Inspection on 02/12/05 for Church Farm Residential Home

This inspection was carried out on 2nd December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 01/05/07

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 Mrs S Rodgers Unannounced Inspection 2nd December 2005 10:00 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.V264912.R01.S.doc Version 5.0 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.V264912.R01.S.doc Version 5.0 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 01243 670962 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.V264912.R01.S.doc Version 5.0 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. 17th August 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.V264912.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 6 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. 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. One staff member was 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, a number of staff were spoken with in connection with specific responsibilities and others were spoken with informally through out the day. From speaking with residents the inspector was able to ascertain that they are generally satisfied with the care and services provided. One resident said “I don’t like being here but that is not the fault of the staff, staff treat you with respect, it’s just me”. All residents spoken with were complementary regarding staff. The one staff member spoken with confirmed that she felt supported by management. She confirmed that training opportunities are available and that they are given time to undertake training. 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. Church Farm has a policy that enables residents to take their pets with them when they move into the home. At present there are two dogs residing at the home with their owners. Some resident moving into the home have brought with them their pets. Risk assessments are carried out and residents are told that if the pet does not settle or if there is a problem i.e. a heath and safety, risk, the resident may be asked to find them new homes. During the course of the inspection the fire alarms sounded twice. Staff responded promptly and followed the home fire policy and procedures. Church Farm Residential Home DS0000014454.V264912.R01.S.doc Version 5.0 Page 6 The requirement identified at the inspection carried out on the 17 August 2005 was addressed in agreed timescales. There was one requirement identified at this inspection, the manager is requested to inform the Commission in writing by the 5 January 06 of what action is being taken to ensure compliance with the regulations including the date by which the work will be completed. Where standards have not changed from the previous inspections this report records that the findings were the same. Core standards not inspected at this inspection were met in full at the previous visit. What the service does well: What has improved since the last inspection? Mrs Jeffery advised the inspector that since the last inspection one senior night staff carer has undertaken training in supervision of staff and now undertakes supervision for all night staff. This has led to improved communication between night and day staff. The requirement regarding recruitment records has been addressed. Church Farm Residential Home DS0000014454.V264912.R01.S.doc Version 5.0 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 DS0000014454.V264912.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Church Farm Residential Home DS0000014454.V264912.R01.S.doc Version 5.0 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 the following standard(s): 6 Intermediate care is not provided by this service. EVIDENCE: Church Farm Residential Home DS0000014454.V264912.R01.S.doc Version 5.0 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 the following standard(s): 9,10 Systems are in place for the receipt, recording, storage, handling, administration and disposal of medication. Residents are treated with respect and their privacy is upheld. EVIDENCE: The home has a contract with a local pharmacy. The pharmacist visits the home regularly to review systems and to carry out some staff training. Medication is administered via the NOMAD system. The medication is already pre dispensed by the pharmacist. A senior staff member orders medication monthly. Two members of staff check in medication and quantities received are written on the medication record sheets (MAR sheets). Records of the administration of medicine were in good order. Recent pictures of residents are kept with their medicine record sheets. Allergies are also recorded. All medication is kept in a locked cupboard. One resident was self-administering medication at the time of this inspection. A risk assessment was available. Church Farm Residential Home DS0000014454.V264912.R01.S.doc Version 5.0 Page 11 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 confirmed 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. Residents confirmed that they are able to access telephones in private and that their mail is handed to them unopened. Church Farm Residential Home DS0000014454.V264912.R01.S.doc Version 5.0 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 the following standard(s): 13, 14 Residents are assisted to maintain contact with family, friends, representatives and access the community. Residents are assisted to exercise choice over their daily lives. EVIDENCE: Residents spoken with confirmed that they are enabled to maintain contact with family, friends and representatives. Residents told the inspector that their friends were always made to feel welcome, this was also witnessed by the inspector as the manager invited one visitor