Inspection on 23/01/06 for Fer View, The

This inspection was carried out on 23rd January 2006.

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

Fer View, The 25/08/06

Fer View, The 05/09/05

Fer View, The 05/11/04

Fer View, The 22/06/04

Similar services:

Ashlong House

Norbury Crescent (30)

Henry Nihill House

Birchwood

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

The Infirmary

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

CARE HOMES FOR OLDER PEOPLE Fer View, The 163 Bounds Green Road London N11 2ED Lead Inspector Peter Illes Unannounced Inspection 23rd January 2006 10:45 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 Fer View, The DS0000010758.V265780.R01.S.doc Version 5.0 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. Fer View, The DS0000010758.V265780.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Fer View, The Address 163 Bounds Green Road London N11 2ED 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) 020 8881 4602 020 8881 6264 Mrs Shashikala Kuruvitage Mrs Shashikala Kuruvitage Care Home 6 Category(ies) of Learning disability over 65 years of age (6), registration, with number Mental Disorder, excluding learning disability or of places dementia - over 65 years of age (6), Old age, not falling within any other category (6) Fer View, The DS0000010758.V265780.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th September 2005 Brief Description of the Service: The Fer View is a private care home for six older people who may have a learning disability or mental disorder. The registered provider is also the registered manager. The home is located on a busy but residential area on Bounds Green Road, North London close to the North Circular Road and, within walking distance of the Bounds Green Underground Station on the Piccadilly line. The Wood Green shopping complex and transport facilities are not far away from the home and can be accessed by buses. There are local shops, cafés, restaurants, chemists and a post office close to the home. The home has two single rooms and a double bedroom on the first floor. Two single bedrooms are on the ground floor. A stair lift is available, if required, to access the first floor. There are sufficient bath and toilet facilities in the home. The communal areas include a dining room and the lounge. There is a small car park at the front of the building. The garden at the back of the building is realtively small, well kept with a paved area with garden seats close to the building. The paved area is accessible for people with mobility needs. The home has stated aims of providing 24 hour care for service users in “a safe, harmonious and pleasant environment, to enable residents to achieve their potential capacity- physical, intellectual, emotional and social”. Fer View, The DS0000010758.V265780.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took approximately three hours with the registered manager and her partner who shares responsibility for finances and some administration tasks being present or available throughout. There were six service users accommodated and no vacancies at the time of the inspection although one service user was in hospital at the time. The inspection consisted of: meeting with all the five service users at home on the day, talking to three of them independently; detailed discussion with the registered manager and her partner and independent discussion with one support worker. Further information was obtained from a tour of the premises and a range of documentation kept in the home. What the service does well: What has improved since the last inspection? Five areas for further improvement were identified at the last inspection and all of these had either been complied with or were no longer applicable. The required improvements related to the following areas: reviewing medication for one identified service user, two issues regarding documentation relating to staff recruitment and two health and safety issues. Fer View, The DS0000010758.V265780.R01.S.doc Version 5.0 Page 6 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. Fer View, The DS0000010758.V265780.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Fer View, The DS0000010758.V265780.R01.S.doc Version 5.0 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 the following standard(s): 3 Prospective service users can be confident that their needs will be assessed at the time of admission to the home to ensure that they can be effectively addressed. Service users can also be confident that their needs will continue to be reviewed once living at the home to ensure that their changing needs are recognised and continue to be addressed. EVIDENCE: Two new service users had been admitted to the home since the last inspection, one of these the previous week to this inspection. The files for these two service users were inspected along with the file of another service user who had been living at the home since the end of 2004. All three files contained a range of detailed and clear assessment information relating to their needs at the time of their respective admissions. One of the new service users admitted had been transferred from another care home by the responsible local authority. The home had a copy of a detailed current assessment of their needs that had been undertaken by the local authority to facilitate the move. The home was in the process of continuing to assess this service user’s needs during their trial period at the home. The other new Fer View, The DS0000010758.V265780.R01.S.doc Version 5.0 Page 9 service user had been admitted from