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Inspection on 10/04/08 for Ferndale Court Nursing & Residential Home

Also see our care home review for Ferndale Court Nursing & Residential Home for more information

This inspection was carried out on 10th April 2008.

CSCI found this care home to be providing an Adequate service.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Standards of care are good so that most people`s well regarded by people living in the home commented, `the care they give to my relative is too much trouble, a very happy care home, due to needs are met and staff are and relatives. A relative always kindness, nothing is the staff themselves`.People who need further support from health care professionals receive that support in a timely way so that their additional health care needs are met. The home is well maintained so people live in safe, clean, comfortable surroundings. Recruitment practices are thorough so staff employed to work at the home are fully checked before they start working at the home to make sure they are suitable to work with the people who live there.

What has improved since the last inspection?

An appropriately qualified person assesses the care needs of people moving into Ferndale Court so people know their needs will be met at the home. Ferndale Court provides suitable equipment for people at risk of developing pressure sores so that vulnerable people are protected. Full recruitment checks are carried out before people start working at the home so people know that staff have been thoroughly vetted. The Operations Manager of Southern Cross has written to CSCI to confirm that people receive their personal allowances in a timely fashion so that the money to which they are entitled is available to them and kept in their own account.

What the care home could do better:

There are few activities taking place in the home so that people may not receive sufficient stimulation and run the risk of social isolation. Concerns have been raised about the home by relatives and staff and there is nothing to show how they have been dealt with so that people feel that their concerns are not taken seriously. Not all staff have undertaken training in the protection of vulnerable adults so they may not know what constitutes abusive behaviour and may be unaware of what to do about allegations or instances of abuse, so people who live at the home may not be adequately safeguarded. There may be times when the staffing levels are not sufficient, so people living at the home may not have their needs met fully. Few staff have achieved NVQ qualifications or have undertaken training in other subjects such as dementia so they may not have the skills to ensure that people`s needs are fully met. Staff morale is low and management have taken little action to address this so that several staff have left so there is a risk that people living at the home may not receive continuity of care. The relationship between the manager and some of the staff is not good , so the home may not be run in the best interests of people living there.

CARE HOMES FOR OLDER PEOPLE Ferndale Court Nursing & Residential Home Ferndale Court Nursing & Residential Home St Michaels Road Widnes Cheshire WA8 8TF Lead Inspector June Shimmin Key Unannounced Inspection 10 April 2008 09:30 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 Ferndale Court Nursing & Residential Home DS0000005172.V361729.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 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. Ferndale Court Nursing & Residential Home DS0000005172.V361729.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ferndale Court Nursing & Residential Home Address Ferndale Court Nursing & Residential Home St Michaels Road Widnes Cheshire WA8 8TF 0151 257 9111 0151 420 0210 ferndalecourt@schealthcare.co.uk www.schealthcare.co.uk Southern Cross Healthcare Services Ltd 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) Tamara Flanagan Care Home 57 Category(ies) of Dementia - over 65 years of age (1), Learning registration, with number disability (1), Old age, not falling within any of places other category (57), Physical disability (5) Ferndale Court Nursing & Residential Home DS0000005172.V361729.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1 This home is registered for a maximum of 57 service users to include: * * * * * Up to 57 service users in the category of OP (Old age, not falling within any other category) Up to 5 service users in the category of PD(Physical disability under 65 years of age) Up to 1 service user in the category of DE(E) (Dementia over 65 years of age) Up to 1 service user in the category learning disability (LD) Within the 57 beds up to 33 service users requiring nursing care may be accommodated 3 July 2007 Date of last inspection Brief Description of the Service: Ferndale Court care home provides care for 57 people, mostly older people needing nursing care. It is a two-storey purpose built home, opened in 1997, in the Ditton area of Widnes, close to local shops and churches. All the bedrooms are single with en-suite facilities. There are several lounges and dining rooms. A passenger lift is available for access to the first floor. The home is on the same site as Ferndale Mews care home; both homes are set in private grounds with parking and gardens. The current weekly fees range from £334.33 for people receiving personal care only to £617.06 for people receiving nursing care. Further details regarding fees are available from the manager. Ferndale Court Nursing & Residential Home DS0000005172.V361729.