Inspection on 02/03/06 for Farndale House

This inspection was carried out on 2nd March 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 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

Farndale House 03/05/07

Farndale House 06/01/06

Farndale House 15/03/05

Farndale House 18/11/04

Farndale House 25/03/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Farndale House 21 Rowan Avenue Beverley East Yorkshire HU17 9UN Lead Inspector Karen Ritson Unannounced Inspection 2nd March 2006 10:30 Farndale House DS0000019819.V283595.R01.S.doc Version 5.1 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 Farndale House DS0000019819.V283595.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 Adults 18-65. 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. Farndale House DS0000019819.V283595.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Farndale House Address 21 Rowan Avenue Beverley East Yorkshire HU17 9UN 01482 872015 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) Mrs Kathleen Susan Fairbrass Mrs Kathleen Susan Fairbrass Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Farndale House DS0000019819.V283595.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th March 2005 Brief Description of the Service: Farndale house is registered to provide personal care and support for three service users with a learning disability. The home provides care for three at present, one of whom has recently been admitted. The home is based in a residential area of Beverley within close proximity of shops, entertainment and transport links into town. The home has a large lounge with separate dining area, a conservatory and a garden to the rear where service users may sit out or enjoy barbeques in the warmer months. Service users rooms are spacious with toilet and bathing facilities near each room. Farndale House DS0000019819.V283595.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on 2nd March 2006 and was announced at short notice. It took four hours to complete, which includes time for preparation and writing the report. One of the service users was at home at the time of the inspection and remained with the manager and inspector throughout. She made many comments regarding her care at the home, all of which were very positive. The atmosphere was relaxed and welcoming. What the service does well: 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. Farndale House DS0000019819.V283595.R01.S.doc Version 5.1 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Farndale House DS0000019819.V283595.R01.S.doc Version 5.1 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard 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: Farndale House DS0000019819.V283595.R01.S.doc Version 5.1 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 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: Farndale House DS0000019819.V283595.R01.S.doc Version 5.1 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 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: Farndale House DS0000019819.V283595.R01.S.doc Version 5.1 Page 10 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 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: Farndale House DS0000019819.V283595.R01.S.doc Version 5.1 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Service users are protected from abuse and their concerns are listened to and acted upon. EVIDENCE: The home has a complaints policy and procedure. A house meeting is held each month where service users have a formal opportunity to voice any concerns. In practice however, any concerns are dealt with as they arise on a day to day basis. The proprietor said she liaised with day care and other facilities in order to monitor the wellbeing of the service users in her care. The home has a policy and procedure on abuse. Any potential incidents between service users within the home are managed through understanding each person with reference to risk assessments and taking appropriate action. The proprietor has attended vulnerable adults training and plans to update her medication training with the accredited medication training course offered by Boots the chemist. The proprietor keeps personal allowances on behalf of the service users. All financial documentation was checked and no discrepancies were found. A service user said she would tell the proprietor if there was anything bothering her and expressed complete trust in her. Farndale House DS0000019819.V283595.R01.S.doc Version 5.1 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Service users live in a safe, comfortable environment, which is kept clean and hygienic. EVIDENCE: The home is very attractively decorated and furnished. All bedding, carpets and curtains have been renewed during the year and the interior of the home has been entirely re painted. New sofas have been purchased for the quiet lounge. One service user has been experiencing difficulty in getting upstairs safely and a new rail has been fitted to assist. The bathroom has a thermostatically controlled shower to protect service users from the possibility of injury from hot water, although the proprietor always supervises bathing and showering. The external doors are all fitted with alarms to alert the proprietor should a service user leave the premises. The bathrooms and en suite toilet are to be retiled. The kitchen flooring is to be renewed and impermeable flooring is planned for the laundry/utility room. The service user said she loved her home and that is was very comfortable. Farndale House DS0000019819.V283595.R01.S.doc Version 5.1 Page 13 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 The home does not employ any staff therefore these standards cannot be assessed. EVIDENCE: Farndale House DS0000019819.V283595.R01.S.doc Version 5.1 Page 14 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 43 Service users live in a well run home, their health and safety is protected and they are regularly consulted over how care is offered. EVIDENCE: The manager is competent and takes the opportunity for regular training to update her skills. She is unable to complete NVQ at level 4 due to not employing staff and a letter had been sent to her explaining that at this time CSCI do not expect her to complete this qualification. The home carries out a comprehensive quality assurance system, based upon gaining the views of service users, health care professionals and any other interested parties. An annual development plan is devised based on the findings of the quality assurance questionnaires for the year. Each annual plan is reviewed after the year and progress towards goals is recorded. All targets for last years plan were met in full. The plan is detailed and specific, covering for example, plans for the internal and external environment, holidays and outings, regular activities and training. Farndale House DS0000019819.V283595.R01.S.doc Version 5.1 Page 15 All health and safety documentation was available and up to date; this included maintenance certificates for electrical and gas appliances and systems, environmental risk assessments, a fire risk assessment, infection control policies and health and safety training. It was clear from speaking with the service user and the proprietor throughout the morning that the home is run in the best interests of the service users and that service users are consulted constantly. Farndale House DS0000019819.V283595.R01.S.doc Version 5.1 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 3 X 4 X X 3 x Farndale House DS0000019819.V283595.R01.S.doc Version 5.1 Page 17 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. 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. Refer to Standard Good Practice Recommendations Farndale House DS0000019819.V283595.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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. 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