Inspection on 06/06/05 for Ferndene Care Home

This inspection was carried out on 6th June 2005.

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

Ferndene Care Home 19/11/07

Ferndene Care Home 06/02/07

Ferndene Care Home 03/04/06

Ferndene Care Home 14/11/05

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE Ferndene Care Home Francis Chichester Walk Park Springs Road Gainsborough, Lincolnshire DN21 1NR Lead Inspector Ann Day Unannounced 6 June 2005 10:00 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 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. Ferndene Care Home C53 C04 S61520 Ferndene V232673 060605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Ferndene Care Home Address Francis Chicester Walk Park Springs Road Gainsborough Lincoln DN21 1NR 01427 810 700 01427 810 600 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Executive Care Group Mrs Sandra Mullender Care Home 48 Category(ies) of DE Dementia over 65 years Both 48 registration, with number DE Dementia Both 5 of places OP Old Age Both 48 Ferndene Care Home C53 C04 S61520 Ferndene V232673 060605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: The home is registered to provide personal care for service users of both sexes whose primary needs fall within the following categories; Older people, Old age not falling within any other category OP (48) Dementia, over sixty-five years of age DE (E) (48) Dementia over fifty years of age (5) Maximum number of service users to be accommodated is 48. Manager to be determined. Date of last inspection This is the homes first inspection. Brief Description of the Service: Ferndene Care Home is situated in Gainsborough some twenty miles north west of Lincoln, 20 miles south of Scunthorpe and 15 miles south east of Doncaster. It is a purpose built two-storey care home in its own landscaped grounds. There are shops, a public house, a primary school and other local community amenities near by. The home is on a local bus route and is within easy 5 minutes travel of the centre of Gainsborough. Ferndene Care Home is newly built, completed in March 2005. The home caters for both male and female residents; there are 19 ground floor and 29 first floor bedrooms, which are accessed by an eight- passenger lift, which is code lock protected on the first floor. All bedrooms are en-suite and exceed the Care Standards size requirements. All bedrooms have TV and telephone points fitted and are fully equipped and decorated. There is a large Entrance Hall and Reception Foyer, which includes a coffee shop for the residents and a fully equipped hairdressing salon. The ground floor accommodates a large fully equipped modern kitchen. The first floor, which is accessed by code locks accommodates a dining area, and two lounges. The home has a loop system for the hearing impaired, grab rails fitted, a call system fitted and ramps for wheelchair users. Ferndene Care Home C53 C04 S61520 Ferndene V232673 060605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one day in June 2005. This was the first inspection by the Commission since the home was registered in April 2005. The inspection was undertaken by two inspectors and incorporated an investigation in response to the receipt of allegations under local adult protection procedures following a strategy meeting. The Commission had received concerns regarding a number of issues related to the care of residents at Ferndene. In general the allegations/concerns were deemed unfounded. No immediate requirements or enforcement action resulted from the visit. Residents, members of staff and the registered manager were spoken to during the course of the visit Individual care records and documents were examined. Case tracking was employed as the main inspection tool, which involves following the experience of a sample of service users and assessing the service they receive. All service users spoken to during the inspection were generally complementary about the service they receive. On the day of the inspection the home had 15 older people in residence. What the service does well: Members of staff were seen to treat all the residents with both respect and dignity. The home is equipped with a number of aids and adaptations sufficient to meet the needs of the present residents. The home is purpose built, furnishings and the décor of the home is of a high quality. Staff recruitment has taken place in small groups, new staff members receive an induction and future training has been identified. Recruitment procedures are robust and ensure the safety of the residents and in spite of some early instability the staff team were positive and described the Registered manager as approachable and supportive. Ferndene Care Home C53 C04 S61520 Ferndene V232673 060605 Stage 4.doc Version 1.30 Page 6 What has improved since the last inspection? 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. Ferndene Care Home C53 C04 S61520 Ferndene V232673 060605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Ferndene Care Home C53 C04 S61520 Ferndene V232673 060605 Stage 4.doc Version 1.30 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 standard(s) 1,3,5 The home has a bespoke Service User Guide and Statement of Purpose and prospective residents and their relatives are encouraged, when possible to visit and assess the quality, facilities and suitability of the home. EVIDENCE: On the day of the inspection a Community Psychiatric Nurse was visiting the home to undertake a nursing assessment of one of the residents. Lack of accurate and detailed pre admission information regarding some of the individuals admitted at short notice had proved challenging for this very new team; but areas of difficulty had or were already being addressed at the time of this visit. Unlike the other residents, these particular residents had not all had the opportunity to visit the home prior to admission. Currently the home does not offer intermediate care. Ferndene Care Home C53 C04 S61520 Ferndene V232673 060605 Stage 4.doc Version 1.30 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 standard(s) 7,8,9,10, Residents of the home are treated with respect and dignity; however, care records lacked detail and the involvement of service users and their relatives EVIDENCE: The home has an Administration of Medication policy in place and the Registered Manager is currently in the process of agreeing a homely remedies /group protocol with local general practitioners. Only members of staff who have attended training administer medication, which was evidenced by the staff rosters and training records. Currently the home does not have a resident who self-medicates. During the visit members of staff were seen to treat residents with respect and sensitivity when delivering personal care. The Registered Manager and members of staff were seen to knock on bedroom doors and await an invitation before entering. The Registered manager and staff were conversant with all of the residents’ individual health and social care needs. Ferndene Care Home C53 C04 S61520 Ferndene V232673 060605 Stage 4.doc Version 1.30 Page 10 One of the care records examined did not contain sufficient information to ensure that the individual’s