Inspection on 22/05/07 for Farmborough Court

This inspection was carried out on 22nd May 2007.

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

Farmborough Court 14/02/06

Farmborough Court 07/07/05

Farmborough Court 08/03/05

Farmborough Court 15/09/04

Farmborough Court 24/03/04

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOMES FOR OLDER PEOPLE Farmborough Court Brentford Avenue Town End Farm Sunderland SR5 4EU Lead Inspector Miss Andrea Goodall Key Unannounced Inspection 10:00 22nd May & 5th June 2007 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 Farmborough Court DS0000040890.V335654.R02.S.doc Version 5.2 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. Farmborough Court DS0000040890.V335654.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Farmborough Court Address Brentford Avenue Town End Farm Sunderland SR5 4EU 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) 0191 566 2463 0191 553 6928 Council of City of Sunderland Mrs Anne De Cruz Care Home 54 Category(ies) of Dementia - over 65 years of age (16), 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 (11), Physical disability over 65 years of age (14), Sensory Impairment over 65 years of age (8) Farmborough Court DS0000040890.V335654.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 14th February 2006 Brief Description of the Service: Farmborough Court is a large modern, 2-storey purpose built care home, which provides a base for a range of intermediate care services for older people who need convalescence or a rehabilitative stay. The Social Services Department is registered as the Provider of the personal care and accommodation provided at Farmborough Court Care Centre. The intermediate service is provided in partnership with Sunderlands Teaching Primary Care Trust, the Mental Health NHS Trust and the City Hospitals NHS Trust. There are 4 distinct units within the building that provide up to 54 places for older people, some of whom may also have mental health and physical needs. Each unit contains up to 14 bedrooms (each with en-suite), a lounge, a dining room, a bathroom and a shower room. There is wide, level access into the building and wide corridors throughout the building. There are 2 passenger lifts to serve the first floor. All areas of the building are accessible by people with mobility needs. There is a driveway and car park to the front of the building. A paved area to the rear of the building is used as a patio area for the people who use this service. Farmborough Court is sited in a housing estate on the northern boundaries of the City of Sunderland. It is very close to a small number of local shops, club, church and local bus routes. All the elements of this service are free of charge to service users. Farmborough Court DS0000040890.V335654.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over two days. Much of the time was spent getting the views of several people who were staying here. The views of visitors and staff were also sought, parts of the premises were inspected, and the inspector joined people at mealtimes. Time was also spent with the management staff discussing the progress of this service, looking at care records, staff records and health & safety records. Farmborough Court staff sent in a pre-inspection questionnaire to CSCI a couple of months before this inspection. Comment cards were received from 13 people who had recently stayed at Farmborough Court, and 4 comment cards were received from relatives of people who had stayed here. There have been no complaints or concerns about this service since the last inspection. What the service does well: Farmborough Court provides an excellent range of intermediate care services for older people within one central building. The people who were using the service at the time of the last inspection described the services as People staying here have access to specialist staff, such as Occupational Therapists and Physiotherapists, who are based at the Centre. There are also sufficient care staff (known as reablement staff) to help people with their mobility and daily living exercises so that they can get fit enough to get back to their own homes. People staying here said that meals were “very, very good”, “lovely”, and “there’s always plenty”. The quality of the accommodation is very good. All areas are spacious, well decorated and furnished, and all the bedrooms have en-suite facilities. People staying here described the accommodation as “first class”, “very nice, very comfortable” and “it’s very good – perfect for convalescence”. One relative wrote, “The staff are very helpful and attentive.” Another relative wrote, “I have found this a brilliant place with lovely staff willing to talk to me at any time.” Staffing levels are flexible to make sure that the number and needs of people staying here can be met. Staff said that they feel well supported in their work and described their training opportunities as “excellent”. Farmborough Court DS0000040890.V335654.R02.S.doc Version 5.2 Page 6 The centre is managed by experienced, competent people so service users receive a very well run service. Service users’ views are positively used to review the service, so that it is run in their best interests. 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. The summary of this inspection report can be made available in other formats on request. Farmborough Court DS0000040890.V335654.R02.S.doc Version 5.2 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 Farmborough Court DS0000040890.V335654.