Inspection on 14/07/05 for Dr French Memorial Home Ltd

This inspection was carried out on 14th July 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 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

Dr French Memorial Home Ltd 16/09/06

Dr French Memorial Home Ltd 03/11/05

Dr French Memorial Home Ltd 14/12/04

Dr French Memorial Home Ltd 27/07/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Dr French Memorial Home Ltd 13 Nether Street Finchley London N12 7NN Lead Inspector Tom McKervey Announced 14 July 2005 @ 09.30 am 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. Dr French Memorial Home Ltd G59 S10424 Dr French V230929 14.07.05 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Dr French Memorial Home Ltd Address 13 Nether Street, Finchley, London N12 7NN 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) 020 8445 4353 020 8445 4353 Gwyneth M Bowden for Dr French Memorial Home Ltd Florence Somers PC Care Home only 30 beds Category(ies) of DE(E) Dementia over 65 registration, with number OP Old Age of places Dr French Memorial Home Ltd G59 S10424 Dr French V230929 14.07.05 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Limited to 30 people of either gender who fall into the category of old age (OP) and who may have dementia (DE(E)). 2. One specific service user who is under 65 years of age can reside in this home. The condition will need to be reviewed when he vacates the home. Date of last inspection 14 December 2004 Brief Description of the Service: Dr. French Memorial Home is a care home which is registered to provide care for 30 older people, some of whom may have dementia. The home has charitable status and is run by a voluntary committee. The stated aim of the home is; “To support residents to continue living as independently as possible by receiving care and support consistent with their incapacities and disabilities”. The home consists of a large two-storey, detached building. There are 24 single bedrooms and 3 double bedrooms, located on the first and second floors. Fifteen single bedrooms have en-suite facilities, and there are eight toilets, three bathrooms and a shower. On the ground floor, there are two lounges, a dining room, a hairdressing salon, an activities room and two offices.There is a large, secluded, attractive garden at the rear of the premises and a car park at the front. The home is situated near the busy Tally Ho Corner in Finchley, North London and there are good public transport links. Dr French Memorial Home Ltd G59 S10424 Dr French V230929 14.07.05 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was completed in seven hours. The lead inspector was accompanied by Wendy Heal, another inspector from the Commission for Social Care Inspection. The registered manager was present throughout the inspection and fully cooperated in the process. The inspection included a tour of the premises, talking to ten residents, two relatives and nine staff, including carers, cleaners and catering staff. Residents’ case files and other documents pertaining to the efficient running of the home were examined as part of the inspection process. Prior to the inspection, eight relatives sent comments about the service to the inspector, which were very complimentary about the home, the management and the staff. What the service does well: What has improved since the last inspection? The security of the premises has been improved by installing railing and lockable gates. An audit of the quality of the service has been carried out, which includes the views of the residents and their representatives. The recruitment of staff has improved by better checking with the Criminal Records Bureau, and staff now receive regular supervision. New staff receive a written induction when they start working at the home. Dr French Memorial Home Ltd G59 S10424 Dr French V230929 14.07.05 Stage 4.doc Version 1.30 Page 6 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. Dr French Memorial Home Ltd G59 S10424 Dr French V230929 14.07.05 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Dr French Memorial Home Ltd G59 S10424 Dr French V230929 14.07.05 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4 & 5. Standard 6 does not apply. Service users and their representatives are able to make an informed decision about the suitability of the home from being provided with good information and the offer of trial visits. There are good assessments of service users to ensure that the home can fully meet their needs. EVIDENCE: The Statement of Purpose has been reviewed and amended to show the new management structure in the home. The records of one service user who had recently been admitted, were examined. They contained a local authority contract of terms and conditions, and included the fees charged. The contract was signed by all relevant parties. Dr French Memorial Home Ltd G59 S10424 Dr French V230929 14.07.05 Stage 4.doc Version 1.30 Page 9 The case file examined, contained comprehensive assessments by a care manager and the manager of the home. Standard 4 was assessed by reading care plans and other documents, observing the care provided and speaking to residents and relatives, all of whom expressed a high level of satisfaction with the service. Typical comments received were; “Excellent – we are very happy with the care received by Mum-in-Law. We visit the home regularly”, and “The home, under the excellent supervision of