management of horses. This is then transferred to personal development towards independent living. Wootton Hall Farm accommodates up to 33 first and second year students annually for three academic terms. Accommodation is provided on two floors in a mixture of single and double bedrooms. The establishment is situated within the boundary of the New Forest approximately two miles from New Milton town centre. During the working day, students are provided with transport to another campus to pursue educational activities. The registered manager is Miss Jane Pritchard-Williams and the Company Director responsible for Regulation 27 visits is Mrs Jenny Baillie. Wootton Hall Farm H54 S12372 Wootton Hall Farm V227489 170505.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report summarises the assessment of the extent to which the National Minimum Standards for Care Homes for adults 18-65 were being met at the time of the inspection. Standards not inspected on this occasion will be assessed during future visits. This inspection took place between the hours of 7-15 am and 12-15 pm on the 17 May 2005, a total of 5 hours. Opportunity was taken to look around the unit, view records, talk with several students and staff on duty. The Fortune Centre of Riding Therapy is a Specialist College offering young adults who have a learning difficulty a 3 year further education course through the media of care and management of horses. Wootton Hall Farm accommodates students from the age of 16 years. ( and 15 years of age for the purpose of assessment) This inspection therefore, was also carried out in conjunction with the “Supplementary Standards for Care Homes Accommodating Young People aged 16 and 17”. Subsequent to the previous inspection and in her capacity as Head of Care, Miss Pritchard-Williams has been registered as overall manager for two other residential units within the college’s campus. There were not any requirements resulting from the previous inspection. Two requirements have been made resulting from this inspection. Students and staff were involved in the inspection. This report reflects the situation with regards to standards inspected at the time of the visit. Standards not inspected on this occasion will be assessed during future visits. What the service does well: The unit is well managed. The staff team are highly motivated appropriately trained and have good relationships with students. Students education/care plans are well documented in meeting their needs wishes and aspirations. Staff were observed to respect students rights and privacy. Wootton Hall Farm H54 S12372 Wootton Hall Farm V227489 170505.doc Version 1.30 Page 6 Students commented that staff are easy to talk to and are always available to discuss any problems at any time. Students have a stimulating and varied life being encouraged to maintain their independence, fulfil their aspirations and be part of the community. 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. Wootton Hall Farm H54 S12372 Wootton Hall Farm V227489 170505.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 Wootton Hall Farm H54 S12372 Wootton Hall Farm V227489 170505.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) 1, 2 and 3. Prospective students and their relatives are provide with appropriate information to assess whether the college will meet their needs an aspirations. Students’ needs and aspirations are fully assessed before being offered a place at the college. EVIDENCE: Miss Pritchard-Williams informed the inspector that the College’s statement of purpose is in the process of being reviewed and should be completed by 31 July 2005. Comprehensive admission assessments are in place. A random sample of inspected documents and discussions indicated all parties concerned, including prospective students are involved in the assessment process. Areas of need/aspirations covered include Personal support. Education, training and/or occupation. Family/social contacts. Assessment and management of risks. Cultural and faith needs. Physical and mental health care. Specific related needs and specialist input. Compatibility in living with others in the unit. Part of the assessment process involves students visiting the unit for one Wootton Hall Farm H54 S12372 Wootton Hall Farm V227489 170505.doc Version 1.30 Page 9 week. This was reflected in discussions with students. Education/Support plans seen, indicated they are based on individual students specific assessed needs. Students readily talked to the inspector regarding their involvement in agreeing their education/support plans. Students also openly talked to the inspector about how they enjoy their daily college work with horses. Information and discussions indicated students meet with their key worker regularly every week to assess progress and alley any concerns. Records of said meetings were made available for inspection. Students also informed the inspector that they are able to discuss any concerns they may have with staff at any time. Wootton Hall Farm H54 S12372 Wootton Hall Farm V227489 170505.doc Version 1.30 Page 10 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, 8, 9 and 10. Students are fully involved in decision making with regards to their personal education/support plans, being encouraged to take risks as part of working towards an independent lifestyle. Students are aware that information about them is shared only with staff within the college. EVIDENCE: Through discussions and observations it was evident that students are fully involved with their individual education / support plan, which covers all aspects of daily living, education and possible future employment. The unit operates a key worker system whereby a designated member of staff communicates with a designated number of students with regards to goal setting and implementation of agreed education / support plans. Discussions with students indicated that staff respect their rights to make decisions through the assessment process, which is recorded in the education/support plan. Wootton Hall Farm H54 S12372 Wootton Hall Farm V227489 170505.doc Version 1.30 Page 11 Students have a weekly 1 to 1 meeting with their key worker. Records of the meetings were made available to the inspector. As