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Inspection on 05/12/05 for Falmouth House Residential Care Home

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

This inspection was carried out on 5th December 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.

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

The service users said that they were happy with the care and support provided by the home, they spoke highly of the manager and the staff team. The menus are varied and these are based on the known likes and dislikes of the service users, several help to prepare and cook meals. The service users said that the food was very good. All service users are encouraged and supported to maintain links with their families and friends.

What has improved since the last inspection?

The home continues to provide good standards of care. The manager has responded positively to previous requirements identified and is committed to continue to improve standards within the home.

What the care home could do better:

No requirements or recommendations were identified during this inspection visit.

CARE HOME ADULTS 18-65 Falmouth House Residential Care Home 24 Edwards Road Whitley Bay Tyne & Wear NE26 2BJ Lead Inspector Jim Lamb Announced Inspection 5th December 2005 09:30 Falmouth House Residential Care Home DS0000000312.V257499.R01.S.doc Version 5.0 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 Falmouth House Residential Care Home DS0000000312.V257499.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 Adults 18-65. 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. Falmouth House Residential Care Home DS0000000312.V257499.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Falmouth House Residential Care Home Address 24 Edwards Road Whitley Bay Tyne & Wear NE26 2BJ 0191 2513729 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 Anne Elkin Mrs Anne Elkin Care Home 10 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (10) of places Falmouth House Residential Care Home DS0000000312.V257499.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Three named service users are known to be category LD and four named service users are over pensionable age, category MD(E). Should any of these named service users leave the home, the Commission for Social Care Inspection should be informed immediately, at which time these places will revert to category MD. 22nd June 2005 Date of last inspection Brief Description of the Service: The home is located close to the town centre and sea front of Whitley Bay. The home provides personal care and accommodation for up to 10 younger adults with a mental disorder or a learning disability. The home is a large converted terrace house. The accommodation is on three floors; there is no passenger lift. The laundry and office are located in the basement of the home; service users do not have access to these areas. The home has a large lounge and a separate dining area; there is an additional lounge where service users can see visitors in private. The service users have access to a rear yard with seating. Falmouth House Residential Care Home DS0000000312.V257499.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes annual announced inspection visit, which took place over half a day. The inspection focused on standards not previously examined during the homes previous inspection visit carried out on 12.6. 05. Time was spent talking to the manager, examining records, policies and procedures and service users care plans. Time was spent talking to staff and service users. What the service does well: 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. Falmouth House Residential Care Home DS0000000312.V257499.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Falmouth House Residential Care Home DS0000000312.V257499.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 Service users had an appropriately detailed pre-admission assessment completed. Information is available to enable potential service users to make a positive choice about where to live. EVIDENCE: Details of the extra charges and what these are for, are in the contract given to service users and are agreed prior to their admission. The homes Statement of Purpose and the Service Users Guide both contained the full range of information required. Two service user interviewed confirmed they had been given a copy of the guide. Two service users’ files were checked and on each were a copy of a full needs assessment. Falmouth House Residential Care Home DS0000000312.V257499.R01.S.doc Version 5.0 Page 8 They contained a range of appropriate information and the service user interviewed confirmed she was involved in drawing up both these initial assessments and the home’s subsequent service user plans. The service users interviewed said their needs were met and they were happy with the care offered to them. Two care plans were checked and staff members interviewed. These confirmed that a range of specialist services was provided to service users. Staff had had a range of relevant training and experience. Falmouth House Residential Care Home DS0000000312.V257499.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 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 8 10 Good progress has continued in developing service users care plans, all aspects of health, personal and social care are met. Support is provided in such a way as to promote and protect service users privacy and dignity. Service users confirmed that they are consulted about all aspects of daily life within the home. EVIDENCE: There is evidence of a comprehensive assessment in the service users’ care plans. There is also a comprehensive risk assessment of service users. There was evidence of advocacy arrangements, as well as family input. Each service user has an allocated key worker. Care plans are drawn up with service users. There is evidence that plans are amended and reviewed on a regular basis. Falmouth House Residential Care Home DS0000000312.V257499.R01.S.doc Version 5.0 Page 10 Service users can access a range of external agencies that promote independence; any rights that are restricted are linked to risk assessments. Each service user receives support from staff to manage their finances. Service users’ all indicated that they are able to make decisions for themselves and that they are consulted about all aspect of daily life within the home. Falmouth House Residential Care Home DS0000000312.V257499.