Inspection on 15/11/05 for Farehaven Lodge

This inspection was carried out on 15th November 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.

Other inspections for this house

Farehaven Lodge 12/01/07

Farehaven Lodge 23/05/05

Farehaven Lodge 21/10/04

Farehaven Lodge 20/04/04

Farehaven Lodge 24/06/03

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Winton House

Newbeech House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE Farehaven Lodge 8 Nashe Close Hill Park Fareham Hampshire PO15 6LT Lead Inspector Liz Palmer Unannounced Inspection 15th November 2005 11:00 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 Farehaven Lodge DS0000011788.V265181.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. Farehaven Lodge DS0000011788.V265181.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Farehaven Lodge Address 8 Nashe Close Hill Park Fareham Hampshire PO15 6LT 01329 846765 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) Fareham Court Limited Miss Theresa Thompson Care Home 40 Category(ies) of Dementia - over 65 years of age (40), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (5), Old age, not falling within any other category (40), Physical disability over 65 years of age (5) Farehaven Lodge DS0000011788.V265181.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. No more than 5 service users in MD(E) and (PD(E) categories Date of last inspection 23rd May 2005 Brief Description of the Service: Farehaven is a long stay residential home for older people, including those with dementia; and is also registered to accommodate up to five older people with mental disorder and up to five older people with physical disability. One room is dedicated to respite care. There is a large lounge, a dining room, a quiet lounge and a conservatory. The home is situated in a quiet residential area on the outskirts of Fareham. The garden has seating areas and is accessible for service users. There are shops and a doctors surgery within easy walking distance of the home. Farehaven Lodge DS0000011788.V265181.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection for the year 2005/2006 and was unannounced. Any key standards not assessed on this occasion were looked at during the last inspection. Therefore, this should be read alongside the last report. During the inspection four staff were interviewed and the service manager was present for the feedback. The registered manager was not in the home but was met at the last inspection. Three service users were spoken to and all spoke highly of the care they receive and the staff in the home. Twenty-two relatives comment cards were returned and one service user comment card. All of the comment cards were positive except one who felt more staff could be on duty but they were happy with the overall care provided. Other comments like ‘my mother seems very happy and settled and I would like to thank everyone for looking after her so well’ and ‘the home is of a much better standard than my mother’s previous one’ were made. Comment cards also reflected that none of the relatives had had cause to complain. One relative commented that they would be confident in the manager to sort out any complaints if they did arise. What the service does well: What has improved since the last inspection? Some work has been carried out on the garden which the service users will benefit from in the warmer months. Farehaven Lodge DS0000011788.V265181.R01.S.doc Version 5.0 Page 6 A challenging behaviour course was run in November and training is now being shared with sister homes providing a greater opportunity for staff to attend courses. A falls prevention talk was given by a community nurse, this will hopefully help staff to reduce the number of falls in the home. 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. Farehaven Lodge DS0000011788.V265181.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 Farehaven Lodge DS0000011788.V265181.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): None of these standards were assessed. EVIDENCE: Farehaven Lodge DS0000011788.V265181.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 Policies and procedures for receiving, storing and administering medication are in place. These must be followed at all times. EVIDENCE: The home’s policies and procedures for receiving, storing and administering medication were inspected and found to be satisfactory. All medication is counted on receipt, dated and signed for. The storage area is locked and very well organised. Only senior staff who have received training administer medication. No service users currently administer their own. During the inspection a member of staff had prepared and signed for medication due to be given at least an hour later. This was discussed with the member of staff and the service manager who agreed this was not good practise and was not the policy of the home. It was agreed that medication must only be signed for once it has been seen to be taken. Farehaven Lodge DS0000011788.V265181.R01.S.doc Version 5.0 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): 14 Service users are supported and encouraged to exercise choice and have control over their lives. Service users’ would benefit from a more suitable arrangement with the shared toilets. EVIDENCE: Staff were able to give examples of how they promote choice and encourage people to have control over their lives. For example, supporting people to manage their own finances, choices of what to eat and how to spend their time. Service users confirmed that they feel they have enough control and choice. Two spoken to said they manage their finances. One service user said she was unhappy about the adjoining toilet she shares with another service user. There is a system whereby the shared doors can be locked when in use and open when not so that the other person has access. The service user who is unhappy with the arrangement explained that the person she shares with does not always remember to lock her side. This was discussed with the senior member of staff and service manager who agreed it was an unsatisfactory arrangement for both parties. A requirement has been made to address this situation and risk assess all adjoining toilets. Farehaven Lodge DS0000011788.V265181.R01.S.doc Version 5.0 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): None of these standards were assessed. EVIDENCE: Farehaven Lodge DS0000011788.V265181.R01.S.doc Version 5.0 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): None of these standards were assessed. EVIDENCE: Farehaven Lodge DS0000011788.V265181.R01.S.doc Version 5.0 Page 13 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, 28 and 29 The arrangements for recruiting staff protect service users and uphold their safety. EVIDENCE: Three staff files were inspected and showed that a suitable recruitment procedure is followed, including an application form, interview, references and police check being carried out prior to appointment. Staff spoken to spoke highly of the supervision and support they receive, stating that team work was an important part of the job. Staff also said they found the manager approachable and had confidence in her to sort out problems. One staff member commented on how the manager would work hands when needed And never rushed staff to do their work but stressed the importance of giving time to service users. Service users said they felt they were safe hands at all times and had confidence in the manager to recruit and train staff to do the job properly. Farehaven Lodge DS0000011788.V265181.R01.S.doc Version 5.0 Page 14 Staff are offered the opportunity to do National Vocational Qualifications (NVQs) and other relevant training such as dementia. Staff said they had regular supervision sessions and had the opportunity to attend staff meetings. Farehaven Lodge DS0000011788.V265181.R01.S.doc Version 5.0 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): 31, 35 and 38 The home is well run and service users and staff have confidence in the manager. Procedures for maintaining health and safety protects service users. EVIDENCE: The home is well run and the manager has shown herself to be competent and confident in her role. She has an NVQ level 4 in care and management. Some service users have a family member as power of attorney others manage their own finances. Training and the policies and procedures followed in the home promote the health and safety of service users and staff. Training such as first aid, manual handling, health and safety, fire safety and food hygiene is provided. Farehaven Lodge DS0000011788.V265181.R01.S.doc Version 5.0 Page 16 Staff spoken to described ways in which they promote health and safety in the home, such as wearing gloves and aprons which are colour coded for different types of work. All electrical equipment had recently been tested and regular fire drills and checks are undertaken. Farehaven Lodge DS0000011788.V265181.R01.S.doc Version 5.0 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 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 2 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 X X X X X X X X X STAFFING Standard No Score 27 3 28 3 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X 3 X X 3 Farehaven Lodge DS0000011788.V265181.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? NO STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP14 Regulation 12 Requirement The arrangements for two service users identified during the inspection to share a toilet must be risk assessed and the resolved. All shared toilets must be risk assessed. Timescale for action 15/12/05 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 OP9 Good Practice Recommendations Medication should only be signed for once it has been seen to be taken. Farehaven Lodge DS0000011788.V265181.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Farehaven Lodge DS0000011788.V265181.R01.S.doc Version 5.0 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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