Inspection on 24/05/07 for Fallowfield House

This inspection was carried out on 24th May 2007.

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

Fallowfield House 21/09/06

Fallowfield House 30/01/06

Fallowfield House 04/07/05

Fallowfield House 18/11/04

Fallowfield House 09/07/04

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

CARE HOMES FOR OLDER PEOPLE Fallowfield House Fallowfield House Malvins Close Blyth Northumberland NE24 5HN Lead Inspector Karena M Reed Unannounced Inspection 24th May 2007 11:45 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 Fallowfield House DS0000000520.V336576.R02.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. Fallowfield House DS0000000520.V336576.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fallowfield House Address Fallowfield House Malvins Close Blyth Northumberland NE24 5HN 01670-356775 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) Mrs M Powers Mr R Powers Mrs Diane May Care Home 12 Category(ies) of Dementia (1), Dementia - over 65 years of age registration, with number (5), Mental Disorder, excluding learning of places disability or dementia - over 65 years of age (1), Old age, not falling within any other category (5) Fallowfield House DS0000000520.V336576.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registration DE is specific to a named resident. The CSCI must be notified when this person leaves the home at which time the registration will revert to OP(6). 21st September 2006 Date of last inspection Brief Description of the Service: Fallowfield House is a large, detached house situated in a residential area in the town of Blyth, it is close to the town centre. It is also very close to the Northumbrian coast and the nearby countryside. It is registered to provide personal care to twelve older residents, whose needs may include memory loss or mental health problems, past or present. The home does not provide nursing care. All bedrooms are for single occupancy. A passenger lift is not available but some bedrooms are located on the ground floor of the property. There are two lounges and a separate dining room that is also used as a quiet area when meals are not being served. Both living rooms overlook a large, well - maintained garden to the back of the building. There are two bathrooms one contains equipment that can be used to assist with getting in and out of the bath. A Statement of Purpose and service user guide are available for prospective residents and their relatives to give them information about the services provided by the home and the relevant charges. Fees payable for living at the home at the time of inspection in May 2007 vary between £358.30 and £414. Additional charges are payable for hairdressing, private chiropody, and personal newspapers. Fallowfield House DS0000000520.V336576.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. How the inspection was carried out Before the visit: We looked at: • • • • • Information we have received since the last inspection on 21st September 2006. How the service dealt with any complaints and concerns since the last visit. Any changes to how the home is run. The provider’s view of how well they care for people. The views of people who use the service and their relatives, staff and other professionals. The visit • An unannounced visit was made on May 24th 2007 During the visit we: • • • • • • Talked with people who use the service, relatives, staff, the manager and visitors. Looked at information about the people who use the service and how well their needs are met. Looked at other records that must be kept. Checked that staff had the knowledge, skills and training to meet the needs of the people they care for. Looked around the building to make sure it was clean, safe and comfortable. Checked what improvements had been made since the last inspection. We told the provider what we found. Comments from residents and relatives include: “We inspected a number of homes in this area and decided this was for our needs.” “No problems well looked after.” “Staff listen to what I say most of the time.” Fallowfield House DS0000000520.V336576.R02.S.doc Version 5.2 Page 6 “I receive medical support and well looked after.” “Sight is impaired so cannot take part in all activities.” “Food is really good.” “The meals are exceptional.” “Staff are always polite and pleasant.” “I like living here.” “I am very happy living here, I do not wish to go elsewhere and the staff are great.” “We are very happy with the care provided.” “The establishment is very well run.” “… is very happy here and very much appreciates the care given by staff.” “.. gets what food she asks for and if she doesn’t care for a meal an alternative is always available.” What the service does well: The home is well maintained and decorated. There is a good level of staff training to give staff more understanding about the different needs of residents. The home offers prospective residents whatever length of time they need to decide if they wish to live at the home. There is a selection of social activities and outings available if residents wish to become involved. There is very good standard of record keeping. Detailed information is given to prospective residents about the services provided by the home. Fallowfield House DS0000000520.V336576.R02.S.doc Version 5.2 Page 7 Detailed information is also collected about a new resident to ensure staff can provide the necessary levels of care and support to the person. A wholesome, varied menu is available for residents. Residents have the opportunity to pursue their religion if they wish to. What has improved since the last inspection? What they could do better: Photographs must be available on staff files. Fallowfield House DS0000000520.V336576.R02.S.doc Version 5.2 Page 8 The kitchen floor must be replaced in the interests of health and safety. 