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the 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 The service users recreational and social needs are fully met. The menus appeared to be balanced, varied and nutritional. EVIDENCE: Each service user has a practical life skills assessment carried out and this is reviewed and updated on a regular basis, all service users participate in this process. The service users have access to a range of community-based services, which promote and provide opportunities to learn and use life skills. There was evidence that each service user has the opportunity to participate in community-based activities, including supported work programmes, education and training. All service users are supported to maintain very close links with their families. All are able to choose who they want to see and when. There was evidence that daily routines continue to promote independence, choice and freedom of movement. Falmouth House Residential Care Home DS0000000312.V257499.R01.S.doc Version 5.0 Page 12 The Home’s menus are based on the known likes and dislikes of the service users. At least two hot meals are provided on a daily basis. Service users have access to the kitchen and are able to prepare snacks for themselves if they wish. The service users said that the food was very good. Falmouth House Residential Care Home DS0000000312.V257499.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 21 All service users are consulted about the way that they prefer and require support. Appropriate procedures were seen to be in place for ageing, illness and death. EVIDENCE: No service users currently have any moving and handling needs. Service users require minimum help with her personal care tasks. Privacy and dignity are respected at all times. No service users currently have or require any technical aids or equipment. Two service users said that they felt their privacy is respected. There was evidence within the service users care records that they have access to a range of external health care service All service users receive regular health care checks. Falmouth House Residential Care Home DS0000000312.V257499.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 23 A satisfactory Adult Protection Policy is in place, if implemented in practice, this should ensure that the service users are properly protected. EVIDENCE: The home does have a complaints procedure, which the inspector saw. It does contain details of how to contact the CSCI to make a complaint, and is written in a way to ensure that service users fully understand its contents. The home does keep a record of complaints. Since the homes previous inspection, there have been no complaints received. The home has a Whistle Blowing policy procedure as well as, the Local Authorities Vulnerable Adults procedures. The home also has a copy of the D.H. “NO SECRETS” for further information. The Home maintains detailed financial records on behalf of the service users. Falmouth House Residential Care Home DS0000000312.V257499.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed during this inspection visit. EVIDENCE: All standards were met at the previous inspection visit. Falmouth House Residential Care Home DS0000000312.V257499.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 34 35 There have been no staff changes since the last inspection visit. The home does have enough staff that are appropriately trained to cater for the number of service users. Staff recruitment is well managed and appropriate checks are carried out. All staff are aware of their roles and responsibilities. EVIDENCE: Staff levels on the day of the inspection continue to meet the agreed level. A sample rota checked stated the required numbers of staff were on duty: 1 staff between 7.30am and 11pm with one sleep-in during the night. Staff recruitment and selection is well managed. All staff are aware of their roles and resposibilities. The service users said that the staff at the home were “kind, caring and very supportive”. Staff training has included; POVA, fire awareness, food hygiene, and NVQ training is on-going. Falmouth House Residential Care Home DS0000000312.V257499.R01.S.doc Version 5.0 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 42 The service users are confident their views underpin review and development in the home. Service users financial interests, welfare, health and safety are promoted and protected. EVIDENCE: The registered manager has many years experience in senior management and has commenced the registered managers award. In the last year all of the staff team have attended several courses to keep themselves up to date. All staff are clear about the their responsibilities. The home has introduced an effective quality assurance system that seeks the views of service users, relatives and professionals involved in the home. Falmouth House Residential Care Home DS0000000312.V257499.R01.S.doc Version 5.0 Page 18 The system also highlights areas earmarked for improvement. Service users are informed when inspections take place and have access to inspection reports. These are also summarised and discussed in service user meetings. Copies are available for relatives/others to see. The records inspected were found to be appropriately completed, these included the fire log book, accident book, personal allowance records, Health and Safey manual, and there was information which verified that appropriate maintenance contracts for the home are in place. Water storage tanks, gas and electrics are checked annually. Falmouth House Residential Care Home DS0000000312.V257499.R01.S.doc Version 5.0 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 X 3 X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X 3 X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score 3 X X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X 3 Standard No 37 38 39 40 41 42 43 Score X X 3 X X 3 X Falmouth House Residential Care Home DS0000000312.V257499.R01.S.doc Version 5.0 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. Standard Regulation Requirement Timescale for action 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 Falmouth House Residential Care Home DS0000000312.V257499.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Falmouth House Residential Care Home DS0000000312.V257499.R01.S.doc Version 5.0 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. 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!