Inspection on 28/12/05 for Featherton House

This inspection was carried out on 28th December 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 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 24/04/07

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 28th December 2005 01:00 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.V275689.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. Featherton House DS0000013086.V275689.R01.S.doc Version 5.1 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.V275689.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th August 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 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 and the owners take a very hands-on approach which ensures a very homely atmosphere. The service users have direct access to the proprietor and his management team. Any concerns or queries can be made and resolved as they happen. Since the last inspection the home has benefited from a new downstairs bathroom with hoist and refurbishment of the en suite facilities for two rooms. The home has a rolling programme of redecoration. Future plans include the completion of the kitchen refit, upgrading of some of the furnishings and an upgrade of the downstairs toilets. The home continues to provide a very high standard of accommodation. Featherton House DS0000013086.V275689.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on a weekday afternoon between Christmas and New Year. The inspection was unannounced, which meant that the manager and staff were not expecting a visit from the inspector. The inspector toured the building and was shown residents’ bedrooms and communal areas. The kitchen and laundry was also viewed. The inspector was satisfied that the building was fit for purpose and free from health and safety hazards. The overall standard of the fixtures and fittings in the home is very high. All residents have their own en-suite facilities and many their own items of furnishings. The inspector received a very high response to a questionnaire sent out earlier in the year. These comments have been shared with the manager and staff and some are contained within the report as direct quotes. The inspector thanks the proprietor, manager, staff and residents for their co-operation during the inspection process. 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. Featherton House DS0000013086.V275689.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 Featherton House DS0000013086.V275689.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, 3, 4, 5, 6 Comprehensive information is provided in a way which is understood by prospective residents and their families. EVIDENCE: The home provides prospective service users with a Statement of Purpose which sets out what the home has to offer and a Service User guide which states what the resident can expect from the home and its staff. The guide also states what the home can expect from the resident. The home’s terms and conditions state the cost and termination timescales. A copy is given to each resident. All the above documentation is presented in plain English and can be easily understood. No requests have been received by the home to present this information in any other format. The registered manager assesses all prospective residents prior to their arrival. An assessment is made of the suitability of the home for the resident and also the resident for the home. Where possible, prospective residents are encouraged to make visits prior to taking up a placement on a trial basis. Where this process is not implemented due to the urgency of the request, the assessment takes place as soon as is practical after arrival. Featherton House DS0000013086.V275689.R01.S.doc Version 5.1 Page 8 Many residents are previously known to the home having stayed for respite care. The home does not provide an intermediate care facility. All the above standards are assessed as met. Featherton House DS0000013086.V275689.R01.S.doc Version 5.1 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): 7, 8, 9, 10, 11 The healthcare needs of the home’s residents are being met. EVIDENCE: The inspector viewed five 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. The home operates a keyworker system where care is provided by the same group of people where possible. On the day of the inspection a resident had been identified as needing to see a doctor. The doctor from the local practice arrived during the inspection. The home has a good relationship with the local healthcare practice. The GP informed the inspector that in his opinion, “This is a very good home“. Evidence was found that other residents were receiving the same level of healthcare service. 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. Many residents manage their own medication with minimal supervision from the carers. Featherton House DS0000013086.V275689.R01.S.doc Version 5.1 Page 10 The inspector witnessed residents being treated with respect. The inspector received an almost 100 response to quality assurance questionnaires sent out. A sample of the comments received from residents follows: • • • • • “Very nice here, very happy and friendly staff” “I am extremely happy to be here and have told the staff that I would like to think of it as my home“ “Food very good, very happy with the care“ “Very happy and content, could not wish for anywhere better“ “Staff are so unbelievable, if heaven was like this it would be wonderful. Can’t find fault with anything. Staff are like angles, manager is wonderful” The above is a small sample of the positive comments of the residents. The home should be commended for these positive comments on the quality of the service provided. Evidence was found at the inspection that the wishes of residents following serious illness or death are