Inspection on 11/08/05 for Feniscliffe Bank Home for the Elderly

This inspection was carried out on 11th 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Feniscliffe Bank Home for the... 04/10/06

Feniscliffe Bank Home for the... 08/10/05

Feniscliffe Bank Home for the... 29/10/04

Feniscliffe Bank Home for the... 24/07/04

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Keer Sands Residential Home

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Bushell House

Langrigg House

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Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Feniscliffe Bank Home for the Elderly Hillcrest Road Blackburn Lancashire BB2 5LF Lead Inspector Graham Oldham Unannounced 11 August 2005 09:00 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. Feniscliffe Bank Home for the Elderly F57 F07 S34786 Feniscliffe Bank V232582 110805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Feniscliffe Bank Home for the Elderly Address Hillcrest Road Blackburn Lancashire BB2 5LF 01254 587554 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) Blackburn with Darwen Social Services Mrs Barbara Magee Care Home Only Personal Care (PC) 29 Category(ies) of Old age, not falling into any other category (OP) registration, with number 29 of places Feniscliffe Bank Home for the Elderly F57 F07 S34786 Feniscliffe Bank V232582 110805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 A maximum of 29 service users requiring personal care who fall into the category of OP. 2 The home shall employ at all times, a suitably qualified and experienced manager who is registered with the CSCI. Date of last inspection 29 September 2005 Brief Description of the Service: Feniscliffe Bank is a purpose built two-storey local authority home. The home provides accommodation for 29 residents who require personal care. There are sepearate lounges, a large dining room and a conservatory. All bedrooms are single. The home is set within its own grounds, which has an accessible patio and looks over parkland. There is a car park to the front of the property. The home is situated on a local bus route with local amenities close by. Feniscliffe Bank Home for the Elderly F57 F07 S34786 Feniscliffe Bank V232582 110805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 11th August 2005. Much of the information gained was obtained from talking to residents and staff members. The views of residents were obtained on a variety of topics. Three residents were case tracked. Case tracking gave the inspector an overall view of the specific care for the individual resident by checking the plans of care, other documentation and talking to residents and staff. Two staff members and two deputy managers were talked to about care issues. One visitor was willing to be interviewed and gave his views of the home. Some of the views have been reported collectively with specific comments contained within the body of the report. The inspector took detailed notes during the inspection, which have been retained as evidence. Staff were directly and indirectly observed carrying out their tasks and interacting with residents. Paperwork examined included plans of care, assessment documentation, policies and procedures or documents relevant to each standard. A tour of the building and grounds was conducted. What the service does well: There was a good rapport with visitors. One visitor who was questioned in depth said, “I have no complaints, staff are very welcoming and mother is very happy here”. A district nurse who was attending to a resident said, “I am happy to visit Feniscliffe Bank. Cleanliness is good, staff are very good and the food I have seen is good. On the whole the home is very good”. Other visitors also said staff were welcoming. The home promoted good relationships with visitors and other professionals. Recruitment practices were good and helped protect residents from possible abuse from undesirable staff. Staff training and supervision was ongoing to provide staff with better knowledge in caring for the resident group accommodated at the home. The assessment process ensured resident’s needs were met at the home. Feniscliffe Bank Home for the Elderly F57 F07 S34786 Feniscliffe Bank V232582 110805 Stage 4.doc Version 1.30 Page 6 Leisure activities were provided at the home. Residents described an outing for a meal, trips to the seaside and shopping trips. Residents were satisfied with the leisure activities and outings, which provided a stimulating life. Privacy and dignity was maintained at the home and ensured residents felt comfortable with any personal care given. 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. Feniscliffe Bank Home for the Elderly F57 F07 S34786 Feniscliffe Bank V232582 110805 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 Feniscliffe Bank Home for the Elderly F57 F07 S34786 Feniscliffe Bank V232582 110805 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) 1,2 and 3 The statement of purpose and service user guide gave prospective residents, their families and professionals a good insight into the facilities and services provided at the home. Residents and their families were aware of the terms and conditions for residing at the home. Prospective residents were assessed prior to admission to ensure their needs were met. EVIDENCE: The inspector was given a welcome pack, which contained the statement of purpose and other relevant documentation. There was a service user guide. The welcome pack gave prospective residents a good insight what the service had to offer. Each resident was issued with a contract to ensure they understood the terms and conditions of the home. Three plans of care