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Information for prospective service users has improved so that people have better, visual information about the service before they come to stay here. Only the people who are assessed as potentially able to benefit from the intermediate services are admitted, and so Farmborough Court Care Centre is very successful in helping people to maximise their independence and to return home. EVIDENCE: Improved information for potential service users has been developed since the last inspection. The written information about the different types of services also now includes a photographic brochure of the accommodation and types of therapies that people may receive during their stay. This is beneficial for those people who would not have known what to expect from the service. The Farmborough Court DS0000040890.V335654.R02.S.doc Version 5.2 Page 9 information brochure is made available in relevant hospital wards and to care managers who may be carrying out assessments of potential service users. The written information can be produced in alternative formats if requested, for example different languages and in Braille. It is not currently available in an auditory format (such as cassette or DVD) that would support the needs of people with visual impairments or literacy needs. The manager indicated that the information has been requested on cassette tape and this is awaited. The manager and other senior staff provide monthly training sessions to relevant professional, such as hospital ward staff and District Nursing services, to explain the purpose of Farmborough Court, its criteria for admissions and referral pathways. Farmborough Court Care Centre is the main provision base for a range of intermediate care services, including rehabilitation. This service is for older people who are recovering from illness, either from hospital or from home, who no longer need medical care but need support to regain daily living skills so that they can return home. This service involves the Community Rehabilitation Therapy Team, which includes Occupational Therapists, Physiotherapists and re-ablement assistants. The period of stay for this service is usually between 2–6 weeks. One unit is for older people with mental heath needs who need rehabilitative support with their physical and/or mental health needs in order to return to live in the community as independently as possible. The period of stay for this service is usually 1–6 weeks. This service also involves RMNs (Registered Mental Nurses). Farmborough Court also provides convalescence care for older people who are medically fit to be discharged from hospital but are not quite ready to return home. This service allows people a stay of up to 2 weeks whilst further support can be put into place for their return home. Farmborough Court can also provide urgent accommodation for people receiving a service from the 24/7 Rapid Response Team. This service allows accommodation for older people who need short-term nursing and/or social care during an illness or following an accident. Farmborough Court Intermediate Services work alongside the Rapid Response Team and, where appropriate, will provide short-term accommodation (up to 48 hours) in order to prevent an unnecessary admission to hospital. All the elements of this service are free of charge to service users. The criteria for receiving such services is that the person must be over 65 years old, a resident of Sunderland and must be assessed by the Intermediate Services Team as being potentially able to achieve rehabilitation. Farmborough Court DS0000040890.V335654.R02.S.doc Version 5.2 Page 10 The manager confirmed that over 90 of people who receive the intermediate service are supported to return home. The number of people still in their own homes 6 months after using the service is well above 80 . It is clear that the strict criteria for assessment and admission ensures the continuing success of this service for the people who use it. Farmborough Court DS0000040890.V335654.R02.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users have an individual plan of care so that their specific needs can be met during their stay. Service users have excellent access to health care services so their health care needs are fully met during their stay. Service users are assessed for capability to manage their own medication, so that their independent skills in this area can be supported. EVIDENCE: Each person has an individual plan of care that outlines the short-term goals (and therapy input where appropriate) it is hoped that they achieve during their stay. For example, mobility, and independence at mealtimes. The care plans are brief but pertinent. There are daily reports to show the person’s progress towards each goal. In a small number of the sample examined these records were not sufficiently descriptive, or only recorded what the staff had done rather than the progress of the person. Farmborough Court DS0000040890.V335654.R02.S.doc Version 5.2 Page 12 It is good practice that for people with dementia care needs there is a daily record that identifies any signs of their mental health well-being or ill-being. It is good practice that care plans are kept in each person’s bedroom so that they are easily accessible by both the service user and the staff involved in their support. Some daily reports use abbreviation codes that are not clear so might exclude the person from understanding their own record. The people staying here get excellent health care screening by all the relevant health care professionals. There are Occupational Therapy, Physiotherapists and Registered Mental Nurses on site. There is a weekly GP visit and on-call service to anyone staying at the centre, and a Nurse Practitioner on-site. Rapid Response nurses can also be contacted for provide advice as and when required. The service promotes continued independence and service users are assessed on admission for their ability to manage their own medication. This might determine whether they can fully self-medicate; or need verbal prompts only; or need some visual supervision; or need the full support of staff. There is a standardised risk assessment and agreement form, which includes the service users in the decision. The situation is reviewed during their