Inspection on 21/02/06 for Ferndale

This inspection was carried out on 21st February 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ferndale 24/06/08

Ferndale 20/07/06

Ferndale 29/11/05

Ferndale 18/02/05

Ferndale 10/08/04

Ferndale 11/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Ferndale 131 Whitstone Road Shepton Mallet Somerset BA4 5PS Lead Inspector John Hurley Announced Inspection 21st February 2006 10:00 Ferndale DS0000016293.V274142.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 Ferndale DS0000016293.V274142.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. Ferndale DS0000016293.V274142.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Ferndale Address 131 Whitstone Road Shepton Mallet Somerset BA4 5PS 01749 345885 01749 345197 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) THE ORCHARD VALE TRUST MR MELVYN PHILLIPS Care Home 2 Category(ies) of Learning disability (0), Mental disorder, registration, with number excluding learning disability or dementia (0) of places Ferndale DS0000016293.V274142.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. REGISTERED FOR 2 PERSONS IN CATEGORIES LD AND MD Date of last inspection 29th November 2005 Brief Description of the Service: Ferndale is a small home located in a residential area of Shepton Mallet. The home provides accommodation to two service users who require a high level of care and support. Each service user has their own bedroom, living room and bathing facilities. There is a garden to the rear of the property, which is accessible to both service users. A behavioural management approach has been tailored to meet the specific needs of the service users. A small staff team supports the service users within a ‘low arousal’ environment. The home has access to additional support from multi-disciplinary professionals. Ferndale is registered with the Commission for Social Care Inspection to provide care for two service users who have a learning disability. The Registered Manager is Melvyn Phillips. The Registered Provider is Orchard Vale Trust, a non-profit making company and a registered charity. Ferndale DS0000016293.V274142.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over five hours. The inspector spoke with the responsible individual for the organisation, the registered manager their deputy and two other staff during the visit. The inspector briefly spoke with the service users who were going about their established routines. The inspector toured the building and sampled policy, service users and staff documentation. Prior to the inspection a number of questionnaires were sent to visiting professionals, the service users and people important to them. All of the responses were complementary about the staff, the home and the outcomes for the individuals who live there. The last inspection was carried out on the 29/11/2005. During that inspection it was noted that the service continues to meet the Nation Minimum Standards well. This inspection has only focused on those core standards not assessed during that inspection. What the service does well: What has improved since the last inspection? What they could do better: Ferndale DS0000016293.V274142.R01.S.doc Version 5.1 Page 6 The service needs to ensure that its recruitment practices remain in line with the current requirements. It would be helpful if the responsible individual for the organisation submits a regular monthly report as required by regulation. It would also be helpful if the organisation can confirm that the home has a current and valid hard wiring certificate. 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 DS0000016293.V274142.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 Ferndale DS0000016293.V274142.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): As there have been no placements since the last inspection these set of standards were not assessed in this cycle. The home has previously demonstrated its ability to meet and exceeds these standards at previous inspections. EVIDENCE: Ferndale DS0000016293.V274142.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): 6,9 The standard of service user files exceeds the Nation Minimum Standards in many areas and reflects the goals and aspirations of the individual. EVIDENCE: The inspector was shown the service users files, the registered manager informed them how the key documents were used in practice, evaluated reviewed and refined. The behaviour management techniques used by the home are agreed with a wide range of professionals and people important to the service user. Due to the service users limited comprehension, consultation with other professionals are significant and demonstrates how the home achieves transparency with regards to the action it takes when using these models. The inspector noted that where the service user can make choices they do so; any restriction on choice is limited by the individual’s own comprehension or through the risk assessment process. Again the risk assessments are highly developed to ensure that key triggers to behaviour that challenges the service are acknowledged and minimised wherever possible. These triggers also encompass activities and environments that would cause anxiety and distress Ferndale DS0000016293.V274142.R01.S.doc Version 5.1 Page 10 and so need to be avoided. These restrictions are similarly acknowledged and agreed by other professionals and people important to the service user. Ferndale DS0000016293.V274142.R01.S.doc Version 5.1 Page 11 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): 15,16,17 Normal life principles are encompassed throughout the service. EVIDENCE: The service user files evidence that they have many opportunities to develop relationships with others, although this is not something that the individual generally aspires too. Through discussion with the registered manager and the deputy the inspector established that the ethos of the home is to ensure that the service user live in an enabled environment, which they have a degree of responsibility for. For example, the individuals are responsible to ensure their own living space is kept clean, they are responsible for their own laundry, cooking and deciding on what food to have etc. All of these tasks are supported by the staff team who ensure that standards are maintained but in general offer support and guidance only. The home does not have weekly menus in keeping with normal life principles. Through discussion the inspector established that the staff are aware of Ferndale DS0000016293.V274142.R01.S.doc Version 5.1 Page 12 healthy eating and nutritional requirements and will generally support and guide the individual service user towards a balanced healthy diet. Ferndale DS0000016293.V274142.R01.S.doc Version 5.1 Page 13 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): 18,19 The service users are supported in ensuring their health and emotional needs are met EVIDENCE: The information available on the service users