This inspection was carried out on 14th February 2006.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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.
CARE HOMES FOR OLDER PEOPLE
Farthings Nursing Home Farthings Nursing Home Wilson Square Little Bispham Blackpool Lancashire FY5 1RF Lead Inspector
Ms Janet Spink Unannounced Inspection 09:00 14 February 2006
th 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 Farthings Nursing Home DS0000006042.V250552.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 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. Farthings Nursing Home DS0000006042.V250552.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Farthings Nursing Home Address Farthings Nursing Home Wilson Square Little Bispham Blackpool Lancashire FY5 1RF 01253 864309 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) Westlive Limited - T/A The Farthings Nursing Home Mrs Sheena Cook Care Home 64 Category(ies) of Old age, not falling within any other category registration, with number (58), Physical disability (3), Terminally ill (3) of places Farthings Nursing Home DS0000006042.V250552.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The registered person may accommodate up to a maximum of 64 older persons when not utilising those placed designated for persons with a physical disability and/or terminal illness. The total number of persons accommodated in the home at any one time shall not exceed 64. 1st August 2005 Date of last inspection Brief Description of the Service: The Farthings Nursing Home is registered to accommodate 64 older pople for nursing and personal care. It is a large purpose built building that provides passenger lift access to both floors. There are a number of lounge areas on each floor and a dining room on the ground floor. There are 54 single bedrooms and five doubles, the majority of which have en-suite facilities. There is a large parking area at the front of the property. It is located in a residential area of Bispham. the farthings has recently been successful in obtaining the Investors in People award. Farthings Nursing Home DS0000006042.V250552.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over a period of three hours. It consisted of discussions with the deputy matron, discussions with patients, observations of interaction between staff and resident, viewing documentation and discussions with the cook and laundry assistant. What the service does well: What has improved since the last inspection?
Opportunities for different social activities have improved since the last inspection with patients enjoying meals out and entertainers visiting the home. There are now two cooks employed in the home, which means that all meals are freshly prepared as there is a cook on duty at each meal time. The numbers of care staff who have completed a relevant qualification in care has increased. Farthings Nursing Home DS0000006042.V250552.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. Farthings Nursing Home DS0000006042.V250552.R01.S.doc Version 5.0 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 Farthings Nursing Home DS0000006042.V250552.R01.S.doc Version 5.0 Page 8 Choice of Home
The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed on this occasion as they were found to be met during the last inspection. EVIDENCE: Farthings Nursing Home DS0000006042.V250552.R01.S.doc Version 5.0 Page 9 Health and Personal Care
The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed on this occasion as they were found to be met during the last inspection. EVIDENCE: Farthings Nursing Home DS0000006042.V250552.R01.S.doc Version 5.0 Page 10 Daily Life and Social Activities
The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 and 15 The home meets the cultural, social and recreational needs of the patients and ensures that all receive a varied, nutritious diet that is served in a manner that best suits the patient. EVIDENCE: The manager keeps records of activities that patients have enjoyed and photographs were also available. There were photographs of residents having a meal at a restaurant, and some of a patient’s 100th birthday celebrations. Patients told the inspector that a singer had been recently and other activities include bingo and videos. The home provides a mini bus so that patients can access local community facilities. Holy Communion is provided for those who want this. During the last inspection a recommendation was made that there be an additional cook be employed as the cook had been preparing a light snack for the evening meal before he left at lunch-time. During this inspection it was confirmed that there are now two cooks employed in the home. The rota showed that there are two chefs and four kitchen assistants. Discussions with the most recently appointed chef highlighted that kitchen staff are aware of any special diets or allergies that patients may have
Farthings Nursing Home DS0000006042.V250552.R01.S.doc Version 5.0 Page 11 as this is documented on admission. Staff were also aware of those patients who needed soft or liquidised meals. The home-owners continue to ensure that fresh produce is available and the cook is not restricted to a small budget when ordering stock. Patients confirmed that they are offered a choice of meal and that the quality of food is good. They also said that they can have meals in their rooms if they choose. This was observed during the inspection. Farthings Nursing Home DS0000006042.V250552.R01.S.doc Version 5.0 Page 12 Complaints and Protection
The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 Patients are encouraged to voice their opinions so that concerns are dealt with prior to them becoming formal complaints. EVIDENCE: The complaints procedure is displayed in the hallway along with numerous letters and cards of thanks. Patients told the inspector that “the staff will sort anything out if you are not happy with something.” They spoke highly of the matron and deputy saying that “you can talk to them about anything.” The deputy manager was on duty at the time of the inspection and she was able to provide records of where patients or relatives have been invited to discuss any concerns they have prior to them becoming formal complaints. Farthings Nursing Home DS0000006042.V250552.R01.S.doc Version 5.0 Page 13 Environment
The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 The home is clean and provides a comfortable environment for the patients accommodated. The maintenance plan should continue to address upgrading of bedroom furniture as this will enhance the home for service users. EVIDENCE: The home has started to replace some beds with adjustable ones that are more fit for nursing purposes. This should continue to be addressed to ensure that staff and service users have suitable equipment to ensure their safety. The home was found to clean and airy. There were no unpleasant odours despite a high number of people being incontinent. The inspector spoke to a member of the domestic staff who explained her daily, weekly and monthly duties. The inspector was informed that the domestic have completed NVQ level I. Separate laundry staff are employed and the laundry is situated where soiled clothes are not taken through an area where food is being prepared or eaten.
Farthings Nursing Home DS0000006042.V250552.R01.S.doc Version 5.0 Page 14 Staffing
The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 and 28 The manager ensures that there are sufficient staff to meet the needs of the patients, and care staff are provided with relevant training in a care qualification. EVIDENCE: The inspection was unannounced and there were two qualified staff on duty who were supported by eight care staff. The staff rota was viewed for a period of four weeks and this confirmed that this is the norm for the fifty people accommodated. These staff are in addition to the domestic, laundry and kitchen staff. The rota showed that nights are also well staffed. The care staff in the home continue to be provided with training in NVQ level II in care through local training organisations. The staff team of thirty five have not quite reached the target of 50 having this qualification but they are making steady progress towards this. Nine people have completed this while a further thirteen are currently undertaking it and three are enrolling in the near future. Farthings Nursing Home DS0000006042.V250552.R01.S.doc Version 5.0 Page 15 Management and Administration
The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31 The home is well managed and run in the best interests of the patients. There is good leadership, guidance and direction to ensure that patients receive consistent care. EVIDENCE: The registered manager is a State Registered Nurse who has managed the home for sixteen years. She is aware that a qualification in management to NVQ level 4 is required for registered managers. The inspector was informed that the deputy manager has recently successfully completed the required qualification of the registered manager’s award. All patients spoken to commented that the manager is approachable and were confident in her abilities to manage the home. Farthings Nursing Home DS0000006042.V250552.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 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 x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 x 2 x x x x x x x STAFFING Standard No Score 27 3 28 2 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 x x x x x x x Farthings Nursing Home DS0000006042.V250552.R01.S.doc Version 5.0 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. 1 2 3 Refer to Standard 19 28 31 Good Practice Recommendations The maintenance plan should address the refurbishment of bedroom furniture including adjustable beds. 50 of care staff should achieve NVQ level II in care The registered manager should consider options in relation to obtaining the relevant mangers qualification. Farthings Nursing Home DS0000006042.V250552.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1 Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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