Inspection on 24/04/07 for Featherton House

This inspection was carried out on 24th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Featherton House 28/12/05

Featherton House 04/08/05

Featherton House 01/02/05

Featherton House 20/05/04

Featherton House 11/02/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Featherton House Chapel Square Deddington Oxfordshire OX15 OSG Lead Inspector Andy McGuckin Unannounced Inspection 24th April 2007 12:30 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 Featherton House DS0000013086.V330737.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 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. Featherton House DS0000013086.V330737.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Featherton House Address Chapel Square Deddington Oxfordshire OX15 OSG 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) 01869 338259 01869 337599 featherton-house@tiscali.co.uk www.feathertonhouse.co.uk Mr Eric Turburfield Marylyn Macdougall Care Home 25 Category(ies) of Old age, not falling within any other category registration, with number (25) of places Featherton House DS0000013086.V330737.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th December 2005 Brief Description of the Service: Featherton House is a privately owned residential home for older persons. The property is a large Georgian house, which has been sympathetically converted to provide 21 single and two double occupancy rooms, all with en-suite facilities. The two double rooms are occupied by single persons paying a higher room rate. The home is situated in a small market town/village, which has the benefit of shops, pubs, restaurants and cafés. The village has access links to both Banbury and Oxford. The home has been owned by the same family for many years. The owners ensure regular visits to the home thus contributing greatly to the very evident homely atmosphere. The service users have direct access to the manager, supported by the proprietor should he be requested or required. Any concerns or queries can be made and resolved as they happen. The home provides a wide range of age appropriate activities and residents benefit from the amenities of the village. The home is very well maintained with an ongoing programme of improvement and upgrading. The home provides a high standard of accommodation in a friendly and homely environment. The home employs a gardener who keeps the garden very well maintained and this results in many of the residents spending social and quiet time in the garden. The garden is fully accessible to those with a mobility problem. The garden has hand railing along all pathways. Health and safety considerations have been applied. Featherton House DS0000013086.V330737.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission has, since the 1st April 2006, developed the way it undertakes its inspection of care services. This inspection of the service was an unannounced “Key Inspection”. It was a thorough look at how well the service is doing. It took into account detailed information provided by the service’s manager, and any information that the CSCI has received about the service since the last inspection. The inspection took place on a weekday afternoon and the inspector was assisted by the registered manager. The inspector made a tour of the building in order to assess for any health and safety issues, and none were found. The building is very well maintained and provides quality accomodation. At the last inspection there were no male residents. The inspector spoke to one male resident who had joined the home fairly recently. This has proved a good placement for the resident and also for the home. The inspector viewed key documents relating to the care of the residents and was satisfied that these were up to date and accurate. The Commission sends out questionnaires to residents, relatives, staff and professionals. The return was very good, with the overwhelming comment that this is a very good home. The inspector also met informally with staff members and sat in on part of the handover meeting. The proprietor was on hand at the end of the inspection to receive feedback. From the evidence seen by the inspector, and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals of various religious, racial or cultural backgrounds. No complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection. The home charges a minimum of £650.00 for a single room to a maximum of £810.00 for a double room. A double room for single occupancy is £875.00 What the service does well: The home provides a high quality of care to its residents. The home has a stable, well trained and dedicated staff team. The home values and rewards its staff for good practice and dedication. The home benefits from owners who take a pride and an active part in the service they provide. Featherton House DS0000013086.V330737.R01.S.doc Version 5.2 Page 6 Service users are treated with respect and have their dignity and privacy maintained The home is able to offer a wide range of activities and interests to enable residents to maximise their independence. The home provides a high standard of accommodation with good quality fixtures and fittings. The home provides a friendly, homely environment to enable residents to feel at home. 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. Featherton House DS0000013086.V330737.R01.S.doc Version 5.2 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 Featherton House DS0000013086.V330737.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5, 6. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides prospective service users with sufficient information on which to make a decision. EVIDENCE: The home provides prospective service users and their families with a Statement of Purpose and a Service User Guide. These documents contain core information as to what the home is able to offer and what it is not. It details who it can care for and who it can not. A copy of the home’s terms and conditions of residence state what is expected from the prospective resident and what will happen if there is a problem on either side. A copy of the written contract and the Statement of Purpose are given to the resident on acceptance to the home. Featherton House DS0000013086.V330737.R01.S.doc Version 5.2 Page 9 A full assessment of the prospective service user is undertaken prior to admission and, where appropriate, interested professionals are included in this assessment. Service users are encouraged to join the ladies and gentlemen of Featherton for lunch and an afternoon activity with a guest of their choice as often as they wish. If a bed is available, they are also offered respite care prior to admission. The home has a waiting list to which prospective residents are added. Allocation of placements take place as and when vacancies arise. Service users are encouraged to talk to those who live there, read the inspection report and experience the care first hand prior to making a decision. The home does not provide an intermediate care provision. Featherton House DS0000013086.V330737.