Inspection on 03/05/07 for Farndale House

This inspection was carried out on 3rd May 2007.

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 02/03/06

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 Sarah Sadler Unannounced Inspection 3rd May 2007 09:00 Farndale House DS0000019819.V334803.R01.S.doc Version 5.2 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.V334803.R01.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 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.V334803.R01.S.doc Version 5.2 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) kathleen@fairbrass.karoo.co.uk 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.V334803.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd March 2006 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 people. 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.V334803.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The key unannounced visit was undertaken as part of the routine programme of inspections. It commenced at 09.00 and was completed at 13.00 on 3 May 2007, with a previous one-day’s preparation. The manager assisted the inspector throughout the visit, with the one present service user being involved wherever possible. There were no visitors including health professionals available at this visit. A tour of the premises was undertaken and residents’ files and other records were examined. This included material provided by the manager during the visit to the home. Surveys were sent to service users, relatives and other professionals, with one professional survey being returned. Comments included, “ Service users are included into the family, which is important. They are also given opportunities to learn life skills “, and “ I feel the service provided is excellent and my service user seems to have settled very well”. All three of the service user surveys were returned, with all being happy with the level of service being provided. The only comment being ‘It is good.’ The service user and manager were observed to have extremely positive interactions. What the service does well: The service user and the registered person were observed to have a very close and positive relationship. Service users’ lifestyle needs are well met with people undertaking a variety of home and community based activities, whilst being supported to maintain and develop relationships. People’s health needs are well met. People access health professionals and receive support with the meeting of their medication needs. There are systems in place to support service users to raise any concerns and to protect them should an allegation of abuse occur. Service users live in a very well maintained and comfortable home. Farndale House DS0000019819.V334803.R01.S.doc Version 5.2 Page 6 The registered person is the only staff member and continues to work well to both meet the needs of the service users and to ensure that all the necessary documentation is maintained to a high standard. 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. Farndale House DS0000019819.V334803.R01.S.doc Version 5.2 Page 7 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.V334803.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Service users are assessed prior to admission to ensure that the home can meet their needs. EVIDENCE: All three of the service user files included a Community Care Assessment completed by the Local Authority, prior to the service user moving into the home. In addition the registered person discussed how they work with placing authority and would only admit someone who would fit in with the existing service users. All three of the service users replied in the surveys that they were asked if they wanted to move into this home and that they received enough information prior to moving in. Farndale House DS0000019819.V334803.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Service users are supported by the policies and procedures in the home to live their lives as they would wish. EVIDENCE: Each of the service users’ files included a copy of their community care plan, which details their individual’s needs and wishes. The registered person reviews these on a monthly basis, with annual reviews being held with the Local Authority. Records of these reviews reflect that both the service user and the placing authority are happy with the level of service being provided. Up to date care plans and records ensure that the registered person has a good knowledge of the needs of the service user and how best these can be met. Farndale House DS0000019819.V334803.R01.S.doc Version 5.2 Page 10 Service users’ care notes included a variety of examples when the service users are able to make choices and decisions. These include, what to have to eat, what time to go to bed, and what time to get up. Throughout the visit the one service user was offered choices, which included what to have to drink and whether to help in the daily housekeeping tasks in the home. Feedback to the questions if service users are supported to live the life they chose stated ‘ I believe this it the main aim of the owners of this home.’ Service users confirmed in the surveys that they can make decisions about what to do each day and that they can do what they want. Service user files all included copies of risk assessments, which are reviewed on a regular basis. These were very comprehensive and also included the individual’s risk of fire and dangers from equipment within the home alongside the risk of undertaking an activity. The risk assessments help to ensure that individuals may live their lives as they choose whilst minimising the risks of any potential injury. Farndale House DS0000019819.V334803.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Service users are supported to undertake a variety of leisure activities, both in their own home and the local community, maintain friendships and receive a diet of their choice. EVIDENCE: Service user files and diary notes contain a variety of information regarding the lifestyle of each individual. Two of the service users attend adult education facilities, with the third service user now being retired. All of the service users’ notes reflected that they attend a variety of social events, including visits to local clubs and public houses. Service users are Farndale House DS0000019819.V334803.R01.S.doc Version 5.2 Page 12 assisted to be involved in their local community and access the local bank and shops with the assistance of the registered person. The registered person assists the service users to maintain relationships with their relatives and has supported one service user with a very difficult bereavement. Two of the service users have also been supported when they developed a new friendship. The relationship between the registered person and the service user was observed to be very positive, with the registered person respecting the wishes and choices of the service user throughout the day. The registered person described to the inspector that the routine of the home is always to knock on bedroom doors and further that when relatives of the registered person visited (including children) they also followed this rule. Service users dietary needs are well met as service users are offered a variety of meals and the registered person has developed menus for the food in the home. The choices made are recorded within each service users’ individual file and records reflect that service users often eat out in their local community. Farndale House DS0000019819.V334803.