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. Fallowfield House DS0000000520.V336576.R02.S.doc Version 5.2 Page 9 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 Fallowfield House DS0000000520.V336576.R02.S.doc Version 5.2 Page 10 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): 1,3,4,5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Useful information is given to prospective residents about the home. The home collects enough information about the needs of prospective residents before they move in to help ensure staff are aware of the amount of care and support needs of the resident as they settle in. Staff receive training to give them the knowledge and insight to help understand the needs of residents and to provide the necessary levels of care and support to individual residents. Residents and their relatives are very welcome to visit the home to assess its suitability. Fallowfield House DS0000000520.V336576.R02.S.doc Version 5.2 Page 11 EVIDENCE: The Home’s Statement of Purpose and service user guide were examined and they contained the necessary information as required by the Care Homes Regulations 2001. Records for four of the residents showed that when they were admitted to the home an assessment of their care needs had been carried out before their admission. The resident and relevant people who knew them were involved in the initial assessment. The assessment form encourages staff to explore issues relating to equality and diversity as it refers to gender, cultural, religious/spirituality, educational and social histories, preferred daily routine and preferences. It also looks at mood, speech, behaviour, mental health, risks, sexuality and living skills. This information and the care manager’s assessment of the resident’s care needs were used to ensure all the needs of the resident could be met by staff. The records contained a range of information. Staff receive training so that they are aware of some of the specialist needs of the residents. Staff have received the necessary statutory training: Fire Training, Moving & Assisting, Food Hygiene, First Aid, Safe Handling of Medication, Protection of Vulnerable Adults, Infection Control. Developmental training includes: Challenging Behaviour, Falls awareness, Nutrition and Healthy Eating, Health and Safety, Mental Health, Dementia Care, Care Planning and National Vocational Qualifications at levels 2 and 3. Residents have the opportunity to visit the home as often as they need in order to decide if they want to live there. A resident may come for meals, have overnight stays and be introduced to other residents at the home at a pace suitable to the individual. Fallowfield House DS0000000520.V336576.R02.S.doc Version 5.2 Page 12 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 excellent. This judgement has been made using available evidence including a visit to this service. There are excellent arrangements in place to ensure that the health and social care needs of residents’ are met. There is a system of reviewing the changing care needs of residents. Residents are well supported by staff and most care plans show the amount of care and support that staff are providing to residents. There are full arrangements in place to ensure residents health care needs are met. Staff receive training before they are able to administer medication to residents. Residents are treated with respect and their right to privacy is upheld. Fallowfield House DS0000000520.V336576.R02.S.doc Version 5.2 Page 13 EVIDENCE: There are detailed assessments in the residents’ care plans. Personal support needs are well documented and give clear instructions to staff on how to support people in tasks such as washing, bathing, dressing, remaining mobile in order to help retain some independence. Care plans are amended and reviewed on a monthly basis by the resident’s key workers, (staff who have special responsibility for each resident). Residents and their families or representatives are involved in the process. Moving and handling assessments are in place. Technical aids and equipment is available for residents. Residents care records showed that they have access to external health care services. GPs and Community Nurses were regularly consulted for advice and treatment. Records show district nurses visit the home as required and residents are helped to use chiropody and optical services at least annually or as often as required. Training records showed