Inspection on 09/08/05 for Marriners Group

This inspection was carried out on 9th August 2005.

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 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

Marriners Group 28/11/06

Marriners Group 09/03/06

Marriners Group 21/02/05

Marriners Group 13/07/04

Similar services:

Whiteley House

Tyndale Avenue

2-10 Norfolk Road

Bennfield House Nursing Home

Eastfield Residential Home

Sign Health

Springwood

Fairburn Mews

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

CARE HOME ADULTS 18-65 Ferndale House 32 Ferndale Grove Frizinghall Bradford BD9 4LF Lead Inspector Gillian Sangster Announced 9 August 2005 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 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 Stationary 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 House J52 S1156 Ferndale V186231 090805 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Ferndale House Address 32 Ferndale Grove Frizinghall BD9 4LF Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Category(ies) of registration, with number of places 01274 772619 01274 772619 Heaton Community Care Mrs Lydia Asante Care home with nursing 3 Mental Disorder (2) Mental Disorder -over 65 (1) Ferndale House J52 S1156 Ferndale V186231 090805 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 21/02/05 Brief Description of the Service: Ferndale House is registered to provide care for three people with mental health problems and is operated by the Marriners Group. The current residents are all female. The home is located on a quiet street in the Frizinghall area of Bradford and is close to the main bus routes and local amenities. Accommodation is provided on two floors and includes three single bedrooms, a communal bathroom, kitchen and lounge/dining room. There is a small yard at the back of the house. Ferndale House J52 S1156 Ferndale V186231 090805 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was carried out by one inspector between 10am and 12.30pm. The deputy manager was present during the inspection and for feedback at the end. During the visit time was spent talking to service users and staff. Service users showed me their bedrooms and all other areas of the home were seen. I looked at records including maintenance and service records, care plans, accident reports, recruitment and staff training records. Detailed information had been provided in the pre-inspection questionnaire. What the service does well: What has improved since the last inspection? What they could do better: All care plans should be signed by the staff completing them. Quality monitoring should be extended to include the views of other people involved in the home such as GPs, the mental health team, etc. Ferndale House J52 S1156 Ferndale V186231 090805 Stage 4.doc Version 1.30 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Ferndale House J52 S1156 Ferndale V186231 090805 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Ferndale House J52 S1156 Ferndale V186231 090805 Stage 4.doc Version 1.30 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 standard(s) 1. Good written information is available to help people make an informed choice about moving in to the home. EVIDENCE: The home has a statement of purpose and service user guide, which provide detailed information about the home. Both documents have recently been reviewed and updated. Ferndale House J52 S1156 Ferndale V186231 090805 Stage 4.doc Version 1.30 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 standard(s) 6, 7, 8 and 9. Care planning is thorough and service users are involved in the process. Service users are supported in making decisions about all aspects of their daily lives including managing risks. EVIDENCE: There are three ladies living at the home and their care records were inspected. Care plans provide good information detailing the support staff need to give each service user to meet their needs. The care plans are reviewed and updated monthly. The care plans should be signed by staff who are completing them. The service users said that staff consulted them about all aspects of their care and respected the choices they made. Each service user is also involved in regular reviews, which take place with professionals from the mental health team, care managers and staff from the home. These reviews encompass all aspects of the service user’s lives and clearly show how agreements are reached about risk management. Any restrictions in place are agreed with the service user and recorded clearly in the care records. Service users said that they enjoyed living at the home and felt well supported by the staff. Two of the service users described how they spent their days and Ferndale House J52 S1156 Ferndale V186231 090805 Stage 4.doc Version 1.30 Page 10 said that staff helped them to lead as independent lives as possible. The third service user requires more support from staff but still enjoys a varied lifestyle including trips outs. Ferndale House J52 S1156 Ferndale V186231 090805 Stage 4.doc Version 1.30 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 standard(s) 11, 14, 15, 16 and 17. Service users are supported and encouraged by staff to follow their chosen lifestyle. They maintain contact with friends and family and are involved in planning outings and holidays of their choice. Daily routines are flexible and centred around the daily lives of the service users. Service users enjoy their meals. EVIDENCE: Two of the service users are independent and told me how they liked to spend their days. One of the service users said that she enjoys the cookery sessions she has at a local day centre and told me about an art therapy group she was involved in. The other service user enjoys going to internet cafes and has her own computer. She has completed many academic courses and is currently undertaking an Open University course. Both ladies told me that the staff support and encourage them in these activities and they enjoy having the freedom and control to chose what to do with their time. The third service user spends more time with the people who live at Marriner House, which is owned by the same organisation as Ferndale House. Ferndale House J52 S1156 Ferndale V186231 090805 Stage 4.doc Version 1.30 Page 12 Staff support the service users in maintaining relationships with family and friends. Service users told me that they regularly met with friends and family and also kept in contact using the telephone in the home. The service users arrange their own outings and plan their holidays. All the ladies are going on a three day break to Blackpool