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Service users are supported to meet their health needs. EVIDENCE: Service user files include the details of any specialist assessments undertaken, which may also include a moving and handling assessment. One of the service users has recently required an additional handrail on the staircase and the registered person has supplied this. Ensuring that individual support needs are met. Service users’ health needs are well met. There are detailed records of any visits to health professionals, for example the GP and the registered person reflected a good knowledge of the individual service users’ needs. Professional feedback reflected that service users’ needs were always monitored and attended to. Farndale House DS0000019819.V334803.R01.S.doc Version 5.2 Page 14 Service users are supported to meet their medication needs. None of the service users administer their own medication and medicines are stored in a separate lockable area and records are kept for the receipt, administration and disposal of all medicines. Farndale House DS0000019819.V334803.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The policies and procedures in the home support service users to raise concerns and help to protect them against abuse. EVIDENCE: People are supported to raise any concerns about the home, both in service user meetings and by using the complaints procedure. This includes the details of how to complain and the timescales for response by the registered person. There have not been any complaints to the registered person or to the CSCI. All three service users confirmed in the surveys that they knew what to do if they were unhappy and who to talk to. There is information and systems in place to protect and support service users should any allegations of abuse occur. There is information on display in the kitchen of the home encouraging people to raise any concerns of abuse, in addition there is a copy of the Local Authority’s policy ‘The Protection of Vulnerable Adults’ and the registered person has attended safeguarding adults training. Farndale House DS0000019819.V334803.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Service users live in a well maintained and comfortable home, which offers them privacy and choice. EVIDENCE: Service users have access to a variety of communal space that has been maintained to a high standard. There are two lounge areas, a conservatory and a kitchen dining area, small activity area. Externally there is a small well maintained garden with facilities for holding barbeques. Each of the service users have an individual bedroom and there is one communal bathroom. Two of the service users have chosen to sleep in one bedroom, however both service users continue to have their individual rooms for storage etc. Farndale House DS0000019819.V334803.R01.S.doc Version 5.2 Page 17 The home was very clean and well maintained with no unpleasant smells. All three of the service users confirmed in the surveys that the home was fresh and clean. Farndale House DS0000019819.V334803.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed as no staff are employed within the home. EVIDENCE: Farndale House DS0000019819.V334803.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 & 42. People who use the service experience excellent quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. Service users live in a well managed home that allows them to be involved in its development and which has procedures in place to meet their health and safety needs. EVIDENCE: The registered person has continued to manage the home and update her skills. Over the last year she has undertaken training in Diabetes, Medication awareness and safeguarding adults. The registered person is the only staff member and has ensured that whilst service user needs are met, all required records and documents are kept in good order and up to date. Farndale House DS0000019819.V334803.R01.S.doc Version 5.2 Page 20 There is a quality assurance system in place with an annual business and development plan for the home completed in January 2006. The quality assurance system has been completed over recent years and the registered person plans to implement this again once the revisions that she has undertaken to this are complete. Service users are supported to manage their finances individually with guidance from the registered person. Records including bank documents are kept of all transactions. Health and safety checks are undertaken to ensure that service users live in a safe home. These include weekly checks of the water temperatures, fire drills and maintenance checks, gas and electrical safety checks. Currently all electrical sockets and power sources have been checked, however there is no evidence that this itself meets the requirements of a 5 year electrical wiring check and the registered person is to check this. There are fire risk assessments in place and these have been completed on an individual basis to reflect the risk to each service user should a fire occur. Farndale House DS0000019819.V334803.R01.S.doc Version 5.2 Page 21 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 3 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 4 STAFFING Standard No Score 31 N/A 32 N/A 33 N/A 34 N/A 35 N/A 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 4 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 4 X 3 X X 3 X Farndale House DS0000019819.V334803.R01.S.doc Version 5.2 Page 22 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. 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.V334803.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Farndale House DS0000019819.V334803.R01.S.doc Version 5.2 Page 24 - 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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