senior staff members receive training about medication before they are able to administer it to residents. Medication records looked at for two residents were correctly recorded and signed by staff. No resident administers their own medication currently. A monitored dosage system has been introduced into the home made up and delivered regularly by the community pharmacist this reduces the amount of handling of medication by staff . All of those residents spoken to, who could comment, said that they were treated well by the staff and well cared for. Attention was paid to service users’ dignity and staff were seen to act respectfully at all times. Risk assessments are in place. Care records, conversation with staff and observation showed the privacy and dignity of residents are respected. Comments include: Fallowfield House DS0000000520.V336576.R02.S.doc Version 5.2 Page 14 “I receive medical support and well looked after.” Fallowfield House DS0000000520.V336576.R02.S.doc Version 5.2 Page 15 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): 11,12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A variety of activities and outings are available to residents. Residents maintain contact with family and friends as they wish. Staff help more dependent residents to exercise some choice and control over their lives. Residents enjoy a wholesome and varied diet. EVIDENCE: Activities are available for residents these include: cake decorating, art and crafts, gardening, video afternoons, drinks, bingo, sing-a-long, manicurist, hairdressing, sherry afternoons and coffee mornings. Various parties are also arranged, which are well supported by relatives and families. Fallowfield House DS0000000520.V336576.R02.S.doc Version 5.2 Page 16 Residents have the opportunity to visit the local community with relatives and staff. Staff ask each resident about their wishes, interests and choices. The cook talks with the residents to collect up to date ideas for making the menus and finding out about the food likes and dislikes of residents. Residents are also asked daily what they wish to eat from the menu selection. At least two hot meals are provided daily and an alternative is available at teatime. Residents were very positive about the food: On the day of inspection, the lunch served was chicken curry and rice and a substantial alternative. Comments include: “Food is really good.” “The meals are exceptional.” “.. gets what food she asks for and if she doesn’t care for a meal an alternative is always available.” Fallowfield House DS0000000520.V336576.R02.S.doc Version 5.2 Page 17 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. The complaints procedure is available to remind people coming into the home of their right to complain. Residents are protected from abuse. EVIDENCE: The home’s complaints procedure is available in residents’ records. There is a complaints procedure to inform people visiting the home of how they could complain if necessary. Residents have access to a complaints procedure that assists and supports them to bring any matters to the attention of staff outside of the home in case they felt uncomfortable bringing any complaints or concerns to the attention of staff within their home. There is a complaints procedure on display within the home for the use of residents and their relatives. The home keeps a record of complaints and none had been received since the last inspection. Fallowfield House DS0000000520.V336576.R02.S.doc Version 5.2 Page 18 Staff have received training about Protection of Vulnerable Adults and Prevention of Abuse. Staff have received training about working with behaviour that may be challenging. All staff have completed a twelve- week Dementia Care course that has given them more insight into the needs of people with memory loss. Fallowfield House DS0000000520.V336576.R02.S.doc Version 5.2 Page 19 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): 19,23,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a homely, comfortable and safe environment. Residents’ bedrooms are personalized. There is a very good standard of hygiene around the home. EVIDENCE: There is a programme of redecoration and improvements around the home. Fallowfield House DS0000000520.V336576.R02.S.doc Version 5.2 Page 20 Residents all enjoy their own bedrooms with their personal belongings around them. Residents are encouraged to personalize their bedrooms with small items of their own furniture if they choose to. The home was clean, well decorated and well maintained with a very good standard of hygiene apart from the kitchen floor tiles were split and worn in some areas. Fallowfield House DS0000000520.V336576.R02.S.doc Version 5.2 Page 21 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. Residents’ needs are met by the numbers and skill mix of staff. Systems are in place to ensure residents are in safe hands. There are sound recruitment policy and practices in place to protect residents. Staff are trained to meet the care needs of residents. EVIDENCE: Examination of staff rotas and discussion with the person in charge and members of the staff team showed that the numbers of staff are