Inspection on 03/07/07 for Ferndale Court Nursing & Residential Home

This inspection was carried out on 3rd July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 Court Nursing &... 10/04/08

Ferndale Court Nursing &... 09/08/06

Ferndale Court Nursing &... 28/02/06

Ferndale Court Nursing &... 24/08/05

Ferndale Court Nursing &... 01/11/04

Ferndale Court Nursing &... 24/05/04

Ferndale Court Nursing &... 15/03/04

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 Ferndale Court Nursing & Residential Home Ferndale Court Nursing & Residential Home St Michaels Road Widnes Cheshire WA8 8TF Lead Inspector Unannounced Inspection 3 July 2007 10:00 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.V334170.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.V334170.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 Limited 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.V334170.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 Date of last inspection 9 August 2006 Brief Description of the Service: Ferndale Court care home provides l care for 57 people, mostly older people needing nursing care. The home is in the Ditton area of Widnes, close to local shops and churches. It was opened in 1997 and is a two-storey purpose built home. All the bedrooms are single with en-suite facilities. There are also 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 £326.18 to £438.27 for people receiving personal care only and from £348.54 to £520.70 for people receiving nursing care. Further details regarding fees are available from the manager. Ferndale Court Nursing & Residential Home DS0000005172.V334170.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit took place on 3 July 2007 and lasted eight hours. It was carried out by one inspector. The visit was just one part of the inspection. Other information received about the home was also looked at. Before the visit the home’s administrator completed a questionnaire to provide up to date information about Ferndale Court. CSCI questionnaires were also given to the manager to circulate to people who live at the home, families, health and social care professionals, such as doctors, nurses and social workers, to find out their views. During the visit various records and the premises were looked at. A number of people who live at the home and staff were spoken with and they gave their views about Ferndale Court. What the service does well: What has improved since the last inspection? People are given a contract or statement of terms and conditions when they move in so that they know what they will have to pay for care and services and if there are any additional charges. Ferndale Court Nursing & Residential Home DS0000005172.V334170.R01.S.doc Version 5.2 Page 6 A doctor visits the home several times a week on behalf of local GP practices so that people receive prompt medical care. Most staff have received training in adult protection procedures so they know what to do to protect people who live at the home from possible abuse. CSCI is now informed of all events that may affect the wellbeing of people living there, which the home must do to meet the regulations. Reasons for the refusal of medication are recorded and discussed with a doctor so the records of medicines given to people who live in the home give accurate information and any problems are acted upon. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Ferndale Court Nursing & Residential Home DS0000005172.V334170.R01.S.doc Version 5.2 Page 7 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.V334170.R01.S.doc Version 5.2 Page 8 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): 1, 2 and 3 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. People are given enough information about the home so that they can decide if their needs can be met there. The needs of some people who move in have not been adequately assessed so that their care needs may not be fully met. EVIDENCE: There are information leaflets (a Statement of Purpose and Service User Guide) which describe the services and facilities provided at the home. These are on display at the entrance together with a copy of an inspection report from 2006, which was not the most recent inspection report. This means that people may not have up to date information about the quality ratings for the home. Other information about the home, the company that runs it, the complaints procedure and the activities provided by the home are also available. Ferndale Court Nursing & Residential Home DS0000005172.V334170.R01.S.doc Version 5.2 Page 9 The Operations Manager for a group of Southern Cross homes, including Ferndale Court, said that every person who moves into the home is given a contract or statement of terms and conditions within two days of moving in so they know how much they will have to pay for care and what is or is not included within the fees. The contract seen was informative and detailed in content. The records of three people who have moved into the home since the last inspection were seen. These included two people who move into to the unit providing personal care and one person who move into the home for nursing care. In two cases the manager had carried out an assessment before the people moved in; in the third case, a senior carer had carried out the assessment. The assessment document used at the home contains sections on the health and social care needs of the person being assessed, and these were filled in adequately in two cases. However, there was little recorded about the mental health care needs of people or of the needs of people with dementia. For instance, one assessment of a person with dementia described the person as “confused” and did not provide any further detail. Another assessment of someone with dementia stated that there were “no problems with communication.” The assessment of one person indicated that the person carrying out the assessment did not have sufficient experience and knowledge of assessment. The person moved into Ferndale Court for personal care, as also identified by a social worker’ assessment, whereas their needs were for nursing care. When the person moved in, the deputy manager realised they needed nursing care and took action to make sure their needs were met as far as possible. However, despite three requests from the care home it took a further seventeen days before the person’s care needs were reassessed as being nursing. An initial assessment had not been sought from or provided by a nurse, which might have prevented this problem. The health care needs of another person currently receiving personal care were becoming more complex and the staff on the personal care unit were having difficulty meeting this person’s needs. The manager was advised to seek a reassessment of this person’s needs. Ferndale Court Nursing & Residential Home DS0000005172.V334170.