Inspection on 11/06/07 for Ferendune Court

This inspection was carried out on 11th June 2007.

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

Ferendune Court 25/04/06

Ferendune Court 17/10/05

Ferendune Court 25/04/05

Ferendune Court 28/01/05

Ferendune Court 21/05/04

Similar services:

Flint House

St Vincents

The Cotswold Home

Fairways

Newbeech House

Winton House

Treloar College

Rush Court

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

CARE HOMES FOR OLDER PEOPLE Ferendune Court Ash Close Faringdon Oxfordshire SN7 8ER Lead Inspector Kate Harrison Unannounced Inspection 11th June 2007 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Ferendune Court DS0000027147.V337305.R01.S.doc Version 5.2 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. Ferendune Court DS0000027147.V337305.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ferendune Court Address Ash Close Faringdon Oxfordshire SN7 8ER 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) 01367 243834 01367 244421 samantha.bell@anchor.org.uk keri.sherwood@anchor.org.uk Anchor Trust Samantha Bell Care Home 48 Category(ies) of Dementia (6), Old age, not falling within any registration, with number other category (48), Physical disability over 65 of places years of age (9) Ferendune Court DS0000027147.V337305.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. On admission persons should be aged 60 years and over. 1 young chronically sick/disabled - Short Stay Nursing Unit. Rehabilitation, Convalescent or Respite for a period not exceeding 6 weeks - Short Stay Nursing Unit. Maximum of 18 persons with nursing needs. The total number of persons that may be accommodated at any one time must not exceed 48 25th April 2006 Date of last inspection Brief Description of the Service: Ferendune Court is a purpose built home that opened in 1992 in Faringdon. It is divided into three units, one looking after elderly residents in their own flatlets, one unit looking after residents for a short stay and one looking after the more dependent resident with long term nursing needs. Each resident in the residential unit has their own flatlet that has a bedroom, lounge, a hallway and an en-suite shower room with toilet and wash hand basin. Each flat has its own lockable front door, letterbox, doorbell and peephole to enable residents to identify visitors prior to opening the front door. There is one flat identified for residents coming in for short stay. The home has a nine-bedded nursing wing on the ground floor. Each room has its own en-suite facilities comprising wash hand basin and assisted toilet. One bedroom has en-suite shower facilities. The home has a short stay nursing unit and there are strict admission procedures for these beds. There is an agreement between Anchor Trust and the primary care trust on referrals for admission. There is a good range of assisted baths and toilets in addition to the en-suite facilities. There are two ground floor sitting rooms, and access to a large pleasant dining area. A lift serves all floors. There is a patio area outside the lounge/dining room with an attractive bank of shrubs and flowers beyond, and a short walkway leading to a seating area. Ferendune Court DS0000027147.V337305.R01.S.doc Version 5.2 Page 5 The registered manager and a team of nurses, carers, administrators, kitchen and household staff manage the service. The fees range from £451.47 per week to £680.00 per week. Ferendune Court DS0000027147.V337305.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. This inspection of the service was an unannounced ‘Key Inspection’. The inspector arrived at the service at 10am and was in the service for 6 hours. This inspection was a thorough look at how well the service is doing. It took into account detailed information provided by the service, and any information that the Commission has received about the home since the last inspection. The inspector saw most areas of the home, observed staff interactions with the individuals living at the home, spoke to staff members and looked at records and documents relating to the care of the individuals. Staff recruitment records were also seen. The registered manager was not available on the day, and senior staff and the home’s administrator were able to help the inspector gain a full understanding of the service provided. The inspector asked the views of the people who use the service and their supporters who responded to questionnaires that the Commission had sent out. The inspector also spoke to several residents at the home during the day, and to three visitors, and the views of those who responded to questionaires or who spoke with the inspector are reflected in this report. Most of the comments about the care at the home were very positive, especially comments about the staff, who were said to be ‘very good’, ‘caring’, and ‘happy, chatty staff’. There are no individuals from ethnic minorities living at the home at present, but the home would be able to meet the cultural and religious needs of individuals, because of the focus by staff members on people’s individual needs. What the service does well: What has improved since the last inspection? People living at the home have been consulted on their food preferences and, as a result, the menus have been improved. Ferendune Court DS0000027147.V337305.R01.S.doc Version 5.2 Page 7 Individuals can decide what they would like to eat on the day, rather than selecting from the menu the previous day. A new recording system has been introduced to personalise the way care is provided. Some private rooms have been redecorated and new carpets have been fitted. Water dispensers are available on each floor so that people can have fresh water at any time. 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. The summary of this inspection report can be made available in other formats on request. Ferendune Court DS0000027147.V337305.R01.S.doc Version 5.2 Page 8 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 Ferendune Court DS0000027147.V337305.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3. The home does not provide intermediate care. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People living at the home have had their needs assessed before admission, but people coming for short stays need to have their needs reassessed before each short stay. EVIDENCE: The inspector examined three individual’s record, two from the short stay nursing unit and one from the residential wing. Pre-admission assessments had been carried out for two of the individuals, including a detailed referral assessment from the Primary Care Team for one individual. One individual came regularly for short stays, and the records show that assessments to determine her needs had previously been carried out. There was no pre-admission assessment available for the current admission, and it was not clear how pre-admission assessments are managed for individuals who regularly use the home. Ferendune Court DS0000027147.V337305.R01.S.doc Version 5.2 Page 10 The registered manager must ensure that for those individuals who use the home for regular short stays that a new pre-admission assessment or a review of the needs of the individual is conducted before the planned short stay at the home commences. This will make sure that the home can still meet the needs of the individual. Ferendune Court DS0000027147.V337305.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health and personal care needs of people living at the home are met, in a respectful and caring way. EVIDENCE: The service user plan has been introduced to improve the way personal care is provided. Three individual’s records were examined to see how care needs were assessed and met. Risk assessments are carried out to determine the extent of differing needs, though some assessments were not signed or dated. This information is important and should be completed. The dietary assessment form used to assess the nutritional state of individuals is outdated and should be replaced by the nationally evidence based tool recommended by the British Association of Parental and Enteral Nutrition. All the individuals had care plans showing how their needs were being met. One individual said that all her needs were met and that she knew her keyworker, that the staff members listened to her and they knew how to help her. Others said that the staff members are caring and respectful. Ferendune Court DS0000027147.V337305.R01.S.doc Version 5.2 Page 12 Medication is kept safely and securely and is appropriately recorded. People who want to manage their own medication are helped to do so safely. Good systems are in place to record and order medication for individuals at the home for short stays, and a contract is in place so that medication no longer needed is disposed of appropriately. Responses to the Commission’s survey show that people living at the home feel that they receive the support and care that they need. Ferendune Court DS0000027147.V337305.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, and 15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although people living at the home are able to be as independent as they wish, some are bored and more activities should be provided. EVIDENCE: The routines of the home allow the people living there to be as independent as much as possible, and staff members treat people with respect. Some individuals have their own flatlets and are able to use their kitchenettes to make drinks, and can help manage their laundry if they wish to. Individuals can attend local church services if they want to, and representatives of local churches can visit individuals who wish to see them. Several visitors were in the home on the day of the inspection visit. All said that they were always welcome in the home, and that they were happy with how the home communicated with them. Two individuals living at the home said that the worst thing about life at the home was boredom. Both said that there used to be good provision of activities, but not at present, and that they wanted more activities to be available. A new activities co-ordinator has been in post for six months, and works 30 hours per week. The co-ordinator has completed a course on Ferendune Court DS0000027147.V337305.R01.S.doc Version 5.2 Page 14 exercise and is planning to include exercise in the activities plan in future. There is discussion with Anchor Trust and the home about how to improve the provision of activities at the home. There was no activities plan available for the week of the inspection visit, though the co-ordinator said that usually people living at the home received a schedule every Friday. There were no firm plans in place for any outings or home events, though a home barbeque was expected to take place during the summer. It is recommended that an activity plan be developed, based on the preferences of people at the home, and that the plan be implemented so that activities are available at least once every day. Several people said that the food was ‘good’, and that they enjoyed mealtimes. The chef has good systems in place to make sure that the food preferences of individuals are known, and the dining tables are set with clean cloths and flowers. Ferendune Court DS0000027147.V337305.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Complaints are heard and responded to, and people at the home are protected from harm through the company’s policy and staff training. EVIDENCE: The home’s complaints procedure is freely available, and individuals living at the home and relatives said they knew how to complain. Complaints are recorded and responded to within the appropriate timescales. The Commission has not received any information about complaints since the last inspection. The complaints procedure stated that information about the local office of the Commission was available through the Commission’s website. This information does not satisfy the requirements of the Care Homes Regulations, and the contact details of local office of the Commission, including the phone number, must be included as part of the home’s complaints procedure. This requirement was met quickly during the course of the inspection visit. Training about how to safeguard vulnerable adults is included as part of induction training for all staff members, and all staff members attend update training annually. Recently the company has appointed a care specialist to support a consistent approach to safeguarding vulnerable people. Ferendune Court DS0000027147.V337305.