well as 1 to 1 meetings, students are divided into small learning/activity groups where matters with regards to day to day running of the unit are also discussed on a weekly basis. A student council is also in place which meets twice a term to discuss matters appertaining to daily running of the unit. Records of the meetings were made available to the inspector. Students informed the inspector, staff are very supportive in assisting them in making decisions about their personal development and aspirations. Discussions with staff on duty indicated a good awareness with regards to the importance in maintaining students confidentiality. Discussions with students indicated they trust staff to maintain confidentiality about personal information and are also aware that they need to share “stuff” about them as part of their college work. Wootton Hall Farm H54 S12372 Wootton Hall Farm V227489 170505.doc Version 1.30 Page 12 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) 11,12,13,14,15,16 and 17. Students’ rights are respected by the provision of opportunities for personal development by participating in age and peer activities both within the college and local community. A healthy diet is provides and students enjoy their meals. EVIDENCE: The Fortune Centre of Riding Therapy’s philosophy is education through the media of care and management of horses. This is then transferred to personal development towards independent living. This was evidenced as being met through observations, discussions with students and staff and checking available records. Discussions and information also indicated students are encouraged to pursue other chosen interests whilst staying at Wootton Hall Farm. The seeking of suitable employment after college” forms part of the whole education approach. Discussions with students indicated some of them have an interest to pursue employment other than horse related. Wootton Hall Farm H54 S12372 Wootton Hall Farm V227489 170505.doc Version 1.30 Page 13 Information and discussions indicated students participate in various activities as part of the whole learning process based upon the development of social, emotional, communication and independent living skills. For example - going out unsupervised, going out for an evening meal, use of transport and domestic duties. Staff provide opportunities for students to become part of and participate in the local community in accordance with assessed needs and their individual plans. Students use local facilities and are members of various clubs. For example, community centre and line dancing which they arranged themselves. Being a specialist college and having a national geographical catchment area, family access is mainly at half or end of term. three public telephones are available for students to make and receive private calls. Whist platonic relationships are encouraged, the organisation has a clear policy in discouraging intimate relationships within the unit. This policy is included in the statement of purpose and student/parent handbook. Students spoken with indicated a positive response to this policy because they have boy/girl friends back home. A menu plan was available portraying a varied and balanced diet. Students informed the inspector they are involved in menu planning as part of their social skills training. The inspector had the opportunity to have breakfast with students who readily discussed their satisfaction with regards to the quality, quantity and variety of food provided. Wootton Hall Farm H54 S12372 Wootton Hall Farm V227489 170505.doc Version 1.30 Page 14 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) 18 and 19. Staff provide sensitive and flexible personal support to maximise students privacy, dignity, independence and control over their own lives. The healthcare needs of students are assessed and recognised and procedures are in place to address them. EVIDENCE: Discussions with students indicated personal support is provided by staff in a sensitive manner. For example; Matters concerning – personal hygiene and management of unacceptable behaviour. Positive relationships were observed between students and staff on duty. During breakfast there were a lot of discussions between staff and students with regards to the day ahead and future aspirations. The college employs a nurse manager to oversee students’ health care needs. Discussions with students indicated they are supported to manage their own health care needs and are taken to medical appointments as necessary. The involvement of medical practitioners is recorded in students care plans. Wootton Hall Farm H54 S12372 Wootton Hall Farm V227489 170505.doc Version 1.30 Page 15 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 and 23. There is a clear and effective complaints procedure which includes the stages and times-scales for the process. Procedures are in place to ensure students are protected from abuse neglect and self harm. EVIDENCE: The unit’s complaints procedure was available. Students spoken with were aware of how and to whom to report concerns. Complaints and the outcome are recorded within personal files as part of daily report logs. These were made available to the inspector. It would be best practice to maintain a separate single complaint sheet within students daily report logs detailing required elements of investigations. This will assist the organisation with the requirement to provide the Commission for Social care Inspectorate (CSCI) on request a statement containing a summary of the complaints made and the action that was taken. The Commission has not received any complaints with regards to the unit subsequent to the previous inspection. The unit has two sets of protection procedures in place, one for children and young people and the other for adults. Both were made available to the inspector and assessed to be appropriate. Staff spoken with were conversant with both sets of procedures. Students spoken with portrayed an awareness of what to do if they had concerns of themselves or other students being subject to abuse. Wootton Hall Farm H54 S12372 Wootton Hall Farm V227489 170505.doc Version 1.30 Page 16 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 and 25. The premises are suitable for