Inspection on 30/03/06 for Ferncross

This inspection was carried out on 30th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Ferncross 01/07/09

Ferncross 16/04/09

Ferncross 18/04/07

Ferncross 28/06/05

Ferncross 18/10/04

Ferncross 25/05/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Ferncross 4 Crossdale Avenue Cross Cop Heysham, Morecambe Lancashire LA3 1PE Lead Inspector Mrs Jennifer Dunkeld Unannounced Inspection 10:00 30 March 2006 th X10015.doc Version 1.40 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 Ferncross DS0000059354.V259291.R01.S.doc Version 5.0 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 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. Ferncross DS0000059354.V259291.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ferncross Address 4 Crossdale Avenue Cross Cop Heysham, Morecambe Lancashire LA3 1PE 01524 850008 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) Draycombe House Care Ltd Mrs Ann Withers Care Home 15 Category(ies) of Dementia (11), Old age, not falling within any registration, with number other category (4) of places Ferncross DS0000059354.V259291.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home may accommodate eleven service users in the dementia (DE) category and four named service users in the category of old age (OP). All further admissions to the home must be of the dementia (DE) category. No more than fifteen service users may be accommodated in the home at any one time. 28th June 2005 Date of last inspection Brief Description of the Service: Ferncross is situated in Heysham and is a home for older people who have a dementia. With the agreement of the Commission for Social Care Inspection the home currently accommodates 4 service users who do not fall within the category as they do not have Dementia. However they have chosen to move to this home when the service provider vacated the previous home known as Ferncross. The home can accommodate a maximum of fifteen residents in mainly single bedrooms. A double bedroom is available. The bedrooms are located on the ground and first floor. A passenger lift gives access to the first floor for those who require it. There are 2 lounges and a separate dining room. There is also a well-maintained garden where the residents can sit/walk in safety. Ferncross DS0000059354.V259291.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This home has been inspected against the National Minimum Standards for older people introduced in April 2002. This year, all registered Care Homes were to be inspected at least twice this year. This was an unannounced inspection in that the service provider, staff nor residents were aware the inspection was to take place on 30/03/06. This inspection was over a 4-hour period during the day and looked at various aspects of care. In the report there are references to the “tracking process”, this is a method whereby the inspector focuses on a small group of residents. All records relating to these individuals are examined, along with the rooms they occupy in the home. Residents are invited to discuss their experiences of the home with the inspector; this is not to the exclusion of the other residents who contributed in many ways. This inspection included discussion with residents, staff and the manager in addition to viewing the home’s required written information such as policies and procedures about various issues for instance ‘Health and Safety’. The residents written plans of care were also viewed for 3 people. The plan of care is a document outlining the needs of the individual resident and how these are to be met. The plans of care cover all aspects of the individual’s life including health, personal care and social activities thereby ensuring people are content in the care they receive. The residents the inspectors spoke with happy with life at Ferncross. The staff enjoyed their work at Ferncross and spoke to the inspector in a professional manner about the residents. They were also full of praise for Ann the home owner and manager. What the service does well: The manager and staff see people as individuals according to comments received from 6 of the residents The service provider enables people to keep their pet with them in the home if at all possible. Currently 2 dogs live with their owners at Ferncross. One lady regularly speaks of the how happy she is that she can have her dog with her. Ferncross DS0000059354.V259291.R01.S.doc Version 5.0 Page 6 Ferncross is a pleasant environment. The home is well decorated and residents have easy access to all communal areas. One relative stated about the home ‘It has a nice atmosphere and patience is very much evident from all concerned’ The residents spoke of how pleased they were with their home. The staff and management create a calm, homely atmosphere where residents are pleased to live and feel secure and well cared for. The staff team is consistent, well trained and competent. In this relaxed friendly environment the residents know that their needs come first. What has improved since the last inspection? What they could do better: The service provider and staff consistently endeavour to improve the service on offer in order that the residents remain happy and content in the care they receive. Ferncross DS0000059354.V259291.R01.S.doc Version 5.0 Page 7 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. Ferncross DS0000059354.V259291.R01.S.doc Version 5.0 Page 8 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 Outcomes Statutory Requirements Identified During the Inspection Ferncross DS0000059354.V259291.R01.S.doc Version 5.0 Page 9 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 the following standard(s): None of this section of the standards were assessed during this visit as the key standards were met during the previous inspection. EVIDENCE: Ferncross DS0000059354.V259291.R01.S.doc Version 5.0 Page 10 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 the following standard(s): 8&9 Arrangements to meet the health care needs of the residents are good. Policies/procedures and staff training ensure the residents medication is stored securely and administered safely, resulting in people being healthily cared for. EVIDENCE: As part of the case tracking process the care plans for 3 residents were examined, these revealed that the health care needs of the residents are identified and acted upon, ensuring people have a healthy lifestyle in a home where their needs are met. The residents told the inspector they happy living at ferncross and ‘Ann is wonderful’ ‘The staff are kindness itself’. The care plans revealed that specialist advice is sought when necessary for instance District Nurse, Continence advisor and Occupational Health Dept all visit a number of residents. All GP and Psychiatric visits are recorded as part of the care plan. Ferncross DS0000059354.V259291.R01.S.doc Version 5.0 Page 11 If anyone has an accident this is recorded and a copy of the record is kept on the individuals file. All residents who are prescribed medication have signed a ‘Medical Declaration’ form outlining whether they wish to self medicate or have the staff administer their prescribed medication to them. The staff who administer medication have all received appropriate training such as ‘Medication Awareness’. The record of homely remedies was viewed and this revealed that the persons own GP has signed to agree the homely remedies that can be administered to the individual and the frequency. The residents stated that their needs including health care needs are well met. Ferncross DS0000059354.V259291.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 14 & 15 Arrangements and planning to provide good nutritional food are good. The residents are provided with good food to ensure healthy living. People are encouraged to make choices leaving them content in the care they receive EVIDENCE: The care plans viewed as part of the tracking process revealed that the Community Dietician is involved in the plan of care where necessary ensuring that the persons needs are met. The residents weight is monitored on a monthly basis in order that any significant gain or loss can be monitored and action taken to rectify. The menus were viewed and advise was offered on the need to ensure there was adequate fruit and vegetables offered to people. The residents said that they enjoyed the food they get and if they don’t like something an alternative meal is offered. Peoples likes and dislikes are recorded and acted upon. Examples were given for example one person does Ferncross DS0000059354.V259291.R01.S.doc Version 5.0 Page 13 not like fish and is given something in place of fish ‘might be fried egg with chips’. The residents stated that they are enabled to make choices such as what to eat, when to rise/retire. They said they were happy living at Ferncross as the staff are lovely and nothing is too much trouble. Ferncross DS0000059354.V259291.R01.S.doc Version 5.0 Page 14 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 the following standard(s): 16 The residents know that their opinion matters and that any concerns/complaints will be taken seriously and acted upon. Resulting in their contentment in life. EVIDENCE: The Service Users Guide contains the homes complaints procedure and a copy is given to each resident and/or their next of kin. This is a robust document that is easy to follow ensuring people know how to complain. The residents said that if they weren’t happy about something they would tell Ann (home owner) and she would sort it out for them. All complaints would be recorded along with the action taken to rectify it. Neither the home nor the Commission for Social Care Inspection have received any complaints about Ferncross in the last 12 months. Ferncross DS0000059354.V259291.R01.S.doc Version 5.0 Page 15 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 the following standard(s): 26 The residents benefit from living in a clean, hygienic and pleasant environment. EVIDENCE: As part of the inspection all rooms were viewed and were found to be clean, hygienic and hazard free. Bedrooms contained the personal knick-knacks of the individual making the room appear homely. The residents said the home is always clean and we are happy living here. The comfy furniture gives a sense of home and people benefit from this caring environment. Ferncross DS0000059354.V259291.R01.S.doc Version 5.0 Page 16 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 30 The residents’ benefit from being cared for by staff who are trained and competent to do their jobs. EVIDENCE: The service provider believes strongly in the importance of staff being appropriately trained to carry out their role and this is evident from the staff training record. The record reflected the following; 4 staff have achieved National Vocational Qualification level 3 in care 3 have achieved level 2 in care 2 people are currently receiving training for level 3 And 4 people are currently endeavouring to attain level 2. This is an excellent achievement, which will result in 95 of staff having achieved an National Vocational Qualification. The staff attend numerous other courses such as Fire Safety Food Hygiene Health and Safety Moving and handling Ferncross DS0000059354.V259291.R01.S.doc Version 5.0 Page 17 Abuse and Protection of Vulnerable Adults awareness Dementia Awareness training is on going and staff will receive a certificate at the end of the course. Infection Control All staff receive a thorough induction training when they commence employment at Ferncross. The residents spoke about the kindness of the staff and Ann. The comment of ‘couldn’t be anywhere better’ was made several times by residents. The staff spoken with during this inspection had a positive attitude to their role within the home. The staff were observed to communicate with the residents ina professional and respectful manner. Ferncross DS0000059354.V259291.R01.S.doc Version 5.0 Page 18 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed during this visit as the key standards were fully met during the previous inspection. EVIDENCE: Ferncross DS0000059354.V259291.R01.S.doc Version 5.0 Page 19 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 “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x x x x x HEALTH AND PERSONAL CARE Standard No Score 7 x 8 4 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 x x x x x x x 3 STAFFING Standard No Score 27 x 28 x 29 x 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x x x x x x x 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 x Ferncross DS0000059354.V259291.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? no 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. Standard Regulation 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 OP15 Good Practice Recommendations The service provider should ensure people have adequate fruit and vegetables in their diet. Ferncross DS0000059354.V259291.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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. 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