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home places a high priority on maintaining the health and well being of its residents. EVIDENCE: The inspector viewed six residents’ care plans at random. Information contained in the care plans was presented in a way which would enable carers to be fully informed as to the care needs of the residents. Plans were presented in plain English and were accurate and up to date. The home operates a keyworker system whereby care is provided by the same group of people. On the day of the inspection a resident had been identified as needing to see a doctor. The doctor from the local practice was present when the inspector arrived. The GP was very complimentary as to the standard of care provided by the home. The home has a good relationship with the local healthcare practice. Featherton House DS0000013086.V330737.R01.S.doc Version 5.2 Page 11 The home has access to other healthcare professionals including alternative health therapists. The home has a robust procedure for the distribution, storage and recording of medication. Some residents manage their own medication with minimal supervision from the carers. Medication is kept in a locked cabinet in the resident’s own room. Residents are encouraged to maintain control of their own medication for as long as they are willing or able. Residents who are not able to manage their own medication are assisted to do so by staff who have been trained in the distribution and handling of medication. All medication administered is recorded on a medicine administration sheet (MAR). The inspector witnessed staff treating residents with respect and dignity in a relaxed and happy manner. Staff obviously enjoy working in this home which means the residents are being cared for by people who genuinely care. There was much laughter and fun in evidence and service users consulted had nothing but praise for the home and the care they receive. Evidence was found at the inspection that the wishes of residents following serious illness or death are being recorded and acted upon. Questionnaires sent out to residents, relatives and professionals involved with the home were returned in large numbers. The overwhelming comment was that this is a good home where people feel valued, consulted, respected and encouraged. The home should be commended for these positive comments. Healthcare professionals feel that residents’ health and wellbeing is being promoted and monitored appropriately. Evidence was found that the local healthcare practice has regular contact with the home and that the relationship between the home and the practice is good. A small but representative sample of the many comments received from residents follows: • • • “Featherton House is a very comfortable home from home with a very high standard of care“ “I think they do an excellent job“ “Featherton House owners and staff provide a happy atmosphere for the residents, a friendly and caring community. A comprehensive programme of in-house activities ranging from flower arranging, talks, exercise to music and singing old time songs ensures that residents are being stimulated. Local children are often invited in to entertain, as well as local adults with special interests. Excellent meals are provided, nourishing and well balanced“ Featherton House DS0000013086.V330737.R01.S.doc Version 5.2 Page 12 • “The home provides personal care attended to individual needs, they offer entertainment and encouragement to keep residents active“ Featherton House DS0000013086.V330737.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home provides a wide and varied menu of activities, which are both age appropriate and entertaining. EVIDENCE: Feedback from residents and relatives gave a very high rating to the social and cultural experiences the home facilitates. Many residents are independent and maintain their community interests and friends. Others take full advantage of the activities and entertainment provided on a regular basis. Activities nclude outings to the wider community, religious services, speakers on topics of interest, visits by local school children, movement to music, befriender times, and many more. The home is to be commended for this initiative. Featherton House is very welcoming to all who come to visit and acts as a hub of the community. Residents maintain their friendships and new friendships are encouraged and promoted. Residents have visitors and friends at any reasonable time of the day and can entertain in thier own room or in the main house itself. Visitors are asked to sign the visitors book. Featherton House DS0000013086.V330737.R01.S.doc Version 5.2 Page 14 On the day of the inspection many people visited the home including one relative who spoke to the inspector about the kindness shown to her mother, who was not well at the time. Residents are encouraged to have as active an involvement in maintaining their lifestyles as they are willing or able. The home employs a catering manager and a cook who work in a well-equipped and hygienic kitchen. Food is bought and prepared using fresh ingredients. Residents are asked to select from a menu, which changes weekly on a rota basis and offers daily a varied choice of fish, meat or vegetarian dishes. Residents dine in a light airy dining room, which is set in tables of four and six. Residents can dine in their rooms if they wish. Guests are also welcome to join the residents. Feedback from residents rated the food as good to excellent. The home is to be commended for these comments. Featherton House DS0000013086.V330737.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17, 18. