Inspection on 04/08/05 for Featherton House

This inspection was carried out on 4th August 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 28/12/05

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 Oxon OX15 0SG Lead Inspector Andy McGuckin Unannounced 04 August 2005 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. Featherton House H57-H08 S13086 Featherton House V238468 210705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Featherton House Address Chapel Square, Deddington, OX15 0SG 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) 01869 338259 Mr Eric Rutburfield Patricia Price Care Home 25 Category(ies) of OP registration, with number of places Featherton House H57-H08 S13086 Featherton House V238468 210705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 01 February 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 single occupancy en-suite accommodation. The home is situated in a small market town/village which has the benefit of shops, pubs, restaurants and cafés. The town has access links to Oxford and beyond. 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. The home is staffed by experienced, trained staff. The home has appointed a new manager. The new manager had been in post for a short time but is already having a positive effect on the management of the home. The home continues to uopdate and upgrade its facilities. On the day of the inspection painting and decoration work was being carried out to make ready a bedroom for a new resident. The home provides a high standard of enviromental features with good quality furniture and fittings. It is indicative of the standard of care being provided that the home has a lengthy waiting list. Featherton House H57-H08 S13086 Featherton House V238468 210705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over an afternoon period. The inspector spent time with the manager and spoke informally to residents in the communal and garden areas. The day of the inspection was a warm and pleasant day and many residents were either out in the village or in the garden or conservatory. The home was light an airy with windows open to provide good airflow. Residents had just finished the lunchtime meal, which is always of a good standard with residents being given choices. The inspector case-tracked eight residents and found the recording and standard of information to be sufficient and satisfactory. A formal interview was held with a long-standing member of staff. Staff files inspected added evidence to the fact that the home is recruiting, training and supervising its staff in a satisfactory manner. The home has recently recruited an apprentice who has accompanied two residents into the town. Both residents have not been able to do this for some time and the home is to be commended for this initiative. The proprietor makes himself very available and provides hands-on management. The proprietor regularly takes residents on outings. The home has a very homely, friendly atmosphere. Staff were observed to do their job in a cheerful relaxed manner. What the service does well: What has improved since the last inspection? What they could do better: The inspector would encourage the manager to continue to make positive changes to the documentation. Featherton House H57-H08 S13086 Featherton House V238468 210705 Stage 4.doc Version 1.40 Page 6 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 H57-H08 S13086 Featherton House V238468 210705 Stage 4.doc Version 1.40 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 Featherton House H57-H08 S13086 Featherton House V238468 210705 Stage 4.doc Version 1.40 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) 1, 2, 3, 4, 5, 6. The home provides prospective residents with comprehensive information on which to make a decision. EVIDENCE: The home makes available documentation and information on which prospective residents can make decisions as to the suitability of the home. This documentation is presented in clear and concise language and sets out the terms and conditions of the home’s contract. Residents or their representatives sign the contract and retain a copy. Prospective residents are assessed by the home in collaboration with other interested professional agencies. Where possible, prospective residents are invited to spend some time at the home prior to taking up a vacancy. Prospective residents are invited for a meal or overnight stay. A trial period is agreed to allow either party to assess the suitability of the home to meet the needs of the individual. Featherton House H57-H08 S13086 Featherton House V238468 210705 Stage 4.doc Version 1.40 Page 9 The placement and care plans are reviewed regularly. Where there has been significant change which may effect the suitability of the placement, a full review meeting would be held involving all interested parties. An assessment would be made as to the current continued suitability of the placement. On the day of the inspection the inspector witnessed friends and relatives being made welcome into the home. The home does not offer an intermediate care facility. The home has recently introduced an audit to monitor the health and safety of the residents. This is over and above the requirement and the home should be commended for this initiative. The inspector would like to thank the management, staff and residents of the home for their co-operation on the day of the inspection. Featherton House H57-H08 S13086 Featherton House V238468 210705 Stage 4.doc Version 1.40 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, 11 Residents health, personal and social care needs are being met. EVIDENCE: Feedback from local health centres attests to a high level of meeting residents’ healthcare needs. Personal care plans are drawn up to identify the individual needs and wishes of residents. Where possible, residents are fully involved in this process. Residents are encouraged to be fully involved in all aspects of the home if they are willing or able. Where residents do not want to participate in activities, this is respected. The inspector viewed a random sample of medication and Medicine Administration Sheets. These records were found to be accurately recorded. The inspector was of the opinion that the home had robust procedures in place to ensure the safe distribution, recording and monitoring of medication. Many residents are responsible for the management and administration of their own medication. This is encouraged by the home. Featherton House H57-H08 S13086 Featherton House V238468 210705 Stage 4.doc Version 1.40 Page 11 The inspector was particularly moved to read the final entries on a recently deceased resident. These entries gave testimony to the level of care and responsibility afforded residents by the home’s care staff. The home should be commended for this aspect of