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is one star. This means the people who use this service experience adequate quality outcomes. An unannounced visit was carried out on 10 April 2008 by two inspectors and lasted a day. One inspector carried out a short observation in the residential care unit. Because people living in care homes are not always able to tell us about their experiences, we used a formal way to observe people in this key inspection to help us understand. We call this the Short Observational Framework for Inspection (SOFI). This involved us observing 5 people who live in the home for 2 hours and recording their experiences at regular intervals. This included their state of well being, and how they interacted with staff members, other people who live in the home and the environment. This visit was just one part of the inspection. Other information received about the home was also looked at. Before the visit the home manager was asked to complete a questionnaire to provide up to date information about Ferndale Court. CSCI questionnaires were also sent out to people who live in the home, their families, staff and health and social care professionals such as community nurses in order to find out their views. Other information since the last key inspection was also reviewed. During the visit, various records and the premises were looked at. A number of people who live at the home, several relatives and staff were spoken with and they gave their views about Ferndale Court. What the service does well: Standards of care are good so that most people’s well regarded by people living in the home commented, ‘the care they give to my relative is too much trouble, a very happy care home, due to needs are met and staff are and relatives. A relative always kindness, nothing is the staff themselves’. People who need further support from health care professionals receive that support in a timely way so that their additional health care needs are met. The home is well maintained so people live in safe, clean, comfortable surroundings. Recruitment practices are thorough so staff employed to work at the home are fully checked before they start working at the home to make sure they are suitable to work with the people who live there. Ferndale Court Nursing & Residential Home DS0000005172.V361729.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: There are few activities taking place in the home so that people may not receive sufficient stimulation and run the risk of social isolation. Concerns have been raised about the home by relatives and staff and there is nothing to show how they have been dealt with so that people feel that their concerns are not taken seriously. Not all staff have undertaken training in the protection of vulnerable adults so they may not know what constitutes abusive behaviour and may be unaware of what to do about allegations or instances of abuse, so people who live at the home may not be adequately safeguarded. There may be times when the staffing levels are not sufficient, so people living at the home may not have their needs met fully. Few staff have achieved NVQ qualifications or have undertaken training in other subjects such as dementia so they may not have the skills to ensure that people’s needs are fully met. Staff morale is low and management have taken little action to address this so that several staff have left so there is a risk that people living at the home may not receive continuity of care. The relationship between the manager and some of the staff is not good , so the home may not be run in the best interests of people living there. Ferndale Court Nursing & Residential Home DS0000005172.V361729.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Ferndale Court Nursing & Residential Home DS0000005172.V361729.R01.S.doc Version 5.2 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 Ferndale Court Nursing & Residential Home DS0000005172.V361729.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3&6 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although an assessment of people’s needs is carried out before they move into the home to make sure their needs can be met there some, some people who have moved in have care needs that the staff have not been trained to meet. This means that those people’s needs may not be met appropriately at the home. Ferndale Court Nursing & Residential Home DS0000005172.V361729.R01.S.doc Version 5.2 Page 10 EVIDENCE: The assessments of three people who had recently moved into Ferndale Court were seen. The manager had assessed two people and the deputy manager one person. The assessment documentation included enough information about the physical care needs of people moving into the home but very limited information about their social, family and leisure care needs so that these needs were not fully recorded and not incorporated within a care plan. This means that staff may have limited knowledge about the social, family history and leisure care needs of people living in the home and be unable to provide care which is person centred and demonstrates a knowledge of the individual needs of the person. A further concern was that Ferndale Court is registered to care for one person with dementia only but is accepting people with varying degrees of dementia to both the residential and nursing units of the home. Few staff have received training on how to work with people with dementia and are therefore not fully equipped to meet their needs. Assessment documentation includes a section to be completed about the needs of people with dementia but this had not been completed in at least one case so that the degree and type of dementia was not assessed on admission. The home does not provide intermediate care so Standard 6 does not apply. Ferndale Court Nursing & Residential Home DS0000005172.V361729.