as follows: 9.00am- 3.00pm 3.00 pm –9.00pm 9.00pm9.00 am 3 staff 2 staff 2 care staff DS0000000520.V336576.R02.S.doc Version 5.2 Page 22 Fallowfield House These numbers include the manager. At least two days of the week the proprietor is also available and working at the home. There is a senior staff member on each shift. There is a vacancy for one staff member. Other staff members are employed for duties such as food preparation, maintenance and cleaning. Staff stated that they enjoyed working in the home and were observed to be kind, caring and respectful to residents. A stable committed staff team has worked at the home for several years. The necessary checks are being carried out prior to the workers being appointed. Two written references were available for the staff files examined from the most recent employers. An application form had been completed for each staff member. CRB checks are carried out before a person is appointed. Photographs were not available on all staff files. Staff receive Skills for Care induction previously TOPSS. Over 98 of the care staff team have now achieved National Vocational Qualifications at level 2 some are also studying or have obtained level 3. Staff and their records showed that they also receive advice and /or training in other areas such as Fire Training, Moving & Assisting, Food Hygiene, First Aid, Safe Handling of Medication, Protection of Vulnerable Adults, Infection Control. Developmental training includes: Challenging Behaviour, Falls awareness, Nutrition and Healthy Eating, Health and Safety, Mental Health, Dementia Care, Care Planning and National Vocational Qualifications at levels 2 and 3. Comments include: “Staff are always polite and pleasant.” “I like living here.” “I am very happy living here, I do not wish to go elsewhere and the staff are great.” “We are very happy with the care provided.” Fallowfield House DS0000000520.V336576.R02.S.doc Version 5.2 Page 23 “The establishment is very well run.” “… is very happy here and very much appreciates the care given by staff.” Fallowfield House DS0000000520.V336576.R02.S.doc Version 5.2 Page 24 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): 31,33,34,35,36,37,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ live in a home that is well run and managed for the benefit of residents. Residents’ financial interests are safe guarded. The standard of record keeping is good. Staff receive regular supervision. The health, safety and welfare of residents and staff are promoted and protected. Fallowfield House DS0000000520.V336576.R02.S.doc Version 5.2 Page 25 EVIDENCE: The registered manager has worked at the home for several years having begun as carer. She has completed the Registered Manager’s award. Discussion and observation maintain that she puts the needs of the residents first and promotes an ethos amongst staff of involving staff and residents in decision making within the home. A sample of records were inspected which included: the Home’s Statement of Purpose and service user guide, the home’s maintenance contracts, 4 care plans, 2 personal allowance records, the fire log, accident book, admission /discharge book, complaints record, staff communication book, staff meeting minutes and four staff files. All records as required by the Care Homes Regulations 2001 were well documented and completed. Lockable facilities are available for residents to keep their own money if they wish. If a resident does not wish to keep control of their own money, the home is able to provide the facility to hold a small amount of money on behalf of the resident for everyday living. Individual records show the home has a suitable system for accounting any monies held on behalf of a resident. Documents detailing fire safety, risk assessments in the environment, water temperatures, maintenance contracts for equipment for moving and handling were all up to date. Staff training relating to health and safety was up to date and training being planned to renew any that required updating. Staff files showed staff are supervised regularly. Staff meetings take place regularly. Fallowfield House DS0000000520.V336576.R02.S.doc Version 5.2 Page 26 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 x 3 3 4 x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x 3 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 3 3 3 3 3 Fallowfield House DS0000000520.V336576.R02.S.doc Version 5.2 Page 27 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 2 Standard OP26 OP29 Regulation 23(2)(b) Requirement Timescale for action 15/07/07 31/07/07 The kitchen floor covering must be replaced in the interests of health and safety. Schedule2 A photograph of staff member 1 19(1)(a) must be held on their file. 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 OP12 Good Practice Recommendations To keep the range of activities available to residents under review. Fallowfield House DS0000000520.V336576.R02.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Fallowfield House DS0000000520.V336576.R02.S.doc Version 5.2 Page 29 - 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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