needs were met. Care plans did not evidence the involvement of residents and or their relatives; and were not signed by the resident or their relative. Ferndene Care Home C53 C04 S61520 Ferndene V232673 060605 Stage 4.doc Version 1.30 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 standard(s) 13,15 Service users do not receive a diet of their choice or at times convenient to them. Service users on the first floor do not receive meals at an appropriate temperature. Service users maintain contact with families and friends. EVIDENCE: The home’s “visitors book” noted that relatives and friends visit throughout the week. Residents confirmed that their visitors are made welcome by the staff. The temperature of and contents of food offered to service users on the first floor was found to be unsatisfactory. Residents spoken to described the food as “cold”; “sometimes we don’t get supper”; “food is sometimes cold and sometimes its not”; and commented further that: “supper is generally just toast, its generally about 9 o’clock, no salt and pepper”; “some staff ask what you want and others don’t ask”, one service user went on to say: “no menu we just have what is put in front of us” Meat is temperature probed each day and the fridge temperatures are recorded daily. The Registered Manager who was aware of the problems with food particularly on the first floor had arranged a catering meeting for the next day. The Ferndene Care Home C53 C04 S61520 Ferndene V232673 060605 Stage 4.doc Version 1.30 Page 12 Registered Manager told the inspector that since concerns regarding the food had been raised a heated trolley had been put in to use. The Registered Manager was advised to ensure that the kitchen had a list of every resident’s likes and dislikes (food) to hand. (See Recommendation at the end of the report) Ferndene Care Home C53 C04 S61520 Ferndene V232673 060605 Stage 4.doc Version 1.30 Page 13 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 standard(s) 16,18 Service users are protected from abuse. EVIDENCE: The home has a complaints policy and procedure, which was available for examination. The home has not received a formal complaint. The Commission had received concerns relating to the care of residents at Ferndene. The concerns raised were dealt with under local adult protection procedures. The inspection incorporated an investigation of the concerns raised; with the exception of issues relating to food and staff supervision, which are detailed in the body of this report the concerns were deemed unfounded. The Registered Manager cooperated with the investigation; staff members were clear as to what and to whom they would report a concern. The home has an Adult Protection Policy and procedure in place and a copy of the current local authority guidance. The manager and staff were aware and had an understanding of the protection of vulnerable adults. Ferndene Care Home C53 C04 S61520 Ferndene V232673 060605 Stage 4.doc Version 1.30 Page 14 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 standard(s) 19,22,24,26 The home is new and purpose built, it is comfortable, fit for purpose and is clean and hygienic. EVIDENCE: All bedrooms are en suite and occupied rooms were comfortably furnished and contained the individual resident’s personal possessions. The home has three hoists, raised toilet seats and sliding sheets available as aids to ensure the safe moving and handling of the current residents. The home was clean and tidy and free from any offensive odour. Ferndene Care Home C53 C04 S61520 Ferndene V232673 060605 Stage 4.doc Version 1.30 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29, Residents are supported and protected by the home’s recruitment policy and practices. The home is staffed by sufficient numbers of carers to meet the needs of service users. Staff supervision is needed to support and develop their skills and practice. EVIDENCE: Service users expressed no concerns regarding the number or competence of staff on duty in the home. Staff rosters were examined and numbers of staff scheduled to work were sufficient to meet the needs of the existing residents of the home. Members of staff confirmed that they had no current concerns about the staffing of the home. Concerns brought to the attention of the manager by a visiting professional, regarding the staffing of the first floor of the home had been responded to in a timely way. The Registered Manager had negotiated an increase in staffing for the home during this commissioning period. Staff files that were examined were in order and demonstrated sound recruitment practices in adhering to legislation. Ferndene Care Home C53 C04 S61520 Ferndene V232673 060605 Stage 4.doc Version 1.30 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,36 Service users live in a newly commissioned home, which is run and managed by a person who is experienced and appropriately qualified. EVIDENCE: The Registered Manager has many years experience as a manager in the care sector and has recently completed NVQ Level 4 and the Registered Manager’s award. The home was recently opened and as yet is not fully occupied or staffed. Currently the home does not have an appropriate staff supervision programme in operation. The lack of a structured staff supervision programme was pointed out to the Registered Manager, who has agreed to address this shortfall as a priority. Ferndene Care Home C53 C04 S61520 Ferndene V232673 060605 Stage 4.doc Version 1.30 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 “ ” in the standard met box denotes standard not applicable CHOICE OF HOME ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 x 2 x 2 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 x 15 2 COMPLAINTS AND PROTECTION 3 x x 3 x 3 x 3 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 Standard No 16 17 18 Score 3 x 3 3 x x x x 2 x x Ferndene Care Home C53 C04 S61520 Ferndene V232673 060605 Stage 4.doc Version 1.30 Page 18 Are there any outstanding requirements from the last inspection? 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 OP07 Regulation Reg.15 Requirement Ensure consultation with service users/representative, regarding individual care plan and how needs are to be met. Ensure that the care plan includes sufficent information to enable the delivery of care Ensure the provision of a choice of wholesome, nutritious food at an approriate temperature to all residents of the home. Members of staff are to be in receipt of regular supervision; minmum six times per year. Timescale for action 31.07.05 2. OP15 Reg.16 31.07.05 3. OP36 Reg 18 31.07.05 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. Refer to Standard OP15 Good Practice Recommendations The kitchen to have a list of residents likes and dislikes (food) to hand. Ferndene Care Home C53 C04 S61520 Ferndene V232673 060605 Stage 4.doc Version 1.30 Page 19 Commission for Social Care Inspection Unity House, The Point Weaver Road, off Whisby Road Lincoln LN6 3QN 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 Ferndene Care Home C53 C04 S61520 Ferndene V232673 060605 Stage 4.doc Version 1.30 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. 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