Florence Somers and her caring staff have brought my mother back from the brink and actually reversed the aging process”. Service users and relatives who were spoken to, stated that they had been able to visit the home prior to moving in. Dr French Memorial Home Ltd G59 S10424 Dr French V230929 14.07.05 Stage 4.doc Version 1.30 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, 9, 10 & 11. Good care plans are drawn up for residents, which provide guidance and support for staff to meet residents’ needs. The staff provide a high standard of care, in a manner which meets the expectations and wishes of service users’ and their representatives, and medication is administered safely. EVIDENCE: Four care plans were examined. They contained thorough assessments, goals and objectives of care. The care plans were reviewed monthly. The case files seen, contained a range of healthcare appointments, for example; G.Ps, district nurses, opticians and dentists. At the time of the inspection, there were no incidents of pressure sores. The medication standard was inspected. The MAR sheets showed that there was proper recording of administration of medicines. There was a separate register and cupboard for storing Controlled Drugs. The residents stated that they were always treated with dignity and respect by the staff, who were observed to be very kind and courteous in their interactions with the residents during the inspection. The inspector noted that the funeral wishes of service users and/or their representatives are recorded in a special book. Dr French Memorial Home Ltd G59 S10424 Dr French V230929 14.07.05 Stage 4.doc Version 1.30 Page 11 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, 13, 14 15. The home provides a good quality of life, and the residents’ experiences match their interests and needs. Residents are able to exercise choice about their lives and are provided with high quality food. EVIDENCE: An activities organiser provides a varied and appropriate activities programme, including arts and crafts, music and reminiscence. A hairdresser was present during the inspection. The home subscribes to the “Pet a Dog” scheme, which was observed to be very popular with the residents during the inspection. The visitor’s book showed that there were frequent visits to the home from friends and relatives. Residents’ religious needs are met by attendance at local churches and the provision of religious services in the home. An inspection of residents’ rooms showed that they were individually decorated to a high specification. There was ample evidence that service users were able to bring in personal items of furniture and other effects to personalise their bedrooms. The inspector was impressed with the quality of the personal touches in bedrooms, such as, the bed linen, which made the rooms very attractive. Dr French Memorial Home Ltd G59 S10424 Dr French V230929 14.07.05 Stage 4.doc Version 1.30 Page 12 Residents told the inspector that they were free to choose when to go to bed and get up. They also stated that they were consulted about what they would like to eat. Some service users have solicitors or relatives who manage their personal finances, and one service user has an advocate to act for them. The menus were very varied and nutritious in content. The residents confirmed that they were very satisfied with the food and that they could choose an alternative to the menu if they preferred. An inspection of the kitchen showed that food was stored and prepared safely. Dr French Memorial Home Ltd G59 S10424 Dr French V230929 14.07.05 Stage 4.doc Version 1.30 Page 13 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) 16, & 18 Appropriate systems are in place to address service users’ concerns and complaints. There are also adequate procedures to protect service users from potential abuse. However, staff training in this subject needs to take place so that staff are better equipped to protect service users. EVIDENCE: The home has an appropriate complaints procedure. No complaints were recorded in the last 12 months and residents and relatives stated that they were satisfied with the service and had no complaints. There is an adult protection procedure in place and although there is a “Whistle-blowing” policy, staff did not appear familiar with this term or the contents of the procedure. A recommendation is made for this to be addressed at staff meetings. The manager is an accredited trainer in abuse awareness, and stated that she intended to start training the staff in this important subject. A requirement is made to ensure that a training programme is initiated. Dr French Memorial Home Ltd G59 S10424 Dr French V230929 14.07.05 Stage 4.doc Version 1.30 Page 14 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, 20, 23, 25 & 26 Residents benefit from an attractive, homely and generally well-maintained home. However, there is a potential risk to residents’ safety from non-adherence to some fire regulations. EVIDENCE: Dr French Memorial Home Ltd G59 S10424 Dr French V230929 14.07.05 Stage 4.doc Version 1.30 Page 15 A tour of the premises was carried out. The home employs its own handyperson who is responsible for general maintenance and repairs. The furnishings, lighting and décor, provide a very pleasant and homely environment. The garden, which is also accessible by wheelchair users, looked well maintained and particularly attractive. New railings and gates at