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Although care plans are drawn up, people’s health, personal and social care needs are not always fully identified in an individual care plan, so there is a risk that their needs will not be met. EVIDENCE: The records of three people were looked at during the site visit, two for people on the personal care unit and one for a person on the nursing unit. The care plan for the person in the nursing unit was very good and referred to their needs, both health and emotional. It included relevant risk assessments to show that risks had been identified when they moved in an appropriate action was being take to reduce them. The care plan identified the need to refer the person to a specialist nurse for advice. The second care plan was written by a nurse for a person who moved into the personal care unit. This would not usually happen but did in this case because Ferndale Court Nursing & Residential Home DS0000005172.V334170.R01.S.doc Version 5.2 Page 11 of the concerns the deputy manager had about the person’s complex health care needs. As the person was assessed as needing personal care only, regulations mean that the nurses in the home could not provide any care or treatment for them. District nurses were providing care for the person’s pressure sore but did not visit them until a week after they had moved in, despite staff from the home asking for earlier visits. The staff member who had carried out the initial assessment of this person’s care needs had identified that they were in the highest risk category of developing pressure sores and already had pressure sores. During this time the person was not being nursed on a specialist pressure-relieving mattress as the staff member carrying out the initial assessment had not asked for a specialist mattress. The manager said that specialist equipment for people on the personal care unit had to be requested from the local Primary Care Trust (PCT). A specialist pressurerelieving mattress was supplied to the home nineteen days after the person moved in, so that person did not have the necessary equipment in place to prevent deterioration of their pressure sores. Following the person’s reassessment as requiring nursing care, a specialist tissue viability nurse visited the home and confirmed that the person had moderate pressure sores. The third care plan was for a person living on the personal care unit and whose health care needs were increasing, becoming more complex and unstable. Most of their care needs were identified but some of the care plans did not identify the action staff should take to meet those needs. For example, there was no risk assessment for swallowing difficulties and the care plans for diabetes and depression were not detailed enough. Although the person was at high risk of developing pressure sores when they moved into the home in 2006, a care plan for this need was only drawn up a week before this inspection visit. The person had developed the first stages of two pressure sores but staff at the home had not been able to obtain a pressure-relieving mattress from the PCT, putting the person at risk of developing pressure sores. People are invited to attend the review of their care, which takes place every month. Other interested parties are also included in the review if the person agrees to this, so that the person knows what care will be provided by care staff. These reviews are recorded to confirm what was agreed. Since the last inspection, a GP has been appointed by the local PCT to visit the home several times a week to review any people who need to see a doctor. However, people are still registered with their own GP who also visits so that they are able to retain a choice of GP. Medication records on the personal care unit were reviewed and found to be accurate and up-to-date. The management of all aspects of medication on this unit was found to be good. Ferndale Court Nursing & Residential Home DS0000005172.V334170.R01.S.doc Version 5.2 Page 12 People said that they were treated with dignity and respect. Written comments included, “he knows he has only to push a button and someone comes. Very pleased with the level of care.” Ferndale Court Nursing & Residential Home DS0000005172.V334170.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home are able to take part in a wide range of activities so they can stay as active and busy as they wish. EVIDENCE: There is an activity coordinator who has worked at the home for nine years. She works 30 hours a week between Monday and Friday and comes in at weekends for special events. She said she meets with individual people in the morning to find out what they would like her to do. One to one activities include manicures, podiatry, reading and provision of books including large print and audio books. The activity coordinator uses different lounges for activities so that people have a choice of where to go and whether to join in. There is a full programme of activities every day in the morning and afternoon and posters describing these events are displayed at the entrance to the home. Photographs are also displayed of events where people have enjoyed activities at the home. During the afternoon people were able to take part in indoor bowling, which helps coordination, vision and hearing. Other group activities included music, Ferndale Court Nursing & Residential Home DS0000005172.V334170.R01.S.doc Version 5.2 Page 14 movement, balloon games, “Play your cards right,” bingo, arts and crafts and a Friendship Club. The home holds events such as summer fetes and barbecues. Funds from these events are used to take people on special trips to places such as Blackpool and Southport. Special events such as birthdays, Christmas and Easter are celebrated. The activity coordinator said that she keeps a record of events and who has attended. People said that they enjoyed activities at the home but were not made to join in if they did not wish to. One relative commented, “she has an excellent programme which keeps all residents stimulated throughout each