to have lunch with her relative when she visited. The Statement of Purpose and Service User Guide advise residents and their representatives of the visiting times. Residents are also enabled to access the local community. The home has it’s own mini bus. The inspector was able to look at the homes photograph albums that record outings one of which was to the local falconry centre. Residents said that they are able to exercise choice and control over lives. Those who were asked said they are assisted to develop and maintain an independent lifestyle within their own capabilities. The inspector also Church Farm Residential Home DS0000014454.V264912.R01.S.doc Version 5.0 Page 13 witnessed staff asking residents if they wished to take part in the day’s activities. Staff were observed to be respectful of residents. Church Farm Residential Home DS0000014454.V264912.R01.S.doc Version 5.0 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 the following standard(s): 16 Residents are able to raise concerns via the homes written complaints procedure. EVIDENCE: There is a clear complaints procedure, which is included in the Statement of Purpose and Service User Guide. The records of complaints were reviewed. Residents who were asked were aware of the compliant procedure and said that they would use it if required. Residents spoken with confirmed that they would be able to raise any concerns that they have with Mrs Jeffery her deputy or a member of the care team. Church Farm Residential Home DS0000014454.V264912.R01.S.doc Version 5.0 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 the following standard(s): 19.23,26 Some fire safety equipment is in need of maintenance or replacement. Resident’s private rooms are appropriate for their needs. The home was clean, pleasant and hygienic EVIDENCE: The fire safety report date 6 October 2005 indicates that some work to the fire safety equipment is required i.e. replacement of intrumescent strip in some doors, fire detectors in cupboards and some treads on stairs to staff flats need refastening. The maintenance person assisting the inspector confirmed that some work had already been complete and quotes are being sought. From touring the building the inspector was able to establish that the home is well maintained. Private accommodation appears appropriate for 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.V264912.R01.S.doc Version 5.0 Page 16 The standard of cleanliness through out the home was of a high standard. Systems are in place to dispose of clinical waste and appropriate protective clothing is supplied to both domestics and care staff. Laundry facilities are appropriate for the needs of the current residents. Systems are in place to deal with soiled linen. Chemicals hazardous to health are stored in lockable cupboards. Church Farm Residential Home DS0000014454.V264912.R01.S.doc Version 5.0 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 30 Staff were on duty in sufficient numbers to meet the needs of the current resident. The skill mix of staff was observed to be appropriate. 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 indicate that they receive a wide range of training opportunities. Seven care staff have a NVQ Level 2 or above and approximately ten staff have been enrolled on a NVQ course to commence in the New Year. Records seen and staff spoken with at this inspection evidence that staff receive induction training, and are offered the opportunity to undertake an NVQ qualification. The home has a full time training officer who co-ordinates staff training. 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. Church Farm Residential Home DS0000014454.V264912.R01.S.doc Version 5.0 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38 The health and safety of resident is promoted and protected EVIDENCE: All staff receive training in safe working practices. Maintenance records indicate that the physical environment is maintained in order to ensure the health and safety of residents. Risk assessments are undertaken on a wide range of topics such as the physical environment and any risk that may compromise the health and safety of residents and staff i.e. moving and handling. Risk assessments are also undertaken when a new staff member is employed to identify any areas that might indicate a training need. The home also carries out risk assessments for staff members who have a identified medical condition, the assessment identifies what action is should be taken to ensure their health and safety, the assessments are undertaken in consultation and with the permission of the Church Farm Residential Home DS0000014454.V264912.R01.S.doc Version 5.0 Page 19 individual staff members Records required to be kept by legislation were in good order and up to date. Church Farm Residential Home DS0000014454.V264912.R01.S.doc Version 5.0 Page 20 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 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 2 X X X 3 X X 3 STAFFING Standard No Score 27 3 28 X 29 X 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X X X X X X 4 Church Farm Residential Home DS0000014454.V264912.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? No 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 OP19 Regulation 23 (4) (a) Requirement The registered person must take adequate precautions against the risk of fire. Timescale for action 05/01/06 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.V264912.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Worthing LO 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 DS0000014454.V264912.R01.S.doc Version 5.0 Page 23 - 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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