Inspection on 05/01/06 for Far End

This inspection was carried out on 5th January 2006.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Far End 27/07/09

Far End 03/08/07

Far End 09/01/06

Far End 19/07/05

Far End 21/02/05

Far End 16/08/04

Far End 24/02/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Far End Far End Sandhurst Lodge Wokingham Road Crowthorne Berks RG45 7QD Lead Inspector Kerry Kingston Unannounced Inspection 5th January 2006 10:00 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 Far End DS0000011254.V276256.R01.S.doc Version 5.1 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 End DS0000011254.V276256.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Far End Address Far End Sandhurst Lodge Wokingham Road Crowthorne Berks RG45 7QD 01344 772739 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) Ms Patricia Trezise-Dundas Ms Dorinda Trezise-Dundas Ms Patricia Trezise-Dundas Care Home 3 Category(ies) of Learning disability (3), Learning disability over registration, with number 65 years of age (3), Old age, not falling within of places any other category (3) Far End DS0000011254.V276256.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No service user may be accommodated under the age of 45. No service user may be accommodated who exhibits wandering behaviour or challenging behaviour. 19th July 2005 Date of last inspection Brief Description of the Service: Far End provides care and accommodation for up to 3 people who are aged over 65 years of age and is situated in a peaceful location close to the village of Crowthorne. The home is adjoining a large Victorian property with 14 acres of surrounding land owned by the proprietors. The extensive grounds are well maintained consisting of lawns with shrubs and trees. The proprietors live on the ground floor of the home and share with the service users a large lounge/diner/kitchen. Service users have their own rooms on the first floor, where there is a toilet, bathroom with toilet and additional small kitchen area on the first floor. In addition there are many pets in the home including several dogs and cats. Service users can bring into the home their own pets. Far End DS0000011254.V276256.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place between 3 and 6 pm on the 5th January 2006. There is only one person resident in the home, at this time, she was able to discuss her views of the care given. The manager/ proprietor staffs the home with the help of the co-owner and volunteers. The inspector looked around the home, looked at some records and spoke with the manager/proprietor, a volunteer and the resident. Whilst the home has not fully met some of the National Minimum Standards it meets the needs of the current resident very well. The home offers a unique service and must consider its’ ability to meet the needs of prospective residents very carefully. What the service does well: What has improved since the last inspection? What they could do better: The home could make sure that residents have assessments before admission so that everyone knows how to help them in the best way. The home could have written care plans, which are more detailed and show how the residents are to be cared for. The communal areas should be properly risk assessed to make sure that they are as safe as possible safe for the residents to use. Far End DS0000011254.V276256.R01.S.doc Version 5.1 Page 6 The home could make sure there is a way of getting the views of residents and others about the standard of care to make sure that good care continues to be given. 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 End DS0000011254.V276256.R01.S.doc Version 5.1 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 End DS0000011254.V276256.R01.S.doc Version 5.1 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): 3 and 6 The one service user had a limited assessment prior to moving into the home. The home does not offer intermediate care. EVIDENCE: There is only one service user resident in the home. She moved in, in October 2005 and left the home for a short time shortly afterwards. There was a very limited assessment held on the service users file but the manager advised that she had had a care management assessment prior to returning to live at the home in November. The manager was advised to ensure she receives a copy of this assessment. The service user said the home suits her very well and looks after all her needs, she was very keen to ‘come home’ and is delighted to be back. Far End DS0000011254.V276256.R01.S.doc Version 5.1 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): 7,8,9 and 10 There is a minimal plan of care in place but service users health, personal and social care needs are fully met. The home has robust medication administration policies and procedures. The service user feels she is treated with care and respect. EVIDENCE: The service users care plan was very minimal but the service user is well able to articulate her needs, wishes and preferences. She said that she was very happy and felt that she is treated very well. The local primary health care team were described, by the manager, as being very supportive and responsive to the health needs of the service users. The current service user appears physically and mentally in reasonable health. The home deals with a very small amount of medication but this accurately recorded and administered using a monitored dosage system. The service user is helped to keep good contact with her daughter, who is disabled and her friend. She described her daughter’s visits and how helpful the home was in making sure they could happen as often as possible. She also said that she has long telephone conversations with her. Far End DS0000011254.V276256.R01.S.doc Version 5.1 Page 10 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): None of the above standards were looked at, at this inspection. EVIDENCE: Far End