Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 14/11/08 for Falcon House Care Home

Also see our care home review for Falcon House Care Home for more information

This inspection was carried out on 14th November 2008.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

People in the home live in a well-maintained environment, which is clean and warm. Staff are supervised and trained to meet their needs. There is a registered manager in place who is liked and respected by everyone at the home. People feel listened to and taken seriously by the staff at the home and people told us that they felt safe and cared for. People are given opportunities to take part in activities and offered suitable choices at mealtimes.

What has improved since the last inspection?

There has been a lot of improvement in the way care is planned and risks to people`s health are regularly assessed. There is improved access for people to receive treatment and advice from dentists and opticians to support people`s right to access National Health Services. People are consulted on their religious needs and staff record their wishes and support them to attend services. The management of medicines has improved and ensures that people receive their prescribed treatment safely. The quality rating for this service is 2 star this means that people who use the service experience good quality outcomes.

What the care home could do better:

People must have their health needs properly recorded and a care plan drawn up that describes the support they require to manage their needs safely. All complaints must be recorded and the details of the investigation and outcomes held and made available for inspection to ensure that all issues are properly addressed.

CARE HOMES FOR OLDER PEOPLE Falcon House Care Home 2 Middle Street Beeston Nottingham NG9 1FX Lead Inspector Mary O`Loughlin Unannounced Inspection 14th November 2008 09:00 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 Falcon House Care Home DS0000008673.V373204.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. Falcon House Care Home DS0000008673.V373204.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Falcon House Care Home Address 2 Middle Street Beeston Nottingham NG9 1FX 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) 0115 922 8151 0115 922 3759 Minster Care Management Limited Mrs Jacqueline Gamble Care Home 40 Category(ies) of Dementia (40), Old age, not falling within any registration, with number other category (40) of places Falcon House Care Home DS0000008673.V373204.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only:Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories:Old Age - Code OP Dementia - Code DE The maximum number of service users who can be accommodated is 40. 13th November 2007 2. Date of last inspection Brief Description of the Service: Falcon house is a purpose-built modern home providing accommodation for up to 40 people. The care home provides personal care for people who have needs due to older age and/or dementia. There are bedrooms, bathrooms, lounges and dining rooms on ground and first floor levels. The first floor can be accessed via a shaft lift or stairs. There are four shared bedrooms; all the remainder are single rooms. Individual and shared bedrooms have ensuite toilets. The home is in the centre of Beeston near to local shops and amenities. There is a car park to the rear of the home. Bus routes operate along the road outside the home. The range of fees are from £294.00 to £475.00 per week. The last inspection report is made available within the reception area of the home. Falcon House Care Home DS0000008673.V373204.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people and their views on the service provided. This process considers the provider’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. A review of all the information we have received about the home was considered in planning this visit including the Annual Quality Assurance Assessment (AQAA), and this helped decide what areas were looked at. The main method of inspection used was called ‘case tracking’ which involved selecting the care plans of 3 people and looking at the quality of the care they receive by speaking to them, observation, reading their records and asking staff about their needs. Members of staff, people who use the service and their relatives were spoken with or consulted about their views of the service through our ‘have your say’ surveys. A partial tour was undertaken by the regulation inspector, which included looking at people’s bedrooms and communal areas of the home. What the service does well: People in the home live in a well-maintained environment, which is clean and warm. Staff are supervised and trained to meet their needs. There is a registered manager in place who is liked and respected by everyone at the home. People feel listened to and taken seriously by the staff at the home and people told us that they felt safe and cared for. People are given opportunities to take part in activities and offered suitable choices at mealtimes. Falcon House Care Home DS0000008673.V373204.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. Falcon House Care Home DS0000008673.V373204.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 Falcon House Care Home DS0000008673.V373204.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): 3-6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Admissions to the home only take place if the service is able to meet the person’s needs. Intermediate care is not provided. EVIDENCE: We know from the last inspection and from information completed within the AQAA that the manager is aware of and working to good standards of practice when they arrange admissions to the home. We saw that before people are admitted the staff make sure they obtain all the information about the person and undertake an assessment of the person’s needs. This makes sure that the service only offers admission to people who’s needs they can meet. Falcon House Care Home DS0000008673.V373204.R01.S.doc Version 5.2 Page 9 People tell us that they have plenty of information about the home and its services to assist them to make a decision about coming to stay. Relatives tell us that the home provides the support and care that they expected to receive. We saw training records and talked to staff. Staff have training to enable them to meet the needs of people living in the home, such as dementia training and training in moving and handling so they can safely assist people with reduced mobility. There have been improvements in the way people are charged for their stay, they are no longer required to pay top up fees as we previously found at the last inspection. Falcon House Care Home DS0000008673.V373204.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): 7-8-9-10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have planned access and support to health services and medicines according to their wishes and needs. EVIDENCE: We undertook a random inspection of the home in June 2008 after we had received a complaint about the service. As a result of that inspection we identified some shortfalls and set requirements to ensure that people were suitably supported when they needed access to external support from dentists and opticians. At this inspection we saw that staff now complete a record for each person that reflects the referral and support to dentists and opticians. Falcon House Care Home DS0000008673.V373204.R01.S.doc Version 5.2 Page 11 We saw care plans of 3 people, which show that they are fully consulted on the care they wish to receive and the responses we received from our surveys tell us that people feel they receive the support they need. There have been further improvements in ensuring that people are assessed for any risk of them developing a pressure sore and improvements in the monitoring of their nutritional needs. Although the assessments that staff complete record health issues these were not always recorded in a plan of care and could potentially be missed by staff who are not familiar with the person. People said they receive their medicines on time and when we examined the medication systems we saw that there are robust safeguards in place and the practices are compliant with the safe custody and administration laws. Records seen within staff files show that they receive appropriate training to administer medicines. People tell us that they are treated well by staff that uphold their privacy at all times. Our observations on the day tell us that personal support provided by staff is responsive and varied according to needs. Falcon House Care Home DS0000008673.V373204.