contained assessment documentation. Residents or their families had chosen the home and said, “my daughter chose the home and was assessed as suitable”, “I chose the home. I came on respite care, liked it and decided to stay. I have liked it ever since”. One visitor said, “mother made the Feniscliffe Bank Home for the Elderly F57 F07 S34786 Feniscliffe Bank V232582 110805 Stage 4.doc Version 1.30 Page 9 choice to stay here”. The registered manager or another key member of staff visited prospective residents and completed an assessment. Each resident had also been assessed by social services. The assessment ensured resident’s needs were met. Feniscliffe Bank Home for the Elderly F57 F07 S34786 Feniscliffe Bank V232582 110805 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 and 10 Plans of care detailed resident’s needs. Access to specialists and attending routine appointments ensured health care needs were met at the home. Privacy, dignity and the respect of residents was maintained by staff. EVIDENCE: Three plans of care examined during the case tracking process contained good information. The managers retained the old system and care staff were using a new system. Not all details had been transferred to the new system. Three residents case tracked gave the inspector detailed information about care given to residents. Plans had been agreed by residents or their families. One resident said, “my daughter gets involved with my care”, another said, “a lady came to talk to me about my care” and the third resident said, “I am aware of my plan”. One visitor said, “staff are friendly and keep us up to date”. The visitor questioned in depth said, “even though I work away I am kept informed about any issues”. Plans of care had been reviewed. Staff spoken to about the care of the resident’s case tracked gave an accurate description of the care given and written in the plans. The care in the plans was as agreed and delivered by staff. Feniscliffe Bank Home for the Elderly F57 F07 S34786 Feniscliffe Bank V232582 110805 Stage 4.doc Version 1.30 Page 11 Residents case tracked said, “I see an optician and my doctor”, “I see a specialist, the chiropodist and my own doctor” and “ I have the chiropodist visit me here and also see my doctor”. Plans of care detailed resident’s problems such as pressure area or dietary needs. Specialist equipment was observed such as pressure relieving devices during the tour of the home. Plans of care and information given by residents confirmed health care needs were met. Residents said personal care was given privately and that staff maintained their dignity. Staff were aware of confidentiality and privacy issues. The inspector observed staff giving personal care in a dignified manner. Comments from residents case tracked said, “I get treated privately, the staff are marvellous”, “we are treated well all of the time” and “staff treat me very well”. Personal care was given in a dignified way. Feniscliffe Bank Home for the Elderly F57 F07 S34786 Feniscliffe Bank V232582 110805 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 and 15 Residents said they were satisfied their social, religious and recreational needs were met. Contact with family and friends was maintained. Meals provided were to the liking of residents and provided a well balanced diet. Residents had choices in their routines and retained some control of their lives. EVIDENCE: Residents who wished were able to attend religious services at the home. Activities were provided to enable residents to lead a fulfilling life. Activities were recorded. Residents had choice in their daily lives. Comments upon activities included, “ I like to go out”, “I prefer to watch television” and “I read a lot and enjoyed going to Lytham and Fleetwood”. One resident said “we have choices in our routine we can do what we want” another “I am self caring and look after myself “ and the third resident who was case tracked said, “we can choose what we do”. The choices offered at the home enabled residents to retain some independence. A meal was taken by the inspector. The meal was tasteful and nutritious. Residents were observed to be fed in an individual and dignified manner. Residents told the inspector “food is good”, “I like the food and we always have a choice” and “the food is good and you can pick something else if you like”. The cook carried out necessary environmental health checks. From the Feniscliffe Bank Home for the Elderly F57 F07 S34786 Feniscliffe Bank V232582 110805 Stage 4.doc Version 1.30 Page 13 comments received from residents the inspector was satisfied that choice and quality of food met most resident’s expectations. Visiting was described as unrestrictive. One visitor was happy to talk to the inspector in depth and said, “visiting is a pleasure”. Two visitors also said, “we visit when we like, in private or a lounge”. There was a quiet lounge on the first floor where larger groups could visit in private. Resident’s comments were also positive. Visiting was encouraged at the home. Feniscliffe Bank Home for the Elderly F57 F07 S34786 Feniscliffe Bank V232582 110805 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 and 18 Systems were in place to protect residents from abuse. The complaints procedure was available for residents to access but did not meet current Commission for Social Care (CSCI) Guidelines. EVIDENCE: Policies and procedures were available for staff to follow for abuse issues. The home used the Blackburn with Darwen adult abuse procedures to follow a local initiative. There was a copy of the No Secrets document and a whistle blowing policy. Two members of staff questioned were aware of abuse issues and had received