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The health care needs of people who live in the home are well managed so they know their care needs are being met and that their privacy and dignity are respected. EVIDENCE: The care plans for two people who live in the nursing unit and four in the residential unit were seen. These were generally of a good standard and included relevant risk assessments so that people’s care needs were identified. The care plans had been kept up to date and evaluated every month so that changing needs were identified and met. There was no evidence that people were involved in the review of their care. One relative said that she was unaware of the care plan and had not been invited to discuss it even though her relative would be unable to do so. The relative also said that she would welcome the opportunity to take part in the review process. Ferndale Court Nursing & Residential Home DS0000005172.V361729.R01.S.doc Version 5.2 Page 12 People who needed support from a range of health care professionals such as nurses, GPs and others received this support at an early stage so that further health care needs were identified promptly and met. A senior member of staff told us that only one person in the home had a pressure sore and that this had been acquired in hospital. The home had sufficient pressure relieving equipment in place and staff took appropriate actions to prevent people developing pressure sores. The management of medication was checked in the nursing unit. This was well managed but the medication policy had not been reviewed since 2003 so that the organisation could not confirm that its policies and procedures were fully up to date. A recent medication error by staff working in the residential unit was being fully investigated. However, the home should ensure that staff receive refresher medication training so that people living in the home continue to receive their medicines safely. Several people spoken to said that the staff were kind and sensitive to their needs. Observations of staff interactions with people in the home confirmed this. Staff behaved in a way that was respectful and protected the dignity of people in the home. Several staff commented that although they were able to perform their duties they felt that because of low staffing levels they had no time to talk to residents. Ferndale Court Nursing & Residential Home DS0000005172.V361729.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People have access to a limited range of activities so that their quality of life might be limited. EVIDENCE: An activity co-ordinator is employed at Ferndale Court but was not working when the inspection visit was made. A notice board showed photographs of a Halloween event and invited people to attend an ‘Eggstatic’ event in March. There was little recorded in individual care plans about how the social care needs of people were being met and there was little evidence of any activities taking place at any time during the day other than televisions in two of the lounges. People in one lounge said they were not watching the television. The sound of the television in a second lounge was drowned by the sound of a radio from the kitchen. Ferndale Court Nursing & Residential Home DS0000005172.V361729.R01.S.doc Version 5.2 Page 14 Several staff commented that there had been little going on during the previous six months as the activity coordinator had been working as a carer due to care staffing shortages. One person said that she had been to play bingo in the care home next door, Ferndale Mews, and another that she had been dancing. A visitor commented that there was very little stimulation for people living in the home and particularly those in the nursing unit. Another commented, ‘activities are a regular part of the daily living which is good’. People said that they enjoyed the food provided at the home and one person was pleased that there were two roast dinners every week. The lunchtime meal on the day of the inspection visit was minced beef but the alternative meal identified on the menus at the entrance was not provided. The dessert was also different to the one described on the menu. The assistant cook told us that there was always an alternative available. Staff in the kitchen knew what people’s preferences were and also were aware of specialist diets. People living in the home were not aware what the meal was and there were no menus in either dining room telling people what they could expect. The only available menus were in a folder at the entrance to the home and were written in small print so it would be difficult for anyone to either access the menus or read them. Blue plastic aprons were being used to protect the clothing of people at mealtimes. These are undignified for the wearer and allow food to slide off the apron and onto the person’s clothing or floor. Ferndale Court Nursing & Residential Home DS0000005172.V361729.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although there are policies and procedures in place for complaints and safeguarding, there has been a recent increase in complaints about the home and allegations of abuse made to the CSCI, so people living at the home may not be adequately safeguarded from abuse and their concerns may not be acted upon. EVIDENCE: Ferndale Court has a complaints procedure, which is included in information provided to people when they move into the home. The procedure is also displayed at the entrance to the home and people or their relatives were aware of how to complain. Recently, two complaints about the home were made directly to the CSCI but only one was recorded in the complaints book. One visitor told us, “I wouldn’t feel confident taking a concern to the manager”. Another person commented that her relative had been living in the home for eighteen months and that she had no concerns. Three allegations regarding care staff have also been notified to Social Services and the CSCI in recent weeks. The procedures to be followed in relation to an allegation of abuse were not always fully followed so that people in the home may not be protected. Ferndale Court Nursing & Residential Home DS0000005172.V361729.R01.S.doc Version 5.2 Page 16 CSCI had been provided with information about staff training at the home, which included training in adult protection. This showed that over half of staff at Ferndale Court have not undertaken training in adult protection within the last year and may be unsure about what constitutes abusive behaviour. However, staff spoken to during the site visit said that they would report any allegations immediately to a manager. Ferndale Court Nursing & Residential Home DS0000005172.V361729.