week.” A Roman Catholic priest visits the home every week and provides communion for those people who wish to take it. The home is trying to develop links with a local Church of England parish church. There are social events organised between the Roman Catholic Church, its social club and Ferndale Court so that people are able to retain links with the local community. Joint events are also held so that friends and relatives can also attend. Most people said that they enjoyed the food provided by the home. There is a choice of meals; on the day of the inspection visit one person on the personal care unit was having the alternative. Pureed meals for people on soft diets are presented such a way that the food still looks attractive. It was noted that no napkins were given to people to prevent food spilling onto clothes and the menu was not displayed so that people did not know what the meal was until they were told. Several people said they did not know what the choice of menu was until the meal was served. One person said that a cooked breakfast was not available but a care assistant said that cooked breakfasts were always available on request and that a number of people enjoyed them. Cold drinks were not offered at lunch. One care assistant said that people preferred hot drinks and that cold drinks were available on request. Ferndale Court Nursing & Residential Home DS0000005172.V334170.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living at the home are able to use the complaints procedure so their concerns will be listened to and acted upon. There are procedures and staff have been trained so that people who live at the home are protected from abuse. EVIDENCE: Ferndale Court has a complaints procedure, which is displayed in the main entrance to the home. It is also included within the information leaflets given to people when they move into the home, so that they are aware of the procedure and how to complain if necessary. Only two complaints had been received by the home, one of which was upheld. People or their relatives who completed CSCI comment cards said that they were aware of the complaints procedure and had not needed to complain. The manager said that only four new staff have not done training in adult protection but that this was being arranged. Twelve staff will be undertaking awareness training in the Mental Capacity Act in the near future so that they will understand what they need to do under the new law for people living at the home who lack capacity to make their own decisions. Ferndale Court Nursing & Residential Home DS0000005172.V334170.R01.S.doc Version 5.2 Page 16 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 and 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 comfortable, clean and safe surroundings. EVIDENCE: A number of bedrooms and communal areas were seen during the inspection visit. All areas were clean and tidy with no unpleasant odours detected. Large carpet stains were noticed on the corridors on both units. The manager said that the carpet cleaner had been out of action for three months and that deep cleaning of the carpets was now taking place to improve their appearance. Staff have commented about the appearance of the carpets but no complaints have been received from people living in the home or their relatives. Care home staff had taken steps to prevent the spread of infection in the home so that people living there were protected. Corridors were spacious allowing Ferndale Court Nursing & Residential Home DS0000005172.V334170.R01.S.doc Version 5.2 Page 17 for easy access of equipment. There is a range of aids and adaptations in the home that are suitable for use by people with a disability. However, at the time that one person moved into the home, two specialist pressure-relieving mattresses had been loaned to another home, so that Ferndale Court could not provide the person with an appropriate pressure relieving mattress. A maintenance man works at the home from Monday to Friday to carry out basic maintenance and decoration work. The manager said that since the last inspection three bedroom carpets have been replaced, new curtains have been put up in communal areas and various bedrooms and the flooring to both dining rooms replaced. The heating and lighting were good. Externally the gardens were well maintained. There was adequate car parking. Ferndale Court Nursing & Residential Home DS0000005172.V334170.R01.S.doc Version 5.2 Page 18 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are sufficient staff to meet people’s needs and thorough recruitment checks are carried out to make sure that staff are suitable to provide care for the people who live in the home. Not all staff have undertaken the training they need so they may not have developed all the skills they need to provide the best quality care for the people who live at the home. EVIDENCE: There were three nurses on duty on the nursing care unit on the day of the inspection visit and they were supported by a number of care assistants. There were three care assistants on duty on the personal care unit with support from the manager, although the manager is not usually included on the care rota so that she can carry out her management duties. There is a moderate turnover of staff at the home and not many agency staff are used so the people who live in the home are cared for by the same group of staff that they know. Staff spoken with said that they were given support to undertake training such as care planning, the protection of vulnerable adults (POVA), fire safety, dementia and medication. However, only 12.5 of care staff have achieved a minimum of NVQ2 in care, so that care staff may not have received all the Ferndale Court Nursing & Residential Home DS0000005172.V334170.R01.S.doc Version 5.2 Page 19 training they need to do the work they perform. The manager said that a number of staff were working towards this award. People living at the home and relatives spoke highly of the staff caring for them. Comments such as, “I feel I am well cared for” and “the care Mum receives is of a high standard.” The files for the three most recently appointed members of staff were seen. In two cases, the files showed that a recruitment procedure was in place with all the required checks being done to make sure that staff were suitable to provide care for the people living in the home. However, in once case, a reference from the previous employer had not been received until two months