POVA training. All three residents case tracked said they felt safe at the home. From the information gained from staff and documentation examined, resident’s protection from abuse was safe-guarded. There was a complaints procedure. The complaints procedure the inspector examined in the welcome pack did not direct residents to be able to complain direct to the Commission for Social Care Inspection or social services. A revised copy must include relevant addresses and telephone numbers. At previous inspections the complaints procedure has met the standard. Residents said they would “complain to the manager”, “talk to my key-worker or the manager” and “tell my key-worker or someone else”. One visitor said, “I am aware of the complaints procedure but do not have any complaints”. Residents were comfortable to approach staff with any concerns and complaints. Feniscliffe Bank Home for the Elderly F57 F07 S34786 Feniscliffe Bank V232582 110805 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 - 26 The home was warm, clean and comfortable. Furnishings and equipment was domestic in style and met residents needs and individual tastes. Suitable equipment had been provided where necessary. Toilets and bathrooms were of a type that met residents needs. Shared space was provided to give a variety of activities and uses for residents. EVIDENCE: The inspector conducted a tour of the home during the inspection process. All communal areas and most bedrooms were inspected. Rooms had been individualised to resident’s tastes. Comments included, “my room is very nice”, “I am happy with my room because it’s a big room but I don’t like a lot of furniture” and “I have a nice room with a lovely view”. All three residents said their rooms and the home was kept clean. Two areas of the home needed attention. The upstairs lounges carpet tiles were loose in places and a possible accident source. One bathroom was being used as a storage area. The bath should be available to residents. Rooms were clean, tidy and contained sufficient equipment to provide residents with a stimulating environment. Feniscliffe Bank Home for the Elderly F57 F07 S34786 Feniscliffe Bank V232582 110805 Stage 4.doc Version 1.30 Page 16 The laundry was well equipped to provide a good service to residents. One resident said the laundry service was “very good”. Another resident said the laundry was “not so bad”. Policies and procedures were in place for the control of infection and helped protect the health and welfare of residents. Feniscliffe Bank Home for the Elderly F57 F07 S34786 Feniscliffe Bank V232582 110805 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 and 30 The numbers and training of staff ensured resident’s needs were met. The recruitment practices at the home were good and protected the health and welfare of residents. Training, including NVQ training was provided for the benefit of staff and residents. EVIDENCE: Two staff files contained all necessary documentation. Recruitment procedures ensured a thorough check was made prior to employing any new staff to protect residents from possible abuse. The inspector examined the staff rota and discussed staffing with the deputy and was satisfied staff were employed at the home in sufficient numbers and skill to ensure residents needs were met. More than 50 of staff were qualified to NVQ2 standard. Induction training was provided for new staff. Staff who administered medication had taken an accredited medication course. Two staff members questioned during the inspection told the inspector they had undertaken training at the home, which was relevant for the residents accommodated at the home. Feniscliffe Bank Home for the Elderly F57 F07 S34786 Feniscliffe Bank V232582 110805 Stage 4.doc Version 1.30 Page 18 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) 35 Residents controlled their own fiancés. EVIDENCE: The registered manager said it was policy for residents or their families to control their finances. Standard 38 was not fully inspected. Fire records examined had not been maintained. Feniscliffe Bank Home for the Elderly F57 F07 S34786 Feniscliffe Bank V232582 110805 Stage 4.doc Version 1.30 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 x x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 2 x 3 x x x x 3 x x x Feniscliffe Bank Home for the Elderly F57 F07 S34786 Feniscliffe Bank V232582 110805 Stage 4.doc Version 1.30 Page 20 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 OP16 Regulation Requirement The registered manager must ensure the complaints procedure included in the information pack meets current guidelines. The registered manager must ensure fire drills are carried out and recorded at least six monthly. Timescale for action 30/9/05 2. OP38 30/9/05 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. 3. Refer to Standard OP7 OP19 OP22 Good Practice Recommendations The registered manager should ensure plans of care used by care staff contain all the information taken from the management plans. The registered manager should ensure the tiles which are loose in the upstairs lounge are repaired. The registered manager should ensure equipment is not kept in bathrooms, leaving the bath unusable. Feniscliffe Bank Home for the Elderly F57 F07 S34786 Feniscliffe Bank V232582 110805 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection 1st Floor, Unit 4 Petre Road, Clayton-Le-Moor Accrington Lancashire. 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 Feniscliffe Bank Home for the Elderly F57 F07 S34786 Feniscliffe Bank V232582 110805 Stage 4.doc Version 1.30 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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