Inspection on 17/08/05 for Church Farm Residential Home

This inspection was carried out on 17th August 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Church Farm Residential Home 01/05/07

Church Farm Residential Home 02/12/05

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 Mrs S Rodgers Unannounced 17 August 2005,09:30 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 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 H60-H11 S14454 Church Farm Residential HOme V238987 170805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Church Farm Residentail Home Address Church Farm Road, East Wittering, Chichester, West Sussex, PO20 8PT 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) 01243 672999 01243 670962 jefferyp@bupa.com BUPA Care HOmes (CFC Homes) Ltd Mrs Phyllis Ellen Jeffery CRH(PC) Care home only 60 Category(ies) of OP-Old Age-60 places registration, with number of places Church Farm Residential Home H60-H11 S14454 Church Farm Residential HOme V238987 170805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. p to 60 male and/or female service users in the category old age, not falling within any other category, may be accommodated. 2. Up to four service users under the age of 65 may be accommodated. 3. No further persons under the age of 65 may be accommodated. 4.The total number of service users to accommodated not to exceed 60. Date of last inspection 18 November 2005 Brief Description of the Service: Church Farm is a registered to provide care and accommodation 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 availabe 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 H60-H11 S14454 Church Farm Residential HOme V238987 170805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 7 hours and was carried out as part of the routine programme of inspections. Preparation for this inspection focused on a review of previous inspection reports and general correspondence. Since the last inspection an application to vary registration has been submitted and granted to allow the home to admit up to 4 residents under the age of 65 years. During the course of the inspection the inspector toured the home, spoke with residents either privately in their own bedrooms or within the communal areas of the home in order to gain a sense of how the home is being run and how they experienced living at the home. Three staff were spoken with in order to gain a sense of the support and training they receive in order to carry out their jobs and to gain insight into how their knowledge of the aims and objectives of the homes philosophy of care. From speaking with residents the inspector gained the impression that the standard of care provided by the management and the care team is of a high standard. Staff spoken with confirmed that they feel supported, the told the inspector that they are given the opportunity to undertake training in a wide range of topics one senior care assistant said that ‘she’s been able to attend external courses which I would not be able to do elsewhere’. All three confirmed that they had regular supervision, senior care assistants are supervised by senior management, senior carers themselves supervise care assistants, they confirmed that they have received training in supervision techniques. Some senior carers also undertake pre admission assessments. She confirmed that when she visits a prospective resident the takes the Statement of Purpose, Service User Guide and the homes general brochure for their information. One health professional from the local hospice was visiting a resident; she told the inspector that the care provided at Church Farm was of an “excellent standard and that staff were caring and sensitive when carrying out their duties”. The inspector also took the opportunity to observe the interaction between both residents and staff. It was noted that the atmosphere within the home was jovial and relaxed and that the staff carried out their duties in a respectful manner taking into account the dignity and privacy of residents. Some resident moving into the home have brought with them their pets. One lady made a point of speaking with the inspector to express her thanks to the Church Farm Residential Home H60-H11 S14454 Church Farm Residential HOme V238987 170805 Stage 4.doc Version 1.40 Page 6 staff for being “so kind and helpful to me when my dog was ill, staff took my dog and me to the vets and made sure we were both alright”. Following the last inspection carried out on the 18th November 2004 three of the four requirements identified at that inspection have been addressed in full. One remains outstanding. Both recommendations from the last report have been addressed. The registered provider is required to write to the Commission for Social Care Inspection by the 16th September 2005 to advise them of action taken with regards the requirement identified in this report. What the service does well: What has improved since the last inspection? Since the last inspection all residents have been provided with lockable facilities with in their private accommodation. Care plans are reviewed on a monthly basis with the involvement of resident if they wish to participate. Staff have recently received training in Adult Protection procedures. The home quality assurance and monitoring report includes the views of residents and interested parties. A development programme has been produced to identify areas that need improvement with identified time scales for completion. Since the last inspection a number of staff have received First Aid training, and a first aid box has been provided. Church Farm Residential Home H60-H11 S14454 Church Farm Residential HOme V238987 170805 Stage 4.doc Version 1.40 Page 7 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. Church Farm Residential Home H60-H11 S14454 Church Farm Residential HOme V238987 170805 Stage 4.doc Version 1.40 Page 8 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 Standards Statutory Requirements Identified During the Inspection Church Farm Residential Home H60-H11 S14454 Church Farm Residential HOme V238987 170805 Stage 4.doc Version 1.40 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,3 The pre admission assessment enables the management to determine that the needs of person admitted to the home can be met. Residents are provided with information to enable them to make an informed decision as to whether the service will meet their needs. EVIDENCE: The pre admission assessments seen on all new admission indicate that health, personal and social of a prospective residents reviewed, information gained at this time is used to devise a care plan for the prospective resident prior to them being admitted to the home. One resident spoken with confirmed that they were visited by a member of the care team prior to their admission. They confirmed that they were given the homes Statement of Purpose, Service User Guide and a general brochure. Church Farm Residential Home H60-H11 S14454 Church Farm Residential HOme V238987 170805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8 The care needs of residents are documented in individual Care Plans, which enables staff to monitor and maintain continuity of care. Arrangements are in place to ensure that health needs are met. EVIDENCE: Four care plans were reviewed. They clearly identified the individual needs of residents. Residents spoken with confirmed that they are aware that information regarding their care needs is being kept and that staff refer to them in order to carry out care tasks. Some residents spoken with told the inspector that they are not always involved in reviews, as they prefer to leave it to the care staff. Care plans contained all relevant information, including