DS0000011254.V276256.R01.S.doc Version 5.1 Page 11 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 The home has a robust complaints procedure and a complaints book. EVIDENCE: The home has received one complaint since the last inspection and this was dealt with as a vulnerable Adults issue, that was not upheld. There are no entries in the complaints book. Far End DS0000011254.V276256.R01.S.doc Version 5.1 Page 12 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): 19,20,25 and 26 The service users environment is well maintained with shared communal facilities adequately maintained to meet the needs of the current resident. The home is pleasant but has some hygiene issues. EVIDENCE: The service users personal accommodation is on the first floor and this is well maintained and hygienic. The bathroom, toilet and kitchen were very clean and the service users bedroom was well presented and reflective of her personal tastes. She described it as a lovely room where she could bring her own belongings and feel ‘right at home’. The communal facilities, on the ground floor are shared by the owner/proprietor, the co-owner, four dogs and three cats (one cat was seen to foul the carpet, this was quickly but not hygienically cleared up) The service user relates to one of the cats and it spends much of its’ time with her, she is very fond of it and said how much she enjoyed being able to have animals around her. The current service user is physically able but there should be risk and needs assessments of any new admissions. This should include the animals (potential Far End DS0000011254.V276256.R01.S.doc Version 5.1 Page 13 trip hazards and hygiene issues), mats (potential trip hazard), uneven floor surface, low seating, low lighting and space issues. The service user said that she often sits downstairs because she gets lonely but she would rather have some other ladies upstairs with her. Far End DS0000011254.V276256.R01.S.doc Version 5.1 Page 14 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): 27 and 29 The home has only one service user and is staffed by the manager/proprietor and co-owner, at this time. Volunteers who spend time in the home are safety checked by the manager. EVIDENCE: The manager/proprietor staffs the home, currently. She has a co-owner and two volunteers who assist her as necessary. The co-owner is registered and the volunteers have C.R.B checks and training, as appropriate. The volunteers are known to the manager, personally, she consequently, does not have written references, at this time. There are plans, in place to formally appoint staff when new service users are admitted and the proposed rota recording system was outlined (the one used until the resignation of the last staff member was seen). The volunteer spoken to was clear about her role and responsibilities and knew what tasks she could appropriately do and what she couldn’t. She said that she was participating in training at the end of the month and appeared to be knowledgeable and keen to learn. The home does not have night staff or a call bell system as the service user does not have any nighttime needs and could easily summon assistance if required. Staffing levels will need to be constantly reviewed depending on the assessed needs of any new admissions. Far End DS0000011254.V276256.R01.S.doc Version 5.1 Page 15 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): 33,35 and 38 The home is run in the best interests of the service users although there is not a ‘formal’ quality assurance process in place. The current service users health and safety is protected, at this time. EVIDENCE: The home has an annual development plan and the service user said that she was very happy and could do what she wanted, in the home. The home does not demonstrate that it seeks the views of the service users or others with regard to the care offered by the home. The manager is also the proprietor the home does not generate any regulation 26 reports. The service users cash was looked at and all receipts are kept and recording of expenditure was accurate. The service user has a friend who controls her finances and acts as her power of attorney. She said that she was able to buy what she wanted, she only has to ask. There was evidence in her room of new purchases of personal possessions. Far End DS0000011254.V276256.R01.S.doc Version 5.1 Page 16 Health and Safety maintenance records were up-to-date and all a fire officers visit in October 05 confirmed adequate fire precautions. Food is now labelled and stored safely in the fridge (there was limited food in the fridge as it was shopping delivery day). Far End DS0000011254.V276256.R01.S.doc Version 5.1 Page 17 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 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 2 3 X X X X 3 3 STAFFING Standard No Score 27 3 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 2 X 3 X X 3 Far End DS0000011254.V276256.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. 2. 3. Standard OP3 OP7 OP19 Regulation 14 15 13.3 .4 Requirement To ensure that all service users have a comprehensive assessment of needs. To ensure that all service users’ have an individual, detailed service user plan. A management system including risk assessment for the control of infection from animal waste and other hazards in the communal areas to be developed. (01/11/05) l To maintain a system for reviewing the quality of care offered by the home. Timescale for action 01/02/06 01/02/06 01/03/06 4. OP33 24 01/05/06 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 Far End DS0000011254.V276256.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Berkshire Office 2nd Floor 1015 Arlington Business Park Theale, Berks RG7 4SA 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 End DS0000011254.V276256.R01.S.doc Version 5.1 Page 20 - 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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