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained so that people live in safe, clean and comfortable surroundings. EVIDENCE: A partial tour of the building took place. Accommodation is well maintained and people were able to use their own belongings to make their own bedrooms more homely. The corridors are wide so that people can move about easily and there is also ample space for people who use wheelchairs to move themselves around independently. The home has a number of communal areas on both floors where people can meet, including lounges and dining rooms. All parts of the home that were seen were clean, tidy and with no unpleasant odours. Ferndale Court Nursing & Residential Home DS0000005172.V361729.R01.S.doc Version 5.2 Page 18 At the time of the inspection visit, one shower was out of use in one bathroom and various items of broken equipment were being stored in a second bathroom. The home provides a range of aids and equipment for people with a disability so that people’s needs are met. The home was still waiting for a specialist pressure sensor for one person who had been falling frequently. The person had fallen again and sustained a fracture. There is a maintenance man for the home. According to information sent to the CSCI before the inspection visit all equipment and facilities at the home are serviced regularly. Externally the home has gardens, which are well maintained and there is adequate car parking. Ferndale Court Nursing & Residential Home DS0000005172.V361729.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although recruitment procedures are thorough there may not be sufficient training and staff on duty to ensure that the needs of people living in the home can be fully met. EVIDENCE: The recruitment records of two staff were seen. These included all necessary documentation and security checks so that people in the home were protected. Staff are highly regarded by people who live in the home and demonstrated sensitive and supportive behaviour towards people in the home during the inspection visit. The staffing levels in the home on the day of the site visit appeared satisfactory. We were told that an extra member of staff had been brought in at the time to make sure that the needs of people were being met Dependency levels of people living in the home were high in both units. A number of staff told us they felt that staffing levels at the home had been insufficient for at least the last six months, so many were working overtime and were tired because of continually having to work extra hours. They said that new staff had been recruited but had not stayed very long so that the position had not been eased. Ferndale Court Nursing & Residential Home DS0000005172.V361729.R01.S.doc Version 5.2 Page 20 Two relatives felt that the physical needs of people living in the home were not fully met due to insufficient staffing levels. The home provided a training record of courses that had been provided for staff over the last few years. This showed that, other than mandatory training, little was offered to staff. A number of staff had not completed moving and handling training, several had not done fire safety training and there was no record of health and safety training so that it would be difficult to assess whether staff had received all necessary training on induction or since they started work. Few staff had achieved the minimum qualification of NVQ2 and several staff felt that they had not been supported to do this course. Ferndale Court provides care for a number of people with varying degrees of dementia but there was no evidence that staff had received training in dementia so that the needs of people with dementia may not be fully met. Ferndale Court Nursing & Residential Home DS0000005172.V361729.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The management style at Ferndale Court has led to low staff morale and, as a result, the home may not be run in the best interests of the people who live there. EVIDENCE: The manager is a registered nurse and has worked at Ferndale Court for three years in various posts. She is still working towards the registered manager’s award. Ferndale Court Nursing & Residential Home DS0000005172.V361729.R01.S.doc Version 5.2 Page 22 We received feedback about the management of the home from nine staff members. All expressed concerns about the management style of the manager but told us they felt supported by other senior staff. These staff told us they had little contact with the manager as she rarely came out of the office, was often absent and they felt she was unapproachable. When the manager was absent recently, the member of staff who took over felt there was little support from the senior management of the company and was given little supernumerary time to fulfil the management duties. CSCI had not been notified of the manager’s absence of more than 28 days, as required in the Care Homes Regulations. Monthly visits are made to the home by a number of senior managers from the company. The reports of these did not indicate that there were any problems at the