Inspection on 21/02/06 for Ferguson Lodge

This inspection was carried out on 21st February 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

Ferguson Lodge 22/10/08

Ferguson Lodge 17/10/07

Ferguson Lodge 26/10/06

Ferguson Lodge 07/02/05

Ferguson Lodge 23/08/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Ferguson Lodge Ferguson Lane Benwell Village Newcastle Upon Tyne Tyne & Wear NE15 7PL Lead Inspector Allan Helmrich Unannounced Inspection 21 February 2006 10:30 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 Ferguson Lodge DS0000000445.V259124.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. Ferguson Lodge DS0000000445.V259124.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ferguson Lodge Address Ferguson Lane Benwell Village Newcastle Upon Tyne Tyne & Wear NE15 7PL 0191 241 1212 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) philip@ewert-dilworth.co.uk Ewart & Dilworth Ltd Mr Philip Lawrence Ewart Care Home 46 Category(ies) of Dementia - over 65 years of age (10), Old age, registration, with number not falling within any other category (33), of places Sensory impairment (3) Ferguson Lodge DS0000000445.V259124.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named resident may be under pensionable age. Date of last inspection 23rd August 2005 Brief Description of the Service: Ferguson Lodge is a purpose-built care home providing personal care for forty-six older people, ten of whom suffer from dementia and three who have a sensory impairment. The home is on three floors and there is a passenger lift to all levels. All bedrooms have en-suite toilet and wash hand basin. There are five communal lounges one of which is a designated smoking lounge. A hair dressing room is available which is regularly used by the visiting hairdresser.The home is located in the West End of Newcastle upon Tyne and is a short walk from local shops and public houses. The area is easily accessible as it is on a bus route to other parts of Newcastle. Ferguson Lodge DS0000000445.V259124.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and follows an unannounced inspection in August 2005. The first day of the inspection included a tour of the premises, conversations with staff and residents and reviewing the homes records. The home’s computer system was down during the inspection and much information regarding staff training was not available. A second visit to the home was made on 14 March to conclude the inspection. What the service does well: What has improved since the last inspection? Some redecoration to the communal areas of the home has taken place. A new telephone system has been installed that allows residents to take call privately in their bedrooms. The ground floor sliding patio style doors to the garden have been replaced with single doors for ease of use. There has been a general improvement in the individual care plans. Some social care plans are in place and health assessments are conducted. Ferguson Lodge DS0000000445.V259124.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. Ferguson Lodge DS0000000445.V259124.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 Ferguson Lodge DS0000000445.V259124.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. Pre-admission assessments are conducted to reduce the possibility of an unsuitable placement being accepted. EVIDENCE: In the four case files I reviewed, each contained a full assessment conducted prior to the referral being accepted. Ferguson Lodge DS0000000445.V259124.R01.S.doc Version 5.0 Page 9 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, 10. Residents’ health and personal care needs are generally identified and appropriately met. The home’s system for medicines is satisfactory. Residents are treat with respect and their dignity is maintained. EVIDENCE: I reviewed four case records and following the pre-admission assessments care plans of varying quality were produced. One care plan was well written; it contained good information concerning the provision of health and personal care needs. One file contained an exercise programme to meet the resident’s needs. Two files did not contain a recent photograph of the resident. Two files did not have a social care assessment completed and two files did not record the residents’ weight. The files were reviewed regularly by senior staff but not by management. Ferguson Lodge DS0000000445.V259124.R01.S.doc Version 5.0 Page 10 Since the last inspection information regarding residents with an allergy has been added to the medical administration records. Staff were observed during the inspection treating residents with respect and maintaining their dignity. Staff call residents by their preferred names and request permission to enter bedrooms. Last year the proprietors changed the telephone system to allow all residents to take private calls in their bedrooms and for a small charge external calls can be made. Ferguson Lodge DS0000000445.V259124.R01.S.doc Version 5.0 Page 11 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): 12, 14. Staff provide some stimulation for residents and materials for use in activities are available to staff. Information regarding residents’ preferences is of varying quality. A system is in place to support residents with their finances. EVIDENCE: Since the last inspection access to the activities cupboard has been made available to staff at all times. Staff were observed throughout the day engaging residents in stimulating conversation. An activities schedule is in place, a hairdresser visits the home weekly and entertainers are employed periodically. One resident spoken to is supported