Inspection on 20/10/05 for Far Croft

This inspection was carried out on 20th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Far Croft 10/08/06

Far Croft 22/06/05

Far Croft 29/03/05

Far Croft 11/05/04

Similar services:

Maple Lodge

Heathlands

Aston Court Nursing Home

Breme

Ravenhurst

Bank House

Inspirations

Westmead

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

CARE HOMES FOR OLDER PEOPLE Far Croft North Road Wellington Telford Shropshire TF1 3EU Lead Inspector Pat Scott Unannounced Inspection 20th October 2005 11.50 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 Far Croft DS0000020547.V253925.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Far Croft DS0000020547.V253925.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Far Croft Address North Road Wellington Telford Shropshire TF1 3EU 01952 223447 01952 245558 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) Coverage Care Shropshire Limited Mrs Alison Louise Gough Care Home 41 Category(ies) of Dementia (6), Old age, not falling within any registration, with number other category (35) of places Far Croft DS0000020547.V253925.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home may accommodate 41 Elderly Persons of whom up to 6 may be suffering from Dementia. The home may accommodate a maximum of 41 service users. Date of last inspection 22nd June 2005 Brief Description of the Service: Far Croft is registered as a Care Home to provide care for a maximum of 41 older people, within which up to 6 Residents may have care needs associated with a dementia. The Home provides long term care and respite care within a designated respite unit and all bedrooms are single. The Registered Manager is Alison Gough and the Proprietors – Coverage Care Services Ltd – a ‘non-profit’ organisation registered with the Registrar of Industrial & Provident Societies as a charitable status. The gardens and grounds surrounding Far Croft are well maintained and provide a safe and pleasant outside environment for Residents and their Visitors. Far Croft DS0000020547.V253925.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 20th October 2005 commencing at 11.50am. The National Minimum Standards for Care Homes for Older People focus on achievable outcomes for service users – that is the impact on the individual of the facilities and services of the home. Evidence was looked for that the standards were being met and a good quality of life enjoyed by service users through: • Discussions with service users, families and friends, staff and managers. • Observation of daily life in the home • Scrutiny of written records (including care plans for 4 service users). The statement of purpose was used to assess how far the home’s objectives to be able to meet service user requirements and expectations were being met. Reports regarding an overview of the conduct of the home are sent to CSCI on a monthly basis by the Head of Operations for Coverage Care. These, as well as the risk assessment from the last inspection were taken into account to determine the core standards focused on and depth of inspection. The Commission does not currently have any concerns regarding this home. What the service does well: Only nominated and trained staff are involved in giving medication to service users. Procedures are in place to ensure the wrong drug is not administered. The home provides for the nutritional needs of service users well and have upgraded the healthy eating award to gold standard. Farcroft is a care home that recognises the importance of providing palliative care for service users in the terminal phase of their illness and the manager is seeking to develop staff skills within this area. Far Croft DS0000020547.V253925.R01.S.doc Version 5.0 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. Far Croft DS0000020547.V253925.R01.S.doc Version 5.0 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 Far Croft DS0000020547.V253925.R01.S.doc Version 5.0 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 the following standard(s): These standards were not assessed at this inspection. EVIDENCE: Far Croft DS0000020547.V253925.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9, 11 Through appropriate training and research the manager and staff at Farcroft are improving their skills to provide for service users’ needs for healthcare and support. EVIDENCE: The manager demonstrated her knowledge and intention to be involved in the End of Life Initiative by working to frameworks such as: • The Liverpool Care Pathway; and • Gold Standard Framework. The LCP format transfers the hospice model of care into the care home setting and will facilitate multi-professional communication. It provides guidance on the different aspects of care required, including comfort measures, anticipatory prescribing of medicines and discontinuation of inappropriate interventions. Psychological, spiritual care and family support is included. The home ensures that service users and their families have access to support through all stages of treatment. The home has exceeded this standard. Medicines are kept safely with full records of their receipt, administration and disposal. Reviews of medication are conducted by the GP on a regular basis. Far Croft DS0000020547.V253925.R01.S.doc Version 5.0 Page 10 The home does not stock any non-prescribed remedies. Wherever possible and depending on their capabilities, service users are enabled to take responsibility for their own medicines. One service user does this for herself and appropriate storage is provided. Service users stated that they receive their medication from staff at the correct times of the day. Far Croft DS0000020547.V253925.R01.S.doc Version 5.0 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 the following standard(s): 12, 13, 14, 15 Staff have an excellent understanding of the service users support and leisure needs and use this to assist them to exercise choice and control in their lives. Dietary needs of service users are well catered for with a balanced and varied selection of food available that meets service users tastes and choices. EVIDENCE: The way in which activities are provided is under review with an emphasis on more meaningful pastimes tailored to individual needs and reviewed at service user meetings. The home has a dedicated activity co-ordinator. Questionnaires for service users who access the respite service are on going so that the home can focus on meeting their needs and wishes for leisure during their brief stay. This inspection took place over the lunch period. Service users spoke of the food and mealtimes being a social event and very important in their lives. Menus seen demonstrate that the food provided is nutritious, well balanced and appealing. A visit to the kitchen showed that the handling, storage, preparation and serving of food are satisfactory. The staff have achieved the healthy eating gold award. Far Croft DS0000020547.V253925.R01.S.doc Version 5.0 Page 12 Far Croft DS0000020547.V253925.R01.S.doc Version 5.0 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 the following standard(s): 16, 18 The home’s complaints procedure is clear and residents are protected from abuse of any kind. EVIDENCE: The home has a complaints procedure and a complaints log although only one had been received since the last inspection. 3 residents confirmed that they are aware of how to make a complaint and the procedure is displayed prominently. Staff receive training in the protection of vulnerable adults and the homes policy reflects the local multi agency procedure. Far Croft DS0000020547.V253925.R01.S.doc Version 5.0 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 the following standard(s): 20,26 The laundry is well organised ensuring that service users clothes and bed linen are always clean and fresh. A corridor area is used as the smoking place which places others at risk of smoke inhalation EVIDENCE: Domestic staff were on duty during the inspection and all areas had been maintained to a high degree of cleanliness and hygiene. The laundry service is well organised and service users stated that their clothes are washed nicely and are always returned to them. Although a smoking area is provided it is situated in the through corridor to the bedrooms. Any service users who pass by have to inhale this smoke filled air as seen during this inspection. Two service users were spoken to in this area who use it to smoke in and they said that they sometimes open the window if Far Croft DS0000020547.V253925.R01.S.doc Version 5.0 Page 15 it is not too cold. This area should be made safer by at least putting in an extractor fan or better still by providing a separate smoking facility. Far Croft DS0000020547.V253925.R01.S.doc Version 5.0 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28 Staff receive training appropriate to their roles which ensures that residents needs can be met at all times. EVIDENCE: The home already exceeds the 50 ratio of care staff trained to NVQ2 or above. Far Croft DS0000020547.V253925.R01.S.doc Version 5.0 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 35 The manager is experienced and competent and management systems and practices ensure that the home is well run for the benefit of the residents. EVIDENCE: Residents’ valuables and small sums of money lodged with the home for safe keeping were accounted for satisfactorily. Far Croft DS0000020547.V253925.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X 3 X X X X X 3 STAFFING Standard No Score 27 X 28 3 29 X 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X X X 3 X X x Far Croft DS0000020547.V253925.R01.S.doc Version 5.0 Page 19 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. 1 Refer to Standard OP20 Good Practice Recommendations The home should provide a separate smoking room. Far Croft DS0000020547.V253925.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Far Croft DS0000020547.V253925.R01.S.doc Version 5.0 Page 21 - 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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