Inspection on 22/02/06 for Ferncliffe

This inspection was carried out on 22nd February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ferncliffe 02/04/07

Ferncliffe 12/07/05

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 West Yorkshire HX2 8AD Lead Inspector Liz Cuddington Unannounced Inspection 22nd February 2006 14:00 Ferncliffe DS0000000999.V275869.R01.S.doc Version 5.1 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 Ferncliffe DS0000000999.V275869.R01.S.doc Version 5.1 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 Adults 18-65. 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. Ferncliffe DS0000000999.V275869.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Ferncliffe Address Cousin Lane Ovenden Halifax West Yorkshire HX2 8AD 01422 345904 None scannon@calderdale-mencap.org.uk 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) Mayfield Trust Mr Stephen Cannon Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Ferncliffe DS0000000999.V275869.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th July 2005 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 The Mayfield Trust, formerly Calderdale Mencap. There is good access to all local amenities and bus routes. The people who live at Ferncliffe 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 DS0000000999.V275869.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Over an inspection year from April until March, care homes have a minimum of two inspections; these may be announced or unannounced. This was the second unannounced visit to the home. There have been no further visits to the home until this unannounced inspection. One inspector carried out the inspection and spent approximately three hours in the home. The purpose of this inspection was to assess the home against a predetermined selection of the National Minimum Standards for Adults aged 18-65 years. The methods used in this inspection included conversations with the residents, 3 members of staff, examination of records and a tour of the ground floor area of the home. I spent about three hours at the home. This was a short inspection, looking at eleven key standards, which must be inspected during the year. The other key standards were assessed at the last inspection in July 2005. One statutory requirement and two good practice recommendations have been made following this inspection. This was an excellent inspection, reflecting the high standard of support and care offered to the ladies and gentlemen who live at Ferncliffe. I would like to thank everyone for their welcome and hospitality, and for taking the time to talk to me during the inspection. What the service does well: Service users are involved in developing their individual plans of care and support, along with their key worker and anyone else they wish to include. The importance of maintaining independence and promoting personal choice in all aspects of daily life, is central to the support offered to the ladies and gentlemen who live at Ferncliffe. The interaction between the service users and the staff is relaxed and friendly. Staff show respect for each person’s right to privacy. The mealtimes are sociable and the food is appetising. There are alternatives available if someone prefers a different meal to the one offered. The home is well maintained, clean and comfortable. Some re-decoration was being carried out in the conservatory on the day of the inspection. All areas of health and safety that I looked at met the standard. Ferncliffe DS0000000999.V275869.R01.S.doc Version 5.1 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. Ferncliffe DS0000000999.V275869.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Ferncliffe DS0000000999.V275869.R01.S.doc Version 5.1 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 the following standard(s): 2 The pre-admission assessments are thorough and form the basis for the care plans. EVIDENCE: The care plans I looked at showed that a health and social care assessment had been carried out before offering a place, to make sure the home could meet the individual’s needs. The care plans are initially based on this assessment. The plans are developed with the service user, and anyone else the person wish to have involved. Ferncliffe DS0000000999.V275869.R01.S.doc Version 5.1 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 the following standard(s): 6&7 Standard 9 was assessed in July 2005. The individual plans of care cover all aspects of the person’s care and support needs. Recently the plans have not been reviewed regularly enough to make sure they reflect the service user’s needs. Where needed, staff support service users to make their own choices about all areas of their lives. EVIDENCE: The care plans show that they are drawn up with the service user and, if the service user wishes, a relative or someone else who they choose. Not all the plans have been reviewed each year, although the staff assured me that the reviews are in the process of being done. Each service user has their own key worker who supports the individual in all aspects of their daily life. All the ladies and gentlemen who live at Ferncliffe are supported and encouraged to make their own decisions about how they wish to spend their days. The care plans show how these choices have been made. Many people like to go out to work and also take part in a wide range of leisure activities. Risk assessments have been completed, where necessary. The people at Ferncliffe are supported to manage their own finances, wherever possible. Ferncliffe DS0000000999.V275869.R01.S.doc Version 5.1 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 the following standard(s): 16 & 17 Standards 12, 13 & 15 were assessed in July 2005. Service users privacy