Inspection on 04/05/05 for Favordale

This inspection was carried out on 4th May 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Favordale 21/01/09

Favordale 07/02/08

Favordale 31/07/07

Favordale 31/07/06

Favordale 28/02/06

Favordale 27/10/04

Favordale 07/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Sunny Bank (P.R.S.) Ltd

Ruskin Lodge

Bushell House

Ashwood Court Unit 1

Langrigg House

Parkside

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

CARE HOMES FOR OLDER PEOPLE Favordale Byrom Road Colne Lancs BB8 0BH Lead Inspector Marie Dickinson Unannounced 4 May 2005 10.00 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 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. Favordale F57 F07 S35216 Favordale V223286 040505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Favordale Address Byrom Road Colne Lancs BB8 0BH 01282 864205 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Lancashire County Care Services Mrs Linda Starkie Care Home 31 MD(E) MD 5 31 5 Category(ies) of Mental Disorder registration, with number Old Age OP of places Mental Disorder Favordale F57 F07 S35216 Favordale V223286 040505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service should, at all times, employ a suitably qualified manager who is registered with the Commission for Social Care Inspection 2. Within the overall registration of 31, no more than 5 service users of 55 years of age and above who fall into the categories of either MD or MD(E) shall be resident at any one time 3. A maximum of 31 service users who fall into the category of OP may be accommodated Date of last inspection 27/10/04 Brief Description of the Service: Favordale is registered with the Commission for Social Care Inspection to provide personal care and accommodation for thirty one people. The home is owned by Lancashire County Council and managed by Lancashire County Care Services. The property is a single storey building set back off a main road and on a bus route to Colne. There are gardens to the side and rear, accessible to the residents. Accommodation offered is in single bedrooms. There are sufficient bathrooms and toilets, and various aids provided for residents throughout the home. The home is staffed twenty-four hours a day, with a member of the management team on duty and on call at all times. Favordale F57 F07 S35216 Favordale V223286 040505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. What the service does well: What has improved since the last inspection? Medication issues identified in the previous inspection have been dealt with correctly. The number of activities provided for residents has increased and are to their liking. Action has been taken to stop a build up of leaves on the pathways, reducing the risk of residents slipping. The level of staffing has increased and this is having a positive effect on care for the residents. Favordale F57 F07 S35216 Favordale V223286 040505 Stage 4.doc Version 1.30 Page 6 There was improvement in record keeping. Residents and staff files were organised for easy referencing. 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. Favordale F57 F07 S35216 Favordale V223286 040505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Favordale F57 F07 S35216 Favordale V223286 040505 Stage 4.doc Version 1.30 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 standard(s) 3, 4 Assessments prepared for people wanting to live in the home contained sufficient information to plan their care needs. Staff were trained to care for people with special needs such as dementia. Advice was taken from other professionals to make sure all care needs were met properly. EVIDENCE: Whilst there had been no admissions to Favordale since the last inspection, assessments records for the residents living in the home were looked at. These showed how they were linked into providing care for the residents, such as the level of support for personal care. Each person had a plan of care for daily living. There were senior management available in the home at all times. The range of needs for residents had been considered, and staff were trained in looking after residents with a variety of needs such as dementia care. Staff said they had enjoyed these training courses which gave them a clearer understanding of special needs. Favordale F57 F07 S35216 Favordale V223286 040505 Stage 4.doc Version 1.30 Page 9 Records showed that staff acted upon the changing needs of residents and they had consulted with other professionals for advice. This included amongst others, contact with the visiting district nurses and psychiatric healthcare workers. Favordale F57 F07 S35216 Favordale V223286 040505 Stage 4.doc Version 1.30 Page 10 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 standard(s) 7, 8, 9, 10 Care plans were used to help staff to provide appropriate personal care for residents. The plans were basic but information recorded showed care needs were identified. They had been reviewed regularly and residents had been included in these. Residents were satisfied that their needs were met and they considered staff were respectful to them. Medication was managed correctly. The location of the telephone was not satisfactory for residents as the room was also used for medical use. EVIDENCE: Care plans were written for the residents. These plans showed how people’s care needs had been identified. The plan also showed what help was required such as when getting up, or if help was needed for walking and bathing. In addition to the daily care plan each resident had a night care plan that showed how care was to be provided during the night. A key worker system of working was used. This is when a named carer takes responsibility for a number of residents. Some residents said staff talked to them