risk assessments for manual handling and nutritional information. All residents who were asked told the inspector that staff are “kind and caring”. During the course of the inspection the inspector was able to observe staff maintaining resident privacy and dignity by knocking on doors prior to entering their rooms. Care plans clearly record that each resident is registered with a GP. Records are kept of visits to or from the GP, District Nurses, and other para medical professionals. One resident confirmed that she makes her own appointments Church Farm Residential Home H60-H11 S14454 Church Farm Residential HOme V238987 170805 Stage 4.doc Version 1.40 Page 11 with her GP and other health professionals. It was confirmed that residents who are able do make their own appointments can ask the care team to do so on their behalf. Church Farm Residential Home H60-H11 S14454 Church Farm Residential HOme V238987 170805 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,15 Residents are enabled to satisfy their social, religious and recreational interests, which assists them to live a fulfilled life with in the home setting. Residents are offered a well-balanced and varied diet. EVIDENCE: Service users spoken with confirmed that they have the opportunity to take part in the homes programme of activities. Activities include quizzes, bingo, arts and crafts and general discussion. The inspector took the opportunity to observe the morning activity. Nine residents were present at the quiz session that was based on things that happened in the 60’s. Residents confirmed that they were able to take part in the planned activities or pursue their own interests as they wish. Residents told the inspector that a hairdresser attends the home regularly. The home has it’s own mini bus and trips are organised. The most recent trip was to the local falconry centre. A collage of pictures of the outing was being displayed in the reception area. Resident’s confirmed that food provided was of a good standard. A six weekly menu is followed, it was confirmed that the menus get updated at regular Church Farm Residential Home H60-H11 S14454 Church Farm Residential HOme V238987 170805 Stage 4.doc Version 1.40 Page 13 intervals. Alternatives to the main meal are available. Recent menus are kept which; clearly demonstrate that each resident is asked daily what they want to eat from the daily menu. The chef has regular contact with residents. She carries out the regular weighing session so that she is aware of any dietary issues i.e. loss or gain of weight so that she can respond promptly. Church Farm Residential Home H60-H11 S14454 Church Farm Residential HOme V238987 170805 Stage 4.doc Version 1.40 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 Systems are in place to protect resident from abuse. EVIDENCE: Staff training records clearly demonstrate that staff have recently received training regarding how to respond to suspected abuse of a service user and how to respond to verbal and/physical aggression by service users. Staff spoken with gave a good account of what they are required to do should they suspect abuse of a resident. Church Farm Residential Home H60-H11 S14454 Church Farm Residential HOme V238987 170805 Stage 4.doc Version 1.40 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,21,26 The location and layout of the home meets the needs of the current service users. EVIDENCE: Whilst touring the home the inspector was able to establish that the physical environment is well maintained. Resident’s rooms can be furnished with personal belongings which gives them a homely, individual atmosphere. All radiators are fitted with covers to reduce the risk of burning. All communal areas of the home are accessible. There are ramps in place enabling service users easy access to out door communal facilities. Although the numbers of baths do not meet the new National Minimum Standard the home continues to provide the same number of facilities as at 31st March 2002. This shortfall should be documented in the Statement of Purpose. Church Farm Residential Home H60-H11 S14454 Church Farm Residential HOme V238987 170805 Stage 4.doc Version 1.40 Page 16 The domestic staff should be congratulated. The standard of cleanliness throughout the home was of a good standard. The laundress spoken with gave a good account of the system used should bed linen or clothing become soiled. Appropriate systems are in place for the disposal of clinical waste. Church Farm Residential Home H60-H11 S14454 Church Farm Residential HOme V238987 170805 Stage 4.doc Version 1.40 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29 A recruitment procedure is in place to ensure that resident are protected. EVIDENCE: Six files of newly recruited staff were reviewed. All contained evidence that appropriate recruitment checks were undertaken however, it was noted that one reference for one employee was not on file. Mrs Jeffery advised the inspector that they had received the reference prior to the person being employed. A significant number of Polish staff are employed at the home. Systems are in place to assist them to learn English. The management allocates time for and one of the polish workers who is fluent in English to assists his colleagues, he attends training sessions to ensure that technical information is passed on accurately. The inspector noted and it was confirmed by residents and staff that there are no language barriers as the standard of English spoken by the Polish employees is of a good standard. Church Farm Residential Home H60-H11 S14454 Church Farm Residential HOme V238987 170805 Stage 4.doc Version 1.40 Page 18 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,35 Systems are in place to gain the views of residents. residents are safeguarded. EVIDENCE: The financial interest of A quality audit system is in place and the record of the outcomes of the survey was available for inspection. Monthly reports submitted to the Commission for Social Care Inspection that have been carried out by the responsible individual along with the quality assurance audit indicates that residents views are sought and auctioned if possible. The inspector was advised that residents handle their own personal finances. Residents can if they wish ask for some money to be held in safekeeping. Appropriate systems are in place to record transactions. These are audited on a regular basis. Interest is paid directly to individual residents accounts when it falls due and if they have funds in the account. Church Farm Residential Home H60-H11 S14454 Church Farm Residential HOme V238987 170805 Stage 4.doc Version 1.40 Page 19 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 x 3 x x x x 3 STAFFING Standard No Score 27 x 28 x 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 x x 3 x 3 x x x Church Farm Residential Home H60-H11 S14454 Church Farm Residential HOme V238987 170805 Stage 4.doc Version 1.40 Page 20 yes 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 29 Regulation 19 (1) Requirement Staff records must include the information and documents idnetifed in Schedule 1 Timescale for action 16.09.05 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 Good Practice Recommendations Church Farm Residential Home H60-H11 S14454 Church Farm Residential HOme V238987 170805 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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. Extracts may not be used or reproduced without the express permission of CSCI Church Farm Residential Home H60-H11 S14454 Church Farm Residential HOme V238987 170805 Stage 4.doc Version 1.40 Page 22 - 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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