Inspection on 23/10/08 for Fenwinds Rest Home

This inspection was carried out on 23rd October 2008.

CSCI found this care home to be providing an Good service.

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

Fenwinds Rest Home 03/11/06

Fenwinds Rest Home 24/11/05

Fenwinds Rest Home 22/05/05

Fenwinds Rest Home 10/03/05

Fenwinds Rest Home 03/08/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

Extracts from inspection reports are licensed from CQC, this page was updated on 29/01/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Fenwinds Rest Home 56 Doddington Road Wimblington, Near March Cambridgeshire PE15 0RD     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Don Traylen     Date: 2 3 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 22 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 22 Information about the care home Name of care home: Address: Fenwinds Rest Home 56 Doddington Road Wimblington, Near March Cambridgeshire PE15 0RD 01354740418 01354740508 susan.joybays@btinternet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Susan Joy Bays Type of registration: Number of places registered: Mrs Susan Joy Bays,Mr Ronald Bays care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Fenwinds is a small home registered to provide for 3 people who are elderly frail or affected by dementia. The home was first registered in 1995 under the Registered Homes Act 1984, as amended in 1991. The home is managed and staffed by the registered providers, Mr & Mrs Bays. The home is a detached house that has been amended for the purpose of providing care to three service users. The three service users live in the downstairs part of the house whilst the registered providers private accommodation is the upstairs part of the house. The home has an additional downstairs bedroom, a large kitchen-dining area, a conservatory and large rear garden. The home has a vehicle for service users transport arrangements. At the time 0 0 Over 65 3 3 Care Homes for Older People Page 4 of 22 Brief description of the care home of this inspection the registered provider stated the homes fees were from £395:00 per week. Care Homes for Older People Page 5 of 22 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: The last key inspection took place on 3rd Novemeber 2006 and an Annual Service Review was carried out in November 2007. This key unannounced inspection was carried out during the morning of the 23rd October 2008. The three who live at Fenwinds told the inspector what life was like living in the home during a long discussion. Care plans and care reviews were read and medication records were assessed. Records about significant events were read and records relating to fire safety were seen. The inspection concentrated on the safety and to ensure people were satisfied they were safe and their experiences of living at the home. Each person completed survey forms sent to them and the home had completed an Annual Quality Assurance Assessment that provided detailed information about the Care Homes for Older People Page 6 of 22 home. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 22 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 9 of 22 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assured they will be assessed before moving into the home and are given the information about the home and the opportunity to visit, before making a decision about moving there. Evidence: The history of the home has shown they have provided good outcomes for this group of Standards. They have ensured that nobody is admitted without an appropriate assessment. Of the three people living at the home, one person is funded by a local authority and two people privately fund their care. One person was recently reassessed by the home and this re-assessment detail had been comprehensively and accurately recorded. One person said that she had visited this home before moving there and had chosen this home in preference to other care homes she had seen. Care Homes for Older People Page 10 of 22 Evidence: Intermediate Care is not provided and therefore Standard 6 was not relevant. Care Homes for Older People Page 11 of 22 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assured their personal care and health care is well planned and delivered in a respectful and kind manner. Evidence: The same three people have lived at the home for at least four years. Three peoples care plans were read. The plans were neat and were indexed. They included comprehensive needs and ways to provide support and assistance. Weight charts and nutritional screening charts had been maintained. One persons circumstances and needs had changed over the last 12 months and this had been accurately recorded in his care plan. New ways to meet his needs had become part of his written plan. New mobility equipment and how to uase this equipment had been described in his care plan. His needs had been re-assessed and the input of community health service had been part of this re-assessment and new care arrangement. He had been facilitated and supported by the home to continue with specific aspects of his self-medication and self-monitoring his health. Visits to chiropodist, diabetic clinics were included. Care Homes for Older People Page 12 of 22 Evidence: A record of falls was kept for each person and the falls prevention nurse had visited the home to assess each persons needs. A record of events for each month had been kept. The three people living at the home all talked about their care and how they are aware of the treatment from health services and explained how they could make contact with health services should they wish to. Two people described in detail what health support they expect and how they are supported by the home to maintain good health care and receive regular support from community health