Inspection on 25/10/05 for Ferndale Residential Care Home

This inspection was carried out on 25th October 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

Ferndale Residential Care Home 03/04/07

Ferndale Residential Care Home 31/05/05

Ferndale Residential Care Home 14/01/05

Ferndale Residential Care Home 02/07/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Ferndale 8 Stein Road Southbourne Emsworth, Hampshire PO18 8LD Lead Inspector Mrs H Church UnannouncedT Tuesday 25 October 2005, V246197 th 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 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 H60 H11 S37606 Ferndale V246197 251005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Ferndale Address Ferndale, 8 Stein Road, Southbourne, Emsworth, Hampshiore, PO10 8LD 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) 01243 371841 Mr K Firman Mrs K M Greenfield Care Home (CRH) 17 Category(ies) of Dementia - over 65 years of age (DE(E)) - 17, registration, with number Old age, not falling within any other category of places (OP) - 17 Ferndale H60 H11 S37606 Ferndale V246197 251005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st May 2005 Brief Description of the Service: Ferndale is a privately owned care establishment providing personal care to seventeen service users with dementia of a mental disorder in the category of Older Persons. Ferndale is a detached three-storey Victorian establishment in Southbourne, Emsworth, near Chichester and is situated approximately two miles from the centre of Chichester with all its amenities and a mile from the sea front. Accommodation is provided in seventeen single rooms, four of which have ensuite facilities. The rooms are arranged on two floors with a lift giving access to all rooms. A sitting area in the hall, a lounge and new conservatory/dining room provide the communal space. Mr K Firman is the Responsible Individual representing the registered providers Sussex Training Services Limited and the registered manager is Mrs Kathy Greenfield. Ferndale H60 H11 S37606 Ferndale V246197 251005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection, one of two required under the Commission for Social Care Inspection was planned to observe the morning and lunchtime activities for the residents. The manager was not present so the senior staff on duty assisted the inspector with her enquiries. To prepare for this unannounced inspection, previous reports were reviewed, letters and formal paperwork or reports sent after the last inspection were reexamined. Two documents, the Statement of Purpose and Service Users Guide form a contract of service provided to inform any enquirer or resident how they may expect the home to be run and how they can change the way things are done to improve their lives there. During the inspection, sixteen residents were being cared for. Three residents were spoken with privately and seven residents gave their views whilst socialising in the lounge. Four of these residents’ records examined to see if all care was being provided. Although residents are confused, they were able to give a clear account of their life at Ferndale and without exception all comments were enthusiastic. It was clear that residents are encouraged to say what they like or don’t like about the home. The residents were cheerful and it was clear that they were happy there. The staff were unanimous in their support of the manager and her leadership skills. The care plans showed that staff provide the appropriate amount of support. There were no requirements or recommendations made at this inspection. What the service does well: Ferndale Residential Care Home provides good information about the home in a specially formatted large print version of the Statement of Purpose and Service Users Guide. Staff enable residents to own it as their own home by listening to their comments and providing very individual care in a secure environment. From resident’s comments and observing staff at work, it was clear that staff are committed to treat residents with respect and dignity and ensure that they are fully informed about their personal or collective activities planned for that day. Residents are encouraged to make suggestions or propose any changes they feel would improve their home or individual lives. Ferndale H60 H11 S37606 Ferndale V246197 251005 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? 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. Ferndale H60 H11 S37606 Ferndale V246197 251005 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Ferndale H60 H11 S37606 Ferndale V246197 251005 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) ) 1, 2, 3, 4, 5. All residents had been assessed before moving into the home. The staff at the home are meeting the residents identified needs. Relatives were given enough information to help them decide the home would be suitable. EVIDENCE: The manager has provided large print versions of the Statement of Purpose and Service Users Guide for all their residents and representatives. Four care plans, including a new resident’s records were examined and it was clear residents had been assessed to ensure the home would be able to meet their needs. Relevant risk assessments were in place and had been updated although in one instance, the one part of the information seemed out of date. Care plans to instruct staff how to meet identified needs had been written from the assessments and it was clear from the staff that they were well informed about the care needed and were updating records accordingly. Ferndale H60 H11 S37606 Ferndale V246197 251005 Stage 4.doc Version 1.40 Page 9 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8, 9, 10, 11. All residents had an individual care plan set out for staff to follow. No resident is managing any part of their medication. Staff are meeting the health care needs of the residents in a respectful manner. EVIDENCE: Four care plans gave good, clear information of care needed with risk assessments giving staff good information about the risks and how to minimise these. Medication sheets were completed accurately and from previous comments made by the district nurse, appropriate referrals are made, assistance given and care followed up as directed by the primary health care team. Staff were observed speaking to and caring for the residents and treating them with respect. Staff knocked on doors before entering and then spoke to the residents in a caring manner. Four resident’s commented and said “ staff were kind”, “staff are so helpful”, “staff are lovely” and “staff are good”. Ferndale H60 H11 S37606 Ferndale V246197 251005 Stage 4.doc Version 1.40 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15. Activities are suited to the conditions and dependency levels of each of the current