hospital and there was a range of current multi-disciplinary assessment information regarding this persons needs. This included speech and language, physiotherapy and a nursing assessment as well as a local authority assessment of need. Moving and handling assessments were seen on the files inspected, as well as mental health needs assessments were appropriate. The registered manager also confirmed that she also carried out her own assessment of new service users needs to ensure that these were compatible with the needs of existing service users. A copy of a recent review of need by the responsible local authority was seen on the file that was inspected for the service user that was admitted to the home in 2004. This evidenced that the home was continuing to appropriately address this service user’s needs. The registered manager confirmed that the home does not provide intermediate care. Fer View, The DS0000010758.V265780.R01.S.doc Version 5.0 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 the following standard(s): 7, 8 & 9 Service users needs and aspirations continue to be clearly set out in their care plans to assist the home meet their assessed needs. Service users health needs are effectively monitored and service users are supported in addressing these needs with relevant health professionals. EVIDENCE: The registered manager stated that the home was in the process of developing a care plan for the service user that had been admitted to the home the previous week based on the assessment information received. Initial care objectives had been identified. The other two files inspected had clear and detailed care plans with evidence that they were reviewed on a monthly basis. The care plans seen were based on the latest assessment information for those individuals including moving and handling and risk assessments. There was evidence that the three service users were registered with a local GP and evidence that the GP had visited the latest service user admitted a few days after their admission. One service user was in hospital at the time for investigations of a medical difficulty identified by the home following a referral to that individual’s GP. One service user was being monitored on a weekly Fer View, The DS0000010758.V265780.R01.S.doc Version 5.0 Page 11 basis by a community nurse because of skin vulnerability. The registered manager stated that no service users had pressure ulcers and no other significant health issues had been identified at the time. At the last inspection a requirement had been made that PRN medication (that was prescribed to be administered as required), for an identified service user be reviewed by their GP. The inspector was pleased to see that this had been complied with. Medication and medication administration record (MAR) charts for three service users were inspected at random and found to be satisfactory. The home’s homely remedies book was also seen and the records it contained were satisfactory. Fer View, The DS0000010758.V265780.R01.S.doc Version 5.0 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 the following standard(s): 13, 14 & 15 Service users are supported to maintain and develop relationships with relatives and friends to the extent that they wish to. The home supports service users to make as many decisions for themselves as they can including about their personal finances. The home serves varied and healthy meals that service users enjoy. EVIDENCE: The registered manager stated that all six service users had relatives or friends that they kept in contact with. Evidence to support this was seen in various documentation kept in the home and was also confirmed by service users spoken to. Contact ranged from daily contact to intermittent visits with some relatives taking service users out, for example to the cinema. The registered manager stated that the only service users money the home has dealings with is the personal allowance for two service users. Satisfactory records of these were seen. The registered manager went on to confirm that all other personal finances for the service users are dealt with by either relatives of by a third party such as the service user’s referring authority. Service users are encouraged to bring their personal possessions to the home where Fer View, The DS0000010758.V265780.R01.S.doc Version 5.0 Page 13 appropriate. Each of the service user bedrooms seen were highly personalised with photographs, ornaments and a range of other personal possessions. The whole physical environment of the home, including the shared spaces, had been personalised and continues to give the impression of being more like a family home that a registered residential care home. The home continues to maintain a regular two weekly menu that lists a range of varied and healthy meals each day. The service users group contains individuals from various ethnic backgrounds and evidence was seen that meals are prepared to meet a range of their cultural preferences. The registered manager was cooking a Malayan chicken dish for service users during the inspection. The lunch on the day of the inspection included fish in parsley sauce that the inspector saw being served and which looked appetising and was well presented. Service users spoken to stated that they enjoyed their meals at the home. The kitchen was inspected and was clean and tidy. There was sufficient food that matched the menu and the food was satisfactorily stored and within its use-by date. Fer View, The DS0000010758.V265780.R01.S.doc Version 5.0 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 the following standard(s): 