the front of the building, offer better security for the home, which has been a long-standing problem. The inspector noted that several bedroom doors were wedged open, and some radiators did not have covers to protect residents from injury. Requirements are made to address this issue. Otherwise, the home was very well maintained. Several bedrooms were visited. They were individually decorated to a high specification. The inspector was impressed with the quality of the personal touches which made the rooms very attractive. The home employs a team of cleaning staff. At the time of inspection, the home was very clean and tidy and there were no offensive odours. There is a control of infection policy in place, and the laundry was appropriately equipped. Dr French Memorial Home Ltd G59 S10424 Dr French V230929 14.07.05 Stage 4.doc Version 1.30 Page 16 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) 27, 29 & 30 Service users’ needs are being met by a group of appropriately recruited and competent staff. EVIDENCE: At the time of the inspection, there were twenty-five residents living at the home and three vacancies. The staff rotas showed that there is normally four staff in the morning, five in the evening and three staff on waking night duty. A senior member of staff sleeps in and provides back-up support if necessary. In addition to the care staff, there is a team of cleaning, catering and administrative staff. The records of four new staff who had been recruited since the last inspection were sampled. All staff had an application form, references, fitness to work documents and proof of identity. Clearances from the CRB had been obtained. Staff had been given appropriate inductions to the home and ongoing training was being provided in food hygiene, manual handling, health and safety, etc. Staff who were spoken to, stated that their training needs, including National Vocational Qualifications, were being met by their employer. Dr French Memorial Home Ltd G59 S10424 Dr French V230929 14.07.05 Stage 4.doc Version 1.30 Page 17 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) 31, 32, 33, 36 & 38 Service users benefit from living in a home which is well managed, with excellent leadership being provided to staff. However, there is a risk to residents and staffs’ health and safety because of poor adherence to fire regulations. EVIDENCE: The registered manager is accountable to a board of trustees. She is supported by a deputy and two senior assistants. There is also two administrative staff. The manager stated that she had completed her training for the Registered Managers Award and was awaiting the results. Dr French Memorial Home Ltd G59 S10424 Dr French V230929 14.07.05 Stage 4.doc Version 1.30 Page 18 Feedback from service users, staff and relatives was positive about the management style in the home and the manager’s ability to run the home efficiently. The inspector noted that there was a good atmosphere and that the interactions between the manager, staff and service users were friendly, but business-like. The minutes of residents and staff meetings showed that they were involved in the running of the home. There was evidence that staff receive regular supervision to support them in their work. The fire logs were seen and confirmed that the alarms were being tested weekly in different zones in the building. Fire drills were also carried out. However, the inspector was concerned to find several bedroom doors wedged open, which contravenes fire regulations. A requirement is made to address this. Temperatures of food, fridges and freezers were recorded daily. There were certificates of safety for fire, electrical, gas and water installations and appliances, and there was a current employer’s liability insurance certificate on display. Cleaning materials were stored safely and securely. There were records that regular health and safety checks were carried out. Dr French Memorial Home Ltd G59 S10424 Dr French V230929 14.07.05 Stage 4.doc Version 1.30 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 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 4 15 3 COMPLAINTS AND PROTECTION 3 3 x x 3 x 2 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 3 3 3 x x 3 x 2 Dr French Memorial Home Ltd G59 S10424 Dr French V230929 14.07.05 Stage 4.doc Version 1.30 Page 20 No 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. 2. 3. Standard 18 19 25 & 38 Regulation 12(1)(a) 13(4)(a) 13(4)(a) Requirement The registered person must provide training for all staff in adult protection. The registered person must ensure that all radiators have covers. The registered person must ensure that bedroom doors are not wedged open. Timescale for action 30/10/05 30/10/05 31/8/05 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 18 Good Practice Recommendations The registered person should ensure that all staff are familiar with the contents of the Whistle-blowing procedure. Dr French Memorial Home Ltd G59 S10424 Dr French V230929 14.07.05 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection Solar House 1st Floor, 282 Chase Road Southgate London, N14 6HA 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 Dr French Memorial Home Ltd G59 S10424 Dr French V230929 14.07.05 Stage 4.doc Version 1.30 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. 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. 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