care. Featherton House H57-H08 S13086 Featherton House V238468 210705 Stage 4.doc Version 1.40 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 Residents are encouraged to maintain daily life skills and social activities. EVIDENCE: Feedback from relatives and residents indicated that where activities had been identified, every effort had been made to provide these. The home provides a monthly news sheet which contains information on the day-to-day activities of the home, but also advertises special events. Forthcoming events included a series of “Confessions of“ - on the day of the inspection it was the nurse’s turn. Residents found the talk both informative and amusing. One resident was heard to say “it’s changed a bit since my day“. Residents’ meetings are held regularly and are well attended. Evidence was found through reading care files, and in discussion with residents and friends, that contacts made whilst living in the community are being maintained where possible and appropriate. Residents are encouraged to maintain as much control over their lives as they are able or willing to do. On the day of the inspection the meal for the day had being freshly prepared. Ingredients for the meals are freshly bought and include fresh meat and fresh vegetables. Lunch was taken in the main dining area and was unhurried and relaxed. Featherton House H57-H08 S13086 Featherton House V238468 210705 Stage 4.doc Version 1.40 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 standard(s) 16, 17, 18. The home provides residents with sufficient information on what to do if they are not happy with the service they are receiving. EVIDENCE: The inspector spoke to a relative of a current resident who was very complementary about the home and its management team. The relative would have no hesitation in complaining if necessary, and was aware of the home’s complaints procedure. The inspector felt that the system for recording complaints was satisfactory. Due to the management style of the home, complaints/concerns are dealt with at source and usually with a satisfactory outcome. Formal processes are in place if complaints cannot be resolved in this manner. The home has procedure in place to identify and deal with potential issues of abuse. Staff are being trained in these procedures and the home links in with the local authority who would take the lead where potential cases have been identified. The home has had no need to implement these procedures as yet. Featherton House H57-H08 S13086 Featherton House V238468 210705 Stage 4.doc Version 1.40 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 standard(s) 19, 20, 21, 22, 23, 24, 25, 26 The home provides a high standard of environment, which is well maintained and safe. EVIDENCE: The inspector toured the building and, with permission, visited residents’ bedrooms. Bedrooms inspected were warm and clean and showed individuality. All rooms were well decorated, with furnishings and bedding of a good quality. T he exterior of the building and gardens are similarly well maintained and provide a pleasant area for quiet reflection or communal recreation. The home is able to provide sufficient washing, bathing and toileting facilities. Evidence was found that, where residents required specialist equipment, this had been provided and staff had been trained to use it. All residents have their own room, which has either an en-suite facility or toilets and bathrooms nearby. Lockable facilities are available in resident’s rooms for valuables or medication. Featherton House H57-H08 S13086 Featherton House V238468 210705 Stage 4.doc Version 1.40 Page 15 On the day of the inspection the home was clean and fresh smelling. The home has introduced a monthly health and safety audit that identifies issues and monitors black spots and times. The home should be commended for this initiative. Featherton House H57-H08 S13086 Featherton House V238468 210705 Stage 4.doc Version 1.40 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 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. Staff are being recruited and trained in an appropriate manner. EVIDENCE: On the day of the inspection there was sufficient staff to meet the needs of the current service user group. The manager is both experienced and qualified, with a diploma in Care Management. The deputy manager is studying for her NVQ4 in Management and Care. Staff are undertaking or are being selected for NVQ2 training. Staff files evidenced that staff are being recruited appropriately and that regular training is taking place. Future training has been identified for all staff. Staff are being supervised on a regular basis and issues identified at supervision are dealt with appropriately. Featherton House H57-H08 S13086 Featherton House V238468 210705 Stage 4.doc Version 1.40 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 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, 34, 35, 36, 37, 38. EVIDENCE: The registered manager is experienced and trained to manage the care provision offered by the home. The registered manager is supported to do this by a staff group of sufficient number and experience in the care of the elderly. There is much evidence of family involvement in the home and the ethos, leadership and management stems from this and the desire to provide a good quality service. The home has sufficient policies and procedures to assist in the protection of potentially vulnerable adults. The home is managed in a professional manner and the inspector was informed that it was financially sound. Accounts are available for inspection if required. Accounts were not required as part of this inspection. The health safety and welfare of residents are being promoted and protected. Featherton House H57-H08 S13086 Featherton House V238468 210705 Stage 4.doc Version 1.40 Page 18 The inspector concludes that the home is run and managed in a professional manner with the wellbeing of its residents paramount. Featherton House H57-H08 S13086 Featherton House V238468 210705 Stage 4.doc Version 1.40 Page 19 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 3 3 3 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 4 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 4 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 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 3 3 3 3 3 3 3 3 Featherton House H57-H08 S13086 Featherton House V238468 210705 Stage 4.doc Version 1.40 Page 20 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 Regulation None 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 None Good Practice Recommendations Featherton House H57-H08 S13086 Featherton House V238468 210705 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Burgner House, 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. 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