its stated purpose; accessible, clean, safe and well maintained. EVIDENCE: The premises are in keeping with the local community and has a style and ambiance that reflects its stated purpose. The inspector had the opportunity to walk around the communal areas which were well maintained. Furniture and fittings are of good quality and are domestic, unobtrusive and ordinary as is compatible with fulfilling their purpose. There is a planned maintenance and renewal programme for the fabric and decoration of the premises. CCTV cameras are restricted to entrance areas for security purposes and do not impinge on the daily life of students. Wootton Hall Farm H54 S12372 Wootton Hall Farm V227489 170505.doc Version 1.30 Page 17 At the time of the visit the premises were clean, hygienic and free from offensive odours. Systems are in place to control the spread of infection. Policies and procedures for control of infection include dealing with spillages, managing bodily fluids, hand washing and provision of protective clothing. Laundry facilities are sited so that soiled articles, clothing and infected linen are not carried through areas where food is stored, prepared, cooked or eaten. Wootton Hall Farm H54 S12372 Wootton Hall Farm V227489 170505.doc Version 1.30 Page 18 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) 35. Staff have clearly defined job descriptions and understand their own and other’s roles and responsibilities. A staff training and development programme is in place which meets the Sector Skills workforce training targets and ensures staff fulfil the aims of the college and meet the changing needs of students. EVIDENCE: The Fortune Centre of Riding Therapy is a Specialist College offering young adults who have a learning difficulty a 3 year further education course through the media of care and management of horses. The staff team comprises of various disciplines, which includes, care, teachers, equestrian instructors and occupational therapists who work across the whole college campus. Observations and discussions indicate that this staffing structure enhances the stated aims and purpose of the college in meeting students’ needs and aspirations. Wootton Hall Farm H54 S12372 Wootton Hall Farm V227489 170505.doc Version 1.30 Page 19 Positive relationships and mutual respect was evident between students and staff. The college has a designated person responsible for staff training and development programme. Miss Pritchard-Williams informed the inspector that structured induction training using the Learning Disability Awareness Framework (LDAF) has recently been introduced. Miss Pritchard-Williams also informed the inspector that discussions are being held with the British Institute of Learning Difficulties to provide training compatible to the students and college’s needs. Wootton Hall Farm H54 S12372 Wootton Hall Farm V227489 170505.doc Version 1.30 Page 20 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) 37, 38 and 42. Students live in a unit that is well run with an open management approach that promotes the protection, safety and welfare of students living there. EVIDENCE: Miss Pritchard-Williams has several years experience of working/management within the college. Formal qualifications include BA Honours, Arts British Horse Society; Assistant Instructor. National Vocational Qualification (NVQ) Assessor for level 3 care. Subsequent to the previous inspection and in her capacity as Head of Care, Miss Pritchard-Williams has also been registered as overall manager for two other residential units within the college’s campus. Wootton Hall Farm H54 S12372 Wootton Hall Farm V227489 170505.doc Version 1.30 Page 21 Miss Pritchard-Williams informed the inspector that as yet she has not been afforded the opportunity to commence the NVQ level 4 in management or care courses as was agreed in respect of her registration for all three units. During the visit, the inspector had the opportunity to speak with 3 staff and communicate with several students. It was evidenced through these discussions and observations that good working relationships exist between the staff group and students and staff. From observation and discussions it was also possible to assess that the management approach of the home creates an open, positive and inclusive environment. Students commented that staff are easy to talk to and are always available to discuss any problems at any time. Records seen were well kept, up to date and kept securely. Students informed the inspector that they can access them with members of staff on request. Wootton Hall Farm H54 S12372 Wootton Hall Farm V227489 170505.doc Version 1.30 Page 22 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 2 2 3 x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 4 4 4 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Wootton Hall Farm Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 3 x x 3 3 x H54 S12372 Wootton Hall Farm V227489 170505.doc Version 1.30 Page 23 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 1 Regulation 4 (1) Requirement The College’s new statement of purpose with regards to its change of status as a specialist college is to be completed by the stipulated timescale. Miss Pritchard-Williams has not been afforded the opportunity to commence the NVQ level 4 in management or care courses. You are to inform CSCI in writing by the stipulated timescale of your proposed plan to meet this requirement. Timescale for action 31/07/05 2. 2 9 (2 b1 ) 08/07/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 22 Good Practice Recommendations It would be best practice to maintain a separate single complaint sheet within students’ daily report logs detailing required elements of investigations. This will assist the organisation with the requirement to provide the Commission for Social care Inspectorate (CSCI) on request a statement containing a summary of the complaints made and the action that was taken. H54 S12372 Wootton Hall Farm V227489 170505.doc Version 1.30 Page 24 Wootton Hall Farm Commission for Social Care Inspection 4th Floor- Overline House Blechynden Terrace Southampton Hampshire 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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