Inspection on 23/05/05 for Farehaven Lodge

This inspection was carried out on 23rd May 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 15/11/05

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 PO15 6LT Lead Inspector Liz Palmer Unnannounced 23.05.05 10:00 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 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 H54 S11788 Farehaven Lodge V226638 230505.doc Version 1.30 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 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 CRH 40 Category(ies) of Dementia, over 65 - DE(E) - 40 registration, with number Mental Disorder, over 65 - PD(E) - 5 of places Old Age - OP - 5 Physical disability, over 65 - PD(E) - 40 Farehaven Lodge H54 S11788 Farehaven Lodge V226638 230505.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. No more than 5 service users in the MD(E) and PD(E) categories. Date of last inspection 21.10.04 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 doctor’s surgery within easy walking distance of the home. Farehaven Lodge H54 S11788 Farehaven Lodge V226638 230505.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over four and a half hours. Four care plans were looked at and four residents were spoken to in depth. The inspector toured the premises and found them to be clean, comfortable and homely. Three staff members were spoken to and staff records were sampled. Two district nurses visited the home during the inspection and spoke highly of the care in the home. What the service does well: What has improved since the last inspection? What they could do better: More attention to detail with the menus would benefit the clients with regard to choice and maintaining their health. Farehaven Lodge H54 S11788 Farehaven Lodge V226638 230505.doc Version 1.30 Page 6 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 H54 S11788 Farehaven Lodge V226638 230505.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Farehaven Lodge H54 S11788 Farehaven Lodge V226638 230505.doc Version 1.30 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 standard(s) 3 The arrangements for assessing the needs of residents are suitable for ensuring their needs can be met by the home. EVIDENCE: The assessments of the five most recent service users to move into the home contained all the relevant information, such as, what personal care would be required, what residents can do independently, important relationships and health issues, to ensure that their needs could be met. These assessments are undertaken by either the registered manager or her assistant. Farehaven Lodge H54 S11788 Farehaven Lodge V226638 230505.doc Version 1.30 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 standard(s) 7, 8, and 10 The arrangements for access to healthcare and the detailed care planning process ensures that residents’ needs are consistently met and their dignity and privacy are upheld. EVIDENCE: Four care plans were looked at and were seen to be detailed in all aspects of the care required as well as social preferences and healthcare needs. These plans were seen to be reviewed monthly. Two district nurses were met during the inspection and spoke highly of the care given by the staff at Farehaven Lodge. One district nurse commented that she has a good working relationship with the home and is always confident that the advice she gives will be followed up. Other comments made showed that the district nurses felt they are always contacted when needed and not called out inappropriately. Residents spoken to said they felt confident that their healthcare needs were met and that their privacy and dignity was maintained at all times. Staff who were spoken to were also able to explain in a sensitive manner how they maintained the dignity and privacy of residents when assisting them with personal care tasks. Farehaven Lodge H54 S11788 Farehaven Lodge V226638 230505.doc Version 1.30 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 standard(s) 12, 13, and 15 The arrangements for residents’ social, religious and recreational activities ensure that residents have opportunities to engage in stimulating pastimes and are supported to maintain friendships and relationships. Residents are served wholesome and healthy food, some minor improvements to the menu planning would benefit those with diet related health issues and offer others more choice. EVIDENCE: Some residents told the inspector that they have opportunities to go out on their own to the local shops. Residents’ social and recreational preferences are recorded in their care plans and were seen to be accommodated. For example, some residents have stated a preferred newspaper, this is recorded in their care plans and those residents were seen to have received their paper of choice. Also, religious preferences are recorded and arrangements were seen to be in place for these to be practised. For example one care plan showed a resident takes communion regularly and the activities programme shows a church service is held once a month. Residents stated that their friends and relatives are made welcome in the home. Staff were aware of residents’ important relationships which are also recorded in care plans. The activities