Inspection on 01/05/07 for Church Farm Residential Home

This inspection was carried out on 1st May 2007.

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

Church Farm Residential Home 02/12/05

Church Farm Residential Home 17/08/05

Church Farm Residential Home 18/11/04

Church Farm Residential Home 13/07/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Church Farm Residential Home Church Farm Lane East Wittering Chichester West Sussex PO20 8PT Lead Inspector Ms B Tye Key Unannounced Inspection 10:00 1st May 2007 X10015.doc Version 1.40 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 Church Farm Residential Home DS0000014454.V336136.R01.S.doc Version 5.2 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 Older People. 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. Church Farm Residential Home DS0000014454.V336136.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Church Farm Residential Home Address Church Farm Lane East Wittering Chichester West Sussex PO20 8PT 01243 672999 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) jefferyp@bupa.com www.bupa.co.uk BUPA Care Homes (CFC Homes) Limited Mrs Phyllis Ellen Jeffery Care Home 60 Category(ies) of Old age, not falling within any other category registration, with number (60) of places Church Farm Residential Home DS0000014454.V336136.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Up to 60 male and/or female service users in the category of old age, not falling within any other category, may be accommodated. The registered person may from time to time admit up to 4 persons between the ages of 60 and 65 years The total number of service users to be accommodated not to exceed 60. 2nd December 2005 Date of last inspection Brief Description of the Service: Church Farm is a registered to provide care and accommodation up to 60 residents in the category OP, Old age not falling into any other category. The registration of Church Farm also allows for up to 4 residents under the age of 65 years to be accommodated. The property is primarily a single story building however there are some rooms on first floor level. Although the home does have a number of double rooms available the majority are used for single occupancy. Communal space is provided in 3 lounge areas, one of these is a designated smoking area, a dining room and conservatory. The home also has its own hairdressing salon. The home is situated on the outskirts of the village of East Wittering. Church Farm is owned by BUPA Care Homes Limited, the responsible individual on behalf of the organisation is Mr Stuart Pendlebury. The registered manager in charge of the day-to-day running of the home is Mrs Phyllis Jeffery. Church Farm Residential Home DS0000014454.V336136.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced visit was carried out at 10am and lasted for 6 hours. The inspector spoke to several service users currently living in the home, to 4 of the staff on duty and also to the assistant manager. A tour of the building was undertaken during which private bedrooms and all communal areas were seen. The inspector observed lunch being served and medication being dispensed, in addition to care practice during the visit. Five care plans were tracked with any relevant issues were discussed with service users and the assistant manager. Staff records were examined for 3 new staff members and 3 long standing staff. Records for the running of the home were seen including fire, health and safety records, medicine administration sheets, training and induction books, accident sheets, water temperature charts and complaints records. Prior to the visit the inspector read the last two inspection reports and any other documentation and correspondence relating to the service. Additional information was gained from comment cards sent out to relatives, health professionals and residents. Fourteen were returned in total and all made positive comments about the home. In the absence of the registered manager, the deputy manager assisted with the visit and received feedback. What the service does well: The home is well decorated and homely with an attractive garden, patio and bird aviary available for the use of residents. Residents are well cared for and their health and social needs are met. All residents spoken to praised the staff and were complimentary about the service they received. Residents are encouraged to pursue a wide range of activities, both in the home and wider community. Regular meetings for staff and residents enable them to feedback and have their say about how the home is run. Training is of a high standard and staff have the opportunity to participate in a range of training appropriate to the needs of the residents. Administration and office records are in excellent order with monthly audits in place to ensure records are completed in full and kept up to date. Church Farm Residential Home DS0000014454.V336136.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Church Farm Residential Home DS0000014454.V336136.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Church Farm Residential Home DS0000014454.V336136.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Prospective residents and their families receive sufficient information to allow them to make a choice about whether they would like to live in the home. Needs are fully assessed and visits to the home prior to admission are encouraged. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a Statement of Purpose and Service User Guide in place, which provides comprehensive information regarding the services and facilities. This informs residents about what is on offer at the home. Visits to the home for prospective residents and their families are encouraged. The manager and her deputy carry out pre-admission assessments prior to admission to ensure the home can meet the needs of each individual. In addition to this the home obtains relevant medical information and social services assessments as appropriate. Church Farm Residential Home DS0000014454.V336136.R01.S.doc Version 5.2 Page 9 Each resident receives a contract setting out the terms and conditions of occupancy and the document is agreed and signed by the resident or their representative. These were seen on individual files. The contacts ensure residents are fully aware of their rights and agree to them. Residents spoken to confirmed that they were able to visit the home prior to making a choice. All said that the experience had been very positive and staff were supportive and helpful. The home does not provide intermediate care. Church Farm Residential Home DS0000014454.V336136.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. There is comprehensive and current information detailed in individual care plans. Medication is dispensed by staff that are appropriately trained. Residents are treated with respect and their right to privacy is upheld. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents told the inspector that they felt they are treated with respect and that their privacy is maintained. Residents, who were asked, confirmed that staff knock on doors before they enter their rooms. They also stated that staff maintain their privacy and dignity whilst carrying out care duties by making sure that bathroom doors are locked whilst they are bathing etc. Up to date care plans in the home contain detailed information to inform the staff of the health and social care needs of each person. Each care file for residents contains personal details, assessments, correspondence, risk assessments, medical charts and relevant health details. Good layout of the plans ensures staff members can easily access information. Church Farm Residential Home DS0000014454.V336136.R01.S.doc Version 5.2 Page 11 Those spoken to demonstrate they are aware of the daily care needs of each resident in respect of their health, social, emotional and personal issues. Risk assessments are included on files, as are the individual wishes and aspirations of each person. The care plans are reviewed monthly and the manager or senior staff document changes and sign the plan. This ensures staff are kept fully up to date with individuals changing care needs. Where appropriate residents are referred to specialist health professionals through the GP who visits the home on a weekly basis. Residents confirmed they were able to see the GP on request. All staff complete medication training and there are policies and procedures in place to support this. Signed disclaimers from residents were seen by the inspector, which enable residents to take care and control of their own medication where appropriate. Lockable cabinets are provided for residents to store medicines in their rooms. Medicine administration sheets were examined and found to be up to date, with no gaps or errors. Church Farm Residential Home DS0000014454.V336136.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Residents are supported to maintain contact with family, friends, and representatives and access the community. Residents’ rights to exercise choice over their daily lives are promoted. There is a range of varied activities on offer at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The people living in the home said that they were encouraged to be as independent as possible and confirmed that lifestyle choices are respected. The home has a daily activities programme, which includes bingo, music concerts, armchair exercise, musicians, pat dogs, reminiscence, social events and day trips. Information relating to activities is posted on the community notice boards throughout the home on a weekly basis. This enables residents to plan their diaries and participate in the activities of their choice. Each Friday residents are offered a trip out to the local community. Religious services take place in the home and residents are escorted to the community to attend religious services as they wish. Church Farm Residential Home DS0000014454.V336136.R01.S.doc Version 5.2 Page 13 Residents care plans reflected their individuals’ preferences in relation to their social and leisure needs. This information matched the feedback from residents and observations by the inspector on the day. There is a community newsletter available to the residents on a monthly basis. In addition a parish newsletter is on display. The home now has a cat in residence, which the residents have great affection for. Formal resident and relatives meetings, of which the inspector examined minutes, are held on a regular basis. These give people involved in the home the opportunity to feedback and participate in how the home is run. Residents are able to receive visitors at any time. Policies and procedures relating to visitors to the home are in place and up to date. This ensures staff and residents are clear about the homes expectations. Menus show that a variety of fresh, home cooked meals are available and residents have there nutritional needs assessed. Special diets such as diabetic and pureed meals are available. Several residents need pureed food and this was blended separately to look attractive. Some residents need assistance with feeding and a part of the lounge has been designated as a “quiet area” where staff can spend time assisting people with their meals in an unhurried manner. Church Farm Residential Home DS0000014454.V336136.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Complaints are taken seriously and acted upon. Staff training and working practice are designed to protect residents from risk of abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaints procedure in place. A copy of which is included in the Statement of Purpose and Service User Guide. The home has monthly complaints and compliments audit sheets, which are completed by the manager and overseen by head office. This ensures all issues of this nature are recorded and where appropriate investigated. There have been no formal complaints in the home since the last inspection. All residents and relatives stated they would be happy about approaching the manager or staff if they were unhappy about something and they were confident that their concerns would be addressed. There are policies and procedures in place with regard to protecting vulnerable adults from abuse, and county procedures where seen in the staff office. During the last year staff members have attended Vulnerable Adults training. All staff are required to undertake this as part of their induction to the home. Staff members spoken to during the visit demonstrated an awareness of their responsibilities should they suspect abuse had taken place in the home. This Church Farm Residential Home DS0000014454.V336136.R01.S.doc Version 5.2 Page 15 ensures residents are protected by the staff’s appropriate action should an incident occur. Church Farm Residential Home DS0000014454.V336136.