Inspection on 12/07/05 for Ferncliffe

This inspection was carried out on 12th July 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

Ferncliffe 02/04/07

Ferncliffe 22/02/06

Ferncliffe 04/11/04

Ferncliffe 22/07/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Ferncliffe Cousin Lane Ovenden Halifax HX2 8AD Lead Inspector Liz Cuddington Unannounced 12 July 2005 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Ferncliffe J52J01_s999_Ferncliffe_v230905_120705.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Ferncliffe Address Cousin Lane Ovenden Halifax HX2 8AD 01422 345904 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) Mayfield Trust Mr Stephen Cannon Care home - personal care only 8 Category(ies) of 8 x Learning disability registration, with number of places Ferncliffe J52J01_s999_Ferncliffe_v230905_120705.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Conditions of this registration are listed on the registration certificate displayed at the service. Date of last inspection 4 November 2004 Brief Description of the Service: Ferncliffe is a residential home providing care and accommodation for up to eight men and women. The home is owned and managed by Mayfield Trust, formerly Calderdale Mencap. There is good access to all local amenities and bus routes. The service users are encouraged and supported to take part in work, social, educational and recreational activities according to their own wishes. The atmosphere is relaxed and comfortable and interaction between service users and staff creates a positive, family feel to the home. Ferncliffe J52J01_s999_Ferncliffe_v230905_120705.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a very positive inspection with no statutory requirements or good practice recommendations arising. Everyone who commented confirmed that they were happy and well cared for at Ferncliffe. The meals and social activities within the home are all enjoyed. Some service users had recently been on holiday to Cyprus, accompanied by staff. They showed me the photographs and said how much they had enjoyed themselves. Thanks go to the service users, staff and manager for their warm welcome and hospitality during the inspection. What the service does well: What has improved since the last inspection? What they could do better: It would be good if the staff without a qualification in care could undertake and achieve the NVQ in care qualification. Ferncliffe J52J01_s999_Ferncliffe_v230905_120705.doc Version 1.40 Page 6 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. Ferncliffe J52J01_s999_Ferncliffe_v230905_120705.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Ferncliffe J52J01_s999_Ferncliffe_v230905_120705.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of these standards were inspected on this occasion. EVIDENCE: Ferncliffe J52J01_s999_Ferncliffe_v230905_120705.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 8 & 9 The individual plans of care are updated regularly and reflect the service users needs and how they wish to be supported. The preferences and wishes of the people who live at Ferncliffe are the predominant influence on the way their home is run. People take agreed risks within a risk management framework. EVIDENCE: The personal plans of care and support which were examined were seen to be well set out and covered all the necessary areas. They had each been developed with the involvement of the service user. Although some care plan reviews had been unavoidably delayed there was evidence to show the review process was back in track. Each service user’s key worker ensures the plans and records are updated regularly. From discussions and observation it was clear that the ladies and gentlemen who live at Ferncliffe are involved in the decision making processes in their home. They also take part in the recruitment and selection of staff. Ferncliffe J52J01_s999_Ferncliffe_v230905_120705.doc Version 1.40 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 15 & 17 The people who live at Ferncliffe are supported to access work, leisure and educational activities according to their choice. They use the local services and participate wherever appropriate. The mealtimes are unhurried and enjoyed by service users. EVIDENCE: Written evidence showing how staff support service users to take up work, leisure and educational opportunities was confirmed through discussions with the service users and staff members. The changing needs of service users were also explored, especially with reference to their work. The service users choose the meals they prefer and can participate in the preparation of food and drinks if they wish. Evidence of nutritional and dietary assessment was seen. Ferncliffe J52J01_s999_Ferncliffe_v230905_120705.doc Version 1.40 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 The way each service user is supported was seen to be suitable for their needs and preferences. Individual choices were seen to be respected and conformed with. EVIDENCE: The routines of daily life were seen to be flexible and individual choice was observed to be a priority. Any equipment and adaptations needed to promote and maintain independence are in place. Ferncliffe J52J01_s999_Ferncliffe_v230905_120705.doc Version 1.40 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23 All the evidence shows that the service users at Ferncliffe are protected from any form of abuse and potential harm. EVIDENCE: Protection of vulnerable adults training had been arranged for the staff. The training is to be offered on several occasions to ensure all staff can attend. Ferncliffe J52J01_s999_Ferncliffe_v230905_120705.doc Version 1.40 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29 & 30 The home’s staff and manager react appropriately to ensure suitable equipment is in place to meet service users changing needs. Infection control measures and laundry facilities are of the necessary standard. EVIDENCE: A new lifting aid has recently been purchased to assist a service user to rise from the floor should they fall and be unable to stand up independently. Two staff members are currently undertaking a training course on the control of infection in residential care homes. The laundry facilities and other infection control measures were seen to meet the standard. Ferncliffe J52J01_s999_Ferncliffe_v230905_120705.doc Version 1.40 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32 & 35 The staff training provided was seen to be of an acceptable standard. The communication and interaction between service users and staff is very effective. EVIDENCE: From a total of ten support staff one has achieved NVQ level 3 in care and four have NVQ 2 in care. A further three staff members are about to start the qualification. Staff were in the process of taking medication administration refresher training. Three new staff were booked to take First Aid training and the remaining staff are to take refresher training to update their skills. Observation and discussion confirmed that the staff at Ferncliffe are well acquainted with the health and social care needs of the service users. They were seen to be good and effective communicators and very keen to support service users to make the most of the opportunities available to them. Ferncliffe J52J01_s999_Ferncliffe_v230905_120705.doc Version 1.40 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39, 40, 41 & 43 All the elements assessed here refer to the systems which maintain the quality and safety of services. They were all found to be satisfactory. EVIDENCE: The regular visits to Ferncliffe by a senior manager within the organisation are now being carried out. A quality assurance questionnaire to gain the views of relatives, friends and other visitors has been developed. It is being used with the limited number of people who visit the home. The policies and procedures have been reviewed and evidence was seen of reviews carried out at the end of 2004 and early 2005. The policies and procedures are developed centrally and two service users are involved in this process. All confidential records were seen to be securely stored. Ferncliffe J52J01_s999_Ferncliffe_v230905_120705.doc Version 1.40 Page 16 The business and financial plan for Ferncliffe is part of the overall plan for Mayfield Trust. The home’s budget and income and expenditure figures have been examined. Ferncliffe J52J01_s999_Ferncliffe_v230905_120705.doc Version 1.40 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x 3 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 x 3 Standard No 31 32 33 34 35 36 Score x 3 x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ferncliffe Score 3 x x x Standard No 37 38 39 40 41 42 43 Score x x 3 3 3 x 3 J52J01_s999_Ferncliffe_v230905_120705.doc Version 1.40 Page 18 NO 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 Regulation None Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard None Good Practice Recommendations Ferncliffe J52J01_s999_Ferncliffe_v230905_120705.doc Version 1.40 Page 19 Commission for Social Care Inspection Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 Ferncliffe J52J01_s999_Ferncliffe_v230905_120705.doc Version 1.40 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. 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!