board showed a variety of regular entertainment and activities available, for example, visiting library, bingo, sing-a-longs and arts and crafts. Farehaven Lodge H54 S11788 Farehaven Lodge V226638 230505.doc Version 1.30 Page 11 The inspector saw that the menus contained a good variety of wholesome and nutritious food. Residents confirmed that they can have an alternative if they don’t like the planned meal but rarely did so as the food was always ‘tasty’ and ‘fresh’. Menus are not currently displayed and do not include the alternative, this was discussed with the Assistant Manager and the cook who both agreed to do both to enable residents to make a choice in advance about their meal. One of the visiting district nurses, after a discussion with a service user with diabetes commented that a specific menu plan be drawn up for this resident and followed by all staff. This was also agreed with the Assistant Manager. Farehaven Lodge H54 S11788 Farehaven Lodge V226638 230505.doc Version 1.30 Page 12 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 standard(s) 16 and 18 The arrangements that are in place for complaints and adult protection enable residents and their families to feel confident that they will be protected from abuse and have their complaints taken seriously. EVIDENCE: A suitable complaints procedure is displayed in the home. Some residents spoken to said they had no complaints but would probably talk to the manager if they did. Some residents would not be able to use the procedure but the overall atmosphere of the home appeared to be one of openness and residents able to air their views seemed relaxed enough to do so and commented that they felt confident they would be listened to. The home has a copy of the Hampshire Adult Protection policy and the staff spoken to were all familiar with this and confident of their responsibilities within it. All stated that they have received the relevant training Farehaven Lodge H54 S11788 Farehaven Lodge V226638 230505.doc Version 1.30 Page 13 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 standard(s) 19 and 26 The location and layout of the home ensures that residents individual and collective needs can be met. The arrangements in place for the cleaning and maintenance of the premises ensure that residents live in a clean, hygienic and safe home. EVIDENCE: On a tour of the premises the inspector saw that all communal areas were clean and maintained to a high standard. There is a television lounge, a quiet lounge and a sun lounge which it is planned will be extended this year. The garden is well maintained, has a shaded area and is easily accessible to residents. There is a domestic team leader employed as well as a maintenance person. A bedroom door was seen to be not closing properly, the Assistant Manager stated the maintenance person would look at this immediately. Farehaven Lodge H54 S11788 Farehaven Lodge V226638 230505.doc Version 1.30 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 30 The training programme and support systems that are in place ensure that staff are competent to do their jobs. EVIDENCE: Staff spoken to were very positive about the training they had undertaken and appeared to be very confident about carrying out their roles. They were also seen to interact in an appropriate and competent manner with residents. Training records showed that staff are trained in Dementia, Adult Protection and National Vocational Qualifications (NVQs), for example. Farehaven Lodge H54 S11788 Farehaven Lodge V226638 230505.doc Version 1.30 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 The systems in place for quality assurance ensure that residents’ views are taken into account. EVIDENCE: A quality assurance questionnaire is given out to residents once a year. Their views are sought on the admission arrangements, activities offered, food, visiting arrangements and the care and support they receive. Minutes of staff meetings viewed by the inspector showed that residents’ choices are upheld. For example, in one meeting the manager stated that there is no set time for people to go bed, instead it should be of the individuals choice and carried out in an unhurried manner. Farehaven Lodge H54 S11788 Farehaven Lodge V226638 230505.doc Version 1.30 Page 16 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 2 COMPLAINTS AND PROTECTION 3 x x x x x x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 x x 3 x x x x x Farehaven Lodge H54 S11788 Farehaven Lodge V226638 230505.doc Version 1.30 Page 17 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. 1. 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. 2. Refer to Standard OP15 OP15 Good Practice Recommendations Menus should be displayed with an alternative o the main meal. A special menu for the resident identified during the inspection should be drawn up and offered by all staff. Farehaven Lodge H54 S11788 Farehaven Lodge V226638 230505.doc Version 1.30 Page 18 Commission for Social Care Inspection 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 H54 S11788 Farehaven Lodge V226638 230505.doc Version 1.30 Page 19 - 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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