stay in case of changing abilities or needs. Each room contains a medication cupboard so that whatever way people are supported, this can be done in the privacy of their own room. If people are assessed as being able to manage better with a monitored dosage system (e.g. a blister pack) Farmborough Court will set this up with a pharmacist so that they can get used to this and continue to use it when they get home. All bedroom doors have keys, so that people can choose to lock the bedroom door or not when they are elsewhere. However all bedroom doors were open throughout these visits. In part this may be to allow easy access into bedrooms, or it may, in part, have become a cultural ‘norm’ in this service. Either way the many people who took part in discussions said that they liked keeping the bedroom door open through the day. Bedroom doors are lockable form the inside too, so that residents can choose to have privacy in the bedrooms whenever they wish. The people who were staying here had many positive comments to make about the helpful and courteous approach of staff. One person said, “Even the younger ones are very caring and very professional.” Throughout both visits staff were observed to be very respectful and supportive towards the people staying here, but also clearly promoted people’s own self-help skills. Farmborough Court DS0000040890.V335654.R02.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are individually assessed for activities and therapeutic exercises so that they are supported to gain the skills to return to their own homes. The centre promotes the continued involvement of relatives so that people are supported to keep their links with their own communities. Service users receive appetising, nutritional meals but have limited information about menu choices. EVIDENCE: As Farmborough Court provides an intermediate care service, the main ‘activities’ that people engage in are designed to help them regain independent living skills, such as mobility, and making drinks and snacks. People receiving the rehabilitation service are individually assessed for occupational and physiotherapy therapy exercises and activities. People using the dementia care services may have activities designed to support their mental health and orientation, such as quizzes and reminiscence discussions. Farmborough Court DS0000040890.V335654.R02.S.doc Version 5.2 Page 14 When asked in the comment cards whether they felt the activities at the centre had helped them, almost all replied “yes.” One person also wrote, “I couldn’t have managed without them.” When they are not engaged in therapy activities, the people who stay here can spend their day as they like. There are television lounges in each unit and visitors are welcomed at any time. There were several visitors at the centre during these visits. Those involved in discussions had many positive comments to make about the service. One visitor said, “It must be a lovely place to stay to get better. ” Another visitor said, “I would want to have a place here if I needed convalescence.” The service promotes the involvement of relatives wherever possible including taking people out to appointments or shopping, and to support people to keep their links with their own community during their stay. There are some local shops near the centre, however a couple of people did not feel that they should ask the “busy staff” to support them to go to the shops. Four relatives’ comment cards that were received by CSCI included very positive comments about the service. For example, one relative wrote, “My father is very well looked after and the facilities are excellent.” Another relative wrote, “I am delighted with the care my mum is getting. All staff are friendly, the home is spotlessly clean, and the meals are good, reported to me by mum.” The people who completed comment cards and the people staying here had many positive comments to make about the quality of the meals they receive during their stay. In discussions people described the meals as “very, very good”, “lovely”, and “there’s always plenty”. Each of the four units has a pleasant dining room where service users can take their meals together. Meals are prepared in the main central kitchen by catering staff, and transported to the dining rooms by hot lock trolley. Care staff then serve individual people their preferred menu choice. At this time people do not have any written, or photographic, information about menus. They are asked the day before for their choice from two main dishes. Several people had forgotten what choices they had made when they sat down the following day for their meals. It is good practice that the home can access halal and kosher meals if needed to meet the cultural and religious needs of people staying here. Tables are well set out with condiments, serviettes and placemats. It is good practice that each table is served a teapot for service users to help themselves to their own tea, milk and sugar. However the teapots are extremely heavy Farmborough Court DS0000040890.V335654.R02.S.doc Version 5.2 Page 15 and difficult to lift, so do not support people’s confidence about managing this independent task. There are kitchenettes in each of the four units so that staff can easily make drinks and snacks for people staying here. Service users can also use kitchenettes, with support, as part of their rehabilitation exercises. Farmborough Court DS0000040890.V335654.R02.