CARE HOME ADULTS 18-65
Farndale House 21 Rowan Avenue Beverley East Yorkshire HU17 9UN Lead Inspector
Karen Ritson Unannounced Inspection 10:00a 6 January 2006
th Farndale House DS0000019819.V270507.R01.S.doc Version 5.0 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.V270507.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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.V270507.R01.S.doc Version 5.0 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.V270507.R01.S.doc Version 5.0 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, all of whom have been resident at the home for some time. 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.V270507.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection took place on January 6th 2006 and was announced at short notice. The inspection took eight hours to complete, including time for preparation and writing the report. There was a relaxed and welcoming atmosphere in the home and the proprietor and the one service user present chatted with the inspector throughout. This inspection has covered some of the core standards. The remaining core standards will be covered at the next inspection. What the service does well: What has improved since the last inspection?
The proprietor continues to improve the quality of care through detailed knowledge of each individual. This is a responsive service and care is adapted according to changing needs. Farndale House DS0000019819.V270507.R01.S.doc Version 5.0 Page 6 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.V270507.R01.S.doc Version 5.0 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.V270507.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Service users needs are thoroughly assessed. EVIDENCE: All of the service users were known to the owner of the home prior to admission. Each one had visited the home and had spent time getting to know the home and the owners before making a decision about admission. Comprehensive assessments have been carried out for each person and updated where necessary with risk assessments in place. A care plan is developed from the assessment. One service user said that the owner talked through any restrictions on choice and that she understood what she could do herself and when she needed to ask a member of staff. All nursing input is recorded. The home includes family and interested third parties in decisions affecting the lives of the service users where this is appropriate. It was clear that the service users and their families had detailed information about the home, which had enabled them to make an informed decision regarding admission. Farndale House DS0000019819.V270507.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9 Service users have a clear updated care plan, they are supported to make decisions about their lives and to take responsible risks. EVIDENCE: The care plans are reviewed each month and are set out in great detail. The plan addresses how specialist needs will be met and anticipates potential future care needs. All restrictions on choice and freedom are documented with reasons given and consent where necessary. A service user said she knew that the owner wrote down what care she needed and was aware of the other professionals who called at the home to assist her. Throughout the inspection the registered provider and a service user chatted about decision- making and choices, and it was clear that the documentary evidence of consultation was a reflection of what was carried out in practice. One service user has a deteriorating mental condition, and her right to express preferences and to be supported to make decisions within her capacity was well documented and clearly witnessed during the inspection. All activities are risk assessed and identification sheets have been devised so that any unplanned absences may be quickly dealt with. Farndale House DS0000019819.V270507.R01.S.doc Version 5.0 Page 10 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): 12,13,15,16 and 17 EVIDENCE: Through talking with a service user, the proprietor and looking at written diary entries it was clear that the service users are engaged in appropriate fulfilling activities according to each individual preference and capacity. Activities include helping at a local charity shop, attending day care and a work placement assisting older people as an activities assistant. One service user recognised she was now better placed helping at the home and that the charity shop work was no longer suitable for her. All the service users are supported to engage in social nights out, and have a regular Friday night out to a local pub where they can dance and where they are joined by friends, family and people who are now living independently but who have been resident at the home in the past. Other social activities include shopping, bowling, swimming and bell ringing. Service users are appropriately supported in their relationships. All domestic involvement is recorded in notes and care plans. The menu is varied and service users go shopping with the proprietors, helping to plan meals and choose food shopping. Farndale House DS0000019819.V270507.R01.S.doc Version 5.0 Page 11 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): 18, 19 and 20 Service users are protected by the homes’ medication handling procedure. EVIDENCE: From speaking with a service user and examining documentation it was clear that personal care is offered in a thoughtful and appropriate way. The service user said that the owners looked after her well and she was obviously very satisfied with the care offered. Medication is handled and recorded appropriately. Farndale House DS0000019819.V270507.R01.S.doc Version 5.0 Page 12 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): None of the above standards were inspected. EVIDENCE: Farndale House DS0000019819.V270507.R01.S.doc Version 5.0 Page 13 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): None of the above standards were inspected. EVIDENCE: Farndale House DS0000019819.V270507.R01.S.doc Version 5.0 Page 14 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): None of the above standards were inspected. EVIDENCE: Farndale House DS0000019819.V270507.R01.S.doc Version 5.0 Page 15 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): None of the above standards were inspected. EVIDENCE: Farndale House DS0000019819.V270507.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 4 X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 4 X 3 X Standard No 24 25 26 27 28 29 30
STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 4 16 4 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Farndale House Score 4 4 3 X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000019819.V270507.R01.S.doc Version 5.0 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. 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.V270507.R01.S.doc Version 5.0 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
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