in the next few weeks and said that they were looking forward to it. The more dependent service user said that she enjoys going out in the car and the staff arrange to do this at least once a week. Daily routines are flexible and organised around the daily lives of the service users. The service users told me that they can get up when they want and go to bed when they chose. They said they have the freedom to come and go as they please just letting staff know when they’ll be back. Each service user has their own key to their room and staff do not enter unless given permission first. Service users said that they were consulted about any changes in the daily routines. Service users are involved in planning the meals and make their own choices about what they eat. Menus are planned on a three week rota but are flexible according to individual choice. One of the service users has a gluten-free diet and she is supported by staff in shopping for suitable foods and making enjoyable meals. Ferndale House J52 S1156 Ferndale V186231 090805 Stage 4.doc Version 1.30 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 standard(s) 18,19 and 20. Service users receive the care and support they need in the way they prefer. Service users are supported to manage their own healthcare needs. Safe systems are in place for handling medication. EVIDENCE: Service users confirmed that staff gave them the help and support they needed in the way they wanted. One service user told me how supportive staff had been when she was feeling very low. She said that staff had spent time with her listening and chatting and had helped her through a bad time. The care records showed that service users are supported in managing their own healthcare needs. The mental health team provided specialist support and guidance for the staff and service users. Two of the service users manage their own medication, collecting their prescriptions and keeping their medicines in locked cupboards in their own rooms. Staff manage the other service user’s medication. Information about the medication each service user takes and the known side effects are kept in each person’s care file. Ferndale House J52 S1156 Ferndale V186231 090805 Stage 4.doc Version 1.30 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 standard(s) These standards were not inspected at this visit. EVIDENCE: Ferndale House J52 S1156 Ferndale V186231 090805 Stage 4.doc Version 1.30 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 standard(s) 24, 25, 26, 27, 28 and 30. The home is comfortable and homely providing suitable accommodation for the three ladies who live there. EVIDENCE: The home is suitable to meet the needs of the three ladies living there. The service users said that it was nice being so close to the main road where they could get buses into Bradford. There are also local pubs, shops and a large park close by which the service users can easily access. Each service user has their own bedroom. The service users showed me their rooms, which were comfortable and personalised. They said that they liked their bedrooms and enjoyed having their own things around them. The service users share a bathroom which can be locked to ensure their privacy. There is a small lounge/dining room which is comfortably furnished with two large settees and a small dining table where the service users have their meals. Ferndale House J52 S1156 Ferndale V186231 090805 Stage 4.doc Version 1.30 Page 16 The home is kept clean and tidy. A laundry is provided by one of the organisation’s other homes. Ferndale House J52 S1156 Ferndale V186231 090805 Stage 4.doc Version 1.30 Page 17 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 34 and 36. The home is staffed to meet the needs of the service users. Staff receive suitable training and support to maintain their competence and skills. EVIDENCE: The home has a small team of staff who work on a set duty rota. There is always staff present when service users are in the home and one staff sleeps at the home each night. The current service users do not require any personal care at night. Three of the staff have NVQ level 2 and are working towards NVQ 3. Four staff have a first aid certificate. All staff have received mandatory training in fire safety, moving and handling, health and safety and food hygiene. Staff have also completed Adult Protection training with Bradford Social Services. Staff recruitment files showed that a robust recruitment process is followed. All staff receive regular supervision and supervision records are kept in the staff files. Staff spoken with showed a good understanding of their roles and responsibilities. Ferndale House J52 S1156 Ferndale V186231 090805 Stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 and 42. The home has started to implement a quality monitoring system. Maintenance and service checks are kept up-to-date. EVIDENCE: Since the last inspection the deputy manager has distributed satisfaction questionnaires to the service users. It was suggested that this form of quality monitoring is extended to include the views of other people who are involved in the home such as visitors, health care professionals, GPs, etc. The pre-inspection questionnaire showed that maintenance and service checks are up-to-date. Fire safety records showed that regular checks are carried out on the smoke detectors and emergency lighting installed in the home. The home has a detailed file of policies and procedures. Ferndale House J52 S1156 Ferndale V186231 090805 Stage 4.doc Version 1.30 Page 19 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 x x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 x 3 Standard No 11 12 13 14 15 16 17 3 x x 3 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 x 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ferndale House Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x J52 S1156 Ferndale V186231 090805 Stage 4.doc Version 1.30 Page 20 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 Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard op7 op39 Good Practice Recommendations All care records should be signed by the person completing them. The quality monitoring survey should be extended to include the views of other people involved in the home. Ferndale House J52 S1156 Ferndale V186231 090805 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection Aire House Town Street Rodley LS13 1HP 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 House J52 S1156 Ferndale V186231 090805 Stage 4.doc Version 1.30 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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