16 Service users and their relatives can be confident that any concerns they raise with the home will be effectively dealt with. EVIDENCE: The home had a satisfactory complaints procedure that included that complaints would be responded to within twenty-eight days. It also gave details of the CSCI if people wanted to contact the Commission regarding concerns about the home. The registered manager stated that no complaints had been received by the home since the last inspection. Service users spoken to confirmed that they felt happy to raise issues of concern with the registered manager or her staff. Fer View, The DS0000010758.V265780.R01.S.doc Version 5.0 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 the following standard(s): 19 & 23 Service users live in a home that is domestic in style, safe, well decorated and well maintained. Their bedrooms are comfortable and meet their needs. The home was clean and tidy throughout creating a pleasant environment for service users, staff and visitors. EVIDENCE: The home is domestic in scale, very well decorated and maintained and provides a safe comfortable environment that service users enjoy. The home has two single rooms and a double bedroom on the first floor. Two single bedrooms are on the ground floor. A stair lift is available, if required, to access the first floor. There are sufficient bath and toilet facilities in the home. The communal areas include a dining room and the lounge. There is a small car park at the front of the building. The garden at the back of the building is realtively small, well kept with a paved area with garden seats close to the building that is accessible for people with mobility needs. Fer View, The DS0000010758.V265780.R01.S.doc Version 5.0 Page 16 Service user’s bedrooms were seen and complied with the requirements of this standard. As stated in the Daily Life and Social Activities section of this report above, service users continue to be actively encouraged to personalise their bedrooms and this enhances the domestic feel to the home. The home was clean and tidy throughout during the inspection. Fer View, The DS0000010758.V265780.R01.S.doc Version 5.0 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 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 & 29 The home has an effective staff team, in sufficient numbers, to support service users and to assist in meeting their assessed needs. Service users are also protected by the staff recruitment procedure operated by the home. EVIDENCE: The staff rota was seen and was satisfactory. The registered manager stated that the minimum staffing the home operates on is one care staff on the early shift with a second member of staff working from 7 am to 10 am, one care staff on the late shift with a second member of staff working 4 pm to 6 pm and one waking night staff. No new staff had been employed at the home since the last inspection. The inspector was informed that two staff had left the home since the last inspection and other part time staff had adjusted their hours to maintain the required staff cover. One member of care staff who was spoken to independently stated that staff morale was good. Evidence was seen of regular staff meetings that the registered manager indicated contributed to maintaining high staff morale. Two requirements made at the last inspection regarding required documentation for identified staff that related to recruitment were no longer relevant as the staff members in question had left their employment at the home. Fer View, The DS0000010758.V265780.R01.S.doc Version 5.0 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 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 & 38 Service users and other stakeholders benefit from the home being run by a competent registered manager. The home has clear health and safety procedures in place to protect service users and others that work or visit the home. EVIDENCE: The registered manager has over nine years experience running this home and a range of experience of working with vulnerable people prior to that. She remains knowledgeable about the management issues relating to running the home and the staff member and service users spoken to spoke positively about her. The registered manager told the inspector that she had successfully completed her registered managers award in December 2005 and was waiting to receive the written confirmation of this. Fer View, The DS0000010758.V265780.R01.S.doc Version 5.0 Page 19 At the last inspection two requirements had been made regarding health and safety. One was relating to annual testing of the home’s water supply as a precaution against legionella and the other was regarding annual testing of electrical portable appliances. The inspector was pleased to see evidence that both of these had been complied with. No other health and safety issues were identified. Fer View, The DS0000010758.V265780.R01.S.doc Version 5.0 Page 20 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 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X X 3 X X X STAFFING Standard No Score 27 3 28 X 29 3 30 X MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X X X X X X 3 Fer View, The DS0000010758.V265780.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Fer View, The DS0000010758.V265780.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Southgate Area Office Solar House, 1st Floor 282 Chase Road Southgate London N14 6HA 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 Fer View, The DS0000010758.V265780.R01.S.doc Version 5.0 Page 23 - 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!