residents. Visiting is positively encouraged. Residents are served meals that are nutritious and appetising and these were highly regarded. EVIDENCE: Activities are based on ability with a dedicated member of staff providing these. These are listed on the day’s activities notice board in the hall where all the information required for residents to remind them of the day planned is given. This also included the staff on duty, the name of the home and the day and date. The inspector observed two volunteers providing a skittle activity in the lounge. It was clear that this had been well planned and all residents who wished to were being supported to achieve some success to the level of their abilities. There are sixteen residents living in the home at present but this did not prevent staff being able to spend individual time with them and they were seen to do this on many occasions. The book recording the visitor’s times showed the varied visits made to see their relative or friend. The residents told the inspector that they really enjoyed their food. It was clear from the menus that these are changed regularly from feed back at each meal. Ferndale H60 H11 S37606 Ferndale V246197 251005 Stage 4.doc Version 1.40 Page 11 The staff cooking the meal for that day had still provided a home cooked meal with fresh vegetables followed by a home cooked pudding and the standard of food exceeded expectations. A likes and dislikes list for each resident is updated regularly and any returns are noted for future meal planning. One resident told the inspector “it is very good.” Another said “If you don’t like it they will offer something else”. Ferndale H60 H11 S37606 Ferndale V246197 251005 Stage 4.doc Version 1.40 Page 12 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16, 17, 18. Residents are confident that any complaints they may have are taken seriously and acted upon appropriately. Staff are well trained in Adult Protection Procedures. EVIDENCE: The home has a complaints procedure displayed in a prominent position and it is included in the Statement of Purpose and Service Users Guide. One resident said they knew who to complain to, but did not have any complaints. The West Sussex Multi Agency guideline was available and from staff comments, staff are continuously updated in procedures. The Commission for Social Care Inspection had noted that the manager was vigilant in monitoring the care provided and had been commended for her past actions. Ferndale H60 H11 S37606 Ferndale V246197 251005 Stage 4.doc Version 1.40 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 22, 23, 24, 25, 26. The indoor areas used by residents are clean, safe and homely with good access to the rear garden. The resident’s rooms are suitable for their needs and are homely. EVIDENCE: During a tour of the home it was clear that residents are encouraged to move around the home as they wish and have access to a the front hall where the fish tank is in a prominent position and sparks off many conversations. The lounge and the conservatory/dining room is comfortably furnished with tables accommodating six residents giving it a homely atmosphere. There is a passenger lift for those residents whose rooms are upstairs. The rear garden has been redesigned to assist residents to walk independently around the raised flowerbeds and take part in any gardening activity they wish. It is wheelchair friendly and is furnished with occasional garden furniture. Ferndale H60 H11 S37606 Ferndale V246197 251005 Stage 4.doc Version 1.40 Page 14 There are enough toilets and assisted baths to meet the needs of residents and thermostatic valves protect residents from scalding water temperatures. Radiators are guarded and the home was clean and hygienic. Resident’s rooms were visited and were homely and comfortably furnished with their own possessions around them. Training records previously seen, showed staff have received all mandatory and periphery training related to caring for people with dementia. Ferndale H60 H11 S37606 Ferndale V246197 251005 Stage 4.doc Version 1.40 Page 15 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28, 30. The duty rotas did indicate that enough staff are on duty over the 24 hours period to meet needs and that recruitment processes are robust and ensure residents are protected. EVIDENCE: The inspector joined the care staff as they assisted residents after breakfast and provided the morning care. The rota and front information board confirmed the staff on duty. The numbers and skill mix of staff was appropriate to meet their needs. The member of staff spoken with said she was well supported by the manager. Staffing records were not inspected on this occasion as the manager was not present but from the previous inspection of two records, recruitment records showed consistency and staff were receiving good induction, supervision and training. The senior staff confirmed this was still being provided. Ferndale H60 H11 S37606 Ferndale V246197 251005 Stage 4.doc Version 1.40 Page 16 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 36, 38. The registered manager is well qualified and experienced to manage the home and is actively involved in the care of residents on a daily basis. The home is run in the best interests of the residents whose health, safety and welfare is promoted and protected. EVIDENCE: Mrs Greenfield is a qualified National Vocational Qualification Assessor and has a counselling award. Mrs Greenfield has obtained the National Vocational Qualification level 4 and completed the Registered Managers Award. It was clear from staff comments that Mrs Greenfield supports them to carry out their roles and provides a good clear sense of direction to achieve high outcomes for residents. Ferndale H60 H11 S37606 Ferndale V246197 251005 Stage 4.doc Version 1.40 Page 17 All communal rooms and rooms meet the National Minimum Standards giving resident’s sufficient space for them to have personal possessions or necessary equipment to support their care needs and move around their rooms safely. Ferndale H60 H11 S37606 Ferndale V246197 251005 Stage 4.doc Version 1.40 Page 18 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 4 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 x 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 3 3 3 3 3 3 3 3 Ferndale H60 H11 S37606 Ferndale V246197 251005 Stage 4.doc Version 1.40 Page 19 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 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. Refer to Standard Good Practice Recommendations Ferndale H60 H11 S37606 Ferndale V246197 251005 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 2nd Floor Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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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