file demonstrates that they do not require support with their personal needs. Their physical and emotional needs are detailed in the care plans. The records observed continue to evidence that service users have regular health care checks from the GP. They also see other professionals including a psychiatrist, psychologist if required. The inspector viewed the relationship between the service users present at the time of the inspection as both empathetic and professional. It was also observed that staff continue to positively encourage the individuals to maintain the routines that have been developed. Ferndale DS0000016293.V274142.R01.S.doc Version 5.1 Page 14 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): This group of standards were not inspected. The home met the standards required at the previous inspection EVIDENCE: Ferndale DS0000016293.V274142.R01.S.doc Version 5.1 Page 15 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): 24,30 The home continues to offer good accommodation. EVIDENCE: The inspector noted that the lounge, which was due to be refitted, has now had the work completed. The standard of the refit is good and appears to reflect the individual’s choice. The inspector briefly toured the house and noted that no other significant maintenance or events had taken place since the last inspection. The home was found to be clean and comfortable, free from offensive odours. There is plenty of natural light; the home is well ventilated and heated. Feedback from people important to the service users confirmed they are happy with the standard of accommodation on offer. Ferndale DS0000016293.V274142.R01.S.doc Version 5.1 Page 16 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): 31,33,34,36 The staff at Ferndale are appropriately trained to meet the needs of service users, benefiting from an inclusive decision making management structure. The homes recruitment policies, documentation and practices require updating. Supervision of the staff is linked to the ongoing requirements of the individual service users. EVIDENCE: A small stable staff team provide a consistent approach to the care of the two service users. The staff informed the inspector that the home is managed in an open and reflective manner. Staff further confirmed that they are fully consulted about the models of care employed within the home and understand the needs for clear and consistent boundaries for the service user. Staff training was discussed during the inspection. The management team at home generally ensure that staff are provided with an appropriate training program to meet the specific needs of the service user that they care for. There is also evidence of training on more general topics such as health and safety. The inspector looked at a sample of the files relating to the new staff that have been employed since the last inspection. The application for employment form only requests that prospective employees declare their employment history for Ferndale DS0000016293.V274142.R01.S.doc Version 5.1 Page 17 the last five years, not their full employment history as now required. One staff file did not contain a current Criminal Records Bureau check of POVA first check. Through discussion with the registered manager and the deputy the inspector established that the home was not aware of new guidance and requirements relating to employment requirements. Given the track record of the home in meeting the Nation Minimum Standards and the balances and checks in place to vet new staff the inspector considers that this should not reflect a negative score, but a requirement has been made. The staff fill out daily monitoring sheets with regards to the service user. These records are developed to establish patterns of behaviour. Whilst the primary use of this data relates to the service user it is also used in supervision sessions. The records observed demonstrate that the individual service user can be sophisticated in the way they present to each member of staff. Therefore the level and quality of supervision is important in order to ensure a consistent approach to each individual. The records viewed demonstrate that this is achieved well. Ferndale DS0000016293.V274142.R01.S.doc Version 5.1 Page 18 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): 39,42 The home is well run on normal life principles. EVIDENCE: The home continues to be well run. The standard of the documentation is good and all associated policies and procedures have recently undergone a systematic review. The service aims to provide a home for life and coupled together with normal life principles ensure that where possible the service users views guide and inform practice. For example evidence of this can be found in the way the two service user have chosen to furnish their respective areas of the home. The boundaries that suit the service users mean that any development of the service is carefully scrutinised to ensure that any plans will not adversely affect the service users. Currently the responsible individual has not commenced sending a monthly report to the regulator on the conduct and running of the home as prescribed under regulation 26. The inspector spoke with the responsible individual during Ferndale DS0000016293.V274142.R01.S.doc Version 5.1 Page 19 the inspection. They confirmed that they regularly come to the home and prepare a report of that visit. They agreed to send a copy to the regulator. At the time of the inspection a hard wiring safety certificate was not available for inspection. Ferndale DS0000016293.V274142.R01.S.doc Version 5.1 Page 20 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 x 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 x 23 x ENVIRONMENT Standard No Score 24 3 25 x 26 X 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 3 32 3 33 x 34 x 35 x 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 x x 3 x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 x x x x 3 x x 3 x Ferndale DS0000016293.V274142.R01.S.doc Version 5.1 Page 21 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 YA42 Regulation 13(4)(c ) Requirement The registered manager must ensure that the hard wiring of the building has a current and valid certificate of safety The registered manager must ensure that the information required in schedule 2 relating to employees is obtained as proscribed. Timescale for action 14/03/06 2 YA34 Schedule 2 01/04/06 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 YA43 YA23 Good Practice Recommendations The organisation needs to make arrangements to provide the regulator with regulation 26 reports. That the organisation considers how its vulnerable adult policy fits with the local authorities policies regarding this matter. Ferndale DS0000016293.V274142.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 DS0000016293.V274142.R01.S.doc Version 5.1 Page 23 - 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. 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