Inspection on 22/10/08 for Ferguson Lodge

This inspection was carried out on 22nd 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

Ferguson Lodge 17/10/07

Ferguson Lodge 26/10/06

Ferguson Lodge 21/02/06

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 27/02/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Ferguson Lodge Ferguson Lane Benwell Village Newcastle Upon Tyne Tyne & Wear NE15 7PL     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: Allan Helmrich     Date: 2 2 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. that people have said are important to them: They reflect the things 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 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) 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 27 Information about the care home Name of care home: Address: Ferguson Lodge Ferguson Lane Benwell Village Newcastle Upon Tyne Tyne & Wear NE15 7PL 01912411212 01912411211 philip@ewart-dilworth.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Ewart & Dilworth Ltd Name of registered manager (if applicable) Mr Philip Lawrence Ewart Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category sensory impairment Additional conditions: One named resident may be under pensionable age. Date of last inspection Brief description of the care home Ferguson Lodge is a care home that was purpose built in 1999. It can accommodate 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. There is a hair dressing room that the visiting hairdressers regularly use. 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. Care Homes for Older People Page 4 of 27 0 0 3 Over 65 10 33 0 care home 46 Brief description of the care home Inspection reports and information about the home are readily available. The weekly fees are in the range £389 - £410. Care Homes for Older People Page 5 of 27 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 quality rating for this service is 2 star. This means the people who use this service experience good outcomes. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been Care Homes for Older People Page 6 of 27 deleted or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. This key unannounced inspection was carried out by the link inspector for the service and an Expert by Experience provided by Age Concern, on 22nd October 2008 and lasted over 8 hours. Information received since the last inspection on 17th October 2007 was reviewed. This included information requested from the provider prior to the inspection. Questionnaires were provided for distribution to residents and staff. Four residents and five staff responded and information from these sources is used in the report. During the inspection we talked with people who use the service, staff, and the manager. Looked at information about the people who use the service and how well their needs are met. Looked at other records which must be kept. Checked that staff had the knowledge, skills and training to meet the needs of the people they care for. Looked around the building to make sure it was clean, safe and comfortable. Checked what improvements had been made since the last visit. 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 27 Care Homes for Older People Page 9 of 27 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 10 of 27 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. Comprehensive pre admission assessments and clear pre-admission information for each resident is in place. This is so they can make an informed choice and know their care needs will be met before moving into the home. Evidence: Everyone is given the opportunity to spend time in the home prior to admission. There is suitable information available to prospective service users that gives them information about the home and the service it provides. The manager has updated this information to prospective residents since the last inspection. A folder given to new admissions contains a letter from the manager, a statement of purpose, philosophy of care and a residents charter. Service user guides and a copy of the most recent inspection report are available to anyone on request. Each new resident is also provided with written information of who their key worker is and their role and responsibilities. Care Homes for Older People Page 11 of 27 Evidence: The home receives an assessment from the persons care manager prior to admission. This information is looked at by the manager and together with the information obtained by his senior staff at a pre admission visit a decision is made as to if the home can meet the needs of the person. Each of the case records reviewed contained an assessment of the persons needs and other appropriate supporting information. Each of the four surveys returned from residents stated they have been given a contract and the information provided by the home before moving in was enough to ensure the home was right for them. The Expert by Experience stated she spoke to several residents all of whom were happy to be there and felt safe and loved. She also spoke to visitors and one said their mum had settled in well. Within a short time of admission each resident has a plan of care constructed by senior staff in the home. These plans identify any special needs the individual may have such as religious or cultural requirements as well as personal care needs. The manager stated the home does not provide a rehabilitation service but short-term respite beds are available. Care Homes for Older People Page 12 of 27 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. Health & personal care needs are well supported by good care planning, clear recording and regular involvement from other professionals. Evidence: Shortly after admission a range of assessments to determine the physical and mental needs of the resident are carried out and any identified needs are included in the persons plan of care. No one is currently assessed as needing any pressure area care, however the manager stated that should it be necessary, community nurses are involved and appropriate pressure relieving equipment is obtained. Staff have received support and training from psychiatric professionals to support someone to live safely in the home. Should a resident be admitted to hospital then before re admission to the home a further assessment is made by senior staff to ensure the persons needs are able to be maintained in the home. Care Homes for Older People Page 13 of 27 Evidence: Care plans are regularly updated by key staff and audited by senior staff to ensure each residents care is maintained. Each of the four questionnaires returned from residents stated they Always or Usually receive the care and support they