being recorded and acted upon. Featherton House DS0000013086.V275689.R01.S.doc Version 5.1 Page 11 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, 13, 14, 15 The home provides residents with a variety of opportunity to maintain and expand on their life experiences. EVIDENCE: Feedback from residents and relatives gave a very high rating to the social and cultural experiences the home facilitates. Many residents are very independent and maintain their community interests and friends. Others take full advantage of the activities and entertainment provided on a regular basis. The inspection took place during the Christmas and New Year period and the inspector found much evidence that the residents had enjoyed a very happy and full festive period. The inspector was shown pictures of the residents’ Christmas party, which involved a lot of active participation from the residents and the staff. The home was rightly proud of the fact that one resident who had not socialised for many years chose to join in the activities and was pictured singing and dancing and generally having a good time. The home provides a weekly speaker from a range of backgrounds. This is very well regarded by the residents and is well subscribed. The home is to be commended for these initiatives. Featherton House DS0000013086.V275689.R01.S.doc Version 5.1 Page 12 Feedback from residents and relatives gave a high rating to the standard, variety and quality of the food provided. The inspector was shown a sample menu, which included meat, fish, salad and vegetarian options. Meals are served in a pleasant conservatory, which is light and airy. Meals are served in an unhurried, relaxed and convivial atmosphere. Featherton House DS0000013086.V275689.R01.S.doc Version 5.1 Page 13 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, 17, 18 The home has a formal complaints procedure, which is known to residents and their relatives. 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. Due to the size and nature of the management of the home, concerns and complaints are dealt with at the earliest stages without recourse to formal process. The home ensures, where possible, that residents’ legal rights are protected and that residents are not exposed to any form of abuse. Featherton House DS0000013086.V275689.R01.S.doc Version 5.1 Page 14 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, 20, 21, 22, 23, 24, 25, 26 The home provides a high environmental standard. EVIDENCE: The home is well maintained with both major and minor repairs dealt with very quickly. The home provides a safe and comfortable environment with pleasant, light communal areas and two well maintained, walled, cottage gardens. The home has sufficient toilet and washing facilities to meet the needs of its residents, with all rooms having their own en-suite facilities. The home provides adaptations for those who need them without making the home feel institutional. A random inspection of residents’ bedrooms showed that residents are encouraged to have their own possessions around them. Residents can bring small items of furniture by prior arrangement with the manager. Featherton House DS0000013086.V275689.R01.S.doc Version 5.1 Page 15 The overall atmosphere of the home is one of high quality surroundings with a homely atmosphere and a staff group who enjoy what they do. The home is clean and fresh. The home should be commended for exceeding this standard. Featherton House DS0000013086.V275689.R01.S.doc Version 5.1 Page 16 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, 28, 29, 30 The home is staffed in sufficient numbers to meet the residents’ needs. EVIDENCE: The home provides an experienced staff group in sufficient numbers to meet the day-to-day care needs of its residents. A trainee care worker has recently been taken on and provides supernumerary care to enable residents to go out into the village or attend other activities. This appointment has been a valuable addition to the established care staff for which the home should be commended. Evidence was found at inspection that residents are kept safe and a tour of the building found no health and safety issues. The home’s recruitment procedures were inspected and found to be satisfactory. The home provides in excess of the requirement for staff to attend training and the inspector commends the home for exceeding this standard. Featherton House DS0000013086.V275689.R01.S.doc Version 5.1 Page 17 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, 33 The recent appointment of the registered manager has had a positive effect on the residents and staff. EVIDENCE: The appointment of a new manager has had a positive effect on the ethos of the home. Feedback from relatives was unanimous that the manager’s input to both staff and residents had made a significant difference. The manager is both experienced and qualified. Her character is such that she takes a Hands-on approach and is very tactile and caring with residents. This is replicated across the staff group. All other standards within this section were found to be met at the last inspection and remain so. Featherton House DS0000013086.V275689.R01.S.doc Version 5.1 Page 18 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 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 4 3 3 3 4 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X X X X x Featherton House DS0000013086.V275689.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Featherton House DS0000013086.V275689.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Oxford Area Office Burgner House 4630 Kingsgate, Cascade Way Oxford Business Park South Cowley Oxford OX4 2SU 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 Featherton House DS0000013086.V275689.R01.S.doc Version 5.1 Page 21 - 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!