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): 12-13-14-15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are involved in meaningful daytime activities of their own choice and according to their individual interests, diverse needs and capabilities. EVIDENCE: In the responses to our surveys, people told us that there was always activities in the home that they could take part in if they choose. The home displays information to people on what activities are available each week and news on forthcoming events. We saw that people were occupied and enjoying activities during our visit. Records within care plans show that staff take time to know people’s individual preferences and offer them choices of activity to suit their needs and expectations. Falcon House Care Home DS0000008673.V373204.R01.S.doc Version 5.2 Page 13 One relative told us there is not always plentiful staff to escort people to the shops but the overall results from our surveys show that people feel they receive the support that they expected and agreed to. People we spoke to as part of case tracking said they liked the meals provided and were offered a choice each day. The dining room was spacious and people were served a traditional lunch that was appealing and nutritious. One person on a special diet told us that staff always knew about her individual needs and made special effort to ensure she was given the right diet. Falcon House Care Home DS0000008673.V373204.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): 16-18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People involved with the service say that they are happy with the service provided, feel safe and well supported but improvements are needed to make sure that the service learns from complaints and sustains required improvements. EVIDENCE: The AQAA told us that the service has received 2 complaints in the last year that they responded to within 28days. We asked to see records of complaints but these were not fully recorded, however the manager was in the process of completing a record book. People told us that they were listened to and taken seriously but small problems tended to recur after they had initially been dealt with, this caused frustration and dissatisfaction. There has been 1 safeguarding investigation received during the last year, the allegations were not upheld as part of the social services investigation. Falcon House Care Home DS0000008673.V373204.R01.S.doc Version 5.2 Page 15 Staff have access to the safeguarding adults policies and their files show they are receiving training in safeguarding issues to ensure they are fully aware of their responsibilities to protect people from abuse. Falcon House Care Home DS0000008673.V373204.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): 19-26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a physical environment that is appropriate to the specific needs of the people who live there. EVIDENCE: The AQAA tells us that they continue to decorate and renew areas of the home as required. The home was seen to be well maintained and clean throughout. Staff files show they receive training in infection control practices. There have been no preventable outbreaks of infection reported. Falcon House Care Home DS0000008673.V373204.R01.S.doc Version 5.2 Page 17 All 3 people responding to surveys said the home is always fresh and clean. Through case tracking we identified that specialist equipment for mobility and pressure relief was available and in use. Falcon House Care Home DS0000008673.V373204.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): 27-28-29-30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People have confidence in the staff who care for them and we found they have appropriate robust recruitment and training to undertake their roles safely. EVIDENCE: The AQAA tells us that over 50 of the staff team have been trained to National Vocational Level 2 in care. We examined 2 staff files and found that the service continues to recruit people safely, ensuring that all required checks including references and criminal records are obtained before people start work to protect vulnerable people from those that may be unsuitable to work with them. The manager ensures that staff have a suitable induction into their role and records each staff members training needs each year. Staff training records show they receive regular training in the needs of people they care for. 3 people who use the service responded to our surveys and they felt there was enough staff on duty to meet their needs. Falcon House Care Home DS0000008673.V373204.R01.S.doc Version 5.2 Page 19 Falcon House Care Home DS0000008673.V373204.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): 31-33-35-38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run and managed safely. EVIDENCE: The manager has the required qualifications and experience and is registered with the commission. The AQAA was hand written and not easy to read, the information in each section was minimal and did not tell us about progress with requirements. It gives us some limited detail about the areas where they still need to improve. The ways that they are planning to achieve this are briefly explained. Falcon House Care Home DS0000008673.V373204.R01.S.doc Version 5.2 Page 21 We identified during the inspection that the manager had ensured that requirements made at the last inspection had been addressed appropriately within the timescales. The manager is improving and developing systems that monitor practice and compliance with the plans, policies and procedures of the home and we saw evidence that medication systems are now audited. People using the service are regularly consulted on the services provided at the home and we saw records of how suggestions that people make at meetings do improve practices within the home. The manager told us that the service does not manage the personal monies of anyone living at the home and those people we case tracked had relatives who took care of their financial interests. The home consistently meets its health and safety obligations and we saw that the management of fire prevention and detection are followed according to the policies of the home. Falcon House Care Home DS0000008673.V373204.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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 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 2 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Falcon House Care Home DS0000008673.V373204.R01.S.doc Version 5.2 Page 23 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 OP8 Regulation 15(1) Requirement A care plan must be developed that describes any actions necessary for staff to support people’s health needs. Records must be held of all complaints and available for inspection. Timescale for action 30/01/09 2. OP16 17(3) 30/01/09 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. 2. Refer to Standard OP3 OP33 Good Practice Recommendations Confirm to people in writing that the home is able to meet their needs following your pre-admission assessment. Make sure that your AQAA records more supporting evidence to illustrate what the service has done in the last year, and how it is planning to improve. Falcon House Care Home DS0000008673.V373204.R01.S.doc Version 5.2 Page 24 Falcon House Care Home DS0000008673.V373204.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Falcon House Care Home DS0000008673.V373204.R01.S.doc Version 5.2 Page 26 - 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!