Inspection on 09/03/06 for Marriners Group

This inspection was carried out on 9th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Marriners Group 28/11/06

Marriners Group 09/08/05

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 West Yorkshire BD9 4LF Lead Inspector Linda Trenouth Unannounced Inspection 9th March 2006 9:30 Ferndale House DS0000001156.V285356.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Ferndale House DS0000001156.V285356.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Ferndale House DS0000001156.V285356.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Ferndale House Address 32 Ferndale Grove Frizinghall Bradford West Yorkshire BD9 4LF 01274 772619 N/A lydasante@yahoo.co.uk 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) Heaton Community Care Mrs Lydia Asante Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (2), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (1) Ferndale House DS0000001156.V285356.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th August 2005 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, and kitchen and lounge/dining room. There is a small yard at the back of the house. Ferndale House DS0000001156.V285356.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection has to carry out at least two inspections of care homes every year. The inspection year runs from April to March and this was the second inspection visit for 2005/2006. Copies of previous inspection reports are available at the home or on the Internet at www.csci.org.uk. The last inspection of the home was on the 9th August 2005 and there have been no additional visits made to the home. This was an unannounced inspection carried out by one inspector who was at the home from 09.30 until 12.00. The main purpose of this inspection was to make sure that the home continues to provide a good standard of care for the residents. The methods used at this inspection included looking at care records; observing working practices, reviewing the environment and talking to the staff and residents. Comment cards were sent to the home to provide residents and visitors with the opportunity to comment on the service. Feedbacks from comment cards are included in this report. There were no requirements from the previous inspection and two recommendations one of which is still under review. Feedback of the requirements and recommendations from this inspection were given to the deputy manager at the end of the inspection. Requirements and recommendations made from this visit can be found at the end of the report. What the service does well: The home is a small family size home, which is comfortable and homely. The staff create a relaxed and happy atmosphere. Recruitment procedures are thorough making sure that staff are suitable before working at the home. Ferndale House DS0000001156.V285356.R01.S.doc Version 5.1 Page 6 Care records are concise and were completed and signed by staff and residents. Staff implement any recommendations from the GP or Healthcare staff. Residents are included in the decision making within the home and daily within their lives in a meaningful way. Residents have a good quality of life. They are supported and encouraged by staff to pursue their own interests and keep in contact with family and friends. They enjoy and active and interesting life in the local and wider communities of Bradford. What has improved since the last inspection? What they could do better: The home was generally comfortable and suitable to meet the needs of the residents. There were concerns however raised about the poor standard of fittings in the kitchen and the bathroom. These areas are in urgent need of refurbishment and decoration. The Lighting on the stairway was also insufficient and must be improved. Quality monitoring should be extended to include the views of other people involved in the home such as GPs, the mental health team, and other stakeholders in the lives of individuals in the home. Ferndale House DS0000001156.V285356.R01.S.doc Version 5.1 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. Ferndale House DS0000001156.V285356.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ferndale House DS0000001156.V285356.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 3 and 5. Residents needs and aspirations are assessed to make sure that the home can fully meet their individual needs. Residents are clear about their rights whilst living at the home, from the contract they are given. EVIDENCE: There have been no new admissions to the home in the last inspection year. Details were contained in the care documents of the originals assessments that were undertaken when the resident moved to the home. Evidence was provided that full assessments were undertaken with the residents involvement. Every resident has an assessment of need carried out by a social worker and a senior member of the care team to ensure that their needs can be met at Ferndale House. Risk assessments are in place. Mental health workers are also included in the assessment to ensure that all necessary information concerning the needs of the residents is available. Each resident had their own contract, which is renewed approximately every two years. The residents sign the contact, which also includes their fee charge, personal allowance and details of what items are not covered by the fees. Ferndale House DS0000001156.V285356.R01.S.doc Version 5.1 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 10. Staff manage information both written and verbal in an appropriate manner to protect the privacy and confidentiality of the residents in the home. EVIDENCE: The staff have a good awareness of the importance of confidentiality and have discussed confidentiality during their training at staff meetings. The documentation is held appropriately in the home; with care plans accessible to the residents and all other confidential items such as staff records are stored responsibly and safely. Staff at the home have also undertaken training in data protection. Ferndale House DS0000001156.V285356.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 and 13. Residents are encouraged to join in social and leisure activities, to keep links with their friends and to exercise choice and control over their lives. EVIDENCE: The care plans review the residents interests and aspirations and staff strive to support them to engage in many different activities. Some of the residents independently meet with friends. All individuals are encouraged and enabled to follow their own interests and hobbies with the relevant amount of support by staff to allow them to do so. One resident attends a day centre where she takes part in numerous activities including Art therapy. One resident talked about a cookery course she had taken part in at a local day centre. Ferndale House DS0000001156.V285356.R01.S.doc Version 5.1 Page 12 The residents enjoy going to the theatre, cinema, and shopping and day trips with the staff. The residents also have enjoyed a short break to Blackpool with the staff. Daily routines are very flexible and centred around the individuals daily lives and differing activities. One resident said that she enjoyed the food at the home and got a choice of what she liked when she liked. She enjoyed going out to cafes and for meals with the staff. Ferndale House DS0000001156.V285356.