need. The Expert by Experience commented that residents said they just had to ask for something and the staff did their best to help. Records demonstrated that residents regularly see health care professionals to promote their good health with details of health checks, visits to their GP and hospital appointments being recorded in the individual files. A set of sit-on scales is available to better monitor the weights of residents. Three other residents spoken to all stated the home provides a good standard of support and staff were observed throughout the inspection talking to residents and involving them in ad-hoc activities. Each week residents are offered the opportunity to be involved in light exercise to maintain their health. All senior staff that dispense medicines have had training in the safe handling of medication. The system of storage and administration meets current good practice standards with the exception of the need to identify the initials of staff in the medical administration records. The home has refrigerated storage for medicines, a system for controlled drugs and policies and procedures to support staff in ensuring the safety and wellbeing of residents who take medication. Residents seen in the home were wearing age and gender appropriate clothing and staff were observed speaking to residents using their preferred names. Staff were observed attended sensitively to a situation in the home where a residents dignity was compromised. The proprietors have invested in a telephone system that allows any resident to take or make private calls in their own rooms. Locks to bedroom doors and toilets were checked and found to be smooth and easy to use to enable residents to achieve privacy. Should there be a problem these locks may be overridden to enable staff to provide support. Care Homes for Older People Page 14 of 27 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. Residents who choose can take part in regular activities of their choice. Visitors are made welcome. A good standard of healthy food is provided. Evidence: The manager has recently employed someone who is reviewing the type of activity provided to ensure it meets the needs of older people and people with a dementia. The expert by experience felt that people living in the home have a good range of things to do, that several residents are taken out by relatives and others can go out alone. One resident shops for others and also walks a dog brought in by a member of staff. Staff were observed involving residents in ad hoc activities, there were jigsaws in progress around the home and some residents use the homes radio room to listen daily to The Archers and various talking books. Residents have the opportunity to watch a TV church service in the home. The manager said that currently no one chooses to go out to church. The homes social diary records activities such as, read papers, painting, signing, use of garden, light exercise of soft balls and skittles and a TV church service. Three of the four surveys returned were content with the activities provided, one response stated there is never anything to do. Care Homes for Older People Page 15 of 27 Evidence: Residents are encouraged to be active in the home by assisting with some domestic chores of their choice and residents lifestyle choices are respected with one resident not getting up until late morning for breakfast. One visitor spoken to briefly on her way home was happy with everything the home does and stated she could not be happier. Another visitor who spoke to the expert stated they could sleep at night knowing their relative was well cared for. The manager is aware of diversity issues and has introduces systems to find out about residents specific needs and wishes. He stated that currently people in the home are from the local area and have no needs that cannot be met within the community. The lunchtime meal was overseen by the expert who stated there were two choices of both main course and dessert. All were well cooked and well served and most plates were returned empty - I enjoyed mine I can tell you. From the returned surveys all were happy with the meals provided. Care Homes for Older People Page 16 of 27 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. Residents are listened to and protected by a caring staff team to ensure they are safe. Evidence: A copy of the homes complaints procedure is given to each new resident in a welcome pack and a copy is on display for the benefit of occasional visitors. Residents spoken to during the inspection said they would readily tell the staff if they had any concerns and those that spoke to the expert felt safe in the home. Of the four who completed a survey, each stated they knew how to make a complaint. The manager has set up a system to record formal complaints and also any matters of dissatisfaction brought to his attention. One complaint was recorded appropriately and two minor matters raised by visitors were also recorded. The staff are aware of the policies and procedures for safeguarding people living in the home from abuse. Two carers spoken to demonstrated their awareness of how to deal with any issues. They also confirmed they have received training to support vulnerable adults and are provided with a staff handbook containing relevant guidance. The manager has demonstrated previously, his commitment to ensuring residents in the home are safe from abusive practices Care Homes for Older People Page 17 of 27 Care Homes for Older People Page 18 of 27 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 live in a safe, clean and well maintained environment. Evidence: The home was purpose built in 1999. There are three floors with a passenger lift between them. All areas of the home are accessible to residents with a physical disability. All bedrooms are single, have ensuite toilets and they were personalised with residents belongings. Some residents use keys to lock their bedroom doors. The home has a programme of decoration and furniture replacement. On a tour of the building it was found to be well maintained and clean. The door lock to a communal bathroom door was broken but his was attended to by the manager during the inspection to promote the privacy and dignity of residents. The water temperature in one bathroom was lower than the safe, comfortable range of 37-43 degrees centigrade and should be adjusted. Of the four surveys from residents, three stated the home is always fresh and clean and the other stated it usually was. Care Homes for Older People Page 19 of 27 Evidence: The laundry contains a good standard of equipment. The laundry floor was clean and storage space was good. The laundry contained washing machines capable of meeting