about their care. They liked their carer and were happy with this arrangement. Favordale F57 F07 S35216 Favordale V223286 040505 Stage 4.doc Version 1.30 Page 11 Entries in daily records showed residents received personal care and additional specialist support where needed. Visits from other professional people such as chiropodist, doctors and district nurses were recorded. Residents said staff in the home were mindful of their privacy, for instance they kept the bathroom and toilet doors locked when they were helping them. They also said staff would knock on bedroom doors and wait to be invited in. The residents however did not have easy access to a telephone for use in private as the location of the telephone was in the medication and district nurses room that was kept locked for security. Advice given by the Pharmacist Inspector during the last inspection had been taken and good practice was observed with medication management. Favordale F57 F07 S35216 Favordale V223286 040505 Stage 4.doc Version 1.30 Page 12 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 standard(s) 12, 13, 14, 15 Resident’s lifestyle was to their expectations and they felt satisfied with their care in the home. Activities were provided and resident’s relatives and friends who visited were made welcome. Catering arrangements were mostly satisfactory. EVIDENCE: Residents talked about their life in the home, and how staff helped them to live as they wished. For instance they said there were no rules imposed on them and one resident said moving into the home was the best thing she had ever done. She could do as she pleased and had help whenever she wanted, she felt ‘safe’. Several residents talked about their family visiting. Staff were thoughtful offering drinks and were friendly. One visitor said they ‘never had any problem when calling in the home’ and were kept up to date with changes. Residents were of the opinion activities were good. They were spending the current week ‘living it up’. They had been to Blackpool the day before and in the afternoon of the inspection they were going to an old time music hall entertainment in Colne. A further trip to Blackpool had been arranged for the day after. Favordale F57 F07 S35216 Favordale V223286 040505 Stage 4.doc Version 1.30 Page 13 Clergy visited the home. Comments from residents indicated the food was up to their expectations. The cook discussed menus with them. They were given choices at meals and some said if they did not like the choices offered the cook would provide an alternative. Staff were observed offering support to those people who could not manage to eat their meal without assistance. Fresh fruit however, should be offered to residents as part of their regular diet. Favordale F57 F07 S35216 Favordale V223286 040505 Stage 4.doc Version 1.30 Page 14 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 standard(s) 16, 17, 18 The complaints procedure was clear and accessible for residents and visitors to the home such as relatives. It was evident that any concern or suggestion was acted upon and taken seriously. Peoples right to full citizenship had been observed. There were policies and procedures in place to ensure a proper response to any suspicion or allegation of abuse, and support offered to staff from higher management in doing so. EVIDENCE: Residents said they had no complaints, but if they did they knew what to do. There was a complaints procedure to look at and records showed any complaint however small had been taken seriously. Residents had received postal votes for the general and local elections. Staff working at the home said they were aware of the abuse policies and procedures which included a whistle blowing policy. Staff said they had regular contact with the area manager of Lancashire County Care Services and could approach her with any problem. Staff contracts precluded them from financial reward or assisting in or benefiting from the service users’ wills. Favordale F57 F07 S35216 Favordale V223286 040505 Stage 4.doc Version 1.30 Page 15 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 standard(s) 19, 20, 22 The home was maintained to a relatively good standard, and residents lived in a comfortable and homely environment. A good standard of hygiene was also achieved. EVIDENCE: Major building work was being carried out. Residents said this did not disturb them. Some residents said they had to move to another bedroom. One person said she was delighted with the staff who had been very careful with the move. Everything had been put in place and it was ‘as if I was still in my own room’. As discussed in the last inspection, the manager said that general maintenance management remains with maintenance personnel employed by Lancashire County Care Services. Some improvement was seen, such as a plan to remove a build up of leaves at fire exits and pathways. The manager however should be able to attend to small problems as and when they occur such as loose tiles seen in the kitchen and everyday jobs such as high cleaning. Favordale F57 F07 S35216 Favordale V223286 040505 Stage 4.doc Version 1.30 Page 16 There was sufficient lounge space for the numbers of people in the home, although the decoration and furnishings in these lounges were in need of an upgrade. There was a call system in every room for residents use. Resident’s bedrooms were kept to a relatively good standard and residents said they had keys to their doors and their bedrooms were kept locked. They said they liked their rooms and several residents had created as they said ‘a home from home’ with their own furniture and personal possessions. Personal aids were kept in resident’s bedrooms. Bathing facilities were satisfactory. All radiators throughout the home were covered with protective