Inspection on 02/02/07 for Ferndale

This inspection was carried out on 2nd February 2007.

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

Ferndale 02/02/09

Ferndale 22/02/06

Ferndale 06/12/05

Ferndale 17/02/05

Ferndale 22/12/04

Similar services:

22 Sandown Road

The Highlands

Dilston College Of Further Education

West View House

Prince Bishop Court

Park View (15)

Craigmore House

1 Lanark Close

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

CARE HOME ADULTS 18-65 Ferndale Ferndale 46 St Barbara`s Walk Newton Aycliffe Durham DL5 4AN Lead Inspector Mr Leonard Hird Unannounced Inspection 2 February 2007 15:30 nd Ferndale DS0000007597.V306425.R01.S.doc Version 5.2 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 Ferndale DS0000007597.V306425.R01.S.doc Version 5.2 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. Ferndale DS0000007597.V306425.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ferndale Address Ferndale 46 St Barbara`s Walk Newton Aycliffe Durham DL5 4AN 01325 300296 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) ferndale@oswaldhouse.co.uk Mr Ian Thomas Patterson Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Ferndale DS0000007597.V306425.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd February 2006 Brief Description of the Service: Ferndale is a Residential Care Home providing residential care services for up to 3 adults in the Category of Learning Disability (LD). Ferndale is part of a small group of homes owned by the Registered Provider Mr Ian Patterson. Ferndale is located in a residential part of Newton Aycliffe and within walking distance of the town centre and its amenities. Ferndale is a small terraced house providing suitable living accommodation for its residents. The accommodation at Ferndale comprises of 3 single bedrooms, a communal bathroom, a kitchenette and a lounge/ dining area. There are small garden areas to the front and rear of the house, but there are no dedicated car parking spaces. Ferndale DS0000007597.V306425.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced key inspection of Ferndale took place on the 5th February between 1530 and 1900 hrs. The inspection process considered all of the Key standard areas as identified by the Commission for Social Care Inspection within the Care Homes for Adults(18-65) National Minimum Standards. These Key standards are: Choice of Home (NMS2), Individual Needs and Choices (NMS 6,7 and 9), Lifestyle (NMS 12, 13, 15,16 and 17) Personal and Healthcare Support (NMS 18,19 and 20), Concerns Complaints and Protection (NMS 22 and 23), Environment (NMS24 and 30) Staffing (NMS 32, 34, 35) Conduct and Management of the Home (NMS 37,39 and 42). Comments were received from residents, the registered manager and members of the care staff team. What the service does well: What has improved since the last inspection? What they could do better: Ferndale should develop surveys of residents, visitors or visiting professionals to find out their views about the home. Ferndale DS0000007597.V306425.R01.S.doc Version 5.2 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. Ferndale DS0000007597.V306425.R01.S.doc Version 5.2 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 Ferndale DS0000007597.V306425.R01.S.doc Version 5.2 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): NMS 2 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Prior to admission, both the home and the local authorities social care and health team had undertaken a full assessment of the needs of the resident. EVIDENCE: From looking at residents care plans and files it was seen that an assessment of needs had been carried out prior to admission. The local authorities social care and health team and the home had carried out separate assessment of needs. Residents spoken with confirmed that they were encouraged to take part in these meetings to express their views. The home’s staff had with the help of the resident been able to develop a care plan that took account of their needs and aspirations. The home’s staff confirmed that they were aware of how to access independent advocacy services for individual residents if this support was needed. Ferndale DS0000007597.V306425.R01.S.doc Version 5.2 Page 9 Residents and where appropriate their representatives had signed the review and assessment documentation. This information was maintained on the individual residents personal file and securely kept. Ferndale DS0000007597.V306425.R01.S.doc Version 5.2 Page 10 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): NMS 6, NMS 7 NMS 9 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The care plans used in the home provided care staff with enough information for the personal goals and needs of the residents to be met. Residents were being encouraged and supported to make decisions that affected their day-to-day lives. Support was given to residents in their different employment and day placements by the homes staff. EVIDENCE: Residents were encouraged and supported to participate in the decisionmaking and risk taking process affecting their lives. Care plans were being kept up-to-date and residents were aware of the information contained in them. Ferndale DS0000007597.V306425.R01.S.doc Version 5.2 Page 11 The residents living at Ferndale were well supported by the care staff in their chosen areas of employment and day placements. Residents could influence what went on in their lives e.g. the type of holiday they went on, the activities they wanted to do, where they worked and what they wanted to have to eat. Regular house and group meetings were occurring. One resident explained how they and other residents had been involved in choosing a holiday for last year and that they were also involved in the planning for the homes holiday this year. Records were kept of these meetings. Daily informal