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users have very good information so that they know how to make a complaint. All staff have good training in safeguarding adults so that service users are protected from abuse. EVIDENCE: All the people who stay here have clear information about the complaints procedure in the Service Users Guide, which they keep in their own bedrooms for easy access. The complaints procedure is also available on cassette tape for people with a visual impairment or other reading difficulties. In this way all service users would know how to make a complaint about the service at Farmborough Court. There have been two complaints over the past year, one of which was unsubstantiated. These are recorded, acted upon and retained in service users own files. The centre also has records of the small number of informal comments received from service users, which have been used to improve the service, such as a request for ‘all day breakfasts’. In this way it is evident that the service takes all complaints and comments seriously. As with all care services for adults in the City of Sunderland, Farmborough Court endorses the MAPPVA (Multi-Agency Panel for the Protection of Farmborough Court DS0000040890.V335654.R02.S.doc Version 5.2 Page 17 Vulnerable Adults) policy and procedures. These are robust procedures for dealing with suspected abuse. All staff have received training in MAPPVA procedures as part of their Induction training and then at least every 3 years. All staff are also to be trained in new national Safeguarding Adults protocols. In this way all staff know what to do in the event of suspected abuse, and how to safeguard service users. Farmborough Court DS0000040890.V335654.R02.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 23 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The premises are well decorated, accessible, comfortable and well maintained so service users stay in very good quality accommodation that meets their needs. Minor cleaning issues mean that otherwise good hygiene protocols are not always met. EVIDENCE: Farmborough Court was originally a purpose-built care home, and the building is suitable for its stated purpose. Level access is provided into the front of the building and across the two floors. Two passenger lifts enable access between the ground and first floors. The centre has on-site maintenance staff to attend to repairs, safety and maintenance checks, and this means that the building is well maintained for the people who stay here. At this time the external paintwork to window Farmborough Court DS0000040890.V335654.R02.S.doc Version 5.2 Page 19 frames is becoming perished. It was indicated that arrangements are in place to address this in the near future. The standard of décor and furnishings is very good. In discussions the people staying here described the accommodation as “first class”, “very nice, very comfortable” and “it’s very good – perfect for convalescence”. All bedrooms are spacious and have en-suite facilities. All bedroom doors are provided with a key so that service users can choose to use these or not. All bedroom doors are lockable from the inside so that service users can manage their own privacy if they choose. During these visits all bedroom doors were held open with a dorguard. This allows people independent access into their own rooms during the day, without compromising fire safety. However even the doors of vacant bedroom were held open and this means that the doors could begin to warp if held back constantly, which could prevent the door from closing fully. Service users and relatives described the accommodation as “spotlessly clean”. There are dedicated domestic staff who manage the cleaning programmes within the building and all areas of the premises that were examined were clean. All staff have had training in Infection Control. There are protocols in place for staff to support people with infections so that they receive a full care service without any risk of cross-infection to others. However in one shower room there were a number of clean towels stacked on the floor. Also the pull cords for lights in bathrooms and toilets have become dirty. These items could compromise the control of infection. Farmborough Court DS0000040890.V335654.R02.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. There are sufficient numbers of skilled staff so that service users needs are appropriately met. Staff are well trained so are competent to provide the right care. EVIDENCE: As there is a fluctuating number of service users who stay at the centre there is a flexed staffing grid that determines the number of staff required. Staffing levels depend on the occupancy but also on the level of need of service users at any one time. At the time of this visit there were 50 people staying at the service. During the day there were 11 reablement assistants and 2 reablement officers providing sufficient care and support to the people staying here during the day. The reablement, domestic, catering and maintenance staff are employed by the Social Services Department. There were also Occupational Therapists, Physiotherapists, Therapy Assistants, Registered Metal Nurses, and Nurse Practitioner in the service throughout the day to promote the therapy, rehabilitation and physical wellbeing of the service users during their stay. These staff are employed by the PCT. Farmborough Court DS0000040890.V335654.R02.S.doc Version 5.2 Page 21 In comment cards received all relatives indicated their satisfaction with the staffing levels. One relative also wrote, “The staff are very helpful and attentive.” Another relative wrote, “I have found this a brilliant place with lovely staff willing to talk to me at any time.” The Social Services Department follows a robust recruitment and selection process when appointing new staff. This includes application, shortlisting, interview, CRB disclosures, health declaration, and references. The Staffing Department holds personnel files. Individual staff files held confidentially at the service includes copies of the information required by the Manager. In this way, the Manager is assured that the staff providing care for service users are suitable to do so. Of the 45 reablement assistants and officers staff, 18 have completed NVQ level 3 (a care qualification) in social and health care. A further 10 staff are currently training towards this qualification. The remaining 17 staff will train towards this qualification in the future. In this way the centre aims to ensure that all staff will have a professional qualification that demonstrates they are equipped to do their jobs. There is a comprehensive 3 year training plan for all the staff who work here, as well as individual training and development plans for each staff member. Discussions with several staff, with different roles, confirmed their continued commitment and enthusiasm about the service. Staff were clearly able to recognise service users’ diverse needs and how these can be best supported. Staff said that they feel well supported in their work and described their training opportunities as “excellent”. Farmborough Court DS0000040890.V335654.R02.