and personal choices are respected. Meals are planned to take account of individual needs and preferences. EVIDENCE: At this visit, just as at every other visit to Ferncliffe, I noticed that the interaction between service users and staff is relaxed and friendly. The staff respect each individual’s right to privacy, but are always available when needed. Some service users help with tasks around the house, if they wish. Everyone has a say in the choice of meals and can help prepare the food, if they want to. Alternative meals are prepared if someone needs a special diet, or wants something different. The care plans show that nutritional assessments are carried out and service users are weighed regularly. Ferncliffe DS0000000999.V275869.R01.S.doc Version 5.1 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 the following standard(s): 19 & 20 Standard 18 was assessed in July 2005. Healthcare plans are not reviewed as regularly as they should be and are not always kept up to date. Medicine administration is generally good, but there were some inaccuracies that need to be put right. EVIDENCE: I looked at a number of the healthcare plans in service users files. As with the rest of the care plans, they also need to be reviewed more regularly; at least once every year. The last reviews for some people were in October 2004. In general the files have been kept up to date with notes of healthcare appointments, such as visits to the dentist and the optician. One person did not have any notes about an appointment in December 2005, although other records show that the appointment was kept. I am told that service users see their GP’s for regular check ups. The medicines are stored securely and accurate records are kept of all medicines administered to the service users. In most cases where a person has refused, or not taken, their medicine this is accurately noted. There were some occasions when it was not recorded why a person had not had their medicine. It is very important that clear records are kept. Medicines are prescribed by the GP to be taken in a particular way, such as twice a day. If the staff believe Ferncliffe DS0000000999.V275869.R01.S.doc Version 5.1 Page 12 this is no longer best for the individual then the GP must be asked to review the instructions. It is important that the administration instructions reflect the service users needs, and are followed by the staff. Boots’ pharmacists offer advice to staff on medicine administration. Ferncliffe DS0000000999.V275869.R01.S.doc Version 5.1 Page 13 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 the following standard(s): 22 Standard 23 was assessed in July 2005. The complaints procedure is clear and complaints are handled correctly. EVIDENCE: The home’s complaints procedure is written in straightforward language and is illustrated, for greater clarity. It explains what to do if someone wants to make a complaint, and how it will be looked at. There was evidence in service users care plans showing how any complaints are handled. Ferncliffe DS0000000999.V275869.R01.S.doc Version 5.1 Page 14 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 the following standard(s): 24 Standard 30 was assessed in July 2005. The home is well maintained and there is good access to the local amenities and public transport. EVIDENCE: On the day of the inspection staff were re-decorating the conservatory and were hoping to continue the refurbishment with new curtains. The home is comfortably furnished and is clean and hygienically maintained. The home is accessible to the local community and to public transport. Ferncliffe DS0000000999.V275869.R01.S.doc Version 5.1 Page 15 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32 and 35 were assessed in July 2005. None of the remaining standards were assessed at this inspection. Following re-structuring within the organisation, the Mayfield Trust’s recruitment and selection procedures are under review. I have no cause for concern about the safety of the procedures and will assess Standard 34 at the next inspection. EVIDENCE: Ferncliffe DS0000000999.V275869.R01.S.doc Version 5.1 Page 16 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 & 42 Standard 39 was assessed in July 2005. EVIDENCE: The home’s manager has the experience and qualifications to enable him to carry out his responsibilities. Staff have regular training in fire safety procedures. It would be useful if a record of which staff have attended each training session. The home follows health and safety procedures, such as regular safety checks for the gas and electrical appliances. The premises are safely maintained and are kept secure. New staff take an induction training course followed by the Learning Disabilities Award Framework (LDAF) foundation training course. Ferncliffe DS0000000999.V275869.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 1 3 X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 2 2 X 3 X X X X 3 X Ferncliffe DS0000000999.V275869.R01.S.doc Version 5.1 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 YA6 Regulation 15(2)(b) Requirement Service users plans of care must be reviewed regularly. Timescale for action 30/06/06 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. Refer to Standard YA19 YA20 Good Practice Recommendations Service users healthcare needs should be reviewed regularly. Medicines should always be administered in accordance with The Royal Pharmaceutical Society’s guidance. Ferncliffe DS0000000999.V275869.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Brighouse Area Office 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 DS0000000999.V275869.R01.S.doc Version 5.1 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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