meetings were also occurring where residents could make decisions as to what to do during the evening, what they were going to do at the weekend and arranging family visits. One resident commented that, ‘they made their own way from the home to watch their local football team at Darlington and that they also visited their family on their own ’. Another resident commented that, ‘they had been to the local air show at Sunderland and that they were preparing to go to a family wedding on their own’. Ferndale DS0000007597.V306425.R01.S.doc Version 5.2 Page 12 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): NMS 12 NMS 13 NMS 15 NMS 16 NMS 17 Quality in this outcome area is good.This judgement has been made from evidence gathered both during and before the visit to this service. The routines of daily living and activities occurring at Ferndale were varied, flexible and met the needs of the residents. The independence and personal choices of residents at Ferndale were being promoted by the home The dietary needs of residents were catered for with a selection of home cooked food being available. EVIDENCE: Residents had planned programs of activities that had been developed to take account of their interests. Ferndale DS0000007597.V306425.R01.S.doc Version 5.2 Page 13 Activities ranged from playing on computer games, visits to the local Wishing Well Club, swimming, visiting the local pub, going to the local football club, and watching TV. If residents didnt want to take part any activity they didnt need to and flexible staffing levels enabled this choice to be accommodated. A resident commented that, they enjoyed going to support their local football club on a Saturday and also meeting up with their friends ’ Another commented that, ‘it was good to visit their family regularly’ There were regular residents meetings being held enabling residents to influence decisions being made in the home e.g. choice of menus and choice of activity, as well as regular group meetings with the other homes. Records were maintained of these meetings. The residents of Ferndale had been on a holiday cruise and coach trip arranged by themselves and the other homes in the group to Spain and France during September of 2006. A resident said that, ‘they had a great time in Spain and were looking forward to planning their next holiday abroad with the home’ Another resident commented that, ‘they had enjoyed their recent short break in the Lake District’. Residents attended a day or work placement where they engaged in different activities with their peer groups. Ferndale had an open visitors policy in place. Families were encouraged by the home to visit their relatives either at the home or by taking them out. Records were maintained appropriately of family and visitor contacts. A resident spoken with commented that, ‘the food was how they liked it’ All of the residents spoken with were aware of the need for healthy eating. The homes choice of food took account of the likes and dislikes of the residents but kept to a healthy eating programme, wherever possible. Ferndale DS0000007597.V306425.R01.S.doc Version 5.2 Page 14 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): NMS 18 NMS 19 and NMS 20 Quality in this outcome area is good.This judgement has been made from evidence gathered both during and before the visit to this service. The health needs of residents were being well met with evidence of good multidisciplinary working regularly taking place. No resident currently self-administers medication. EVIDENCE: A review of care plans confirmed that residents were receiving support and advice from appropriate health professionals when necessary. Individual care plans included detailed information about the involvement of doctors, dentists and other healthcare professionals. Ferndale had appropriate policies and procedures on how to safely administer medication to residents for staff to refer to. Staff involved in the administration of medication had undergone an appropriate course in the Safe Handling and Administration of Medication. Ferndale DS0000007597.V306425.R01.S.doc Version 5.2 Page 15 Records of this training and first aid training were been maintained on the individual members of staffs personnel file. Ferndale DS0000007597.V306425.R01.S.doc Version 5.2 Page 16 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): NMS 22 NMS 23 Quality in this outcome area is good.This judgement has been made from evidence gathered both during and before the visit to this service. An easily understood and simple complaints procedure was available at Ferndale. Ferndale had an appropriate policy and procedure for handling suspected cases of abuse available for staff in the home. Staff had received appropriate training in how to handle allegations of abuse EVIDENCE: Ferndale is part of a small group of family owned homes with a simple companies complaints policy and procedure in place. A copy of this easily understood document was available for residents, at the home. Any complaints that had arisen were handled according to the companies complaints procedure. Discussions with residents confirmed that if small problems arose then staff dealt these with quickly. Ferndale DS0000007597.V306425.R01.S.doc Version 5.2 Page 17 One resident spoken with commented, ‘if they wanted to complain about anything then they would speak to a member of staff or speak to a senior member of staff ’. Another resident commented, ‘they knew how to complain and would have no problems in raising any issues’. There was an ‘open door policy’ at the home for residents to speak to any member of staff if they so wished. No recent complaints had been made. The company’s procedures on how to deal with suspected cases of adult abuse were available in the home. Staff had received training on how to deal with the Protection of Vulnerable Adults