after the person had started work at the home. The manager said that it is sometimes difficult to obtain references and said that a system would be introduced to ensure that no one started work without a reference from the previous employer. Staff members from other countries are assessed to ensure that their command of English is satisfactory. New staff members are given induction training to ensure that they have sufficient knowledge when they start work in the home. However, records about the induction training were not available in the home so could not be checked. Ferndale Court Nursing & Residential Home DS0000005172.V334170.R01.S.doc Version 5.2 Page 20 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, 33, 35 and 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is generally well managed but the current system for managing personal allowances needs to be revised to make sure that people receive their allowances as they are due. EVIDENCE: The manager of the home is a registered nurse and has worked at the home for some time in various posts. She is currently working towards the registered manager’s award. Although she is not usually included in the care rota, she occasionally works with other staff to monitor practice and assess how the people who live at the home are progressing. Staff said they enjoyed working at the home and described the manager as being easy to approach Ferndale Court Nursing & Residential Home DS0000005172.V334170.R01.S.doc Version 5.2 Page 21 with any problems. The manager showed good leadership qualities during the inspection visit. Recently, when the manager was away for three weeks, there was no care manager for the personal care unit at the home. The deputy manager took overall responsibility for the nursing unit during this period but was also off during some of the time. A manager from another Southern Cross care home visited Ferndale Court during the afternoons to provide management support. A more senior manager from the company visits the home every month to report on how it is being run. However, during the period that the manager was away, a person with complex health needs was moved into the personal care unit inappropriately. The outcomes for this person might have been worse had not the deputy manager decided to provide the person with nursing care. One relative commented that there had not been a meeting for the families of people living at the home for over twelve months but also said that “he was kept informed of things.” The manager said that a meeting was planned for the next three months. The manager carries out audits into various aspects of the management of the home every two months and records of this are kept. A complaint received about people not receiving their personal allowances in a timely fashion was upheld. The manager said that although the complaint had been investigated, some people were still not receiving their personal allowances for periods of up to four to five weeks. The manager also said that personal allowances are not sent by Social Services automatically every month and that the home had to email a request for an allowance. If it was considered that the person had enough money in their account the money was not asked for so that money rightfully belonging to people was withheld. The manager confirmed that people did not have individual bank accounts. During the inspection visit an emergency occurred and all staff acted promptly. There was a person qualified in first aid on duty. However, there is not always a member of staff qualified in first aid on duty. An assessment needs to be carried out to establish whether this is necessary in the home. The information provided to CSCI before the inspection showed that equipment and installations at the home had been maintained and serviced regularly. A selection of maintenance records were seen and found to be satisfactory. Ferndale Court Nursing & Residential Home DS0000005172.V334170.R01.S.doc Version 5.2 Page 22 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 3 3 2 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 1 X X 2 Ferndale Court Nursing & Residential Home DS0000005172.V334170.R01.S.doc Version 5.2 Page 23 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 OP3 Regulation 14(1) Requirement Assessments undertaken of people before they move into the home must be done by suitably trained and qualified staff so that assessments are accurate and people receive appropriate care when they move in. Appropriate equipment must be provided for people at high risk of developing pressure sores, so that they do not develop further pressure sores. Staff members must not start work until a satisfactory reference has been received from their previous employer. All people living in the home must be given all the personal allowances to which they are entitled in a timely fashion. Records must be maintained of people’s choice about how their personal allowances are managed so that their rights are protected. Timescale for action 03/10/07 2 OP8 13(4)(c) 03/10/07 3 OP29 4 OP35 19 (4)(b&c) Schedule 2 12(3) 03/10/07 03/10/07 5 OP35 17 Schedule 3 (q) 03/10/07 Ferndale Court Nursing & Residential Home DS0000005172.V334170.R01.S.doc Version 5.2 Page 24 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 3 Refer to Standard OP3 OP3 OP3 Good Practice Recommendations The person with complex health care needs should be reassessed to make sure that all his care needs will be met in full. 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. Care plans and risk assessments should be provided for all identified needs and should be written in sufficient detail so that appropriate care will be provided. Hot and cold drinks should be provided at meals so that people have a choice. Napkins should be provided at meals so that spilled food does not mark people’s clothing. 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. Evidence should be retained at the home that staff have undertaken induction training. A risk assessment should be undertaken to establish if there needs to be a member of staff trained in first aid on duty in the home at all times. 4 5 6 7 8 9 10. OP7 OP15 OP15 OP15 OP28 OP30 OP38 Ferndale Court Nursing & Residential Home DS0000005172.V334170.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Court Nursing & Residential Home DS0000005172.V334170.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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