Care Home: Pound Farm

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What the care home does well People are supported to develop life skills and self confidence. Some people have been able to move into their own homes and some others are working towards this. The new people who have moved in had been given information about the home and they were encouraged to visit and try out the service. A new person moved in during our visit and she was given a very warm welcome. She had been visiting regularly over recent weeks to help her settle in quickly. All feedback from people living in the home was positive. People chose their Keyworkers so they are supported with decisions by someone they trust. People are involved in choosing new staff to work in the home. People told us they like the staff and they listen to their views. One said, `They help me to look after myself`. People are encouraged to make complaints within the home so they learn these skills for life in general. Their care plans are up to date and include personal aims. People are supported to be independent. For example people now prepare all their food in their own flats and the main kitchen has closed. One man is aiming towards going to the post office alone. Another is waiting for a flat to come up so he can move to his chosen location. People told us they enjoy the activities they are involved in such as caring and showing the sheep, making wooden garden items to sell, attending a variety of college courses. Mr. Fletcher said eight people have chosen to take part in course held over this year, about the complexities of relationships, which is being run at Pound Farm by GloucesterGuide Post Trust. There is a plan to offer more holidays including opportunities for people to go abroad. People are helped to be independent by the use of pictures and symbols. For example, two men who share a flat are using a list with symbols to help them buy the right food out of the weekly food budget they manage. People continue to have busy social lives of their choice. They take part in day trips, holidays, evenings out with friends, visiting family and following hobbies. People are well supported with their physical and emotional health care needs. Two people are now managing their own medication. One family told us, `Our son has been at the home for 12 years and we recommend and commend the Charity for the service and the support provided for the whole family`. Another family told us, `We are really happy with our son`s care, we are incredibly grateful that he has such a full and happy life and is so well supported`. A Doctor told us, `The care staff know people very well. They are punctual and use medical services appropriately. They are proactive about people`s health needs and people seem well cared for`. What the care home could do better: Mr. Fletcher showed in the AQAA that the home is being well managed in the best interest of the people living there. He has a clear idea of how to continue developing the service without our input. For example, an experienced Advocacy worker has been employed by the Charity to support people to give feedback and ideas to the Board of Directors of the Charity. Random inspection report Care homes for adults (18-65 years) Name: Address: Pound Farm Gorsley Nr Ross-On-Wye Herefordshire HR9 7SL three star excellent service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Jean Littler Date: 0 6 0 4 2 0 1 0 Information about the care home Name of care home: Address: Pound Farm Gorsley Nr Ross-On-Wye Herefordshire HR9 7SL 01989720546 01989720188 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Dean Edward Fletcher Type of registration: Number of places registered: Conditions of registration: Category(ies) : Salters Hill Charity Limited care home 14 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 14 The maximum number of service users who can be accommodated is: 14 The registered person may provide the following category of service only: Care Home Only (Code PC) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD) 14 Date of last inspection Brief description of the care home Salters Hill Charity, a charity set up to provide residential care for adults with learning disabilities opened Pound Farm in 1988. Salters Hill Charity Ltd has another care home in Herefordshire and runs another service in Gloucestershire under the Supporting People arrangements. Pound Farm provides a service to 14 adults whose primary care Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home needs arise from learning disabilities. The emphasis at Pound Farm is on the people who live there playing an active role in the day-to-day life of the Home, ongoing learning and skill development and on enjoying a full and active life. The accommodation is provided in a farmhouse style house and an adjoining barn, both buildings are devided into flats for groups between two and four people. The extensive grounds are used to grow vegetables and keep farm animals. Involvement in the care of the garden and the animals is an important element in the Homes statement of purpose, which indicates that prospective service users need to have an interest in this type of lifestyle. A small day care service is also offered to people who live at other of the groups homes and in the local community. Information about the service is available from the Home. The fees are worked out on an individual needs basis and the current rates are between £414 and £562 per week. People pay a contribution towards these from the benefits they receive. In addition to the basic fees people pay for their personal items such as toiletries and clothes, personal services such as chiropody and hairdressing, personal phone calls, and a contribution towards the TV licence and holiday costs. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: We, the Commission, carried out this Random Inspection over three hours to check if the judgement made at the last Key Inspection, on 28th June 2007, is still correct. We concluded that this is the case and the outcomes for people using the service are still Excellent To check this we did the following things:- We looked at some records about peoples care, medication and money. We spoke to some of the people living in the home about their lives and future plans. They showed us around their home. We spoke to staff and the manager, Mr. Fletcher, about how the home is managed. Some people living in the home, their relatives, health professionals and staff gave us their views in surveys. Mr. Fletcher sent information about the service to us before the visit in the Annual Quality Assurance Assessment. This told us what he thinks the service does well and what future plans there are. What the care home does well: People are supported to develop life skills and self confidence. Some people have been able to move into their own homes and some others are working towards this. The new people who have moved in had been given information about the home and they were encouraged to visit and try out the service. A new person moved in during our visit and she was given a very warm welcome. She had been visiting regularly over recent weeks to help her settle in quickly. All feedback from people living in the home was positive. People chose their Keyworkers so they are supported with decisions by someone they trust. People are involved in choosing new staff to work in the home. People told us they like the staff and they listen to their views. One said, They help me to look after myself. People are encouraged to make complaints within the home so they learn these skills for life in general. Their care plans are up to date and include personal aims. People are supported to be independent. For example people now prepare all their food in their own flats and the main kitchen has closed. One man is aiming towards going to the post office alone. Another is waiting for a flat to come up so he can move to his chosen location. People told us they enjoy the activities they are involved in such as caring and showing the sheep, making wooden garden items to sell, attending a variety of college courses. Mr. Fletcher said eight people have chosen to take part in course held over this year, about the complexities of relationships, which is being run at Pound Farm by Gloucester Care Homes for Adults (18-65 years) Page 4 of 8 Guide Post Trust. There is a plan to offer more holidays including opportunities for people to go abroad. People are helped to be independent by the use of pictures and symbols. For example, two men who share a flat are using a list with symbols to help them buy the right food out of the weekly food budget they manage. People continue to have busy social lives of their choice. They take part in day trips, holidays, evenings out with friends, visiting family and following hobbies. People are well supported with their physical and emotional health care needs. Two people are now managing their own medication. One family told us, Our son has been at the home for 12 years and we recommend and commend the Charity for the service and the support provided for the whole family. Another family told us, We are really happy with our sons care, we are incredibly grateful that he has such a full and happy life and is so well supported. A Doctor told us, The care staff know people very well. They are punctual and use medical services appropriately. They are proactive about peoples health needs and people seem well cared for. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 6 of 8 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 7 of 8 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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