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home has formal policies and procedure for dealing with complaints and concerns. EVIDENCE: Feedback from service users and their representatives indicated that, where there is cause for complaint or dissatisfaction, the home has formal processes for it to deal with them. The home’s complaints procedure was viewed and found to be satisfactory. The home ensures, where possible, that residents’ legal rights are protected and that residents are not exposed to any form of abuse. Due to the relatively small size of the home it is able to deal with any concerns at source and ensure that complainants are satisfied. The residents have direct access to the manager, supported by the proprietor should a request be made for him to be present, or his input required. No complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection. Featherton House DS0000013086.V330737.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The building is very well presented, well maintained and provides comfortable accommodation for its residents. EVIDENCE: The home is situated close to the Market town of Deddington, which has a good range of shops, pubs and restaurants. Residents are able to take a short level stroll to the village centre. The town square has a bus stop, which has access to the market town of Banbury and the city of Oxford. The home is maintained to a very high standard. The garden has been made mobility accessible and internally all areas are safe and comfortable. Featherton House DS0000013086.V330737.R01.S.doc Version 5.2 Page 17 The home has all en-suite rooms supported by communal bathing facilities. Residents who require specialist equipment are assessed by the appropriate professional and equipment is installed in the resident’s own room. The home is fully accessible for those with a mobility problem. Service users benefit from rooms which are large, light and airy. Small items of furniture and personal belonging were much in evidence and all residents have personalised their rooms to their own requirements. Feedback from residents was that they were very happy with their rooms. Featherton House provides a safe, comfortable environment, which is clean, pleasant and hygienic. Featherton House DS0000013086.V330737.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staff who work in this home are well trained and established, with the back up of solid management. EVIDENCE: The home employs staff in sufficient numbers to meet the care needs of the current resident group. On the day of the inspection one resident was unwell and was in need of company and reassurance, and an extra member of staff was brought in specifically for this resident. The home should be commended for this initiative. Evidence was found at the inspection that staff are being well trained and supported. The home has set up a training room and will shortly have the benefit of a part time training officer. The home is to be commended for this initiative. The home rewards its staff for achieving training qualifications and again should be commended for this initiative. Evidence was also found on file that the proprietor values his staff by long service awards and letters of thanks. The proprietor is to be commended for these initiatives. 85 of the staff at the home have an NVQ qualification, and those that do not will commence them this year. Featherton House DS0000013086.V330737.R01.S.doc Version 5.2 Page 19 The working conditions at Featherton House are such that they are able to maintain a stable staff group with a low turnover. The inspector was informed that nine staff members have a total of 111 years service between them. This is a credit to the proprietor and management of the home. The home has robust recruitment policies and the inspector viewed a random selection of staff files, which were found to be satisfactory. Featherton House DS0000013086.V330737.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 36, 37, 38. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is run and managed in a professional manner. EVIDENCE: The home’s proprietor enables his manager the space and resources to manage the home in the best interests of its service users. There is much evidence to support this and residents are more than able to have a say in how the home is run. The home’s manager is very experienced in the care of the elderly and is registered with the Commission. The manager ensures that she keeps up to date by attending training courses and through the CSCI professional website. The manager is to be commended for this initiative. Featherton House DS0000013086.V330737.R01.S.doc Version 5.2 Page 21 The home has robust policies and procedures to ensure that residents are safeguarded from physical, financial and emotional harm. All staff have been trained in adult abuse procedures and the home is subject to external financial audit. The inspector did not require the home to provide accounts. The manager provides the staff with regular supervision and support and evidence was found at inspection that training is being actively encouraged. All records inspected were found to be accurate and up to date. Information was presented in such a way as to enable those caring for residents to do so with as much information as was required. Good communication was found through both formal and informal methods. From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals of various religious, racial or cultural backgrounds. No complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection. The health and safety of both the residents and staff were found to be being safeguarded. Featherton House DS0000013086.V330737.R01.S.doc Version 5.2 Page 22 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 3 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 4 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 4 4 4 4 4 4 4 Featherton House DS0000013086.V330737.R01.S.doc Version 5.2 Page 23 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. Refer to Standard Good Practice Recommendations Featherton House DS0000013086.V330737.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU 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 Featherton House DS0000013086.V330737.R01.S.doc Version 5.2 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. 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