Care Home: Village Farm

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What the care home does well The home is in a quiet and peaceful wooded setting. The service user is cared for in a clean and very pleasant environment and the home is decorated to a high standard. The service user and his relative made positive comments about the care they received and had the relative had muchpraise for the staff team and manager, mentioning the homely atmosphere and the fact that all concerned including the social worker were very comfortable with the quality of the care given. The relative added that the transition from the previous care home had gone very smoothly thanks to the attentions of the staff team. The staff group is well trained and knowledgeable about the person living at the home and how they prefer to be cared for. The service user is encouraged to make choices about their daily lifestyle and individual likes and dislikes are catered for. What has improved since the last inspection? Not applicable. What the care home could do better: The service user, his relative and care staff did not mention any issues of concern and we found no issues on the day of the inspection. Key inspection report Care homes for adults (18-65 years) Name: Address: Village Farm Village Farm Newark Road Norton Disney Lincolnshire LN6 9JS two star good service The quality rating for this care home is: A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Julie Western Date: 1 1 0 8 2 0 0 9 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should:  Be safe  Have the right outcomes, including clinical outcomes  Be a good experience for the people that use it  Help prevent illness, and promote healthy, independent living  Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home:  3 stars – excellent  2 stars – good  1 star – adequate  0 star – poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought 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 The mission of the Care Quality Commission is to make care better for people by:  Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice  Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983   Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Information about the care home Name of care home: Address: Village Farm Village Farm Newark Road Norton Disney Lincolnshire LN6 9JS 01522789354 01522789354 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Gemma Sue Collins care home 5 Number of places (if applicable): Under 65 Over 65 5 0 learning disability Additional conditions: The maximum number of service users who can be accommodated is: 5 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 - Code LD Date of last inspection A bit about the care home Village Farm is a detached barn conversion dating from 2006, on the edge of the village of Norton Disney, which has a pub. The larger village of Bassingham is over a mile away and has shops and a post office. An hourly bus service runs between Lincoln and Newark. The building comprises five ensuite bedrooms, a large living room, dining kitchen and staff room. There is an annexe which houses the office and laundry room. The home is registered to provide care and support for up to five younger adults with a learning disability. Outside there are gardens and a paddock. The core weekly fees are £1,683 and information on these and the homes facilities are available from the manager. Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home How we did our inspection: This is what the inspector did when they were at the care home This was an unannounced visit and it formed part of a key inspection, focusing on key standards, which have the potential to affect the health, safety and welfare of people who use the service. Throughout this report the terms we and us refer to The Care Quality Commission (CQC). The visit lasted approximately two hours and we took into account previous information held by us including service history and records of any incidents that we had been notified of. Before we made our visit the provider had returned the Annual Quality Assurance Assessment (AQAA). This gave us information about their own assessment of how well they are meeting standards and their plans to improve aspects of the service. The main method used to carry out the inspection is called case tracking, which includes following the care of people through their records and assessing their care. We spoke the person using the service and two staff members. The manager was present throughout the visit and the general outcomes of the visit were discussed with her. What the care home does well The home is in a quiet and peaceful wooded setting. The service user is cared for in a clean and very pleasant environment and the home is decorated to a high standard. The service user and his relative made positive comments about the care they received and had the relative had much praise for the staff team and manager, mentioning the homely atmosphere and the fact that all concerned including the social worker were very comfortable with the quality of the care given. The relative added that the transition from the previous care home had gone very smoothly thanks to the attentions of the staff team. The staff group is well trained and knowledgeable about the person living at the home and how they prefer to be cared for. The service user is encouraged to make choices about their daily lifestyle and individual likes and dislikes are catered for. What has got better from the last inspection What the care home could do better The service user, his relative and care staff did not mention any issues of concern and we found no issues on the day of the inspection. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Julie Western CPC1 Capital Park Fulbourn Cambridge Cambridgeshire CB21 5XE 01223771300 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 4. The report of this inspection is available from our website http:/www.cqc.org.uk/. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line - 0870 240 7535. Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from a thorough assessment and can be assured that their needs will be met. Evidence: We saw the statement of purpose and the service user guide. Both were up to date and contained information about the home. The current service user was living several hundred miles away and by the time he arrived at Village Farm, he was familiar with the look of the home, its layout and which room was to be his from pictures and descriptions taken to him. Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Detailed care plans help students to develop their independence, whilst risks are minimised. They are consulted about their daily lives, and supported in an individualised and respectful way. Evidence: The service user had a very detailed care plans, which link clearly with their assessment. They included needs such as communication, self-care and health care. The plans show what his likes and dislikes were, and they also showed how he made their own choices or decisions. Records show that staff have received training about the new legislation. Very detailed risk management plans were in place, and covered needs such as self-injury, mental state, kitchen access, vulnerability and travel. They also covered any restrictions to choice or freedom, where there was a high risk to the health or safety of the person.. The manager said that the care plan was due for review this month and risk assessments were reviewed every month. Achievements were clearly recorded. We saw records showing that relevant people were consulted about, and agreed to care plans. A relative spoken with said that the service user had a very good quality of life at the home. They also said that the service user is helped to maintain and develop their independence. Staff we spoke with showed that they have a very clear understanding of the needs of the service user. They responded to the service user in a respectful way, and offered gentle reassurances where necessary. Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from a wide range of social and educational opportunities, which help them to develop their skills and live a fulfilling life. Evidence: On the day of the inspection the service user was going to a science park in Sheffield accompanied by two staff members. He said he was going to do some climbing on an assault course there. We saw a diary of all the activities he had done since he came to the home ans he also kept a scrapbook of places he had been. He had recently been on a local fun run, bowling, shopping, the Heights of Abraham and Cleethorpes. The manager said that he has recently secured a place at the local College on a Towards Independence course. Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good arrangements to make sure that health needs are met, and they are protected by the medication policies and procedures. Evidence: We saw the medical file, which contained information about the health needs of the service user, and this information links with care plans. Again care plans are detailed and show staff how to support needs such as behaviours and emotional needs. Records showed that weight is monitored. The service user has an allocated key worker so that they have a consistent support network. Staff described how any personal support was provided in a private and dignified way and decisions about things like what time the service user got up in the morning were respected. Records show that staff receive training in how to administer medications in a safe way and there are clear medication records. The local pharmacist visited in June and verified that medication procedures were satisfactory. Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are protected by clear procedures for handling complaints and allegations of abuse, and by the knowledge of staff who are well trained. Evidence: There is a clear policy about complaints and the local authority procedures were available in the home. Staff demonstrated a good knowledge of what abuse is and how to protect students. Records show that they receive training in this subject. There have been no complaints. The relative of the service user said they knew how to make a complaint but said they had not had to make any complaints. Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People enjoy a clean, comfortable and homely environment, which is well maintained. Evidence: On the day of the visit the home was very clean, tidy and well maintained. Bedrooms were well decorated and furnished, and the room which was occupied was personalised to the taste of the individual. The service user recently had a bath installed as he preferred that to the shower originally installed. He said that he liked his room. Records we saw showed that electrical, water and fire equipment is tested regularly. The grounds were safe and well tended, with a paddock for pet sheep. Staff demonstrated their understanding of infection control practice and the home smelled fresh and clean throughout. Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A well-trained and supported staff team ensures that people are cared for safely. Evidence: We looked at records for three staff members. The recruitment records included criminal record bureau checks, application forms and two written references. They also contained identification and interview records. Staff members we spoke with said that they receive a good induction and training package, and training records we saw confirmed this. The manager said that all care staff either have the NVQ [a nationally recognised qualification] at level 2 or are working towards it and all senior staff have or are working towards NVQ at level 3. Staff said that they receive training in subjects such as fire safety, moving and handling, and medication administration. Records show that supervision sessions are carried out regularly with staff, and they confirmed this during discussion. They said that there is good teamwork within the home, and they get good support from their colleagues. They also said that there are good communication systems within the home such as handover periods. Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed, which means that people receive a good standard of care and support. The systems within the home protect their health, safety and welfare needs. Evidence: The manager has worked in the care profession for 11 years, four of these in a management position. The home was registered in August 2008 and has recently admitted its first resident. Staff said that they have good management support and that there are regular staff meetings. Records we saw supported this. Pre inspection information shows that there are a range of health and safety policies in the home such as fire safety, infection control, and moving and handling. Records are also available to show that fire safety equipment is checked regularly, and there is a fire risk assessment in place. Quality monitoring arrangements include regular monthly audits by a company of consultants. The records of these audits are reviewed and any identified issues can be addressed. Are there any outstanding requirements from the last inspection? Yes  No  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, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action 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 Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description 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 Helpline: Telephone: 03000 616161 or 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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