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean, safe and well maintained. EVIDENCE: The home is welcoming, with seating and fresh flowers in the entrance area, and the gardens and grounds are well maintained. The home has a planned maintenance programme and maintenance was taking place on the day of the inspection visit. The post of the maintenance member of staff is currently advertised. Lighting in the lounge area was poor on the day of the inspection visit, and three of the bulbs in the ceiling lighting were not working. This issue was addressed. The recommendations of the last environmental health officer’s report have been met. Good systems are in place to stop the spread of infection in the home, including staff training, and the laundry is well maintained and managed. Ferendune Court DS0000027147.V337305.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Policies and procedures make sure that staff are properly recruited and trained, but it is not clear that enough trained staff are always available. EVIDENCE: The home has a staffing rota showing that a registered nurse is available over the 24 hours, and that carers are assigned to different areas in the home. The inspector understood that as several people living at the home need two carers to provide the care needed, at times there may not be enough staff available to attend to the needs of the people sitting in the lounge area. The rota for the week seen showed that on one morning shift in the nursing area, two carers and one nurse were available. One of the carers was understood to be on induction training, so it is not clear that there would be enough staff with the skills necessary available to meet the needs of the people living at the home. The home’s induction programme for new care staff members is to the Skills for Care standard. A training programme is in place to make sure that staff members are provided with training opportunities but it is not clear from records seen that enough staff members are taking up the opportunities, especially in key topics such as safeguarding, fire prevention and moving and handling. Ferendune Court DS0000027147.V337305.R01.S.doc Version 5.2 Page 18 The registered manager should review the staffing arrangements to make sure that there are enough skilled carers available to meet the needs of all the people living in the home, and should make sure that enough care staff members are trained to meet the needs of the people living in the home. Several staff members said that good training opportunities are provided. The staff recruitment process is robust and the three staff files seen contained all the necessary information. 23 of the 44 care staff members hold National Vocational Qualification Level 2 in Care, and nine more are working towards the qualification. Ferendune Court DS0000027147.V337305.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 37 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s manager makes sure that policies and procedures regarding safety at the home are followed so that people living there are safe. EVIDENCE: The registered manager has been at the home for several years and holds the Registered Manager’s Award. Support is available from Anchor Trust’s management team when necessary. The home’s quality assurance programme includes regular meetings with people living at the home and their relatives, and annual questionnaires about the quality of the service. Ferendune Court DS0000027147.V337305.R01.S.doc Version 5.2 Page 20 The home keeps no petty cash for people living at the home. Personal accounts are held in a residents’ account in a local bank, and invoices are sent to request payments for services such as hairdressing and chiropody. Good records are available to show individual’s accounts. There were no photographs available for three individuals, one of whom had been in the home for over five weeks, though they had been taken and were still in the camera. Photographs must be available in a timely way for all the people living at the home, so that individuals can be identified at the home. The home has a health and safety policy statement, and provides training for staff on all health and safety topics. The registered manager is responsible for health and safety in the home, and individuals living at the home have personal evacuation plans in the event of a fire. A fire safety risk assessment is in place, and staff members are trained to manage an outbreak of fire at the home. Ferendune Court DS0000027147.V337305.R01.S.doc Version 5.2 Page 21 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 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X 2 3 Ferendune Court DS0000027147.V337305.R01.S.doc Version 5.2 Page 22 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. 1 Standard OP3 Regulation 14 (1) Requirement The registered manager must ensure that for those individuals who use the home for regular short stays, a new pre-admission assessment, or a review of the needs of the individual is conducted before the planned short stay at the home commences. Timescale for action 30/06/07 2 OP37 Schedule 3 Photographs must be available in a timely way for all the people living at the home, so that individuals can be identified. 22/06/07 Ferendune Court DS0000027147.V337305.R01.S.doc Version 5.2 Page 23 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 Refer to Standard OP8 OP12 Good Practice Recommendations Risk assessments should be signed and dated. A weekly activity plan should be developed, based on the preferences of people at the home. The plan should be implemented so that activities are available at least once every day, including weekends. 3 OP27 The registered manager should review the staffing arrangements to make sure that there are enough skilled carers available to meet the needs of all the people living in the home. The registered manager should make sure that enough care staff members are trained to meet the needs of the people living in the home. Ferendune Court DS0000027147.V337305.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Oxford Office Burgner House 4630 Kingsgate Oxford Business Park South Cowley, Oxford OX4 2SU National Enquiry Line: 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 © 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 Ferendune Court DS0000027147.V337305.R01.S.doc Version 5.2 Page 25 - 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. 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