Inspection on 23/03/06 for Faversham House

This inspection was carried out on 23rd 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

Faversham House 20/01/09

Faversham House 22/01/07

Faversham House 18/05/05

Faversham House 29/09/04

Faversham House 20/05/04

Faversham House 03/03/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Faversham House 59 Church Road Urmston Manchester M41 9EJ Lead Inspector Richard Dankwa Unannounced Inspection 10:00 23 March 2006 rd 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 Faversham House DS0000006710.V281567.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 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. Faversham House DS0000006710.V281567.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Faversham House Address 59 Church Road Urmston Manchester M41 9EJ 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) 0161 748 5998 0161 749 4915 rachel@favershamhouse.co.uk Mrs Rachel Hind Mrs Rachel Hind Care Home 20 Category(ies) of Old age, not falling within any other category registration, with number (19), Physical disability (1) of places Faversham House DS0000006710.V281567.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. All service users shall be aged over 60 years and require nursing care. Minimum staffing levels as specified in the Notice issued under Section 25(3) of the Registered Homes Act and dated 18th August 2000 shall be maintained. 1 named service user in the category of PD (Physical Disability) may be accommodated within the overall number of registered places. When this service user leaves the home the place will revert to the previously registered category. 18th May 2005 Date of last inspection Brief Description of the Service: Faversham House is a care home providing nursing care and accommodation for up to 20 older people. The home is a converted two-storey property that includes a purpose built ground floor extension. There are eight single bedrooms and six double bedrooms. There are three communal toilets, two assisted bathrooms and a large ground floor shower room. The communal space on the ground floor comprises of two lounges. The home is located in the Urmston area of Manchester. There are local shops, a market and other amenities within a short distance of the home. The home is close to Urmston train station. There is a well-maintained garden to the rear of the home. There is a car park at the rear of the property. Faversham House DS0000006710.V281567.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on the 23 March 2006. The manager of the home was on duty and the opportunity was taken to talk to some of the residents during this inspection. The general state of the home was inspected. The paperwork kept at the home was examined. The staff that were on duty at the time of the inspection were observed as to how they supported the residents. The areas identified as needing improvements during the last inspection had been carried out. Other areas requiring improvements were identified during this inspection visit. As this inspection only looked at a limited number of standards this report should be read together with the previous reports to gain a full picture of how the service is meeting the needs of the people living there. 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. Faversham House DS0000006710.V281567.R01.S.doc Version 5.1 Page 6 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 Faversham House DS0000006710.V281567.R01.S.doc Version 5.1 Page 7 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): 1, 2. Prospective residents are given the necessary information about the home to help them make a decision whether to use the services of the home. EVIDENCE: There was a Service User Guide and a Statement of Purpose in place. These documents were issued to all prospective residents and their representatives to help them make a decision whether to use the services being offered at the home. However, the documents mentioned above should be updated to include the telephone numbers of the Commission for Social Care Inspection and also the other relevant agencies mentioned in them. All the residents and their representatives were issued with contracts and terms and conditions of their stay in Faversham House. Faversham House DS0000006710.V281567.R01.S.doc Version 5.1 Page 8 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): 11. The home has policies and procedures in place for supporting terminally ill residents. EVIDENCE: The home has policies and procedures in place to support staff when dealing with the death of a resident. The Integrated Care Pathway for the Care of the Dying is being implemented. The care plans examined indicated that the home gave the residents and their families the opportunity to discuss their wishes and preferences. The manager said that during the terminal care of a resident all staff treated them with respect and sensitivity. Faversham House DS0000006710.V281567.R01.S.doc Version 5.1 Page 9 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): 13. The residents maintain contact with their families, friends and representatives. EVIDENCE: The home has an open door policy that allowed residents to receive visitors at anytime. Arrangements are in place that enables relatives to stay overnight. The residents are encouraged to participate in the community as much as possible. The residents visit the local Bowling Green and Trafford Centre. The residents also visited the shops at Urmston town centre, the pubs and the cinema in the local community. Faversham House DS0000006710.V281567.R01.S.doc Version 5.1 Page 10 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): 17. The residents’ legal rights are protected and they are supported to exercise them. EVIDENCE: The residents are assisted to vote during elections. Some of the residents went out to vote during the last elections. The majority of the residents use the postal voting system to exercise their civil rights. “Age Concern” advocacy services are used to help promote and protect the legal rights of a number of residents. The majority of the residents have solicitors to act on their behalf. On some occasions Trafford council will nominate a Client Affairs Officer based at the Trafford Council to advocate for a resident. Faversham House DS0000006710.V281567.R01.S.doc Version 5.1 Page 11 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): 20, 21, 22. The residents live in a suitably equipped home that has adequate lavatories and comfortable indoor and outdoor communal areas. EVIDENCE: The home has comfortable indoor and outdoor communal areas for the residents to enjoy. There is a large and a small lounge with comfortable seating. There is a garden at the back of the home for the residents to use. A landscape garden is being created at the front of the home. All residents’ had a washbasin in their bedroom. The home has 2 bathrooms, 4 toilets and 3 shower rooms that are adequate for the residents accommodated at the home. The home was well and suitably equipped with hoists, specialist beds and adapted baths. Faversham House DS0000006710.V281567.R01.S.doc Version 5.1 Page 12 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): 28. Staff receive induction when they start employment at the home to enable them perform their duties appropriately. EVIDENCE: The majority of the staff had completed NVQ Level 2 or were undertaking it. There were no trainees or any members of staff employed under the age of 18. All staff receive mandatory training when they commence employment at the home. This includes health and safety awareness, food hygiene and moving and handling. Faversham House DS0000006710.V281567.R01.S.doc Version 5.1 Page 13 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): 31,32,36,37. The home is managed well and the staff receive regular supervision. The home’s policies and procedures and their record keeping as a whole safeguarded the rights and best interests of the residents. EVIDENCE: The manager has a management qualification that is equivalent to NVQ Level 4 Registered Managers Award. The manager has recently completed a degree course in palliative care. The staff and residents that were spoken to said that the manager leads the team well and they find her approachable. The staff receive regular supervision that helped them to perform their duties appropriately. The manager said that the home holds regular meetings. However, there were no records of the home conducting staff meetings. The home should hold and record staff meetings. Faversham House DS0000006710.V281567.R01.S.doc Version 5.1 Page 14 The policies and procedures were kept in the office and were accessible to both staff and residents. All the policies and procedures were up to date. The residents and their relatives/representatives had access to their records. All records were securely kept to maintain confidentiality. Faversham House DS0000006710.V281567.R01.S.doc Version 5.1 Page 15 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 2 3 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 X 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 3 18 X X 3 3 3 X X X X STAFFING Standard No Score 27 X 28 3 29 X 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 2 X X X 3 3 X Faversham House DS0000006710.V281567.R01.S.doc Version 5.1 Page 16 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. Refer to Standard OP1 Good Practice Recommendations The home should update the Service User Guide and the Statement of Purpose to include the telephone numbers of the Commission for Social Care Inspection and the other relevant agencies mentioned in these documents. The home should hold regular staff meetings and keep a record of this. 2 OP32 Faversham House DS0000006710.V281567.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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. Extracts may not be used or reproduced without the express permission of CSCI Faversham House DS0000006710.V281567.R01.S.doc Version 5.1 Page 18 - 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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