home so management and staffing issues appeared to be unresolved. Not all the reports were available in the home for inspection. Staff said that staff meetings were infrequent and there were few minutes available of these meetings so that staff might not be able to express their opinions about the home. There were no records of meetings for either people living in the home or their relatives other than a meeting involving the deputy manager to raise funds for a recent event at the home. The previous Operations Manager for the home wrote to the CSCI following the last inspection to confirm that people living in the home receive their personal allowances in a timely fashion and that records were maintained about people’s choice about how their personal allowances were to be managed so that their rights were protected. Information provided by the manager confirmed this. Information provided before the inspection visit confirmed that all maintenance and health and safety tests are carried out regularly but not all staff have done a recent fire drill or moving and handling training. Ferndale Court Nursing & Residential Home DS0000005172.V361729.R01.S.doc Version 5.2 Page 23 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 2 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 2 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 2 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 3 X X X X X X 3 STAFFING Standard No Score 27 2 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 1 2 X 3 X X 2 Ferndale Court Nursing & Residential Home DS0000005172.V361729.R01.S.doc Version 5.2 Page 24 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. 1 Standard OP16 Regulation 22(8) Requirement CSCI must be provided with a summary of complaints made during the last twelve months and the actions taken in response to demonstrate that complaints are acted upon and taken seriously. All staff must undergo training in adult protection procedures so that they are aware of what behaviour is unacceptable in a care environment and what actions to take if they observe someone being abused. Staffing levels at the home must be sufficient at all times to meet the dependency needs of people living in the home. Staff views about the way the home is run must be taken into account so that the home is run in the best interests of people in the home. Timescale for action 10/07/08 2 OP18 13(6) 10/07/08 3 OP27 18(1)(a) 10/07/08 4 OP33 21(1) 10/07/08 Ferndale Court Nursing & Residential Home DS0000005172.V361729.R01.S.doc Version 5.2 Page 25 5 OP33 24(1) A quality assurance system that takes the views of the people who live in the home and their representatives must be developed to make sure that the home is run in the best interests of the people who live there. 10/07/08 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 OP3 Good Practice Recommendations The assessments of care needs should include more detail about people’s mental state and cognition so that these needs can be identified and appropriate care provided. The assessment of new residents should include details about their family history, social interests, hobbies, religious and cultural needs so that these needs are identified and action taken to meet them. The person receiving care or their representative, where this is appropriate, should be involved in the care planning and review process so they know what care they can expect to receive and whether this care is meeting their needs. The medication policy should be reviewed to demonstrate that it reflects current best practice. Where appropriate, staff should receive refresher medication training so that they are safe practitioners. Care plans should demonstrate how people living in the home are being offered choice in their daily lives. Appropriate protective clothing, which protects the person’s dignity, should be provided at meals so that spilled food does not mark people’s clothing. 2 OP3 3 OP7 4 5 6 7 OP9 OP9 OP14 OP15 Ferndale Court Nursing & Residential Home DS0000005172.V361729.R01.S.doc Version 5.2 Page 26 8 OP15 Menus should be provided in a format suitable to people to understand so that they know what the meal is and the choices available. A minimum of 50 of care staff should achieve NVQ level 2 so they have developed the skills to provide the best quality care for people who live in the home. Staff should be given support to undertake training relevant to their role and sufficient time off to do this training so that they are equipped to perform their job. Evidence should be retained at the home that staff have undertaken induction training. Care staff should undertake training in dementia so that they can understand and meet the needs of people with dementia. The manager should ensure that the management approach of the home creates an open, positive and inclusive atmosphere to maintain good personal and professional relationships with staff so that the home is run in the best interests of the people who live there. All staff involved in moving and handling should receive appropriate training in a timely fashion so that they do not put people and themselves at risk. All staff should undertake fire training and participate in fire drills so they know what to do in the event of fire. 9 OP28 10 OP30 11 12 OP30 OP30 13 OP32 14 OP38 15 OP38 Ferndale Court Nursing & Residential Home DS0000005172.V361729.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection North West Region CSCI Preston Unit 1 Tustin Court Port Way Preston, PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries.northwest@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 Court Nursing & Residential Home DS0000005172.V361729.R01.S.doc Version 5.2 Page 28 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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