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. The home offers a high standard of comfort and facilities for the people who live there. Bedrooms are all individually personalised and the home is clean, pleasant and hygienic. This judgement has been made using available evidence including a visit to this service. EVIDENCE: From touring the building the inspector was able to establish that the home is well maintained. The standard of cleanliness through out the home is high. Residents commented on the cleanliness of the home and each said their rooms were cleaned daily Private accommodation suits the needs of individual residents. Residents confirmed that they are able to furnish them with small items of their own furniture. Each room seen was individually personalised giving a homely atmosphere. Church Farm Residential Home DS0000014454.V336136.R01.S.doc Version 5.2 Page 17 In addition to en-suite facilities the home has shared bathrooms and toilets, which provide ample facilities to the residents. There is a hoist, bath aids and specialist equipment to promote the independence of those who require assistance with personal care. Anti bacterial soap was evidenced at shared sinks. Laundry and sluice facilities are provided. Policies and procedures are in place for infection control, and all of the staff have attended relevant training for infection control and health and safety procedures. This promotes good practice in the area of safety and welfare for the residents and reduces the risk of infection spreading within the home. There is a passenger lift for residents with limited mobility to access all floors of the house. All radiators throughout the home have been covered. A call bell system is provided in every room so staff can attend an emergency situation swiftly, should it arise. The maintenance log showed all maintenance was completed as required on a regular basis by a handy man employed by the home. Although this post is currently vacant an employee of another local home is completing the maintenance. This means the resident’s environment is kept safe and well maintained at all times Whilst touring the building it was noted that some resident’s wedge their doors open during the day. Risk assessments have been completed for this in conjunction with the fire department and are held on individual care plans. Work has been underway for all the fire doors in the home to be fitted with self-closing devices. Completion of these works is expected by the end of the year. Church Farm Residential Home DS0000014454.V336136.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Residents in the home are supported by a committed, caring and well-trained staff team and recruitment records are in good order. Staff are on duty in sufficient numbers to meet the needs of the current resident group. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Duty rotas seen at the inspection indicate that staff are employed in sufficient numbers to meet the needs of the current residents. Staff training records demonstrate that they receive a wide range of training opportunities. Eleven of the twenty care staff have a NVQ Level 2 or above. All new staff members receive a comprehensive in-house induction to the home and then go on to complete a comprehensive training programme in line with current legislation and residents care needs. Each staff member has an individual training record in place. There is evidence that a variety of courses are undertaken including the management of challenging behaviour, fire safety, dementia, nutrition, health and safety, bedside rails, activities, manual handling, medication and the protection of vulnerable adults from abuse. Each member of staff is required to update their knowledge on a regular basis. Church Farm Residential Home DS0000014454.V336136.R01.S.doc Version 5.2 Page 19 The home has comprehensive policies and procedures to support training, in line with current legislation to safeguard the interests and rights of the residents and staff. There is a robust recruitment procedure in use in the home and files for staff, seen by the inspector contained the required documentation including two references. All staff members have up to date Criminal Bureau Checks. Staff attend regular staff meetings and care practice meetings, which enable them to have the opportunity to contribute to care practice and the way the home is run. Staff were observed to be relaxed and confident whilst carrying out their duties. The inspector noted that they were also respectful when talking or assisting residents. The people living in the home, and relatives who completed questionnaires spoke very highly of the staff team and said that they were kind and very caring. This was reflected by the observed interactions between staff and residents on the day of inspection. Church Farm Residential Home DS0000014454.V336136.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. The health, safety and welfare of residents are promoted and protected through good, clear systems and record keeping. The inspector concluded the management of the home was competent and overall committed to the best interests of the service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager of the home was on holiday but interviews with residents, staff members and comment cards were very complimentary about her commitment to the development of the home and her open management style. Church Farm Residential Home DS0000014454.V336136.R01.S.doc Version 5.2 Page 21 Records show regular supervision is provided by the deputy manager. Staff spoken to stated they were clear about their roles and responsibilities and felt supported by the management and other team members. The homes insurance is up to date. The recent Quality Assurance report and inspection report from the Commission are displayed in an area accessible to residents and parties involved in the home. All care records are kept in a locked office to maintain confidentiality. The inspector examined all health and safety records including fire checks, accident book, maintenance checks, water temperatures, regulation 22 reports and environmental risk assessments. Records required to be kept by legislation were in good order and up to date. Well-maintained administrative systems at the home promote all aspects of health and safety. The manager and her deputy on a regular basis monitor these systems. Senior management on their visits to the home then oversees all documentation. It was evident the management style at the home suits the residents and staff team, enabling them to work and live positively within the environment. Residents were observed expressing their views confidently and staff responded with consideration and respect, reflecting a positive ethos within the home. Church Farm Residential Home DS0000014454.V336136.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 4 3 X 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 3 X 4 Church Farm Residential Home DS0000014454.V336136.R01.S.doc Version 5.2 Page 23 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 Church Farm Residential Home DS0000014454.V336136.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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. Extracts may not be used or reproduced without the express permission of CSCI Church Farm Residential Home DS0000014454.V336136.R01.S.doc Version 5.2 Page 25 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!