and records were maintained of this training. In discussions with staff they confirmed that they were fully aware of the importance of acting quickly in cases of suspected abuse and that they would follow the homes policy and procedures if necessary. There had been no recent adult protection issues in the home. Ferndale DS0000007597.V306425.R01.S.doc Version 5.2 Page 18 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): NMS 24 NMS 30 Quality in this outcome area is good.This judgement has been made from evidence gathered both during and before the visit to this service. Ferndale is clean, pleasant and hygienic and provides a very safe, homely and comfortable environment for its residents to live in. EVIDENCE: Ferndale was tidy, clean and free from unpleasant odours. Individual residents rooms visited by invitation had been decorated and furnished in a pleasant and homely manner. Ferndale was decorated, furnished and maintained to a high standard. Maintenance work undertaken on the homes equipment and facilities had been recorded appropriately. A new gas fire was being fitted during the inspection process as part of the ongoing improvement plan for the home. Ferndale DS0000007597.V306425.R01.S.doc Version 5.2 Page 19 There were appropriate systems in place for infection control. The homes infection control policies and procedures were written in accordance with relevant legislation and professional guidance. It was confirmed by staff that they had received appropriate training in infection control and a record of this had been kept on their personnel file. Ferndale DS0000007597.V306425.R01.S.doc Version 5.2 Page 20 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): Quality in this outcome area is good.This judgement has been made from evidence gathered both during and before the visit to this service. Ferndale through its recruitment, employment and training procedures were ensuring that only suitably qualified and trained staff were employed at the home. Staffing levels at the home were sufficient to meet the current assessed needs of the residents. EVIDENCE: The home had applied to the Commission for Social Care Inspection for the registration of their newly appointed homes Manager. The home’s senior management team were supporting the newly appointed manager until the process of registration had been satisfactorily completed From a review of the staff rota provided it was noted that staff were being deployed in sufficient numbers as to ensure the current needs of the residents were met. Ferndale DS0000007597.V306425.R01.S.doc Version 5.2 Page 21 There was a commitment to training for all staff at the home and currently over 50 of the homes care staff had qualified at NVQ level 2 or above. The home tried wherever possible for staffing stability to ensure that the residents knew the members of staff, who worked in their home. One resident commented that, ‘they had spoken with the new members of staff before the home had employed them and that they had spoken to the manager about them’. Staff who had recently been employed had received appropriate induction training. There was a training programme operating in the home that provided training for staff in moving and handling, first aid training and the Protection of Vulnerable Adults. The home’s management through courses organised by the Durham Employers Care and Health Alliance had provided the training programme for staff and the home provided a copy of the training programme that staff could take part in. Records of training undertaken and completed by staff were maintained on individual members of staffs personnel file. All staff employed at the home had being recruited in accordance with the homes policies procedures. All of the appropriate employment checks prior to staff starting to work at the home had been undertaken and recorded accordingly. Ferndale DS0000007597.V306425.R01.S.doc Version 5.2 Page 22 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): NMS 37, NMS 39 and NMS and 42 Quality in this outcome area is good.This judgement has been made from evidence gathered both during and before the visit to this service. Ferndale had in place, a variety of quality assurance systems, including resident meetings to enable residents to express their views. Ferndale actively promotes the health, safety, protection and welfare residents EVIDENCE: Records of individual staff and management supervision sessions, as well as staff meetings were being maintained securely. Those staff spoken with confirmed that they had been to staff meetings and received recorded supervision sessions. of the Ferndale DS0000007597.V306425.R01.S.doc Version 5.2 Page 23 From discussions with staff it was confirmed that they were aware of the management structure within the home. Records were being maintained of the regular health and safety checks when they had been completed. There are monthly monitoring visits carried out by the senior manager in the group and records are maintained of these visits. Ferndale needs to further develop methods of monitoring the outcomes of care for the residents by the development of questionnaires for residents, their families, social workers and significant others. Ferndale DS0000007597.V306425.R01.S.doc Version 5.2 Page 24 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 4 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 x LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Ferndale DS0000007597.V306425.R01.S.doc Version 5.2 Page 25 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. 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. Refer to Standard Good Practice Recommendations Ferndale DS0000007597.V306425.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Ferndale DS0000007597.V306425.R01.S.doc Version 5.2 Page 27 - 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!