guards. Laundry facilities were good and equipped with washing machines designed for heavy soiling and infection control. Resident’s clothes were laundered with care. There were no complaints about the standard of this service from residents and visiting relatives. The home was very clean and mainly odour free. This standard has continued to improve overall despite the building work. Two bedrooms however did have an offensive odour. Favordale F57 F07 S35216 Favordale V223286 040505 Stage 4.doc Version 1.30 Page 17 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 29, 30 The level of staffing was good. Recruitment and selection procedures were not satisfactory or safe and placed residents at risk. Residents had confidence in the staff working at the home. Training provided and attended by staff was very good and offered a wide range of topics. EVIDENCE: The home was fully staffed during the inspection. The current level of staffing was above the usual numbers previously seen on earlier inspections. Staff said because of this they had more time with the residents. The residents were very happy with the staff in the home. They said they always had time for them and nothing was ever too much trouble for them. Staff files showed one recruitment check to be incomplete. References had been applied for but the Criminal Record Bureau (CRB) check had not been reapplied for despite a gap in employment. Information disclosed on CRB checks is not made available for the manager. All staff had attended basic training including specialist training for dementia care. Staff enjoyed their work and said the content of training sessions was good. Favordale F57 F07 S35216 Favordale V223286 040505 Stage 4.doc Version 1.30 Page 18 Staff also said they were encouraged and supported to attend these sessions and they received supervision regularly. Favordale F57 F07 S35216 Favordale V223286 040505 Stage 4.doc Version 1.30 Page 19 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 35, 36, Good professional relationships existed between the manager, staff, residents and relatives. Guidance and support was given to staff by the management team in the home and from the area manager of Lancashire County Care Services. This contributed towards ensuring that the resident’s quality of life experience in the home was positive. Management of record keeping placed a strain on the management team. Resident’s personal money was managed well. Good practice was observed in safe working procedures. EVIDENCE: The manager was currently studying for a Registered Managers Award. In addition to this she said she had attended various training days organised by Lancashire County Care Services. Favordale F57 F07 S35216 Favordale V223286 040505 Stage 4.doc Version 1.30 Page 20 The means of seeking residents and staff views about the home was both formal and informal with resident’s, staff and management meetings. Staff confirmed they received routine formal supervision. In addition to this the area manager visited the home and spoke to residents and staff. Staff said they felt ‘valued’ and ‘listened to’ because of this. During these interviews they were given an opportunity to discuss and raise issues relevant to their work. Residents, relatives and staff expressed general satisfaction about the home. Staff said they were given guidance and support, and were confident in the management. Routines for staff in the home were established, and good teamwork was evident. Small amounts of money held for resident’s use was managed correctly. The home required a high level of management input to keep records up to date. There continued to be an improvement however as identified in the last inspection. The health, safety and welfare of residents and staff had been considered. Favordale F57 F07 S35216 Favordale V223286 040505 Stage 4.doc Version 1.30 Page 21 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 2 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 2 COMPLAINTS AND PROTECTION 2 3 2 3 3 2 3 3 STAFFING Standard No Score 27 3 28 3 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 2 3 3 x 3 3 3 3 Favordale F57 F07 S35216 Favordale V223286 040505 Stage 4.doc Version 1.30 Page 22 yes 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. 1. Standard 26 Regulation 16(2)(k) Requirement The registered person is required to keep the premises odour free. Timescale for action immediate and ongoing from 4/05/05 immediate and ongoing from 4/05/05 immediate and ongoing from 4/05/05 2. 29 19(4)(3)( b)(i) shedule 2 3. 31 10(1) As identified in the previous inspection, the registered person must make sure satisfactory checks are obtained prior to offering employment as identified in the previous inspection. As identified in the previous inspection, the manager must be allowed the responsibility of day to day mangement of the home in an efficient and effective manner. 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. Refer to Standard 10 15 Good Practice Recommendations It is recommended the residents telephone be relocated to a more suitable area. It is recommended fresh fruit be made avialble for F57 F07 S35216 Favordale V223286 040505 Stage 4.doc Version 1.30 Page 23 Favordale 3. 4. 19 37 residents. It is recommended that Lancashire County Care Services allow the manager responsibility to effectivley deal with basic maintenance. It is recommended that administrative support be given to the management team. Favordale F57 F07 S35216 Favordale V223286 040505 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection Unit 4 Petre Road Clayton-le-Moors Accrington BB5 5JB 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 Favordale F57 F07 S35216 Favordale V223286 040505 Stage 4.doc Version 1.30 Page 25 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!