Inspection on 27/01/06 for Ferncliffe Road

This inspection was carried out on 27th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ferncliffe Road 23/01/07

Ferncliffe Road 31/08/05

Ferncliffe Road 11/01/05

Ferncliffe Road 27/08/04

Ferncliffe Road 31/03/03

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood Hall

Muston Road (70)

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

CARE HOME ADULTS 18-65 Ferncliffe Road 19 Ferncliffe Road Leeds West Yorkshire LS13 3PH Lead Inspector Ashley Fawthrop Unannounced Inspection 27th January 2006 10:00 Ferncliffe Road DS0000001450.V280398.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 Road DS0000001450.V280398.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 Road DS0000001450.V280398.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Ferncliffe Road Address 19 Ferncliffe Road Leeds West Yorkshire LS13 3PH 0113 255 7443 0113 255 7443 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) www.c-i-c.co.uk. Community Integrated Care Mr Jason Dear Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Ferncliffe Road DS0000001450.V280398.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st August 2005 Brief Description of the Service: Ferncliffe is a single-storey purpose built home situated in Bramley. It has a large enclosed garden to the rear of the building. A car parking area is located at the front of the building. Local shops and Bramley town centre are within easy access. Ferncliffe Road is part of the Community Integrated Care organisation, and is registered to provide personal care for up to 4 people with learning disabilities. The accommodation consists of four single bedrooms, a lounge and separate dining room, shower room and bathroom, laundry, and a domestic style kitchen. All laundering is undertaken on the premises. The home has a vehicle, which is utilised by service users on a regular basis. Ferncliffe Road DS0000001450.V280398.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was undertaken within one day by one inspector the process included speaking with staff and service users and inspecting a number of records. The home has no registered manager at this time however the senior in charge has many years of experience and the home continues to be run well and the benefit of the service users. The care plans have been brought up to date since the last inspection and night staffing is to be increased from one to two. The environment continues to be good and service users continue to be protected by the complaints and protection from abuse policies. What the service does well: 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 Road DS0000001450.V280398.R01.S.doc Version 5.1 Page 6 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 Road DS0000001450.V280398.R01.S.doc Version 5.1 Page 7 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, 3 and 4 Service users are given appropriate information regarding the care the home provides. EVIDENCE: All the service are assessed prior to admission into the home these include the heath, personal and social needs of the individual. Prospective service users also receive information relating to the care provided by the home in sufficient amounts for them to make an assessment as to whether the home can meet their needs. There is also evidence that service users have the opportunity to visit the home prior to admission. Ferncliffe Road DS0000001450.V280398.R01.S.doc Version 5.1 Page 8 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): 7, 8 and 10 Goals on care plans do reflect the changing needs of the service users. Service users input is seen as important and information is held appropriately. EVIDENCE: All service users have an individual care plan these include the individual assessments and are updated to reflect the changing needs of the individual. There is evidence that service users and their representatives are involved I the development of the care plan and the activities of daily living. All the information relating to the service users is either held in locked filing cabinets or on password protected computers. Ferncliffe Road DS0000001450.V280398.R01.S.doc Version 5.1 Page 9 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 and 17 Service users rights are protected and the menu is nourishing and enjoyable. EVIDENCE: All staff undertake written inductions that include the principles of care these include maintaining privacy, choice and independence. The menu rotates over a four weekly period and where required dieticians are involved. The main meal is normally taken in the evening service users are involved in the shopping for meals and fresh fruit and vegetables are regularly included. Ferncliffe Road DS0000001450.V280398.R01.S.doc Version 5.1 Page 10 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): 20 There are good systems of medication storage, administration and training. EVIDENCE: There is a medication policy that includes an assessment for service users who wish to keep and administer their own tablets. There are no service users that administer their own medications. The medication is pre packed and each service users medication file has a picture so that new staff can identify individuals. The medications are stored and administrated appropriately and staff have received accredited training. Where alternative means of administration are requires due to an individuals reluctance to take medications consents from the family and the GP are on file. Where administration is required other than by mouth is required the staff have received appropriate training. Ferncliffe Road DS0000001450.V280398.R01.S.doc Version 5.1 Page 11 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 and 23 Service users views are acted upon and they are protected by the abuse policies. EVIDENCE: These standards were inspected at the last inspection and met the standard there have been no changes since that time. Ferncliffe Road DS0000001450.V280398.R01.S.doc Version 5.1 Page 12 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, 25, 26, 27, 28, 29 and 30 The home provides a nice homely environment. EVIDENCE: All the standards relating to the environment were inspected at the last inspection and were met there have been no changes since that time. The home continues to be nicely decorated and clean and service users being able to personalise their rooms. Ferncliffe Road DS0000001450.V280398.R01.S.doc Version 5.1 Page 13 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): 31 and 34 Service users benefit from the clarity of staff roles and they are protected by the recruitment policy. EVIDENCE: All the staff have individual job descriptions detailing their roles and responsibilities there is a key worker system in place that identifies roles that staff are responsible to undertake for service users in their care. There are policies and procedures relating to recruitment and include the completion of an application form that include a work history and details of qualifications, training and experience. Personal and professional checks are also undertaken including Criminal Records Bureau checks. Ferncliffe Road DS0000001450.V280398.R01.S.doc Version 5.1 Page 14 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, 39 and 43 The home continues to be well run in the absence of a manager. And the views are service users are seen as important. EVIDENCE: The previous manager left the home in January 2006 the member of staff running the home at present has many years of experience and has continued to run the home in the appropriately. The views of service users and their representatives are gathered at meeting in the home with families survey questionnaires are also available Ferncliffe Road DS0000001450.V280398.R01.S.doc Version 5.1 Page 15 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 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 X 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X X 3 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 X 3 X 3 X 3 X X X 3 Ferncliffe Road DS0000001450.V280398.R01.S.doc Version 5.1 Page 16 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 YA1 Regulation 17(2) Requirement The registered provider must ensure a record of the current range of fees is kept in the home. (Timescales of 31st March 2005, 30th November 2004, 29th February 2004 and August 2003 not met) The registered manager must ensure service user plans are up to date. The registered provider must review staffing levels to ensure serice users assessed needs are met. Support during the night must be considered a priority. Timescale for action 01/09/06 2. 3. YA6 YA33 15 18 01/09/06 01/09/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Ferncliffe Road DS0000001450.V280398.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Road DS0000001450.V280398.R01.S.doc Version 5.1 Page 18 - 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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