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 and 21 Residents receive the care and support they need and illness is handled with respect and dignity. Residents are supported to manage their own healthcare needs. Safe systems are in place for handling medication EVIDENCE: The care records showed that residents are supported in managing their own healthcare needs. The mental health team provided specialist support and guidance for the staff and residents. Two of the residents manage their own medication, collecting their prescriptions and keeping their medicines in locked cupboards in their bedrooms. Staff manage the other service user’s medication. Information about the medication each resident takes and the known side effects are kept in the care documentation. The home has a medication policy, which is updated and reviewed regularly. Individual medication is reviewed by the GP. All residents attend the GP of their choice and are supported by the services of the local health centre. Ferndale House DS0000001156.V285356.R01.S.doc Version 5.1 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Residents views and concerns are listened to and acted upon. The home has complaints and adult protection procedures in place, which protects residents. EVIDENCE: There is an Adult Protection policy and procedure in place and staff are aware of this. Staff at the home has undertaken Adult Protection Training and recently a talk on Child Protection awareness has been given at a staff meeting. There have been no complaints received by the CSCI and staff at the home feel that any concerns are dealt with daily by staff. The home is small and informal and staff constantly discuss with the residents their concerns. Residents meetings are regularly held and documented and residents discuss their care plan monthly with their key worker. A recommendation was made that the complaints section in the service user guide provides the full address and contact details of the CSCI and local social services and health care authorities. Ferndale House DS0000001156.V285356.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27 and 29. The home is suitable in size and generally comfortable but the kitchen and bathroom compromise the health and safety of the residents and staff at the home. EVIDENCE: The home generally is comfortable, domestic and homely. There were concerns raised however about the poor standard of fittings in the kitchen and the bathroom. The kitchen was difficult to keep clean and cupboards were out of reach and difficult to open for both residents and staff. The units must be replaced to provide a clean and safe working environment. The extractor fan was broken and ventilation to this area was restricted. The bathroom also needed refurbishment, the sealant had deteriorated and discoloured around the bath and sink which needed replacing. The extractor fan and electric heater were broken and if unused should be removed. The bathroom also required redecoration. Ferndale House DS0000001156.V285356.R01.S.doc Version 5.1 Page 16 Lighting on the stairway was also insufficient and must be improved. The staff said that they felt that light fittings were broken. Adequate and safe lighting levels must be provided at all times and has there is no natural light to this area artificial lighting levels must be increased. Ferndale House DS0000001156.V285356.R01.S.doc Version 5.1 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 35 and 36. The home is staffed to meet the needs of the residents. Staff receive good general training but specialist training in mental health needs is limited. EVIDENCE: The organisation regularly audits the training needs of staff to ensure that mandatory updates are undertaken. Staff have undertaken training in health and safety, fire safety, food hygiene, infection control, first aid and adult protection. The home has a small team of staff who work on a set duty rota. There is always staff present when residents are in the home and one member of staff sleeps at the home each night. The current residents do not require any personal care at night. Three of the staff have NVQ level 2 and are working towards NVQ 3. The manager and deputy manager have completed NVQ level 4 in management of care. All staff receive regular supervision and supervision records are kept in the staff files. Regular staff meetings are undertaken and documented. The training that the staff have undertaken and the organisations commitment to NVQ is commendable, but the training must be further developed to make Ferndale House DS0000001156.V285356.R01.S.doc Version 5.1 Page 18 sure that specialist training in mental health is not overlooked. Discussion was held regarding seeking appropriate external training or providing the training in house. Ferndale House DS0000001156.V285356.R01.S.doc Version 5.1 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 41 and 42. The home has implement a quality monitoring system. Maintenance and service checks are kept up-to-date. EVIDENCE: The deputy manager has distributed satisfaction questionnaires to the residents at the home. It was recommended that the questionnaires is also sent to social workers, health care professionals, CPNs and GPs, etc. The pre-inspection questionnaire showed that maintenance and service checks are up-to-date. Fire safety records were reviewed and it was evident that the PAT testing had been undertaken for the appliances at the home. The deputy manager confirmed that the landlord checks the gas fire and gas boiler annually. The home has a detailed file of policies and procedures, which is easily accessible by the residents and staff at the home. Ferndale House DS0000001156.V285356.R01.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 3 4 x 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 x 26 x 27 3 28 x 29 2 30 x STAFFING Standard No Score 31 3 32 x 33 x 34 x 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x x x x 3 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 x 16 x 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x 3 3 x x x x 3 3 x Ferndale House DS0000001156.V285356.R01.S.doc Version 5.1 Page 21 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA24 Regulation 23 Requirement The kitchen must be refurbished to ensure that all units are easily accessible and easy to clean. The extractor fan must be repaired The bathroom requires decoration and the sealant must be replaced. The electric heater must be removed. The lighting levels in the stairway and landing areas must be increased. Staff must have training in mental health needs. Timescale for action 10/07/06 2 YA35 18 10/05/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA1 YA39 Good Practice Recommendations The complaints procedure should contain the full details of the CSCI, local social services and health authorities. The quality monitoring survey should be extended to include the views of other people involved in the home. DS0000001156.V285356.R01.S.doc Version 5.1 Page 22 Ferndale House This recommendation is still valid from the previous inspection. Ferndale House DS0000001156.V285356.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Aire House Town Street Rodley Leeds 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. 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