disinfection standards and sufficient clothes baskets have been provided to store residents clean clothes individually. This will limit the possibility of clothes being lost. The home has systems for infection control and a sluicing facility. The expert by experience stated the home was quiet, well decorated and more importantly there were no smells. The dining room, lounges and radio room were a good size and really comfortable. The bedrooms are a good size, well decorated and plenty of personal things around. The rooms have toilet and hand basin en-suite and the separate bathrooms/showers big enough to have a hoist/wheelchair access with ease. Care Homes for Older People Page 20 of 27 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. There are sufficient capable and experienced staff to meet the health and care needs of the people living in the home and recruitment procedures are thorough, which helps to protect residents. However further training is required to demonstrate a competence in some areas. Evidence: During the inspection sufficient staff were on duty to meet the needs of the residents and the staff rota demonstrated that the normal care staffing levels in addition to the manager who normally works Monday to Friday are six care staff between 8am and 8pm then three care staff through the rest of the evening and night. Other staff are employed for administration, food preparation, cleaning and maintenance. A number of staff have worked in the home for several years which provides consistency and a male carer is employed giving residents some choice about the gender of the carers who provide personal care. Staff were seen to be caring and attentive to residents. Residents who made comment during the inspection said they were treated well by the staff. The manager maintains a system for identifying and recording staff training. This showed that of eighteen care staff, ten have a qualification equal to or better than a Care Homes for Older People Page 21 of 27 Evidence: National Vocational Qualification in care at level 2. Some training such as fire and health and safety is provided in-house and other training for challenging behaviour awareness and provided by specialist nurses in the community. Not all staff have received training related to safe handling of people and this should be addressed to ensure the safety and comfort of people living in the home. Five staff who completed a survey confirmed that the staff team work well together, that a good induction for staff is in place and that appropriate training is provided. There was a comment that all staff should be included in hand overs to ensure a better standard of information is given to the on shift team. The records of two recently recruited members of staff were looked at. The manager uses an audit sheet to ensure that anyone employed is most suitable to work with vulnerable people. The files contained appropriate references, checks of the Protection of Vulnerable Adults List and the Criminal Records Bureau. Also any gaps in employment are identified and issues from CRB checks are followed up. There were details of induction training of an approved standard on the staff records and staff confirmed that they had received this. The expert by experience commented that the staff team were good and caring and that on several occasions through the day good care practice was observed including the use of signing to those residents who use it. Care Homes for Older People Page 22 of 27 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. Ferguson Lodge is a home that is well run for the benefit of the people who live there. Evidence: The manager who is also an owner of the home was registered in April 2004. At this time he was enrolled with Newcastle College with the intention of obtaining the Registered Managers Award. He has recently changed the support organisation for the second time and intends to work towards obtaining this award that demonstrates the abilities of the recipient to manage a care home for vulnerable people. A quality monitoring system was purchased some time ago for use in the home. Management are working within this process to identify any areas for improvement. Recent changes that improve the standards of care include the implementation of care plan audits, recruitment monitoring forms and new staff handbooks providing useful information to the staff team. A visitor questionnaire has recently been produced although any returns have not been analysed as yet. Care Homes for Older People Page 23 of 27 Evidence: A system is in place to encourage residents and their families to control their own finances. The home sends invoices for any monies they spend on behalf of residents. Any monies that are held for residents are recorded and each transaction has two signatures. Systems are in place to ensure the home is safe for residents. Certificates were seen to demonstrate maintenance tasks carried out by external contractors were done. Water temperatures are checked and a risk assessment is in place to show the water system is free from Legionella. The home employs a house manager to ensure Health and Safety Regulations are maintained. A fire risk assessment has been produced. Staff have received fire instruction and fire drills take place to ensure residents are maintained in a safe environment. A system is in place to ensure electrical appliances brought into the home are safe and well maintained. A copy of the gas service certificate was seen and the periodic checks of lifting equipment have been carried out. Accidents in the home are recorded and all issues are followed up by senior staff. Care Homes for Older People Page 24 of 27 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 25 of 27 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 1 9 A record of staff names and signatures used in medication records should be kept so that individual entries can be identified. Monitor the water temperature to ensure it remains within the safe comfortable range of 37-43 degrees centigrade. The manager should use the system developed to monitor staff training and ensure that appropriate training is provided to keep people safe in the home. The manager should achieve the Registered Managers Award to demonstrate that he has the abilities to take charge of a home for vulnerable people. The manager should continue with the development of the system of quality monitoring to identify the standards provided in the home. 2 3 19 30 4 31 5 33 Care Homes for Older People Page 26 of 27 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 © (2009) 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 27 of 27 - 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!