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33 and 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The centre is managed by experienced, competent people so service users receive a very well run service. Service users’ views are positively used to review the service, so that it is run in their best interests. The health and safety practices ensure that the welfare of service users, and staff, are promoted and protected. EVIDENCE: The registered manager is a qualified nurse and has a number of suitable management and care qualifications. She has many years experience of managing nursing and social care services. She is responsible for the day to day running of the service within Farmborough Court and is assisted by a Deputy Manager. There is also a Community Rehabilitation Service Manager Farmborough Court DS0000040890.V335654.R02.S.doc Version 5.2 Page 23 who is responsible for the management of the Occupational Therapy and Physiotherapy services. The manager is actively involved in a Regional Intermediate Group, and has good contact links with national intermediate groups. In this way she demonstrates her commitment to her continued professional development within this specialised area of care. The service is operated by the Social Services Department in partnership with Sunderland’s Teaching Primary Care Trust, the Mental Health NHS Trust and the City Hospitals NHS Trust. There is a formal quality assurance system in place for Farmborough Court Care Centre. This includes a quarterly review of admissions and successful discharge. It also includes monthly monitoring visits from Social Services Department representatives; monthly health & safety audits; regular audits of care plan and assessment records; weekly kitchen audit; and any complaints and comments by service users and their relatives. The views of service users are sought via questionnaires following their stay at the centre, and by a 6 monthly follow-up questionnaire. There is a very good response rate to the service users questionnaires, which means that the centre gets a meaningful overview of service users perception of the service they have received. Some former service users attend the Operational Group monthly management meetings. Also one former service user attends ‘Service User Focus Group’ meetings to represent service users interests in the quality reviews of the service. In this way service users views are actively used to review and develop the service. All staff receive training in statutory health & safety matters including Moving & Assisting, Fire Safety, First Aid and Food Hygiene. Training and development plans show that all staff receive 3 yearly refresher training in these subjects. There are weekly health & safety audits of the building by maintenance staff. Farmborough Court DS0000040890.V335654.R02.S.doc Version 5.2 Page 24 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 3 4 X X X 4 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 4 9 4 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 4 17 18 4 X X X 3 X x 2 STAFFING Standard No Score 27 4 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X X X X 3 X 4 Farmborough Court DS0000040890.V335654.R02.S.doc Version 5.2 Page 25 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 OP26 Regulation 16(2)j Requirement Clean towels for use by service users must be stored appropriately; and light pull cords must be kept clean. This is to protect them from potential cross-infection. Timescale for action 01/08/07 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. 3. Refer to Standard OP1 OP7 OP7 Good Practice Recommendations The pre-information about the centre should be made available on cassette tape for prospective service users who may have visual impairment or reading difficulties. Care plan records should outline the progress, or otherwise, that people are making towards their goals, not just the input of staff. There should be a key for the abbreviations used in daily records and in care plans or these should be clearly outlined so that service users can also understand their own records. There should be written and photographic menus so that service users can make an informed choice about their DS0000040890.V335654.R02.S.doc Version 5.2 Page 26 4. OP15 Farmborough Court 5. OP15 6. 7. OP15 OP23 future meal preferences. The centre may wish to consider the possibility of asking service users’ for their meal choices at the table at the time that the meal is being served so that people can make an immediate and visual choice of the dishes offered. The heavy teapots served at mealtimes should be replaced with teapots that service users can manage independently. The doors to vacant bedrooms should be kept closed when not in use to prevent these fire doors from warping. Farmborough Court DS0000040890.V335654.R02.S.doc Version 5.2 Page 27 Commission for Social Care Inspection South Shields Area Office 4th Floor St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Farmborough Court DS0000040890.V335654.R02.S.doc Version 5.2 Page 28 - 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. 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