by staff to visit the local public house and another spoken to takes the home’s dog for a walk and does messages for other residents. The case files reviewed contained information of varying quality concerning individuals’ social preferences and how these may be met. The home’s arrangements for recording financial transactions with residents are appropriate. Access to monies is restricted to the normal working day but this does not appear to cause a problem. Ferguson Lodge DS0000000445.V259124.R01.S.doc Version 5.0 Page 12 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, 18. A comprehensive complaints process supports residents. Some staff have received training related to abuse awareness and appropriate supporting documentation is available to them in the home. EVIDENCE: The home has a simple, clear complaints process and copies are provided to each new resident and their supporters. One complaint recorded was resolved with the complainant. Several recent cards of compliment were observed on a notice board in the home. Some staff have been provided with abuse awareness training and this should be extended to include all staff. The home has appropriate policies and procedures in place together with the Department of Health guidance ‘No Secrets’. Ferguson Lodge DS0000000445.V259124.R01.S.doc Version 5.0 Page 13 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, 24, 26. The home is safe and clean. Many residents’ bedrooms contain personal possessions and memorabilia. EVIDENCE: The home was found to be clean and well maintained with no offensive odours noted. Residents’ bedrooms were individual in style but as at the last inspection many beds did not have valances fitted. The proprietor has agreed to review this provision. Ferguson Lodge DS0000000445.V259124.R01.S.doc Version 5.0 Page 14 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, 30. Residents are supported by appropriate numbers of care staff. A training plan is in place to provide adequately trained staff and a recruitment process ensures residents are safe. EVIDENCE: The staffing in the home is appropriate to meet the needs of the residents. In addition to the manager two senior and four care staff were on duty. Support staff include; an administrator, handyman, kitchen staff and domestic workers. Staff records demonstrate that appropriate employment procedures are adhered to. Each file contained an audit sheet, two references and a Criminal Records Bureau check. New staff undertake an induction that is comprehensive and to a standard that meets national standards. The home has a computerised record for each staff member of the training they have undertaken whilst employed in the home. The manager stated he has not recorded other training. A definitive combined training record should be produced and any gaps in training within the staff team should be addressed. Ferguson Lodge DS0000000445.V259124.R01.S.doc Version 5.0 Page 15 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, 33, 35, 38. The manager has several years experience in the care of older people and is working towards a recognised qualification. The home is introducing a quality assurance system. A system is in place to support residents with their finances. The building is well maintained with a reasonable standard of health and safety. EVIDENCE: The manager has many years experience of providing care for older people and is working towards the Registered Managers Award that he hopes to complete by September 2006. Staff spoken with stated morale in the staff team is high and that management provide clear direction in the standard of service expected. A quality assurance system has been purchased and is to be introduced into the home. Development plans were not available at this inspection. Ferguson Lodge DS0000000445.V259124.R01.S.doc Version 5.0 Page 16 The home’s arrangements for recording financial transactions with residents are appropriate. Access to monies is restricted to the normal working day but this does not appear to cause a problem. Cleaning materials are safely stored and management to ensure the home is safe conducts regular premises checks. Ferguson Lodge DS0000000445.V259124.R01.S.doc Version 5.0 Page 17 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 X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 2 3 X X X X 2 X 3 STAFFING Standard No Score 27 3 28 X 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 2 X 3 X X 3 Ferguson Lodge DS0000000445.V259124.R01.S.doc Version 5.0 Page 18 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 OP31 Regulation 9(2)(b)(i) Requirement Obtain the Registered Managers Award Timescale for action 30/09/06 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 4 5 Refer to Standard OP7 OP18 OP24 OP30 OP33 Good Practice Recommendations Demonstrate that management review the quality of care plans by signing and dating the files. Any deficiencies should be addressed. Continue with staff training associated with abuse awareness. Review the provision of bed valances for beds. Produce a training matrix detailing all staff training. Identify and address gaps in training. Continue with the home’s quality assessment and provide development plans for identified areas. Ferguson Lodge DS0000000445.V259124.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Cramlington Area Office Northumbria House Manor Walks Cramlington Northumberland NE23 6UR 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 Ferguson Lodge DS0000000445.V259124.R01.S.doc Version 5.0 Page 20 - 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. 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