services. In general, the care plans and care that was provided, promoted independence and had all been reviewed and kept up to date. There was sufficient evidence in the medication administration records and the amounts of medication that were checked to show that medication was being managed in a safe way. The previous key inspection report for the 3rd Novemebr 2006 showwed that people had been sensitively approached about their end of life wishes. Care Homes for Older People Page 13 of 22 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home are assured of living a satisfactory and appropriately social lifestyle. Evidence: The three people living at the home discussed living at the home. They said they were satisfied with their lifestyles, considering their circumstances. Two people have regular and meaningful contact with their family and this is always facilitated and encouraged by the home. Each person said their food and all their meals were excellent and they do not want for anything. Lunch of roast chicken and fresh vegetable was observed being prepared and cooked during the inspection. Local and fresh vegetables are part of the daily diet. A record of meals provided was read. Meals have been seen at previous inspections and are well made and of a style that is traditional English home-cooking. Care Homes for Older People Page 14 of 22 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assured they are safe and protected. Evidence: Previous reports have shown the good outcomes for this group of outcomes. The same circumstances prevailed in the home at the time of this inspection. People stated they would make any issue or complaint made known to the manager. It was observed that good communications exist between the manager and people at the home and this was taken as an indication that people could raise an issue or complaint should they wish to. The three people who live at the home discussed how safe they felt and each stated they were sure they are protected by the home. The manager discussed how she would report any abuse she suspected. Cambridgeshire County Council guidelines and procedures for safeguarding and protecting vulnerable people were kept at the home. A complaints log is maintained and has recorded complaints that have been brought to the attention of the manager. Care Homes for Older People Page 15 of 22 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assured of a pleasant and clean home that is suited to their needs. Evidence: Nothing has altered since the last key inspection on 3rd November 2006. The gardens were neat and tidy and the internal environment has been maintained and was clean fresh and safe. A pleasant aroma of food being prepared and cooked was a sensation that people said they liked. The home was very clean and spacious there were no obstacles or noticeable hazards. The internal environment was warm and spacious and rooms had been individualised. New armchairs had been purchased for the lounge. The one bathroom is suitable for the current needs of the three people living at the home. Each person said they felt that the home belonged to them and they enjoyed using the garden when the weather was warm. Care Homes for Older People Page 16 of 22 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assured of good care from familiar care staff who understand their precise needs. Evidence: The arrangement for staffing the home is provided by the two registered providers. This is a long standing pattern that has been successful in bringing familiar and safe care to the three people living at the home. This means that at most times there is a ratio of two care staff for three people. Appropriate training in moving and handling first aid medication administration and adult protection/ safeguarding training have been undertaken by the two registered providers. One regular relief staff is used when the owners occasionally take a break and this is a voluntary arrangements by a registered nurse. Criminal Records Bureau checks have been made for this volunteer who has also been trained in appropriate topics of care. Care Homes for Older People Page 17 of 22 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are assured the home is well managed and their interests are promoted. Evidence: The same registered manager has worked at the home since the Commission has inspected the service. At each previous inspection the manager has been judged to be good and to have showed she is dedicated to providing person centred care and sets an exemplary standard to be followed. The manager has ensured her training is updated and had recently attended a course about the side effects of medication. It was evident that respect and inclusion is shown by the owners and that peoples best interests are upheld. Peoples views are welcomed and there are daily opportunities to ensure they stated and are listened to. People confirmed they received all the care and support they expect. Medication records had been accurately recorded. The annual fire certificate and weekly fire alarm test are recorded, as are the weekly checks of the emergency lighting system. Regulation 37 reports had been made when Care Homes for Older People Page 18 of 22 Evidence: appropriate. Care plans are very neat clear and had included recent changes and reviews that showed how people are put first and record keeping is being maintained where necessary. Records of meals had been kept. The home does not manage any persons finances and people are facilitated to keep control of their finances. Care Homes for Older People Page 19 of 22 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 20 of 22 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 21 of 22 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 22 of 22 - 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!